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Home My WebLink About034-1074-90-000 Parcel #: 034 - 1074 -90 -200 12/07/2007 02:32 PM PAGE 1 OF 1 Alt. Parcel #: 33.29.15.504A -20 034 - 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 - KROMREY, BECKY L BECKY L KROMREY C - THOMPSON RANDY W THOMPSON RANDY W 2902 60TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 10.000 Plat: 4272 -CSM 16 -4272 SEC 33 T29N R15W SW NW LOT 1 CSM 16/4272 Block/Condo Bldg: LOT 1 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 33- 29N -15W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 10/07/2002 693116 2002/427 EZ 05/31 /2002 680470 1901 /471 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 211645 Use Value Assessment Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 12,700 184,550 197,250 NO AGRICULTURAL G4 9.000 1,600 0 1,600 NO Totals for 2007: General Property 10.000 14,300 184,550 198,850 Woodland 0.000 0 0 Totals for 2006: General Property 10.000 7,650 151,000 158,650 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 •paouawwoo sey uolpe ;uawaojoluo uaullm pue pole13!ul ueaq sey uol )3nj ;suoo jage paglwgns suogeolldde jol palgnop aq Illm saad •algepunlaj -uou aie seal Ily 09 V :Pegalea osL: Paaalaa 590' L :pavalaa 04L :PmNaa OM Ma w9a - - - --- - - -------- -- OZL :Paaalaa �L l lS $ 000 sajoe 0g< o69:Pazalaa , ` - - - - - - 80 9Z6$ 05 03 9Z< WWI alaa -- - - - - -- - - - -- - - 008$ SZ 03 5L< 094:Pa7alaa 09:pagalaa $ - $ 009$ 9L O ;OL< oez:Pa�alaa UL4$ - VL$ 004$ OL03S< of :Pa7alaa -- .:.=--- - - - - -- --- - - - - -- $ --- - - - - -- -- -- -- - - - l 9c$ OOZ$ 901 L aaj Mol 004 a;els aaj AZuno3 sojov pawleloejun aa� seed uol;ewepaa lenuuV 000'Z$ saJoe 0S< 009' L$ saM 09 03 SZ< aulyy to azlg posodad 04Z' L $ sone 5Z of L aazi Suunay ailgnd n sapnlaul ;lwJad 6u!u!W 0 i ONINIW 3I1lV13W - - -- -- tAOZ :paaalaa -r gppZ `T ,f.ienuep anRoa332l DNINOZ V DN NN qd HrinaHxJs TIA 33NVu><QxO 3sn auVz AiunOJ XIOxD US Wisconsin Department of Commercel PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit NO: 405151 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Kromre , Becky I Springfield Townshi 034 - 1074 - 90-000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ODD 7. `f o go Dosing Alt. BM !f- ST - x.98 its; Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet oZ o TANK TO P WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �5 �I Dt Bottom ✓ �_ Dosing Header /Man. UY � ► -3 1 fl APB Aeration D� Pipe Holding Bot. ystem pr✓ - PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover _ 1ft1t ! y -4 - / Q a �+ Model Numb Lt 7 7 Gvr TDH Lift Fri System Head TDH t Forcemain L-efigth Dia. Dist to e SOIL ABSORPTION SYSTEM s /D U r // c4a, i- .-r DEDITRENCH Width 34 Le 7S No. Of Trenches PIT DI ONS No. Of Pits Inside Dia. Liquid Depth I MENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL gj LAKE /STREAM ING anufa r:: / �- INFORMATION CHAMBER f% j7 / /�Gfd✓ Typ =Of System: 1�1 ( f ` , UNIT Model Number. DISTRIBUTION SYSTEM 6 �f/ 3 Header /Manifold Distribution !_ 2 (p Q I x Hate Size I x Hole Spacing r Air Inta e /�I h Pies V 7� ft � 1 1-ength 1 J Dia L ngth Dia_ Spacing _L19 SOIL COVER x Pressure Systems Only xx Mou nd Or At - Grade Systems Only �'►� Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center � Bed/Trench Edges Topsoil Yes [] No Aj Yes No COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1:___q_/ / 0 Inspection #2: Location: 663 290th Street Wilson, WI 54027 (SW 1/4 NW 1/4 33 T29N R15W) NA Lot Parcel No: 33.29.15.511 sfi� �a I � 1.) Alt BM Description = .Qq ,{ �� / ,g, 2.) Bldg sewer length = Z amount of cover Plan revision Required? Yes No �nY Use other side for additional information. SBD -6710 (R.3/97) Date insepctor' Signature Cert. No. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ST. CROIX cons in Madison, WI 53707 - 7162 Site Address S � I Department of Commerce 6 4 ,-z- _Q v *(0(.:? 'ZR S Sanitary Permit Application amtary Permit Numbs[ in accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check If Revision rna be used for secondary purposes Privacy Law, s15. 1 m I. Application Information - Please Print All Inform State P lan I. Numbe Property Owner's Name Parcel Nuts�be Vt-: BECKY KROMREY & RANDY THOMPSON 034 -- 1074 -90 ODo Property Owner's Mailing Address Property Location a S ! I 2902 60TH AVENUE ST. CROIX COUNTY A• S 33 T 29, N A '1 W City, state Zip C Lot N y,m ber WILSON WI NSA N 54027 715/698 -2376 Subdivision Name CSMNttpo>lae: N/A 674888 /0° . z It- II. Type of Building (check all that apply) pv q �. OCity ® 1 or 2 Family Dwelling - Number of Bedrooms 3 I OVillage O Public /Commercial - Describe Use t° y``�"" arownship SPRINGFIELD O State Owned 3 x 62 - t!�o ) Nearest Road (I 3` k (A (11 x.S 290TH STREET M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A For County use 1 3 New 2 ❑ Replacement System 3 ❑ Replacement of 6 11 Addition to S stern Tank Only Existing System B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply) (numbering scheme is for internal use) 44 ® Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Consuucted Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 510 Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 O Other V. Dis ersal/15reatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Race(Gals. /Days /Sq.Ft.) (Min./Incb) BkVation 95.2 99.2 450 642.86 tin 653.1 T .7 N/A 97.2 101.2 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fib" plistic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 HUFFCUTT CONCRET Dosing Chamber VII. Resp onsibility Statement- I, the undersigned, assume responsibility for Installation of the POWTS shown on the attached Plumber's Name (Print) Plumber's Signature MP/MPRS Number BuslAoss Phone Number BENNIE HELGESON - 220292 715/772 -3278 Plumber's Address (Street, City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY, WI 54767 VIII. County /De artment Use Onl Approved C1 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent SISIAWra (NO Surcharge Fee)` ❑ Owner Given Initial Adverse 12 Zen x Determination IX. Conditions of Approval/Reasons for Disapp oval k AL( ,�,Q� s v, Lf-- �' P� °P c v && ct»�a / e,� c'KaKCes Attach complcte plans (to the County only) for the system on paper not less than SW z U lacbes In size cRn.A44R (R. 05101) .. cJ- O�. J' n A a a O a d \ o + s 3 J el l ® VI • � n o O Qe � a a � n 1 O` a � dl nn � CI V C a IV) �' d 4 4.- z ti cizI le IL o � II 3 � y ��j pu w�3y ORIGINAL 1478 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 034- 1074 -90 -000 Please print all information. Re iewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.D4 (1) (m)).� l2 r Zoo Property Owner Property Location Nw 5,.43 r 4 ert 6 ft k- - 3/ / 5 bZ Kromrey, Keith Govt. Lot 7SWI /4 NWI/4 S 33 � 29 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2902 60th Ave. City State Zip Code Phone Number City A Village IM Town Nearest Road Wilson WI 1 54027 715 - 698 - 2376 Springfield St. t/ New Construction Use: jo Residential / Number of bedrooms 3 Code derived design flo ate — 456 _`^ PD Replacement _j Public or commercial - Describe: Parent material till Flood plain elevP "tton; if applicab'l'e � ` r1! EO NA 1 General comments and recommendations: install 2 - 27x 68.75' stipulation 1099 chamber trenches @ system ele0tims 4' below - tofito i9s - trench CL's: 97.2 & 95.2 FT] Boring # � Boring1G1F j . U Pit Ground Surface elev. 100.5 ft. Depth to limiting factor 9 a loin. _$eF*p' Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary oots G /ft° in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 'Eff#2 1 0 -12 10YR 3/3 - sl 2 f sbk mvfr cs 1f /m .5 .9 2 12 -40 10YR 3/6 - Is 0 sg ml gs 1 m .7 1.2 3 40 -90 7.5YR 4/4 - s 0 sg ml - - .7 1.2 gq R7.2- some stratified 7.5YR 3/4 mcos @ 56 -62" FTI Boring # j Boring fJ Pit Ground Surface elev. 101.2 ft. Depth to limiting factor > 90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -11 10YR 3/3 - sl 2 f sbk mvfr cs 1f /m .5 .9 2 11 -24 10YR 3/6 - Is 0 sg ml cs if .7 1.2 3 24 -73 7.5YR 4/4 - s 0 sg dl cs if .7 12 4 73 -90 7.5YR 4/6 - s 0 sg ml - - .7 1.2 Effluent #1 = BOD 30 < 220 mg /L nd TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mgt: CST Name (Please Print) Signa e: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 751 1/5/2002 715- 233 -0398 Property Owner Kromrey, Keith Parcel ID # 034 - 1074 -90 -000 Page 2 of 3 37 Boring # - Boring V) Pit Ground Surface elev. 98.5 ft. Depth to limiting factor > 90 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPD ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0 -12 10YR 3/3 - sl 2 f sbk mvfr Cs 1f /m .5 .9 2 12 -25 10YR 3/6 - Is 0 sg dl gs if .7 1.2 3 25 -90 7.5YR 414 - s 0 sg dl - - .7 1.2 I , Zo horizon 3 has considerable gr & occasional cob i Boring # Boring _j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 i i Boring # boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots , in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 i I I Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing f t s M� c� .I c� -Y s � d 0 3 C UA J � •J v � s d n 2 s 1 C r--A Q s � e V r d ej r f T Crust �PC�6�� P r o opw C �Q�Un 5c / S - C) 0 � l r�nG� �v O , 7 J� / LOn �✓ �/ C�IQH. �7-Prj r POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 5 of FILE INFORMATION SYSTEM SPECIFICATIONS Owner BECKY KROMREY & RANDY THOMPSON Septic Tank Capacity 1000 a l ❑ NA Permit # Septic Tank Manufacturer HUFFCUTT CONCREIQ NA Effluent Filter Manufacturer ❑ NA DESIGN PARAMETERS ZABEL Number of Bedrooms 3 ❑ NA Effluent Filter Model A -100 12" x 1613 NA Number of Commercial Units 13 NA Pump Tank Capacity gal EI NA Estimated flow (average) 300 gal/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) 450 gal/day . Pump Manufacturer M NA Soil Application Rate 0.5 al/da /W Pump Model ® NA Influent/Effluent Quality Monthly average* Pretreatment Unit ® NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand/Czravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 420 mg/L ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other. Manufacturer Pretreated Effluent Quality ❑ NA Monthly average`* Dispersal Cell(s) Biochemical Oxygen Demand (BOD 530 mg/L ❑ in- ground (gravity) ❑ In- ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ At -grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu/100m1 1 ❑ rip-line ❑ Other Maximum Effluent Particle Size Y Inch diameter • Values typical for domestic (non- convnencial) wastewater and septic tank effluent •• Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every 2 ❑ months 13 year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (4) of tank volume Inspect dispersal cell(s) At least once every 2 ❑ months LA year(s) (Maximum 3 yrs.) Clean effluent filter At least once every 1 ❑ months .13 year(s) inspect pump, pump controls & alarm At least once every ❑ months ❑ year(s) M NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) M NA Other. At least once every ❑ months ❑ year(s) ❑ NA other At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must include a visual Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually Inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatfinent components; and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. I OWNERS: BECKY KROMREY & RANDY THOMPSON START UP AND OPERATION Page 7 of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater ed to the di ater will be discharged dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or / r is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b proposed structure lot g P ll required setbacks from existing and pro P lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name HELGESON EXCAVATION INC Name JOHNSON SANITATION Phone 715/772 -3278 Phone 715/273 -5811 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name JOHNSON SANITATION Name ST CROIX COUNTY ZONING Phone 715/273 -5811 Phone 715/386 -4680 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. - ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND .i OWNERSHIP CERTIFICATION FORM Owner/Buyer E2Ati4 L. ,< ` Y -e V GYM Li W , '� 0 � �O►'� Mailing Address Property Address �0 3 �' 0 (Verification required from Planning Department for new construction) City /State Parcel Identification Number 03H - S 074 ' q LEGAL DESCRIPTION Property Location '5W r /4, NW ' /4, Sec. 2, T N - R ( J W, Town of S v �r��1iE��d • Subdivision , Lot # 1 Certified Survey Map # _�' L i 153 , Volume , Page # y Z - 7 Z Warranty Deed # 1, 86 , 170 , Volume M4 / , Page # q7/ Spec house ❑ yes "W no Lot lines identifiable yes ❑ no SYSTEM 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 master plumber, 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. 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. _ (o / z ,oz SIGNATURIS-0F APPLICANT 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 2�u�bffftvu_'L� (y / 2 SIGNATURE APPLICANT 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 i 06/03/02 MON 1250 FAX 715 386 4687 REGISTER OF DEEDS 2 002 U 1 9 0 1 P 1 AT8 >E, H. WAA STATE aAR OF WISCONSIN FORM 2 - 199 REGISTER OF DEEDS � Document Number WARRANTY DEED ST. CROIX CO. YI RECEIVED FOR RECORD This Deed, made between Keith J. Kromrey and Frances 1. Kromrey, husband a wife M 65 9s30 AN WARWKY -T - - i DO Grantor, and Becky L. Kromre , a single person and Randy W. REC FEE: 11.00 Thompson, a sing a TRANS FEE: 57.00 COPY FEE: • CERT COPY FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and Warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part of the Southwest Quarter of The Northwest Quarter (S* 1/4 of NW 1/4) of Section Thirty-three (33), Township Twenty -nine (29) North, Range Recording Area Fifteen (15) West, Town of Springfield, St. Croix County, Wisconsin, more Namc and Return Address� particularly described as follows: (c T'cti• - . Lot One 1 Certified Survey Map dated February 5, 2002, and recorded .� 2 pri , 2002, in Voles 16 of Certified Survey Maps, at Page 4272_ as Document No. 674858, ofi ice of the Register of Deeds for 5t- Croix County, Wisconsin. 434 - 1074 -90 ._... Parcel Identification Number (PIN) This is not homestead property. JW (is not) Exceptions to warranties: Easements and restrictions of record. Dated this 3 0 day of MAy 2002 +Keith J. Kre y Frances I. Kromrey . AUTHENTICATION ACKNOW LED('MENT S ignature(s) - STATE OF WISCON _ ) ) ss. --�— St. Croix County ) authenticated this day of - personally came before me this 30 day of MAY , 200Z the above named Keith J. Kromre and Frances Y. Kromre i TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instru nt and acknowledged the same. authorized by § 706.06, Wis. Stats -) c _ _ d0�._K THIS INSTRUMENT WAS DRAFTED BY i OEL KRAEMER Thomas A. Mc Cormack _ Notary Public, State of Wisconsin Baldwin, W1 54002 My Commission 's per anent. not, state expiration ate: (Signatures may be authenticated or acknowledged. Both are not necessary -) " Names of persons signing in any capacity must be typed or printed below their signature- tMarmetion vroressiorw�s cemperry, Fong du Lx �^" sao�6s,2a2� STATE BAIT OF WISCONSIN WARRANTY nF.F.n ........,.,- 1 41100 i 3— .l�7�+888 VOL 16 PAGE 4 272 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 04 -01 -2002 9:30 AN GERTiFiED SURVEY MAP REC FEE: 13.00 COPY CERTIFIED SURVEY MAP PAGES: 2.00 LOCATED IN THE SW 114 OF THE NW 114 OF SECTION 33, T29N, RIM TOWN OF SPRINGFIELD, ST. CROIX CO., WI. PREPARED FOR KEITH KROMREY NW CORNER OF SECTION NOTE: BEARINGS ARE 33. (FOUND COUNTY REFERENCED TO THE SURVEY NAIL). WEST LINE OF THE I NW 114. (ST. CRO 1 X COUNTY COORDINATE SYSTEM). 8 _ . m .m I I N89 24"E 703. /1' r 33.00' 670. 11 ti r 133 331 2 100 ' m Z z rn LOT ;y ro I 0 ; 1rn r 10.00 ACRES m ;E 435, S0. FT. m 9. 53 AC. EXC. R. 0. W. r am W 415, 134 SO. FT. (0 LO 3 100' Ism 1 .. i 33 33' 33.00 670. 1 1 1 g) S89 ° 54' 24' W 703. l l ' p , AP V' 0 1 �OC2 `�— W 114 CORNER OF SECTION 33 ( FOUND not . ays c r P. K. NA 1 L e I JA ^VIES M. �- WE CtEA S • 1804 O • SET I' (O. D.) X 24" IRON SPRING VALLEY I PIPE WEIGHING 1. 13L BS PER WIS. ° ,�' o v:� LINEAR FOOT. .,,•�' '+e, � �� C-150, 404 L ANDMA P &N i%*TNG 0 75 ISO 300 SHEET 1 OF 2 DATED 0 Zu7'2 2002004 THIS INSTRUMENT DRAFTED BY JIM WEBER Vol. 16 Page 4272 AL r CERTIFIED SURVEY MAP LOCATED IN THE SW 114 OF THE NW 114 OF SECTION 33, T29N, R 15W, TOWN OF SPRINGFIELD, ST. CR01 X CO., Wt. DESCRIPTION A parcel of land located in the SW % of the NW % of Section 33, T29N, R1 5W, Town of Springfield, St.Croix County, Wisconsin, more fully described as follows: Commencing at the W % corner of said section 33: Thence N00 0 05'36 "W along the west line of the NW %, 134.72' to the POINT OF BEGINNING: Thence continuing N00 0 05'36 "W along said line 619.53' Thence N89 0 54'24 "E 703.11'; Thence S00 0 05'36 "E 619.53'; Thence S89 0 54'24 "W 703.11' to the point of beginning. Contains 10.00 acres or 435,598 sq.ft. Subject to 290' Street right -of -way over the westerly 33 thereof. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St. Croix County Subdivision Ordinance and under the direction of Keith Kromrey, owner, I have surveyed and mapped the hereon described parcel of land and that this map is a correct representation of the boundary thereof. • ��IINq� G O a sh Dated this b da y FQN5. - , 2002 � James M. Weber S -1804 +� JAMES At Landmark Land Surveying 1100 S E9E8R SPRING VALLEY WI3. �• 0 0�,` NOTE: The parcel shown on this map is subject to State, County, and Town laws, rules and regulations ` (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. APPROVE- ST. CROIX COUIJ r Mann. nn 7., . , ., ! p :; y r 3 SHEET 2 OF 2 API 0 1 2007. 2002004 This instrument drafted by Jim Weber Vol. 16 Page 4272 approval a:,t ; approvji sl ,,ii bc nal1 and voic