Loading...
HomeMy WebLinkAbout032-2105-80-000 o N Q C� N p 1 - 0 o C N I c '` 3 m ' O B N H� 1 O CD CD 3 Z o A D cn ? T m o c w <D 00 0 ©• Q 47 p 3 p" N < W p W N CD 00 3 m N (� o o a c o a D! o °° O O (D N O M C n N 0 fw1 Q y ° m 3 O O o CD m a 3 a vJ v D m a QO a o u a m m A w o CD o W l j`° W o o C orn c m L O N N 3 CO O O m O O (�. O C lV W O D n v .°� !r 0 3 0 o ��� D CO G m I O O � m Av G m m CD m n � m N N CA cn CD - < (D m cn CD C N o Z 07 Z 0 D ccn D o = v O o m O rr p o �• CD CA 0 ` I N N N CD CL CD d N CL (D c C). a' 3 I .. Z w W co _0 M w CD � I a `�D z -, 3 3 A 0 0 r: 00 ^: z N i z vi z _ I I I o a I ccD f a N , °' w Co spy j CD ,o a w m' o a ( c J O N O a X CD a I CL a 0 m 00 F w x I � I o 3 0 CD c Q j 0 0 � I � . CD m r a N O Q O Q + O m O C. Parcel #: 032 - 2105 -80 -000 11/19/2009 09:36 AM PA 1 O F 1 Alt. Parcel M 28 &33.31.19.993 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - WITTSTOCK, ALLEN J JR ALLEN J JR WITTSTOCK C - EMMECK, KELLIE J KELLIE J EMMECK 441 190TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 441 190TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.020 Plat: 06- 095 - GRACIE ESTATES 032 -97 SECS 28 & 33 T31 R1 9W SE SW SEC 28 -NE Block/Condo Bldg: LOT 8 NW SEC 33 LOT 8 GRACIE ESTATES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 33-31N-19W Notes: Parcel History: Date Doc # Vol /Page Type 07/03/2006 828775 EZ -U 06/19/2006 827668 WD 04/30/2002 677664 1881/54 WD 03/28/2002 674803 1862/468 WD more 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/03/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.020 48,100 197,200 245,300 NO Totals for 2009: General Property 3.020 48,100 197,200 245,300 Woodland 0.000 0 0 Totals for 2008: General Property 3.020 48,100 197,200 245,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 08/09/2007 Batch #: 07 -13 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce . PRIVATE SEWAGE SYSTEM County: St. Croix ta {ety a. i Building Division INSPECTION REPORT Sanitary Permit No: 488185 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information 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: W ittstock, Allen I Somerset, Town of 032 - 2105 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionfrown /Range/Map No: /04), ex) 1 oo•Or� G5T 3; M. NE <ornv- -V- L ( 33.31.19.993 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM "roe` �,7 �o w•. � / 0.04 110.66 _Sj rl � rya. � t, � Aeration Bldg. Sewer 9.91 /0 (.33 Holding PL ��� G �; St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic g 7 JI5 Z& tjs a a._ 180 , Dt Bottom Dosing Header /Man. 1Z Aeration Dist. Pipe v / - j 6-10 Holding Bot. System or. i tOE co ral Z S. (�r•►. Final Grade PUMP /SIPHON INFORMATION g.5� ioZ Manufa urer Demand St Cover GPM Model Number 2b e' —6 C+,t.,il+- - C M. b� E TDH Lift Friction s System Head TDH Ft Force ain Length Dia. t. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 46' 2 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacture INFORMATION moo= CHAMBER OR $'t : aaCl Type Of System: e-C, Lvc : G 0. a� S� ad s : �� `� UNIT Model Number: ArC 3c— DISTRIBUTION SYSTEM .7t� c.G,ca..._,re.u�, — (_ (Zv�t` Header /Manifold Distribution I x Hole Size x Hole Spacing Vent to Air Intake r ,� Pipe(s) 1—>j9- Length Dia 'T Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over , Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bad,4seneh -Center �, / Bed/Trench Edges Topsoil ChA^:JJL� 0 Yes 0 No [fl Yes ro No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: ee / /_3 / 4*jG Inspection #2: r1_0 Location: 441 190th Avenue Somerset, WI 54025 (NE 1/4 NW 1/4 33 T31N R19W) Gracie Estates Lot 8 Parcel No: 33.31.19.993 1.) Alt BM Description= "rap Ot (`' To.rr wl)- w 4- "rc P 0$ ar>•aP �.pa^ h1�i C6f Nz'� 2.) Bldg sewer length= '415 - amount of cover = D !j t �Ov�/aJi Plan revision Required? Yes No ` !� Use other side for additional information. SBD -6710 (R.3197) Date Insepctor's Signature Cart. No. Safety and Buildings Division County m = 201 W. Washington Ave. 2 Madison, WI 537 266 -3 Number (to be filled in by Co.) iscansirt De artment of Commerce 1 gg1 Ss Sanitary Per" pliea on " statr� Plan I. .Number In accord with Comm 83.21, Wis. Adm. Code, personal in on you vide may be used for secondary Purposes Privacy Law, s15.04(lXm) jest Addr (if different than mailing address) I. Application Information — Please Print All Information Property Owner's Nam Parcel # t # Bleela* /, 7 -/, -/" � , Property Owner's Mai Address - • 9 93� mQ Property Location City, S Zip Code Phone Number AL V., &Ly, Section` �3� trcle ) IL Type of Building pply) T, N; R E or yp g (check al! that a �1 or 2 Family Dwelling - Number of Bedrooms — 5 f _ Al C. Subdivision Name - E9i►4-Nvml W_ ❑ Public /Commercial - Describe Use ,' ,! ❑ State Owned - Describe Use ❑City ❑Village Rfownship of r III. Type of Permit: (Check only one bog on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existinr, System B. ❑ Permit Renewal ❑ Permit Revision ❑Change of ❑ Permit Transfer to New List Previous Peait Number and Date Issued t Before Expiration Plumber Owner ��( p IV. T of POWTS System: Check all that a t` Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitableit - "• ^ a° M e' e >'aass Sand Filter ❑ Constructed Wetland ❑ pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter VLcachingChrupber 013ripLine ❑ Gravel-lqs Pipe 0 Other (exp 'n) V. Dispersal/Treatment Area Information: 2 Design Flow (gpd) Design Soil Application Ra f) "spersal Area Required ( ispersal Area Proposed (sf) System Elevation 7 °' � � Vlr Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Exi Tanks Tanks Septic or Holding Tank / Aerobic Treatment Unit L I Dosing Chamber VII. Responsibility Statement- I, the undersigned, apurne responsibility for installation of the POWTS shown on the attached plans. P (Print} , Plum is Si a MP/MPRS Number Business Phone Number Plumbers Address (Street, City, State, Zip Code) I VIII. Coun /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee 'ncludes Groundwater Date Issued I ui Agent Signature o Stamps) Surcharge Fee) ❑ Own ivea or Denial (}� IX. Conditions Approva _"._ _ _. a1 SYSTEM OWNER: �r� t'6Lu�A Pe .ter` ` c `{ 4-r fIq 1 Septic tank, effluent filter and _ dispersal cell must all be serviced / maintainer as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the Conaty only),for the system on paper not less than SM z I I inches in Sim SBD -6398 (R. 01/03) / Y - - - -� L✓ �A04 i d:J.b i / I .3 i 3 �- i - i e Y i 4G1� - -- - -- / Yt l� , t✓-���dt�C1 �V � , i I l � I ' 3 3 � I t a I I I I I i J I e Wisconsin Department of Commerce �— AND SITE EVALUATION ? D't-visio�ci- Safetylandbuildings , , Page of J Bureau of Integrated Services �� kila6 Oi'd� ncevith s ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not ^ an 8 es in s(ie.' Ian must County include, but not limited to: vertical an h ' ontal r (BM),'Sf!'` on and percent slope, scale or dimensions, n ( rrownVoc tion and distan e t nearest road. Pap e I D. # � r 7 _ APPLICANT INFORMATION - se pn orma 'R eviewed - 7/ / Personal information you provide may be u o 15.04 (1) (m)). `C ` d f7 Property er y ` Z Property Locati Govt. Lot 1/4 / 1/4,S Ir T ,N,R(or P operty Owner's Mailing Address # Block Subd. me or CSM# Lot Ci Sill Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road New Construction Use: Residential / Number of bedrooms Addition to existing building Replacement ❑ Public or commercial - Describe: Code derived daily flow -, _ gpd Recommended design loading rate ¢ bed, gpd* ,2 trench. WW Absorption area required < �? ed, ft _ trench, ft2 Maximum design loading rate —,,Z bed, gpd/ft —,Z #ench, gpd/1t Recommended infiltration surface elevation(s) 977 ft (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation, if applicable ft rU =Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank = unsultable for system LZ S ❑ u nX S ❑ u ®s El ®s ❑ u [Is ®u cis O u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/fl in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots "`� Bed .Trench S � ' Ground / Asfsl ' elev. Depth to limiting fac or >&—in. Remarks: Boring # i !/ 33 - Ground hs elev. )RIft• Depth to limiting factor in. marks: CST VNamease 7ri Signature Telephone No. Address Date CST Number PROPERTY OWNER SOIL DESK ION REPORT Page PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu, Sz. Co t. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed .Trench Al s L 1 Ground s elev. Depth to limiting factor n. Remarks: Boring # as s - Ground t , s ;; 7 : — elev. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground — elev. Depth to limiting factor Remarks: Boring # Ground elev. ft. , Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) 0 9 - a . Dominant Color Motties =MO ..:fir:_.,. ,•: "s::, ��III����� _������ i -- DominantColor Mottles YOM M, "'123W M SOMOWAM WAN tI : M • f xk s tj� ±- I I • � - •.fir � I i t i i I i I I � I I+I i I � , �?� f ! r[� 17 I ( � fi i � � i� � � i I i s { . � , ; , � , � � , , -� + —f- �� 1 1 � , f � r - I } 1 1 � � } f � � I — — ! — . I , � ; � � i � , � � � j -� t— --} � , � 1_ I f , i , — F � I �— 1 � � t 1 i ( j � � -- �_ � - -► —1— -�� -- _ i , I t � � � � � �_ I , i � ! � � } t � 1 I j i f i � � I � � , + —, . - { — � � t i � r t � r t � r � � l i - � �- �. ,, I � .; � � � � � �� � i � � � ( �� � ff I i I � t f � i { � � { 1 { � i I � } � I � y } i _. ` i � I �, � i I � i l i i I - y � 1 � � i f � ( � � 1 - 1 - — }-- � -- } I ( � � — } � � i � —� i I ; � _ j � � � —� � � -� - - -'- a 1 � j ',, , � i !� j � � j � � j l — - � � -- — — �, i ' _ __� � � � r i � t - � } f � i � � � I � � -- �— }— i � � _ � r � I f I _� I I i f + i � i _ I 1 1 i; t t I , t j � � i f i I i I i I ' ; t � i ; - i j 4 � r � G i t -- -- 1 � ff � � I i�� �� f �! � i �� i i f 1 f � � I I 1 � � � �� C �� i { t � i � i i 1 � , � { � �_ — 1 -- — -t � M � � i i t 1 1 �� � � , i � j �, , � �� � I �� � , i i i I j �� � ; � � I I t i 1 i r j _� � ,} I —� —�— — i i ' , � �, ; �� � � , � � ' � ; ��� I � r � f �— f i -- - � �� i i i � I _ � j i , 4 I j - � _ f , __ � � f _- f , `l { r _ r-_ ;_ � � j -t � _I I � I i � � � � a I I 11 �� I '' ��� l; ,� I �; - 1 r + f I �i ; � � ; ; _� � � � I � � - � �- - } - -� o CA o 0 0 tz o CD (D 1p M M M CD 9 CD X Q! X X ( ® & z z z C .0 § Ow o 0 0 z 0 r 3 E0 r�) (D 3 CD -4 0 en 0 R • a 0) CD 0 C O :m E coo cn 6 \ [ ; 0 (A m 0 C U) z 3 U) z > 0 > m F� ( CD CL 0 D = =r CD -P� CD CL 0 a (D > -4 0 0 C. N CD i z z 0 0 =r 0 0 r CA 0 3 CD "me C c M a - 0 D 0 0 0 o o ' 3 0 o co Ch ■ CO) 1 0 13 cr cr CD m m 0 0 A N3 CD CD CD W 3 A 0 r! C.n z r z z r z > CD 0 > CD 0 W = 0) = 0 0 0 0 5r 5 ;z - 0 CD k § CD to to C-) U) 70 0 CD :r cu 3 CD r- 3 0- 0. 1 @ 7 CL 3 CD CD CD W c CA CL CL z 3' Z C4 T co T M E (D (D CL CL z " 3 a ;u 0 0 X z — 0 CD 3 (n z z CD m > D CL El =3 "n Z CL CD . \ CL 6 CD CL CD � � � � CD 0 m CD S9 0 0 CD 0 a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430147 0 GENF-Rt* INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: 5 City Village X Township Parcel Tax No' American Classic Hems I Somerset Township 032- 2105 -80 -000 CST BM Elev: insp. BM Elev: r scription: Section n/Range /Map No: 33.31.19.993 TANK INF A TION EL EVATION DATA TYPE MANUFACTURER CAPACITY STATION HI FS ELEV. Septic Benchmark jo Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht 0 t TANK SETBACK INFORMATI TANK TO P/L WELL B2DG. Vent to Air Intake ROAD Dt I t Septic Bottom Dosing Header /Man. Aeration ist. Pi F Holding B em PUMP /SIPHON INFORMATION V Final de Manufacturer mand over G Model Number TDH Lift Friction Loss System Head TDH t Forcemain Length Dia. Dist. to W SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches I P No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO f P/L BLDG WELL LAKE/ EAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distriqfon Size x Hole Spacing Vent to Air Intake Pipe Length Dia L Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Syste Only Depth Over Depth Over xx Depth of xx Seeded/ xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Xyes J [ No �i Yes No COMMENTS: ( lude code discrepencies, persons present, etc.) Inspection #1: / / inspection #2: / ! Location: 441 190th Ave Somerset, WI 54025 (NE 1/4 NW 1/4 33 T31 R1 9W) Gracie Estates Lot 8 Parcel No: 33.31.19.993 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Use other side for additional In Y No Re es formation. � --�-- � - - -� � — - -- _� _ - -- -- -- - - - - - -- � -- SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No, do ! Via. Safety and Buildings Division County lvi 201 W. Washington Ave., P.O. Box 7082 In isc onsin Madison, WI 53707 - 7082 Sanitary PennifNambet (to be filled in by Co.) Department of Commerce (608) 261 - 6546 3 � / Sanitary Permit Application State Plan I . Ni r In accord with Comm 83.21, Wis. Adm. Code, personal information you provide �Zk may be used for secondary purposes Privacy Law, sI5.04(l)(m) Project Address (if fifferent than mailing address) I. Application Information - Please Print All Information / 'X' t Property er's Name i amel # Lot # 8' Block # S. er's ling 113 dress 3 ,'t Property Locan S tio - i City, State Zip Code ; Ph opt Nuittlfer (�'F`y- Section Irc T I E or I. Type of Building (check all t apply) /Subdi n Name C°SIi[ Tlmnbet• or 2 Family Dwelling - Number of rooms ❑ Public/Commercial - Describe Use p ,�v eL BQ.� yi ❑ State Owned - Describe Use villa f township of III. Type of Permit: (Check only one box o ' e A. Complete line B if applicable) A. New System ❑ Replacement S tem ys ep ys ❑ Treatment/Holding Tank Replace ment y ❑Other Modification to Existing System B. ❑Permit Renewal ❑ Permit Revision ge of Pam T er to New List Previous Permit N ber Issu Before Expiration PI Owner IV. Type of POWTS System: Check all that appl Non - Pressurized In -Ground ❑ Mound > 24 in. of suitable soil Mound in. of su e ass Sand Filter ❑ Constructed Wetland ❑Pressurized to round El Holding Tank ter ❑ Ae❑ irculating Sand Filter ❑ Recirculating Synthetic Media Filler hing Chamber ip Lin Gra el V. Dis ersaVrreatment Area Information: Z 7i Design Flow (go) Design Soil Application Rate(gpdsf) Dispe Area Re (sf) roposed System Ele / v / 41 VI. Tank Info Capacity i n Total Num Manufaftrjr /y�� Prefab Si Steel Fiber Plastic Gallons Gallons of U -! w Concrete cted Glass New Existing W Tanks Tanks Septic or Holding Tank _ Aerobic Treatment Unit Dosing Chamber VII. Respon ility Statement- 1, the u signed, as me responsibility for installation of the PO shown on the attached plans. Plum me (P ' tuber' S' a I MP/NIPRS Number Business Phone Number P umber's Address (Street, City, S ip Code) VIII oun /De artme se Onl Approved ❑ Ziven ved Sanitary Permit Fcludes Groundwater Da Issued uing Age Signature amps) ❑ Surchazge Fee) VV '7 Reason for Denial IX. Conditions o pprov�� ons for Disapproval L W7 T S3. ;►., haaG� m �' 013. V3 -1 Attach complete plans (to the County only) foaUlWsystem on pape not teas dhan 81/2 114 fiches In size SBD -6398 (R. 08/02) .� • �' �_ � � ��, W+ r< A ,p ,. � � -s�� ,�� ��� �, 'jk. �� I o_ J3� . 33 n Y a ` a Iwg,� �G I e Af I . ST. CROIX COUNTY SEPTIC TANK MAINTAIINA�NCE AGREEMENT AND OWNERSHIP CERTIFICATE FORM Owner/Buyer 41 Mailing Address ' - : � T / 7 7,-,l v Property Address ge id, r — 91 (Vaificatim required from Plaoamg Depatmmt far new crostmtim) City/Stat Parcel Identification Number -� ,2Zn ,'4 - 0P LEGAL DESCRIPTION Property Location fi� ' /.,' /. Sec 3 T_,jLN R _dW, Town of Subdivision 2ne}n;r_ 'S Lot# Certified Survey Map# `— , Volume Page Warranty Deed# (p �&� ,Volume M 1 Page 0 5 q Spec house yes x no Lot lines identifiable y es no SYSTEM MAINTENANCE Improper use and-maintenance of your septic system could result its premature failure to handle wastes. Proper maintenance consists of out the tic tank every three ears or sooner, if needed b � P�P� �P eTy y y 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 (ifnecessary), the septic tank is less than 1/3 full of sludge. _ I/we, the undersigned- hauexead.theabove- requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by th Department of Commerce and use the Department of Natural Resources, State of Wisconsin.Cectification stating that your.septic system has been maintained must be completed and returned to the St. Croix Co untyZoning ce within 10 days of the three year expiration date. SIG F PLICANT DATE #of proposed bedrooms OWNER CERTIFICATION I (we) certify that al)- statements on this form are true to the best of my (our) knowledge I (we) am (are) the owner(s) of th property described above, by virtue of a warranty deed recorded in Register of Deed tCe: SIGN F ANT DATE Any information that is rnnrgxvswAed may rack in the sanrtary pane t being revoked by the Zoning Departmmt'"*' " Indude with this application a atanVed waaaoty deed fiam the Register of Deeds affoe a copy of the wed aa; vey nwq if referaux is made in.the wanwty deed, ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer s J VKe(1(AA C Iasyc Mailing Address PC). 6K 3t6 SCE Vk-e ✓ - 2 h L-jT– Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location C '/4, ' /., Sec. 5 . T N-R_L2—W, Town of . Subdivision Lot # Certified Survey Map # , Volume . .Page # Warranty Deed # 7 7 / -, Volume Page # Spec house .ryes ❑ no Lot lines identifiable ikryes ❑ no STEM MAINTENANCE 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 masWrplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set 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 returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGN OF LIC DATE OWNER CERTIFICATION I (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 pro descnW above by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA OF L DATE 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 1881 P 054 STATE BAR OF WISCONSIN FORM 2 .1999 6 - 7 - 7 6 6 4 Docun'ent Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between M & G, Inc. -- -- RECEIVED FOR RECORD — - - -- — 04- 30-2002 9:30 AM WARRANTY DEED Grantor, and Amer ican Classic Construction, LLC EXERT # - -- — _ REC FEE: 11.00 -- —' — TRANS FEE: 146.70 _ — ' -- - -- COPY FEE: CERT COPY FEE; Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix _ _ County, Stat nEstme i space is needed, please attach addendum): Recording Area Lot Town of Somerset, St. Croix Cou nty, Wisconsin. Name and&{ypt.Address HUDS; .', j, VV1 54016 032- 2105.80 Parcel Identification Number (PIN) This is not ___ — homestead property. Exceptions to warranties: Easements, restrictions and rights -of- -way of record, if any. 04) (is not) Dated this day of April Y002 M & G, nc. r _ _ • Mi aeI J. Gar ain, President — r - - - -- — - --- — — - - -- AUTHENTICATION ACKNOWLEDGMENT ` Signature(s) M & C, Inc_ by Mic J. Germ ain, Presi dent, — STATE OF WISCONSIN ) — ) ss. _County ) authenticated this u! day of April 2002 }�� ` Personally came before me this day of —j ___ _ the above named r Kristina Ogland -- -- — �. —. -- —.._ TITLE: MEMBER STATE BAR OF WISCONSIN (Ifnot, to me known to be the person(s) who executed the foregoin.o authorized by § 706,06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY , Attorney Krishna Oglond Notary Public, State of Wisconsin H udson, Wi My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary,) —„ — — — — _ _ — — ` ,) • Names orpersons signing in any capacity must be typed or printed below their signature. u,rmmeu a m rdeasionalc Canpeny. Fmq du Lac, WI WARRANTY DEED STATE BAR OF WISCONSIN eo0 -555-2021 FORM No. 2 - 1999 i w OW � I �N i z xw 0\ _. w It' W top ( "' w.� L F: d -s-7 U qq • O do cp' _ _.�.a•; 3 3 1 r`� _- N t - i O I O O N I J M Ul U z Yl 0_ / �0 j F _ 2 � / F � d+ M / In 2A ye M �. 3 b 00 M N � N Ca 0 U 11.. E �, ) 1 w w Y ; M 1C1 1 o ZA ye In w to 0) —1 LL l N 'f 3 V Cr1 sZ V N 2 / N Z z1 SS M h w w WIW LL Uj U y� w 111 , w O w J U z�z Iw O Q o a 0 J NO TIC + M IY) YO M Q I M 132.07' r--4 189.33 �� 369.19' +4„ W 321.40 NO2 , 0 7 5 L__ WEST LINE OF THE NEI /4 OF THE W/41 SECTION 33 P E 0� M N t I u u w w