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HomeMy WebLinkAbout040-1034-95-004 0 N Q a w N r_ m c 0 O 1~J11 (D n z n L to C A (D ^ 3 3* 0 co co C~ CD 3 N a 3 Z n ! ~ W (D ~ ~ (n c N a O ° n =1 n _ c CD C77 C m p7 O N Ui CC 5* N CD !V m CCD (O <D ° (7 cn N a CD W G7 3 n 0 O co a N b r i D C) T rt (D p v Z o 0 r N O F• (D O rt ti J W 0 0 0• V ~ U„ ~ 0 000 Io U, 70 3 y N N C) o A D H Z In v Z (p rr 4] o. v a O rn O V) . (a o p~ a ID N M m ' H o ° m cc y a co 0 N z co z p D C(D 0 X O %.O oo 9 O N 1 W m CD ti • v 1D t y Z O N 1 00 rt 00 N' C Ui * Z Z w CD a C=J a 3 .C a (D cn N a = c (D O C A CL Z rt 0 o L o ' G~ o , ~j W m * z --A 00 " ty 00 4 z b °0 3 w y y m Z O CD a C co 0 D o_ n m a ~ o a ~ c a o F m cn a m 3 ~ e ' b I n m I ~ a I ~ e ' N O O 2 A O CD 0 b o O +i * v o° a. a r Parcel 040-1034-95-004 12/08/2005 10:11 AM PAGE 1 OF 1 Alt. Parcel 8.28.19.112H 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 - GENSON, BARRY D & SUSAN M BARRY D & SUSAN M GENSON PO BOX 84 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 464 CTY RD FF SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.257 Plat: N/A-NOT AVAILABLE SEC 8 T28N R19W NW NE 2.257 AC LOT 4 OF Block/Condo Bldg: CSM 5/1385 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 08-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 836/52 07/23/1997 721/632 07/23/1997 698/166 2005 SUMMARY Bill Fair Market Value: Assessed with: 102264 151,500 Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.257 53,000 92,800 145,800 NO Totals for 2005: General Property 2.257 53,000 92,800 145,800 Woodland 0.000 0 0 Totals for 2004: General Property 2.257 53,000 92,800 145,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 108 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 + Form- S T C - 104 ' AS BUILT SANITARY SYSTEM REPORT _ N OWNER TOWNSHIP SEC. T .1 ~iN-R~W ADDRESS ST. CROIX COUNTY, WISCONSIN /0 7 3 SUBDIVISION LOT LOT SIZE ~/2 PLAN VIEW C Jr_~ 2oo Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I D vT0i /bo' To /✓D RTN /sir. c!'.t'7;i/ J-1 L S-~ 0 -ro vc ,r rT4C)< i i overt /oo 'moo ~ro~-ti~ P~~,~._=zTY ® /3ih = SNA~7 or AArt noAO _P )°-zxE =n/ L=n E wwEit ~oli'•'4` 5`~~oL. L=LEV=/vo,ov' I INDICATE NORTH ARROW C7 Tz BENCHMARK: Describe the vertical reference point used 01 i/ T L,,. 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, 0Side, 0Rear, 0 feet Number of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE 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: J Width: Length: Number of Lines: ~J Area Built:- L Fill depth to top of pipe: Number of feet from nearest property line: Front, Q Side, O Rear,0 Ft. Number of feet from well: _ Number of feet from building: 3' (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 DEPA41"Mf:Ni OF. INDUSTRY, LABOR & HUMAN RELATIONS INSPECTION REPORT FOR SAFETY & BUILDINGS P.O. BOX 766 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING XXItONVENTIONAL tu'- ❑ALTERNATIVE r7 N~mber. ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: c Craig Gluenert RR#I, Box 554, Montrose, MN 55363 INSPECTION DAT BENCH MARK (Permanent reference ~ a~ 5- pomtl DESCRIBE IF DIFFERENT FROM PLAN NW NE, Setion 8, T28N-R19W, Town of Troy, Lot#4 RE .PTE v. csrREF PTELEv Name,,f Plumber MP/MPRSW N,~ C.."', ,t Number: Gary Zappa 3300 St. Croix sa-,tary Pe, 69651 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACI, TANK INLET ELEV.. TANK OUTLET ELEV WARNING LABEL LOC NG C q h PROV ED. PR E Ly,,~ r~ Li, 9 •.S YES ❑ NO BEDDING . VEN9 IA.. VENT MATL. HIGH WA T R YES NUMBER OF ROAD LINE_ NO ❑ YES O ALARM FEET FROM PROPERTY WELL BUILDING.1VEN TO FRESH C ~ AIR LE ❑ ' DOSING CHA+VIBER: YES NO NEAREST MANUFACTURER-:. BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKIN COVER ❑YES ❑NO PROV ED PRO D GALLONS PER CYCLE: PUMP AND coNrgoLS oPERAT o 11 ES ❑ NO ES ❑NO (DIFFERENCE BETWEEN NAL NUMBER OF PROPERTY WELL BUILD G VENT TO FRESH PUMP ON AND OFF) FEET FROM LINE I AIR INLET. SOIL ABSORPTION SYSTEM. Check the soil moisture at the EYES of plowin❑ NO NEAREST or excavation. (If soil can be rolled into a wire, construction shall cease untlgl FORCE DIAMpr A RIAL AND MAR INC; the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH NO. OF / BED/TRENCH 9 DISTR. PIPE SPACING covEa DIMENSIONS 0 / _ • TRENCHES h I INSIDE DIA -PIT LloulD I P'T GRAVEL DEPTH DEPTH BE LOW PIPE FILL DEPTH 011 - PIPE, DISTR. PIPE DISTR. PIPE MA RIAL. NO. DI R S ABOVE COVER ELEV. INLET ELEV. END P P E$ NUMBER OF PROPERTY WELL Z FEET FROM : BUILDING: VENT TO FRESH AIR INLE 3` MOUND SYSTEM: NEAREST Mound site plowed perpendicular to slope and furrows thrown upslope: Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM 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 OBSERVATION WELLS DEPTH OVER THENCH'BED DEPTH OVER TRENCH, BED IL SO ❑YES ❑NO ❑YES ❑NO CENTER EDGES DEPTH OF TOPSODDED SEEDED MULCHED ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE DIMENSIONS TRENCHES: FILL DEPTH ABOVE COVER. MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. ELEVATION AND ELEV ELE DIA ELEV DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING V P. DISTRIBUTION IPES DIA : INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATEgIAL. VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. COMMENTS: PERMANENT M,-- DYES ❑NO ❑YES ❑NO OBSERVATION WELLS: NUMBER OF PROPERTY WELL BUILDING: ❑YES ❑NO FEET FROM LINE' ❑YES ❑NO NEAREST c~ 6 L Sketch System on Reverse Side. Q' ain__in Eoty file for audit. TITLE. DILHR SBD 6710 (R. 01/82) 7, wisconsin APPLICATION FOR SANITARY PERMIT Jk_L4~ ~DILH oEPRRTnenT or (PLB 67 COUNTY inousTRV,LReoR&HUrnRnRELRTIOns UNIFORM SANITARY PERMIT # 9117111~_l -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER ~ /,/u - MAILING ADDRESS c l? LOCATION T D O,f'L S' 21-F1°: Nw1/4 t 1/4, S 1? T L N, R 'E (or W) 4#46OF: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME TOWN OF: L NEAREST ROAD/LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms: ~..J ❑ Public (Specify): THIS PERMIT IS FOR A: 0 New System ❑ Replacement Soil Absorption System ❑ Tank Replacement Repair Alternate System ❑ Revision ❑ Privy ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ■ Seepage Bed ❑ Seepage Trench System-In-Fill El Seepage Pit ❑ Holding Tank ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. issued Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Septic Tank Capacity Plastic Lift Pump Tank/Siphon Chamber O r Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION per inch): REQUIRED AREA WATER SUPPLY: (Square Feet): PROPOSED (Square Feet): .f G/S ■ Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signature: /Z, Ib4P/MPRSW No.: Phone Number: Plumber' Address: X300 (71T) 6- q ro O J ~ Name of Designer: oC~ COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ~-Yt Owner Given Initial Reason for Disapproval: Approved Adverse Determination s 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. THE OWNER: This is valid for two maintained. Have a licensed years. pumper Changes clean your septic tank whenever necessary usually every 2 to 31years. If you have questions a systems must n ng must properly DILHR, State of Wisconsin. your system, contact your local code administrator or the Bureau of Plumbing, 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/contractgr,("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 r "A 1, + - - - - _ - Location of Property Y~yU 3~ Eit- , Section T N_ R l W Township Mailing Address Subdivision_ Name 1~ y p Lot Number Previous Owner of Property r Total Size of Parcel, Date Parcel was Created c~ Are all corners and lot lines identifiable? Yea No Is this property being developed for resale (spec house) ? Yee No Volume and 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) cvLti,6y that att 6.tatement6 on .th,iA 6o4m ane txu.e to the but o6 my knowtedge; that 1 (we) am (ane) the owneA(a) o6 the pnopehty dacvu.bedinthi6 ) in6o4mati,on 6oAm, by vi tue o6 a waAAanty deed neeoa.ded in the 066ice o6 the County Re9i.6.teh o6 Deed6 a6 Document No. 7117t;;A u pne6 en tt y own the pno pod ed d.l to bon the 6 ewa a and that I (we ) obtained an ea6ement, to sun with the above ducA bed -dyvtem (oo& the I have cone.tn.uction o6 eaid 6 y6 tem, and the tame ha6 been duty teco4ded~.i.n the 066ice o6 the County Reg.c6.teh o6 Deed6, a6 Document No. SIGNATU OF OWNER SIGNATURE OF CO- WN R (IF APPLICABLE) DATE SIGNED DATE S GNED 0 ~f S CERNOHOUS WEST CERTIFIED SURVEY MAP ' VIRGIL CERNOHOUS Part of the Northwest 1/4 of the Northeast 1/4 of Section 8, Township 28 North, Range 19 West, +'own of Troy, St. Croix County, Wisconsin. A 40 UMP ATT[D LANDS .H • S. O 800.107 39"W 47!.00' cc 0 H 'dW •N 431.00' 30.00' .0U w Q) ~C T4-1z0 00 4 r W a 4 G w O a u OO' - Z co O 1!) C1 _O F I N W W I 1. 14 P. U V a) 1f0 ~ ~ O N ~ b O O u ^ « Z7 iY' U J I N ; p O s O 0 F A P, a O cd, o i 6 N TI 'c c0 0 b i o s = g p N p ~ J 0 tU Y ~Y lV u 44 0i M w G v m > .w 600.33'12 0a W H ~ r+ a, 3 0 cv+ 200.00'00«[ Pt N N r-i 40.01' J / I (U -rl / J F4 Cd i W _i r: I ^ av rl ' JI N ^'sg I~ s I- o 200.00.00"[$ 9 00.00'00" W 162.13' J/ JI •06'1 , o 00,00 71.34' « $ 14 • ?OI 1 / J O °I .0 °la NOO.00'00'[ 160.96' ` w J X 10 i g 231.sY' _ N ~`2aa J rf of 14.22 Op.. J'/ ' = oI I W N00.00'00-[ 2!6.16' ZFi,y7t ?33 3= 1 ~I Vc ° J ~ ' W I C N s • N /j, 2p 00 \ QOM. i 0 o M 2za W c s E 6~\Al.~ g KI O N > z is ~l W 3 w t u ° di ! u it w ary. Q 0 o r o WWIII t~W a ~uF 3// e=W 40 am'o W j l S00. 00' 00" E N Owl « « / M -j O W K 117..61' O w •1'~ r V APPROVEr" o. 1322.31' 8 saga 26 W DEC 81983 0 ! S 00.06' 32" W 3216.47' g ST. CROIX CL)U;.FY 1/4 LINE CO;APAIA-4ENb." JE PARKS PLANIdUNG 0 /Y S' n AND ION1'IG COMJrj "U / 4, 1 0 Z r o / f0 = ALL 6[ARINO6 RIF. TO TN[ N/2 1/4 WHO OF 6[C.0, • « <F © in X 726M,R161N,Ai2UM[O NOO.06'3!"[ W LL N 49 K n O N/= M K `,~~666r W .7 A' / .JI01pZO •~N Z • O ~ q r r w W MURPHY J ~ • ~ r 8 °o w o# S u PAGEL w 169.00' 34.49~ ~ \\\i++►un~ ~~~9 0C. 3yp,KQ N00.00132"r 223.96' RINORTH) E W.ItN~ lI RDGISTERID =ERTIFIED SUR~W4L! -LA"D2 (DESCRIPTION ON REVERSE) >T. CROIX COUNTY, WISCONSIN SHEET I OF 2 ASCRI.17,"ION: „ That certain parcel of land located in the Northwest 1/4 of the Northeast 1/4 of Section 8, Township 28'North, Range 19 West, Town of Troy, St. Croix County, Wiscazsin, more fully described as follows; COMMENCING at the North 1/4 corner of said Section 89 thence S 000 09' 52" W (assumed bearing on the North/South 1/4 line of said Section 8) a distance of 1322.51'; thence N 90° 00' 00" E on the South line of the Northwpa t 1/4*',,, of the Northeast 1/4 of said Section 8 a distance of 949.13' to the POINT OF BEGINNING of the parcel to be herein described; thence on the centerline of C.T.H. "FF" is described in Vol. 424, Page 43, Doc.#284678, St. Croix County Records, on a curve concave to the ' North, having a radius of 1273.33', whose chord bears N 72. 28' 30" W 766.86'; thence N 54. 57' 00" W 161.17'; thence leaving said centerline go N 00° 09' 52" E (recorded as North) a distance of 223.861; thence N 90° 00' 00" E 583.55'; thence S QO' 00' 00" E 71.341; thence N 90' 00' 00" E 457.9911 thence S 00. 10' 39" W 476.b0' to the centerline of C.T.H. "FF"; thence N 90. 00' 00" W 177.60' to the POINT OF BEGINNING, containing 10.26 acros, more or less, being subject to easements of record and also being subject to a roadway easement for the benefit of the Grantor, his Heirs and assigns, more fully described as follows; EASEMENT DESCRIPTIONS COMMMCING at the North 1/4 corner of said Section 8, thence S 000 09' 52" W (assumed bearing on the North/South 1/4,line of said Section 8) a distance of 1322.51'; thence N 90° 00' 00" E on the South line of the Northwest 1/4 of the Northeast 1/4 of said Section 8, a distance of 949.13'; thence on the Centerline of C.T.H. "FF", as described in Vol.4249 Page 43, Doc.#284678, St. Croix County Records, on a curve concave to the North, having a radius of 1273.33'9 whose chord bears N 72° 28' 30" W 766.861; thence N 54' 57' 00" W 161.17'; thence leaving said centerline go N 00. 09' 52" E (recorded as Noy w,) o distance of 223.86'; thence N 900 00' 00" E 583.55' to the POINT OF BWiNNING of said ea8d,,,r1L the .aa 3 00. 00' 00" E V-3411. thence N 90. 00' 00" E 33.00'; thence S 00° 00' 00" W 165.131; thence S 14' 20' 00" W 239.941; thence Westerly on a curve concave to the North having a radius of 1233-331, whose chord bears N 74. 07' 59" W a distance of 66.001; thence N 14. 20' 00" E 229.881; thence N 00' 00' 00" E 228.181; thence N 90. 00' 00" E 33.00' to the POINT OF BEGINNING; AND ALSO said parcel being subject to easement for C.T.H. "F?" R.O.W. purposes more fully described as follows; EASEMENT DESCRIPTION: COMMENCING at the North 1/4 corner of said Section 8, thence S 00' 09' 52" W (assumed bearing on the North/South 1/4 line of said Section 8) a distance of 1322.51'; thence N 90. 00' 00" E on the South line of the Northwest 1/4 of the Northeast 1/4 of said Section 8, a distance of 949.13' to the POINT OF BEGINNING of said easement; thence Westerly on a curve concave to the North, having a radius of 1273.331, whose chord bears N 72. 28' 30" W 766.86'; thence N 54. 57' 00" W 161.17'; thence N 00' 09' 52" E (recorded as North) a distance of 54.861; thence S 54' 57' 00" E 192.541; thence N 35' 03' 00" E 10.001; thence Easterly on a curve concave to the North, having a radius of 1218.331, whose chord bears S 62. 51' 09" E a pstance of 335,01'; thence S 19' 14' 42" W 15.00'; thence Easterly on a curve concave to the North, having a radius of 1233.33', whose chord bears S 800 22' 39" E a distance of 412.32'; thence N 00' 00' 00" B 5.001; thence N 90. 00' 00" E 177.741; thence S 00' 01' 46" W a distance of 45.00';, thence N 90. 00' 00" W 177.60' to the POINT OF BEGINNING. p,~~sc0Nsz arm * LAURENCE = rn W MURPHY ' 3 1713 ft : . ~ J► ~lMVE11 vol. -Page 3$7 L NO Laurence W. Murphy p fill NM Certified Survey Maps Registered Land Surveyor St. Croix County, Wisconsin REVERSE OF SHEET 1 CERTIFIED SUi=tVEY MAP VIRGIL CERNOHOUS Part of the Northwest 1/4 of the Northeast 1/4 of Section 8, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin. CURVE DATA CURVE CHORD NEARING CHORD RADIUS CENTRAL ANGLE ST N. 69AMIN• 2ND TAN. EEARINE ARC I " 23. 11' 12 71.33' 1 0 07' 441 . t• 3 N51•DI'32'W 323,34 N90 00'00" 48.3!'1 » 1273.33 14• 41.20" ' 3-1 Ni{411'3{"W 423.35' 1273.111 » MSi•32'12"W N74.10' 32"W 292 16• C3' 32 N74• l0' 726.43' i" 333.01' 1211.33' t3•{!'IB" ,32"W N31.37'00«W 427.10' E 71.10'15" 36.70' S3{•3700'•( E70.41'IE« 00' 573.21'3o"E 1233.3x' 1.30.40" 570-43'133.735.70- 7' 33.00• 1233.x3' 1.32'02•' S72'ii'a~"( S71 33.00 6 72•33'a5"( 574.0'00"( 13.01• - 574• 3. 13x• 1132'00" 57/•00'00" •0 '02" ( 573.40.00»( 11.01' 7-12 s0o•2a•aa••( 412.32' 1233.33' 15.11'12 •40'00" e6.or 10-1 •2.13.00" • 3 .33' 573.410" 6"E N60•p0'00~'( 11-12 SSY•!3'00"( 1 573.40'00"( S~E•1 , D 411.25' 7' 12 l• •22 ~ E 23.11' 123 .31' t , " 201.4! _ 412.32' 1. 10'00" as 0. 0"( N>t0.00'00"( !1411' 7 •21'30"W 1213.13' 19.14'42" 870•{3'1A"( 758.06' 1273.33' 33'03'00" N~O.00'00"( 114.26' 3-1{ 537.36'30" -r ' N60.00'00•'( • Ma1.37'00"~y 1' 6 563.32' 3!"( 125.30 1215.33' 6.03'00" 334.37'00•'[ 125.64 - 11 207.16' 1216.33' 9-43' 64, 561.00' 00" ( 126.66' N61•E3'20 W 27902, 561.00 00" 1773.31' 12•34'40 " ~ 1 ( TOA43• 13 - { N36•14' is "W N? 1. 10'32"w N61 •36'04"W 27$.30' 147.731 1273.13, 6.30'04" 1* 36'04"W _ N34 37'00•'W 147,41' APPROVED DEC 81983 ST. CROIX COUNTY COMPREKUJUVE PAW hAPON66 4q IO~M36 C1pn3111t'li>E State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that b dire the Owner, Virgil 1 Cernohous I have surveyed and divided by direction ~ ~ ' the lands shown hereon in accordance with official records, Chapter 236 of Wisconsin Statutes and the Ordinances of St. Croix County= and that the above map and description are a true and correct representation thereof. Dated: 9 March 1983 Revised: 28 July 1983 -ON vol..5_Page ► 3 4'S ~Jm O/ys~ Certified Survey Maps Laurence W. Murphy ~ y St. Croix County, Wisconsin Registered Land Surveyor ? LAURENCE Dom, 3 qo 451 rn w MUR SHEET 2 OF2 H H STC - 105 r ' r a SEPTIC TANK MAINTENANCE AGREEMENT ry, St. Croix County 0 z 1 d OWNER/BUYER C r ~ a T- - H ROUTE/BOX NUMBER Fire Number CITY/STATE fzip PROPERTY LOCATION: V E !4, Section, T N, R W Town of lr-D V St. Croix County, Subdivisionj~, Lot number, Ub i • S- 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 0 I/WE, the undersigned, have read the above requirements and agree £ z to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- y 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 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. o r= N = eC N ~ v N w DD a NN CDD (D (a 0 n N j O ca 0 u3 v~= ~w - K 3 C: o ~ C = (D 'D Q (D cD - 0 A D I ] CD N CD N N i - CL CD o w po m Z c-D co CD CD W W co -0 CD OL 3- 0) CD CD (n 0 0_ 0 ?CD O m A 3 ` ?`O "Rr o m c (a w w o o < C- w ° c S. Z(a O C 3 0 OR n w C'< Q' p j CCD w p~ N C w N O p a CD = cD D CD w OD 'O ~ < (DD N Q A. cD C " 0 (a O' o C) CD 0 C: (n C M p n p D c = 9 4 41. = aw C> ~ CL Ai n w = (D a o ~m o mca s a a? O (D w C (D z O Z N (D (D ~ n' = C Z aCDo 3(~DM(D ~ a c 1 m CL ~w ~0 o m ~a N a CD N ::r M CL C to s w V F v oo n 3 cnCD C 171 ' e m(D N oa ~ m p oa(o w3 crw n - < (D 2 e( p c N p _ (_p a (D t0 A N N 3 CL CL o * cCii C C C F w wow fL CDc,~ RI cr° cr any. N 0 p' C l< ca w= (D (D A C co c lD (D 3 N n a o a 0 Co a O a 7 o N 0 ~ O *ir a C D m S m c (D d o !11 o f 3 O O Q p o DJ a ~ ' p 3 m cn N a o < Q~ 3 (a O CCD 0 -t' ,i NOTICE; NOTICE ao Subiect to change and alter- It is the respons16il,ty of the dca,ter t o c ,ft, ' erl ation without notice or that C obli- any Friendsh,p I,.dustrics, In- blo:kirg !D gation. foundation prints, or an °er d,jgra ns s M JUL 1 6 1981 y th Pled to a contractor (or site ...ork, conel.v 1 m DATE: with the unit ordered 'Frier < D Inc. will not be L rJP for d: mah,p Indu,rr,es, g-s ar,s,rg from V ♦ failure of the d ler to m3k~ ce ta,r that the v' contractor has the correct diegrams, regardless of what was suppl+ed by Fricndsh,p Industries, Inc. N • _ _ 27.-5. 8 V2, C if 10 1/4 - I I r .z a) m CD ~ r~1 P I i I y O ~I ZOZ Z U i0 I j Z b C C7 t- f T n m m D ~n ,j ~ }t r D~- Z - a - ~T• ~ n° I o D - ' m m • m T n n ` R' i , m I.N - _ U) o D z zt = n 7 D I `-A\ 1 1 ~ z Fi ° n z n m D ^ D C N 'Z 0 C) ~ T C O - D I ' N m m p z m m° 0 0 2 O O O p~,° ~ mD rz I~ C i y y z _ r a I ~ n 0 m O N i ! m O` A N O, p r _ ?l p 7 D V N D r m= I r D ~ =J c r n j N D y i D , Z I - O ,n n s Z t Z - r rT I n . S p v n n D I i Z i T z m m 26 IA F~ I I z 82 1/2 `8'I,-" P: ~ ye Se r _m < I I~ Z :J = p A ~ r D D ~ I i I _ Z O r z rn f` D ~ o rj M' y W O MM"M fl~ b lo.~ A;ti;.,y Arc., a-s",r r-'o• ' j Ak1...., 15~N"X 11-5~ 1 13 =P"X 1l =S" ~eor ~ 9 a O i Ira AeArnmem :14 hjpsow~ fit'-4'X t1=S" ~~y"X11:ih l1 =y'X ll= ~ q t DEPARTMENT OF SAFETY & BUILDINGS ON SOIL BORINGS AND ILABOR AND - P.O. BOX 7969 PERCOLATION TESTS (115) DIVISION HUMAN RELATIONS (H63.09(1) & Chapter 145.045) MADISON, WI 53707 LOCATION: 7/4 LTO~t2~N/ p q TOW' 11 (or) w 7R p ~T Y: LOT N-O- L NO.: SUBDMCOUNTY: /R'S NAME: 13P-5 Ct( C~C MAILING ADDRESS: 0 6-Z0EA1_-,E'T Opf / /~oX rsY /~iovfp~f~ .~`~i;vv. ss ?G.3 USE NO. BEDRMS.: COMMERCIAL DESCRIPTION: DATES OBSERVATIONS MADE Residence 3 A/, A New ❑Replace PROFILE DESCRIPTIONS: PERCOLATION TESTS: RATING: S= Site suitable for system U= Site unsuitable for system se 71 CONVENTIONAL: MOUND: IN- GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANOMMENDED SYSTEM:(optional) ©S ❑U 2S ❑U KS ❑U [IS ©U ❑S Dvv:<-.v Tiov1-/-/L`Xri If Percolation Tests are NOT required DESIGN RATE: under s.H63.09(5)(b), indicate: CG/7 S s If any portion of the tested area is in the ~ Floodplain, indicate Floodplain elevation: `A~ PROFILE DESCRIPTIONS it, aec1*HA.C FT', BORING TOTAL DEPTH TO GROUNDWATER-IN CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B s' /3a. S1, s"• R3 ' T.s~ v cs 7 V5. B- /O D , a2 go P3 ' i,ti v¢~,~, ~S B 3 S /00. Aj. S B Jr X11. D~.~ > 7 5 9v Css , o 0. S, B-S S ~~•9oL 7[ /s 13~ Ba s a N. O ~t B- PERCOLATION TESTS NUMBER IN- DEPTH AFWATTR IN TERSWELOLING INTERVAL-MIN. PERIOD t DROP IN WATER LEVEL-INCHES RATE MINUTES LST P n PERIOD 2 PERIOD 3 PER INCH GsJ ~i~' /ivc 17 0 (1 S/ S7E vT~ P- . P- P_ P Z_ 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 E /44 - ~6 , C Pa. 3 , F o s I 9~ ` ,fora ~ ~ test _s'4A / eanven ionaseptic system. I3M V Ell R*. PT. IS f30o 5fftirT d f s 1 4 LOT 3 _ Lo/ `f 4? o L©T Aje • Flay,= /00,d Co ua ty FF 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: HOMESITE SEPTIC PLUMBING CO. Z- 3 - ~ f RESS: , ADD Z ROBERT ULBRICHT CER IFICATION NUMBER: PHONE NUMBER optional): ss - o z 4f P - 3 ?6 ^0'1,p MINN. INSTALLER & DESIGNER LIC. NO. 00663 cs NATURE: l DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - rt ets€ and as:c< r ~o _ >t)[t`~:::: aal 4gi_i SiC<,€Sr.3S >t 1?'~~ r.r.>1'1 Wit, ~3 t.i a'c1,, no; 4 '4t C)l V 4. yt t Gd d~ t¢a~at ttir ; . 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