HomeMy WebLinkAbout038-1040-70-000 n Department v` Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
nd Building Division '
INSPECTION REPORT Sanitary Permit No:
463277 0
NERAL INFORMATION (ATTACH TO PERMIT) st a Plan ID No:
sonal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
rmit Holder's Name: City Village X Township arcel Tax No:
LeQue, Dennis Star Prairie, Town of 038 - 1040 -70 -000
CST BM Elev: Insp. BM Elev: BM Description Section/Town /Range /Map No:
p PV1 1 C- I 09.31.18.176A
TANK INF ORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ' Benchmark r
Dosing Alt. BM 1
v`..�o fan T 0k .— zo
Aocatiea Bldg. Sewer
ieef 9 ?.sue 1
Holding St/HtInlet lob 9 �•o�r '
TANK SETBACK INFORMATION St/Ht outlet 9.7q 79- S(o
TANK TO /L WELL BLDG. Ven to Air InPtake OAD Dt Inlet
�0 ak_ ow (em s
Septic /�s 57 ! Z Z , Dt Bottom
3.
3 `I , 3 7
Dosing !- 5 1 S 7 1 03•
(fi / i Header /Man. Q) 10 /
tP l co o
Aeration �e g � • �� � z
D
Holding Bot. System `
Fin ade
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover I ' ' f
tyt-1 i� GPM �1 `3T q
$23 Model Number 32-11
Lift i Friction L s System Head
DH �t , 7
,q to -
So lS.SS w� 1 672 ��
Forcemain Length I Dia. �� Dist. to Well ) q4_ r
CV 2 (� ,� i 02 lC919q 13S 3d
SOIL ABSORPTION SYSTEM 5 = . `13
E /TRMH Width d Length / No. OfTren e , r� / PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
ENSIONS (7
SETBACK SYSTEM TO P/L IBLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: � I �� r ' ��i I� UNIT Model Number:
eJ N
DISTRIBUTION SYSTEM
Header /Manifold it IDistribution () I r� f x Hole Size r t x Hole Spacing t Air Intake
a Pip � ,�j 3•U 1 $ 2- Q --
Length 3 Dia Length ea ia ! T Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of x xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes I 1 No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: s / L3 / y s P iCection #2
Location: 1096 220th Avenue Star Prairie, WWI 5 (SE 1/4 SE 1/4 9 T31N R18W) NA Lot 1 � �`O, "` N
rceo• _ 7QA '
1.) Alt BM Description - 1 °F �� 4- `.oc s a vim. l} CX ��
Bl sewer le — �'
2. \
) 9 9 (S
Lo
- amount of cover = (q ff
Plan revision Required? L.. Yes No —
Use other side for additional information. _
D - - -- -
— - - - -J to f
SBD -6710 (R.3/97) /vl / r 7 ' sue? ors Si lure � �C e o
I.tYJ ��
Safety and Buildings Division County
ute rte ' 201 W. Waslli%Wn Ave., P.O. Box 7162
Madison. WI 53707 - 7162 Stn"' Permit Number (ta be fit! in by Co.)
F Department of Commerce (608) 266-3151 t o'I -�
Sanitary Permit Application rye S I.D. Ntnmba
In accord with Comm 83.21. Wis. Adm. Code, personal information yp provide S og
may be used for secondary proposes Privacy Law. s15.04(!)(m) 1 oject A (if different than mailing address)
w
L Apoication Infwmati rn -Plum Print AU Idmrrution
Property Owner's Na me Pared / tY Block .//
/V #
I L _ Property tocafib;-' Property 's M ailing e � � 7 b'
City, s Zip cock Phone Number ,A(Y' I.J � 0 f 5�`�7r1 eu
II. Type of Bnii� (dteck all that apply) ;Z � N; R_E ��
""- — - Subdivision Name M
❑ Publ Numbber
L X
or 2 Family Dwelling - Number of Batroonu f a / — ` +C / 1 � (/(/ �
u/Commercial - Describe Use '�t �, ,,,, `C
Q State Owned - Describe Use � � _ ^ �� t1city UVHiage �wnshipo r ,
d
IQ. Type of Permit: (Check only one bolt on line A. Complete line B if apple)
A- New System ❑
Replacement System ❑ Trestment/Holding Tank Replacement Only U Other ModiFtcation to Existing System
❑ Permit Renewal Permit Revision l_l change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner — - -�
IV. TYW of POWTS : ((fleck all that ) _
❑ Non In Ground Mound > 24 ih of suitable soil U Mound < 24 in. of suitable soil tJ At -Grace ❑ Singe Pass Sand Filter
❑ Constructed Wetland D Pressurimd in- Ground I<) Holding Tank I_a Peat Fit Asrobic Treatment Unit Ll Recirculating Sand Filter
❑ Recirculating Synthetic Me" Filter ❑ Leaching Chamber ❑ Drip Line ravel- Pipe ❑ Oder (explain) r X/
V. . ricataaent Area information 6 k
Dcsiga Flow (gpd) Design Soil Application apdsf) Dispersal Area Required (sf) Dis Area Propos (sf) System Elevation
So 5 � d y5a �z'4 a 103 _
VI. T Info Capacity in Total Number Mamnfaewrer re Site Steel Fiber Plastic
i Gallons Gallons of Urdu Concrete Constructed Glass
l New Existing
Tanks Tan"
m Holding Tank 000
Aer*Wc Titatmem Unit , /
f)oaea8 Clrannrber � (/
VII. R�)illty Statement- I, the respaiisibiRly for ' of the POWTS shown on the attached piano.
s Na me (Pri ) Plumber's Si tore umber ?t>sir ss Phone Number 0 3 u
Plumber's Addre ss (Sister, city, state. Zip Code)
T:�L_C� K/A (f
I Lin
Approved ❑ Disapproved Sanitary Permit Flt (includes Groundwater Da Issrud suing gent Si atu o Stamps)
Surcharge Fee) -��
❑ Qwt►er Given Reason for Denial
IX. Conditions of Approval/Reasons for Disapproval
C YSTEM OWNER:
1 ep Ink, ank, effluent filter and �-` �-ee OGClnP�1 Com'°''�' ��
dispersal cell must all be Gerviced /maintained
as per management plan provided by plumber.
2. All setback re�airemenis must be maintained
j as per applicable code /ordinances.
-130 l/
Attactr oeaavi�a daps. tto rLo Cwaq oaln Oer t!e oo popes as has anti alts z fl hnclaa is ooze
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Safety and Buildings
commerce.wi. OV 4003 N KINNEY COULEE RD
g LA CROSSE WI 54601 -1831
TDD #: (608) 264 -8777
isconsin www.w
w ww.co e.w i. gov/s
sin.go /
iscosin.gov
Department of Commerce
Jim Doyle, Governor
Cory L. Nettles, Secretary
October 27, 2004
CUST ID No.220537 ATTN: POWTS Inspector
CALVIN W POWERS ZONING OFFICE
POWERS EXCAVATING, INC ST CROIX COUNTY SPIA
1969 185TH AVE 1101 CARMICHAEL RD
NEW RICHMOND WI 54017 HUDSON WI 54016
CONDITIONAL APPROVAL
Identific 1075308
SITE: PLAN APPROVAL EXPIRES: 10/27/2006
Transaction ID No. 1075308
SITE: Site ID No. 691482
Dennis Leque Please refer to both identification numbers,
220 Avenue above, in all correspondence with the agency.
Town of Star Prairie
St Croix County
SE 1/4, SE 114, S9, T3 IN, R18W
FOR:
Description: Proposed Three Bedroom Mound System
Object Type: POWTS Component Manual Regulated Object ID No.: 988468
Maintenance required; 450 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade
System(s): EZflow Mound Component Manua (N.6/03), Pressure Distribution Component Manual - Version 2.0,
SBD- 10706 -P (N.01 /01); Biofilter
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06,
stats.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ
FLOW Mound Component Manual (June 6, 2003).
• The pressure is system is to be constructed in accordance with the approved plans and with the "Pressure
Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P
(N.01 /01).
The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall have one out
of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12
o'clock position. The laterals shall slope back to the force main to ensure total drainage after every dose.
• The lateral turn -up ends shall extend out past the exterior of the cells at both ends. The observation pipes shall
also be located in between where bundle(s) come together. This requirement is needed to ensure that the
aggregate bundles will not be damaged during the installation process.
• A sanitary permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
• The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil
compaction in this area is prohibited. ! ,
di�ZC i a'1na 1p
r P R 0 V 1)
EI PARTMENT OF C OMMERCE
DiVISICIN nZ CAtc-
CALVIN W POWERS JR Page 2 10/27/2004
• A state approved effluent filter is required. Maintenance information must be given to the owner of the tank
explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided
per Comm 84 product approval conditions.
• Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during
construction and open to inspection by authorized representatives of the Department, which may include local
inspectors.
Owner Responsibilities:
• The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating
to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and
maintenance manual and/or owner's manual for the POWTS described in this approval.
• Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption
system or any of its component parts malfunctions so as to create a health hazard, the property owner must
follow the contingency plan as described in the approved plans.
• The owner is responsible for submitting a maintenance verification report acceptable to the county for
maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized
in the POWTS.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation, operation or maintenance of the POWTS.
Sincerely,
Fee Required $ 175.00
Fee Received $ 175.00
Gerard M. Swim Balance Due $ 0.00
POWTS Plan Reviewer - Integrated Services
(608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm
jswim @commerce.state.wi.us WiSMART code: 7633
cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544
�F °cam �' /�
TITLE SHEET �� < ; k
,cam PAGE-]—OF - '(0 Q
DATE: VC� �,� � � y
MOUND SYSTEM �O
FOR /4P
A_a BEDROOM RESIDENCE
This Plan has been prepared in accordance with the EZFLOW Mound Component
Manual VERSION 2.0 (N. 06 /03)and the Pressure Distribution Manual VERISION 2.0
SBD- 10706 -P. (N. 01 /01)
LOCATED IN THE -Sl 1/4 THE -S 1/4 OF SECTION _�_,T31 N,
RS W, TOWN OF , �,� , ST. CROIX COUNTY, WISCONSIN.
INDEX
PAGE 1 OF 8 TITLE SHEET
PAGE 2 OF 8 PLOT PLAN
PAGE 3 OF 8 PLANVIEW CROSS SECTION
PAGE 4 OF 8 DISTRIBUTION PIPE LAYOUT
PAGE 5 OF 8 PUMP CHAMBER CROSS SECTION
PAGE 6 OF 8 SYSTEM MANAGEMENT PLAN
PAGE 7 OF 8 PUMP CURVE
PAGE 8 OF 8 CROSS SECTION OF E Z FLOW
PREPARED FOR
PREPARKD BY
#2 0 7
P RS E AVATING INC.
1969 185"" AVE.
NEW RICHMOND, WIS. 54017
PHONE: 715 -246 -5135
FAX: 715 -246 -5135
CELL: 715- 381 -9920
M„u oUILUINGS
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SEE , RRE 0 0NDUNCE
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rn Cra. toy
4A A f a�„a. C mil. Jan:
+l. 13M r
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TE} Z o TH AVE
Page Of
Synthetic Covsring
Ak TM- C33 Distribution Pipe
Medium Sand
Jam'
G
Topsoil - 11 F a3
3 E-
-�
% Slope Cm4v.t1z- 1 02 � .0
Bed Of Force Main Plowe
NO av r
D
Cross Section Of A Mound System Using E
F
E Z Fl The Absorption Area G
A /o Ft. H __/�... �•
L, e 1 C' 0 J I r! fi g, = S ��G- P>��t�l , Pr g FW Ft. �
FT (n 'S K 9 , S Ft.
L :to Ft.
J Ft.
Position I //, Ft.
of ��
Force Main W a3J Ft.
L
Observation Pipe
K
o TPA A IE- -in -------- - - - - -- ---------------------
Distributior} Of w 5
Pipe
1
Observation Pipe
ctotchar
Pion View Of Mound Using A Bed For The Absorption Area
ever hol e.
oy, t� botto-ii oC toe pipe.
Elmmud the and of each lamed up wine *a use of 1=6 G= or o3 g t ' Da
mcbms of do ftd gm& Tomumm dw at* of ** 100 Vft* a VUI ft 1 A-A a * or
*nmftd pk& Provide Secam$ am and peft for tare Vah't, a* or the
kommj 1p
Lin
T-. %MIX
P Hole Diameter A- Inch
Lateral 1��q Inches)
S Ft. t—
X 1 ) Manifold C;?- Inches
Force Na I r Inches
1 o holes/pip*
Invert Elevation of Laterals d3, Ft.
�"
4" Cl VENT PIPE 12 MIN. ABOVE GRADE E WEAT HER PROOF
25" FROM-DOOR, WINDOW OR JUNCTION BOX APPROVED
FRESH AIR _IfiTAKE WITH CONDUIT M
WARNING LABEL
4" MIN.
S-
'
'WATER TIGHT SEALS GA "
TIGHT1 "
to A SEAL + APPROVED
�I ' JOINTS W/ Cl
..I PIPE ALM
3' ONTO B ' � ON PIPE 3' ONTO
, SOLID SOIL
SOLID C "
SOIL
PUMP OFF ELEV . 9�i T. �- —�--- �' O�'F ic't RISER EXIT
D PERMITTED ONL4
IF.TANK
MANUFACTURER
HAS APPROVAL
3" APPROVED BEDDING UNDER TANK
CONCRETE PAD
SPECIFICATIONS
SEPTIC / DOSE
TANK MANUFACTURER: , �.QC,rs_ NUMBER DOSES PER DAY:
TAN SIZES SEPTIC �_4"' GAL. DOSE VOLUME INCLUDING
DOSE GAL. FLOWBACK: S GAL.
ALARM MANUFACTURER: S CAPACITIES: A = ,3 INCHES = 36 7 6 GAL.
MODEL NUMBER: _ m i `.
SWITCH TYPE: B = 2 INCHES = 33- GAL.
aka �C
PUMP MANUFACTURER: C = 5.r4_ INCHES = 9,9,2- GAL.
MODEL NUMBER:
tw l7 1 D �� 79 INCHES = ���. GAL .
SWITCH TYPE:
REQUIRED DISCHARGE RATE 3oZr GPM PUMP £ ALARM WIRING AS PER ILHR 16.23 WA(
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . .%. . 5 FEET
+ S',� FEET FORCEMAIN X 1,9y FT /100 FT. FRICTION FACTOR . ,( 7 FEET
TOTAL DYNAMIC HEAD - 7 FEET
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER
LIQUID DEPTH
s '
r
POWT'S OWNER'S MANUAL & MANAGEMENT PLAN F e°° -
MA T Tardc Mwwfaaturor .�S ' C rn�a
CWfW p pose p HOWhV vol i0on 9011
Tw* tAwwfactierer �3 9 `'cS e [] NA
PAMMEE - fM O p Septic t�Cpoee 13 HOWM vol- OC-3 Oat
t' a y\ C C7 ❑ NA
iumbW of SO&O E3 NA Eff� � M.r,��
4umbW Of Public FOAW Units BRIuant FBW Mode+ T - C
sti noted (Average) flow �O O' NA
lyacturer,k o 1
(pow flow - )Estimated x 1 -s)
t 3E L Ufa
Standard tn&mWEf�t Qu aft MorrWY ❑ SW D Peat F ilter
Fats. CO & Greasa (FOG) 530 a*A (3 w Ma Aeration O Wederd
Biochemical pxy8w DSMWW ids) 5220 MI p >`1A a D'WW**1on 0 Oder:
7otaf Susparlded Swlids rfm $avere� rt=. w
O NA
Pretreated Effluent t�uagtY t30D f.30 Win- NA und !gravity)
Total Sum Solid: {TSS) 530 s1 ade rT]G'ui'ound
CoMorm to mean) 51 w cW 10tm l : O Other.
Fecal Maadrnurn Ef O NA O NA
fiueM Parbde �e Y• in �. D NA d NA 11
and asPt►c tonic effluerrt.
+Values tYPlical for dOinosft
1tANCE S� Service O NA
Sarreiae EVWK trtot+t I S 3; yeaml
inspect condign of tw*ts) At Meant Once every: 17 — of tank volume
When � sludge and Omm O*A% one -ttdrd tY�l O NA
Pv out contents of tankts) When ds ft� w ater dorm in ac
❑ motrttt {a} � 3 years) O NA
At tel at once every: p
I Tsai oils} At moct�ts) DNA
At Meant Once every` r ❑ NA
Clean efNuw+t fitter
contrats � alarm At Meant once avert: ❑ NA
Impact pump, 2— year(s) At )seat once every: p (5) !7 NA
Rush laterals and test t]
At bast once OVWT ❑ NA
�s of the followbg ik:e� or certifications:
MAWYENIN o il s shsp be made by an indivcdual Sep>�e Sorvick O tpumPerl•
{nspeations of tanks and daps � Sewer. POWTS Povv�� or broken hardware. identifY an y cracks or
Master Plumber. Master Plumber of the tankts) to identify srri
Tank ink mutt'mk da a viscid sccxn a r for any t or of �k for Wound
any
leaks, measure the volume of s�rnblt>md to ground surf
the effluent levels in the obeec va
surface. The disperdispersal ..M shall be of effluent on the ace may indicade b f cones+ and yourld surface
recur" e fftuent an the I
notification of file tacd a�Ody' treatment tank equals one -third IV or mans of the tank +►alma
When the � accumuletion of sludge and scum 5 � ng Op and d of in accordance with ctsaPSe* mR
SW be removed try a Sept
entire con of the tank machanical or pressurized components. pretreatmerti
Wisconsin Admit a Coda. to the s erAcirq of effluent fitters.
AD other service$• o�ed month. shall 6e per formed by a pOWTS Maintasrwc'-
units, and any serviran9 within 10 days of of any service event.
A service report shah be Pn t
to the local mW"U 'y'utho tY GMW 12101
Oct 27 04 02:08p CALVIN POWERS 715 - 246-5135 p.4
START UP AND OPERATION I w
For new construction, prior to use of the POWTS check treatment tank(sl for the presence of Paintin Page
chemicals that may impede the treatment process and /or damage the soil dispersal cell(s). tt high c ovares detected
they
ha ve the contents of the tank(s) removed by a septage servicing operator prior to use,
ncentratiens cted
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During extended power outages Pump tanks may fill above normal highwater levels.
sparse( cell {sl
wastewater will be discharged to the di Power is restored the excess
discharge of effluent. the effluent PAP i When n one large dose and may overload them resulting in the backup Or surface
to restoring power to t avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior
controls to restore norms( la or contact a Plumber or POWTS Maintainer to assist in manually operating the punt
vets within the pump tank_ p
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
POWTS: antibiotics; baby wipes; cigarette butts; condoms; performance dia prolong the life ; th
�
foundation drain (sump pump) discharge; fruit and t'on swabs; degreasers; dental floss; diapers; disinfectants; fat;
painting products; pesticides; sanity na vegetable peelings gasoline; grease; herbicides; mast scraps; medications; oil;
ry Akins; tampons; and water -softener brine.
ASANOONMENT
When the POWTS fails and/or is permanerrt(y taken out of service the following steps shall be taken to insure that the system is
PmPedy and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Cade:
• 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 property 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. th
CONTINGENCY PLA
if the POWTS fails and cannot be repaired the following measures
replacement system: have bean, or must be taken, to provide a code compliant
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 by
required setbacks from existing and Proposed structure, lot 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.
e has not been evaluated to identi suitable
ust be to Iocate suitab allure of the POWTS a sail and site
may be install %" a last res acetnent area. If no replacemen a is avaa a tank
ace 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 affect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AN N. NOT
ENTER A SEP7TC, PUUp OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. D /OR INSUFFICIENT OXYGE DO
RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY 13E DIFFICULT OR IMPOSSIBLE.
ADDMONAL COMMENTS
POWTS INSTALLER
Name POWTS MAINTAINER
t
E Name Phone
3EPTAGE SERVICING OPERATOR (PUMPER)
Name LOCAL REGULATORY AUTf /ORrry
L m ne e � Phone — ' X 71 S'
his document was drafted Dy the staffs of the Green Lake, M+uOUette and Wantth:ra County Zoning end S
hapter Comm 83 . 2 212)(b)(t)(d) &(f) and 133.54(7). (21 & (3), Wisconsin Administrative Code. aratation agencies in compliance with
1
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SEPTIC TANIt MAMMUNCE AGREEMENT
AND
• OWNERSHIP CERTIFICATION FORM
Owne r/Buyer e
_-
�k
Mailing Address P d 60 /S Mf_VN, kC z , ti
PWpe; Address
1. Ncification required Eirom Planni DepwUmm for new construction)
n / / w�
City/State f v C�/ c` c ''t��^- Parcel I�entifiration
�GU�� Maln�
1�EC.AL DE CRIP'I'iON �
17& ,4r
Property Location S4- Y., St y., Sec. I A W, Town of s/a
Subdivision
N
&�Ww Survey map # vohnne
_ Page #
Warrant* Deed # - 222 L S Volnne _ 7 pale #
Spec house 0 yes Lot lines k1wtifabk yes 13 no
alzm toper nss: and msintasmxof yom mptir =*Ad n=dt is its prenaame f Dow to ban&-. wras6es. eoaace
�m =@bet the faoetmn of ft itn�ded by a liceased pmt V/h" you put imo ma systam
septic boric as a veatm m stagy is &D wLuc fimpmai eu m.
mm preparty owum agora to :abmi; to sc C:tuz Zoais� Dec a c tim f lm% b ft ovmw and by a
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ed have read Cite abom ragitmm=b aad mgm;o the pariratc savage jai vsftm with d sdodu6
b` the y ft Dgmmm of I�bmtai Sisie of
must be �iFseoos�. Cart�eation .
• date. OOp and srtvraed m the Sti Gait Conuty ?.aaitg l�8ca ! � 30
y
Q' OF
vein L DATE
E
tiaet aiE an this farm arc true to file beat of my (as) I (we) an (am) &a ow um(s) of
absws; b7 rirtoe of a
_ w==my deed accorded m Register of Daxk Oike.
DATE
+�t«. Any i o fb rmmat�m th it mis-
mY =uh is the anday perrnit bring revoked by t8e Dcparomem sasa.s
• Indude with this appU=rdon: a sumped deod fi+aaa
�auty she Rs&er of Deeds offnae
a Copy of die caffied storey map if afimm is mask is she .my load
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VOL 19 PAGE 4903
iCATFTCEER H. w
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
01/03/2@@5 11:45AN
CER - nFiED SURVEY MAP CERTIFIED SURVEY MAP
Located in part of the Southeast Quarter of the Southeast Quarter of Section 9, REC FEE: 13.00
Township 31 North, Range 18 West, Town of Star Prairie. St. Croix County. Wisconsin. COPY FEE: 3.00
PAGES: 2
A special exception use permit is required for the disturbance of slopes 20% or
greater not identified on the approved plot or CSM. This permit is applied for
through the zoning office and is reviewed through a public hearing process by
the St. Croix County Board of Adjustment.
NOTE: The parcels shown on this map are subject to State. County and
Township 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.
:00 0 100
I GRAPHIC SCALE
_v SCALE IN FEET: 1 inch 100 feet
VOLUME_ 1536_ PAGE 10
s
I R Nw9'55:33 E 447.22' � m
N89 57'49 E 447.35 $ m
�. NO TH °oo
w A
tC tN C
Z
p - Z
O m
c LOT 1 °
TOTAL AREAy �O
LOT 1 q ZE 201.258 SO. FT. # rn
C.S.M. c a , # 4.62 ACRES
V.15 PG_4159
- w AREA EXCLUDING R/W
^; -$ 186,461 SO. FT. A
4.28 ACRES
N ........ ....................� ...........
1
ON&C Ar i
_ S89'58 447.08' _
S89 8'04 "W
w 97H A �E ! 1 i � � S89 .0
1312.48' Sg9"58 04 W 447.06 865.37'
_ - 589'58'0 "W 262 4.91' -_
SW7H 1/4 C1G1�FMR SOWN LOW Or E S7< 1/4 S0u7H£AST CQ4NER
E -% 1 C7)DV 9 -31 -18 apyl�q SFCVON 9 -31 -18
(FOUAV 1" A9aV PA-r)� i (FOI NV AL&W.. CO. efOM)
LOT 3
. �,.
:'JESSE B 1 *0 *" V_16P_G.
SUZAN
i S -2635
= NEW RICHMOND
WISCONSIN
JOB # VA057SU178 „
Prepared by. LEGEND
0,1 I
Inc Section Comer Monument
of Record
Phone No. (715) 246 -4319 Prepared for and at the request of:
Fax No. (715) 245 -3830 Denny LeQue 0 Found 1 -1/4” O.D. Iron Pipe
P.O. Box 715 P. O. Box 61 R =XXX' Recorded Data
325 New Richmond, WI 54017 Somerset, W! 54025
Sheet 1 of 2 Drafted by. Jesse 9. Suzan Building Setback Line
(100' from Right of Way)
Vol 19 Page 4903
U. 2676P 522 77 - 7'135 �.
STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIK CO., WI
This Deed, made between Norman E. Mante and Joyce L. Mante, RECEIVED FOR RECORD
husband and wife Grantor, and Dennis 10115/2004 10 :30AN
J. LeOue
Grantee. WARRANTY DEED
Grantor, for a valuable consideration, conveys and warrants to EXEMPT #
Grantee the following described real estate in St. Croix County, State of REC FEE: 13.00
Wisconsin (if more space is needed, please attach addendum): TRANS FEE: 165.00
COPY FEE:
CC FEE:
See attached Exhibit A PAGES: 2
r e
r D Recording Area
CM KRISTINA OGI—All ' 0
Name and Return Address
r/J
n 038- 1040 -70 -000
Parcel Identification Number (PIN)
�a This is not homestead property
(is) (is not)
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this day of October , 2004
* * Norlian E. Mante
* * Joy to
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Norman E. Mante and Joyce L. Mante, husband STATE OF )
and wife ) ss..
County )
authenticated this day of October 2004
... ... ---- -------- - ----------
_..- -
Personally came before me this day of
the above named
* Kristin Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not, to me known to be the person(s) who executed the foregoing
authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristin Ogland
Hudson, WI 54016 Notary Public, State of
My Commission is permanent. (If not, state expiration date:
(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. information Professionals Co., Fond du Lac, w1
STATE BAR OF WISCONSIN 800- 655 -2021
WARRANTY DEED FORM No. 2 -1999
• U 2676 P 523
EXHIBIT " A "
- er� cc� ��06�7.�- 3 S 3 8�f�
ction 9• thence N00 °15'44"W along SE / +SE / +Sec. � T31N -R�IiW �xc� �� inning ztth SE corn g the
East line of t e said S#cWh 9 316.38 feet to the North line of the SE' /. of SE %; thence S89 °51'52 "W
along said North line, 1311.52 feet to the West line of said SE7Aof SEEM, ence S00 °13'1 "E along said West
line, 864.97 feet; thence N89 "55'33 "E 447.22 feet; thence S00 °13'12 "E 450.00 feet to the South line of said
SE' /:, thence N89 °55'33 "E along said South line, 865.28 feet to the point of beginning.
St. Croix County, Wisconsin.
i
' v�t(.15 10
STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH
WARRANTY DEED RE GISTER OF DEEDS
Document Number
This Deed, made between Norman E. Monte and Joyce L. _
RECEIVED FOR RECORD
Mante, husband and wife, 08 -21 - 9:30 Ah
WIRRAHTY DEED
-- EXEMPT 11
Grantor, and Pamela M. Magsda and Ethel M. Kasten — _ CERT COPY FEEL
as Joint tena nts COPY FEE:
—. TRANSFER FEE: 795.00
— - -- _ — _
PAGES DIH6 FEE% 22.00
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix _ County,
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
(See Attached Exhibit "A ") /� /1�/ M.EnNumber(PIN) Address
CPA
6'
This is homestead property.
V (is)JQb()
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this r j dM day of August 2000
+ Norman E. Mante
+ Joyc a —
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN )
Signature(s) Norm E. Mante and Jo. cy a L. Monte, husband ) ss.
and wife, County )
�
authenticated this19day of August 2000 — Personally came before me this _ _ day of
the above named
+ Kristina Ogland -- — — --
TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the persons) who executed the foregoing
(If not, —. instrument and acknowledged the same.
authorized by § 706.06, Wis. Stars.)
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristina O land Notary Public, State of Wisconsin
Hudson, 1 5401 My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) '
Iriormotbn ProtessioMls company, Fort W Lac, W1 • Names of persons signing in any capacity must be typed or printed below their signature. e0o.a5e -2021
STATE BAR OF WISCONSIN
WARRANTY DEED FORM No. 2 - 1999
I
S
~ voi.1536PAoE
EXHIBIT "A"
A parcel of land located in part of the SE V. of SE V, of Section 9, Township 31 North, Range 18
West, Town of Star Prairie, St. Croix County, Wisconsin described as follows: Beginning at the
mer of Section 9; thence °15'44'W along the East line of the SE Y. sa+ a an ,
1316.36 feet a orth line of the SE *Y, of SE 'K, thence S89 0 51'52W along said North line,
1311.52 feet to the' West line of said SE V, of SE %; thence S00 along said West line,
864.97 feet; thence N89 447.22 feet; thence S00 3 450.00 feet to the South line of
said SE W. thence NWS&33 "E along said South line, 865.28 feet to the point of beginning.
K PRAIRIE �/^ �� _ 8 - 1 E T.31N. - R.18W.
Mr. 9, ca•a. NN 56301 Polk ounty
Vernon a Lehman Randall dr Douglas 3 " ° R to "'s Add Ve ' ` wnr 65 0
N
M
Ruby 80 k Judith Mary DG sm Tr 8 1 j h
Teske Carl8on Demulling 261 1 .9 2 ` ueh - nn I
82.32 7957 7. 59
201 TS J oan 1 1
Is 124 Russell Aikn lavaun Allen Wright SmT K.a� u B ! 'O STAR
Strohbefnt)t/ Rodney ca relstaa e „J "i Robert Roberto a "`DR Ra` " PRAIRI
F((i//
H Rivard 4 0 156.61 128 c�„so 80 ta13 v � 7 0.5 M e Vincent 80 T• g I
s & Doreen rr n •" a S
la, tss � � 70.$ LE etal a 3 a
3 s.aa6e 4o d Wilson a
h Steven Th N
j D 20 �9 Reds untingt We
o etad
ohn 3.61 Bl. c k 1, Susan k I , .
'RQ & Alva k Y j a a K'� p N Mee s Robert y Rachel Bruce Alfred ,� i ' sm r. 375 H
Nelson Patricia k Gary k & Alice RH
Hein tz anstan
Earl k . Tr 1n „ o Norman cook 8 .77 May La rso �•' w
239.25 T9 61 � °w`w� Z..ke .� � ' 411SOn 9 9 3 � ��
Mae 19. DkL 20 5 54.91 Mk J&R Ethel ��� villas Wayne k
J a i Norman Fern Marron 20 aniel Wean Merrill Joel Keane Sur Clifford Pattie
Rac etc 20 w.s.. 1 Aniu 4i & o Ce Merin' G Ahlness LEeW Pea k 2raide star r7 .
uaa 15b c3udana K e i th d � (� J Y 40 Gary 40 e
40 80 39.44 40 ul 4o
ltrid TW 30 Mane J Alfred 97.74 Bruce Melvin
k 2
7
sr b.a.
13- Vogel ST s2s '5 t Duan6 k 117 �� lgweo
l4tund.f V°8e1 4624 75 R K•ehryn 39.37 t Alice ep 73.9 Emerson `
W 4 23 I] ck" Rtl (] 160 Measrer 1kD 3 lsrwn Q+y 2D VoBarct
Marie Knutson 3657 Hal 40 c w- 40 I.kB Edin 55.36 3 p
WkW T a Nelst r..y.. 3. A� Willard k Patricia 5L N
Keith yl b.`"d 1 13 Richard a Gary rkr.. s M Sandor k Jarlet
1tA Norman �' Suwn Nemeth a.9 loon a Anderson CrISdhOMe
25.99 29.16 Hansen 416 � J oyce G � n 4 J � 76.99 r 77.49 115.91 Farm
Eric Wolf 40 Monte ' Scott 80 Richard Harlan Ernest & George k Marian Inc
i Brian Pena .99 Keith Vogel J D 1� m �' 35 car 40 Count r sto ut Vehrs Duel 78 2 Birkh°Iz 156.84
l
Monies 13rd 20 RK Bernard carol Thomas C Walter 6r Armin ilh
We" Sm Tr X09 s 10 t s- Rob k l as CC 139.94 Thomas
Du Rees 10 * Patric, .ma Otteson Kraemer
w Joseph k Price Mart kau t �l k joy. 76.85 120 40
133.02 0 Doris Rivard 70 TtR 20 AS 20 R W = David Terry - 1093! 79.74 r..... Ab« Daniel k Betty 4) l�
Soden 4ldaon a . Caeey Ptah tC V'1
Neumann 6lrM RkL RM L COO ?3 4b 4 EkE .73
40 100 Du 20 W 9 9.9 3 44 2 3 Tr Mk o C m s Korb,'
Rrvard kG ,o y „ Adeline ' 9p R ha es? f 38.78 T Be chael N � xa CC E ersotr� $ �Ga V] L4
40 e..e outier Tr 77 a1w i -� k �' Yd "" 3 r a y,` 127.15 39.86 Mary
Loft. 4oa7 Darre l.� s 3 u Donald r awk. 1 Moe+ s 9 Steven k Cristy bD V1
Rivard v cilia Folle Timothy & Julie 4 k Ruth r.,- 78.69 a "` " Widu!nhaueer p Z
40 Y 1 78.07 main 2 k c Asplund w' Rosen 80 - _ Ol son 8056 a K: L a•• L-
Idnrm A i
1
amen Joyce Gerald P rtlld Bonestroo, 1144 Ralpht Jerdany Phillip David 101.76 Bernd Jr Robert
k Mark a DSuenm & RailsbadcII sks 5 623 kMamie CLnk Rosette, Klemesrud So Cloutier 79 r Anderlik 103.82 M a m 14 Mondor 77.78 1a49 A1111a 1l
' ` voter aooar .
Lamoyre vorsat Men n� 6 Assoc a mph 1 'aa Robert, F
k Eva Hal gr ritz Curtin + all Ronald 5255 asa9
",r� `' k: Mary EN k Violet Asplund 80 Tr '" Wohkr6 4 62.5
FamTr 8o x91 160 F *Y Mondor Bo 52 Tow Ga h 3
re u Gerald & Marcella nj - smrr Genevieve `n� t CY
Inc * * * 13 s Tr K Thomas Francois , ° 66.63
185.59 w wer i 200.66 Barbara Burow 100 Daniel
667 r smr r soar Traae6tlW 01 . 212.91 L 21 e +
Puirie or n r, A ere 4217 A Casey
Ud A Set}
!'gyp i o k vwtr y „ K 10 Robert As itybf 40 aniel .w
K76 37a 34 S y,; ser 78.4 Rid,..W 200 120 4400 Larson VAQ
C°1S _ t
K a ren Gunton KM R a ti 295 rtkr Victor 103.48 K R Jkja ohs 80 St Croix k Janet Burke CC
38 e,«PPar Rt M aw Myers III u39 40 County 79
_ a 64 S
McBeet CKU Joni eounur
C 4021 a a� 269.04 mph Sherman am o k • Ruth St ty 120 NEYY'
7 & Jean 40 Vohs
fifth, Rlrssell 1vlDndo Boucher GMan 80 iaHMOnt '
J been Mandrick 1$6.94 nab rr c Newby Newby
4225 A 120 40 40 40 K
iJndaleu 2 L ` '°e ms ' NeWhm ° LO 10 st o.9 c 11.E Gunn 3e.63 Ltd
je- v 8 ' 2454 Mill w rrrA6 Friday 64
78 r„ Canning G n is 1
`Op0 u9 1 Robert & 3i 1 c,�;b 4 ` Cody SK � Corp 0 err
Inr carol Dui, S ss 9 9
a 1 153 r r
C 9 Tr 92.44 118.72 st D&W .Tl u 212.69 K pppp
'� 2 10 ,.k run SnT K 90
ge 58 y 0 1000 1200 1300 400 800
See Pa a 46
'hylll a George e r tac nsurarics ency kAgenc
265 -707'9 269- 8 ` '4' 265 - 4614`x` '" 6434311 �4
R PRAIRIE PLAT T -31 -
wners) FOLK CO. See Pate 112 For AdditknW
900 POLK/ST CROIX RD 1000 1100 CARDINAL DR 1200 1300
tr 1 400
$� ^ co W
CEDAR 'a ft M ,, da" do o D o a. h CEDAR • �,,,,a STAR
em.. LAKE ewe PRAIRIE
N �'
261 $ 2 CEDAR oN DR 2
200 a DR g n 1
Rodney y " • «1
d N 1. 4 5
River 128 ' AV $ " E Ns' Vincent St 3 ° 7 tl . , Z
95tH � 4q _ j1h 1 I Do Pen M
W 80 �
40 11 a N
0 i^ Z as a d1 \ SN 9'�
lobaa see a Susan 20 TO _...1
R $ U) w Lt )Z R 60 Meeds9 a .' � W -g 3 tr H
Aw •
' a N oim7tr �' Lason 10 a`
240 DL 8 A ""0 N 80 8§ It io Ji l 121
FeaMler
8tD1S D &J KE •eeme as 20 rem lea m OLD ,yj`ce e RRUM
JS v � u Meo- a— RD Daniel l a � &)m
AC u r a oy.r.� ° w E? 15 ac m Her 4 w Ahlness 40 u) e D 40
s s+ d q Estat o Gary (0 D F
hold ra l m �,�. 1 O w v, C 24 20 p� Bruce a Kim tr
' ' �"° a �� i &C a D u g 40 0 3 & tr Eft 3 . "A
6 3 z _ 37 RF7 tr Z •-, 3 117 40LC40 4 ss
11 AVE t s ° ether °" ' a 3 nor 8c ji: �� + Patricia
I&A Hansen G• • m Imrba CC M n 14 N ] gg Anderson Ctisdhome
tt 120 Norman $ �, Nemetlt 77 9 LE 82 Farm qAt
*M
Us - 5 » W 40 n s Manntee 4+ 8 3 Scott lc a Harlan C Inc 65
an YAM tr 109 m $ $ Counter Stout 23 Vehrs
eem
Vold 40 a r'�x RV 13 80 ' ��cQ` i iS8
-&j m h. D") n Robert a is Q o 1 WallrIeh w�aoe
to L eyaer -a " 1 a bear
&s za AVE w Brenda D " e o tarwn ' 40 a
oden Leo & Rivar42 Cete6o n0 l J a mn o : Cook t S T
40 7 100 Epp zo'w u RM ice 15 rr 60 13 y � I 80 135
R Alice Nef 3 Bruce 210th VE
tr a: A e l r R e ^ o ) = WORD. = 17 alma6e Emerson
y 8 ' Awe � G•a•
55 er.aa u ' n 38 t 39 Mary way 40 'at w ? a l&boma• M
r Darrell & FD Cn Patricia Zones 9 Steven &
" `;�` Cynthia TF ; tc s C 2
d T 37 80 E zo C
_ 127 ; AN 60
Gtaur W
Folle 74 - •
c
+� a a so Gerald r�ebda ° a a L 20 2 1 A David a zs 1 33
rod 0 Cloutier s tU s Reame/ n &� z Moo4or 78 D 1s iRailsback st is 140 �&
AnderW VoBeert
fG DC 9 Bonestroo JHem- Robert. e
, :7 4 n t• &&violet r 102 r tr 40 tr
_ sc s 8
WD 1sb _ _ _ 75 14 kPhmd 80`
'ba I d F ra " Stun I 2001h AVE Ga ry Bo ie 42 L
DH ere tether & Bo nn ie tlaD
caL• r ti BBackes r M 1" Wi a Dana • 7
hau8el 4 M L Trust / U) Ramona D D Francois
Hill
is Moulton a t 220 "°' Dl 160 1 195th AVE 217 21 97
tt
rn 56 9 AK �e a tr
y Maud �° f p B y . .Q" 8 to �� Danie
a Haa'is .e $ a 3 9 r o� tr so � a 40
tr
2 t ° tr 192nd AVE s St Croix
CF t ton 3 r m Victor ; tit County Farm Houle
X38 DD & A & L zz w y Myers II1 103 11 W �_� • N F 40 _ _80_ 1 _ 120 _ 72 z
'" Cedl & Robert _ — soda J � {x r y Z
R �'Cloo G roep - $ ,°„ _. Carolyn ' c Co Health ; Of St! IX
ton 40 per 40 ~ / c 40 Cn 40 l L. F- Center 120
1~ M ertuan ,
ean cet Z n KK 4 I
ArchM 50 ° o club the Newby l J
r Bouch 58 40 �+ 40 120
W tr 1 Russell P�' g t6 c& L S a J 2s De b a 2' L r Mlt 13 1 1885� caude ra t*
75 Flandrick p` Ne�am Michael & 11 RC3 Processed
�tr 90 tivae 2 M>&& Foods EW
((ddcc Has
. m Kathie Kathleen to i2 FridayNr
/ w tr GD 10 buisC �s era Cellottl C y 117 t c tt K 24 M
1 'w 58 29 59 tr (� : 37 z 176 K
Parcel #: 038 - 1040 -80 -000 11/04/2004 08:12 AM
PAGE 1 OF 1
Alt. Parcel M 9.31.18.176B 038 - TOWN OF STAR PRAIRIE
Current ❑X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
I -
Tax Address: Owner(s): - Current Owner
* MAGADANCE, PAMELA M
PAMELA M MAGADANCE KASTEN ETHEL M
KASTEN ETHEL M
2208 CTY RD CC
NEW RICHMOND WI 54017
=
Districts: SC - School SP - Special Property Address(es): Primary
Type Dist # Description * 2208 CTY RD CC
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 35.380 lat: N/A -NOT AVAILABLE
SEC 9 T31 R1 8W SE SE DESC AS BEG SE C Block/Condo Bldg:
SEC 9;TH N 00 DEG W 1316.38 ;TH S 89 DEG
W 1311.52 ;TH S 00 DEG E 864.97';TH N 89 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
DEG E 447.22 FT;TH S 00 DEG E 450';TH N 09-31N-18W SE SE
89 DEG E 865.28' POB
Notes: Parcel History:
Date Doc # Vol /Page Type
08/21/2000 628478 1536/10 WD
2004 SUMMARY Bill M Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.380 38,900 124,000 162,900 NO
AGRICULTURAL G4 32.000 3,800 0 3,800 NO
Totals for 2004:
General Property 35.380 42,700 124,000 166,700
Woodland 0.000 0 0
Totals for 2003:
General Property 35.380 22,900 99,700 122,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #: 130
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 038 -1040- 000 11/04/2004 07:44 AM
PAGE 1 OF 1
Alt. Parcel M 9.31.18.176A 038 - TOWN OF STAR PRAIRIE
Current OX ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): " = Current Owner
NORMAN E &JOYCE MANTE MANTE, NORMAN E & JOYCE
1041 220TH AVE
NEW RICHMOND WI 54017
Districts: SC = School SP = Special P ' = Primary
Type Dist # Description " 2208 CTY RD CC /
SC 5432 SCH D OF SOMERSET (O�t - ' 7
SP 1700 WITC
Legal Description: Acres: 4.620 *at: N/A -NOT AVAILABLE
SEC 9 T31 N R1 8W SE SE EXC AS DESC Block/Condo Bldg:
1
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
09-31N-18W SE SE
Notes: Parcel History:
Date Doc # Vol /Page Type
08/21 /2000 628478 1536/10 WD
2004 SUMMARY Bill M Fair Market Value: Assessed with:
9,400
Valuations Last Changed: 10/18/2004
Description Class Acres Land Improve Total State Reason
PRODUCTIVE FORST LANC G6 4.620 23,100 0 23,100 NO
Totals for 2004:
General Property 4.620 23,100 0 23,100
Woodland 0.000 0 0
Totals for 2003:
General Property 4.620 6,500 0 6,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #: 130
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 058- 1040 -50 -150 11/04/2004 08:35 AM
PAGE 1 OF 1
Alt. Parcel M 9.31.18.175A -10 038 - TOWN OF STAR PRAIRIE
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): = Current Owner
* MANTE, NORMAN E & JOYCE
NORMAN E & JOYCE MANTE
2208 CTY RD CC
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 35.000 lat: N/A -NOT AVAILABLE
SEC 9 T31 N R12W -SW SP C PT TO CSM lock/Condo Bldg:
15/4159 EXC PT TO CSM 16/43 or
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
09-31N-18W SW SE
Notes: Parcel History:
Date Doc # Vol /Page Type
2004 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: _ Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 11.000 500 0 500 NO
PRODUCTIVE FORST LANC G6 24.000 120,000 0 120,000 NO
Totals for 2004:
General Property 35.000 120,500 0 120,500
Woodland 0.000 0 0
Totals for 2003:
General Property 35.000 34,000 0 34,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
j User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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See Page 112 For Additional
(Landowners)
POLK Co.
1100 CARDINAL DR 1200 1300 1400
B00 900 POLK/ST CROIX RD 1000 u
as �' as Randal, Doaglas - c DAR a
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S .213 ~ ' PRAIRIE
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i s ws AVE Hansen Norman `°` $ 77 y� LE 82 Farm
1< Ac > rl' c 120 8 s+. Inc g
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1A9VOEth sears x Ce & Gram N 1 ' r •$ Cc Health r
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120
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Rivard f Lindalou ' u 1 ltusseR A ra cai S1Nam ouo s " 13 1 PrOCged E ss� J
136 Jensen p r WX
75 F1andrlck 90 �� lea Mast& K1itchhlaeen R u Foods w EW 1'r
GD & C srs v� Cody u , c.owK n K 4 7t
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140 'w tr Dn1s 5 8 's xv s9 tr = 180th AVE
RALEIGH RD WINDING TRAIL RD RICHMOND PAGE 48
SOMERSET'S' PAGE 62
,,..2..,, FARMINGTON MUTUAL INSURANCE CO
ola Sco
COUNTRYSIDE VETERINARY CLINIC, S.C.
DR. JOHN SWINGLE, DVM DR. LORI VON RUDEN, DVM
DR. BRIAN KELLER, DVM DR. KRISHAWN KAIBEL, DVM
DR. MEREDITH SMITH, DVM
full Service Veterinary Gfnk * 14 Hour Emergency Service
Professional Pet GroorniW * Boardy
715. 246 -5606 1231 N. KNOW ES AVF.
715. 248 -7041 NEW Rl wo%iD, WtscONW 54017
Fax 715 - 246 -9256 E -Mak cvcIrkeVessenter.com
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Located in par CERTIFIED SURVEY MAP the Southeast Quarter of the Southeast Quarter of Section 9, I I
Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin.
A special exception use permit is required for the disturbance of slopes 20% or
greater not identified on the approved plot or CSM. This permit is applied for
through the zoning office and is reviewed through a public hearing process by
the St. Croix County Board of Adjustment.
NOTE: The parcels shown on this map are subject to State, County and
Township 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.
00
100 o too z
�mZ
i GRAPHIC SCALE �� N
''♦ SCALE IN FEET. 1 inch = 100 feet __ m
Pn — — — — — — —
VOLUME_ 1536_ PAGE 10 a M m
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LOT 1 p TOTAL AREA c� L
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rn 4.62 ACRES �` 1
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V.15 PG_4159 $ r a' F
AREA EXCLUDING R/W
ii 186,461 SO. FT.
r1' 4.28 ACRES
CERTIFIED SURVEY MAP
Located in part of the Southeast Quarter of the Southeast Quarter of Section 9,
Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin.
SURVEYOR'S CERTIFICATE:
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CEIVED
VVisconsin Department of Commemk IL ALUATION REPORT Page( of 3
Division of Safety and Buildings
irj aFco(Q F4 yyAll}Gomm Wis. Adm. Code
County <'
Attach complete site plan on pa nwazi �3 � E size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and P 1,
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Reviewed Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.14 (1) (m)). G � d
Property Owryyr Property Location J
/ Govt. Lokf 1 /4� 1 /4 S / N R E
I 4z2 1-7gl, ( )
/�
Property Owner's Maili ng Address Lot # Block # I Subd. Name CSM#
SAr/
City to , Zip Code Phone Number City ❑ Village own earest
i" ffNew Construction Us Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement blic or commercial - Describe: __—
Parent material Flood Plain elevation if applicable
General comments i (�o ;j S k4
and recommendations ,�9'l.� ml7-, �Q 2 SAr/ � S�
lJ /
Sr "z� o� 2'L a ll-
Boring # 0 Boring /,
Pit Ground surface ele �— ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
2 S
Boring �f
M � # ,k Pit Ground surface elev` J " ft. Depth to limiting factor - in.
Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
< G 2
J 2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 / ' ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Sig CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Eval ation Copducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 ' 715- 246 -4516
I `
Property Owner _ Parcel ID # Page of
Boring # '
FS]
Boring S
Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
F-1 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 GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
F-1 Boring # E] 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 GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 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.
SB68330 (R.6100)
Soil Test Plot PI
Pr6ject Name Carol Belisle Bird
Address 1131 212th Ave
New Richmond Wi 54017 (/ CSTM #226900
Lot 1 Subdivision - - --- -- Date 1/14/04
SW 1/4 SE 1/4S 9 T 31 N /R18 W Township Star Prairie
M Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post
System Elevation 98.5 *HRPSame as Benchmark
Alt. BM Top of Steel Fence Post @a 99.7'
212' Property Line
Scale is 1" = 40'
unless otherwise
noted
99' 97'
95'
# >N 5'
a�
B -2
N ll%
" lope
30'
-3
50' o
20'
Alt
220th Ave 101 60'
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