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HomeMy WebLinkAbout020-1151-30-000 C N p ` 7 n 3 T 1 d CD A Z O 3 co U) "C) W ~(D ZN N N O CD o (O ? co O v U co N O O N O j W O N O O y A v cn D fD _ CD cn CD CL DJ W O O C Q N O ~J O 'i Z a c (D (0 CL 0 r U) F S✓ ::3 (D o (n CC) a° (n 0 c Cr . rt cn rr t~ r S N (D v O H. b H v v ti. ~l rt ~a o O O O al 0 C, C, cn H v x~ T O O rn co 5 ~ I~ m A _Z4 (D ✓ Z z N (p) z co z m o rCD o O !r • rn m N hN I r (D N = o, o ll1 rt N. C c CD O t/` N r-w m O. ht CCl b N C=i o A z A r . ,cam r; ~O c Win. (p Z U7 n _ A Z O I m ° G? Cl) P. o' in, (n ~ N O rt H rt C) CD (D (D O. , z ~y 3 F' R O O O Y co Cn O y Z t-h CD \rt W rrt G (D f1 D U) U) O ° T Iz o 0 CD z a 0 a N O O a 7 CD a N fn O ~ ~ a O (D O OL Parcel 020-1151-30-000 02/04/2005 09:09 AM PAGE 1 OF 1 Alt. Parcel 29.29.19.821 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner * MARNELL, JOHN W & CAROL L JOHN W & CAROL L MARNELL 729 GLENNA DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 729 GLENNA DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.027 Plat: 2356-PRESIDENTIAL ESTATES SEC 29 T29N RI 9W PRESIDENTIAL ESTATES Block/Condo Bldg: LOT 12 LOT 12 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 847/62 07/23/1997 780/362 2004 SUMMARY Bill Fair Market Value: Assessed with: 48907 327,300 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.027 27,400 225,800 253,200 NO Totals for 2004: General Property 1.027 27,400 225,800 253,200 Woodland 0.000 0 0 Totals for 2003: General Property 1.027 27,400 225,800 253,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 106 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNERf TOWNSHIP SEC. T N-R + W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ITZHR, 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t fi i INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front 10 Side,O Rear, O feet -From nearest property line .:'Front,0 Side, Rear, O i feet i Number of feet from: well L building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE d t 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, 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: Trench: Width: Length: Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, O Rear, 0 Pt 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, O Ft. 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: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MAbISON, WI 53707 ['CONVENTIONAL ❑ ALTERNATIVE statePla LD.N tuber Ilf assign edl ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE Stan Hanks R. R. 1, St. Joseph, WI 54082 / -J3 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELE S7 E PT. ELEV V.'. SE SW, Section 29, T29N-R19W, Town of HudSOn,LOt#12, Presidential Est. Narne of Plumber. MP/MPHSW Nei C<i rrmy San-, Permit Number. Richard W. Hopkins 1059 St. Croix 74982 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELEV TANK OUTLET ELLE V WARNING LABEL LOCKING COVER PROVIDED. PROVIDED YES ❑NO ❑YES DNO BEDDING. VENT DIA. VENT 11A11 1111 11 WATER INUMBER OF ROAD PROPERTY WELL BUILDING ]VENT TO FRESH a aHM _ FEET FROM ~j4 v LINE AIR INLET ❑YES NO ❑YES LqNO NE_AR_EST_-~7 <7 DOSING CHAMBER: MANUFACTURER JBEDDING 1 1"UIO(:APAC I TV PIIMP Mf)OEt POMP SIPHrTN MANUF Ar: TUHF H WARNING LABEL LOCKING COVER PROVIDED PROVIDED. ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PHOPFHTV WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM ve AIR INLET PUMP ON AND OFF) 1_1 YES L-INO INEAREST 30 SOIL ABSORPTION SYSTEM. Check thesoil moistureat the depth of plowing 11,1,1rllTLH I",IATIHIA,ANDMARKINC, or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE ~/IAIN - the soil is dry enough to continue.) I CONVENTIONAL SYSTEM: ~ WIDT'i LENGTH NO (?G ISTH PIPE SPA(:INC. "i I7 ~II.F In =PI15 LIQUID BED/TRENCH THIN CHIs ~1 II I PIT DEPTH DIMENSIONS 1 GRA E. DEPTH FILL EPT UISTI I If F UI STH PIPUE DISTR PIPE MA TEHIAL PNI(PE'S)I~I I~ FEET FNUMBERR OF PROPERTY WELL BUILDING VENT TO FRESH LiFIOVJ PIPES ABOVE COV EH ELEV IOrI f ELEV fN f LINE 1. f ~J NEAREST OM ►1 / AIR INLE T V 1 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. YES ❑NO SOIL COVER TFxTUHE PI HN1nN( NT MA iKI HS (MSFHdATII)N WE L I S YES ❑NO _ _❑YES ❑NO ~IE PTH OVER TH ENC:H BED DEPTH OVFH TRENCH BF O I)F PTH OF T()PSrJi( St 11)Of I) JFf DFO MULCHED CENTFH EDGES ❑YES- ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: _ WIDTH LENGTH NO. OF LA TFHAL SPACING (;HAVE L DEPTH BE LI)W PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD MATERIAL NO DISTR OISiH PIPE OISTHIBUTION PIPE MATERIAL&MARKIN(i F LF V. ELEV. DIA EI EV. PIPES )IA. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING, I)I:ILLLU COHHI CTI Y COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO DYES ❑NO COMMENTS: PERMANENT MARKERS JOBSERVATION WELLS NUMBER OF PROPERTY WELL BUILDING FEET FROM LINE ❑ YES ❑ NO ❑ YES ❑ NO NEAREST J ~ r. Sketch System on Retain jn county file for audit. Reverse Side. SI C'NATURE TITLE ' DILHR SBD 6710 (R. 01/82)_ 1 Wisconsin APPLICATION FOR SANITARY PERMIT DILHR 'l COUNTY (L~B'6 UNIFORM SANITARY PERMIT # OEPRRTTT1Er1T OF InOUSTRV,LRSOP GHUR1FIn RELRTIOnS -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/~x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY WNER MAILING ADDRESS PROPERTY LOCATION CITY: + 1/ 4` ^ 1/4' S V N, R E (or)(W lowly o~: . s LOT NUMBER BLOCK NUMBER ISUBDIVISIfN NAME NEAREST ROAD]LAKE OR LANDMARK STATE PLAN L.D. NUMBER TYPE OF BUILDING OR USE SERVED 17 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. X 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 ❑ 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 4 C 0 .ter 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): C lo o E` q 2 X 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: /MPRSW No.: Phone Number: P umber'$ Address: Name of Designer: COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved p 1 r- y Approved ❑ Owner Given Initial zlvo 114 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 i your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. ti nPl~l Ic,A'r1t~N I'~~I; ;.nlllrnlc~' Pl:l;rllr IIIII This application I H I M In 10 l w t imp I a l ad I i i I H I I and signed by the owner(s) of the property being devcloppri. Any Inaduqua0un will only result in delays of the permit Issuance. Should LhIH dvvulupmeni: he Inli'tidcd for resale by owner/contractor, ("spec house"), then a uucund i"tm ohuidd I,., i Lalu d and completed when the property is sold and submitted Ln thin K fQu WIL t.lrc appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property Location of Property Tjj? N - R W Township Mailing; Address Subdivision Nance Lot NUmber Previous Owner of Prop(~i t.y Total Sire of Parcel- Date Parcel was C're.at.~~.I 12_al Are all corners and .1 ~~1 l f.ne!l idunti 1 l ab i c ? 4- Yes No Is this property being developed for ronale (spec house) ? >-----Yes No Volume and Page Number 7330_ as 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 avaiila ble, would he helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shal-l. also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I Q91 ceAtQ that n.ftY Z-tatemuts ott~Ws bow aite 4que. to the but o6 my _Lau4T Wwfedgel Ant 1-011 om [akyt .the owHe_ahl u6 the p4opeaty dedckibed in . LI, in6ovna.t;ion 16vam, by ct-latue o6 a wasmatlty deed Acco/Wed in .cite. 066,i.ce 06 the Cuun.ty 1Zeg,Ltea 06 WE a5 Document No. '3~7333 ~ and that I pmenttry oRn the r.thopwd We bun I& awkpc rfiaposat Qte.m (oh. I (we) ha_u-' Obd.rz.it'l('d an ea5umM, to VuH NiNh the wlwty ,lrw.ibcd paopmty, bon the conSt-huRt:(or 06 61t(d tggtom, IS the ',omw Aw boon duty hwo/tdsd in ,the. 0660e o6 10 c(!I rly Roy( S fit" I 06 Mink ;I'. I4-HOH11 ! 01. SIGNATURE C& OWNEk KICNAL'URE OF CO-OWNER (IF APPLI_CAIILE) a v+Z O DATE S 1 CNED DANE SIGNED 1 , y E ser N R I! W ++w ur i he 3W 1/4 OF SECTION 28, •[LItF r + TOWN OF HUDSON, ST, CROIX COUNTY, WISCONSIN ot THAT TOWN Of N FOLLOWS T LOCATION GK[TCM- COMN BEARING N SECTION Y9,T2•N,R N 19WTO THE ►01 WIS. CENTRAI TAGENT U T WN Of 7W I/4 Tr RIN S G9°24'3! 260.01% TH THAT 1 • If ANNEXED, LOTS It p 12 COULD BE SUSJE CT TO POSSIBLE THEREOF y FUTURE GLENNA ROADWAY ASSESSaENT9 FOR THE NORTH 130' Or n - THAT r ~.__..1 DRIVE. Ix OF THE CIT 4 9 L w; xt_ S 21 29 29 W MUNICIPAL _ ••c•w"ru• SEWER S "W'ER COULD BE EXTENDED TO THIS ~ JAME`_ ° ~r •o•.w O T 1 i°r•r~~ SUBDIVISKIN. O I,-ESAS_. o S T E E E 4G 1 1 o Y G 40 50 39 - .0 HODS( N 17 47 b of u= OWNERS' 1 LEGEND wi 6 AS OW' rc AS REPR 7 ♦ SECTION w ES[r. + • 0 69 CORNER MONUMENT, BERNTSEN CAP w W FOLLOWING I' 4461 EXISTING FENCE am TOWN 1 1 1 UTILITY EASEMENT PARALLEL TO LOT LINE • EXISTING 3/4" CITY C I It 9 89° 4 39 1.27" DIA. X 30' IA. STEEL BAR ,ROUND z M 36 3G O r. y p 4 3473 LOS 9 ./L.FDT. SET ST CR, 60 ROUND STEEL REINFORCING BAR WEIGHING `Y DEPAR' 01 V1 SIC ww ALL OTHER LOT CORNERS m = DEPAR', STAKED WITH .76" l_ X STEEL REINFORCING BARS WEIGMING 1.502 24- GRADE GO ROUND ° V~ITNF } LOS /L. F7. IN PRE ' ALL LINEAR MEASUREMENTS HAVE BEEN MADE TO T NEAREST E A w nr+i / ! 1 HUNDREDTH OFA FOOT. ALL ANGULAR MEASUREMENTS MAVE BEEN app - MADE TO THE NEAREST 20 4 WITNE 400 TO THE VALUES SHOWN. SECONDS AND COM AT GT. EASEMENT, RECOROEO IN VOLUME STATE OF PAGE 221.OPEN TO THE PUBLIC AS A _ UNPLATTED ' MAY' SUBJECT TO RESTRICTIVE COVENANTS. o r•. LANDS 1! PIRSOh N 89 24'3„ E 1315.90 NORTH LINE OF THE SV2 OF THE SwV4 TO ME KNOWN - - 227._63 948 12' - __8800' 30178 _ - _ _ _ _ _ _ _ 190.50 of N1r 214.__ 1 35 is - - 301 78 NOTARY - W •r r''° STATE OF 8 W N N >~ay, ]0'.." I ,L • f ST. CROIX g n 10 /a,' / 1 r Bt VER p N n / ' J'' O - ° ^ I 1 r 1027 ACRE THAT IN ACCOr: 1.090ACRES N LOOy ACRES O N - 14 / - O- THE LAND 1.020 ACRES o N N 9.E p D f R ' z z • 1.014 ACR S N p T T I "'J? • .J~ E ~ ] 316 IV 4 f 1n1 JAiE 7 - ,61 SB'_ _ _ _ _ _190 SQ 48 s ® / I•`, 01 COUNTY TF N 9 4 9 E 300.83 1 3 -o Q 1 STATE OF 04 ACRES . G DRIVE- -J; ST. CROIX i 1.093 ACRES N n I, MAROAF 3 B9.24'39'W IAY :.'F - - 30083' „y•+ ` 'F ~/1 ~1 S>>° - r-i "HE RECORDS _AS[Y NT ! !'10' S4N 162.00'______54.89.X' 3024'0 j..£ ,FF EC TING SHE oATT / / m o m - m In LLI OWN 60AF O 4F SOL 1ED. N N A N - 1--- ' -,PROBED QV T- 2>~...,r I .1• 17 16 15 14 a; R[S .SATE *m 1.156 ACRE5 1.202ACRES 1.020ACRE5 r h d. 3 1.200 ACRES 2 151 ACRES Z ni P 19 A y E n 4 DATE... , N69°24'39"E , r °n n Q a 250.01' eo 0 o Y 1 1 nEREBi n Z n N~ N Z `~I m i8 m ~ M°9vi 'F•", ' liJ • 8 a J r.: ` COMMON CO 1 J I~ 1 A 1•' 162.00' 1 ~f, 1 a7 136 30' -200 00 F 'C6 wyx 9500' 259 00. 253 7B nC SJIVID 'R 1.010 ACRES w W 11687' 'aOYAS R NUR ~O~-, k i -1O•,~ w 20121• o 0 •03 p P S 89°2439°W 752.08' In ~ 250 01' WILD AND SCENIC EASEMENT ( I 'ATE-r 250.01' - ES TA Bl15nE0 $ 89.24'39"W 250,01' I p TO BE RESERVED IN ITS BY O7nEH _ n h _ I NATURAL STATE. INSTRUMENT HE- 3 • _ L------- o W y z 3SN 0, _SURVEYI -I- I . HEREar . o= in 2 MAP I / ft. 1 N 3 ZONING C VOLUME 4 (PAGE 503 ' - - - _ I THIS PLAT 66 OS' LNORTHERLY .1 Al LINE OF THE NORTH FRONTAGE ROAD OF INTERSTATE HIGHWAY°94 L__1_QO TR[ LA6T.V DATE 5.87.2950W „a 320 TO ATHE N E OF THE E457 iy 94', BOUND LANG Jr "I-94' G /2=a O WHERE:' ,FRONTAGE ROAD - NOTEr VARIABLE F/W ELSEWHERE. DATE ALL WALKWAY EASEMENTS ARE RESTRICTED TO PEDESTRIAN TRAFFIC, JOGGING, AND CROSS-COUNTRY SKIING. VEHICULAR AND EQUESTRIAN REG!S CIPAL SEWER 8 WATER BECOME AVAILABLE, THE CITY COULD TRAFFIC IS PROHIBITED. THE WILD AND SCENIC EASEMENT IS HOOK-UP. AS OF 3/3/1980, THE NEAREST SFkVICE IS AT RESTRICTED FROM USE BY VEHICULAR AND PEDESTRIAN TT AFFI C. JTMMESf CORNER OF THE HUDSON GOLF COURSE, OR 3/4 ITS USE SMALL BE SOLELY FOR AESTHETIC APPRECIATION AND 'rLFi> WEST OF LOT 4. WILDLIFE AREA, vim t THIS INSTRUMENT W. , L'am' r; ~ i•t. -.t+ . a. _ - _ . _ • +..rmva_+.u:-.n.ii:..rwimi:ei --,.w_,x....-:. _ :,.w.,u.-a~+.Y. +rwv ari-:+.c•w.roy5lna,mt4 ' '4LpJa H 'L N y S T C - 105 r _ r H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County y OWNER/BUYER m ROUTE/BOX NUMBER Fire Number CITY/STATE J, ~Ll~c --ZIP syod'y c/ PROPER'T'Y LUCATION : Sect iun~~ R_e~~ W, 't'own of l~~a.~.~_ St. Croix County, SubdivisioLot number 1 L/ I 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 numaer. WhJL you put into the system can affect the function Of the wpLic CL"k an " Mont Stage in the waste dis;osa1 system. SL. J i _ n n r y r e s i d e n L S m Do c l i g i J i e i i a maximum o 602 of the cost of replacement of a faiiing mySLIM, which was in operation prior to"July 1, 1978. St. Croix ccu=rv accepted this program in Augu__ of 1980, w0h rise . _ i rci=-___ - owners of ail now s•,•stuiuta~•rce keep their syscu_. _ Maintained.--- Thu property owner agrees co su nit to 5t. Croix certification for.., sirgaud u Eke o'..n_r and by ,.....r.dc_ _ - journeyman plumber, ruscriMed plumber or a license: :upper wari- fying that (1) the on-sire wastewater disposal systew is in operating condition and (2) after inspection and pumping (if nee - essary), the septic tank is less than 1/3 full of sludge and scoz- Certification form will be sent approximately 30 days prior to three year expiration. o I/WE, the undersigned, have read the above requirements and agree 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 Offi-ce within 30 days of the three year expiration date. / DATE St. Croix Cjunty Zoning Office P.O. fox 93 Hammond, WI 54015 715-756-2239 or 715-425-8363 Sign, date and return to above address. y ~ N r = 7 w N N ^ m w -O ^'3 0 v NwCD= ~CD~ CD CD o 7C 0 n CD °3 ~0waSiw ~o ' c te ~c°n'COD z m ~n =a~ ° ~ o C Cp N CD N :E g D ° a n w ° CD = co ng 0 CD Cp o m m w N w c a ' D) -0 cD m N`< R~ =mom' =r CD w co ~o ~ooCDCDOD O 3 a o ...-'Coco w O CD cow o w c- c: 3~c° oc3oao z n c Q m :E ww- 0~owwN o m 0, o-•o0. °wN co -'c D CD w 1a CD c 0- 33 (a0-0 mCC oDQ ° C: C) = w n ~ ~ co 0 =r cc a- 6)* 0 la wOw ~oaCD O Q O w O CAD ' CD 9 w N Z D ' N gi) CD f co o C Z m :(DD CD COD ?m tea -1 ~ aw o 3 _N n• 5° 0 R1 QN CD-•0 7 7 p) mN?acog CO) V A w ° ac n cD C 171 =r CD CA U) 3 "a CD m CD C o ~(0) n BD `D : CD N =t crm S C CL co CD - CD -1 o 0 N O 0 -BCD W 0 c CD c (a j N N aof ccnccawo m aw oaaaa M 0. 0 CD S* =r Fo' C N l< c0 _ 3 N C1 M.CA0 G)com ov~c~DwC CD C a O o to c; D -i cD c CD ' C1 c o w = w .0 c o c CD = o 0 9 s pa °3 0> 0 3 ~i o n 3 n. o O V p _ H A 0 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS \ / MADISON, WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: WNSHIP MUN CIPALITY: LOT NO.: BL : NAM S'~/~/a /T,~-j N/Rl7(or e.s ks COUNTY: OWNER'S/BUYER'S NA MAIL NG ADDRESS: Z G~I's ~yo I USE DATES OBSERVATIONS MADE k Residence BEDRMS.: COMMERfI L DESCRIPTION: ❑Replace PROFIL 'DES RIPTIONS: PERCOL/~TI N TESTS: ~S/Residence ew 2 N RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYST M:(o tiona ) ~s ❑u S ❑u 9s ❑u ❑s MU ❑s f&l 64ite~1 If Percolation Tests are NOT require DESIGN RATE: If an y portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: or I PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH,*K ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B 9,9Z s~ 6n Si&c B- Z 7o' 97,53' n~c '7, 0 .7 5"'6 i S/ 93 9,2 B- 3 7) 33' 99, 9 33 , 9A Oi sl 59 ` s% S; V 3~13~ s G~ B- pr 5 131,j-/, 11 si 7i ai1 B- S f/17 103,8 Ao;v- > 11,17 , ~7,61s1 .33` ~ls 7 6., S' (Z B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P_ P t G v)( i , /t ;L: ~+S t % j is LX T G ~4if1 ci P- P h' ' / Gi ca L fir' os r 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. Wi SYSTEM ELEVATION 171),5 n~~ cb cw- lF~~« ice) 8Al L cN 9i CL /00,0` At13rll o _1Z 40 i h N E (.~~nl~ bt ~'t Q L $s~ ' L. ~ / p , 2 3v. j~Pr 1~7 ~e T~°, 41 pf, Maf y Itw©rr) 63 //Q f t N 6 i / 'Pro I F, e/ ;170 d 2 3s .2' 3i of La 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (pri t):p t} TESTS WE E CO ~ LLETED ON: e 1 9 VIo A912 4// D~5- ADDR SS: CERTI ICATI NUMBER: PHONE NUMBER (optional): CSr (:)o CST I AT R DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - L s , . at; ~ .at nw,"'v or IS Si I _ - ~x . i t~ 1.a tt., the ahi, i ~~idit n- eft,. h . +t } i~_, ~ r -E` A L,,E G'BLE diaq} 1,11 ¢ot, - (PSt locarTtO,F`s, sift'. (bt.<I ti..E.t & il. f ,.,ncl i +tical( 13:kat,on . E i-., 1. N r..oinl, fire -J:E fl h4, „;r t's, f31"FCC <it"4? p e, t ?n z3 rtf3. - . all c3p2:wcx r is e boxes as to daae: , sit?C"iwS idd t.s.:{. , flood lla}€i , ~-Iat s, Percolation rolation test k'.. , .sV r.,x #t£ ( ;s115 y, p`~A, Q._. ; i?F; f) rlp opr"i a~E' S'fc?slu tmti, r NT„!, rt-t R L o, r Cobble (3 10", " , J~ 'd :31f;'t t 'C-.1tjL'., ..c r _'^,'3 _ # mC; k(r''t€. ' 9 a.. ct3tf W 7 } ( a B-f ~ano mot. S 1, f) a i :5' a:ij: t[( ;t(,f., r}'}, .,E,ct,}?' r, ii~;yretpuest S'-}, i€"3 E' r (3t av3t{° J R B. L. - 6 7 P OT n r t 1 0 SS E C: T I ICI PROJECT PL U ME~L_I~ N 'A M E St~m l i p r . ; " s- N I A M _ E L 0CAT 10 N.j hr~~ l- IC E NIS~E A_E PLO j~or~r o{ ~ ~FeNC e 1 C I Br's IL 100 t0 =6Jq T o A' A i Aorl, iN ~--ap SS' Ito' 4-5 r spa 'Q~ a, 8'e O g~ Iq / ra- v 8$ 3d By FRESH AIR f.t:Il:'1'S AND OBSERVATION PLPE 0110';) SECTION r_•~1 Approved Vent Cap 4Y /S Minimum 12" Above Final Grac d" Cast Iron Above Pipe Vent-- Pipe To Final G r. a d c._----_.. Marsh Hay Or Synthetic Cover. i ng Min. 2" Aggreyl i l r~ Over Pipe Distributioi~ ~jil~ ~ Tee Pipe 1 I Aggregate h._.._._- Perforated Pipe Below ar' a~ Beneath Pipe Coupl i.ng Terminating At 9y, J - Botl:om of System COMMERCIAL TESTING LABORATORY, INC. 514 Again Street, P.O. Box 526 Colrex,hWisconsin 54730 ~4A C Aw 715-962-3121 800 - 962 - 8378 (WI) 800 - 962 - 5227 c r ST. CROIX COUNTY REPORT DATES 7/27/89 COURTHOUSE DATE " s CD: 7l'2f!8_ HUDSON, WI 54016 / ATTN. THOMAS C. NELSON CJWNEIRb joar, & Wayne LOCATIONS 729 Glenna Drive, Hudson, W1 COLLECTORS Mary Jenkins - St. Croix County Courthouse SOURCE OF SAMPLES Kitchen Faucet COLIFORMS 0 /100 ML INTERPRETATION! Bacteriologically SAFE NITRATE-N: 4 ppm Under 10 ppm is safe for human consumption. COLIFORM + NITRATE i I I I I t I 6 ~ 1 , LAB TECHNICIANS Pam Gane WI Approvers Lab No. 19 ; 7 J U L 3 1 1939 j : T Cpk)r~ COUNTY r1 '!kGOFFICE .OF.MpEVFNpEH ` 01 :J Means "LEG,) i HHN: fretei: k aG to ;_eve L Approved by '4 d o PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY WISCONSIN ZONING OFFICE S' ST. CROIX COUNTY COURTHOUSE t` 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 July 25, 1989 Joan and Wayne Sitzes 729 Glenna Drive Hudson, WI 54016 Dear Mr. and Mrs. Sitzes: An on site investigation of the septic system on the Joan and Wayne Sitzes property located at 729 Glenna Drive, Town of Hudson was conducted. At the time of the inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of the system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, f / Thomas C. Nelson Zoning Administrator TCN:sa r ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street Hudson, WI 54016 elephone - (715)386-4680 The St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING----------------------------FEE: $ 25.00 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 NA (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 25.00 (Determines if system is properly functioning at time of inspection) Property owner's name Joan and Wayne Sitzes - Property owner's address 729 Glenna Drive, Hudson, WI 54016 Legal Description 1/4 of the 1/4 of Section , T N-R Town of Hudson Lot Number 12 Subdivision Name Presidential Estates SEE ATTACHED LOCATION MAP FROM APPRAISAL FIRE NUMBER LOCK BOX NUMBER Color of house green Realty sign by house? NO If so, list firm: BUYERS NAMES John and Carol Marnell _(Outside water supply available, sellers will be on PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, vacation, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. BUT Neighbor has key You can talk to JoAnne Neubarth 386-9494 Testing of residential water requires a sample that is fresh. If to get in. the home is vacant, and has been so for some time, the water line OR use out must be purged by running the water for several hours before the side water. test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: The First National Bank of Hudson Telephone Number386-5511 307 Second Street Hudson, WI 54016 REPORT TO BE SENT TO: The First National Bank of Hudson 307 Second Street losing dat'e uds~n, WI, 540125-89 ignature