HomeMy WebLinkAbout040-1157-80-000
0cn0 1 3-0 n d
°c CD > > 3
Co CD
co z n O N O O OOO A A `C f
C1 Z n N CA y O O CYAI
? F. O CD 7 4f to ° V
N Q 3 O
_ 11
C- 7 co
C) 0
O
3 a O
7 N N O O
Q d O O lr
C5- CD (n CL
CD W < V
I 3 a
CD w
a o
CD CD
rn CD 0 r (a
CD rn 00 00
3 !T Q
0 m N z l~,`i~ll
o D
y 3 C) a C")
cr v v
0 m m 'A Cil
d. N U:t
S 001 N
I 01 3 y w
w
z
Z
O_
i z CCDD O O
v O D a ~r
l~l
y
CD (n
fD N ~ I
C COD
w co CL
Z CD Cp -q c
N M
a A
0
`D CD
CL z
C rr N
H z °g
CD a
I
Da
a ~
o -
I v ~
Oz O.
N
I
y
I A
I
I b
I
I A
N
i O
w
O b O
CD
CD O oe
O CD a
L
O
i
ti
Parcel 040-1157-80-000 12/21/2005 09:57 AM
PAGE 1 OF 1
Alt. Parcel 24.28.20.615C 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 - BALSIGER, KRAIG A
KRAIG A BALSIGER C - DESILETS JEANNE A
DESILETS JEANNE A
220 PLAINVIEW DR
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description 220 PLAINVIEW DR
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.360 Plat: 1323-CSM 05/1323
SEC 24 T28N R20W 2.36 AC SW SW LOT 2 OF Block/Condo Bldg: LOT 2
CSM 5/1323 FORMERLY KNOWN AS PRT OF CSM
4/946 & INC 1/3 INT IN OL 2 ROADWAY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
24-28N-20W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
06/04/1999 604387 1431/586 WD
07/23/1997 757/365
2005 SUMMARY Bill M Fair Market Value: Assessed with:
103253 224,300
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.360 69,000 146,900 215,900 NO
Totals for 2005:
General Property 2.360 69,000 146,900 215,900
Woodland 0.000 0 0
Totals for 2004:
General Property 2.360 69,000 146,900 215,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 313
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel 040-1157-80-000 12/21/2005 09:58 AM
PAGE 1 OF 1
Alt. Parcel M 24.28.20.615C 040 - TOWN OF TROY
Current X'', ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
I
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - BALSIGER, KRAIG A
KRAIG A BALSIGER C - DESILETS JEANNE A
DESILETS JEANNE A
220 PLAINVIEW DR
RIVER FALLS Wl 54022
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description * 220 PLAINVIEW DR
SC 4893 SCH D OF RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.360 Plat: 1323-CSM 05/1323
SEC 24 T28N R20W 2.36 AC SW SW LOT 2 OF Block/Condo Bldg: LOT 2
CSM 5/1323 FORMERLY KNOWN AS PRT OF CSM
4/946 & INC 1/3 INT IN OL 2 ROADWAY Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
24-28N-20W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
06/04/1999 604387 1431/586 WD
07/23/1997 757/365
2005 SUMMARY Bill Fair Market Value: Assessed with:
103253 224,300
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.360 69,000 146,900 215,900 NO
Totals for 2005:
General Property 2.360 69,000 146,900 215,900
Woodland 0.000 0 0
Totals for 2004:
General Property 2.360 69,000 146,900 215,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch M 313
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
w 5.28 ACRES I 11 / ~o oho;' G
Q
O
0 It 7, , p
Wes, 6NE ~
°p6
tR,N.10
9.5.
3
g3 A3 ~19
°°pr ~6E a'o
-'p3Q33, P1, °viy
X50 f83o ~!D , ~ 61
f4 m.
1 ' 2 32 ~p ANN / ' ,w I
' 6° 12
15 ~P ~o S
2
r,Q Oi. 31 64S 2.43 ACRES
2gp p„
c~
'o 0
16~ ON
20
14 ,?6°g e'°° 13
gw 16/
1.75 ACRES g
N ;pl4 °O,q
4 W ti~ r~lr N
103 0 T
, 12?°p32i' i
i : p
w w'
OD -0
6 14 c\j N f
~O 53 \ \x.49 ACRES O o N 1.48 ACF
O o
z
00 ` 0 c
O °
rl• m
IN
-
109.89, 66.00 134.00 M
N 89.5732'W -
309.89
18 ~12. °o3'2t" 309.89
OA - _ 19 N 69°57 32 W
X330 ;U) 109.89 200.00 0
~
M
h
1~ (G (V 01 NO
2 J _m ti
W °W
@ .a)
117. N 0
~ i O RI I C
23
N 1. 24 ES ,o i 1.19 ACRES 0
2 z
z
6y~
Icf 294.98' 200.00'
N 89°5
NORTH LINE
LOCATtON SKETCH UNPLATTEQ
SW t/4
SECTION 24 LE C
T 28N, R 20W
C COUNTY SECTION COF
O 2" X 30" IRON PIPE
ALL OTHER LOT CO
Form -STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER L 4 S q,~ rrti TOWNSHIP T,.y y SEC. . T N-R-') 6,
ADDRESS k ST. CROIX COUNTY, WISCONSIN
dip chi ,t a O ti e{ t
SUBDIVISION LOT LOT SIZE
PLAN VIEWS
Distances and dimensions to meet requirements of I1,HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
L7 -2
,a
L
r 1_.___F
i'
INDICATE NORTH
7G/' and
BENCHMARK: Describe the vertical reference point us
~ -
Elevation of vertical reference point: l6U
p Proposed slope at site: t~}a
SEPTIC TANK: Manufacturer: Ay Q~"e Liquid Capacity:
Number of rings used, nk manhole cover elevation: _ IC? 2 y ~
Tank Inlet/ E evltion Tank Outlet Elevation:
Number of feet Road: Front, Side,O Rear, n r
~ BUD feet
From property line Front, OSide,GRear,~ feet
Number of fpet .from : well building: (Include this infa~nation of the above plot plan)( 2 reference dimensions to septic tank)
I ' QRR RFVFAQF CTnV
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest property line: Front, Q Side, O Rear, 0 Ft.
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width: Lenwth: Number of Lines: Area Built
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side "o Rear017t
Number of feet from well: Number of feet from building: /
1
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, O Side, O Rear, QFt.
Number of feet from well:
".LLB .¢eet from building:
a ~Number of fe --from nearest road:
Alarm Manufacturer:
Ind
Dated: N Plumber `
License N 01V
um -
t;~v
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.D. BOX 7969 BUREAU OF PLUMBING
MADISON.,WI 53707
[CONVENTIONAL ❑ALTERNATIVE State Planl.D.Number:
Ilf assigned)
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION D
Judd Swanson 19225 84th St. N., Stillwater, MIS 55082
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. EV.:
SW SW, Section 24, T28N-R20W, Town of Troy, rot 25, roixridge
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Mike Wilson 6388 St. Croix 88425
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. LIQUID CAPACITY:. TANK INLET ELEV.: JTELEV.WARNING LABEL LOCKING COVER
/ C~ ~J PROV DED: PROVIDED:
O V lof DYES ❑NO ❑YES ❑NO
BEDDING: VENT DIA.: VENT MATE.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO FRESH
14 I
ALARM. FEET FROM LIN AIR INLET.
❑YES NO ❑YES NO NEAREST } I~-
DOSING CHAMBER:
MANUFACTURER. 7ING
L
IQUID CAPACITYPUMP MODELMP/SIPHON MANUFACTURERWARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
ES ❑NO 1 / ❑YES ❑NO ❑YES ❑NO
GALLONS PER CYCLE: PUMP ANDCONTRO o RATIO L: NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) ❑YE NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH: LENGTH: NO.OF DISTR. PIPE SPACING. COVER JINSIDE DIA. ttPITS LIQUID
BED/TRENCH A TRENCHES / TERIAL' PIT DEPTH
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. S R. NUMBER OF PROPERTY WELL. BUILDING. V NT TO FRESH
BELOW I_P S1 / ABOVE COVER: ELEV. INLET ELEV. END 2-`5 PIPE FEET FROM LINE2 AIR ET
lY U f Id 1. 0 /00 9~ Z7 NEAREST-1
J ( ~ ~
MOUND SYSTEM: U
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA-
❑ YES ❑NO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TEXTURE PERMANENT MARKERS JOBSERVATION WELLS
❑YES ❑NO ❑YES ❑ O
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED
CENTER. EDGES.
❑YES ❑NO ❑YES ❑NO ❑YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH: LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPF. FILL DEPTH ABOVE COVER.
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD P11ATERIA1RPIPE DISTRIBUTION PIPE MATERIAL @ MARKING
ELEVATION AND ELEV.ELEV.DIAELEV. DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY ERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS.
❑YES ❑NO ❑YES ❑NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
FEET FROM LINE:
rl ❑YES ❑NO ❑YES ❑NO NEAREST
f ~ t
i
C
e ~ ~ r3
I
S ~r
s
Sketch System on - etain in county file for audit.
Reverse Side.
SIGN TITLE
DILHR SBD 6710 (R. 01/82)_ /
DILHi~ SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code -S
STATEQSANITARY PERMIT
. -Attach complete plans to the count 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.
FFPOR TITION
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. VARIANCE ❑ YES NO
PROPERTY OWNER PROPERTY LOCATION
31fC44 Sw &I 1/4 Sc~J'/4, S T~ , N, R Z E (or)
PROPERTY OWNER'S MAILING ADDRESS B BLOCK NUMBER SUBDIVISION NAME
ply r. dm !e
CITY, STATE ZIP CODE PHONE NUMBER CITY NEEARES R~, LAK OR LANDMARK
II. TYPE OF BUILDING OR USE SERVED: • Q'i1j, - 5-7A_~
Number of Bedrooms if 1 or 2 Family 3 OR Public (Specify): Al iK A10 SVUW LoTif
III. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable)
1. a. ~ew 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.'skonventional b. E1 Alternative C. ❑ Experimental
2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. R.See a e Bed b. ❑ See a e Trench c. ❑ Seepage 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): CC~]
C G~.S- 6~d ~0~` Feet 5 hPrivate ❑ Joint ❑ Public
VI. TANK CAPACITY Site
in gallons Total of Prefab. Fiber- Exper.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank OOU j ❑ ❑
Lift Pump Tank/Si hon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VII. RESPONSIBILITY STATEMENT
1, 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) AIPMPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code): Name of Designer:
40 1/ ox / -7 w' S-
~c
VIII. SOIL TEST INFORMATION
Certified Soil Tester (CST) Name CST
CST's ADDRESS (Street, City, State, Zip Code) Phone Number:
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps)
yW Approved I ❑ Owner Given Initial /n Surcharge Fee
Adverse Determination/
X. COMMENTS/REASONS FOR DISAPPROVAL: OF C.Z
SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
APPLICATION
TO THE APPLICANT:
1. This sanitary permit is valid for two (2) years;
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable;
3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
rooms, etc.), depth of system, or type of system;
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation;
5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
pumper whenever necessary, usually every :2 to 3 years;
6. If you have questions concerning your private sewage system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
I. Property owners name and mailing address. Provide the legal description where the system is to be
installed;
I!. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment. 30 seat
restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling;
III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or
repair;
IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project
is in conjunction with University of Wisconsin;
V. Absorption system information: Provide all information requested in ##1-6;
VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete
for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if
tanks received experimental product approval from DILHR;
VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if
applicable;
VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number.
IX. County/Department Use Only;
X. Comment area for use by county or resaon given when application is disapproved.
Complete plans and specifications not smaller than 8'/s 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 Groundwater -
included the creation of surcharges (fees) for a number of regulated practices which Wisconsin's
can effect groundwater. The surcharge: took effect on July 1, 1984. All of the water that buried treasure j
is used in your building is returned to the groundwater through your soil absorption
system or the disposal site used by your holding tank pumper.
The monies collected through these surcharges ears credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground- rte
water, groundwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting.
SBD-6398 (R.03/86)
• 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 ,W ~a 03
Location of Property .1 Section TN-R 2 b W
Township Q
Mailing Address
i Il~✓a fir
Address of Site
Subdivision Name
Lot Number 2SS
Previous Owner of Property e~~ N JOI(Z L e t` se t)
Total Size of Parcel
Date Parcel was Created 13 -1~
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes X No
Volume and Page Number ~3 Z 3 as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed which includes a Document number, volume and page number, and the
Seal of the Register of Deeds. In addition, a certified survey, if available, would be
helpful so as to avoid delays of the reviewing process. If the deed description refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
I (We) eentiby that att Statements on th,i,s boom cute tAue to the best ob my (oun)
knowledge; that I (we) am (a&e) the owneA (s) o6 the pnopeh ty des chit ed in thi s
.inbonmati-on 6o4m, by vi tue ob a waA anty deed neeonded in the Obb.ice ob the
County Reg.c,sten ob Deeds as Document No. 134; and that I (we) pnesentey
own the pnopos ed site bon the s ewag a di b pas s ystim` (on 1 (we) have obtained an
easement, to nun with the above de6cA bed pnopehty, bon the eonsthucti.on ob said
system, and the same has been duty neconded in the Obb.ice ob the County Reg.iaten ob
Deeds, as Document No.
c1z~~A
SIGNA OFD OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
O Z
DATE SI D DATE SIGNED
- ~LV611 LU IN [IIL Swi/q OF EIIE SWI/q OF 5ECTIOtt Zq, T28N, It 2OW, TOWN QF TROY, sr.CROIX COUNTY, WIS.
v 1. UN PLATTED L_A_ND_S_ ~i
f °i' N 09°20'16"W 926.91' ( N09of0,10"W n.) 110 N 0 R T I I L I I I E 0 F T_IIE SVfIM0FTIIE YV9
:r, n ~C f 500 00' g7L.71' ~ `
V! POINT OFDEOINUM0 1
Z rp VI
'D oO°, r m C O
G m '-J V' z
~m 1
4 o OUTLOT I
in I~ m y
389,gg,n o 5.28 ACRE PARK
OF CROIXRIDGE
• W z1\A
p 0 u
V.
a rz
rn N O v W
N n,
I
In r M
- z 1'~'~ S Si ZIP w h°u.~1'p~
%lbo
0 1 Se 0°22'3p„E soot ols~.fi i`j.34" 4 -9orb
n 76. op -
c9 184.14 , 6J' z
SO" o, 0~5°0
~pss 0p tJ 84°31
4- T
coo
57, -rA
17 I
UNPLATTED LANDS S lo,' "o 9SS yi
J r 1~
LEGEND SO
6 ° ~o,~° ! (rl Is'ss'as•~ n.f
S ALE IN FEET " tW PI/EVIOVSLY f(ECOTIUEUAS 89, ^ t ~o
I =200 N1.. 55 33'E
(9 SECTION CORNER. MONUMEUT r ~ 5 5.,12'
0 IOC 20~ 300' • 2" IRON PIPE FOUND e3e b~ J
500 • 1"IROrI PIPE FOUND 104 I I"'t,
1 1
• 0 1"X 24"IRON PIPE WEIGHING 1.60L05./1-I1t.FT. S[T 1
DESCRIPTION
A r)arcel of land located in the SW 1/4 of the SW 1 /4•of Sr--ction 24, TZ8N, RZOW,
Town of Troy, St. Croix County, Wisconsin, described as follows: Beginning at
the NW corner of Outlot 1 of Croixridgu; thence 1\,189020116"W 926, 91, aloe- U112
North line of said SW 1 /4 of the SW 1 /4 to the West line of said S%V 1 /4; thence
S10351 18''E 437.911 along said West lilac:; thence S800 22130"E 478.011; thence
N84031'21"E 184.141; thence S60045'53"E 506.891 to the Westerly right-of-way
line of Plainview Drive; thence Northerly 12.481 along said Westerly line on a
266.001 radius curve concave Easterly whose chord bears N14035116"E 12,481;
thence N15o55153"E 55.42' along said Westerly line; thence N60045'53"iV 151,911
along the Southwesterly line of said Outlot 1; thence N29001133"W 151,151 along
said Southwesterly line; thence N0040'36-"E 164.99' along the Westerly line of said
Outlot 1 to the point of beginning, containing 181158 sq. ft. (11.046 acres), and
being subject to all easements of record,
I, James E. Rusch, Registered Wisconsin Land Surveyor, hereby certify that I
have surveyed and mapped the above described property; that such plat is a true and
correct representation of the exterior boundaries of the land surveyed; and that I
have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes,
the Town of Troy Subdivision Ordinance, and the St. Croix County Subdivision
Ordnance to the b f my r tesSion al knowledge, understanding and belief.
Tames E. Rusch SC„O
~tiYisconsin Land Surveyor S-1376 ~V
^21 Second Street
Hudson, Wisconsin 54016 JAMES E.
RUSC SCII
• ~ i~ S-13io
This map is he reby approved by the Town Board of the T oin of Troy. J~ Illr.i"' ,t
Date
F o w 11 C l e r k U VZ`j
~r11J11~1~«~~
H
• z
N
H
a
STC - 105 r
r
a
H
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County z
cy
a
OWNER/BUYERIS&'(l Sw vV kQTSWa~
ROUTE/BOX NUMBER Fire Number
.CITY/STATE E k)22 ZIP
PROPERTY LOCATION: SW 14, V V-~ Section 2-Y T 3L~ N R 0 W
.
Town of -5-014 , St. Croix County,
(Z6
Subdivision A Lot number 2
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 pdt 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
I/WE, the undersigned, have read the above requirements and agree z
N
to maintain the private sewage disposal system in accordance with x
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.
SIGNED
• ~ DATE 16
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.
DUSR OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS
INDUSTRY, , DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 P.O. BOX 76
HIiMAI~ RELATIONS
(H63.090) & Chapter 145.045)
LGCATION: SECTION: A/R C WNSHI UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
COUNTY: QQhLE_F_?.~S/BUYER'5 NAME: MAI NG ADDRESS:
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL D SCRIPTION: PROFI E DESCRIPTIONS: ER LATION TESTS:
Residence -3 X New ❑ Replace
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYST M-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
JS U l9S DU > S DU ❑S KU DS U ~Q~
1.j Ichl
If Percolation Tests are NOT required DESIGN RATE: [Floodplain, any portion of the tested area is in the
under s.H63.09(5) (b), indicate: indicate Floodplain elevation:
PR FI7S~CHARACTER ESCRIPTIONS
BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-IN63+OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH OBSERVED EST. HIGHESO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
i
B- B"
B- S h/Oh 7
B- ~,c MG sti T g/ u, i .4 .A7-
7- PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER }f#@4ES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 P RIO PER INCH
P ' V3 Iwo < 3
P- ?
P-
P-_
p
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.
SYSTEM ELEVATION /oor
: c
i
III a i
I _
I. I ~ 3 i t j 1 z
Lj
E
( - 1
I
_ 0 re
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:
-*~I, - cf_ O- 29-8'6
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
CST SIGNATURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
L
JCTIONS FO 7" 115 - S
3
4.
NLY IF ALL
1 rt ,
THE
,r
.I
o ti Y
o r
n
v s ~J Al
3 ~r
0
o q o ~S
4
J
i
-Q. . h
u
~ S
D ~ ~ T
rt o ~~j P
v AJ I
o s ~ u!
v I
'U J q o
r W