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HomeMy WebLinkAbout022-1026-70-000 0 (A 0 3 '9 0 d r� c C: ^ d o m o v�'i a n m 0 z v, Z w c N• CD V °' ((DD 0 m CL D N y \ c W S N fJ N ur N n• f'j n °° C O d 3 m 3 y �' A c 3 m 3 m N �' CL ° ° 0 9 o m o 0 o -0 0 o a o c rn z °' N3 a ao °' a ao �', o �g 1 y N T O M O O to G cn Z D I a° m (nom tnZD m (a (n D `� (D (n m (n' D �' a O Vt O W b y W m C m m C C m m C CL CL CL CL I N O O N3 O O � w < z o 0 0 o co f° m C 0 (a z 000 z Z �y� o m m e =; m m to cn D `� o CD 9 v O o CD w W W m ra r CL (D (D n. (D (D 7 0 0 Z - Z 0 O v O D > _• m m C y rZ1 .Z1 m c O m ' N C C N (D w w cc a a 3 n 3 (D 7 z m z m A Z ( rn y c 0 a � m A Z o tsi a O 0 Z N (O v T OD a Z g :. �, x w m m w I m �m =� C D n m �m sZ M a O O y .O n m n CD p ..' 7 y .O a� v y m a a� a ztm v a �t CD m O N?_ y S D) CD (D -0 N 7 y =r D) C O. m =i O m a CD y =i O CD 7 CD S � O (D (n C u m � N y C y u > y N O I a0 N G,O , = ID O.� a0 . CD 1 0 I 0" � ;:W CD m 3 f O o' � m 3 `O o i a (D CD =rO <,3 0 7 (D m 30 <, 0 a N m (D 7.0 a m F m (D Er' -O A o> > — ° �a o' >•ov o 5 — e w C-0 me d C (D(GS A CD °- m 3 CD °- m 3 v 50 @. o 0 M m v�io o m m CD m _gym v o (�D v°i G 7 U) C A 0 o ti I m m v O O O O 0 0 N Oo O O L O O L N I I Pam Quinn From: Rod Eslinger Sent: Thursday, April 01, 2004 3:20 PM To: Pam Quinn Subject: Kristi Wilson -Wolfe Pam, To stay on top of this home occupation, I would have the property owner submit a signed written statement to our department stating their intentions and state how their home occupation request meets the County's minor home occupation standards. Dave Phillips mentioned that he could re- produce the drawings: I would get those for the file too. I have requested a written statement of other property owners with minor home occupations. We put this in their property file and it's something we can referenced or return to if needed in the future. It keeps them honest. Rod Rod Eslinger Zoning Specialist St. Croix County Zoning 1101 Carmichael Road Hudson, WI 54016 Ph. 715 - 386 -4682 Fax 715 - 386 -4686 www.co.saint - croix.wi.us i November 21, 2003 1 Oe Kristina on & Mark Pharis 1166 Coulee Trail River Falls, WI 54022 Subject site: Parcel #022 - 1026 -70 -000, Kinnickinnic Township 09.28.18.142A RE: Application for Reconnection to POWTS Dear Ms. Wilson and Mr. Pharis: This letter, in compliance with Wis.§ Chapter 145.20(2)(c), provides written notification that the St. Croix County Zoning Department has disapproved the POWTS reconnection permit application submitted for review on Nov. 5, 2003. The project proposes the construction of an accessory building to house office space, treatment room, and a bathroom available for public use. Per Wis. Admin. Code Comm. 83.22(d), the county is only allowed to review plans for 1 -2 family dwellings and private interceptor mains that connect an accessory building bathroom to an existing POWTS for the convenience of owner /residents. Based upon the construction plans submitted with the application, this project does not meet the criteria for either a 1 -2 family dwelling, nor can it be considered a private interceptor main. The project will require commercial plan review by the Dept. of Commerce Safety & Buildings Division. Your plumber, Bennie Helgeson, is qualified to prepare this plan for submission. Upon approval by the State, Bennie may then submit a sanitary permit application with copies of the state - approved plans to the Zoning Department for our review and permit issuance. The accessory building, as you already are aware, requires a Special Exception approval from the county Board of Adjustment for a major home occupation in an Ag -Res zoning district, pursuant to Zoning Code 17.155(6). Rod Eslinger has discussed this project with Mr. Pharis to provide assistance with pursuing both the sanitary permit and Special Exception approval along parallel tracks. Wis.§ Chapter 145.20(2)(c) also requires that you be notified of the right to appeal the disapproval according to the procedures contained in Wis.§ Chapter 68. If you have additional questions, please do not hesitate to contact either Rod or myself. Sincerely, Pamela Quinn Zoning Technician Cc: Mary Murphy, Chair, Town of Kinnickinnic Dave Phillipps, Building Inspector 2 2 0 - �C - u:c..eG =ten November 21, 2003 Kristina Wilson & Mark Pharis 1166 Coulee Trail River Falls, WI 54022 Subject site: Parcel #022 - 1026 -70 -000, Kinnickinnic Township 09.28.18.142A RE: Application for Reconnection to POWTS Dear Ms. Wilson and Mr. Pharis: This letter, in compliance with Wis.§ Chapter 145.20(2)(c), provides written notification that the St. Croix County Zoning Department has disapproved the POWTS reconnection permit application submitted for review on Nov. 5, 2003. The project proposes the construction of an accessory building to house office space, treatment room, and a bathroom available for public use. Per Wis. Admin. Code Comm. 83.22(d), the county is only allowed to review plans for 1 -2 family dwellings and private interceptor mains that connect an accessory building bathroom to an existing POWTS for the convenience of owner /residents. Based upon the construction plans submitted with the application, this project does not meet the criteria for either a 1 -2 family dwelling, nor can it be considered a private interceptor main. The project will require commercial plan review by the Dept. of Commerce Safety & Buildings Division. Your plumber, Bennie Helgeson, is qualified to prepare this plan for submission. Upon approval by the State, Bennie may then submit a sanitary permit application with copies of the state - approved plans to the Zoning Department for our review and permit issuance. The accessory building, as you already are aware, requires a Special Exception approval from the county Board of Adjustment for a major home occupation in an Ag -Res zoning district, pursuant to Zoning Code 17.155(6). Rod Eslinger has discussed this project with Mr. Pharis to provide assistance with pursuing both the sanitary permit and Special Exception approval along parallel tracks. Wis.§ Chapter 145.20(2)(c) also requires that you be notified of the right to appeal the disapproval according to the procedures contained in Wis.§ Chapter 68. If you have additional questions, please do not hesitate to contact either Rod or myself. Sincerely, Pamela Quinn Zoning Technician Cc: Mary Murphy, Chair, Town of Kinnickinnic Dave Phillipps, Building Inspector Bennie Helgeson, Master Plumber File ST. CROIX COUNTY WISCONSIN `- - ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 November 25, 2003 Kristina Wilson & Mark Pharis 1166 Coulee Trail River Falls, W 1 54022 Subject site: Computer # 022 - 1026 -70 -000, Parcel # 09.28.18.142A, Town of Kinnickinnic RE: Denial of a Reconnection POWTS Application Dear Ms. Wilson and Mr. Pharis: This letter, in compliance with Chapter 145.20(2)(c) Wis. Stats. provides written notification that the St. Croix County Zoning Department has disapproved the POWTS reconnection permit application submitted for review on Nov. 5, 2003. The project proposes the construction of an accessory building for an office, massage treatment room, and a bathroom. Per Comm. 83.22(d) Wis. Adm. Code, the county is only allowed to review plans for 1 -2 family dwellings and private interceptor mains that connect an accessory building bathroom to an existing POWTS for the convenience of owner /residents. Based upon the construction plans submitted with the application, this project does not meet the criteria for either a 1 -2 family dwelling, nor can it be considered a private interceptor main. The project requires commercial Ian review b the Dept. of Commerce Safe & 1 q P Y P Safety Buildings Division. Your plumber, Bennie Helgeson, is qualified to prepare this plan for submission. Upon approval by the State, Bennie may then submit a sanitary permit application with copies of the State - approved plans to the Zoning Department for our review and permit issuance. The accessory building, as you already are aware, requires a Special Exception approval from the St. Croix County Board of Adjustment (BOA) for a major home occupation in an Ag -Res. zoning district, per section 17.155(6) Zoning Code. The major home occupation must comply with the ordinance standards in order for the BOA to approve it. Rod Eslinger, Zoning Specialist, has discussed this project and the BOA process with Mr. Pharis. It is possible to pursue both the sanitary permit and Special Exception approval at the same time. Administrative decisions can be appealed to the St. Croix County Board of Adjustment per section 17.70 (6) a. All appeals require a class 2 notice and a public hearing. If you have additional questions, please do not hesitate to contact either Rod or myself. Sincerely, Pamela Quinn Zoning Technician Cc: Mary Murphy, Chair, Town of Kinnickinnic Dave Phillipps, Building Inspector Bennie Helgeson, Master Plumber File November 25, 2003 Kristina Wilson & Mark Pharis 1166 Coulee Trail River Falls, WI 54022 Subject site: Computer # 022 - 1026 -70 -000, Parcel # 09.28.18.142A, Town of Kinnickinnic RE: Denial of a Reconnection POWTS Application Dear Ms. Wilson and Mr. Pharis: This letter, in compliance with Chapter 145.20(2)(c) Wis. Stats. provides written notification that the St. Croix County Zoning Department has disapproved the POWTS reconnection permit application submitted for review on Nov. 5, 2003. The project proposes the construction of an accessory building for an office, massage treatment room, and a bathroom. Per Comm. 83.22(d) Wis. Adm. Code, the county is only allowed to review plans for 1 -2 family dwellings and private interceptor mains that connect an accessory building bathroom to an existing POWTS for the convenience of owner /residents. Based upon the construction plans submitted with the application, this project does not meet the criteria for either a 1 -2 family dwelling, nor can it be considered a private interceptor main. The project requires commercial plan review by the Dept. of Commerce Safety & Buildings Division. Your plumber, Bennie Helgeson, is qualified to prepare this plan for submission. Upon approval by the State, Bennie may then submit a sanitary permit application with copies of the State - approved plans to the Zoning Department for our review and permit issuance. The accessory building, as you already are aware, requires a Special Exception approval from the St. Croix County Board of Adjustment (BOA) for a major home occupation in an Ag -Res. zoning district, per section 17.155(6) Zoning Code. The major home occupation must comply with the ordinance standards in order for the BOA to approve it. Rod Eslinger, Zoning Specialist, has discussed this project and the BOA process with Mr. Pharis. It is possible to pursue both the sanitary permit and Special Exception approval at the same time. Administrative decisions can be appealed to the St. Croix County Board of Adjustment per section 17.70 (6) a. All appeals require a class 2 notice and a public hearing. If you have additional questions, please do not hesitate to contact either Rod or myself. Sincerely, Pamela Quinn Zoning Technician Cc: Mary Murphy, Chair, Town of Kinnickinnic Dave Phillipps, Building Inspector Bennie Helgeson, Master Plumber �e 04 02- U1 XON 12.35 FAX 715 386 4686 ST CR1 CO ZON NG wool County Sanitary Perm Applic ST. CROIX COUN WISCONSI In accord with 15.04 St Croix County Sanitary Urd,nence ZONING OFFICE Personal Information you Wvvide may oe used for sewnJary purposes ST. CROIX COUNTY GOVERNMENT CE14TER [Privacy Law. 5. 15.04{1)(m)) 1101 Carmichael Road Hudscn, WI 54016 -7710 (715)386-4680 Fax (715)386-4686 Attach complete plans for the system or. paper not Less than 8 -112 x 11 inches in site, Ceunty Sanitary Permit it ❑ Check R ECLIVEn I. Application Information - Please Print all Information ration: Property Owner Name • I ' NOV 0 5 2003 NW va SE 114, Sac g MARK PHARIS 28_ N . R E w Property Owners Mailing Address OUIVT of Num Stock Number ZONING OFFICE ! L 1166 COULEE TRAIL 1 1 1 NIA Ciry, State Zip Code Phone Numer Subdivision Name or CSM 7 RIVER FALLS, WI 54022 715/425 -1597 �la �� U Type of Building: (oheok One) (amity o villa e LaTown ❑ 1 or 2 Family Dwelling - No, of Bedrooms: 4 C (• A KINN ICKINNIC G Public/Commercial (describe use); C State -owned NeargSt Road U. Type of Permit: (Check only one box on line A. Check box on line B if applicable) COULEE TRAIL Parcel Tax Numbers) A) 1.❑ Repair Reconnection 3.01sion- plumbing 4, 0 Rejuvenation 022- 1026 -70 r Sanitation T1 Perrin Number Date Issued 8) State Sanitary Permit was p revious(y issued 135424 02 -05 -90 IV. Type or POWT System: (Check all that apply) Non- pressurized In -9mund p Mound ❑ Sand Filter Q Constructed Wetland Pressurized in- groune ❑ Holding Tank ❑ Single Pass ❑ Dr1p Line r At-grade ❑ Aerobic Treatment Unit ❑ Recirctilating ❑ Other V. Dis ervel/TreatmentArco Information: 1. Design Flow itaod) 2, Dispersal Area 3, Dispersal Area d. Soil Apelication Rate 5. Perodation Rate 6. System Elevation 7, Fin 0 Required Proposed (Gaisdday /sq.ft) (Min. /rich) 1 -97 E levs8on 2 -96.0 - 10.07 600 1320 1320 .45 48 — 2- 28,67 an n ormat on Capalety In a ens o of Manufacturer Prefab bite Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete strutted glass Tanks Tanks 12001 1200 1 MIDWESTERN PRECASTO t7 C ❑ ❑ ❑ ❑ ❑ 'Al. Responsibility Statement I, the undemigned, assume responsibility for repair /reconnenctorvrejuvenation )installation of non - plumbing for the POWTS shown on the attached plans. A license is not required for terraiift rep air or the Installation of non-plumbing sanitation s stern. Plumber's Name (print) Plumb Signature (no e; ps MP/MPRS No. Business Phone Number BENNIE HELGI — Plumber's Address (Street, City, State, Zip Code) W1229 770TH AVENU , SPRING VALLEY, WI 54767 Vill. County use onl iaapprove SanitAry Permit Fee Date Issued suing t Sig (No stamps) 0 Approvetl L. Owner Given initial Adverbs �� �' h 3 Determination IX. Conditions of ApproveURseson for Disapproval' GG �Vvv` i } i r r ; 1 M i l WA 1A AT 1• ENC OP Lott AOOV 40 RK .... NP V Ko _.. Q ' l r M p / II�iTTTT w � H A Rl S WOLT .:: 4 6' At �Ac? r' V I i v i N ., HR WA I ?L4 w i TO i i OPEN 1 t-- DGB MaNAHA Adau6 WC I .ti --- - - - - -- _ t4 41 � : N V' 4 Nn 364.x' M � � ►4a � 1 �8 A�GRE� o N z G wsU, _ �4- IStINk µn vti� Tn - �AKICIN(, 9o 00 1 1 r_ �J M � O T Pam Quinn From: Rod Eslinger Sent: Tuesday, October 28, 2003 12:33 PM To: Pam Quinn Subject: RE: Convenience bathroom in accessory bldg. Major home occupations in accessory structures are allowed only by special exception approval by the Board of Adjustment. If the accessory building contains plumbing and serves a commercial use, then yes you are right, it will need a commercial approval for the plumbing as I understand it. Depending on the minor home occupation it may be different (no state approval). - - - -- Original Message---- - From: Pam Quinn Sent: Tuesday, October 28, 2003 9:23 AM To: Rod Eslinger Subject: Convenience bathroom in accessory bldg. Hey Rod, my voice is going so am asking question for Bennie Helgeson via e-mail. He called and wants to determine if his client needs a commercial plan - would like to either build or renovate an accessory building and add a bathroom. If it is just for her family's use we can review as a Private Interceptor Main with tank and document no increase in DWF. He said that the owner, however, is a masseuse and may want to set up a studio in this building. If she's operating a business, even without employees, does that kick the project into a different category, like a home occupation? I see in ordinance that minor home occupation has to occur in the house, major needs a special exception to occur in a permitted accessory structure. Sounds like it may need a commercial plan developed if the owner wants to pursue the latter. Just wanted your input, please. PAM QUINN, ZONING TECHNICIAN ST. CROIX CO. ZONING DEPT. PAMQ@CO.SAINT -CROIX.WI. US 1 Pam Quinn From: Jansky, Leroy [Ijansky @commerce.state.wi.us] Sent: Friday, May 16, 2003 9:29 AM To: 'Pam Quinn' Subject: RE: PIMS Four -inch diameter PIMS no longer need state review. They do need to be designed and installed as code. There is a difference between PIM use and two buildings sharing one onsite system. Sharing in this instance includes those situations where each building would have a separate septic tank and only share a common distribution cell. If both uses are planned initially for new construction it will require a state review. However, if an owner would like to connect a second structure to an existing system the county may review and allow connection as long as the system is correctly sized and meets environmental standards (not failing). For example, there is an EXISTING single family home AND onsite system, and the owner wants to construct a garage /workshop with a toilet room. The county could review and approve such as use without a state review. In this case, as long as the use was personal (not a public use) no additional flow or loads would be assummed. However, I would inquire as to the work or use of the garage because of potential hazardous waste disposal. In a second case, if the owner wanted to connect a mobile home to the existing system serving an existing home we would have to make sure the system is sized for the use. If it is, then the county can allow the connection. On the other hand, if the flows exceeded the systems rated capacity then the system would have to be upgraded or replaced to meet the loads and flows placed on it. The county can also review and approve uses where there is ONE building (e.g. a duplex) that is a two- family home. If in such cases if they install separate and independent systems (i.e. 2 ST, and 2 Dist Cells) you would issue two permits (otherwise one permit for a common system)since the systems are separate and independent. This could screw up you maintenance tracking but hopefully each side of the duplex will have a separate address to distinguish the two. - - - -- Original Message---- - From: Pam Quinn To: 'ljansky @commerce.state.wi.us' Sent: 5/15/03 8:36 AM 1 Subject: PIMS Ben Helgeson (plumber) asked if the department needs to review a house and accessory bldg. connected to a dispersal area via two separate septic tanks. I explained that we can review a plan with an interceptor connection to the building sewer that goes into one tank, as long as it's for the family use /convenience and not a business or commercial facility. Please advise whether he needs to submit a plan for state review for a two -tank system or if we can handle it here. Thanks Leroy, you're our "Shell Answer Man" lately!! Pam Quinn, Zoning Technician St. Croix Co. Zoning Dept. pamq @co.saint - croix.wi.us I 2 HELGES N EXCAVATI 0 N, Inc. SEWER AND WATER SPECIALISTS Plumber /CST Cert. #220292 BEN HELGESON Office (715) 772 -3278 W. 1229 770th Ave. Home (715) 772 -3127 Spring Valley, WI 54767 Fax (715) 772 -3387 November 3, 2003 St. Croix County Zoning Office 1101 Carmichael Road Hudson, WI 54016 RE: MARK PHARIS PROPERTY Dear Sirs I have inspected this system and it is in proper working order at this time. Sincerely, Bennie Helgeson President BH: cb f >: II ` <1 7• �4a �4 M a 6 o 4 lie, -C P ro oser.L _ .6r4 brop i Jul „kr. pp I , Cc Eal s¢p }�c N t' �{� p ,�-� ' �.-- -��_ ' y L� v► es S' it G�' �� �;.� 97 � fay 6M #� !o o � �� ...E � �"�-•� '� ; r '^ t �; 1 �. Sc �I -e- r = 40 5K c-ep-F L ✓s s0 e ± y 7k O w . j - i t SANITARY PERMIT APPLICATION ( 515ILHR In accord with ILHR 83.05, Wis. Adm. Code COUN St Croix STATE SANITARY PERMIT # - Attach complete plans (to the county copy only) for the system, on paper not less than ; . ,,�� 8% x 11 inches in size. ❑ Ch{eirli revision to previous application — See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION ` `lark Phar's A,W %a S ' /a, S9 T 28, N, R 18 or ) W PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK # liox , ; 1 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11 Check one) . TYPE OF BUILDING I NEAREST ROAD ( ❑State Owned VILLLL AGE: , in TOWN 8 :i,innickinni Coulee Road 1 Public ❑ 1 or 2 Fam. Dwelling-# of bedroo s i III. BUILDING USE: (If building type is public, check all that apply) 022 1026 - 70 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility /Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # — Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑Seepage Trench 22 El In-Ground 42: ❑ ,Rita?la!y 13 ❑ Seepage Pit Pressure 43 Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 100.07 Tr. 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP, AREA 4. LOADING RATE 5. PERC. RATE , 6,. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) 97.4 XR #1- ELEVATION 1'120 . 45 - Feet Feet 0'2 VIi. TANK CAPACITY Site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber - Exper. INFORMATION New istin Gallons Tanks Concrete glans . Plastig . App Tanks Tanks structed Septic Tank or Holdin Tank - , • e l k Lj I Ij Lift Pump Tank/Siphon Chamber 4_2) �__ D I El F1 VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No St$mps) MP /MPRSW No.: Business Phone Number. -" t S 71� 77,R-44Z5 Plumber's Address Street, City, State, Zip Code): IX. COUNTYLDEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued ent Signature (No mps) ApprQvltf ' Owner Given Initial Surcharge Fee) 1 ; A t in a + X. CONRI' VNS OF APPROVAL/REASONS FOR DISAPPROVAL: B80-6398 (formerly Plb -87) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety :al Buildings Division, Owner, Plumber LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF KINNICKINNIC COMPUTER NUMBER 022 - 1026 -70 -000 Parcel Number 09.28.18.142A OWNER NAME: First MARK W Last PHARIS PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1166 COULEE TR SECTION 9 TOWN 28N RANGE 18W '/4160 '/440 Line Description Line Description TOTAL ACREAGE 0.000 PLAT LOT BLK 01 SEC 9 T28N R18W NW SE 15 02 FORMERLY KNOWN AS LOT 1 CSM 16 03 7 AAA-6 17 N /K/A LOT 4 CSM 9/2624 18 (� S 19.7 AC 19 06 ALSO LOT 2 CSM 7/1815 20 �' l� 07 DESC AS COM SW COR OF SD LOT 21 I 08 2;TH N 78 DEG E 211.93';TH 22 09 N 19 DEG E 221.14' POB;TH N 23 10 05 DEG W 88.11;TH N 89 DEG 24 11 E 39.38';TH S 19 DEG W 25 12 93.29' POB 26 13 EXC AS DESC 1450/114 27 14 ASM'T INC 022 - 1023 -95 -100 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit DEPARTMENT OF REPORT ON SOIL BORINGS AND &BUILDINGS IN6USTRY, l ____ _ DIVISION LABOR AND PERCOLATION TESTS ( 11 - P.O. B 7969 HUMAN RELATIONS l (H63.09(1) &Chapter 145.045) MADISON, WI 53707 LOCATION: SECTION: UNICIPALITY: LOT NO.. BDIVISION NAME: Uw�E� /4 '/a TAN /R �$E (� 4 tet�,INti to ��o�os� Z COUNTY: WNER'S UYER'S NAME: MAILING ADDRESS: �2� -� j g j '—_7 - C\_ woo w �v '1z..S � u�3 TS , LAW svo Z3 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: rSr PROFILE DESCRIPTIONS PERCOLATION TESTS: I Residence - -1 ulvew ❑Replace S _ ` Q e RATING: S= Site suitable for system U= Site unsuitable for system O CONVENTIONAL: MOUND: IN- GROUND•PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S ❑U ❑ S ZU ®S ❑U EIS ®U EIS �U z �ms - tc>a s k 1uo' LOKJG DES Percolation Tests are NOT re uired RATE: q I If any portion of the tested area is in the * ` under s.H63.09(5)(b), indicate: , }a, Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER -IIff6W-= CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ft ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1 (� -Z' 101.0' V—'Ne �E > 6 -Z' Cob B- 2 6.1 99.3' �l � vS' ►► y.l' It -o. S' G 8n S w LS CA 3 -3' \oq.S' .� `rn 1'2w►o�rA4.9' �.o' k ; 3 $`CZN3tiSi 1.S' G ls`m SI'/ B- 1 4 b• O' 109 • o' r I rn� %bT@ y. ►' 1.3 ,, z' a - o• S' n `FS k1 /L S c b _ S 5, S' \�$•O' n oTC X1.3 \ -3' It 3 -0' ey\si) �0 .3'�\:3r,bBoses�,o•9'`fB►,f5`� S B 6 S. a� to0•o ,i It 30.9' 10n31 W,/D)7-V. 3 V"' 7 G, co' RLl.$' ,\ > 6.0 ' h.0' L ; z.B' y ; �.y' +r 50- 8"CBn BLS cb6 B- O' 88.5 ' 4 W o< (a Z. t ' \ .1 `r `. $' y o.S' BabLROSE S ) •0;7' R6a 6. �!�{ 3 S 'I nto�C"�• 6.3 U1L �nScl;o." 1 'GYQh'F'SQ /LS R.•ETiolwi 6` B�,s�l'CS 3.o'Shsil; 8'sl 1.>J'ansi�;o.s'��► -FS wf LS Z2r,S. 1t B- L O _ -- ,3' x17.'7 Ts;1.4' - I�1G4�S Sut'r3LE gOe/N6S PERCOLATION TESTS I $S w/ L S RFS TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERT D2 PERIOD 3 PER INCH P- I Z q 30 t slt6 -7 !8 - 218 3 m, , P - Z Z y 'f 31 31 y ( M - 7 ' P. 3 Z p 3 s/ s/ S/g L/ 8 9 9.3' P__ P_ M L U S E zo bIS� . 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. Q \1A1 1 .- ®�� S �Iht_kl 7AK S \ C�c1&a S 1 F SY ELEVATION CO ab•o' c_m 43• ► ' g C;o� 6 E • F j 14R �.._ _ � P _. J �� —,,� � _ _�? s -ems- �:��a.•' S� t 65 �, tN STO E y X 512. e L n.i _ _ Sec 9 SCR LE N"=- 60' �cc� - ��pr its strowni 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: ADDRESS: TZ.r Y 8�� CERTIFICATION NUMBER: PHONE NUMBER (optional): L_ T 44J I S y cat I S CST SIG/NI'ATURE�:� DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) — OVER — i INSTRUCTIONS FOR COMPLETING FORM 115 - SD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or comm ercial use planned; 4. Is this a new or repiacernent system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; £1. Make sure your benchmark and vertical elevation reference �>oint are clearly shown, and are permanent; 0. Complete all appropriate boxes as to dates, narnes, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10, If the information (such as flood plain, elevation) does riot apply, place N,A. in the appropriate box; 1 1. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sail Separates and Textures Oth r Symbols st - Stolle (over 10 ") BR - Bedrock cob - Cobble (3 - 10 ") SS - Sandstone gr Gravel (under 3 ") LS - Limestone *s - Sand H(3W - High Groundwater cs -- Coarse Sand Ferc - Percolation Rate med s - Medium Sand W - Well fs Fine Sand Bldg - Building Is - Loarny Sand ) - Greater Than "sl - Sandy Loam \ - Less Than �I U;am Bn - Brown sit - Silt Loam BI Black si - Silt Gy Gray cl - Clay Loam Y Yellow scl - Sandy Clay Loam R - Pied sicl - Silty Clay Loam mot - Mottles Sc - Sandy Clay wi - with sic - Silty Clay fff - few, fine, faint I - Clay cc -- common, coarse pt - Peat inm - Mal medium rn - Murk d - distinct p prominent HWL - High water level, Six general soil textures surface water for liquid waste disposal BM Bench Mark VRP - Vertical Reference Point TO THE OWNER: This soii rest report is the first step in securing a sanitary permit, The county or the Department may request verification of this soil test in the field prior to permit issuan l A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. t Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT 'OWNER" ' � .. _ � c� Y (S TOWNSHIP ' 1 w.- ' , r, � a SEC. T N -R�W . ADDRESS �> ST. CROIR COUNTY, WISCON • 2�. 1$. 1 A T l 1 blo CoLLt c.c, rte � t } SUBDIVISION LOT LOT SIZE .... .._ _ _...... __ ..._._. PLAN VIEW Distances and dimensions to meet requirements of IMR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM (. b' 3s 40 9 7 1 ....- _ __ ..... ... _. .... .._ .r. ,.ate. INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used a X0 L{,� �� Elevation of vertical reference point: /()C• Qd Proposed slope at site: _ , SEPTIC TANKS Manufacturer: �y� a Liquid Capacity: •'•Number of rings used: '' Tank manhole cover elevation: /05�' 8' Tank Inlet Elevation: 5 1 . Tank outlet Elevation: J0(2� TS Number of feet from nearest Road: I Front 0 Side 0 Rear, � 1 feet i From nearest- property line : • Front,0 Side,ORear, /e5rp 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 CHAFER 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 feet from property linef. • Front, O Side, O Rear, Ft. 'Number of feet from well: Number of feet from building:_ (Include distances plot plan). SOIL ABSORPTION1SYSTEM: Bdd: • Trench: l Number of Lines. Area Built. Width: •S • �F`� , • • Length: � Lines: depth to top of pipe: 00 Number of feet f m nearest property line: Front, O Side, O Rear, O It. AN umber of feet from well: 5 N 'ber of feet from building: (Include di tances 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? (C eck one). HOLDING TANK { Manufacturer: Capacity: Number of`.rings used:. Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property lines Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from.nearest road: Alarm Manufacturer: r Inspector:. n K, Dated: O Plumber .on job: T License Number: -1 3 /84:nij ;,. 5EPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.Cr BOX 796 ' ON -SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: NW 4 , SE 4 , Sec . 9 , T 28 -R18 L� C ONVENTIONAL El ALTERATIVE (It assigned) Town of Kinnickinri Holding Tank ❑ In- Ground Pressure ❑Mound NAME OF PERMIT HOLDER: C .1, BQx RESS OF PERMIT HOLDER: INSPECTION DATE: 2 4 River Falls WI 54022 "Jo BE MARK (Permanent reference point) DESCRIBE IF DIFFEREN FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: bn 4 / X?, aj oo S C lC K 1,5 Name cl Plumber: MP /MPRSW No.: County: Sanitary Permit Number: St. Croix 135424 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: T WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: e e S 0 0 / O (o • S Q / � -O - YES ❑ NO ❑ EN YES -O BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD PROPERTY WELL BUILDING: VENT TO FRESH ALARM: FEET FROM q LINE: Q AIR INLET: ❑ YES LZNO / !( 1 - 1 ❑ YES O NEAREST ---► / U U D O O y DOSING CHAMBER: MANUFACTURER: I BEDDING: LIQUID CAPACITY: P PUMP /SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO n ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: . PUMP AND O R PERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF Y S ❑ NO NEAREST —♦ SOIL ABSORPTION SYSTEM. Check the soil moistur at the dE( of plowing I FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, cons uction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID BED /TRENCH TRENCHES: MA RIAL: PIT �- DE DIMENSIONS v S GRAVEL DEPTH FILL DEPTH DISTR. PIPE I DISTR. PIPE DISTR. PIPE MATERIAL: NO. DI R. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BEL W PIPES: ABOVE COVER: ELEV I LET: ELEV. END: PIPES. FEET FROM LINE: AIR INLET: C I, NEAREST ._ MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED /TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. I DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO YES ❑ NO I NEAREST —� ` 1k Retain in county file for audit. Sketch System on Reverse Side. SIGNATURE: TITLE: SBD -6710 (R. 06/88) IN \ SANITARY PERMIT APPLICATION 0 666 l (D 7 7 0ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY — ��- St. Croix STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than , � 6'/z X 11 Inch @3 In 312e. ❑ Ch 1, revision to previ us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION Mark Pharis NW t /4 SE '/4, S 9 T 28, N, R 18 V, or ) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # Rt. 1, Box 234 1 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER River Falls WI 54022 715 425 -5596 11. TYPE OF BUILDING (Check one) 1:1 State Owned O VIL LLL.AGE NEAREST ROAD rM : Kinnickinnic I Coulee Road ❑ Public ©1 or 2 Fam. Dwelling -# of bedrooms 4 PAR ELTA NUMB R( ) 111. BUILDING USE: (If building type is public, check all that apply) 022- 1026-70 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility /Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # — Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ® Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 100.07 Tr. 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) 97.4 TR #1 ELEVATION 600 1320 1320 .45 48 96.0 TR Feet #2 98.67Feet #2 VII. TANK CAPACITY Site INFORMATION in allons Total # of Prefab. Fiber- Exper. New istin Gallons Tanks Manufacturer's Name C oncrete Con- Steel glass Plastic App Tanks Tanks strutted Se tic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber' Signature: (No S ps) MP /MPRSW No.: Business Phone Number: Bennie Helgeson 3215 715 778 -4425 Plumber's Address (Street, City, State, Zip Code): Rt. 2 Spring Valle WI 54767 IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss ing Agent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) n Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD -8398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. , 2.. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber a requires Sanitary Permit Transfer /Renewal Form SBD 6399 to be q Y submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608- 266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete ## of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1 -7. VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8 1 /'2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD -6398 (R.11/88) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, ( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property MA . Location of Property �4W t4 S _ 1 4, Section , T �-� N -R ) CA W Township �1N N l e— I f4 N e- k- Mailing Address �T 1 > IS Address of Sit - o�•r�Ts' . W tS S�' Subdivision Name N Lot Previous Owner of Property VJU�j'p'RT�,tr ZV �'�- -4 b�'t Total Size of Parcel A • �7 AL AS r.4 , r Date Parcel was Created 8:Z Are all corners and lot lines identifiable ? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number �- '1-__! 5._ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING A. Warranty Deed which includes a Document number volume and page number and the Seal of the Re i� ster of Deeds In addition, a certified survey, if available, would be a " helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATIO I (We) ceAtiby that att Statement-6 on thi4 boron ane tAue to the but ob my (ours) knowZedg e; that I (we) am (axe) the ownex (.a) o the pno peaty de s ch ibed in th i 6 inboiunattion bonm, by vi tue ob a waxnant deed rtecokded in the 044ice o6 the County Regizten o6 Deeds ass Document No. 22 1 ; and that I (We) pnea entt y own the pnopoa ed a.i to bon the z ewage digs poz d y-stem (o,% I (we) have obtained an ea to xun with the above descxibed pnopexty, box the constrcuction ob .bai.d zydtem, and the dame has been duty tecmded in the 0 ob the County Register o6 f Dee6 ab Document No. Nk ). .. SIGNATURE OF OWNER SIGNATURE OF CO -OWNER (IF APPLICABLE) s ! 2 74-T q p DATE'SIGNED DATE SIG ED i f +' ov +. • i T• 1 i •Ja 11 ` T i l _ I FFT I A x� „ rret.rent voodi Iverson AOL A►Ivi oa Q : Ir ate= � f^ Orra Merit and li Mark Merit r a nd viE• as SUrVivaWship aarital.. i usb"d opsr Y , WitAemeth. That the said tsanur, for • v alwelr es•* "'z = .�� esuve: a to t:rua thr falioari•tC deser +bed real * *tat* in St . croi ro S ta t e h recordied MY K�F >ctif ied Survsy ap , . : . c.rtil Tomom �: .13► 2987... in Val_. 7, Page 1815, t �► ce .......�....� �� t+r+r , Office of the' Register of Dnads, 1 Wisconsin. Loe&ted in the 8t. Croix CountY� SW% of the NEk*. the SEC 4 _ � aft Of the SEC- the the X % and N� Kianickian c# Section 9 T28g, h18W, ,. ;g p i d F ; ' yA 1 1 �1 .' This ' not Aomestar� pr°perty. }= tis) (is woti urtsnut>C" th,rwato �elehMti•t. � r , Tour he* with all sad singular t1w,bereditanteata "4 apP v , . ve•naswd Grantors .: And a + f aarrant� tbla -dw title - 9 - 8, 9" itnk�tteasiWe in fea sin►plr and. irre and rinsr et earutnbrat h sases>ont# and _right- of•vay of record, if a�Y�, unit w W warrant and defrstid. j! day; of Septembor } j►t►frd this / Y r 4' Orval h.. Iverson '. r Wood'ro C Averson �. (SEAL) AYvnat �3. veroo' „" f AEi?g1RH ?ICA ?ION ,,CYNOW,65DOKXMA- ; STATE OF rtusels# ' (aunty. - 4 day of. - . t9 Ptrsorelly r+►n+e befbr� ttte mat su ►4tttigtctr4 t#is �.ep4.lhb8 19a MJ wooS.tow M *,YYl9�lti Stnr ` Iverson 3114.Alvina; G 2ve> �ftti.i�: yI£'18.EK 4`TATE BAIL ()F µ ltic,u \�Iti- Alt not . ,. .w t7r► I{ • klxs� tuthoritk by VA-06. Vl ". Stut" to n+E {.n n G.,Fy! t! t F -* v; fw+• oent i trunirnt tine .: a x - 4.ltb in�sF�Yn t i r p C ylogd.4, Attvrn�-Y Ulver- ya.11s, Wt 540212 }tti" ('4 elurn.+ f ( 4ittrt�tWri 'fit, k• uutM ^trtlt�ktty or :ukYnw }r•1.�d :YArtts' (1'Rtto t , P f r tip lFn 011ie �Aw •r stew, , q t , 1,� k� .:.,5 n a u° fie{ P o t ��� A,. W . H 9 ST C- 105 r • 9 H SEPTIC TANK MAINTENANCE AGREEMENT 0 St. Croix County z t7 OWNER /BUYER ``��t�F= 4 r L.Ar ' FAAA I RA � r ROUTE /BOX NUMBER -` 2 - 2 1 Fire Number CITY /STATE 1"1V wI 3 ZIP 1 3 1 > b7--Z PROPERTY LOCATION: W 5�. �, Section_, T 7 $ N, R W, Town of �.11.1N ��- 1 ��� -- St. Croix County, Subdivision Lot numbe , Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con - sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper What you pdt into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. Ho I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart - �o 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. S I G N E D DATE l J 2-Z- T St. Croix County Zoning Office P.O. Box 981 Hammond, WI 54015 715 -796 -2239 or 715 -425 -8363 Sign, date and return to above address. I ,4r� � S� �. �_..�., ,_...._ „.. _ . , y � . ��' �” . � .� � r•' C�� +_-"' ..j y � �. !� + ,��- ' � � �� z. L- .I,t -OF REPORT ON SOIL BORINGS AND S AFETY & BUILDINGS ,JtJS fRY, DIVISION LABOR:AND PERCOLATION TESTS (115) MADISON WI537b HUMAN RELATIONS (H63.09(1) &Chapter 145.045) LOCATION: SECTION: TOWNSHIP! UNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: 1aw�e '/ q,LT� 1 aE lo W �CC. lN1JlC k l wti 1` � C-S COUNTY: AILING ADDRESS: 1'2.tJV`ri✓ 1 S CRu1K woo w S. VC1'c aN CZuC3E'�rS , W1 S�UZ� USE _ DATES OBSERVATIONS MADE SEDR COMMER IAL ES RIPTION: (�•�� IPR(SFIZE�E$�F�IP�`IONS�PER OResidence A NTESTS: '� IV 13NOW ❑Replace S - ' ^ $ 6 I S _Z8- g b RATING: S- Site suitable for system U- Site unsuitable for system ONVENTI NAL: MOUND: IN -GR OUND•PRESSURET STEM- IN- FILLHOLDING TAN K: RECOMMENDED SYSTEM: (optional) Es clu [is ®U 23S C)U ❑S CJU Z�CtEY�1CNt•� - NPC11 5 X 100 LONC It Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the und s.H63.09(5)(b), indicate: N . �. I Floodplain, indicat Fl elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER -IM1»5 CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ell, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED ISEE ABBRV. ON BACK.) 1 1 (,Z' 101.0 1 -�o►�E > 6- Z' \•Z �•u� C3nsi x;1.0' `f8�'�3 w/L S cob x B• Z 6.1' 99. tI �G V. S' It y •1' it 'O.S' u F7h tN L S:.ub 3 �•3' \r�q•S' .� `I`n•�i IZMaT�O`I.9' \.o' L S' Si•/ B- 6. p t 109.0' Ii rn�' }"ZMoI� 4.1' 1.3' it r J.Z' ri o. S'lj3r► '�S r~1 /US cub S 5.S' 108. p' rt `__^0'C`4.3' \•3' ►r 3. O'3tnS1I�o.3'U1c$►tbtnUtS��o.9' t �w B 6 `� �' \oO. �� �noZiv L \ - it \ it 'o.9 Bn DR_ 6. m' Qy• p ' Vol II ; z..$' �, ; \•y' rr io•8'YBn fS►4/LS Ccb B- ib & p' as.S' 4 Wcot Q Z.t \.1 'lawbe%isE SJ;c>. R13h c•h'Dkz�r`Sal; Qq 'f'S ;-J/LS RfJlpiurf 1 0 B �.�.,' 94.3 it M01'(,aS• ' 1.3 \) IS'3.0 1•�.�'ah 1) iQ�' QN -I;S w/ LS t2 CS. q').7 %'Vw_'ers'ITS•1.y' ti ; \.5' 4 ;o.3'D�LB�t41 Irk \t:��S Sit PERCOLATION TESTS IJs w� L S RES, '�f'rts �c '13UC/Nto TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PER I PE ft 1 PEJ910D PER INCH P. 1 Z Ivy 3 is / /io 7/g - 2/g 3 %Q\ , P. Z Z 3 O 3 /y 3� 31 yo 9% P _ _S ys q9.: P- P_ 1Jat� N L 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 nori- 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. O 1 q; ,_ , S "* 1` 7 N C. 1 S � \ C-�,Mj �l S 1 I ELEVATION �J 9 b•o' l� 9 Z• I ' - SYSTEM VA _ _ EL, J0 F�3fiE i NW v ., I _ - LLJ 1 1 P l - I ' N t J f � I STM �pp —t• .2 rr I _ ov T • / � •r �' � � . � ') y� �N� jail �., _ ) rrf S F� __ I yZ - r SCrt L G 1 "= b 0' I_X aLz� 7 t%3 3 rrownl 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: ADDRESS: I``r- t ! b1 K (p CERTIFICATION NUMBER: PHONE NUMBER (optional): �!. S of 5 6 CIS - � f ZS -4 / b�! CST SIGNATU E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR- SB"395 JR. 02/821 -OVER - , f 42558 CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE SE 1/4 THE SW 1/4 OF THE NE i/4, THE SE I/4 OF THE NE 1/4 AND THE NE 1/4 OF THE SE 1/4 OF SEC. "9.,`T28N, R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN OWNED BY: WOODROW IVERSON RT. I ROBERTS, WI 54023 N1/4 CORNER OF SECTION 9, AND ORVAL IVERSON T28N, R18W, (2 "x 30" IRON 736 W. U IOWA AV 1 17 O PIPE SET). ST. PAL, MN. 5551 m N 0= SET W x 24" IRON PIPE WEIGHING 1.13 LOS. PER •� -SEE SHEET 2 OF 2 FOR DESCRIPTION - _L�NEAL FOOT. a•N SCALE ON PIPE FOUND. 1" = 200 O, w 0� 100` 200' 400' UNPLATTED LANDS I• M SI °34 „ E > 111 0 ” 28.00 1*33; N870 41 E 599.96 o ' N89 301" 7E 754,51' ._ 1 ' P G.,4,A¢„ Q• C.D.,VOL .75T P Ct ; 437 • • NORTH LINE OF THE NW -SE NE COR. NW -SE�• 12' 00 Z APPROVED I�� SO °56'51 "W . 3 288.62' U ' to MAY 13 1937 V' ' / right - ot- way tine v k W M 11 : N ° r w r`)UNTY , I 1 4.66' $T. RO r C N Z 391.34' COMP2CHENSIVE PANKS PLANN(NC3 3 1 S89 "W 396.00 AND COMMI7TE9 W OOD I tl V to NO. I l 3 o LOT I o Z: P; RC:E L RECORDED ;R' m � 24. 97 ACRES Q' ' to (1,087,633 SQ.FT.) Z ...{. �l V ~ 24.37 AC. TO R.O.W W v 0L UNVE i 2 4,_PG..Sr3 O N 11,061,771 SO.FT.) t- t y t Z * Q 10 `I 20.55' 375.45' FIL W to D ° 0 a N89 396.00' u, MAY13)987 ', 3 8 3 \, 61 0 I�Aili Or pp °D o A w- ho mw of , M \. LOT 3 6 w='�` `"k ° — \ ' '•, � 2.85 ACRES �_ 2 r� ^ W \ ', O� (124, 346 SQ.FT.) �1 12' Z R.O.W. N89.53'00 " I 2.55 AC. TO R.O.W J \ i (111,113 SO. ' . : O � 1a1.6a e• S89 53'00"W 39 7. 08' \S 31` 320'6 , 9 E 3gA 4 shed op ` : �• . G A \O \ 9 . 3 1. ! .9. A- v 0. • W. W , �� N6 8 LOT shed 3 ti at \O - house _ —�� q ti: O PARCEL REC. IN � "• W 9 a LOT 2 AREA 0. If, _J. n 3 garage ' 2.22 ACRES VOL PG r .� (96,884 SQ•FT.) c •- Z• drive , CO 2.02 AC. TO R.O.W. W D• 2 Q 36.76'17 '17 188, 177 SO. FT.) °'• • � � Z,. _ �`so� weer 9� 8•46'40 "W, om�!��j�011ls,a IT 00 .9 `t N 3 o, (� ° l` J AMES W EBE R N _ 4 27. 1 0 M • t. S-1 804 T. b ° SPRING VALLEY J 'z CO ULEE,; Wis. M , RO AD o _ RD , .. M S 89 53 00 W 444.11 � J � W E ,9 , ' f.•r� r��® SOUTH LINE OF THE NW - SE io l ® S U S UNPLATTED LANDS JAMES M. WEBER S -1804 ., S1 14 CORNER OF SECTION 9, NOTE: &EARING ARE REFERENCED TO WEGERER, WEBER AND ASSOC. T28N, R18W, (COUNTY SURVEY THE N- S�QUARTER LINE (ASSUMED DATED 1 ^A`� 131 MONUMENT FOUND). NI 34 48 W.) 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As •���� i� C r V � � l � i I ti � 1 PVC ` • , kl �� - - t �t1 ,� • �hs'Ir 6�. �ibn ec�. � _ so, t e r J C 4 Ae P " zz ,M, �n, ►� ��,,, pR,�� � o � �x cam a�� o'er U ro✓v4 e r � � i v��, f C rac�i c,�,.� � � '�� .��, c(� �S l�cvinPl�, / "(�rK �" / 023 ej /,✓ I)& /oz-r 9.1 /ad /S /,6J ° FILED 02 q / 6 JUN 0:,1993® 3 �� �� �• (�.S/II 9��� I�IZ JAMES O'CONNELL ;Z, /� Register of Deeds / 7d P146 y l���US,�' /d St. Croix Co., WI 500101 � ���s� v m s CERTIFIED SURVEY MAP LOCATED IN THE NW I/4 OF THE SE I/4 THE SW I/4 OF THE NE I/4 AND THE SEI /4 OF THE NE 1/41 ALL IN SECTION 9, T28N, R18W, TOWNSHIP OF KINNICKINNIC, ST. CROIX CO., WI. (BEING LOT I OF THE CERTIFIED SURVEY MAP VOLUME 7, PAGE 1815,DOC, N0. 425589). ALSO THE HE 1/4 OF THE SE 1/4 OWNED BY: MARK AND MARCIA PHARIS NI /4 CORNER OF SECTION 9. 1166 COULEE TRAIL c f 2" IRON PIPE FOUND), ROBERTS, WI 54023. ur CI p --»- -A - e FENCE a• N' o = SET I " X 24 "IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT. •= 1" IRON PIPE FOUND. U N P A T T E.D. L A N D, S,. W E LESS THAN 20 Y• $1034'48 "E SLOPE. 28.00' S I N87 E 599. 96 N 89 E 58 7 75 4.51 2. 5'. 2 - / 71. 99' 18 2. 5 n.. _ . 5 • 1 " NE COR. NW-S 120 V• OR N I 1 L 0 T 5 LESS THAN m $ ;D . 5 (/? �� '288.62' 5.27 ACRES REATER ( 229, 638 SO.FT.I 20 % SLOPE C G v t 6.20 AC.EXC.R,O.W, _ APPROVED M IIN SLOPE (',226,462 SO.FT.) L4 IQyv +d N tn p /00 4,66 ' BUILDING SETBACK,, J a,4 1 CD ,V T80. 90 OD 2 ,1 391.34•' 384, 90' S8,9 17 w 396.00 589.30' 17 "W r{ I 3 ST . C X COUNTY PARCEL R E C, I N = o L 0 T 4 :-w lve Planning 41 co d 1 9.70 ACRES 9� — O I VO L. 724 , PG. 553, M ^ ( 857, 996 SO. CoNN111 v I 0 N 19.1 8 AC.EXC• R.O.W. �0 t ( 8 3 5, 3 0 7 S O.FT.) not rec orded 0 Q. � ............... . ..............� v WELL ium 31D days of O d 2 HOUSE awaval G Z approval sIR"'bo o a' itut & wild �\ :.p►Ic 8 S 9 0 53 00' w 397. 08 S89 "w •F a / + 3 4 1. 64 ' o' M f 0; �\ h - '^ - PARCEL REC. IN N O ti z W� 90`,\ N 78 "E °j DRIVE ° 211.93 2 ~ VOL.421 PG. 566 Q : h w � Q. Z. 5.1T' p 3: -J• Q• \ IT U I 1 36.76' ` O O• Z, " \00 °' , " ETBACK BUILDING� — + N37 p ' 22 10 22 10 W___ _ p 268.07 235.50' S"' { "o — _ ,� � M �� {111tT1/I y \/� \j N ` 8 9.33 '0 0 "W 427.1 O' r TO S CO S 89 0 53 0 0 W 444 .11 m JAMES M. UNPLATT LANDS = WEBER .. ....... ..... ... S • 1 804 l SPRING VALLEY SI /4 CORNER OF SECTION 9. NO BEARINGS AREREFERENCEO y` W)S � I C9UNTY Mt]NUMENT F9UN9). O,� TO THE N- S QUARTER LINE. (RECORD- / r , ED BEARING. , y� •w••+° G \�� SCALE 1 200 .� S u w,`� 1111 O' 100' 200' 400' VOLUME 9 PAGE 262 SHEET I � F 2 JAMES M. WEBER S -1804 91 - 101 THI S INSTRUMENT DRAFTED BY �..- +�L%E - C2 OATE0 'ES REVISED 9 -19 -91 ppop DEPARTMENT OF RE F T O COUN TY: OW N SOIL BORINGS AND SAFETY & BUILDINGS _ DIVISION INDUS AND P.O. BOX 7969 L ABO R RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP /Mt?t"C"Atl l Y: LOT NO.: BLK. NO.: SUBDIVISION NAME: 'I)� /a S S!/a /T N R E (o ) - t ER' BUYER'S NAM !LING AD DRESS: ` 'j�e�3 J`�oufll /�a�a C 01 C n e �I . raln s USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: 'I� L PROFILE DE CR PTIONS: P R O ATION TESTS: Dgesidence ^1 1 A ' New ❑Replace � Q RATING: S= Site suitable for system U= Site unsuitable for system M( ( { i CONVE TIONAL: MOUND: IN-GROUN PRESSURE: SYSTEM-IN-Fl HO : LDING TA RECOMMENDED SYSTEM: (optional) C' ass DU I EIS Cpl C E1U Yre s DSO 3zr beo� 1 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicat Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVE IS ABB RV. ON BACK.) B- f 7 7a. > 7 3 " 9k ( s 3t "Ake, SL� 33-1) x L 7 "6 SL 7"S 35 S L e)8" 4.t 0, FS /1'' Bt 54_ T -s a '" sL f3,. 425 Ts :3S B- el 51- Ts s '` ok 8, Sc �., F B 65 �. 5o I I 18 $„ t_S �j�� G, Q� ll 7�'PERCO ATION TESTS /7�'Bn SL °�� �' L 2'� SCL m ° M'6 TEST O WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ f 31c h Yt-e— P- 2 0 �� �, ( `' P- P_ P I q P_ S P- 4 7.qo PLOT PLAN: Show locations o percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation efe ence points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. :r,+. Q�� q `�� ke x <quwG•.#' C. 81'1 SYSTEM ELEVA I N pp 8 �' �s r "` -9 00 E � z ems. U��-� f Ra;� At E 0.CT ' C. E a yr} , TO tN E E 3 _ Y'SS� J�C..�IJ �� .. _ _ _ _..,,. _ _ c+C 1 • �l7 � E a , ' V C k," t ....., t 3 O a E a} ' 3 7 rya, i t I M ' C � I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with th dures a r�'44ods specified i.n the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowl djl' NAME (prinR TESTS WERE Oi e ,� A �� e� Ae % o l/ /b }DD 0 SS: CERTIFI ATION UMBER: PHONE NUMBER (optional): CST SIGN RE: ISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. LHR -SBD -6395 (R. 10/83) — OVER — T _ INSTRUCTIONS FOR COMPLETING FORM 1 15 - S - 6395 To be a conapi€:te and accurate soil test., vote; report must include-: 1. complete legal ciescripation; 2. The use section must clearly indicate whether this is or commercial project; 3, MAX WUM number of be .,dioorns or c €aminercial Osa planned; 4. Is this a new or replaeenaent syst +gym, 5. C omPlet:e the suitability ratir g boxe=s. A SITE IS SUFtABLE FOR A HOLDING TI -INK ONLY IF ALL OTHER SYSTEMS ARE RULED O BASED ON 'S lL. CONDITIONS; S; 6, PLEASE use the abbreviabons shown here for' vv'ritirty completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Di -awi to scale is preferred. A separate sheet may be, usedif desired; 8. Make sure your be;achniark and vertical eievat.i€ n ieferenc:e point are clearly shown, and are permanent; R. Complete all appropriate boxes as to elates, narne.s iiddresses, flood plain dat percolation test exemp- tion if approprriaate; 10 If the information (each as flood plain, eleva6ian) dos not apply, place N.A. in the app i opariat.e box; 11. Sign the form and plane your current address and your certification nc €nrkae:r; 12. Make legible copies and distribut e as requited. ALL SOIL VESTS MUST BE FILED VVITH THE LOCAL AUTHORITY VVITI-llN 30 DAYS OF CO MPLE T ION- i ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sa €S Separates and Textures Other Sy mbols st: Stone (over 10 ") BR Bedrock cola Cobble (3 - 10 ") SS - Sandstone ge Gravel (under :3 ") LS Limestone s — Sand FiC'ry High Graundvvater rs Cows €a Sand F Percolation Rate rued s {vleclr~nrrra Sand Uar ._... Vt II fs .... E " =r Ir,ai; €± [3 ilcir;ip L -oarny Sand w._ C r .ater .l i)an sl Sandy L'aana Less Tina nr Loam 13r €t,� =rr silt Loam . f - Et k G -... :gray sel Sandy Clay Uuarrr R ._ Red s'i <;! Silty Clay L.r aa w rnot — %lotties sc Sandy Clay tnl v�itIr sic; Silty clay fff few, fine, faint *c - Clay cc; Common, coarse pt - feat rabic iany, medium rn — truck d -- distinct P _ - paroalinent. I IWL -.... High vvater level, Six ger2€lai '-'oo t €;xiur es surface Water . for liquid Waste dispo B M Bench {Mark VRP Vertica: Point TO THE OWNER:. This soil test report is the first step in securing a sanitary permit:. The county or the Department may request verification of this soil test in the field prior to perri issuance. A complete set of plans for the private sewage system and a permit application must be subn fitted to the appropriate focal authority in order to obtain a permit. The sanitary permit must lie obtained and poster) prior to the start of any construction. l DEPART NT OF DE PORT ON SOIL BORINGS AN D SAFETY & BUILDINGS IND + ii �• G DIVISION H AND PERCOLATION TESTS (115) MADISON WI 537 HUMAN RELATIONS 07 HUMA (ILHR 83.0917) & Chapter 145) LOCATION: SECTION: 1 � TOWNS HIPIMt3tdtt1f LOT NO.: SUBDIVISION NAME: - IU)�/ ���/ N /T R E I. COUNTY: _ W ER BU ER'S NAM I IN �Ula�h C ��a, n e. r 5 I �.s USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: � RO E TS: f Residence 1 L� New ❑ Replace A ((�� /0 RATING: S= Site suitable for system U= Site unsuitable for system N I C I�I �a L7, CONVE TI MOUND: / IN -GROUN Q UR :SYSTEM- IN -FII't HOLDING TA REi-en`I�S S YSTEM: �SC� - pt+ b � , UU S ED U S ( � - �,J ( lJ� S 7 If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the /I ' under s. ILHR 83.09(5)(b), indicate: Floodplain, indicat Floodplain elevation: f �f PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROU N WATER - INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION _OBSERVED I H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B - i 7 3 ,7D cn , > 7 " 9" ( S ?f" Dk SL- 3:3" J F^ SC B- 7b, Oe t I 70" _71'fgi SL-TS 35" &, S L f�'h" /,I` FS B- 3 y 7.5 I > F . ,. Sk '4 $� LS < ?3" � -q'.S )6 7�'` $$ .'1 tl 7 ATION TESTS /7�'Z% SL �a" �7 "L5, SCL Cb oM t�r TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL- INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. I D P PER INCH P- 36 h P- 2 D ► < <► .� / „ P- 1 t Z S P- P P. O 'LOT PLAN: Show location o percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- •ontal and vertical elevation efe ence points an show their onthe plot plan. Show the surface elevation at all borings and the direction and percent ,)t land slope. Zr`1. Art n ` t 3.5� R {P1O_W' 'r C 8 `j.1S SYSTEM ELEVA I N "` 9 of Qn osFCR C.. o�I . Elect. T\ i �1QCJl� fi0 0 f I ' i i t ! ►'�C�t1�' ary ���►n =� IN j i c p _ rl 1 1 ' t;T A AV LL re, t I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with th 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 OMPL TED ON: h ,� �� e C> i/ �a 9 C> ADD SS: CERTIFI ATION UMBER: PHONE NUMBER(optional): - e _2L '3Z) 7 7 S U y� S" CST SIGN RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10183) — OVER — Cj . Parcel #: 022 - 1026 -70 -000 1 ��� ~� o 02/2007 04:11 PM ='� ` PAGE 1 OF 1 Alt. Parcel #: 09.28.18.142A 022 - TOWN OF KINNICKINNIC 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 MARK W PHARIS O - PHARIS, MARK W 1166 COULEE TR ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 1166 COULEE TR SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 9 T28N R18W NW SE FORMERLY KNOWN AS Block/Condo Bldg: LOT 1 CSM 7/1815 AND AS CSM 6/1741 N /K/A LOT 4 CSM 9/2624 19.7 AC ALSO PT OF LOT Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 2 CSM 7/1815 DESC AS COM SW COR OF SD 09- 28N -18W LOT 2;TH N 78 DEG E 211.93 ;TH N 19 DEG E 221.14' POB;TH N 05 DEG W 88.11;TH N more Notes: Parcel History: Date Doc # Vol /Page Type 08/19/1999 608842 1450/114 WD 08/19/1999 608840 1450/110 QC 09/03/1998 586487 1354/507 QC 07/23/1997 851/335 more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 178790 527,700 Valuations Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 80,000 348,100 428,100 NO UNDEVELOPED G5 7.500 19,000 0 19,000 NO PRODUCTIVE FORST LANDS G6 7.700 40,000 0 40,000 NO Totals for 2006: General Property 20.200 139,000 348,100 487,100 Woodland 0.000 0 0 Totals for 2005: General Property 20.200 139,000 348,100 487,100 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: 12104/1998 Batch M 520 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r) l V 1 (7 44,55139 CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE SE 1/4 THE SW 1/4 OF THE NE 1/4, THE SE 1/4 OF THE NE 1/4 AND THE NE 1/4 OF THE SE 1/4 OF SEC. 9, "71`28N, R18W, TOWN OF KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN. OWNED BY: WOO I D RO IVERSO 5 AND ORVAL IVERSON NI /4 CORNER OF SECTION 9, —' 736 W. IOWA AVE. T28N, RIBW, (2 "x 30" IRON ST. PAUL, MN. 55117 c) PIPE SET), 0= SET I" x 24" IRON PIPE WEIGHING 1.13 LOS. PER N LINEAL FOOT. O : ul -SEE SHEET 2 OF 2 FOR DESCRIPTION - • e I" IRON PIPE FOUND.1" a 200 Q.N SCALE O. W 0� 100 200' 400' Cr _GD I UNPLATTED LANDS In �: N S1034'4q "E 28.00 N87 "E 599.96 1111 N89030'17 "E 754.51' 17.39' 582.56' Q. 0 ; D ; ,VO,L .757 P Cf ; ,4,i ;, 1 2 Q. C. p... 757 P G.,4.4P. NORTH LINE OF THE NW -SE ' O NE COR. N W - SE N SQ•56'S1'�W APPROVED 288.62' v.. M1 MAY 1, I0 co right-of- line W M Vl N p ST. C.0 ill'' ' N Z 4.66 391.34' C0MPitEHE!J51V'[ I'AI(i<i FI.Ai'i)31i1C3 3 2 OD 1 it S69 30'17"W 396.00 ANU CJM1t11 °I "wM w N O. 3 LOT I Z . O 24, 97 ACRES lu a• F L �: C0ROE0 (N W - J: , (1,087,633 •SO.FT.) z 24.37 AC. TO R.O.W w „ Ca. .. p M E U ^�; �► 1.•" 3 r,a M N (1,061,771 SQ.FT.) v r.. , ' J. J p 1' z �' E D W In ' \I 20.55 375.45' r O 4 . N89°30' 17 "E 396.00 �, A MA Y 1 3 1 98 , i N p3- 2 \' N6 `p O il, 0'..d " ,,•• �. LOT 3 �. /// h, M d � c ° •, � 2.8 5 ACRES , ` t{ �' Z r� \ 1124, 346 SQ. ) t �'� ��7 12' 2. W N89.53'00 "E , „ ' Z \ I i1, 113 SO.FT.) g , 141.64' : S89 °5300 W 397.08 z i 6$ , 5A g p 2"s \, 34 3�• 9203,E 3 shed P �: W. H 1 ` \ N6 3, 1 shed A •< ( o , r. O PARCEL RED:. It . housej\ ( h '0 . . . . . . . . . . . Q. LOT 2 ARE o: J' a •� \3 �garago 2.22 ACRE y o VOL. 4 .21 r 06 . 566 a- ��, 3 (96,884 SQ. T.) c • Z • •� drlve h 2.02 AC.TO O.W. . u ^ W vl 7 36.76') 7 (88,177 SO FT.) v O z • < o�99ti0aF!>>iBa��, '9 578.46'40 "W X001 0�s " /,. 3 _ •�Q \ \� 211.93' � ��►�� � 4'ie V • , A .� V- s T °° \ �'\ °• WEBER O s er 'd. M , _ 3'. S-1804 t ,• ) p N _ � 4 7 .10' "' SPRING VALLEY f z CO ULEE M Wis. Go. ROAD . S 89 0 53'00 W E 1�Fq - .«►••'• fi SOUTH LINE OF THE NW - SE �0re "- S UN P L AT T E D LANDS JAMES M. WEBER S -1804 NOTE: BEARING ARE REFERENCED TO WEGERER, WEBER AND ASSOC. SI 14 CORNER OF SECTION 9, THE N -S QUARTER LINE (ASSUMED DATED T28N, RIBW, (COUNTY SURVEY NI034'48 "W.) MONUMENT FOUND). SHEET I OF 2 Volume 7 Page 1815 THIS INSTRUMENT DRAFTED BY b. y.�gt`f 5owa 3 4 N pV l b a 9906 419200 cj& 1° wraap R� CERTIFIED SURVEY MAP ee LOCATED IN THE NW 114 OF THESE 1 /4,THE SW 1/4 OF THE NEI /4,THE SE I/4 OF THE NE 1/4 AND THE NE 1/4 OFTHE SE 1/4 OF SEC.9,T28N,R18W, TOWN OF KINN- ICKINNIC, ST. CROIX COUNTY, WISCONSIN. OWNE BY: WOODROW IVERSON RT. I ROBERTS, WI 54023 AND ORVAL IVERSON 9,T CORNER .(2"X3 4' 736 W, IOWA AVE. O 9,T28IPESE.12 "X30" � IRON PIPE SET), ST. PAUL, MN. 55117 N O =SET I "X 24 "IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT. - SEE SHEET 2 OF 2 FOR DESCRIPTION- $GALE I = 200 I N p; 0 100 200 400 co UNPLATT LANDS �I 3° S 1 0 34 ' 48 2 o ,,,E W• N87 "E 599.96 N89 °3017 "E 754.51 I f7. 39' 582.56 182 OC VOL. 757PG.4 37 571.99 1� . VOL 7g7..PQ.435 NORTH LINE OF THE NW- SE NE :OR. NW -SE W qp SO. 62' W O APPROVED .J N �I '"' 2 8 8:62' ! ' / �i� M -i 3 L 0 T I W { o ;f co ri9hr=o_f4 y line 6.97 ACRES ( 303,558 SQ.FT) a NOV 0 V 6.90 AC. TO R.O.W _ w M ( 300 382 SQ.FT) y N 4.66' ' y 9 3 91. 34 ' - ST. CROIX COUNTY c I ' S 6 9° 3 0 1 7 W 3 9 6.00 O CompaliHENSIVE PAM PLANNING z to ' opt, ti 4b AND ZONfNG COMMITTEE w + ^Z. �g�• � a I a. { 33,3 N PARCEL RECORpEO iPJ 3 wto —�• 1 : OP. D) A w -j I W 24 PG. 353 L 0 T 2 = O O _ as J v 20.55' o 14.49 ACRES 0 ( 631,348 SQ.FT) y to 1 375.45 Z 131.55' 14.36AC•TOR.O.W. a : o 3 4 '• N89 °3017 E 396.00 q�P ( 625,710 SQ.FT.) w N S89 "% co \\ o 7 n h 'T ,� LOT 4 L ` N Al� �_ d _ N z w ` 3.20 ACRES z > aO (139,334 SQ.FT.) Z 2' _ �� 2.89 AC. N89.53'00 "E Z j (12 I SO.FT.) , , 251.76 S89 0 53 OO W 397.08 9 G t� O 20 6 35 �. A_ \ ���. 3 g\ 'S ..� shed I • W: A• \ .5% N house i �� shed _ c C) 1"'• - ° ti ? REC. IN a ' 0 In O s s in � n• ,_ �. "' sa drive w ; Vt)L. •121 PG. 566. 2 ' LOT 3 Q �s 5.39 ACRES 4 o S/ ?, \ 12 3 4. 612 SQ.FT) V- �� 4.79 AC. TO R.O.W. _ h U) m M \ �. 1208,858 SQ.FT.) 0 0: A JAMES M. 1•! � - -` co 3 m M: WEBER n ch 'b ro " >• S-1604 + :3 M No � ' 2 5 s. 27 ' _ i 7 .83 • + Sf "NG VALLEY � Z 0 N CO ULE E M 273.29' 17 .83' z ROAD_ ro S89 ° 0 0 W 444 `� *� r�Os%� SOUTH LINE OF THE NW -SE �O�$ u R%j S UNPLAT LANDS J �� JAMES M. WEBER S- 1804 W EGERER, WEBER AND ASSOC. NOTE: BEARINGS ARE REFERENCED TO DATED C>c-:T• 2z'0 (gin S 1/4 CORNER OF SECTION THE N•S QUARTCR LINE (ASSUMED N 1 9, T28 N , R IS W. ( COUNTY 34'48 "W.) - SURVEY MONUMENT FOUND), t SHEET 1 OF 2 -32 THIS INSTRUMENT DRAFTED BY Volume 6 I'af;e 17111