HomeMy WebLinkAbout042-1087-40-100
d
neI In fp 3vn
c
I ~'~y O
0 -4
p3j O 0=i (n O m y N `C •
CD 3
m CO
W a .~.r Z m a fmb ,d c~D ' r~3' lA\
C' C 00
CL
y m y 3 0
1
(D CD go
0
v u> D ee Fr co
m cfl N w a
CD
3 ° W
n M x ro (D N N D
0 03 ~j ~J CD CD
0) 0) ;o i
p °0 3
N
o :V~ F-4 Z O O O
rt H a
~ N
< Z
k_n
D
F" V Cn n =r c V) Ul CO)
In to
o o CD v v
O L,)
Z 1
(D F,,' A
N ID fp
m
E ~ ~ ~ 3 °f cn
N ~l
CL
~ c
z 3
O y C CDD o
a tr
N ? m t~l •
Lo N t m 00) N M~
I c m N ol CD
hF E y w n
F-3
1' 0 a 3 3
CD O
~ A Z
y m
t a A z
Pi z N
n w A co
a Z
rZ m ° a
W ;o
~ o * to
' (D w 3
n Z
w
' I a
a ~
o -
o a
N
I
fi
A
qb
Cb
V
A
I o aO
Imp 0~ C
~ 2 ti O
m p y~
I~
Parcel 042-1087-40-100 02/08/2007 08:26 AM
PAGE 7 OF 1
Alt. Parcel 31.29.18.485G 042 - TOWN OF WARREN
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
MARVIN D BUSS O - BUSS, MARVIN D
914 64TH AVE
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 914 64TH AVE
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 1.590 Plat: N/A-NOT AVAILABLE
SEC 31 T29N R18W NW SW 1.59AC LOT 2 OF Block/Condo Bldg:
CSM 6/1580
Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4)
31-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1092/190 WD
07/23/1997 728/561
2007 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/22/2001
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.590 32,600 156,700 189,300 NO
Totals for 2007:
General Property 1.590 32,600 156,700 189,300
Woodland 0.000 0 0
Totals for 2006:
General Property 1.590 32,600 156,700 189,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 105
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
a~ o
Q o 0
d
° I
a
n
0 1
0
N
O
~ I
i
,a I
I
"O
i
I I
~ I
c Z
U. c
3 .0 I
a
I
I
Cl)
Z N
co
= 0
~ L
r
Z
d
CL m
N
M H Z O
0 z C
a~i Z 0
z
N
N
F-
I
v ch
N N
7 G ~
L 0
c o
o d ¢
z m z o
z
N _ cc
0 I! d cc
0
c
U l0 E 3 N 1
d M p, - r Y r I ca 0
CO O 0 0
0 0 o a
Z c" > a cn I
¢ o
vi000 z
•N a a
~a y
co co w
) o N
w J C) Q rn~ } I
O
a a
C" } (Q co
Q
cc 0
!~i ! C 7 a~
1~ O 0 y N c
C
r 0 0 Q 0 E
O CC cLo V N C u d p
F N
n v d Co ta N N
10
00
42 0 C m N r
N >1 N d N C Z C 41 N M
C E O
F~ o M ~i o o 2 Fes-
• y~ 0
0 cc
~
C/1 TO m m
m . € a
a V 0.
m
• as o m
`Iv Q o! 3 9 0
A oiL2 !,0U)0
Form - S T C - 104
• AS BUILT SANITARY SYSTEM REPORT
s
OWNER TOWNSHIP ~Jwr, -e.1,1 SEC. T N-R W
ADDRESS ~,5~ ✓ ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of II-HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
{y
R
/ G C3
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used yp,~,~
Elevation of vertical reference point: _1O a Proposed slope at site:
SEPTIC TANK: Manufacturer: Liquid Capacity: rp ow 0
Number of rings used: Tank manhole cover elevation:
Tank Inlet..Elevation: Tank Outlet Elevation:
Number of feet from nearest Road.: Front,@ Side 0 Rear, O / ~1,50 feet
N- From ,,nearest- property line Ffont,OSide ,ORear, -
feet
Number of feet from: well , building: f.
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER A-
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, O Side, O Rear, 0 Ft. _
Number of feet from well:
Number of.feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed : X :E~a_ Trench:
Width: /~7- Length: Number of Lines: Area Built: /
;Z
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, Rear,0 Ft. ?D
Number of feet from well:
Number of feet from building: s"S
(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, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: Plumber on job: License Number : l r~
i
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS
A PRIVATE SEWAGE SYSTEMS DIVISION
MADBOXISON, WI7969 BUREAU OF PLUMBING
MA
•53707 LXXCONVENTIONAL ❑ALTERNATIVE Stale Plan l.D Number
❑ Holding Tank ❑ In-Ground Pressure ❑ Mound (If ass igned)
NAME OF PERMIT HOLDERI ADDRESS OF PERMIT HOLDER: INSPECT ND ALM 00 "A'
TE
Tim E. Reedy P. 0. Box 541, Hudson, Wl 32$(~ ?
BENCH MARK (Permanent referencepoint) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV.-
NW SW, Section 31, T29N-R18W, Town of Warren
Na- of Plumber. MP/MPRSW Nn. County Sanitary Permit Number:
William Schumaker 6382 St. Croix 75021
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
PROVIDED. PROVIDED-.
~U _ V 00 YES ONO DYES NO
BEDDING: VENT DIA.. VENT MATT HIGH WATER NUMBER ROAD: I PF OPERTV WELL BUILDING FRESH
JA LARM FEET FROM ILI"E JA'EFNT'TO
IIN Er.
DYES ONO DYES NO NEAREST--~ 40 ~S ~c7 !S
DOSING CHAMBER:
MANUFACTURER BEDDING- LIQUID CAPACITY PUMP MODEL PUMP; SIP HON MANUF ACTOHEH ff',IATERIAL KENG COVER
PROVIDED:
DYES ONO NO DYES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL - NUMBER OF BUILDING I VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM AIR INLEL
PUMP ON AND OFF) DYES ONO NEAREST-~
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing - r DIMARKING
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:
BED/TRENCH WIDTH. LENT " IN1101 UPIPE SPACINI; COVEH INSIDE DIA -PITS LIQUID
q C TRENCHES tit IAL PIT DEPTH.
DIMENSIONS 21 >
GRAVEL OLPfH FILL DEPTH ~E)FTVI ISPIPE DISTH PIPE D . i T NUMBER OF PROPERTY WELL. BUILDINGVENT TO FRESH
BELOW PIPES ABOVE COVER L. INPI 1 LE V. END PIP LINE AIR INLET:
FEET FROM T
bb• r7 NEAREST► 3S
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-
DYES ONO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TEXTURE PEHMANf NI MARKERS OBSERVATION WELLS
DY
DEPTH OVER TRENCH BED DEPDG TH ES OVER TRENCH RED DEPTH OF TOPSAIL ES ONO OYES ONO
CENTER JE IS ODDED ISEEDEO MULCHED
❑ S. ❑ DYES ONO DYES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH. LENGTH NO. OF LATERAL SPACING JGHAVI PT 7PIP/ FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES
DIMENSIONS
MANIFOLD PUMP - MANIFOLD DISTR. PIPE MANIF MATE L NO U TR DISTPIPE DISTRIBUTION PIPE MATERIAL & MARKING
ELEVELEVDIAELEVPIPEDIA:
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT LY COVER MATERI L VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS
DYES ONO DYES ONO
COMMENTS: PERMANENT MARKERS OBSERVATION WELLS.
. NUMBER OF PROPERTY WELL, BUILDING:
D FEET FROM LINE:q
YES O NO ❑ ES ONO NEAREST V
-
-It 4
Sketch System on Retain in county file for audit.
Reverse Side.
SIGNATURE. TITLE.
DILHR SBD 6710 (R. 01/82) -
APPLICATION FOR SANITARY PERMIT 1~~ DILHR COUNTY
(PLB 67)
~ OEPRRT
TErIT OF UNIFORM SANITARY PERMIT #
RIOUSTRV, LRBOR 6 HUTgrI RELRTIOrlS
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'hx 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
F e c /Ffl 46 -'S- fZ 4& o Yo G
PROPERTY LOCATION CITY:
Al^f 1/4,W 1/4, S N, R /F E (or)/00 OWN OE
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
EST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
7 -
TYPE OF BUILDING OR USE SERVED
j~ 1 or 2 Family Number of Bedrooms: 3 Public (Specify):
THIS PERMIT IS FOR A:
KNewSystem ❑ Tank Replacement ❑ Repair
❑ Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
K Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank
❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issued -
1:1 An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity Od
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
Manufacturer:
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure
Total *of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
/Z. )e 6- a /2 Y_ SI;L 91 Private ❑ Joint ❑ Public
1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Signature: P MPRSW No.: Phone Number:
1~ op
Plumber's Address: Name of De- er:
" a
COUNTY/DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee Date: ❑ Disapproved
~p
-F-67 ❑ Owner Given Initial
S,y~ ~L[/ (loL/ Approved Adverse Determination
Reason for Disapproval:
Alternate course(s) of Action Available:
DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include:
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment„ 30 seat restaurant,
etc.) ;
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
s
APPLICATION FUR 'SANITARY PERMIT
STC - 1U0
This application lurm is to be completed in 1u7.1 and nigued 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/contractoz,("spec
house"), then a second form should be retained and completed when the property is
Said and submitted to this office with the appropriate deed recording.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
(Owner of Property ni E• CcEoq a' bnn* IM.
Location of Property, Section s~ L T o N- R W
Township N
Ma! l ing Address/. O. ~O le
SO A)
Subdivision Name LiftNumber yZ SM Ud.. • ~ ~(>or
1'ruV iOUS Owner of Property lJo W #'kr l C7. CooC 4L
Tutal Size of Parcel /.1Jrj9r_ /1l0Y~ /nC/t;DjkJG 9~644--~IWA-V
li.ai t~ Parcel was Created /'57,
Aic all curners and lot lines identifiable? Yes No
It. this property beisig developed for resale (spec house) ? - Yee J&- Nu
volume and Page Number 16 -go are recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. Warranty Deed
2. Land Contract
3. Other recordings filed with the Register of Deeds Office
In addition, a certified survey, if available, would be helpful so as to avoid delays
of Lite reviewing process. If the deed description references to a Certified Survey
Map, the t1ie Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
1 (We) ee4ti.6y that axe bfatexilen.t6 ort thi.6 6onm one .tAue to the but o> my (uuA)
k nuwtedg e; tJLa t 1 (we; am ( one) : he. ' owneA (6) o6 the pnopeA ty deb eti.bed in .tlu.b
iyt6unmatiun bow, by v.i n tae o6 a wama.nty deed neconded in the 066.ice o6 the
Cuun ty Regi4 teA u j Veed,6 a6 Document No. 4/06'0/ ~ and that I (we.)
p/, eb e n t ry own .the. pau pob ed 6.i to 6 oA the 6 ewag e"d;.e pob6a. 6 y6 -tem (oA 1 (we) have
obtained an ea6emen,t, to nun with the above de,6cAibed pnopeAty, boa .the
,'OkO t4uctiun o6 6ai.d b y.6 ter, and the 6ame ha.6 been duky_~ ne a %ded in the 06 e.iee
v 6 tl~ County Reg" teh u6 Deedb, a6 Document No. ytOSV / j j .
SIGNATURE OF OWNER ST.GNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED y DATE SIGNED
• v,
H
9
ST C- 105 r
a
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County
v
OWNER/BUYER E G~~Dy
ROUTE/BOX NUMBER Fire Number
CITY/STATE u~Sd~ s ZIP L-~ '
PROPERTY LOCATION: Nw , ySLO14, Section 31 T "'N, R )p W,
Town of St Croix County,
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. H
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with
the standards set forth, herein, as set by the Wisconsin Depart-
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 a ~O
St. Croix County Zoning Office
P.O. Box 9s.
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
° N
_ > o v _
- ~ ca
n° t_ E° o ° E° o :><F
rJ c°~_ ALL o c
e ~N~~~° Arno
E 4)
V M U1
L"c~
3 O
W 0 (0-0:30 ;o~
:m5,0 ° -6Ec
c~
4) a
H at b u c ed 4) c m
v)" L O co N m o
F=-r ~ccoyN omt ° 9
LLI N 3rn~c~_~ ~y5
IL
[tl c c U d c
l0 0 - Cc
W C
c"0 a
3-r- o (D o
Q Of
0 4)'a
a)4)4)4
3 ~
Z rn~F- 3 ° `°s N
~ 3ai~ a, °~c m
Q Z CO 0 y y vs ° ;
N N- cv OL c rny;, v
coam~~a o,
o °
gym.°QN (
0) m U) CC c
co co 0
oCD 4N)~c
0 0
O)z c
0-0005° °oE
°ocvo- cc 4) 0
C6 CM 0 -0 E
4) t5 -
0) c c
T y
NJ 'fn $ to N L a n1 Ld) v ca CC (D p o i a~ m
0) c °O co L V 'a cm
C O < of
y~ ~o»-°oca ~.,o c
L z
3 Y°°) °'°E c
13 Rf i N fd d 0.0
i O !A N
c N U U v~ Y N °3 3 G
cc 4) 3.
N G
l
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, G DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969
HUMAN 3ELATIONS
» f (H63.090) & Chapter 145.0451
LOCATION: SECTION TOWNSHIP/MUNICIPALITY: LOT NO.- BLK. NO.=SUBDIVISION NAME: ,71 A~ '/a w'/a AT N/R E 1L 2 f,11, e
C NTY: /BUYER'S NAME: MAILING ADDRESS: Hl 3~6_ G,7y5_
~ AL ,c
USE DATES OBSERVATIONS MADE
NO. BEDRNIS.: COMMERCIAL DESCRIPTION: ~-y PROFILE DESCRIPTIONS: PER OLATION TESTS:
I Iii-Residence / RNew ❑Replace
'7 S ~ C
RATING: S= Site suitable for system U= Site unsuitable for system
r O~NTIONAL: M~NQPRESSURE: S~EM-IN-FILLHOGTANK: RECOMMENDED SYSTEM:(optional)
fL-,~S ❑UU SS ❑UU SS E30 EEJS U *14 611,11- 7 s-
If Percolation Tests are NOT required DESIGN RATE: I If an
NOT any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS 7
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXT RE, AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSE VED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B
B- sZ 92.2_ 01r. 7.2 r 2 i / w rns
B- ? 7 t: c 7L 'W 5-1 i /3n
7 //37- /1+5 .
B-
3/ D n w w
74
-
B- 9 3 .2
-f "2 1
rr a
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD 3 PERINCH
P-
P-
P- Z 7. 3 3 J S` .7.
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
_
a
ra
~fy~
N r
_A
a
E
5,~/HFt~ , sr~EE
r
I r I 1(
3 ~
3 ~
i
i
i I I T
€ €
i
t 3
C'...... L O IL-J _ w _I_-_.. ......a_....._ ._1............ a . -t 4-
i
i S
^ 3
i 1 [ S 7 i ( 8 1 I [ € € t i
._._,.(..__..__k_...m.. _ z _.t_ I ..m....3...._..~.„.3..._ f w_. a ,...,,...a. ..m__.3_..... .a, m..m„~....m..-..S
A
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.
i
NAME (print): TESTS WERE COMPLETED ON:
T~ all Ili .o r 112 6
A, QRESS: CERTIF CATI N NUMBER: PHONE NUMBER (optional):
o w 3~3 J -
CST SIGNAT RE:
5'140~ ;L 3
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
x y
e
cry rr~~, a nr~ 115-~ -6395
r~
TC
_ e
NLY IF ALL
6, 0- 1( plan;
A
4
C
t
~ r
WEST LINE OF THE SW 1/4
S00°551561E_ ® ;1 C-3
v) / . \ Fn
376.441 i a mo c7 " D ,C7
W (n (7 E II II 11 II \
m g _
O C C7 Z_ I < 'rte
;,0 C3
o < z n r C.S.M. rrn
f* s o
o I O V r_ _ O O
c m °o v. 2, p. 492
C 3 = I V C2 . v O
M l 1 N m "i CJ c-
m CIO S00°54' 31"E ;::u
r. F 223.27' m
CD NO0°54'31"W 7 66.04' 157.23'
C ' N
C2 -
m I Cn v -0
v ~
rn
N r
N F N N
n co r
CD N n N J] a
O ~
O n w-
rn Y
F - - O
L rn I c; ~
m
G) n 7J C
T
CD m _u
BEARINGS REFERENCED TO THE WEST LINE OF s ° m
rn
THE SW 1/4 ASSUMED TO BEAR S00°55'56"E.
M r
0
z „
C) S00 54'31"E 231.56'
to S
165.52' "
CU If.+
1 r_ Irt Cn
1 0 Irr N F_
I ~ r_ Iro
I N N (n
1 (r o co p I.-+ r
1 rt c tp r IN
I ro -1 0 :T io , ~o o O
I0. T- O ;;C7 cn L" t0 t0 W !T
I o - co
H lD
S7 T_ N r--, C7 O N CJ N
N L_ r n
W { r I O. !`r-I dal Z O '7 1n (n 1 IO
_ m 1- I N fn - CD 1] m O I0 O~
I N IQ O
A N r O N W N y, N 10 I T-7 Z
Cn N w 3 i E N ~0 = 'O rt rt Is L, D
_y S F CJ) . N K A
a z_ o Fri ICl 0 f^ O C
O I CT y Ir-.• O _
• N 7C Z 17 < - n C) V m N
--1 CJ1 O 1`< C C 17 rn CO
r n 0 n 0 0 N z
O O rt N
~ N 1 S V
T W 1 (D ~ G7 C7 T
y 1 "1 • f,.. T S • CV
m I to ~ m T_
O
m N D N
- C O
A E
O Z--
C) r m
C= CD
S00 54'31"E 239.45'
cn if 173.41' , zc
-0 11
D_ m
O • - z
m V
Cn
fA Z
a fl) O Ln
co co C-)
N O
co X H N 7 N r-
CD r
XP I 0 d T
O N O rn (n N Q k
O I.- Z N -h r
\ C~ J cc N O
r ~J 'O N CC)
N m r _
r r n - - r cn <
v o c
Ca E
-n v
O m b ,r N
C) c~ C7
-a r_ I o
• Cn G1
2 Y fTl S
it > 'M W ~I 00°3E{' 2V• T CJ W
•7• 111 CJ
~ TOllf! ROAD
J
r~
SURVEYOR'S CE,R'."IPICATE
I, Allen C. Nyhagen, registered Wisconsin Land Surveyor, hereby certify
that by the direction of Will.i_a.r.l Cook, I have surveyed, described and
mapped the land parcel which is represented by this Certified Survey
Map; that the exterior boundary of the land parcel surveyed and mapped
is described as follows:
A parcel of land located in pa.lt of the NW 1/4 of the SW 1/4 of Section
31, T29N, R18W, Town of Warren. St. Croix County, Wisconsin; being
part of Certified Survey Map volume 2, page 492 and Certified Survey
Map volume 1, page 142 as recorded in the office of the St. Croix
County Register of Deeds; furl-.tier described as follows:
Commencing at the W 1/4 corne,_ of said Section 31; thence S00055'56"E,
along the west line of said SW 1/4, 376.44 feet; thence S89000'03"E,
40.52 feet to the point of beginning of this description; thence
continuing S89000'03"E, 927.19 feet to the centerline of the Town Road;
thence N00038'28"W, along said centerline, 248.04 feet; thence
S89028'03"W, 927.57 feet; thence S00054'31"E, 223.27 feet to the point
of beginning.
Together with and subject to a 66 foot wide Private Road Easement as
shown on this map.
ALSO
Together with a Private Road Easement being part of CcrL.ifiect Survey
f,ap volume 3, page 723 and Cert-if.icd Survey Map volume 2, page 492;
further described as follows:
Commencing at the SW corner of the above described I,arcel, said point
also being the point of beginning of this casement- descri.pti_on; thence
N00054'31"W, 66.04 feet; thence N89000'03"W, 77.38 r(-et to Lhe point of
curvature of an 80.00 foot radius curve concave northeasterly whose
central angle measures 271054'28" and whose chord hears S44057'17"E
and measures 111.24 feet; thence along ttrc arc of said curve, 379.65 feet
to the point of tangency; thence N00c'54'31"W, 11.34 feet to the point
of beginning.
ALSO
Subject to an easement for Town Road as shown on this map and all
other easements of record.
That this Certified Survey Map is a correct representation of the
exterior boundary surveyed and described; that I have fully complied
with the current provisions of Chapter 236.34 Wisconsin Revised
Statutes and the Land Subdivison Ordinance of the County of St. Croix
in surveying and mapping same.
r•'; ,yam
ri C_
14
:S n
C> /
cr1,~ ~
oe A,G I 3 0 '
r 1 f
l o •PI .s°~
Ora 3
w J
v
0d
S'~ ✓ e a 4L.
V it
v