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HomeMy WebLinkAbout030-1044-20-110 n w O E m n C7 r~ ' ° N C d ° fD r1 o 3 ° fD m ~j (D CD (D 3 3 - = Z 0 o (°o cn cn oN W v o C-D ~ w ° n ° n m U1 (O ° ° - .7 c CD ° M l/~l W CD CD .4. O 1 IQ ,v u N ~z 00 CD ' c (D coi Q p m A~ 3 n o :3 ((A p ° O o O a co (D cn (D D ° f~ m c m N CD `C -0 m co 0- S. 3 ' co CQ 0 N y ~co__ cn o R ~ ~ I ~ v v ~ ~ ; cr. C) 0 c co 1,' N I O. (D v O N CD ~Y H C7 O (D - (D (.0 A ~ m CD al d a 7 rn z N 0 ZWZ c : D (D o v ~ o z s (D Cn v N A r (D N CD (D rn 1 ~J Q 3 d N Z (D Qn -i N A ? 0 N C1'1 ( O ° v a1 U, c o s 1 Z cn 7 Z W O « rn co to ^ TJ m Z t~T (o o r: (n (o ~C/1 N m 6 N D w o -0 CD a c4 1 °1 o' L o -4 m a (cEm o m c 0- CD CD :3 0 oI-'n' `S rep, 0 (=D c CD m a Cc,- a ~ 0 0 ` Jda) co m ° m o 1 Imo? i~, tea' w c ti c S N - o ~ o a I ~ a I o b ~ ((D f a O O ti :E CZ ° Q Parcel 030-1044-20-110 03/30/2005 10:10 AM PAGE 1 OF 1 Alt. Parcel 20.30.19.160E 030 - TOWN OF SAINT JOSEPH 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 *ANDERSON, DAVID L DAVID L ANDERSON 1428 47TH ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1428 47TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 7.720 Plat: N/A-NOT AVAILABLE SEC 20 T30N R1 9W PT NW SE LOT 3 OF CSM Block/Condo Bldg: VOL 6 PAGE 1556 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 06/23/1998 581640 1334/276 QC 07/23/1997 790/228 2004 SUMMARY Bill Fair Market Value: Assessed with: 5085 238,000 Valuations: Last Changed: 07/07/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.720 117,600 116,500 234,100 NO Totals for 2004: General Property 7.720 117,600 116,500 234,100 Woodland 0.000 0 0 Totals for 2003: General Property 7.720 69,100 98,100 167,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 309 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Aa~ s'e 4& ~ rn~ o G ~~c Grf f9S ~Z 7s ~3 r^ fr f I A I icr r .a a. r G An easement for a Private Sec;lge Disposal System located oinpart3of the NW 1/4 of the SE 1/4 of Section 20, also being aT30N, f lots Town and 4 of Certified S-vey Map volume 6, page of St. Joseph, Croix County, Wisconsin; further described as follows: Commencing at the S 1/4 corner of said Section 20; thence East along the south line of the SE 1/4, 1291.43 feet to the east line of the W 1/2 of said SE 1/4; thence N00034138"W, along said east line, 2309.67 feet to the NE corner of Lot 4 of Certified nSurvey e Maline volume 6, page 1556; thence S75005 18 W, along the of said Lot 4, 508.27 feet to the80center feetftant80.00 foot radius ing cul-de-sac; thence S20040105"E, of this description; thence S01055'00"E, 139.25 feet; thence N880-32'-21"W, 64.41 feet; thence,.N040-57'-31"W, 109.61_feet;.thence N460-19'-33"W, 93.31 feet to the southeasterly R/W of a 66 foot Private Road easement; thence continuing N46°.19'-33"W, 66.86 feet to the northwesterly R/W of a Private Road and a point on a 318.00 foot radius curve concave southeasterly whose central angle measures 2044128" and~whose Lchord bears N53014144"E and measures 15.21 feet; thence S46019133"E, 67.55 along the arc of said curve, 15.21 feet; feet the the southeasterly coR/W of ncave said Private southeasterlRosedcentraltangle southeasterly who a 252.00 f8ot radius curve measures 4 4 47'08" and whose chord bears 9'of„saiddcurveur21.04 21.04 feet; thence Northeasterly along the arc feet to a point on an 80.00 foot radius curve concave northerly whose central angle measures 96°30'06" and whose chord bears S62025102"E and measures 119.37 feet; thence southeasterly along the arc of said curve, 13.74 feet to the point of beginning. AA, fi x-e- 141 `.W .a`SZE" kHE _ _ S Z a i PHO O y = r ~ 0 ST. CROIX COUNTY C y z ~ 01 Z N M ftap"W"Ve PARKS pW*Mo p o b L t Z y Z A - ;r H O AND It*1VMlfi GOYA1fT7~ Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ! ,fl l.at' r TOWNSHIP / r ;s~fJ/ SEC. T 6; N-R~W ,4 7 ` ra ADDRESSST. CROIX COUNTY, WISCONSIN SUBDIVISION ;w LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM k X r~ pfl Fe, Al C, L- I ` 0~ INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference Point: ~ Proposed slope at site: v SEPTIC TANK: Manufacturer: % Liquid Capacity: { Number of rings used: Tank manhole cover elevation: w Tank Inlet Elevation: Tank Outlet Elevation: 4J ;A Number of feet from nearest Road: Front ,~Side,ORear, O feet From nearest property line Front, Side, ` Rear,0 feet Number of feet from: well , building: ! 4-, (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER C;~' quid Capacity: ) Manufacturer: Li Pump Model: Pump/Siphon Manufacturer: 77&z: LZ Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: 3 Gallons per cycle: Alarm Manufacturer: lrt yc r~I r/'[ Alarm Switch Type: Ft. Number of feet from nearest property line: Front, O Side, O Rear 0 Number of feet from well: =117 Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width:, Length: 7 Number of Lines: Area Built: Fill depth to top of pipe: r. Number of feet from nearest property line: Front, O Side, O Rear,(V~Vt. Number of feet from well: .36"'(') Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Sl:ze: 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 abwll~oi1 absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacit` Number of rings used: Elevatio of bottom of tank: Elevation of inlet: Number of feet from neares~-jiroperty line: Front, O Sl1,e, O Rear, 0Ft. y`1 N~up3~r of feet from well: 1-1 Number of feet from building: ,-'Number of feet from nearest road: Alarm Manufacturer: Inspector: Plumber on job: Dated: License Number : 3/84:mj Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP " SEC. O T -30 N-RLjLW ADDRESS /f// ST. CROIX COUNTY, WISCONSIN G! 0 5 C~ LL-~ 1 SUBDIVISION 57670 '7- LOT ~ 3 LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 1111R 83 N©~ SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM O a _ 16CJC) _ RUC, y L 'Cry- /'r`~~ ~ ✓5►Nf pflwli rt `C: 01 I ~S , fy X-7 y .5iFi)o,4 cL: PE/) INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference nnint ugeri DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7989 MADISON, WI 83707 BUREAU OF PLUMBING CONVENTIONAL C]ALTE RNATI VE $fall Plan ID Nurnbar: " III asslAnedl ❑ Holding Tank ❑ In-Ground Pressure L-J Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. 10 A E. "On Rtichcucd Sou R. R. 2, Hudson, W1 54016 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV. CST REF. PT ELEV NFU SE, Section 20, T30N-R19W, Town o6 St. Joseph, Lot#3, Stout Sub. l Narnt= of Pl urn ber - MPiMPHSW Nci P-o N-t- Donavin Schmitt 3205 St. cto%x 69679 SEPTIC TANK/HOLDING TANK: /r1~ LIOUID CAPA ,ITV TANK INL C T F t F V TAN , OUT LE I E LEV(WARNING LABEL BEDDING L ONO MANUFACruRER--~ ~~L / IPRO_vY !DED ES 1N0 FLOCKINGS 00VER VENT DIA.t~ VENT MATt HIOH WA EH T- - ,F HOFEH I Y .,Vf ENT TO IRISH atnHM NUMBER OF ~oAD v FEET FROM INL T YES ONO (i YES LJNO_ NEAREST- -*1---1 O ING CHAMBER: ~ MANUFACTURER BEDDING ..IC?UII)('APA(;I TV P11M1''N'l)Ll Vt1^1P '~I()N ~.~ANU I /1'ft,litti WARNING LABEL LOCKING COVER 'J PROVIDED PROVIDED. YES ONO J OYES ONO LJYES ONO GALLONS PER CY PUMPANDC NTH LSOPERATIONAL NUMBER OF "PEI TV WELL BUILDING vENrroF sH (DIFFERENCE BETWEEN luoF AIR INL r PUMP ON AND OFF) FEET FROM YES NO_ NEAREST_-~ SOIL ABSORPTION SYSTEM. Check the soil moisture at t e pth of plowing H FORCE I T _r n^ATI HIAt ANDMAHKIN(, or excavation. (If soil can rolled into a wire, construction shall cease until ~ tl,11,1 the soil is dry enough to conti tinue.) MAIN UG CONVENTIONAL SYSTEM: IL WIDTH LENGTH NO OF ]1.T:1 vIV L 1`INt A'hf BED/TRENCH nl =_TS LL ouID DIMENSIONS PI nvEN( T FPTH. w l GRAVEL DEPTH FILL DEPTH DIST Ii PIPh DISTH PIPE DISTR. PIPE MATERIAL NO J_7H NUMBER OF PHOPENTV WELL BUILDING VENT TO FRESH HF LOW PIPES ABOVE CO VER EL V INIII EykV ) VIPE LINE B'J ( f" FEET FROM ~ ~L AIR INLET MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- OYES O NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PIIinTnvINIMAHKIHS oHSEHVA nON wEUs DEPTH OVER TRENCH BED DEPTH OVE H THFNCH BFD ENTER E DG E S DEPTH OF Tt )I'StTIL Sf)I)IJF I) L i Y ES SFF UEI) O N O OYES MULCHED NO C OYES ONO OYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: I WIDTH LENGTH No.OF LATERAL SPACING GRAVEL DFPTH HF LOW PIP[ FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH DISTH PIPE DISTHIHUIION PIPE MATERIAL & MARKING ELEV. ELEV DIA Et EV PIPES t:lA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACINO OHILLED COHHFCT t y COVER MATERIAL VERTICAL uFT CORRESPONDS TO APPROVED PLAnS OYES NO OYES ONO COMMENTS: PERMANENT MARKERS: OBSE R V A FION WELLS NUMBER OF PROPERTY JWFEET FROM LINE OYES L INO L LYES NO NEAREST- Sketch System on Retain in county file for audit. Reverse Side. s~ZE__ TITLE - DILHR SBD 6710 (R. 01/82) E wfsconsin APPLICATION FOR SANITARY PERMIT DILHR CQUNTY 'EnTOF (PLB 67) inousTPV,LRBOP&HUManRELRTI ons UNIIF/ORM SANITAARY PERMIT # v I6 ,5r/ A 7, -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` P13QP~RTY LOCATION CITY: ~YVILLAGE: A;cEl Sc= 1/4, S T.~ N, R E (or) 72-NN- QF,~ LOT NUMBER BLOCK NUMBER SUBDIVISION NAME N AREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER A TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: Z?'New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF ,T,,H,IIS-IIS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. 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 Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity _ Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: 'i k j` IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Gallons Tanks oncrete Constructed Steel Fiberglass Plastic 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): f> Private ❑ Joint E] Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signatu M PRSW No._;j Phone Number: Plumber's Address: Name of Designer: COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: _ ❑ Disapproved d i. El j> ~A L~ Owner Given Initial pproved 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. APPLICATION FOR SANITARY PERMIT S T C - 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 +jj i~ it/+1 Location of Property ,A/zt: 14 >t_= , Section T t_ N - R ! j W Township f,t Mailing Address [11~1(~,b, }'J Subdivision Name Lot Number Previous Owner of Property, t Total Size of Parcel, Date Parcel was Created Are all corners and lot lines identifiable?_ Yes No Is this property being developed for resale (spec house) ? Yes No Volumeand Page Number 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 available, would be 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 shall also be required. PROPERTY OWNER CERTIFICATION I (We) eenti..6y that att statements on this 6onm ane true to the best o6 my (oun) knowledge; that 1 (we) am (ahe) the owneA (s) o6 the pnope&ty de 6 cA bed in this in6onmatc;on 6o4m, by viAtue o6 a wav.a.nty deed necotded in the 066ice o6 the County Regis.ten o6 Deeds as Document No. 7 i and that I (we) pnesen.tey own the pnopoaed site bon the sewage dizpos ays.tem (on 1 (we) have obtained an easement, to nun with the above de6cA bed pnopenty, bon the conatAucti.on o6 said system, and the same has been duty neconded in the 066ice o6 the County Regis.ten o6 Deeds, as Document No. I-N SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED w N z n n ~ A W N Z 00 C ~ rn a BEARINGS ARE REFERENCED TO THE SOUTH LINE n u N 2 r d OF THE SE 1/4 ASSUMED TO BEAR EAST. O rn 0 0 ~ N N n Z 0 V V CD W M tD O 1~ N ~ n -n r. r W° tn ° rn O C) z bDd rn 0 o N r to W F I- ---I b W N O A O A rn N H N u r r r small tracts 0 N W N r 70 WEST LINE - SE 1/4 z tCDn O~o Nni z ~b °o SO104' 0611E 668.00' v G'1 H O O O O x (n y O t7 C O V V I- W l~ N N t~ N rr C'1 01 N W N F-' F-' Ul F-+ V [rl " c, N V O CD y H lD N O N N 01 Z C t7 O N En C) 0 N lD N W W 01 H h7 x LU N Al F 01$ OD W N x O N 01 V N W x 0 0 C 0 OD 0 O W O 0 `Z Z 11 (A m $ ti W W NN NrC1 C7 01 W y N.0 N.0 ~ N V O N F✓ OD O 01 co 01 M x yCT1 V A try A - I'd ~ x \ N W N O of N z O W to W N x M M A I01 .1 W O N V tD O A t0 yO [=7 1~ t~ O & tt E I tt O H IZI O F✓ V O 01 N x W y C+7 H I Ln Q z En W ZN V N En 2: W Carl x W y 0 y X C 1 F' OD 1 Fr 4S. (D W ~yf N 7U C to V I g 01 W W O N W to H F, \ Ay lD 01 W I to O F' tD V_ N_ N W co r Z $ ti j O I F~ y O N - 10 \ to to W W N F: N O O H N w to A N C17 n N I A 11 [=1 N N CSI - - - - Cy$ N 4 ILL 0 rn 01 \ E 0) to 00 O 41-to fi Z 1 Q N --1 O~ \ WO t0 z x 10 y T to n r l m Ho rn n 10 001 \ \ m q ~1 zH i Upi1 z t= Ct - OD ON t) N \ tit 0 Cn N N W V A 01 M' C y 0.. 0.. W ct I - F v v U Lo ° w o IT n o n tD k -,j X w z n Fn cn (D (n (DD In .j w v ,u w ,ca o IN, . C>ti, r o • x I o 0 O ct 6' Z7 41, O I _ t Z ~0 2~. .~(20 (7 X H G7 y O Z W n 2S S I N O Z E 9•, I't7 z d z C7D 110 x Ln 24 10 10 I H H O L"o 110 I co IH o V, 0 to xo m 0 ~ ED I Z H t' I LL 0 C' i ( ro o to N iI • I ref W '-j ~ ~ h7 r x u 375.00' 1 I cHi - x cn 1934.67' N00 34'38"W w H y N00°3438"W EAST LINE - W 1/2 - SE 1/4 Gzi 0 N x 0 unplatted lands owned by others 000 X i r" c*l cxn o H y m :E, g m m • 2 41995 • z y H 0 0 7 °0 ~ c cn r `fl y r ST. CROIX COUNTY C W t* A m 0 L' to z z zr~ in O o z rn x QDMrREMyryyF PARKS PUNNWCs L t Z ti n ~~w y o ~n lato"ta Gd~EE Z G w , c'' IW N 1 p C7 O Ol r W N O rn BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE SE 1/4 AS :IJMED TO BEAR EAST. ° m W N r r z r o o 0 ~ Z H N -n al V V OD W D1 m :1 m to O r N 3+ n r ° t° N r (A CA o !2: z Dr- Fri ° O N H r Ul L4 r -A -1 a r M W rn N m rn tD_ Iv W r r small-tracts ° ° H WEST LINE - SE 1/4 z co ~ OD to M SO1°04' 06"E 668.00' D to o oNZ H O O O O x ul 'd 0 O G CO V W V W W r H N r N r n S' Ol N W N H H to H V M ' r N V Ql O C --1 1 x tD H O N H 01 z x~^^ M O N' co In O M N W Ln L. W Q1 •3 C'1 x N N N N tn~ lD O N b O z O H Ol V N 1a x z 0 C n c-, 11 0 W do t° I z W E7 rn N 4 fn 4 U) In (D (n ~ N I U f7 M m~ m y a H ~ H r L4 H O m OD ONl [ x N WN rn H W 1-' O of N g 0~ W N to (n :D ct cat t= cat r C O N V ID O r 6 H [7 x M r r 0y' f: I ct O H O H V O 0, to x z t~ M H 1 0, t H < z 03 m X CZt F OD 1 H O r l z N z [n N z x n • 3 tD I I- W W CD V H W MMy X W O (n r Ln W I N O Lil :3 V) O O 0 0 0 0 ;L O v N M \ Ul f- v l CL M d O W W O N W to H - £ \ tD Ol O 11 I N H O H t0 V N N z z O W - 10 \ to to W W N H F' a{ , n fJ I r O H N to to r M '7 to 1 O n M to to E C+1-- ~W~ H N A O S to Q ~ o r tD cctt• z 10' N i \ (17 W 1- x I,< C) W H \ O O ° \ \ a tVn 0 i CD °z o v M i 0 of N. N \ N .A \ ) I NO C/7 rt 00 ~ I O N W Ol ''1 C En K) a o cn (a rn 1 in 0 0 z X w M z 1 l - (D ul Lti r o . x3y o Ln u' i V J 4 m ~ o C7 H I r o M 1~- 1~ O G' . S~ (D I 7°D 3 H A t o O v .t A X256 6 2j ro00, I ['~1+1 H H f- z z 00 1• N N M H ~O 21, 4 ( C) H m N M IW - k /j E 2S~ M N x0 rn O M ° 1- 1 S9 I r z d z il, iv x( " a F fro I - ro o 1c 1~ o 10 t7A 'D I W ® tP 0 1 0 O M N 1H c o O 1m ( z ty0 f, N J 1 A I 1ai zx 4 to lND M (On H ~ (n ( M 375.00' _ - - - _ x to N00 34' 38"W °1934.67' EAST LINE - W 1/2 - SE 1/4 o z 0 N00 34'38"W C. O ~ O C) N unplatted lands owned by others co x 0 mr o z , 1 co P~~ly H K 0 (n En 1 ern Z`r ~r z _ O M M ~b~ .4 co r•O1 0 o O C N r 0 0 a' A M Q (n Z z C ;n O y >7 z^ M-1 M sir j No L : z - G~ r i 4 I} 'e~rF~v ~~:!lrec¢9 c~ r" f r ~ 1 z V) r-3 9 r ST C- 105 r 9 y H SEPTIC TANK MAINTENANCE AGREEMENT 0 St. Croix County z a y ra OWNER/BUYER.r iG'c# Fire Number ROUTE/BOX NUMBER J~'F l Z I P / CITY/ STATE it, " N ~ RW Section T PROPERTY LOCATION : J`.r/„ - Town of 'y- `=47'li St. Croix County, Subdivision r(lli Lot number I nd maintenance of your septic system could result in I con- Improper use a Pro roper maintenance its premature failure to handle wastes. p ears or sooner, sists of pumping out the septic tank every three y a licensed septic tank pumper. What you put into if needed, by 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 r 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 lic n sd pusp r proper fying that (1) the on-site wastewater disposal operating condition and (2) after inspection and pumping (if nec- essary), the septic'tank is less than 1/3 full f dsludge andtscum. Certification form will be sent approximately 30 Y prior 0 three year expiration. £ z I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with ro the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be com feted and returned to the St. Croix County Zoning r of the three year expiration date. SIGNED. DATE 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. r m = N C (D -r w~ c c N 3 w N N w m 7 (D (D 7 N _ o c~ a3 w g Co Qo co t0 N Z c ? S 'am (D O A N Ln ° o p w.. o m w oho i 7 ww (D P (o . m ? c~ O (p cD Oo C, 3a mm- ~>>='o- mac w _ 13: 3° c o c 3 o aN o p Z ? C: cr cm : w ~ ww(n w ? on ~o act 30 COD wC,do 'O ,mc9 < ry N N G) 0 C, n ° D w n 0 o ~ C _~a ma-o'f O w o o ,►aQ~ W C N m o N N ai CD w cw~p 1% N. Z D `n =r 0 Z MNm mMMCDD?a D s a(D o 3 w(nto (A CDnEr °~goao m fA a r- w QN a , m- aa(o w N a (D m m_ (3 ~ O n D c (D cn n ato - c D N O c c , . to = (n (A 05) 3n aicrawo m ao~ m-.mv,=3 w a~ nab a~N, vn'~.:. cr(owCDCD3 0 0 ~vio G) (o~ oNw,° C FD- C a 00 a C (O , w C, f W n n 0 n =•c CD =!o o 0 -3 o 3 w a aCD * 3' Q. o # (D (n 0 m oz SA% INGS EPORT ON SOIL BORINGS AND BO Zg9 DEPARTMENT OF R INDUSTRY, . ' CATION TESTS (115)°, jq~z'°~ LABOR AND PERCOLATION -HUMAN RELATIONS (H63.090) & Chapter 145.045) r. dI - TOWNSHIP/LITY: LOT NO.: BLK. NO.: SUBD1 ~ ION N SECTION: !~a* /y s40 LOCATION:r N/R)~ (or)W , /T)~~ J r AI LINGADDRESS: L 4 COUNTY: 0 NR'S/Bt1ER'S NAME: `n I z DATES OBSERVATIONSM L 1 .N. STS: USE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PE [kNew ❑Replace ®Residence '21 RATING: S= Site suitable for system U= Site unsuitable for system CONVEANTIONALnL-J4,ir -GROUNCD-PRESSURE: SYSTEM-I(N-F-FILL HOING TANK: RECOMMENDED SYSTEM:loptional EA ElCv u SS If any portion of the tested area is in the DESIGN =R IPerolation Tests are NOT ed Floodplain, indicate Floodplain elevation: 635)(b), ind icPROFILE DESCRIPTIONS, y~ 5/ C ~1~;SiY✓1A 1 CHAR BORING T ELEVATION DEPTH TO GROUND ESTEHIGHESTS TO BEDROCK IOF OBSIERVED (SEE ABBRV. ONOBACK jTEXTURE, AND DEPTH NUMBER PTHIN, OBSERVED Sb (j Z. 6 L 00 A) > 7 -en S. -7 6; B- &7 ~,7 g~ 7 ~7 B BC/ G_ B- l N ~,tia E ? 7 I B- PERCOLATION TESTS TEST DE P RATE MINUTES ~EPTHTH (r WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES PER INCH PE RI OD 3 / NUMBER Ifd21'FES AFTER SWELLING INTERVAL-MIN. PERIOD t PERIOD 2 i~ 01C 2 7 tact AJC~ C, P_ 2- P_ a s-`t P- P- P ercent PLOT PLAN: Show locations of percolation tests, soiborings oandcation the on dimensions pof suitable soil areas. Indicate scale or distances. Describe what are the on an. Show the surface elevation at all borings and the direction nd p zontal and vertical elevation reference points and show of land slope. SYSTEM ELEVATION f 40 le, ~ o s TN 011, i VVV l7 3 1 PIS , CC ~ b E , , t [ t , 3 ' hereby certify that the soil tests reported on this form were madebt mlee best of with wele ro lures and methods specified in the Wisconsin I, the undersigned, ve Code, and that the data recorded and the location of the tests are corct Administrative NAME (print)TESTS WERE COMPLETED ON: : C~ J ~~Y CERTIFICATION NUMBER: PHONE NUMBER(optional): ADDRESS 71-5 `0, ZL25 CST SIGNATURE: i DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. - OVER - DILHR-SBD-6395 (R.02/82) and acci ' } i t tIt#1 s.Lf f'ti >€f~P'9P(al ~I.: r3 i" .aC1t, iii: Pv'tA r4 144,,(i,,f , ~ e~,?1~ 'a szr k, }ll1S ci tf A B ASE C `a.3(} t( -i,S # "IS C 1%ln t Ot (Je cs!(3(tCxrv and C'f 7}i( (t` S7?{. t e'^ } F, ftq} 5i 3< a itti a r s's o t3 # E t sa f c3 f;Et 31f ;(-Ht , a~3 [ Difif.~ (A t F)(i" ii:i7( ie.at „ t i i{ 5r3 } t t' F r Tof'M d place t t- r. in i 3F€ 8~~ C 2; §c8 f !ea co o Sr `ov d, i')Wf s {.5 r h:, zj, c tC17't .a } c. 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