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O n N O N n �D N C' 07 0� '". .•. c m Z °) ° c - -CDCO CD o c m� o �� �cc o c T° ona G (') CL aCA p O W wny. — fD O � n� tn cD p O � C C -1 C.) 0) n C CD 0) n , < -oda a C m rnCDpd.o° y cD CD *OM z rnm y cD S , z n x •_ p 40- — 7 •_ p C _— 7 CD O CD 00 Q -p = ° .y. X• =r p 00 Q -p = ° Oy. X S p ty 39� ' =(Q o3 3 90)m' CD °C" W CL a) cc 3 o ?�� Wo c r o a) cc m o xd a �'. � (0 O CD 0 fn s T —0 E C y m m fn —I °c° — O v w n (7w � �m -BCD E; v c a 0CD 3 nC =nm Cf nc =°-m Col 0 3 cO d 3 d a a� y m o 3 3.u, m 3 o@ a 4h- S* y ti O CD n _ • fD O O j� -� CD 0 CD O t0 CD N d N m 0 c nc �O'O 9 0 ) 0 7 0 c c? °° 0CD' A O N 7 F :3 N CD n 7 f) 9 c 7 f �) a N (,7 CD O N x CL CD Cl) a) F 7 O 0) O N 7 N d 7 O 0) O N' Op O N N C) '' O. O X j t/1 N QH =Q O.d =� N p O N (O O_ p O Vl t0 n O ( ° d CD y ° v fD O O tv b m m w CD CD O OCL O O L W Parcel #: 038 - 1145 -60 -000 09/28/2005 02:56 PM PAG I Alt. Parcel #: 36.31.18.606B 038 - TOWN OF STAR PRAIRIE 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 ROBERT BACZYNSKI C - BROSSMER KATHLEEN BROSSMER KATHLEEN 1899 CTY RD CC NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1899 CTY RD CC SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.500 Plat: N/A -NOT AVAILABLE SEC 36 T31 R1 8W PT NW NW COM 100 FT S Block/Condo Bldg: OF NW COR SEC 36, TH S 89 DEG E 251.88 FT, TH N 0 DEG ETON LN SEC 36, TH W TO Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) NW COR, TH S TO POB NOW KNOWN AS PART OF 36 -31 N-1 8W LOT 1 CSM 8/2154 ASSESS WITH P431 B Notes: Parcel History: Date Doc # Vol /Page Type 02/08/2001 638252 1585/88 WD 03/20/1998 575425 1307/301 WD 07/23/1997 871/525 07/23/1997 849/292 more 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.500 30,300 120,200 150,500 NO Totals for 2005: General Property 1.500 30,300 120,200 150,500 Woodland 0.000 0 0 Totals for 2004: General Property 1.500 30,300 120,200 150,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 146 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 038 - 1102 -40 -000 09128/2005 02:54 PM PAGE 1 OF 1 Alt. Parcel M 25.31.18.431 B 038 - TOWN OF STAR PRAIRIE Current Xj 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 - BACZYNSKI, ROBERT ROBERT BACZYNSKI C - BROSSMER KATHLEEN BROSSMER KATHLEEN 1899 CTY RD CC NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.916 Plat: N/A -NOT AVAILABLE SEC 25 T31 N R1 8W PT SW SW COM SW COR SEC Block/Condo Bldg: 25, TH N 159.4 FT, E 251.88 FT, S 159.4' MOL TO S LN, TH W TO SW COR & POB Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) NOW KNOWN AS PART OF LOT 1 CSM 8/2154 25-31N-18W ASSESS WITH PARCEL 606B Notes: Parcel History: Date Doc # Vol /Page Type 02/08/2001 638252 1585/88 WD 03/20/1998 575425 1307/301 WD 07/23/1997 871/525 07/23/1997 849/292 more 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/0311986 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 374940 Permit Holder's Name: ❑ City ❑ Village ❑ T5wn of: State Plan ID No.: Warren, Craig & Julie Star Prairie Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: vp.�� 100.0 CST 8�`�- = L�s�• -se S� 038 - 1102 -40 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 6r� Benchmark o UD • O Dosing Alt. BM Aeration k Idg. Sewer 96.6 3 r Holding St/Ht Inlet � 23 910 • 4' r TANK SETBACK INFORMATION St/ Ht Outlet 5.3� 46.29 r TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic >5-D f 7 r ZD r NA Dt Bottom Dosing NA Header/Man. Aeration NA Dist. Pipe FHoldin% Bot. System PUMP / SIPHON INFORMATION F' Grade Manufac emand St cover Model Number GPM TDH Lift L ction stem TDH Ft Force In Length Dia. Dist. ell 9'b •2. r S01 ABSORPTION SYSTEM BED / TR Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN I N SYSTE P/ L BLDG WELL LAKE / S M LEACHING Manuf acturer: SETBACK INFORMATION Type of CHAMBER model Number: System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Len Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Gra terns Only Depth Over Depth Over xx Depth Of xx Seeded/ Sod xx Mulched Bed/ Trench er Bed / Trench Edges Topsoil ❑ Yes ❑- No Yes E] No CO ENTS: (Include code discrepancies, persons present, etc.) Inspection #1: Inspection #2: Location: 1899 County Highway CC, New Richmond, WI 54017 (NW 1/4 SW 1/4 25 T3 1N R1 8W) - 253118431B -Lot 1 1.) Alt BM Description = N/4 2.) Bldg sewer length= 2 0 - amount of cover = 3) �_?- . Plan revision required? ❑ Yes No 1Z Qo Use th r si a foradditional information. SBR3/97 P c Inspector's Signature Cert. No. r ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: I ------ g ..,...._. .„.„.„,. _ ..... $ S s I ([ 1 3 f t L € ... E ...................... _ ...._ 47 _ ... q € p P t f 1 r ..., 4 i I W. I r gy m. _......._„e.. >..- ...a..,�...�. „«»�..,..,..�..<.. .mom. E 3 � I P 1 fl �i L ' Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. you p purposes See reverse side y for instructions for completing this application PO Box 7302 lV i sconsin of Commerce y Personal information provide may be used for secondan ur oses Madison. WI 53707 -730, Department [Privacy Law, s. 15.04(1)(m)) (Submit completed form to county if r state owner Attach com lete plans (to the county cop) only) for the system. on paper,not less than 8 -1/2 x I I inches in size. County State Sanita Permit Number ❑ Check if revision to previous application State Plan 1. D. Number < Q 1. Application Information - Please Print all Information i4 cation: Property Owner Name ` t Prerty Location Y/' � 1 /4S (9) 1/4. Siz5T3 /,N, R E or Property Owner's MaSh Address Let umber Block Number City, State Zip Code Phone Number ? 1l '1�rfl hbdivision Name or CSM Number SS �/o / 7 (7� S ') ; y .. k ' "`/s 5;2 -3 8 ! e�i s y I TT of Building: (check one) ❑ City ®' 1 or 2 Family Dwelling - No. of Bedrooms: ❑ Vjllage ❑ Public/Commercial (describe use): own of ❑ State -owned .Sfa k III Type of Permit: (Check only one box on line A. Cheeckk box on line B if applicable) Nearest Roa 1t :f - A) 1. ❑ New System 2. ❑ Replacement 3. *Replacement of 4. ❑ Addition to Parcel Tax Number(s) System Tank Only Existin S stem 035' - // 02 —J � B) Permit Number d ❑ A Sanitary Permit was previously issued . 3 l . Y 31 G IV. Type of POWT System: (Check all that apply) ❑ Non - pressurized In- ground ❑ Mound ❑ Sand Filter O Constructed Wetland ❑ Pressurized In- ground ❑Holding Tank ❑Single Pass ❑Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Oth V Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation ,41 - 5 -- 4 q P d VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ r ❑ ❑ ❑ VII Responsibility Statement I the undersigned, assume responsibility for installation of the POWTS shown o ched plans. Plumber's Name (print) Plumber's Signature (no stamps): MPM PRS No Business Phone Number Plumber's Address (Street, City State, Zip ode) 7 6 VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued 71ssumAgent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) / Determination IX. Cond itions of Approval /Reasons for Disapprova O � / .C ° a.7�C� vy1 �l2l�rn9 �Oro/oci ly at� is a.�te5 / 0_4 1y Se 0ey, SBD -6398 (R. 07/00) I i • f /q � J Q r a�T 5 'yo 3 o�.-C�w �90 0 r7 } t , r6 w Al � gem ©� )yy i 4' GC N M 1 T Q -A � l 9, -1 oao Wisconsin Department of Commerce SOIL EVALUATION REPORT Page l of 2 - Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code - �rT• C �' �( Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County �p include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. CU percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 034, ./ s . �d Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - 2 ' / "ZW Property Owner Property Location v < < E wA99 Govt. Lot NW 1/4 51 1/4 S ZS T 3 N R �� E (or W Property Owner's Mailing Address �� rr Lot # Block # Subd. Name or CSM# 1 0 ql cT . t+y� _ cc cs�r ys/ 8z 3 tfo% p, . 2.l City State Zip Code Phone Number E] City ❑ Village • [Rlown Nearest Road �t1ew PiG� s�ot7 c ?ts, 2`ICo •Zyo 5 AP iF w . GG ❑ New Construction Use: Residential / Number of bedrooms -3 Code derived design flow rate ✓`� s� GPD Pq Replacement ❑ Public or commercial - Describe: ' A-T CA „ � - O� //} CF/b &.v7 o f r” � ' .A Parent material Flood Plain elevation if applicable N ft. General comments y� ��'/ T^ r /� — and recommendations: s ysT• � s I N w�' 4 /�4'V / ` � 4 - , � - , '/,7 top 1-71 Boring # Boring �j I, c � } l z� Pit Ground surface elev. r * 145 ft. Depth to limiting factor / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 o • 10 y8e 3/3 — S he5k A- Cw /0 sL 2,w4 sXk A, c /-F . s • 9 s 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 GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 " Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L " Effluent #2 = BOD < 30 mg /L and TSS _< 30 mg/L CST Name (Please Print) Signature CST Number 'IZo QE RT - ?�tLQ�tC(0 2 2 431 S Address Date Evaluation Conducted Telephone Number Associates - �.�a -a ? l S• 3 B( 81 8 S private Sewage Consulta e55 O'Neil Rd. Hudson, Wis. 54016 QR 1G1� Al- Property Owner Parcel ID # Page of ❑ 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 GPD /ft in. Munsell'" Qu. Cont. Color Gr. Sz. Sh. 'Eff#1 tff#2 Boring # El Boring a °. .. ❑ 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.' 'Eff#1 •Eff#2 Boring # ❑ Boring El 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 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 assistarice'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.6/00) WELL � Dos L___- 61 J 11 T �� � � - 5 COQ G � - 3 �C��� �� T S ��M E /061 ZD 7 I 13 - - -- t I (� j � r pt7? L k 7 fj pp� X %GAO' qo LZ o� <Y5 T od' � f , -------------- --.._- ---_�_ r r }� r o r z ttf ST CROIX C04INTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM i Qwttu`/Buycr ' Vo MAi[ing Address g 99 r' Propaty Address A" Q c� /� ` Q /,tJ (Verification required from Phmliag Department for new construction) V PU4 Parcel Identification Number 43 3 it 0.2- _ , qO n� DESCRIP'I.'XON Location % <, sec. T N -R f Town of S f h Q i h 1 - on Lot # _. ti lc t Survey Map # ;2- 8 Wage # Voltunc .fp Deed # Volume Page # ' AWOM 0 y es W n " o Lot fins idffitifiable Q''� .Yes ❑. no ofooaldrestiltmiLspoc+eto bandiewus.Pt+operoe x pa art the tank eNaY tie y c = ar sooner; if tmedod by s Yiocasedpamper~ What yna pat. tbw system ���� .��rc of 6be septiotaalcas.� tc�atmemtz<sge fa the �iaste�iSposaiaysbcaL - MM P h' owner :gtna to atbmnt to St CLU& Zaniag Dcpactment x ccaificadw foam, signed by tiro vw= and by. at pbw7 Yip zestdietedptamberor ksocasedpampertwedr ingdLit(1jtheonaite�du satsystcm pa Ctv ►Cw&dm=d/or aticr' on and PmPinS.(if y), the septictaak -is iess tbaa in fa Ofkhl4r— Swd one read the abore tngaitrat c� and ag�roe to tie private sewage disposai tystcm wi;Ht staadaids ' b=kvs ad by dre of Uomm=c and rho Dc nbnc.at of NduI Rosoators State of Wi9oomia.• QctQ ezt?& > � Yaw w q stCM b3s'bee Makftinod nuut be oompktod and tad to Me St lCkoix -0=afy Zoning Office within 30 / tq l CPO ,,� ' �� throe year expintioa date. OF APPLICANT ,! DATE �, , �RT[RICATION (we) oe tify that all statements on this fOCU ara true to the best of my (our) knowledge. I (we) am (arc) the owner(s) of mod above, by virwe of a d wattamty tnoorbod in Register of Doods Office. a PAVUCANT DATE that is mis4quSentodmay t castt in the tanitary permit being revoked by the Zoning Dgwtrncnt ssssss �rpplication: a tumpod warranty deed fiom tha R g�Cr or s►tItoc riS�PY of the certifrod survey trap if ex the wan deed VOL 107P4001 575425 , I % !' \R OF %A I k V ! r r!:M1I ? I gtt? tti'aRRa �, i Y itl l t> L _QF= ICE h Derril T. Yerigan and Mary B. Yerigan, CO.. {yI husband and wife, 99e Craig P. Warrea and Julie L. Warren, A M husband and wife, fed• SPACt- RESER.ED rUl, nt )(41W,) DATA St. Croix '' r it •�' r" `3., 038-1102-401_038-1145- _ 1'h-1r. cct L-, i.n parce L oL 1 and or Lracr. of real �ntat_e 1oc-att-.d in thn SW 114 of tit 1; 4 �t S 'c _inn 2S - ind in rho NW 1, of NW 1/4 of NW 1/4 of Section 36, \? n ^w •:-hip ? ! ;for h, ?ar.g^ ?.R West, T .t-m of Sr_ar. Prairie, St. Croix '_..... _ ..._i dc. c ;1:•ed ,:,e °- .^ilot-•.,. );-ginning a- a point on the 4!er;t .gib . . 1 110.9 t,.(.r Soul -h ',i ncc _,`•: . - )riser of :,3id sect lOn i _l "e tier. cater] ine o'° C.'.'.fl. CC a stance of. 25''_40 >_ ..- t ^_Tit S 30'.. n dis nrtc,� of ^�l .Rn r• „ pt; 1'i1a ;;OG °30'W dirU,nce L Y 2- , ? 1r, ^ . r }l•_I? C �7fl9 "3C :1 n d131.1ncr ^ -:S t 25 f _ t _J theploin 1 .)f Also known as: Lot 1, Certified Survey Map filed 9/16/89 in Vol. 8, Page 2154, as " = Doc. no. 451823. TR %ER f - - - - FEE Easements, restrictions and rights -of -way of record, it any. aM March - - - (, ,gam - - - - Derri.l - -T. YQragan- - - - -- -FAL1 - - -Ff� - — - -- (SEAL) ' MarY Yer' San - - - - - - — -- - -- -- _ All flll.NTI(_ATION ACKNOWI-EDGM N - r ` p• nu =.n (;1 Derril T. - Yerigan, State of Yi'iscunsin. _Mary B. Yerigan �, ` nuhrnt,, •uc i! till, - - MCIa - l" -99- f n, nallp c m 1x f„rc nn' this - - -- - day ( .i ?A '• Cam-- -- -- -- - _ named ” l;ftr nilNIIA *;l\ I':\Rt)! \1'(tirt,id;ltl 'i nui , n-r:! I,,- .' 4 t'r.. \ l 't,tt. cii„ . ,;,ird thr IIII, 'Sa- nlai:,ili,;u .t,l,l .i, L,„�v:l,�,it;c 1h,• �..�. „ Attorney Kristin Ogland m Hudson, W1 54016 � !', i,l l., vrl"' ,I4r Poll , 'n [ Ail' ui7t ,. ,. t` 'In•ltlr !It 1!( tlt'!I, gIATV r\!1tI111„11 ll ,lli i� 10 451823 CERTIFIED SURVEY MAP DERRIL T. YERIGAN AND MARY B. YERIGAN Part of the Southwest 1/4 of the Southwest 1/4 of Section 25 and the Northwest 1/4 of the Northwest 1/4 of Section 36, Township 31 North, Range 18 West, Town of Star Prairie, St. 3 Croix County, Wisconsin. m Q Owner's Address: 2 Route 2 e UN A T T E D LAN New Richmond, WI 54017 O N N89.31' /3 "E 233. /O' R /S 89 3O' £ 251.889 0 ( N &50' ^ M 30.00' I 203.10' p b C 30' uy N I � t � W 2 n� LO �o J a ` I O o1 w h {„ !, 3 /0 ACRES N O I • q I 63,76/ SO. 3 O 3 3 / 233 ACRES EXCLUDING O ° M ? 2 O 2 W ROAD R. O. W. C ` C 2 I 2 33, 802 SO. F7. ° -44., QI ? SHEDS M l5 3 c yl W h 4I qO N � � DWELLING N 2 Z tu m QI ~ 3 I.. W Q 30' I q J N 0 ^: N OI tu v l v M 3 Q 2 40 f � I t3 N 89 • 32 37. 3 "W /0. 00' J b ti j °o 3 O o Q I R of ° h 2 �O • 2 W V � IO 3 30' W M I 3 , O c 40 ( /.39' O ° Q ° ? 40.00' 2/1.86' Cle ? O - S a 233. 23'R/N89 •30'W 251- M ` D ~ x O i C. S.M , VOL . 2 PAGE 308 R SCALE /" = 60 , ,,,� 9 s o 261 98,h y o N O 23' 30' 73' /00' /30' 200 ` l .O �! ` h' X17 a Indicates 1 iron pipe found. .. i O Indicates 1 x 24" iron pipe weighing 1.13 lbs. /lin.ft. set. y J W O k ,,,` g11 /1d APPROVED «...... °'lAU EN .•� i SEP 2 0 1989 _ • �TiW R CRON COUNTY 2 c� 13 i Dated: August 23 1989 � co . VE FALLS. � , Q` • • LAND Vol. 215 Certified Survey Maps Laurence W. Murphy St. Croix County, Wisconsin egistered Land Surveyor SHEET / OF2