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Maiden Rock, WI 1. 800.325 -8456
Portage, WI 1. 800 - 362 -7220
MIESEl ooeIRETESpoo ner, WI 1- 800. 336.3416
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` Safety and Buil
F dings n
ff 201 W. Washington Ave., P.O. Bo �
c an miit Number
�►seonsin Madiso o 8) 26 - GD ( to be filled in by Co.)
Department of Commerce
Sanitary Permit Applica nAPR 0 7 2006 S Plan I.D. Number
In accord with Comm 83.21, Wis. Adm. Code, personal inform lion you provide
maybe used for secondary purposes Privacy Law, s15. (IX
Sf. CROIX COUNTY jest Address (if different than mailing address)
I. Application Information Please Print All Information
Property Owner's Name Parcel # Lot # Block #
Property Owner's Mailing Address Property Location
C. Zip Code 7 Phone Number
�,y Section
circle one)
II. y of building (check all that apply) T N; RE- W
1 or 2 Family Dwelling - Number of Bedrooms ame CSM Number
❑ Public /Commercial - Describe Use / 7 —
❑ State Owned - Describe Use ❑City llage own�ltip of
III. Type of Permit: (Check only one box on line A. Complete. line B if applicable)
A. ❑ New System yste ❑Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System
B• ❑ Permit Renewal Permit Revision ❑ Change of ❑ Permit Transfer to New Iast Previous Permit Number and Date Issued
Before Expiration Plumber Owner
I V. T �of POWTS System: Check all that a /
Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)
V. Disp ersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
J _ .
V1. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units Concrete Constructed Glass
New Existing
Tanks Tanks
Septic or Holding Tank
m c
Aerobic Treaunent Unit
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, asome responsibility for installation of the POWTS shown on the attached plans.
Plumb r' ame nt) Plumber's i MP/MPRS Number Business Phone Number
Plumber's Address (Street, City, State, Zip Code
; w - 6° A
VIII. Coun /Department Use On
Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
11 Approved ❑ Disapproved
Surcharge Fee)
❑ Owner Given Reason for Denial
)X. Conditions of Approval/Reasons for Disapproval
Attach complete plans (to the County only),for the system on paper not less than SM2 x 11 inches in size
SBD -6398 (R. 01/03)
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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No:
A • INSPECTION REPORT 395204
GENERAL INFORMATION (ATTACH TO PERMIT) State Pl 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:
Lindquist, Scott Star Prairie Townshi 038 - 1091 -70 -005
CST BM Elev: Insp. BM Elev: IBM Description: 3 (� 3 7 7 C-?-D
t (� j ' r ,
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY- STATION BS HI FS
Septic Benchmark u $ 3 a
Dosing Alt. BM 1 2 , Io6.
Aeration Bldg. Sewer l a a ) %
Holding St/Ht Inlet 0
9 • (} t
TANK SETBACK INFORMATION St/Ht Outlet U
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt inlet
Septic Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe 3 (
Holding rot. System 2.3
I� ��•sf
� S;tap
PUMP /SIPHON INFORMATION Final Grade 7 ?. /
Manufacturer Demand St Cover
GPM
Model Num r
TDH Lift ri oss System Head DH Ft
Forcemain Length Dia. e
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length INo. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO G P/ /L V` BLDG WELL LAKE/STREAM LEACHING Manufa r:
CHAMBER OR
INFORMATION S
Type Of System: ' Ii i � UNIT Model Number:
�.0
DISTRIBUTION SYSTEM tj" t5e`
Header /Manifold Distribution x Hole Size
Dia x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia Length 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
Bed/Trench Center Bed/Trench Edges Topsoil LEI Yes [] No ❑ Yes [] No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:�_/ 3o O Inspection #2: ! — T'
Location: 1144 County Road C New Richmond, WI 54017 (NE 114 NW 1/4 22 T31N R1 NA Lot 6 Parcel No: 22.31.18.377C20
1.) Alt BM Description = 5 4zv 04 (A�)
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? Yes ❑ No
Use other side for additional ormation. A
NJ� pis+ Date p , 1 epctor's Sign t Cert. o
SBD 6710 (R.3/97) 1 ^- -ft S- �w� f S S
Safety and "dings Division County
® � 201 W. Washington Ave., P.OiBox 71
lS /*0��� Madison, WI 53707 - 7162 Site Address
Department of Commerce
Permit Applicati s py Permit Numbe
Sanitary 3 Sa-0
83.21 Wis. Adm. Code, rsonal info tier you provide ❑Check if Revision
In accord with Comm Pe
may be used for seen ses Privac Law S. 1 m
I. Application Information - Please Print All Information i �NA� State Plan I.D. Numbe
Property Owner's Name �'i� Parcel Number
Property Owner's Mailing Address 5��,Cc Property Location
N. R
City, State Zip Code CT t�tmber Lot Number
r� �9
Stsl>dirisi�ame CSC Number
L d _ 3 ddl
U. Type of Building (check all that apply) ❑City
J@ I or 2 Family Dwelling - Number of Bedrooms ❑Village
❑ Public/Commercial - Describe Use 12TO wnship
❑ State Owned Nearest Road
J
III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete I'm'if applicable)
A
- F1 ounty use
i New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to
System
Tank Ord Exis ' sum
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 J51 Non - Pressurized In- Ground 21 El Mound 47 El Sand Filter 50 ❑Constructed Wetland
22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line
45 ❑ At Grade 46 ❑Aerobic Treatment Unit 49 11 Red 3 40 Other o 3 8:7 S
V. Dispe rsal/'I`ceatment Area Information: -
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade
Required Proposed Rate(Gals./Days /Sq.Ft.) (Min./inch) n� Elevation
-3 - 7- AY zz
y �
Ca in Total Number Manufacturer Prefab Site Steel Fiber plastic
VI. Tank Info Capacity Concrete Constructed Glass
Gallons Gallons of Tanks
New Existing
Tanks Tanks
Septic or Holding Tank
Dosing Chamber r
'
VII. Responsibility Statement- I, the undersigned, a responsibility for Installation of We POWTS shown on the attached p lans.
;Vmr: ' N ame Plum is Si MP Number Business Phone Number
(Print)
3 -
Plumber's Address (Street, City, State, Zif Code)
VIII. County /De artment Use Onl
Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
A PP PP r
Surcharge Fee)
❑ Owner Given Initial Adverse (a l7
Determination
IX. Conditions of Approv"easons for Disapppr ?
oval +L � S7•k was rw�G.- �� �G( p�s�- St "Jjr a Pr ✓DSI fn � I�..N b f IM ftx (o w.� N Pd a... &( g�Q�, ,. � ( O f �? e e.`df r 40 ` V't tt aS2
awwt.t, i2 f `bf 6 Bar tw k.;f4-t�►� {te Q U7 - V 61 � e t
1�. �'°� t `�'m`.`
.E 6C-4V 4/ ' l���f �iC GdM�itrv� -�-4 Iln 4ccgrGL(tiwGG �N�'tkG SVb�ll/iZtN��J.��'
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Attach complete plans (to the County only) for the system on paper not kss than $in x 11 Inebes In shoe
SBD -6398 (R. 05101)
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WiscInsin Department of commerce SOIL AND SITE EVALUATION 1 ?
Division of Safety and Buildings Page of 3
Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and st
per t slope, scale opOnensions, nort w, and locatio distance to nearest road.
Parcel I.D. #
PPLICANT INFORMATION - Pleas Al 'h1l in rmation. � F/6
Personal information you provide may be used for se4Qndary purpo5es.(Rnvacy 'kaw, s. 15.04 (1) (m)). ✓ /0�
Property Owner Property Location
q Govt. Lot 1/4�� 1/4,S �� T 3 ,N,R & Vor) W
Property Owner's Mailing dress Lot ;# Block# Subd. Name or CSM#
City State Zip Code " 1 iim er City ❑�(� illage [3 Town Nearest Road� �f
L j,4Cy� �_
1 ' 1 )` r \ i y � U Y ct\ Y 1 FtJ
i.
XNew Construction Use: Residential / Number of bedrooms Addition to existing building
❑ Replacement Public or commercial - Describe:
Code derived daily flow J gpd Recommended design loading rate bed, gpd /ft �� trench, gpd /ft
Absorption area required 4zY3 bed, ft 5(o3 trench, ft Maximum �design loading rate , 7 bed, gpd /fi trench, gpd /ft
Recommended infiltration surface elevation(s) 'd 3 -' S ' 4:� 1 , - 1 t ft (as referred to site plan benchmark)
Additional design /site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system S U XS El S❑ U ❑ S ( U ❑ S] U F E]s XU
SOIL DESCRIPTION REPORT
Boring Horizon Depth Dominant Color Mottles Structure GPD /tt
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
7
rn
Ground
elev.
/ (o ft. o s m
Depth to
limiting
factor
> in.
Remarks:
Boring #
!�' r• f rn s h6 u r I B
/0 r S - s o m"
Ground 9y' / 9
elev.
Depth to
limiting o
factor
in. Remarks:
CST Name (Please P ' t) Signature Telephone No.
C .Ij �. Po r.J.0 > ? l S - S/6 -5/-SS
S
Address I ti I ate UU ST Number
/9 c e_4 a f 5y o (l 6
1
PROPERTY OWNER �I Q , SOIL DESCRIPTION REPORT
Page of 3—
PARCEL I.D.#
Boring Horizon Depth Dominant Color Mottles Structure 2
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
ht Sbk m r Jlti i
Ground .il ----- 5 ;3
C Y
elev. A
Depth to
limiting �� r ,� to �t 9-"� L4
fac
Remarks:
Boring #
5W<
0 Y im � m r 7
3 3
a s
Ground 0 Ow s C, nil r 7 r
elev
Depth to
limiting
factor
$ in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring # t---
0 '/ 0:j L m U
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Ground y 86 o r .
elev.
Sv
Depth to
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4/ ' "' Remarks:
Boring #
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elev.
ft.
Depth to
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' Remarks:
SBD -8330 (R. 07/96)
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W!sc,isin Department of Commerce SOIL AND SITE EVALUATION
Division df safety and Buildings Page of 3
Bureau of !ntegrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and , r o \'
7PPLICANT t slope, scale o ensions, nort w, and locatio distance to_nearest road. Parcel I.D. #
•..
INFORMATION - Pleas; prl►tt all in �rmation. R ew y D
Personal information you provide may be used for se�pndary purpbses{RrivacyLaw, s. 15.04 (1) (m)). lQ/
Property Owner Property Location
Govt. Lot Ijk 114y6 1/4,S T ,N,R �$ l oor) W
Property Owner's Mailing AUdress Lot 4 Block# Subd. Name or CSM#
City State Zip Code ` ,\• , , Pho4Nu=Z ' ; , tD City ❑ A illage• [3 Town Nearest Road
ilk c� W 'reo'� \ Q >f�bo s'Tu r C' r t t,^.
XNew Construction Use: Residential / Number of bedrooms - Addition to existing building
❑ Replacement Public or commercial - Describe: 1
Code derived daily flow s gpd Recommended design loading rate . J bed, gpd /f? .4 trench, gpd /11
Absorption area required /�'�3 bed, ft ,$ (,3 trench, ft Maximum design loading rate . 7 bed, d /ft
�p �g g gp trench, gpd /ft
Recommended infiltration surface elevation(s) 'al ' 3 �.� ' 1 _! ` It (as referred to site plan benchmark)
Additional design /site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
u= Unsuitable for system S❑ u N S ❑ u s❑ U ❑ s ( u ❑ s u El s ,�u
SOIL DESCRIPTION REPORT
Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft
9 Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
M S bk r
Ground 9 -sy
elev.
Depth to
limiting
factor
,1l
Remarks:
Boring # 9
a --^
/0Y r
Ground 9 y' / S ! , r
elev. a •._
Depth to �.
limiting
factor 7/3 M
rn. Remarks:
CST Name Name (Please P PCO, ) Signature Telephone No.
j t h �- `71 S= .z Y6 - - S /3
Address 1 ate U� �d �r3
PROPERTY OWNER �� l `Ye_ SOIL DESCRIPTION REPORT
Page_ of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Structure 2
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed ,Trench
q /O a m r• a , 7 •. �
Sq to sbk rAi r Jlti i
Ground _.— ,, a
elev. � S C r 1 , /
l
Depth to
limiting �� u (a ( 4
fa �(
in.
Remarks:
Boring #
/ m
3- o Zlb ,
.f
Ground S M 7 r
elev
/03, if
Depth to
limiting
factor
fl in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. �Bedl ,Trench
Boring #
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Ground ; Y - $b O r rr D MY1 ►tit ✓ ^ ? �•
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Depth to a
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factor
� in. Remarks:
Boring #
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Depth to
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SBD -8330 (R. 07/96)
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Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P (R.6/99).
Table 1: System Design Specifications
Sanitary Permit Number
Number of Bedrooms
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd)
Septic Tank Capacity (gal) D'
Soil Absorption Component Size (ft S`
Type of Wastewater Domestic
Table 2: Soil Absorp Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Co onent
Design Flow - Peak (gpd) gQ
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The Y
septic tank shall be maintained b an individual certified to service septic tanks
P
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
i
• Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
o�
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3
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
T r o# / OwnerBuyer £ ✓PS" r" 2-1
T
Mailing Address
Property Address 'fl '1 t�ot.cn " �rC /,'." zJ/
(Verification required from Planning Department for new construction)
City /State lvi?t) /�rClt �r.� �,� WaRel Identification Number 63 - /d / - 70 `o
LE GAL DESCRIPTION
A t T31N -R W, Town of
Property Location ' /o, ! �� /lf' ' /o, Sec. ,
Subdivision , Lot # ( 0 .
Certified Survey Map # 2 - 72- , Volume �_ , Page # 3q , J .
Warranty Deed # d-2 * L �Q , Volume Page #
Spec house ❑ yes 0-no Lot lines identifiablee - 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.
I/we, 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.
1 ;7 1 21 1 O
SIGNATURE OF APPLI ANT 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 roperty describe above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE OF APPLI NT 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
Vol.1531PA411
STATE BAR OF WISCONSIN FORM 2 - 1999 6 2'7 S 62
WARRANTY DEED KATHLEEN H. WALSH
Document Number REGISTER OF DEEDS
5T. CROIX CO.. W1
This Deed, made between Dale R. Bonte and Sheryl S. Bonte, RECEIVED FOR RECORD
husband and wife
08-03 -2000 9:30 AM
WARRANTY DEED
Grantor, and Scott A. Lindquist and Jessie R. Lindquist, husband and EXEMPT b
wife , as survivorship marital property — CERT COPY FEE:
C9PY FEE:
TRANSFER FEE: 74.70
RECORDING FEE: 10.00
Grantee.
PAGES: 1
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
That part of NE 1 /4 N W '/4 Sec. 22- T31N -R18 W being part of Lot 4 of W and Return Address
Certified Survey Map recorded in Vol. 5 of Certified Survey Maps, page WES TCON CREDIT UNION
1459 as Doc. No. 396143 described as follows: Lot 6 of Certified Survey PO BOX 308
Map recorded in Vol. 14 of Certified Survey Maps, page 3917 as Doc. No. RIFER FALLS WI 54022
627233. St. Croix County, Wisconsin.
038 -1091- 70.003
Parcel Identification Number (PIN)
This is not homestead property.
(is) ffiai110
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this day of August 2000
L:-
` R Dale R. Ronte c
" • Sheryl S Hou l li
AUTHENTICATION ACKNOWLEDGMENT
Signaturc(s) Dale R Bonte and Sheryl S. Boole, husband and STATE OF WISCONSIN )
wife
_ ) 55.
County }
authenticated this "day of August 2000
Personally came before me this day of
G _ the above named
. Kristina 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. Stars.)
instrument and acknowledged the same.
THIS INSTRUMENT WAS DRAFTED BY r
Attorney Kristlna Ogland Notary Public, State of Wisconsin
Iludson, WI 5401
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. tram Proresab wb ca air. F-d d&u Lac. W1
STATE BAR OF WISCONSIN 800-655-2021
WARRANTY DEED FORMNo.2.1999
I -
-v FR1 15:11 FAX 715 3813 4087 REGISTER OF DEEDS A &E SURVEYING 0 007
�Ra
RONALD F. �t VP
JOHN
S � f fi � • 3
A WEARY. J��. ` A
� goo- +��a
• ' 4 N � •
`''•t:** "1 ` ERTIF r URVEY MAP
Located in part of the Northeast Quarter of the Northwest Quarter of Section 22. Township 31 North,
Range 18 West, Town of Star Prairie, Being part of Lot 4 of o Certified Survey Mop recorded in Volume 5
Page 1459 in the Regiser of Deeds Office for St. Croix County, Wisconsin.
Prepared for and of the request of:
OWNER:
Dole Elonte NORW QUAR7ER CORNER I
1146 C.T.H 'C" SECnav 22 -31 -18 I
New Richmond, WI 54017 (FOUND ALUMINUM
Drafted by. Ty R_ Dodge /Jason M. Gustafson COUNIrY MONUMENT) I
GERi1FIliU SURVEY MAP VOLUME 3 P� 679 I
N0147H L#W OF 7fr6 NW r/
R= 260910' I
_- - -_S8 46'54 _ __ E - - 2609.83' - - - -- I
_ _ S89'46'54 "E 466.39'
589'4$'54 "E 2143.24' 189.13' 277.28'
NOTE: AN EROSION CONTROL
ORTHIWST CORNER PL FOR LOT 6WMEON. WILL i
SECTIGIN 22 -31 — >B NEED TO BE SUBIMITTED TO
714E ST. CROIX COUNTY ZONING ��� r
CO MONUMENT) COONNSIRUUCnON. ANY � F— %99 0.1R` � TOT AREA:
5 p pc r 112.734 SO. FT.
2.59 ACRES
W. n �
N � �
5, ^ TOTAL AREA:
�1 .00 79,015 SO. FT. I
4 ; 1.81 ACRES ¢ j
a.l W I
uri �f l W b psi j 81
C L J II N . � � .
z N v a �� o S 111P4 ® S r �
ZI
BU/Lp/NC S£1HAC1CLdNE,, ,, . .•.. •• .•..... .•.•••• •- • R
m E WI •..,. �� '� 0�
(100' FRDA%�R— O --W)�t
o FOt1NU 3 4 O
MM _ _ IS S66 '00"W
$ E >1C ✓CVNT DRIVEWAY I 1 0.17' FROM COf1tPUTED
o o LEAS1:M4W r- -SEE I POSITION
ON
on OCTAIL I I
47.91' 1 252.5
1 2 1
"+ z 0 0- -2 ` —, R--O —W . '300 43 I
L o — — — S89 W 141.36 $�7b0�5 3oa.17' W
O dU' Q 58611 00 I '
n ., a VAR1A6f.1 WII iN 25 -2
E °' o o C. T .H. _C- 1
— _WARRANTY DECO — VOLUME 993 PAGE ±t64 ►�.:
COMY MMAK F UPMA Y 'C
o ' I
C 4) ----------- ��------------ r •- .----- - --- -- --- --
D CL
fr_ oomo PLIAT OF N 0RT1AW00D 1
o
0�w - --- ------ � - - --•—
o2mc LOT 19 I L0T�20 I LOT 21 ^I 1
i
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C.3 Q I �i
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a ai o N86'5O E '14 " 6 -18'_ ; / 1
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40
Z F- .✓ U �p l
LZGE '�l U 1 t lV
{+} County Section Comer Monument SOU7H OUARTER CCRN£R
R ecor d of
• Set1' xZ4" Iron Pipe weighing Nj 33.09' 33.0 ' Iin 5E Cn0N 22 - 31 -
a minimum of 1.13 pounds per (FOUND ALUM /NUM
linear foot. - COUNTY MONUMENT)
O Found 1" Iron Pipe 1 " -5O'
o Found 3/4" Rerod JOINT DRIVEWAY EASEMENT DETAIL
JOB # A00014 NO TH
Prepared by. APPROVED too 0 100
A & E ST. CROIX COUNTY
LAND SURVEYING & CIVIL ENGINEERING Zoning and Parks Commieee
Phone No. (715) 246 -4319 GRAPHIC SCALE
109 East Third Street, P.O. Box 325 JUL $ Z�Q� SCALE IN � ET: 1 inch o 100 feet 1'
New Richmond, W 54017 BEARINGS ARE REFERENCED TO THE NORTH LI O THE
Sheet 1 of 2 NW 1/4 OF SECTION 22, TOWNSHIP 31 N., RANGE 18 W.
If not recorded within 30 days 4WHICH IS ASSUMED TO BEAR S89'46'54 "E.
approval date approval shall be
nun and void Vol. 14 Page 3917
r
K
i,7.8,410 FRI 15:11 FAX 7.15 :386 4687 REGISTER OF DEEDS 444 A&E SURVEYING Q008
CERTIFIED SURVEY MAP
Located in part of the Northeast Quarter of the Northwest Quarter of Section 22, Township 31 North,
Range 18 West, Town of Star Prairie, Being part of Lot 4 of a Certified Survey Map recorded in Volume 5
Page 1159 in the Regiser of Deeds Office for St. Croix County, Wisconsin.
SURVEYOR'S C ERTIFICATE:
I, Ronald F. Johnson, a Registered Wisconsin Land Surveyor, do hereby certify that by
the direction of Dale Borrte, I have surveyed., divided and mapped a parcel of land located
in part of the Northeast Qu4der of of Northwest Quarter of Section 22, Township 31
NortN Range 18 West, Town of Sta Prairie, being part of Lot 4 of a Certified Survey
Map recorded in Volume 5 Page 1459 in the Register of Deeds OfEce for St. Croix
County, Wisconsin, described as follows:
Beginning at the North Quarter corner of said Section 22; thence, on an assumed bearing
along the north- -south Quarter line of said Section 22, South 01 degrees 04 rininutes 14
seconds West a distance of 398.35 feet to the north line of that property described in a
Warranty Deed recorded in Volume 993 Page 464 in the Register of Deeds Office for
said County; thence, the following being along last said north line, South 86 degrees 09
minutes 00 seconds West a distance of 25.24 feet; thence South 86 degrees 50 minutes 14
seconds West a distance of 300.43 feet; thence South 89 degrees 52 minutes 09 seconds
West a distance of 141.36 feet to the west line of Lot 4 of said Certified Survey Map;
thence leaving last said north line and along last said west line, North 01 degrees 02
minutes 10 seconds East a distance of 418.72 feet to the north line of the Northwest
Quarter; thence, along last said north line, South 89 degrees 46 minutes 54 seconds East
a distance of �1 G6.39 feet to the point of begiruning. Containing 191,749 square feet (4.40
acres). Subject to all easements, restrictions, and covenants of record.
I also certify that this map is a correct representation to scale of the exterior boundaries
surveyed and described, that I have complied with the provisions of Chapter 236.34 of
the Wisconsin State Statutes and the Subdivision Ordinance of the County of St. Croix
and the 'Town of Star Prairie in surveying and mapping the sawn.
Ro Iald P. Johnsofi -- Registered Wisconsin Land Surveyor No. 1186 lea e
A & E band Surveying & Civil Engineering
P.O. Box 325
New Richmond, WI 54017
Go
'f RONALD F.
JOHNSON
s -Ines
AMERY,
Wis.
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