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HomeMy WebLinkAbout038-1118-60-000 ' O m f C O rJ � (D ►: � CD 3 o o N o p W m v m w C • a a c o < eo CL ma m m N N (3, -0 M n N (Q (Q N J P 0 nt i ` W O O C 0 O (O � n j N p P O d CD D O� a Gn z D - F - h. m C .. W m zca D a C ` C (� p C:) - -: 3 r> °o -4 � V CD 3 l�r CD o o N 1 o r to N oW w N a S o C N < cn z aQ � D a C "0 (D v m ra m w a z D -�-� a N d N C) O O. c O h CD O CD C N Z F ro cr °• CD c CD a O_ Z o 3 m a O � T O O A Z n N c .+ n a a A z 0 N ') 3 O M w N. f O F p o ^' z CD m z N C A W i v z o cn D (0 c K Cl v�QM -0 (0 3 o T : CD d y o a o CD N O ED N O M N d } vCL d C N o N ( p e i Q X 0 ( a � N Q N A W CL ti N w o a C) CL Parcel #: 038 - 1118 -30 -200 06/1812007 11:49 AM PAGE 1 OF 1 Alt. Parcel #: 29.31.18.490D -20 038 - 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): 0 = Current Owner, C = Current Co -Owner O - SAVER, CHETT W CHETT W SAVER 2405 W LAREDO ST CHANDLER AZ 85224 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1951A 93RD ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 1.550 Plat: 4131 -CSM 15/4131 SEC 29 T31 N R1 8W PT SE NW BEING LOT 5 Block/Condo Bldg: LOT 5 CSM 15/4131 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 29 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 08/07/2001 653207 1695/269 WD 04/08/1998 576678 1312/599 WD 07/23/1997 10851420 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.550 83,300 259,400 342,700 NO Totals for 2007: General Property 1.550 83,300 259,400 342,700 Woodland 0.000 0 0 Totals for 2006: General Property 1.550 83,300 259,400 342,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 516 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' . TY R. RLED _ • D ODGE t 8 .o,, �1 1. JUL 2 4 2001 A► 1. ( V CLEAn LAKS,. O 1I ,,// ! . ,I S � d g 2001 i D SURVEY M� TY Loc In part of the Southeast quarter of the Northwest Quarter and part of the No of e Southwest Quarter of Section 29, Township 31 North, Range 18 West, Town of Star Prairie, ,being Lots 2 and 3 of a Certified Survey Map recorded in Volume 10 Page 2780 in the Register of Deeds Office for St. Croix County, Wisconsin. UN_PLATTEDLANDS WEST LINE OF THE 66' JOINT DRIVEWAY ___ _ _ _ SE 1/4 OF THE NW 1/4 WEST LINE OF THE EASEMENT FOR JOINT DRIVEWAY NE 1/4 OF THE SW 1/4 I LOTS 6 & 7 EASEMENT FOR m o N 0 3 •A 7 - W _ s" Ste- LOTS 4 5 - C£NTERINE o N0 0'44'4 2 "W 430.8 _ w� 01 z -- ��-- -- - rn M P - 127.49 27.68' 303.39' _ o ! N00'44'37 "W - _. — "'I — —'� I R /GHT -OF WAY - S �' 213.81 1 300.00 M 1221.90' oI S00'55'07 'E 513.81' r OD 1 2 ° j ... ...... ...... J �.. ..N t S�i Pat . .•..... .. �� ....... W y � �I int W X 02 o CS NOO'40'12'W I w y cn -D (� A �^` Cl o y NOO W rh m ti 1310.70' 3866.02' ` NO3'59 34 "W 270.66' �- i rn co orn I<IC� -�' IOI p rn � "W -_ I N 1 5176.72' z o rn m o i rn _ corn o z Z� ° � �� 522y`�6�r" 326y8�r, O "- Ir�i° i z z S C I - ° z = 1 i:� X $ u, ~'�' 9 . 9 , w -I I Icn I'� o S I 0 alp cn 9 .-" D ID IC -C °Z r rNc I z n a 10IC o r- N Q ° z c co M IM � Lk � o X I or- -a a'. rn u! .✓ 1 1 t Z G I M � Z �' m 1 *- I m v` CO -X 01 I 1 cc KZ - rn Z IQ v ° , to L D rn c I - c n I _ Im m 0 m Z In _ s.•' :a Cb 5 NOTE: EXISTING DRIVEWAY FOR LOT 7 1 V � m 1 r- ��� s59 n " -I z TO BE MOVED TO PROVIDE 200' I< q m �► �i � 2. M * SEPERATION TO DRIVE WITH DRIVE TO IO - o ° a SOUTH. jr- m : • �v�o�/ v Irn -I ; lb-A• E1�VgT10N FLO ER Prepared for and at the request g o�f:PP I� 1 Fk '/ �,��� 60.0 � P Mike Germain _ 1359 Awatukee Trail Hudson , WI. 54016 ST. CR �X COU __�� ' PNpS o 0 o s OWNER: Mary Schoor Planning Zoninq to" Parks Co "E /�" ' ��' A a j Drafted by. Jim Hahn c� 1 ` ' I 169.92 / N p�P� m a S+ to 0 JUL 4 ZO UNPLATTED i i V' o 1 - - - - -- / c BENCHMARK "A ": / o m in a a — -+ TOP OR IRON PIPE ELEVATIONf g59197ded wahln 30 dgyg 1' LANDS r > n ° s,o a f 'B": approval date approval shall bs Y M — r m BENCHMARK pp null and void I o m a ° �a TOP OR IRON PIPE ELEVATION 862.47 r D r r D Moorno r- N o (' z .- r- M -0 a. - o --I m - -I -- 1 rn -I � Z D -*i O � O C A a 0 .ImrncnmA C((a DAD Qo�`° v =a LEGEND . pnpOnO oom _, n a XZ-( o�'�� m Section Corner Monument b r- r D o M n e 0 f a y of Record D�DDPD m =Z �D zcn= 30 cry f m'a 3 • Set 1" x 24" Iron Pipe weighing b D a n D o II M a o o -• 1.13 pounds per linear foot °D " �' N > ° 0 c 00 rnL,.a z o o Zcn� a`° 3 O Found Iron Pipe .�I o °a? 0 Z (A > ° o o 0 In (A ......... -Building Setback Line (100' from Right of Way) ° P a ' D z z P m X a o u, In In • W N N to A � _p (75 from navigable waters) Q J0 0 - m � _ rt e JOB # 057SU22 m �+ -�I °o v m 'a Prepared by. 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NDYMOW c MODI 6 6 9 9 f E CA 1161 g� °° 41 vn� s �G? {rte. —„u 0 o3 x10 0 f, ti p" < v r� T ,, . 6699VC a' Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Of 3 Labor and Human Relations «Division if Safety & Buildings { in accord with IL.HR 83.05, Wis. Adm. Code COUNTY r Attach complete site plan on paper not less than 8 1/2 x 11 inches i include, but not limited to vertical and horizontal reference point (BM), direct a. sic' 4etor PARCEL ID y dimensioned, north arrow, and location and distance to near��,�0 IEWE DATE APPLICANT INFORMATION PLEASE PRINT ALL MATT "i PROPERTY OVER: "- _PRO TYLOr N a GOVT.AT 1/4,S T NR J E (o� .,` %''` PROPERTY OWNER':S MAILING ADDRESS LOT # N E CSM / CITY, STAT ZIP CODE PHONE NUM ❑CITY []VILLAGE XOWN NEAREST ROAD X New Construction Use L>4 Residential / Number of bedrooms [ I Addition to existing i 'ng -, I I Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd /ft _trench, gpd /ft Absorption area required bed, ft S'X� trench, ft Maximum design loading rate gi bed, gpd /ft ench, gpft Recommended infiltration surface elevation(s) 10 /- ft (as referred to site plan benchmark) �( Additional design / site considerations Parent material Flood plain elevation, if applicable ft F table for system CO VENT10NAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK suitable fors stem S❑ U S❑ U [�6 ❑ U S❑ U ❑ S J 1 ❑ S .K SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bour>dary Roots Bed Trench aZ O Ground o elev. �p ft. Depth to limiting factor Remarks: Boring # o Qa a ......... - Ilk 2 Y G round ' ' elev. l Depth to limiting factor Remarks: CST Name: — Please Print Phone: Address: gnature: r Date: CST Number: 1r 7 PROPERTY OWNER r SOIL DESCRIPTION REPORT Page of PARCEL I.D. # j Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground e ZO � a y . 7 elev. ft. _. Depth to limiting factor y Remarks: Boring # r I - XK Ground elev. lz l,2-� ft. Depth to limiting factor Remarks: Boring # Ground A -10 vvo elev. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) I Soil T Pl ot PI es of n a 6. Project Name a A Bird Jr. Address 5 c.c.s 5 - I a 2 e- Xi9f 3479 Lot — Subdivision Date �' Z o 114L& 1 /4 S3TaLN /RAW Township DTcc,r• 0 Boring O Well PL Property Line County b-o i t& BM or VRP Assume Elevation 100 ft. �� o �-� • �,e� � • G ° �r System Elevation / e/ *HRP .� - o Pf' 1 k ( yov 4 i i Scale 1/4" 10 Ft. When dimensions aren't stated ,nsih Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix .y and Building Division y INSPECTION REPORT Sanitary Permit No: 430165 0 G INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Saver Ii, Chet I Star Prairie Township 038 - 1118 -60 -000 CST BM Elev: O r� Insp. BM El BM Description: Sectionlrown /Range /Map No: V O p `t po& 29.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r �C7 B enchma r k &4 61 la C Od Dosing Alt. BM Aeration Bldg. Sewer �0 9�• Holdin &14 Inlet TANK SETBACK INFORMATION Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet `7 0 Septic + �� � 1 � 2 � � �� •Y � Dt Bottom Dosing I W Header /Man. L 3c7 Aeratio Dist. Pipe Holding'— Bot. System n� V f l PUMP /SIPHON INFORMATION Final Grade Manufacturer Dema St Cover GPM 3 •S Ibd �� 75 Model Number 8wt .':F 6 7 3 . E <6t; V7 TDH Lift Friction Loss System Head TDH Ft q ' SA e Forcemain Length Dia. � D' el SOIL ABSORPTION SYSTEM C(j 1, Ll BED/TRENCH Width Length f No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -l SETBACK SYSTEM TO I P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Ty e Of System 2 CHAMBER OR f I ✓� r �� � /� / UNIT Model Number DISTRIBUTION SYSTEM 7 r Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake f Pipe s Length Dia Len Spacing - :j 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 c -, Yes [] No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / I I / 03 Inspection #2: / / Location: 1951 93rd St Somerset, WI 54025 (SE 1/4 NW 1/4 29 T31 R1 8W) NA Lot 5 Parcel No: `C� 29.31.18 - 1.) Alt BM Description = f A VID T - Q. l��} �q bl // o ©W `"'� 2.) Bldg sewer length ='Lt)� G ¢,5�.6. —7 ►S can.) of I - amount of cover = (�" (M cyA t kbuC �'+����_ { s f• 0 / {' CC •__ p �[ � � - �(�w•�Gf SG�we�, . �A,pr��•t, Plan revision Required? V , Yes No Use other side for additional nformation. —___. _ e Insepct s Signature ert. No. SBD -6710 (R.3/97) Dat � ��IAJ ���L i p lam' O 0 a e \b rA look o o � U A Safety and Buildings Division ,. 201 W. Washington Ave., P.O. Box 7082 isconsin Madison, WI 53707 - 7082 Sanitary Permit Num er (to be filled in by Co.) Department of Commerce (608) 261 -6546 3o Ab S' Sanitary Permit A PP 11 State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal inf i may be used for secondary purposes Privacy Law, 15.04( Project Address (if different than mailing address) I. Application Information - Please Print All Information Property O er's Na P i # Block # �L: ��) k, G7 t TC�,r it �l)Lir,ll y a Property Owner's Mailing Address Pro at/io�n`,' ' ' /., �" Section City, State Zip Code Phone Number Scmm'-'r Ya / _ O ircle o ) II. Type of Building (check all that apply) ! T / N; R o Subdivision Name M her per )KL 2 Family Dwelling - Number of Bedrooms �^ ❑ Public/Commercial - Describe Use eJ ❑ State Owned - Describe Use ❑City E i age o p of III. Type of Permit: (Check only one box on line A. Complete lin B i f applicable) � A. KNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B• C1 Permit Renewal ❑Permit Revision ❑Change of C1 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ! r Non - Pressurized In -Ground ❑ Mound 2:24 in. of suitable soil ❑ Mound < 24 in. of suitable soil At -Grade ❑ Single Pass Sand iher ❑ Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter Cl Recirculating Synthetic Media Filter XLeaching Chamber W Drip ine ❑ Grqyel Pipe ❑ er (explain) V. Dis ersaVrreatment Area Information: Z Design Flow (gpd) Design Soil Application Rate(gpdsf) - D isperdl Area Required (sf) Dispersal Area Proposed (sf) System Ele vtio SD . 7 .3 � S 3 �s' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing �y � Tanks Tanks `T Septic or Holding Tank 6 Aerobic Treatment Unit /r'1 Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for l9gallation of the POWTS shown on the attached plans. Plumber's Name (Print) lum s Si atwe /MPRS Number Business Phone Number 1� i17XA Plumber's Address (Street, City, State, Code 11D N VIII. County/ e artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee includes Groundwater ate issued Isspin# Agent Signatur tamps) Surcharge Fee) 1 ❑ Owner Given Reason for Denial 2 Z SU `—_ GW IX. Conditions of Approval/Reasons for Disapproval l < , Attu complete p as aZ �Opar ss t ha gl 11 Inches In size ��„� SBD -6398 (R. 08/02) a� 3 f =yo 7a visiby? wow I p 0\ 1 1 Ti quo 1153 ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach corn site n on County plate plan paper not less than 8'/: x 11 is+ches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Revie B _ Date Personal information you provide may be used for secondary purposes (Privacy LaW, s. 15.04 ( (m))• $ (�� Property Owner RECEIVED roperty Location Saver, Chett 3 0vt tot SE 19 NW 19 S 29 T 31 N R 18 W Property Owners Mailing Address of # Block # Subd. Name or CSM# 1974 93rd St. MAY O 5 2003 5 CSM City State p Cod Phone Number yy City Village ✓ Town Nearest Road Somerset WI 025T C I _ 00 Star Prairie 93Rd St. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable 86.0 General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation is 96.50'. Soil & Site report for alternate area is attached. ❑ Boring # Boring ✓ Pit Ground Surface elev. 99.34 ft. Depth to limiting factor >120 in. Sol 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 1 0-11 10yr3/1 none Is 2csbk mvfr cw 2m,2f .7 1.2 2 11 -24 10yr3/4 none Is 2csbk mvfr gw 2f .7 1.2 3 24 -29 10yr414 none Is 1 msbk mvfr gw --- .7 1.2 4 29 -38 10yr4/6 none grcos osg ml gw - - - - -- .7 1.6 5 38 -58 10yr5/4 none cos osg ml cw - -- .7 1.6 6 58 -120 10yr516 none ms osg ml ---- ---- -- .7 1.2 Boring # Boring ✓ Pit Ground Surface elev. 102.05 ft. Depth to limiting factor >132 in. Sol 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 1 0-10 10yr3/2 none Is 1csbk mvfr cw 2m,2f .7 1.2 2 10 -28 10yr4/3 none grls 1csbk mvfr gw 2f .7 1.2 3 28 -36 7.5yr4/6 none grls osg ml gw - - -- .7 1.2 4 36-54 1Oyr5 /4 none grcos osg ml gw - - - -- .7 1.6 5 54 -95 10yr5 /6 none cos osg ml Cw - --- .7 1.6 6 95 -132 10yr5/6 none ms osg ml - -- - - -- .7 1.2 ' Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L � q * Effluent #2 = B00 mg/L and TSS < mg/L CST Name (Please Print) Signatur , CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond, WI 54017 4/22/03 715 247 - 2941 Property Owner Saver, Chett Parcel ID # Page 2 of 3 M6 # Boring ✓ Pit Ground Surface elev. 100.25 ft. Depth to limiting factor >118 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Q P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none Is Icsbk mvfr cw 2m,2f .7 1.2 2 9 -24 10yr3/4 none Is 1 csbk mvfr gw 2f .7 1.2 3 24 -35 7.5yr4/6 none cos osg ml gw .7 1.6 4 35-59 10yr5/6 none grcos osg ml cw - --- .7 1.6 5 59 -118 10yr5/6 none ms osg ml cw -- .7 1.6 "t� .� z -lei �° I s ❑ 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 QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Corti. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODe 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or —A —f—;.1 in on oIt f--.+ - — fhP Ao,.ort.++ —t of Ann- /!.!._A1 S1 — fnR_7fA -8777 f s w li p - _ c� �b 1 , o e- 6Z) - e� _ p a 1062 t!t+lscbnsin Depatrtmt;ntafCamrnerce SOIL EVALUATION REPORT Page I o 3 _ Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code Tom Schmitt County A wh oamptate sra plan an paper rat im than 8% x 11 inches in size. Plan must St. Croix indude, buf no t lirnllod to: hretdW and itaaatttai reiererm point (BfA), direction end Parcel I . D. peroertt slope, scale or dimerrmons, north arrow, and location and distance to nearest road. Piae print an information. Reviewed By Date Paraonal inforvm ion you provide nhap be used for seoordury pu1'w (Pr',vwy Law. s. 15.04 (1) (m)). Property owner Property Location M & G inc Govt. tot SE 1/4 NW 1/4 S 29 T 31 N R 18 W Property OwnePs Mailing Address Lot # Bloat # Subd. Name or CSM# 1359 Awatt.ikee Trail 5 CSM Pending City State Zip Code Rhone Number 2,4 City Village Ig Town Nearest Road Hudson 1 Wi 1 54016 i 715- 549 -5971 Star Prairie i 93Rd St. Use: it Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD � New Construction -- Replacement 29, Public or commercial - Describe. Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation is 96.20'. El Boring # H Sorin 56 Pit 9 Ground Surface elev. 99.20 it. Depth to limiting factor >9 Soy,q�i[t�tion mate Horizon Depth D�rdnant Color Redox Description Texture Structure i Comaetence Boundary Roots PD in. Murtsttil Qu. Sz. Cord. Cola Gr. Sz, ah *Eft #1 "E 1 0-13 10yr312 none sl 2mgr mvfr I Cs 2f I 5 9 2 13-22 10yr3/4 none grsl 2fsbk mvfr Ow 1f 5 8 � 3 3 22 -35 10yr414 none grlc 4 1 msbk mvfr ; gw ---- .7 ! 1.4 none ! g i Osg ml j –_ --- .7 1.6 4 3 10yr5/4 ' � — i I E Boring # Boring Pit Ground Surface elev. 99.53 ft. Depth to iimiting factor >160 in. Sol ilppllcatiort Rai Horizon Depot Dominant Color Redox bescription Texture Structure Consistence Boundary Rods f GPI `EtThtt2 in. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. "Eff #1 1 0-B l 10yr3J2 none sl 2mgr mvfr CS 2f 5 .9 2 8 -19 10y314 none grsl 2fsbk mvfr gw 1f I .5 .9 I 3 1 19-32 1 0yr4 /4 none gri s 1 msbk mvfr i gw — .7 1.4 i 7 1.6 4 32 -160 10yr5/4 none I grC�s Osg r,rtl _ _ �__ I i * Effluent #1 = BOD s ? 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effl errt #2 =SOD < 30 mg/L and TSS S30 mgJl CST Name (Please Print) Signature: CST Number e 227429 Thomas J. Schmitt Date Evaluation Conducted Telephone Number Address Tom Schmitt 6/12101 715 - 549 -6651 588 Valley View Trail Somerset, Wl 54025 Property Owner M & G Inc Parcel ID # Page 2 of 3 F3 Boring # 21 Boring Pit Ground Surface elev. 99.22 ft. Depth to limiting factor >145 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GME in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "E 1 0-10 1Oyr3/2 none SI 2mgr .145 cs 2f .5 .9 2 10-23 1Oyr4/3 none grsl 2fsbk mfr gw 1f .5 .9 3 23-36 1 Oyr4 /4 none gricos 1 msbk mvfr gw -- .7 1.4 4 36 -102 1Oyr5/4 none grcos Osg ml cs - -- .7 1.6 5 102 -145 10yr5 /6 none ms Osg ml - -- --- .7 1.2 F-I Boring # ❑ Boring ❑ Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure ConsWence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Murrell Qu.-6z. 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 s30 mg1L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. ff you need assistance to access services or —Ad —tPr I in .n oltPmwtP for• t nlnoco n—toM the A—#--t of fnR- 7Fr._Z1't 1 -1 TrV rnR -')AA-8777 �' ' • 1'� o'� P 61 14w- �,►,,�, `ao. o o gf'? V? �� file 04 " cfl q7 ' 9' t am � I 1 • ° A� ° /3s-r eST/y Da 7Y.2 slollalls�', 414L 56� IYW y 5'29 7 ROW 5yi 6G .S-/ 1339 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 1 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on County p paper not less than 8%: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please pffni alf inf©rinadon }.t_ Reviewed By Date Personal information you provide may used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). i P o S Property Owner " Property Location Saver, Chett Govt. Lot na SE 1/4 NW 1/4 S 29 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1974 93rd St 1 5 na CSM City State''Zlp Cbd6 Phorid Number I City J Village jM Town Nearest Road Somerset WI 54025 651- 603 -0300 Star Prairie I 93Rd ST 16 New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement _ f Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable 860.0 General comments and recommendations: This is an Addendum to the orginal soil test, boring 7 has been added to give the system more area, also a new site plan and elevations have been added. System elevation 99.15 * 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) ' nature: CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 7/29/2003 715 -246 -5085 F7 I Boring # I Boring fI Pit Ground Surface elev. 98.05 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/4 none sl 2msbk mfr cs 2c .4 .9 2 12 -31 10yr4/4 none Is osg mvfr cs 1 c .7 1.2 3 31 -120 7.5yr4/4 none cos /ms osg ml na na .7 1.6 ❑ Boring # Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I i Page 3 of 3 STEEL'S SOIL SERVICE INC. David I Steel 1564 Cty Rd GG CST- POWTSM Chett Saver New Richmond,WI 54017 Lic. #248956 NWl /4,NW1 /4,S29,T31N,R18W Bus.(715) 246 -6200 Town of Star Prairie, St.Croix Co. Fax (715) 246 -9372 Lot, 5 Legend 1" =40' ♦ = Benchmark Ele. 100.0017t Top of 2" PVC pipe • = Alt Benchmark Ele. 100.05ft Top of 1/2" Steel pipe = Borings Boring Elevations B4 = 99.0517t B5= 102.15Ft B6 = 100.15ft B7 = 98.05ft -e- s � . o� <f`b'b r M ET r C T 652003 s �` .� ERTI "` "[3 UAVEY MAP '- fc �++ pert of the Southenst Quarter of the Northwest Quarter and port of the Northeast Oudrter n the Southwest Quo ►ter of Sest`.on 29, Township 31 North. Range IS West, Town of Star prairie, beirip Lot% 2 Orld 3 of a Certified Survey Map recorded In Volume 10 Page 27a0 in the Register of Oeeds ,)rfize for St. Croix County. Wiscon3in. UNPLATM LANpS WEST LINE OF THE WES LINE OF THE 66' �y r Mir NT -_. SE t/4 Of TK Nw 1/4 NE 1/4 of THE SW 1/4 1 EA9UENIT FOR wM)l DMWEWAY L073 6 ♦ 7 EASCUEN7 FOR 93 — tors . ,t ►� 3 T-1 - �c r N - 00'44*4rWt 430.' w o, r Nb0'44'37 'W 27.68' _ 3 .J 99 � '- _ t t' 1� 300 o -` T zts.a jt' 1 . OF-i war s 1221.90' �I 1 - -t 1 S0 o'55'aa t 51 3.81 + -� z Z., .�. o IOU -_ at a . .......... . ... r _' ......... . is a N1 00 - 402 0 W NOD'447'1 2 'W • 1310. y0' 3866.02' $ 7 <n 1 a 3 4 27 (s { `._N00'40'12'W _ r -� �� •� 1 5176.72' _ "'tn i _ - t0 �r- 1 zc � c z Da� i T 5'�� s�� ?r` " ;�� °;° iz a o tto m Ic Z G m y e:r tf W 1�`Ir"jl Cit oy1 ��` a �� j Z SO � Xt `• y1 r } • +f, ' NOTE: Ewsiwt; ORtVEWAY FOR LOT 7 IV ( , C V t; �A�i r ,' ct � -42 TO BE MOVED TO PROVIDE 200` t e 02 � I t � �,•' � x v t F1; SEPERATION TO DRIVE WITH DRIVE TO 10 I r- 0 0 18' v ELL kkA LIN PER Prepared for and of the requ*gt of: �° y i : �►� r „ ago.0 ��' n . Mike Germain APP H 59 RwotukeeaTroil 5T CR ,1 OU udxrt Mary 5 p ^_ +IP :atkeC� to 4� �y �n lZi OIAeJE.R: Mary 5cheor K� ,rl' •' t � i s , n $ :01 r w� Mofted by. 41M Hohrt JUL 4 700 VNPLA BENC HMARK "A ": R / � � � � 'a BENC e 5 TOP Ofd IROM PIPE ELI: VATIM O e$StWd$d wdrr.r 3t) tl ysTor � / � � ? t a. a EiEtiCHMARK "8 approvsl dale WProva+ 01311 � � — � " e � 3 null Ind void t _ TOP OR IRON POPE ELEVATION 1352.47 r )r r- t )I. r- 1 z to r z b r fA An ©�eoayao V a+ (IN A C A A rrl -4 ,� > x >f A T11 -4 rn 3=• _ 9 91 H K � LEGENn o a-Iry ° x o m C Q' Sect ion Corner Monunter, t s o y A a� r n n ° '" f r xx �> zY w . Recor ��' . �i =n 12 ft '�.S -� iPI S —1" �• o N • N4 ba �` ,wj, WO 4 1 i 9s 3 sy e. -ebb o�tt Avo �' Faso S 9s OF r 1062 'Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Crgix include, but not limited to: vertical and horizontal reference point (BM), direction and - percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. >� ad By x Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). z/ 2cv3 Property Owner Property Location M & G Inc Govt. Lot SE 1/4 1111L¢_ 29 T 31 NR 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1359 Awatukee Trail 5 CSM Pending City State Zip Code Phone Number j City ,.j Village A Town Nearest Road Hudson WI 1 54016 1 715 - 549 - 5971 Star Prairie I 93Rd St. 1ld New Construction Use: jid Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD A Replacement j Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area suitable for a conventional system with a 0.7 gpd /sgft rating. Possible system elevation is 96.20'. M jild Boring # j Boring Pit Ground Surface elev. 99.20 ft. Depth to limiting factor >156 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 1 0 -13 1Oyr3/2 none sl 2mgr mvfr cs 2f .5 .9 2 13 -22 1Oyr3/4 none grsl 2fsbk mvfr gw 1f .5 .9 3 22 -35 1 Oyr4 /4 none gric 1 msbk mvfr gw ---- -- .7 1.4 4 35 -156 1Oyr5/4 none grc.Q,s Osg ml - - -- - - - - -- .7 1.6 qsa gb. Y1 1 Boring # Boring Pit Ground Surface elev. 99.53 ft. Depth to limiting factor >160 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 1 0 -8 1Oyr3/2 none sl 2mgr mvfr cs 2f .5 .9 2 8 -19 1Oyr3/4 none grsl 2fsbk mvfr gw 1f .5 .9 3 19 -32 1 Oyr414 none grlcos 1 msbk mvfr gw - - ---- .7 1.4 4 32 -160 10yr5/4 none grcos Osg ml - - -- - - - - -- .7 1.6 * 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 Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 6/12/01 715 - 549 - 6651 Property Owner M & G Inc Parcel ID # Page 2 of 3 $ F ]Boring # j Boring 2 ft. Depth to limiting factor > Pit Ground Surface elev. 99.2 P 9 145 m Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 - 10 10yr3/2 none sl 2mgr .145 cs 2f .5 .9 2 10 -23 10yr4/3 none grsl 2fsbk mfr gw 1f .5 .9 3 23 -36 10yr4/4 none grlcos 1 msbk mvfr gw - - - - -- .7 1.4 4 36 -102 10yr5/4 none gr Osg ml cs - - - - -- .7 1.6 5 102 -145 10yr5/6 none ms Osg ml - - -- - - - - -- .7 1.2 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 QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # _�j 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 P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I t * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or „aAi1 matariol ;,, an olta,,,ota f ,•r„ot t 1-- —t—t tha Ala tm t of A.02_7A.A-1I ;I — VrV AOR_7A.A_R777 i a 1 s-- p 3�t.3 Q - te,, o� I" J G , SAIL 611 4,4- `w , o o' ell yo' t4-- q3 r ' 16b °r y,, '• f � 9 � a � f c eST� a -a 7Ya 7 /- Yuds�,, �✓Z s''�o /� -SW 4 l/ ie � T nui / y r 561 /Yw y S o? 9 7- ,el b'w 01 sw - ZZ � SA, P / IF CONCEPT MAP Located in part of the Southeast Quarter of the Northwest Quarter and part of the Northeast Quarter of the Southwest Quarter all in Section 29, Township 31 North, Range 18 West, Town of Star Prairie, being Lots 2 and 3 of a Certified Survey Map recorded in Volume xx Page XXXX in the Register of Deeds Office for St. Croix County, Wisconsin. Prepared for and at the request of: Mike Germain EXISTING DRIVEWAY LOCATION 1359 Awatukee Troff TO BE MOVED — OWNER= Mary Schaar NEW ACCESS POINT TO ACCESS POINT TO PROVIDE 200 ' SEPERATION PROVIDE 200' SEPERAPON Drafted by. Ty R. Dodge WITH NEAREST DRIVE TO SOUTH WITH NEAREST DRIVE TO NORTH I 1 -------------- _ - - - s n r - + - --- -- x in z / . JOINT DR. FOR f— / LOTS 6 AND 7 N L � m > © T' m O p r�* a il Sip 0 ON Air � ��' 1 �) F es... P L Q �. S' a 2 2 �. . mo s I rn n in k. Pr O W 2 k . i W O O C W AllI N V ; POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pa ( of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity �QQ a l E3 NA F ermit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model — ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity a l ❑ NA Estimated flow (average) 360 g al/day Pump Tank Manufacturer PDNA Design flow (peak), (Estimated x 1.5) 41 < ® al/day Pump Manufacturer AVNA Soil Application Rate E gal/day/ft 2 Pump Model OCNA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit "A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD <_220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5 150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand IBODJ 530 mg /L k In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ ear( 1(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA year(s) 0 month(s) Inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ NA p ressure test At least once eve ❑ month(s) ❑ NA Flush laterals and P ever ❑year(s) Other: ❑ month(s) ❑ NA At least once every: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page 2 of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cellls) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of a(( tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or,must be taken, to provide a code compliant replacement system: J 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. T alua ' o ling jank b e ai . ffZOI -/18 rfi� IbR A/� r outs Zd�t0 ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS 1 POWTS INSTALLER POWTS MAINTAINER Name am Name Phone Phone C J SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S fv ( ZQll�l N Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b!(1)(d) &(f) and 83.5401. (2) & (3), Wisconsin Administrative Code. ST CROP X COUNTY SEPTIC 'TANK MAINTENANCE AGREEMENT AND /? ,L OWNERSHIP CERTIFiCATEON FORM OmeriBuver L._ ALP' Mailing Address Property Address (Vetificatioo required from Nanning DerArtmem for new connnxtion) (:it y/stace -� Parcel Identification Number LEGAL. DESCRIPMON Property Location �5 A, / U t, Sac. T3—LN -RL�, Town of Subdivision Lot # Certified Survey Map # _ _ Zy,—`T a600 3 Volume �_, Page # � n 1 Warranty Deed # Page # Spec house ❑ yes C no Lot lutes identifiable El yes d no SYSTEM _ A NANM IaQprot� vsc sod mamtcoaoce of yoe:r septic syattm could result is its prtxnsture•tailuoe>b ltaatIIe wtwees. Pmpermaratenance consists of pumping out the septic taaT<crtry three years or sooner, if needed by a &ceased ptmaper. what you put afar the system car affect the function of din s--Mc ma k as a treatmtcat stage is or wute disposat sys The property owner agrees to spit to St Croix Zoning Depatrtmeut a ecthfication form, sigued by the owner and by a crasterpl joumeymu plumber. rratiicttdplamberora ticcaxdpurnperverifying d at(I) the on -sttev raftv,*Wdbpoeal syaotm is in proper optrating condition, andlor (2) after inspection and pusVing (if necessary), the septic tank is Jess then 113 full of ft*. I/wc, the undersigned have read the above regttir mmts MW agree to maintain the ptlVa;e sewage disposal system with rho standards set forth, herciu, as set by the Deraruneac of Commerce and the Departmcnt of Natural Resources, State of W isconsin. Certification srsbng t hat year acptic symm has beca maintained :umt lac completed and returned to the St. Croix County Zoant Oft'ico wid o 30 Jays of year kation date. SIGNATURE OF APPLdCAW DATE O E C JiD CATION I (we) certify that all statements on this farm are true to the best of my (our) knowledgm I (we) am (are) the owner(&) of • flu grope. deg bed above, by virtue of a warranty dct:d recorded in Register of Deeds Office. ion— SIGNATURt OF APPLICANT DATE +•`•• • Any info-Olation that is mis- ntpresentedmay result in she sanitary permit being revoked by the Zoning DCpartrlmaj.' •• Include with this application: a 4um pod warranty decd from the Register of D=& of7►x a copy of the coytified savoy rmp if refereawc u trade w the warranty deed ­269 _ y � y L 47 f,7 ! E LL1lC ill V'1St'(>NS{N FORM Z 5449 : V 1 H. IAiF il,.$i1 1)nci:r.un, Vumbe, WARRAN'CY DEED F(;;;4j;i;;'TEl KW This Decd, tnadc bctwca:n _ Louis W. Se hBar and Mary L. Schaaf, RECEDED FOR RECORD husband and wife, _.... _ 5d- O7 -Publ 11:90 Afi WARONTY DEED Grantor, and Cltcli W Saver Cr9i COPY FEE: COPY FEE: TRANSFER FEE: i13L90 -' RECORDING FEE: 10.00 Grant POSES: 1 ce. Granror, for a valuable consideration, conveys to Grantee the followin_ described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum), Mcordin,h Arcs Part of the SE 114 of N WI /4 and pert of the NE V4 of SW 114 of Section 29, Name and Return Address Township 31 Norte, Range IS West. St. Croix I-ounty, Wisconsin, described as follows: Lots OD6 and 7 of Certified Survey Map filed July 24, 2001, in Vol. 15, Page 41.3 1, Doc. No. 652003. 03 1118 -30& 038 - 11 -60 Parccl Identification Number (PIN) This _is harnestead property. (is) 1S`XOO Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this CO day of _ 3tdF � " 2001 is AUTHENTICATION AC NOWLEDCMENT Signature(s) Louis W. Schaar an d Mary L. Schaar, hus STATE OF WISCONSIN an wife, )s5. County j authenticated this _day of July-- 4 2 00] ' n Ptryonally came before me this day of 1 rtes above named ICristin Ogland _. _......_ TITLE: MEMBER STATE BAR OF WISCONSIN — (if (lot, to me known to he the person(s) who cxccuted the foregoing authorized by S 706.06, Wis. Stats_) instnunenc and acknowledged the same. THIS 1?vSTRUMENT WAS DRAFTED BY + 4 ttorncy lCristin Og land Notary Public;, Stage of Wisconsin iludson Wl 54 016 My Commission is permanent. (If not, state expiration date: (Sipuaturas may ba authenticated or acknowlcdgcd. 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