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026-1072-70-000
n 0 0 2 n = \ §§ G § 7 � m \£ 7 e z \ A >_§\ f O / $ ± > } \ (D \ @ 7 > \ § f = . % o o E « o = k § \ \ a \ $ § Z j ° / ;§ 8 / \( m 5 0 J 9 { » c g \ $ / y . Z i \ \ \ � /® / )§ < o , \ z § f E . Cl / ) j \ § o c 2 . � 0 0 0 0 0 � ^ j j j 0 ( � \ � (D \ \ \ \ J � w E z 9 z ; > B o CD ( \ C cn z ( > o \ i \ CL $ i E CD / / CL \ \ $ 7 � § R \ 7 / \ / � / 5 § n ; z % / � � 7 � � ƒ � ƒ , { � 2 0 < » \ < \ Co \ / \ / 0 2 0 K 2 � k z / \ ] \ ".4, \ 7 ( 7 } i / z 2 z 8± ®/ 2 �. g -41 _ } Q e - ° z \ E 2 2 7 / \ § \ CD m 0 § \ § ) § \ (n f ® F ± 7 @ - / C:) / 0 2 k \ F $ % g 0 / � ~ 0 0 3 �• / \ k \ Co / r / J E 7 E c - g « 3 § R E } ( % z § / 0 $ \ / - \ { ) / w 2 m a K { z E = Q 2 ® d 4 m m k = � ( \ � { o z \ 7 \ 2 » I � % ® I i2 ® k a \/$ -n O FD z % </ $ I .0 0° E 7- \ ¥\ ® ¥/ o' / i }/ & \\ / � §� § . � 0 \ * ( � / / / § � t 8 & � \ Parcel #: 026-1072- 70-000 11/30/2007 01:05 PM PAGE 1 OF 1 Alt. Parcel #: 25.30.18.380A 026 - TOWN OF RICHMOND 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 - ROSENE, WADE M & PATRICIA M WADE M & PATRICIA M ROSENE 1425 140TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 1425 140TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.720 Plat: 3946 -CSM 14 -3946 FKA CSM 14 -3873 SEC 25 T30N R18W PT NE NW & NW NW BEING Block /Condo Bldg: LOT 1 CSM 14/3873 LOT 1 (1.720AC) NKA CSM 14/3946 LOT 1 (1.720AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 25- 30N -18W NE NW Notes: Parcel History: Date Doc # Vol /Page Type 09/19/2003 740648 2415/36 WD 05/14/2002 678964 1890/327 WD 10/04/2000 631107 1548/181 WD 05/19/2000 623354 1512/242 WD more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/04/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.720 36,900 184,300 221,200 NO Totals for 2007: General Property 1.720 36,900 184,300 221,200 Woodland 0.000 0 0 Totals for 2006: General Property 1.720 36,900 184,300 221,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09107/2005 Batch #: 05 -7 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 034 - 1058 -80 -000 11/29/2007 02:56 PM PAGE 1 OF 1 Alt. Parcel #: 26.29.15.407B 034 - TOWN OF SPRINGFIELD 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 - PICKERIGN, JAMES 8, EVELYN JAMES 8, EVELYN PICKERIGN 3192CTYRDW KNAPP WI 54749 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description ' 3192 CTY RD W SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 5.190 Plat: N/A -NOT AVAILABLE SEC 26 T29N R1 5W 5.19 AC SE SE COM SE Block/Condo Bldg: COR SEC 26 TH W 314' TO POB: CONT. W 357.23' TH N 657.15' TH S 88 DEG E Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 336.96' TH S 3 DEG E 648.19' TO POB 26- 29N -15W EZ- UT- 1517/183 624407 Notes: Parcel History: Date Doc # Vol /Page Type 08/23/2001 654543 1704/329 EZ 07/23/1997 695/636 07/23/1997 567/433 07/23/1997 536/208 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.190 65,400 140,150 205,550 NO Totals for 2007: General Property 5.190 65,400 140,150 205,550 Woodland 0.000 0 0 Totals for 2006: General Property 5.190 32,000 127,400 159,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 207 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i f Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety bnd Bui ±ding Division INSPECTION REPORT Sanitary Permit No: 420619 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal icfoVitation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Miller, Sam I Richmond Township 026- 1070 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: 1 a0. I M •o' Er • C4,1,ny ( 1:;�S , 3 ZOQ— TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 1 3, 5 4 ! 0 . , Dosing Alt. BM i al Q• 3 Aeration Bldg. Sewer Holding SVHt Inlet / St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , / 22- 1 Z ! Dt l3oOo • `O . , /� Dosing t� � Header /�� Aeration Dist. Pipe SL .. 0 Holding Bot. System fo` �r r C PUMP /SIPHON INFORMATION Final Grade D J Manufacturer Demand , St Cover ! D L (JG- GPM i - - !6 Model Numb r TDH Lift p Friction Loss System Head TDH Ft • ; A. 0-8) ^- Forcemain Length I 1pia. Dist. to Well 2 SOIL AB ORPTION SYSTEM RENCH idth length ( No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DI i 3 gl•zs .�,.. 3 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactur ` INFORMATION Type Of System: � / CHAMBER OR 1 t v. UNIT Model Number: 91 y � l I.a DISTRIBUTION SYSTEM L* Header /Manifold U Distribution k x Hole Size x Hole Spacing Vent to Air Intake Pi e(s) .. / Length Dia Le is Spacing �f7 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil FM Yes ❑ No ]Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1,�. T' �3 Inspection #2: / Location: 1425 140th Ave New Richmond, WI WI 54017 NW 1/4 NW 1/4 25 T30N R18W) NA Lot Parcel 30.18.380 � 1.) Alt BM Description = e ` b�- 2.) Bldg sewer length = - amou t of cover= Plan revision Required? A Yes No Use other side for additional information. V1 SBD -6710 (R.3/97) b� a EL (� • r nsepctors Signature Cert. No. V7 Y1 P; ry f � O 6� N v Zro �I L tZ k % Q s 4 7 4! �v i 'y�l B, rl�, SE co7� .3rAKE 42S_ LjCr 14V6 . Sanitary Permit Application Safety &Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. * See reverse side for instructions for completing this application PO Box 7302 Isconsin Madison, W( 53707 -7302 • Personal information you provide may be used for secondary purposes Submit com leted form to county if not partment of Commerce O (privacy Law, s. l5.04(1)(m)] ( p ty 3 state owned. Attach complete an to the county copy only) for the system, on pap er not less than 8 -1/2 x I 1 inches in size. County State anitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number sr - C" 04 I. Application Information - Please Print all Information Location: Property Owner Name `'G Property Location �/ C. GE v W/4 /4, T R F Property s Mailing Address Lot Number Block Nttm i Subdivision Name or CSM Number City, State Zip Code P e Number �s�` `� O ✓ ., V / bra 4' ❑ City If Type of Building: (check one) ❑ village ❑ 1 or 2 Family Dwelling -No. of Bedrooms :77441— P.ACvn of (� ❑ Public/Commercial (describe use):_ le I C ❑ State -owned Nearest Road / GG n a d /4 ` Z S f Q.VI ( �-CX�t P 1Tax ds Cot)p �� III. T qie of Pe Check only one box on line A. Check box on line B if applicable) 5 . ❑Addition to A) I. ew 2. ❑Replacement 3. ❑ Replacement of 4. 6 Ex System S stem S stem Tank Only Date Issued B) Permit Number ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Sand Filter ❑Constructed Wetland 11 Non-pressurized In- ground ❑ Mound ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At- de ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/ T reatme rea I forma o . inal I Design Flow (gpd) 2. Dispersal Area Dispersal Area 4. Soil Application 5. Percolation Rate stem Elevalio levation rode Required roposed to (Galsl ft.) (Minlinch) C� Zero l z /2.1 Q . _ VII. Tank Capacity in Total # of Manufacturer Pre1 ,b Site Steel F ibes Plastic Gallons Gallons Tanks Con- Con- g Information — crete strutted New Existing Tanks Tanks ❑ Li ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ f Vill. Responsibility Statement 1, the undersi frncd, a ssume res onsibili for installation of the POWTS shown on the attached tans. p�iness Phi;Numbcr Plumber's Name (print) Plumber's Signature ( tps): MP/hiPILS No. �� Plumber's Addrre (Street, City, State, Zip Code) d IX. County /Department Use y Is uin A ent Si a (No stamps) ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued B Sign K Approvcd ❑ Owner Given Initial Adverse Surchar Fee _ ���(v / ` Determination / X. Conditions of Ap royal /R ea ns for DG O �ar yap 1; C.0/ l tip opt t �4t S n� (A L CF r2 S 41 : 0- Z g L 3 G 44 #/ SY Srt E f, = 9 Se•14- 1/* /o IV O F � a i SE 4o - ST�1K� S A rvt /M t L LE 2 c S/Y/ (, Z 2 3 L fort / Al i la a 0 4.� �a g yp p ry 7 / ki qz o � / !` °\ a � SE cam" Syil�Il�E. Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor a�qd Humps Relations Divisiorrof-aafey & Buildings in accord with ILHR 83.05 Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Cr ix ' not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ; endin ` IEWED BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION %, I (� /6l i LAM PROPERTY OWNER: PROPERTY LOCATION Steve Derrick GOVT',LOTNW 1/4 NW 1/4, 25 T 30 N,R 18 fir) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1438 CTY. 9d. "G" 1 ! na csm CITY, STATE ZIP CODE ; PHONE NUMBER. ❑CIT'Y []VILLAGE =OWN NEAREST ROAD New Richmond, WI. 54017 \(:71. 24f,*3,120. ` Richmond 140th. Ave. [x] New Construction Use [x ] Residential I Num if A' [ ]Addition to existing building (] Replacement ( ] Public or commercial desdttbe Code derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd /ft •6 trench, gpd /ft Absorption area required 1200 bed, ft 1000 trench, ft Maximum design loading rate .5 bed, gpd /ft _ trench, gpd /ft Recommended infiltration surface elevation(s) 95.9n ft (as referred to site plan benchmark) Additional design / site considerations na Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I ®S ❑ U RI S ❑ U ® S ❑ U ®S ❑ U ❑ S ER U ❑ S IR U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Y Bed Trerlctl 1 - .................. ................. .................. 1 0 -11 10yr2 /2 none 1 2msbk mfr yw 2m .5 1.6 •S 2 11 -21 7.5y.r4/4 none sicl 2msbk mfr gw lm .4 .5 Ground 3 21 -40 7.5yr4/4 none is Osg mvfr gw if .7 .8 .} 9e1geg_ft 4 140 7.5yr4/6 none co s Osg ml yw na .7 .8 •�- Depth to 5 1 72-90 7.5yr4/4 none sl 2msbk mvfr na na .5 .6 •� limiting factor +90" - 4 •6� •� `� Remarks: Boring # 1 0 -8 10yr3 /3 none 1 2msbk mfr gw 2m 1 .5 .6 •S 2 2 8 -24 7.5yr4/4 none scl 2msbk mfr yw lm .4 .5 3 24 -88 7.5yr4/4 none o s Osg ml na na .7 i.8 Ground elev. o ' 9 8.9 ft. Depth to limiting 3s• `� S 6 �( �' factor + Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 - 246 -6200 Address: 1554 200th. New Richmo WI 54017 Signature: - Date: 4 -18 -2000 CST Number: m02298 PROPERTY OWNER Steve Derrick SOIL DESCRIPTION REPORT Page, 2 of 3 PARCEL I.D. # pending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxidary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. .................. ................. .................. 1 0 -7 10yr3 /3 none 1 2msbk mfr gw 2m .5 .6 :::.,.3..." . 2 17-18 10yr4 /4 none scl 2msbk mfr gw lm .4 .5 Ground 3 18 -80 7.5yr4/4 none sl co 2msbk mvfr gw na .5 .6 elev. 99.6 ft. 4 80 -90 2/5y6/6 none limestone residuum Depth to limiting Sew factor 80" Remarks: Boring # 1 0 -14 10yr3 /3 none 1 2msbk mfr gw 2m .5 .6 2 14 -27 10yr4 /4 none scil 2msbk mfr gw lm .4 .5 ........... 3 27 -48 7.5yr4/6 none sl= 2mgbk mrfr gw na .6 ... . Ground elev. 4 48 -88 7.5yr4/4 none o s Osg ml na na .7 .8 98.9 ft. - Depth to - -- limiting factor +88" Remarks: Boring # 1 0 -10 10yr2 /2 none 1 2msbk mfr gw 2m .5 .6 2 10 -21 7.5yr4/4 none scil 2msbk mfr gw lm .4 .5 3 21 -37 7.5yr4/4 none is Osg mvfr gw if .7 .8 Ground elev. 4 37 -74 7.5yr4/6 none co s Osg ml gw na .7 .8 9 9.8 ft. 5 74 -90 7.5yr4/4 none sl 2msbk mvfr na na .5 .6 Depth to limiting factor +90" Remarks: Boring # Ground elev. j ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) r r STEEL'S SOIL SERVICE Gary L. Steel Steve ]Derrick 1554 200th Ave. CSTM2298 NW4NW4 S25 T30N - R18W New Richmond, WI 54017 MPRSW - 3254 town of Richmond (715) 246 - 6200 lot #1 -csm N 1 =40' BM.= top of SE lot stake C el. 100.00' Alt. BM.= nail in Norway pine C el. 101.00 �O et 1r� _30' !41 t�1 Gary L. Steel 4 -18 -2000 L w BioDfff user Specuiccitions r—_] Chamber �3 Height Chamber Height End Ww 4" Knockout Universal i Cap Chamber 11" Stan- 14" High 16" High Av Wlable S izes Dimensions dard Capacity Capacity tM f ♦4 S f6�: 4.. i r v C...r�,r'✓F. �;�� ,.�satJ� :- .Kt'.k -k ' r _ f ..,�.?i , �d. . Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 2-0 11 Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) d O Septic Tank Capacity (gal) L d Soil Absorption Component Size (ft s o ✓a V iv Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 11( f wr Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet i er sha be rlunAd ac ncrassa to ea 1r° ro o . The filter cartridge should no removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 L_ Management Plan for a Septic Tank and Soil Absorption Component • Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. I f'i'ts Sc�S� �' OC a. 4f ` EIED Rco w, 0 4, ,S Co O 3 r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerMuyer / & /CL Air- Mailing Address 1,c' Lp yo Property Address (Verification required from Planning Department for new construction) City/State �F� /G�/�/Z_ Parcel Identification Number 6 2 LEGAL DESCRIPTION Property Locationwk� ' /,, ' / +, Sec. `- T a -R Town of 4L Q C5 � �2`-JZ 3 , Lot # 'Subdivision 3 t yG Certified Survey Map # (0 Z L Volume , Page # Warranty Deed # U7 S I "� , Volume `� © Page # 3 2, 7 Spec house yes ❑ no Lot lines identifiable yes ❑ no SYSTEM NAN E Improper use and maintenance of your septic system could result in its premature failure to handle wastes.. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, asset by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and retut'ned to St. Croix County Zoning Office within 30 days of three year e . tion date. 0 AP ICA DATE 4 : rQWNER CERTIFICATION i; t'(we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the �cb�v�� of a warranty deed recorded in Register of Deeds Office. /d zs; D 7 NA O 1~ VPIAdA DATE r « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department." •• Include with this application: a stamped warranty deed from the Register of Deeds office .a copy of the certified survey map if reference is made in the warranty deed U 1890P 327 6 7 8'S9 6 4 STATE BAR OF WISCONSIN FORM 1 — 1998 KATHLEEN H. YALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., MI RECEIVED FOR RECORD Document Number 05 -14 -2002 12:15 PA This Deed, made between qg� an v I me , a Corporation , Grantor, and am E. Mi 1 er , Grantee. WARRANTY DEED Grantor, for a valuable consideration conveys to Grantee the following EXEMPT f described real estate in St. roix County State of REC FEE: 11.00 Wisconsin (the "PropertyA•a 5% TRANS FEES 314.10 COPY FEEL CERT COPY FEE: PAGES: 1 Recording Area Name and Return Address M %RPln s iL X Comer N d, WI, 54017 �ur r� T tk '�55o Ftti rx� ve 026- 1072 -70 -000, 026 - 1072-70 -100, 026- 1072 -70 -200 Parcel Identification Number (PIN) This Is not homestead property. (is) (is not) Lots 1, 2 and 3, Certified Survey Map filed In Vol, 14, Page 3946 as Document No. 629236 located in part of the Northwest Quarter of the Northwest Quarter and part of the Northeast Quarter of the Northwest Quarter all In Section 25, Township 30 North, Range 18 West, town of Richmond, St. Croix County, Wisconsin. Together with all appurtenant rights, title and Interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 10th day of May 2002. (SEAL) (SEAL) Oakwood L d Development (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ) as. r-- C Yll i .enter eewAy> County authenticated t,f�^1t}8`��� INA 1 _ NOTARY PUBLIC Personally came before me this 10th day of May, 2002 the above named STATE Oakwood La nd Development BY: Gregory J. Peterson, Vice President to me known to be TITLE: MEMBER STATE BAR OF WISCONSIN the person who a cuted the foregoing Instrument (If not, and ackn wiedge the sam authorized by §706.06, Wis. Stats) (.� THIS INSTRUMENT WAS DRAFTED BY Coldweil Banker Burnet Notary Public, Stat of Wisconsin 1301 Coulee Road H 1 54016 My commission is pe anent. (If not, state expiration date: 22 42- S TS (Signatures may be authenticated or acknowledged Both are not necessary.) Names of persons signing in any cagaclIX must be typed or printed below their si nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 — 1998 Milwaukee, Wis. off; �Ai n, �, s R0NA,ID F. 'JOHN SQN (� wis Y' NOV - L 2000 236 b \ S� C E R f U_lI_. Located in part of the Northwes Qa r of t est Quarter and part of the Northeast Quarter of the Northwest Quarter all in Section 25,� T6wns 4'th, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. --% THIS CERTIFIED SURVEY MAP SUPERCEDES A CERTIFIED SURVEY MAP RECORDED IN VOLUME 14 PAGE 3873, DOC. #624528 o 0 \\ LOT 1 LOT 2 LOT 0 LOT 4 Rao gI `� TOTAL AREA: TOTAL AREA: TOTAL AREA: TOTAL AREA: > 74,886 SO. FT, 73,800 SO. FT. 76,956 SO. FT. 76,196 SO. FT. O 1.72 ACRES 1.69 ACRES 1.77 ACRES 1.75 ACRES a U) AREA EXC. R -O -W: AREA EXC. R -O -W: AREA EXC. R -O -W: AREA EXC. R -O -W: gC 63,730 SQ. FT, 65,628 SQ. Fa. 7�5 9 SO. FT. 69,873 SQ. FT. C I � 1.46 ACRES 1.51 ACRES APP 1L�2CRES 1.60 ACRES if Z� N I In Z nin n rk miNPf1 Zt N Prepared for and at the reques�'�S'P 9 o q and Pa sCnm i I -I OWNER: ��a� N00'13'53 "W 302.61' m I Steve Derrick SEP 0 1 2000 �„�� 278.81'• 2i 1438 C. T. H. "C" , p 23.80' �w tO New Richmond, WI 54017 > " Drafted by. Ty R. Dodge If not recorded within 30 days of ic��p� 0^ o approval dale approval shall be JOB # A00011 EASPl)WcMIQHE NW 114 OF THE NW�4 _ WEST LINE OF THE NE 114 Sy OF THE NW 114 / O S�, ? l X' o �, c� �o• �� 0 0 0 0' o o 0 CID C co <� f �• 'n� o 6'3 0 � C.2 i o 7 . B N a � 0 AO• �� '� ti pa/ 4 / 0 0) I ' o o° Q LO o j o / .01 ��\ra / O . �.3 �1'��� o� '�i' o�dy vl I f�' 2 I _ / 2 n C C > 1 N c /� O I I t0 o B ? 3 � �� mc o : O 2<m u ` 0 i l � I 0 m O 5 (1) � I I 00 < S1924'5 31 5.2 6 , 33 ' 0 0 / / !AI D 00 W z CL c) . M �'j P a f 0 � � n r.� � h N � � -1 - o 3 . Q C rn C, rD � .N A JN a rn ry u� CA 0 Y pD (7i ° a o a - e �Nl� \ T© / O� / v =im R-S0173'W D < �_ 280.29' 33.12 - S00'33'59 "W 445.20' D s o _ 1 00 33'59 "W 313.41' — fD 0 a R-S0173'W z UNPLAT Sr LINE OF VOLUME' 368 PAGE 566 I � TED LANDS p CO 33 O O (6 Cri UNPLATTED LANDS 1 1 Z C ::b o CURVE RADIUS ARC I CHORD I CHORD BEARING CENTRAL ANGLE TANGENT BEARINGS A -9 356.57' 164.56' 163.10' S62'20'06 "E 26'26'32" S75'33'22 "E S49'06'50 "E C -D TOTAL 347.08' 274.39' 267.30' S71'45'42.5 "E 4517'45" S49'06'50 "E N85'35'25 "E 2 O o ! LOT 3 347.08' 130.07' 129.31' S59 "E 21'28'20" S49'06'50 "E S70'35'10 "E Z !� W LOT 4 347.08' 144.31' 143.28' S82'29'52.5 - E 23'49'25" S70'35'1 0 "E N85'35'25 "E co $ I �/ E -F 323.57' 194.92' 191.99' S66 34'30'56" S83'37'46 "E S49 "E G -H TOTAL 380.08' 300.48' 292.71' S71'45'42.5 "E 4517'45" S49'06'50 "E N85'35'25 "E � LOT 3 380.08' 142.44' 141.61' S59 51 "E 21'28'20" S49'06'50 "E S70'35'10 "E LOT 4 380.08' 158.04' 156.90' S82'29'52.5 "E 23'49'25" S70'35'1 0 "E N85'35'25 "E Prepared by: 150 0 Z &E _ o . GRAPHIC SCALE - �- LAND SURVEI'' Nro & CIVIL ENGINEERING Phone No. (715) 246 -4319 SCALE IN FEET: 1 inch = 150 feet 109 East Third Street, P.O. Box 325 New Richmond, WI 54017 BEARINGS ARE REFERENCED TO THE NORTH LINE OF THE NW 1/4 OF SECTION 25, TOWNSHIP 30 N., RANGE 18 W. Sheet 1 of 2 WHICH IS ASSUMED TO BEAR N89'55'01 "W, I 'col. 14 pg 3946 �U ' .Ir w r f CERTIFIED SURVEY MAP Located in part of the Northwest Quarter of the Northwest Quarter and part of the Northeast Quarter of the Northwest Quarter all in Section 25, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, THIS CERTIFIED SURVEY MAP SUPERCEDES A CERTIFIED SURVEY €� MAP RECORDED IN VOLUME 14 PAGE 3873, DOC. #624528 < SURVEYOR'S CERTIFICATE 1, Ronald F. Johnson, a Registered Wisconsin Land Surveyor, hereby certify that by the direction of Steve Derrick, I have surveyed, divided and mapped part of the Northeast Quarter of the Northwest Quarter and part of the Northwest Quarter of the Northwest Quarter all in Section 25, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin described as follows: Commencing at the northwest corner of said Section 25; thence, on an assumed bearing along the north line of the Northwest Quarter of said Section 25, South 89 degrees 55 minutes 01 seconds East a distance of 1162.22 feet to the point of beginning of the parcel to be described; thence, continuing along last said north line, South 89 degrees 55 minutes 01. seconds East a distance of 53.13 feet; thence, along thn arc of a curve, and along the approximate center line of 1.40th Avenue (a Town Road), concave to the southwest, a distance of 1.64.56 feet said curve has a radius of 356.57 feet and a chord that bears South 62 degrees 20 minutes 06 seconds East a distance of 163.1.0 feet; thence, along last said center line, South 49 degrees 06 minutes 50 seconds East a distance of 443.26 feet; thence, along the arc of a curve, along last said center line, concave to the northeast, a distance of 274.39 feet said curve has a radius of 347.08 feet and a chord that; bears South 71 degrees 45 minutes 42.5 seconds East a distance of 267.30 feet; thence, along last said center line, North 85 degrees 35 minutes 25 seconds East a distance of 41.85 feet to the west line of the property described in a Warranty Deed recorded in Volume 388 page 566 in the Register of Deeds Office in said County; thence, along last said west line, South 00 degrees 33 minutes 59 seconds West a distance of 313.41 feet; thence North 89 degrees 55 minutes 01. seconds West a distance of 296.44 feet; thence North 49 degrees 06 minutes 50 seconds West a distance of 697.79 feet; thence North 00 degrees 1.3 minutes 53 seconds West a distance of 302.61 feet to the point of beginning. Containing 301,837 square feet (6.93 acres). Subject to said 140th Avenue (a Town Road) along the northeasterly and northerly line of the above described property, also subject to all easements, restrictions and covenants of record. 1 also certify that this Certified Survey Map is a correct representation to scale of the exterior boundaries surveyed and described; that I have complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdivision Ordinance of the County of St. Croix and the Town of Richmond in surveying and mapping the same. Ror(ald F. J nson Reg. No. 1166 Date �— A & E Telephone # (715) 246 -4319 Land Surveying & Civil Engineering 1'. 0. Box 325 New Richr>, Wl 54017 41 H RONALD F. w ° m9 -1 ;!! ry �� x�mvse $ ornZo JOHNSON = Vol 1 U. 9 0 •+ g x 11 -1 If38 N m�., AME_PY, O • ff'',, WIS. J C� W • ma � ry � TT o . 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