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HomeMy WebLinkAbout020-1038-70-000 a o o "' o N `r ti C h O O N N ~' 3 tl ~ y O Z v C 7 LL 3 U W ~p ~ a m _ ~ 3 ~ ~ ~ Z O ~ ~ = ~ ~ Z °' ~ as m 00~z O 2 a c V ~ ~ _ 0 ~ S d Z ~ to F- ~ ~ N c .- w N ~. N ~. 7 V to c0 I ~ ~ 3 d U C L O ~ C Z 2 ~ V) 'p :: _ •• d C jp ~C. ~ ~ ~ ~ - V a ~ ~ H ~~.. ~~'c o a a~ m m m I- r r r r ~~^^ •MV a ~ C ~ ~ 2 N O O f!1 J U N J N N oo ~~ g Y M ~ ~ C: O 00 Q y N C o ~ ~ ~ °° 3 ~ o 0 it ~ ~' O Y W M O ~ C O T: Oi t il N pp •~ 'a y~ O 0 ~ 2 (4 M O O r.+ ~ ~ w v ~ m ~ ~ a .. o 3#t a ~ `ate • ` M~l ~ ++ a m ~ ` c d c ~ w rr V a l O N V _1 A ~o 3 0 O ~ a~ c 0 N N C _O F"i N y C d 01 N U t6 N VJ O 7 o a Z V1 N C U c ~ 0 ~~ Q~ 0 io U ~~_- .N-~ c ~ z N E ~ N M N ~ ~ ~ o O 0 Z ~ C _ N .fem . . y N C O U ° a m o N N ., m ~ a _ ~ N i Q Z (A Q j M I a c n. ~ ~ N ~ ~ ', O U ~ C d ~ ~ Z ~ Y ~ ~ ~/ s SCALE I N FEET ~ o _ ~ o - ~- r• ~ , ., r• r r ~ y x r -~ Z o n m. «r m _ Z ~- a ~1 ~ 200 100 0 0 : ~, ..., , ~ m ~ a ~ c~ ~ o r V ~ , rt o m= ~ m H x~ -n ~ ~--~ C c n ~ ~ z ~---~ ~ z~ n rt m n to rn ~ ~ ~+ O -~ o x ~ ~c x ~ a-~ to o m ~ c c-~ a d ,* z z O x ~ ~o ~ x m ° mx to z `+ --~ ar ~ <= Cn ~ z cn o C a+ c cn _ ~+ ~ rt unplatted lands owned b th ~ ° ° H °D = fp ------------~-------- y ~~ - o ers -- -- H . N - rn o_ v- SO1°47'59"W west line of the NW} of s ti n ~ ~ ~ e c on 18 v 487. 46' Z ' 3 .. 834.16' '-' " o O ~ ~ ~ z ~ ~ D' ~ N O F. N O br 'O ~+ -+ N W r O~ N ~' p N ~ ~ X M m z N N n z to ~ z N r, "~ ar a H x ~ m a n m ~.., a~ v ~ ao ~~ x z ~0 2 m ar ~ m W ~-' tr '"'~ N ~"'' ~ ~ z C z ~ ^~ v '"' o~ v z z = o o z m z v m v v m ar ~ ~„ O N - O a+ w V O " .9 o- ~ ~ o .-. ~ m O I w rb - m o O '-' -n 0 'n m 0 . , ~ n > ~ I e ~ 'p c c .R ~ m a ~ t~ ~ ~ G C ao ~ N ~ z ' N c i = C t0 r ~ 1 n 'rt ar Z -1 ' 2 W n N Z Z O '+ CD OD ~ N O' m C C7 -+ ~ O T p p O CJ1 V O z -~ "`~ ay \ j~ a+ ~ ~ .-.~ w rn ~ o a' x z n o m '`\ ~ a o r ~- ao I \l m x o w ,~ z ~ N „" - \ C, `/ - . N r ~ i ~ o ~~ 1 S00°04'00"W 1347.81' 0 0 -n „ ~ N00°04'00°E 1116 42' i A ~ O N z a0 . . / ~ o_ ~ ~,-- - v o H - v x ~ °* c ~ m ar < T w ~ N00 w z a K ~ ~-' 00 - ~ • O> cn w -~ m r N ~ ~ ~ O d -f1 ' ~i~ V G a z ~ i ~0 .. , _._.~„ ~ ^y oP ~•~ °m 2.79 ' `a ~ a ~~f' r W00 04' 00°E S °37' 04"W O e is ~' d,, v t n /y~ ~ ~o rt ~ H ~1 ~ H m ,p r s z s/ N ~ ~~ _ J S00°04' 00"N ~ S00°31' 04"W ['y ~ 744.12' 412.30' 84.74' OO,~ ~ N00 °04'00°E 1156.42' ! N r A 10 1^ ~ ~ ~ ti ~ n rt ar ~ m x a N ~ ~ cn ' + o w ' ]o ~ ~- ,V x tp~ ti~ '\OO cm's ~ a '` ~ ~ -r ~ x • Parcel #: 020-1038-70-000 01/20/2005 12:03 PM PAGE 1 OF 1 Alt. Parcel #: 18.29.19.161 B 020 -TOWN OF HUDSON Current ~' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner * STRUEMKE, DANIEL J & KEITH HUSSEY DANIEL J & KEITH HUSSEY STRUEMKE 307 KRATTLEY LA HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 307 KRATTLEY LA SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 13.550 Plat: N/A-NOT AVAILABLE SEC 18 T29N R19W NW NW W 706 FT OF N 835 Block/Condo Bldg: FT Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1202/118 WD 07/23/1997 637/404 LC 07/23/1997 434/21 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 47899 316,600 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 13.550 104,700 140,200 244,900 NO Totals for 2004: General Property 13.550 104,700 140,200 244,900 Woodland 0.000 0 0 Totals for 2003: General Property 13.550 104,700 140,200 244,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 120 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSM ENT 27.00 001-WATER SPECIAL ASSESSM ENT 0.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 .~ WisconsinDepartmentofCommerce PRIVATE SEWAGE SYSTEM Safety?nd Building Division • ~ ' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. permit Holder's Name: City Village X Township Keith, Husse Hudson Townshi SST BM Elev: r Insp. BM Elev: BM Description: UO• o cA,p' C5C• g tu~~ ~ TANK INFORMATION ELEVAT N DATA TYPE MANUFACTURER CAPACITY Septic ~ E6K S 16lzn ~est+x~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic r 2S ~f- r ~$ 5 r -~----~ eesm~ ~- ~ 2 ZS .~- Jr'~ t O r Aeration Holding PUMP/SIPHON INFORMATION Manufacturer and GPM Model Numbe TDH Lift ion Loss System Head TDH F Forcem ' Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM (I G, l ~ L',,.... ~, o„~ /-~,~,.. ~.. County: St. CroiX sanitary Permit No: 363854 0 State Plan ID No: Parcel Tax No: 020-1038-70-000 Section/Town/Range/Map No: 18.29.19.161 B STATION BS HI FS ELEV. Benchmark 3, ~s lo3.cs r ov •o Alt. BM Bldg. Sewer SUHt Inlet ~ •b~ r Rs.BS SUHt Outlet S:[Q tomt z ~Z t + ~• ~~ 9S. 2 Jr Hea er/M a n. ~, ~ 9~• ~S r Dist. Pipe CTS ~~ ~o ~t/,~, r T Bot. System p•`Z lo•~~ °(3.03 Final Grade n,.~ ~~ ~~ St Cove ~ 2 r~ ~S d RENC Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMEN IONS 3t I~ DI ~ ~,~ 1 SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR M ~1ufagqtyyr r. /^~ .1.v~'Fil~r ^ t'Or~QtU Type Of System: ~~ t 2 ~} 1 ~ S 1 .+. ~O _, UNIT Model Numbe :~ ~ DISTRIBUTION SYSTEM " Header/Manifold N Distribution x Hole Size x Hole Spacing Vent to Air Intake l.~. th C~~ Di L Pipe(s) L Di i ~ 2 ro ~ eng a a Spac ng en SOIL COVER x Pressure Systems Only YY Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ s/ O 9 / Ch'O Inspection #2: Location: 307 Krattley Lane Hudson, WI 54016 (NW 1/4 NW 1/4 18 T29N R19W) NA Lot Parcel No: 18.29.19.1616 1.) Alt BM Description =CC~„`^~ ST' ,i,,,wt,~-~>'~/' •/1 2.) Bldg sewer length = 3) Samount of cover-M-S ~ ~.a.r.. ce.nASSJ~ wnn~ .e,,.. L,,.,;~~ I ~ ~ ~~~s.u~o-~'ia~ ~o we~ t~~-2. ~ u~r~ 1 ~ '"'" S _ ~ r ~ ~o ~ ~.. C S'~w2a - - er i-F ~Ot~ C~.~'~ -t~.. CSC . S . ~- CSL` ~ lxran ~ . `t S/~- Plan revision Required? 0 Yes No ~ ~. ~~' s)e9ther ide or dditjopal infgrmat on. ~ _ ~~WW w~q 1410¢ o-ba.~. ~ ~~~~~ ~ ~ I~sepctor's Signa~ ~ ~ u __Cert• No. S D•6710 (R~. 97) ~~~ M ,~11t.~rn w. ~~•M. I A,BNO f7'Wi.` or+. S~ 20 ZeoD . ~ ~. ;{ `.ISCO/1s%n ~ SANITARY PERMIT APP~Ip-~I©_ ~I; Department of Commerce In accord with Comm 83.05; s. d ~~ Code • Attach complete plans (to the county copy only) for the system; vn paper`r~b~'~~K`1~, county than 81/2 x 11 inches in size. ~ `"~ =.Rx ,, • See reverse side for instructions for completing this application states Personal information you provide may be used for secondary purposes ~ r: ,~ ~` /,~;,, ^ ¢Ptecl IPrivacyLaw,s. 15.04(1)(m)]. ~rF,~,Fs, T ~~ ~ a,~- Safety and Buildings Division 201 W. Washington Avenue P O Box 7302 Madison, WI 53707-7302 Lary Permit Number 363 ~'s`f ~f revision to previous application n I.D. Number I. APPLI ATION INFORMATION -PLEASE PRINT ALL INF ~ -;;' ' ~. `~' Prop rty, caner ame '~- 'oQe, ~Lgc ti Pr erty Owner's aitin dress Lot Number Block Number / City, State/ Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F B DING: (check one) ^ State Owned ~ Ity ^ Village Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms. Town OF J ~ ~ ~J III. BUILDING USE: (if building type is public, check all that apply) Parcel Tax Number(s) 1 ^ Apartment /Condo ~:~=~°' / /'~ ~" ~-~ ~- a~ . ~ q - ~ ~ ~ ~~ 2 ^ Assembly Hall 6 ^ Medical Facility/ Nursing Home 10 ^ Ou door Recreational Facility 3 ^ Campground 7 ^ Merchandise:Sales/Repairs 11 ^ Restaurant/Bar/Dining 4 ^ Church /School 8 ^ Mobile Home Park 12 ^ Service Station /Car Wash 5 ^ Hotel /Motel 9 ^ Office /Factory 13 ^ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) q) 1. ^ New 2_.Replacement 3. ^ Replacement of 4. ^ Reconnection of 5, ^ Repair of an -_____System ________ System _____________ Tank Only______,_______ Existing System ________ Existing System B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^ Seepage Bed 21 ^ Mound 30 ^ Specify Type 41 ^ Holding Tank 1eepage Trench 22 ^ In-Ground Pressure 42 ^ Pit Privy 13 ^ Seepage Pit i ~ 43 ^ Vault Privy 14 ^ System-In-Fill ~ ~ /gp VI. ABSORPTION SYSTEM INFORMATION: ~ ~~ 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6 ev. 7. Final Gra ~~ •1 ~~ Required~(sq. ft.) Prop} jd~(sg. ft.) (Galsld y/sq. ft.) (Min /inch) s • Elev N M r~ S (~~ 1 ((~~ F - Feet eet VII. Ca acct NFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Fiber- plastic Exper. New Existin Gallons Tanks Concrete steel 91ass App. Tanks Tanks strutted Septic Tank or Holding Tank ~ :71 • (~l~ ~~ ~- ~' ^ ^ ^ ^ ^ ^ Lift Pump Tank/Siphon Chamber ^ ^ ^ ^ ^ ^ VIII. RESPONSIBILITYSTATEI~QE~I~T ~ Ar:K~ A~+~ ~~;n~j T'c by QboH e%~e r 5 f T't' >< I, the undersigned, assume responsibilit~r for installation of the onsite sewage system shown on the attached plans. Plumber's Nama• !Print) Plumber's Sign ture: (No Stam s) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): / IX. COUNTY / DE ARTMENT USE ONLY ^ DisapprOVed Sanitary Permit Fee (Includes Groundwater ate ssue Issuin Agent Signature (No Stamps) ~ktpproved ^ Owner Given Initial ~ Surcharge Fee) ~ ~ ~~~ \ Adverse Determination , x. CONUI ~ IONS Ur APPROVAL ! REASONS FOR DISAPPROVAL: SBD-6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIQNS ' ~ ~~_•+ 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a 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. 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. Onsite sewage systems must be properly maintained.- The septic tank(s) must be pumped by a7i"tensed pumper vvheneVe"r, necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3151. -••~ ----- --•• •- ~ -- - - ~- ~•• -• . To be complete and accurate this sanitary permit application must include: -,;I., Prap~,rCy owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be mstalled. ~ " II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. !!I. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Comp-ete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tangy, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for a!! septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber into fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only; _ • , X. County / bepartment Use Only. 'C~"omplete plans and specifications not smal-er than 8 1/2 x 1 1 inches must be submitted to the county. The plans must include the foll'owing:" `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; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; 8) 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; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) fora number of regulated practices which can effect groundwater. . _ _ The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. /V ' )e~~5p~ ~r~~ ~ a $~ ~,o~n ~L~.~pfi~ ~ pup I~-~,c oven 1~. a -_~ 3 DQ~ a_. ~l _. s~:~e u~inc~er..~_.. . 3xt00~ PRoh l;tie oven ~~~ ly a' /~ e(U Sit ~---- PR~ l`~Ne B ov epR I uo ~ ~ g3 D aa' a; ~LIC~I~ I )N~ ~bNl-S ` 'I u ~ ~~nNvO~P~ ~/ ~ [[30~~00 ~a Me ~f h O 7~' _ _ ... rte' i..... ~~~Oh l1ZC~-~ c~iS f ~ ~~~~ V' ~~~- (. ~ ~ .y ~ ~- / r 1 V W a ~ ~ (3M ~..~ Top o~ S~'P;a 1.,~d~"5 J ~I~v-ic,o•u ~ QM a= Tip of ~~~~..~,~,~b £iEr _99,~y D=Rove I~ol t~ N _ . 9 9-~ ~ ~ _ ~ , q4.g~ oo~~ ~~~~ =' o ~. C C = U v:. ` c E ~ ~ C° ~ ~ ~ ~ ~ r~ o " .n ~ ~ E ~, ~ .ra - =~ ~~ C L ~ X .~ON'3 ~ ~ ~ ~ V ~ ~ ~ +' 9s. ~~ ~~~ ~ ~ sorlrL aNO va~uaT~ow ! of and B in aloootd vrith Comm 83.06, Y1fis. Adm. Code ... A~ compete sa'ie pan en paper net kss e,an tf34 x t t inches n sae. Plan must ~~- :~a~ae, twt cwt timed a: vertical and horimoriiai refaenx po'rit cry; a~e~ aria ~O1"'~ ~, ante ar , nnrih a.raw, and location and ~~ b ~~ mad. Sk C Pa~i i:o:~ APPi.iC/WT WFORYATiON - Pteaae priiM all informat/on. '~~ ~t~ ~ a~ ~.a tar ~+~r~tte., s: tstxT+) ta+))- Re~+ewQd ~ 1 ~ ~ [)aba ~~ surer ~ietb. GovT i.d lacat~on NW U4 NW U4 ~ C8 T 2g N,R~ LEI W i'Itaperty C~wnet's Haling Addles LM # ~ i'~dc # I &t~d. Name M 1. SAiw - 3i~7 Kiad6it' bane _ ~ Statn ~ t'O~ ~ !~ ~ ~ Vllave Town Neaasf iload ti~odsolt V1't S~40tfr 31~ir-~4t5 Edson ~ ~ ~ .~ New Construction t~ ~ Re>'d~tial l Number dbedrooms (~Addl6at b exis~tg bu~utg ^ ~ n ades~e Eodeflelil~~-tlew 4S0 R~desigu k~axtiag ~e .;=~ bed: fly ~.f~ fita~il; A~ao~a tle~t>a~ ~ _~_ bpi. R= 750 trench, lF ~iaoamlm design badn9 ~ .S mod, .G ~+. 9P~ Reoo+l~il~ir~a~INra~n '~`~~~~ ~t~~iis~~~. ndtti des~i r side t~ ilsiderai;otls ~' Parent material Locss Ovcr Glacial OutWash Flood lain elevation, ff a licable Na ft S=Suiteb{B for Sitsts9~11 ~~ sly Co~-veationat Mfluc~d tMGlnucid Plw.ss~ue f~ S^ U d 1Si S Ci U (~ S^ U AT-Grad~a System in EiLL ~ S Q U ~ S Cy U kiOlding TaNc 17 S i~ V !fit I fl i QOtitlitatitCOIOC' M TexhBe a R~ n. lmSel flu. Sz Cont. Color (1r. Sz. Sh. Bed : Tnmch I 0-3 7.Syr4/6 - s Osg ml a Zf _7 .8 2 341 7.Syr5/6 - Is 2msbk mv&~ cs if .7 ~ .8 3 41-73 7.Syr6/b - s' t)sg I mi cs - .5 6 \ 4 73-84 7:Syt+6J4 - s" Osg I mf ~ - .7 8 ' 5 I 84-120 7.Syr5f4 - ~ ~ ~ _ - _7 .8 I i I I ~ I Rg11dIGy. ~• aa~ao w La •..,nw~r -`rRr OaOe6 ear s /.JyJgI6 1 0-7 7.Syr4/G - >s 2msbk mvG ~ 2f ,7 .8 2 7-29 7.Syr5/6 - _ Is Zmsbk mvfr cs if '_7 c .8 3 29-45 7,Syr6/6 - s Osg ml cs - •.?, .8 4 1 45-7f 7.Syt3/b _ s ~ 0~ I mi a ~ - _7 ~ .8 5 71-80 7.5,pr7/G _ fs 2ms~bk t mvCr cs 1 - .5 .6 6 80-iZZ 7_S~r7/4 - s Usg ml - l - .7 .8 I I ct~ °l;..Yf 1 I ~~ww. CSi Name (Reese Print) ~ Signairae: T~p~ ~ 'tlromas ~', t+Idixxr ..._- --~. 7l 5-2~-2454. _ Addnsas Eavuomcata) BY Deaa~ Daps 'W`T Number .,,....;~...R~af aiR 1432120th Strict, Ivccr: Richmond, T'~7 54017 y 22/18C1HtJ9 227387 292 y ~o~'ir orrNE~ [-c»._ e~ SOIL DE€3CRIPTfON REPaRT ~ page 2 of RARCEll.Qf 3 Bound else ~~>f ~ b facbr >120 GlOUlld eleV Deplll b factor Oeptlt ie DOmii~Q CObr R11t~s~! Mofnes Qu S~ Caclt Ca Te>~ @ BD~r ~+uv ROOIs ~uuaura~ou GPQrlI~ . . . , a Gt Sz, Sh. Bed : Tretlch 1 0-9 7-syrM6 - Is 2mabk mutt cs 2f 7 8 2 9-28 7.Syr5/6 - Is 2mtibk mvG cs If .7 ~ .8 3 28~i4 7.Syc6l5 I - s ~ ml cs I - ~ .7 ~ .8 4 4464 7.Syr5/6 - s1 Zmsbk mvfr r c~ - Ss _6 S G4-7G 7.SyrW4 ~ - ~ fs I Zmsbk mutt ~ A .S .6 6 1 75-120 7.Syr 7/4 _ s I ~S ~ ~ - I _7 .8 I Rp[naricc• I I I 1 I ! I e `i°~~~ ~f ~.,~a~~ ICI~LI f"!.... SlBY ~~ Cruin.~ ~ ~ ~ T ' ~ ~ ~ • 1432 124` S1IZEET, NEW RICHMOND, WISCONSIN 715-?A6-2454 Tom Nelson Certified Soil Tester 227387-Regi~ste[+od Sa~ritarian SR007I3 ###~Kt##i##############*#+R##4#~R#########i#~###4l~i~t+f~R#######M##1~##* k ~. Bl 1 0~. ~~ ~2 ~~~,-~ Q~ ~q,55 307 ~~~.~f icy ~~.n~. l-~ ~~ s o n y w( 5 ~! o f lP s11s 1. ~t~ ~~~~ Twn Nelson B114 2 ~p. ° ~ ~-~. ~ r (an~ ~i rn ~ P..1w l 0 a _. a~ ~ p ~~~a. I ~ OwnerBuyer Mailing Address Property Address ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM t v errucauon requires tam rlannmg Department for new construction) .. City/State / Parcel Identification Number C = ~(~;: ` f~,~~~~ -~'~' LEGAL DESCRIPTION Property Location ,~;,~,, ;~_ '/.,, ~;_ %., Sec. '-!~ T -~N-RAW, Town of ~yi;+ ~ t .\,"c - ~,_ Subdivision ,Lot # Certified Survey Map # Volume ,Page # Warranty Deed # _ .~: _'~ ~`~'~ Volume ,!-~~ ~ .,~, g ~ ~~~ Pa e # /~ 's Spec house ^ yes 'f~!l no Lot lines identifiable ^ yes ^ no ,~• . SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumberor a licensedpumperverifyingthat (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the y expiration date. v / / GNA OF APPLICANT ATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property d scribe above, virtue of a w ty deed recorded in Register of Deeds Office. / / NA F APPLICANT ATE ****** Any information that is mis-represtntedmay result in the sanitary permit being revoked by the Zoning Department. *"***• •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed nocur.,tN r No ~~~ 3.~Zt~',? ~~cE ~ 1'~ r~ State Nat :,f \\'i~~t ~r,in Funn ' ~• i9A2 1'`'.~RK:I~TY' Ul F:D Robert A. Blaiser aad Patricia A. Blaiser, husband and wife „nsrys anJ N.uranb t„ Daniel J. Streemi.e and KPi th Hussey, as joint tenants .r F._a :. _ - OCT 7 '-`j~''~ w at 8 : oo A. ~;i - _ .~ r~.i_i :N4~C f:E iE~~. E1? r. r7 ::F''.`91:~N.; (-a/a -- NatitE aN:. •zE,tiuN nCt~R E:,~ `~~ //,~~ Danie J StruemkeJ an rr`tt"«< the ?„Il,tssing dc~crihrd real estate in St. Croix Keith ssey 307 K ttley Lane Countc. Stair of \\'cxonsin. HudSO , WI 54016 Part of the SW} of the St~1} of Section 7-29-19; Part e t',:e ti;a} of the NW} of Section 18-29-19 and 020-1003-90; 020-1114-10 and Part of the SE} of the SE} of Sect ion 12-29-20 1Parrel ldrntifiiatiun ~iunther) 020-1038-70 described as follows: Commencir;, at the Section corner to Sections 7, 12, 13 and 18-29-19 and 20; thence N 87°54' Won the South line of said Section 12, 55b.5 feet to the c~_terline of the Township Road; thence N 47°10' Eon said centerline 550 feet; thence N 62°21' Eon said centerline 411.2 feet; thence N 36°37' Eon said centerline 290 feet; the.tce S 81°20' E on said centerline 179 feet; thence South parallel with the Wesr line of said Section 7 and extension 1411 feet; thence West at right angles 7~~5 fee; to l~ a West lln2 of sai!i Section 18; thence North on said ',Jest line Ii35 feet to the Place of Beginning. This conveyance is given in satisfaction of that certain land contract between above parties dated October sE, 1981 and recorded November 2, 1981 in volume 637 on page 404 as Document No. 374231. ~_ ~~ `. ~,. . - y -; r l ~, >f. ~. ~' <, tt T~~ ~~";;E'ER ~ 3 ~ ~,~,..._..,.~,_ This is not humeurad property- . (i~l (u not) 7 ' Ex~rptitro to aarrantirs: Subjec<_ to all easemen ts, restrict ions ant covenants of record. "" ".~ ,~, " r ~ ~ Dated chi, ? ~. day of September 1y96 ' yr +~" - - _ tsF \t.l tsl \r ,~ . •__Robert A. Blaiser Patricia A. Blaiser . i. `' . _ ~ r"~' • ~ ~ ~~ #` ~ ;.; AUTHE:~iTlCATION AC'KN011LEDG~tErI a [ ; Signature(s) __ ST:\"iF OF Vrt`r•Ej'~i~€?~i ~~r`+',• ... x* _ -. _. - Cti •t~!].y D (hunts ~!-A authrnti~.ttrd this day of . 19 Prn„nallc came hrG~re mr ;:~r, ~7~h 1a: t,E ~ September , i9 96 the ah.~~e naru~i _ Robert A. Blaiser and Patricia A. Blaiser i ' - __ SCCITT J KIRCHOfF X TI ELE: 31F1IBE.R ST;\TE 8:\R OF \sISCOtiSIN 11` t+Ot~~+h~NK Mtrvtr(SpTA ~+t (i(not. y ', MY CQNMI$$ION EXPIRES Y-N 1 ~ 4 authoriced ~} §706.(16 Wis. Stats.) VAt Y 31, 2000 to me lnu~st .sr,ut:,f tLr .. f~,rcguin~: imtrunrc n! anJ arA nor~lc„ir the ~a mr. THIS INSTRUti1EN7 `vtiAS DRATTED H'! r REINSTRA 5 VAN DYK; S.C. ~~ ,~~!! ~ ~ ~ -~„ 201 South Knowles Avenue ,S ce~ZL. . ~ New Richmond, WI 54017 ~ j 1~ \otar} Puhli~ Ch ~ . n (',,;inn. +w+. (Signatar.•, mac he authrntirat~J or xcknucsicdged. Rr'h art nut ~h rnmmitivo , i. prrmanrnl III mtt. ~t,ue r~piraU~•n J uc , nrrr"an) ~nnJnw .fit. .ZOG(`, rt r ±e ~ . Wisco~isin0epartmentofCommerce SOIL AND SITE EVALUATION Division"of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code ' Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must include, but not limited to: vertical and honzontal referencg.ppint (BM), direction and percent slope, scale or dimernsions, north a and, loc~tiori distance to nearest road. APPLICANT INFORMATION -'plea§e pri tall in~~, tion. ` Personal information you provide may be r~s~df6r seclyrs (Prhia~r Lbw, s. 15.04 (1} (m}). Page 1 of 2 A.C.E. Soil & Site Evaluations County St. Croix Parcel I.D.# 020-103 8-70-000 ID# 18.29.19.161 B ~eyiewed~By D ~^~~ Property Owner t.... .~ t ~ ; . - ., °k~zr^ '-. l Keith Husse rropeRy ~ocauvn Govt. Lot NW i/4 NW 1/4 S 18 T 29 - N,R 19 W _ Property Owner's Mailing Address '. ~' ' - ~T i~lC~l:d ' Lot # Block # Subd. Name or CSM# ` Tv , 307 Krattle Lane ~ City S te~~ i±ip CpdDN!t[l~er ., ~ ^ City ^ Village Town Nearest Road ~'1 Hudson W ; 54416 715-386-841 Hudson ~ Ktattley Lane ~ Rdsidential,l~Nur>aber of bedrooms 6 ^Addition to existing building ^ New Construction Use: t ^ Public or commercial describe ^ R l acemen ep Code Derived daily flow 900 gpd Recommended design loading rate •7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 1286 bed, ftz 1125 trench, ftz Maximum design loading rate •7 bed, gpd/ftZ .8 trench, gpd/ft~ Recommended infiltration surface elevation(s) System installed at 93.03'. ft (as referred to site plan benchmark) Additional design I Slte conSiderationS Soil evaluation to determine suitability of soils to a depth of >36" below system as installed. Parent material Glacial outwash Flood lain elevation, if a livable na ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ®S ^ U ®S ^ U ~ S ^ U ^ S ^ U ^ S ®U ^ S ® u Cnll I~FSCRIPTItJN REPORT Soring# 1 Ground elev 100.12 ft Depth to limiting factor >124" 2 Ground elev 99.81 ft Depth to limiting factor >120" Depth Dominant Color Mottles Structure i t d B ROOts GPD/ft2 Horizon 1 in. 0-5 Munsell 10yr3/4 Qu. Sz. Cont. Color None Texture is fill Gr. Sz. Sh. Osg en s Cons ml oun ary as - Bed Trench NP ~I NP 2 5-17 7.Syr5/6 None s Osg ml cs - 0.7 ~I 0.8 3 17-44 10yr5/6 None s Osg ml cs - 0.7 ~ 0.8 4 44-91 10yr6/4 None s Osg ml cs - 0.7 0.8 5 91-128 10yr5/6 None s&gr Osg ml - - 0.7 0.8 a3 ~ 3' Horizons #3 contains 1-Z" Banos OI l.~yr4/4 Um IIS at 2S-ib" mrsrvau nul~uu~ ttw wiiwui~ vcu.w v, i...~.-.~.~ ..mob ~• Remarks: _ _.-- -- _--- 1 0-7 10yr3/4 None is fill Osg ml as - NP NP 2 7-21 10yr4/6 None s Osg ml cs - 0.7 ~ 0.8 3 21-48 7.Syr5/6 None s Osg ml cs - 0.7 0.8 4 48-90 10yr6/4 None s Osg ml cs - 0.7 0.8 5 90-120 10yr5/6 None s&gr Osg ml - - 0.7 0.8 l Remarks: CST Name (Please Print) Signature; --- ~ Telephone No. James K. Thompson \ ~ ~ 715-248-7767 Address A.C.E. Soil & Site Evaluations / ' Date CST Number Ref # 340 Paulson Lake Lane, Osceola, DWI 54020 6/2/00 3602 1250 I A ,, , A " 0 ~P12/': '~ ~ ~ssey 3 D 7 ~izt ftie~. Cn. ~x%s E; ~~ o W.e.(L f~uc(~or~, c,J/. s'yoi6 ~~ ~~ !'es ~dence c1. r,E' i'op o f' ~ ~' , and,'ng. ilssu,.+cd ele~`=f0~.0a B 1 ~/ r.,t. a-i ~~ • \ • 3z ~. z of z 1 -~.» /ZcLsar~ t.~/i8/~~ Scale.: / '=- S!D' ~~.8- 3 • T~.~-Z o p~ e,^i f,'cct S I o ~ '- ~~o~ >,zo/ S /o~0e ~F S y.~E ~•~-~ /o cv ~'ar, 1 ` Sa' /Q/v~ser der o--~ ,o,'~.s 6 Tpm /Ie.~so~ E~n ~rom ~Oa~aer-cJo/'r(~ ~:%d ~ &';~;nc.~~,-czale /'educed by~8'''.~D~~aE -~imQ U,~' 3 yS2~c~n 6 a c.~,~//~'~q, /'es c~ ~i~ 9 i r+ e%dcL~io-~ d~i~'~ences onV Se.'/ eda.~!~/e~oorfS. Ka~ x/,250 poi ~.?(l`? ~~cE 11. ~ , t" "'0,1 ~'7,@ Scur Bar ,~f 1Yi~cr«sin Furm ' ~ i982' a..j•.+ 't l"'~ ~i'ARl2arTY DEED nC1CUMENr NO Robert A. Blaiser_aad-Patricia A, 9laiser, -_.. husbsnd and wife.. con.ry, and µarrants so Daniel J. Stru.emi~e and Ke! th Hussey, as joint tenants ,- _ ~ ~ ~~¢y _ . _3'~ ~T _ - _ _.. b _ the b~tfowing dcscrihrd real estate in .St. CTOIX C'uuntq. State of ~L'nconsin: Par the SW} of the S'd} of Section 7-29-19; .~ ~~ ~~ ~ _ F:a:~ ~ _ _ -, _ i OCT 7 =y='~ „t 8:00 .~j rrui ~~ACE NESENb'ED cna ~~EC~~apiNG „a-s NAME ANA i7E~UHN 4[JDPE S~ ~y/Q^ /~/""' _ Danie J Struemke an ~~ft//~~// f F Keith ssey 307 K ttley Lane Hudso , WI 54016 mart et the htiJ} ~[he NW o Section 18-29-19 an 020-1003-90; 020-11 - Part of the SE of the SE} of Section - - 0 tParcrl identification Num T) 020-1038-70 described as follows: Commencir.~ at the Section cornet to Sections 7, 12, 18-29-19 and 20; thenr_Q N 87°54' Won the South line of said Section 12, 556.5 feet to the c~.:terline of the Township Road; thence N 47°10' Eon said centerline 550 feet; thence N 62°21' Eon said centerline 411.2 feet; thence N 36°37' Eon said centerline 290 feet; the.ice S 81°20' Eon said centerline 179 feet; thence South parallel with the West line of said Seciton 7 and extension 1411 feet; thence West at right angles 7:`,6 feet to Cie West line of said Section 18; thence North on said West line 2f35 feet to the Place of Beginning. This conveyance is given in satisfaction of that certain land contract between above parties dated October '1, 1981 and recorded November 2, 1981 in volume 637 on page 404 as Document No. 374231. ~--3-•-~~~~~'~~o.-e--E--R~-.. is not rC ~ This ... __ _ . -- _-. ._ homrstraJ property. (isl lis not) Exceptiuntosssrranties: Subject to all easements, restrictions and covenants of record. Dated this ... _... _ - .fir. lT'~ day of September . ig96 •.-_,Robe-rt A Blaiser.___ _ __-_ __ Patricia A. Blaiser -- (SEAL) ~- _-. tSE.1t.t _ ~• ,~~ - AGTHENTICATIOti auttientieatrJ this day of .._ _ ._ . 19 TITLE: MEMBER STATE BaR OF WISCOtiS1V (If not _._ ._ ___ . _ __ . _ ... _ _ authurceJ by§706.(16 1L'is. Setts.) ACK~OALEDf.JtE~T M'tnneia}a STATE OF Vri!4t-(}'.M;i,~i .c. Cti•„~y0 Crunt~. Persona0} came hrk+rr mr uds 77;h Ja•~ of September, _ _ ...19 96 thr ah~~sr nartc~i Robert A. Blaiser and Patricia A. Blaiser ___ . SCOFT J KIRCi•fOFF _. NOL-er WAK MINNfSOtA y MY t0~-MISSIOty EXPIRES JANUARY 31, 2000 to mr ~noN ru.utrJ tLc THIS INSTRUI,IENT WAS ORAP TEO 8Y REINSTRA & VAN DYK. S.C. furreoinr instrument anJ arknoaledge the ~amr ~.~` ..~ . ;` ~. - ~~ ~. ~'y <~: 1: ?~ >~ _•> +. s .t~ N ,, t t,~~ i ~. 4 rai: s~~ ~• ,. =±f ,~- :,. }~. ~'~ . .~: :'.: Y.: _ r,'- ~ ~ ;~ *• ~~ M