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HomeMy WebLinkAbout042-1020-30-100 w o 0 60 c ai r. ai a E ry m L U ~ _ � r 3 I N O � I � I y � y O G Y O Z CL m LL C m O 0) a ° a I M v (D w Z N Z O c0 I z a m o io o z �i c c r- w m z ° 5 a to F- r '' a m E C) M Jt N - O U��I O N C N � • � O N N a m ►® M O 4 = Q w N N Z C Z C l) O o Z � d . LO C M > N N ^� >� @ }� � w O v L G w O C O N m m 4 as ' ° o f� o o a E 0 co N �t 7 Z > U o C n- co 16 V �v 3 3 3 z • ry Q a M a ° a L o � I o o 0 N � U LO ° O °O aNi Zo N N O } Q Z T ° LO ° N E o ` E C ir„l v Q� n >E• M O O_ T N C O M O_ CN C v O 'vr O C m 04 �. U' (D M 4 t ' C r 'O 0 0 U cn 0 E L a C w co 3 A U a 2 ', 0 iA 0 1 \ k ( 2 , \ . b � � � � � . 2 G � \ . < « w B ) z § z _ ] 7 § B z :!t \ 2 k « ■ _ § £ A 7 _ \ z / 7 k 2 M . \ k G J CL 4") 2 E \ c @ 0 # � g z / \ \ � k t £ r ) 2 6 ��e § . 0 & ƒ / ) k « ) § k � k ƒ a a a 7 - IL 0 U ) o o ƒ to j S U ' ) § % w ƒ k d \ / © CD . o . $ B E ® $ = k 2 @ IL t.'a A 2 � m � « § c 40 0 k E a% / 2= E § . Cl) k \ } / \ } § . a / \. / - ° c § -2 G $ Q = 7 / k \ k k �v k o z/} 2$ ■ e 2 M . L CL � _ � " a \ E & ' c a § ; Q U IL 2 �o & 3 . Parcel #: 042 - 1020 -30 -100 07/11/2005 04:18 PM PAGE 1 OF 1 Alt. Parcel #: 08.29.18.114A -10 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * JEFFREY A & STEPHANIE A CARDINAL CARDINAL, JEFFREY A & STEPHANIE A 1065 110TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1065 110TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 14.000 Plat: 1011 -CSM 14/3813 FKA CSM 14/3780 SEC 8 T29N R18W PT NW NE BEING CSM Block/Condo Bldg: LOT 4 14/3780 LOT 4 14.000AC NKA CSM 14/3813 LOT 4 14.OAC EZ -U- 1524/260 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 08- 29N -18W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 03/01/2000 619045 1493/099 WD 03/17/1998 575223 1306/365 QC 07/23/1997 1050/610 WD 07/23/1997 886/468 more... 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 37929 Use Value Assessment Valuations: Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.500 50,000 261,100 311,100 NO AGRICULTURAL G4 8.500 1,200 0 1,200 NO Totals for 2004: General Property 14.000 51,200 261,100 312,300 Woodland 0.000 0 0 Totals for 2003: General Property 14.000 51,200 261,100 312,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 119 Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 Wiscfnsin Department of Commerce PRIVATE SEWAGE SYSTEM County: ` .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)1. 363872 Permit Holder's Name: ❑ City ❑ Village ❑ jown of: State Plan ID No.: J effrey & terihanie Warren Townshi CST BM Elev.: Insp. BM Elev.: BIMV Descriptip Parcel Tax No.: 2 CST �►M '-�- 042- 1020 -30 -100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 5 ,s o5. f�" OD . a r Dosing Alt. BM 06 • b 6 t r Aeration Bldg. Sewer 3. (Prr t o ( . 4 I Holding St/ Ht Inlet S((V "0, ,41' TAN SETBACK INFORMATION St /Ht Outlet $ Sfl I ao.o :' TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet ---- Air Intake Septic NA Dt Bottom Dosing NA Header/ Man. Aeration NA - 9i3-i� Y 5 1 �, 90. } Holding Bot. System Z-�3 . �'2 PUMP /'SIPHON INFORMATION Final Grade Ma cturer Demand St cover Sp ) D3,07 ' Model Number GPM TDH Li Friction e TDH Ft L oss Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM e A j RENCH Width 3 t Length No Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �S` DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING M ur r: S` INFORMATION Type Of r CHAMBER Model Number: System: f t70 OR UNIT 1� -61, a �, DISTRIBUTION SYSTEM Header/ nifold t Distribution Pipe(s) x Hole Spacing Vent To Air Intake 1 x r Leng th Dia Le is Spacing 7 ((7b 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 Cent - �( Bed /Trench Edges Topsoil (_1 Yes E] No El Yes ❑ No COMMENTS Include coide discrepancies, persons present, etc.) Inspection #1:o8 /3 Inspection #2: Location: 1065 1065 110th Av Roberts, WI 54023 (NW 1/4 NE 1/4 8 T29N R18W) - 08.29.18.114A10 -Lot 4 1.) Alt BM Description =` 2.) Bldg sewer length= dZl - amount of cover = 3) NO - /S-0 �" P �� ST -b Plan revision required? ❑ Yes Jo ( goth sld f_or d ti al inform ti n. 02 13 G ( Wt sd�f/�rtd Cert. No Date Inspector's Signature l ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Jo { F t I 1 t ° 3 i ° 1 ° I e ° w ° r i > ° 3 a � S 6 £ ° a i ANA „ 9 e s 3. ° z t < e w ` d `s ° 1 3 m x v 3 3 i 3 m= � t ... .,° .... .a _ .. ._ .._ r 3 ^ V P ° F E E �,� ` Safety and Buildings Division `�isconsin SANITARY PER R LICATION 2 1 B Washington Avenue Department of Commerce In accord with Q6.16wA�rry v e Madison, WI 53707 -7302 • Attach complete plans (to the county copy only t" ►e s te}� p pa ]� n t less county p than 8 112 x 11 inches in size. I E��wt� ,- X • See reverse side for instructions for completin :th s application State Sari ary Permit Number MA Y 0 Personal information you provide may be used for secondary r es ST CA404X i� ❑ Check if revisi to previous application [Privacy Law, s. 15.04 (1) (m)]. ,.� 0CK)t1 State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE P L�1M1 Pro erty Owner Name v p y Location e 7j 1 /4, S T 2 y , N, R I W(or) W Pro erty Own 's Mailing Address of Number Block Number s�7 t, F�2� 14vu S City, State Zip Code Phone Number Subdivision Name or CSM Nu b r cart h- � � SUl� V0 )�s� -s)G7 v,l�P 3 II. YP B ILDING: (check one) ❑ State Owned ❑ It Nearest Road nn Public 1 or 2 Family Dwelling - No. of bedrooms � ow OF i1 Qee 4 � 1 U t_ 1. III BUILDING SE: If building type is public, check all that apply) Parcel Tax Number(s) p ( 9 YP P Pp ) 1 ❑ Apartment/ Condo 6 0) 0 - 3 �l 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2 E] Replacement 3. E] Replacementof 4. E] Reconnection of 5. E] Repair of an - - -- System -------- System _- y___ _____ _ _____ Tank Onl Existing System _ Existing System ----- - - - - -- --- - - - - -- B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 0 Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill y ,'� C h a e _ 3 l S 76 s VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade q , Required (sq_ ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min_/inch) v Elevation 73 ')(1 t S T Feet Feet Capacit VII TANK in Ca gallo Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App. New Existing structed Tanks Tanks Septic Tank or Holding Tank t✓� / /�'1 4, e Sc'C ' •� ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility or installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum rs Signatur Stamps) PRSW No.: Business Phone Number: Plumber's Address / St t, City, State, Zip Code / / S U � �✓; JrG _ 0/2. �E�GC V" lIt IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate slue Issuing Agent Signature (No Stamps) ZOU 4�1,_,Y.A PZApproved ❑ Owner Given Initial Surcharge Fee) Adverse Determinatio 94;Y;7, 6D -� X. CONDITIONS OF APPROV L / REASONS OR DISAPPROVAL: �s 4S7L 44 0 5 1 ait j COO& . SBD -6398 (R. 4199) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumpedby a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings•Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owvner'� name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling_ III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C:) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Jeffrey Cardinal 8507 Jeffrey ave. S Cottage Grove, MN. 55016 1- 651 -458 -5767 NW 1/4 NE 1/4 S8 NR 18 Township of Warren 450 gallon day 750sq. feet Envirochamber 31.6 sq. feet Ground level 24 chambers 758 sq. feet 94' Drawn by; 8 to 10 % slope Joe Stang MP 223476 Date: May 4th. 2000 89.0' 90.50' S.E. S.E. Driveway Garage 3 Bedro in House 15' 100' B.4 •l 0 1000 Gallon Tank 3.00 B .1 431' G r 76 a t. v Lef 8 to 10 % slope e B. I D r B.3do i 6.33' B.2 v e 110th. Street Wisconsin Department of Industry SOIL AND SITE EVALUATION / 3 Labor ' end Human Relations Page of Division df Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. Plan must County .ST 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. # P,4,kl % OF 3 q lleie $ o 1 12 loz v .3 a APPLICANT INFORMATION - Please print al orirnrtttk,n;' Reviewed by Date Personal information you provide may be used for secondary p pees (PHvacy Law, s. 15.04 (1) (m)). Property Owner Property Location iT i KU R I�. o(.�/ 5 r, -. k ^p, ovt. Lot .,�/ kJ 1/4 /V� 1 /4,S T Z `� ,N,R 1� E (or�.i Property Owner's Mailing Address ^ , Lot # Block# Subd. Name or CSM# CSAj City State Zip Code (alone J 6N Road S• U Z rf ) 0' City ` ❑ Vil Town S R r. y a r 0 3 p aKN,w Construction Use: Residential / Number o 'bec� ✓ Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Y5 Code derived daily flow gpd Recommended design loading rate ' S bed, gpd/ft trench, gpd /11 Absorption area required 1).A bed, ft 2 trench, ft 2 Maximum design loading rate S bed, gpd$ trench, gpd/i Recomrended Infiltration surface elevation(s) SAC P!' 3 ft (as referred to.site plan benchmark) Additional design /site considerations �' I��► . 3 Gd V �'f /��F� �� 5 Parent material S�N� Flood plain elevation, If applicable N� It S = Suitable for system Conventional Mound In- Ground Pressure , AT-Grade System i�n,Fill/ Holding Tank U [ J = Unsuitable for system s ' ❑ U W ! nd ❑ U [a'� ❑ U LW5 ❑ U ❑ S Ly'tJ ❑ S SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench r a •/ io y,� 3!3 -- 17-r k s '� /t . s :. Cv z 3 . L io y9 31y Ground 3 /oh? ��s / . S , • �G 7 .eft. Depth to Iimiting,e factor + (( Remarks: Boring # ., /O y'4 3 1 1 — /_s ice, f- �- •L is YR &V L S y CV 3 4A /o Y) e Y/' — 41-5 6.7 rs Ground • 9 �d Me .S 7 elev. Depth to limiting factor �! In. Remarks: CST Name (Please Print) Telephone No. Signature ; '�(3eR.T Z! -L�2 i cGAT 7ts • 3�G • �/ P-5 Address Date CST Number Ulbrlcht & Assoclatea Z 2 855 O'Neil Rd. Hudso W�is�s54018 J E F F SEZ X56 J E , FF Re y tf- A 6- 0 u F , M . SZo/ & (�S /• SOIL DESCRIPTION REPORT page 2 . of PROPERTY OWNER PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles ure Struct 2 Texture Consistence FBounda Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench i 0• /o �y� 313 �s irs k d s 17- y 4.t • �' Ground Z elev. .3 /V R Y ,5 L . f VS y ft. /0 s Depth to limiting C� 0. factor In Remarks: Boring # YX y ` �- - EJ1 i cy 3 _ �s �' s c�, - •s X . 3 i 0�� , S ; Ground elev. Depth to VA limiting factor y y - Remarks: Horizon Depth Dominant Color Mottles' . . Texture Structure Consistence Boundary Roots GPD /fe in. Munsell Qu. Sz. Cont. Color Gr'. Sz. Sh. , Bed . Trench goring`# .� ioy�3l3 -z5 /r=She s w /r . s; . 4:;, S �' 3 i- •� w Y�E' �/ •k, r=i w -- L' . Ground 5 L • S . CL� elev. / Depth to limiting cf 6.1 g3,<<( factor > G^ in. Remarks: boring # Ground elev. ft. ' Depth to limiting factor In: Remarks: SBDW -8330 (R. 08195) IMPORTANT NOTE TO OWNERS & INSTALLER: All the finer textured . s:o.ils (1oatna; silts', etc.) ; can & will;:b,e :eA5ily smeare'd Or• compacted even by a backhoe bucket during trench construction. When this •occurs, premat.urV :failure wift 'riesult. As per ILHR 83.13 the installer MUST be'very careful to properly hand rake t 1), e sidewal.ls & bottoms to re- expose all of the soils natural structur-e even recommerid•s that' scarifying devices be mounted on the sides of the bucket. Only in this way can treatment & absorption be'•most''en.hanced.for normal longer system life. v O °o 0 1 CA - Ql • .p- a - n ° b d N 00 N m s � N W T cnaA0 J C � 1 I czy r � Z O � R � d � Wii:?666sin'Dapartment of Industry S AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but T. not limited to vertical and horizontal reference point (B � ti w4% of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distan t - roald?�, A 0L/ Z - /0Z0- 1 � APPLICANT INFORMATION- PLEASE P LL FORMATI ©N REVIEWED BY DATE f PR OWNER: APR ERTY LOCATION J 0"A � AA AJL K VJ S ? 4' _ 1/4 A) F 1/4,S T ,Z,9 ,N,R W PROPERTY OWNER':S MAILING ADDRESS BLOCK # SUBD. NAME OR CSM # ST Ci; ii; �A, IA& 105 9 ILQ h - - - - -- -- -- A��� — — CITY, � STATE — �!��' ZIP CODE ITY []VILLAGE OWN NEAREST ROAD 2 F� rc 08EKJT 15q()2-3 — b�! 7 !& eld New Construction Use J4 Residential/ Number 4 -- ( ) Addition to existing building j 1 Replacement ( ] Public or commercial describe_ Code derived daily flow _ 16 gpd Recommended design loading rate O.`1 bed, gpd /ft 6 trench, gpd/ft Absorption area required __ (� bed, ft _ 5(6 trench, ft Maximum design loading rate _ � 1 bed, gpd1ft 01% trench, gpd/ft Recommended infiltration surface elevation(s)TO Bf ; KM!A4€ gy_,SL s referred to site plan benchmark) Additional design / site considerations IQ NF.r— Parent material 4N 7o�� Flood plain elevation, if applicable Affix ft S = Suitable for system C ,QQ NVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s steI S 0 S O U S❑ U S O U [] S U [] S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Traub .................. ................ 0.S 0.(p -!- -- 0 -► I _IQYK.. -_ _ - - - -- _ _ Sh_ _ - z i 11 -20 - CS 0.5 0, Ground - 20 -3D 16 Y O& 0 -9 0,S elev. ', g9,5rc _ ` 3D _ _I 0 YID 31� S — — rn� 0-1 01 - Depth to y -95 ID YK m limiting factor Remarks:. Boring # -! Q--►1 _.10 Y Z/z - - -=- _ ? dsh 0_6 o.� ya ___M _C — 01. Ground elev. y y 5 0,7 J &jj -- -- 34Y�3 10_y� _ - - -- ..- — — ft Depth to -- — - _ _ �__. - - ------ — limiting factor .� I�ornark�.: CST Name: —Pie se Pri t Phone:_ Addr s v��- ,J /, Date: 4U(o. K, 14q'7 CSTNumberM03 -X17 PROPERT(OWNIER - kax.0 u6b __ �IL IDESLRIP i r REPORT Page Z— O f r PARCEL I.D.111 Depth Dominant Color Mottles Texture Structure Consistence Bourxby Roots - - GPD/ft2 Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. Bed 22� )b K ql q ryAr- 0.5 O'� Ground 3 K 314 ci.tq O's elev. q5! II ft, - A o Depth to 5 7. 6 VA' 4 1,4, limiting S oo C17 Remarks: Boring # OA to ini-5 0. : (, --t— -2m4r,.-- Al . F1 7- 4/q Si I K ry\fV- a 3 17 25 Iq Ground elev. - ;r _ 7.5 YK(411, (Y\ Depth to limiting factor Remarks: %AA& GA Boring # ID (0 VK 41 0-b- Ip 16) L419 5 11 2-psbK (Y\ fv-- 3 Gr6und elev. 3g-q 10 qL--!�lft. 16 M64 osq —(Y)I Depth to limiting L / q 0 factor Remarks: Boring # Ground elev. Depth to limiting factor Remarks: A Page of -3 P[,OT PLAN Property owner KL AKB W6r , .TD 0 Afj1F C Bend : Legal Description Pfl2CFL wnA mD BM = ®#*I C� Kn>~N A s uR Ac f� IJU -TAE N��� 5��� OF- TFiE /'� z� U/� P IPS - tla ' See, 8' TAR �1 E218 uJ -ro wN a F K)y t tt �N fiU #Z �'� to Un s u KrAcE A a J agom fa�d�� wooden t-A'rA 57:CIMIXca. / Q = soil baring w /backhoe, N 70. S1 ACKT�- PK�P 7Y 5TAXI IZ (,DO NO'r DISTU") EL g5,y 9s• ��p N 1' 6% r IP15, V1 4 O FL 9/v 37' LW - QC ALr-/tLF* ric — o, T Signed CST 0370'7 Date AU &LALT g}19g ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS141P CERTIFICATION FORM Owner/Buyer 4 SL V Mailing Address Property Address IC7 Cs 1 1 6 A 11- J (Verification required from Planning Department for new construction) r .�`- C- City /State Parcel Identification Number LE GAL DESCRIPTION Property Location N/ �/,, ( Jk - ' '/�, Sec. , T 2 / N -R 1 y W, Town of L'In lel' e-'2 Subdivision , Lot #. Certified Survey Map # �S �� , Volume Page # S Vy Warranty Deed # _ ( 7 1- / 5 � , Volume L l ,Page # Spec house O yes O no Lot lines identifiable O yes O no SYSTEM MAINTENANCE Improper use and maintenanceof 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 (I) the on -site wastewater disposa I 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 /wc, 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 day of the three year expiration date. y *1NA T F UR.t OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office, S 16 NATURE OF A PL ANT 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 1493PAGE 99 JD STATE BAR OF WISCONSIN FORM 2 - 1998 �31 C:p . 15 _A`fHl_ il� WILSI-1 Document Number WARRANTY DEED R E � 1� 0,11 -'* D E-­ E DS This Deed, made between John A. Kurkowski, a sin I Lyle person R;C FOR RECORD Grantor, conveys and warrants to Jeffrey A. Cardinal and Stephanie A. 03-01 10:00 All Cardinal, husband and wife WARRANTY DEED 7 XEMP T F # CF 100Y F Grantee. cEE: . 0 84 Grantor, for a valuable consideration, conveys and warrants to Grantee the 0 FEE 21 �cEP following described real estate in St. Croix County, State of Wisconsin (The R prp: 10.00 "Property 00.4-^- Recording Area Name and Return Address First National Bank of New Richmond PO Box C New Richmond, WI 54017 042-1020-30 Parcel Identification Number (PIN) This is not homestead property. Part of NW 1 /4 of NE 1 /4 of Section 8-29-18 described as follows: Lot 4 of Certified Survey Map filed December 22, 1999 in Vol. - 14, Page 3780, Doc. No. 615934. TOGETHER WITH easement for joint driveway over the following: A parcel of land located in the NW 'A of the NE 'A of Section 8-29-18, Town of Warren, St. Croix County, Wisconsin, described as follows: Commencing at the North quarter comer of Section 8; thence S89 * 08'40 "E 651.14 feet along the North fine of the NE 'A of said Section 8 to the Point of Beginning: thence continuing S89 66.01 feet along said North line; thence SOI 660.00 feet along the West line of Lot 4 of that Certified Survey Map recorded in Vol. 14, page 3780; thence N89 66.01 feet; thence NOI * 44'49 11 E 660.00 feet to the Point of Beginning. Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of February, 2000. YA A. Kurkowski ACKNOWLEDGMENT STATE OF WISCONSIN ) AUTHENTICATION ) ss. County Signature(s) John A. Kurkows1d, a single person Personally came before me this _ day of February, 2000, the above named authenticated this ' ' of February, 2000. to me known to be the A person(s) who executed the foregoing instrument and acknowledge the same. Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, Notary Public, State of Wisconsin authorized by § 706.06, Wis. Stats.) My Commission is I permanent. (If not, state expiration date: THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, W1 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) .Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -1998 INFORMATION PROFESSIONALS COMPANY FOND OU LAC, WI 800-655-2021 U1 /14 /UU rx1 17:07 MA 7153865262 BURNET REALTY 0 003 12/30/99 15:23 '®'716 386 1161 11. .r0dN.9 WJ Ut FILED DEC 2 2 1999 10 3 WSW of Dmm CEP T -f F TE"D S UFO VE Y' MAP Located in the NW 1/* of the NF-1 /4 of Section 8, T29N R 18W , Town of Warren, St, Croix County, Wiscoasin, Also located in the SW 1/4 of the Owner: John. Kurkowski NE1 /4 of Section 8- 29 -18, 1059 110th Robe -rte, Wi. 1 LNPLATTED LANDS NOR E/i4NE OFS 89 (1 ir pipe N1 /4 Corner NE . Section S99 °os'ao' - llO TH 644. GVE_ (1 I'I 6S1.I4 NB9 °OB4p " O utid) . (1" iron pipe 63A1'W _ _ 590.13_ �� -- 1295.2 found). = e9'32 07 E 646.14' L _C -S_M V. 13 s29 6.V NE Corner o PG 3749 e sE�pL "cK "" �,Ne"•" Section 8 o u I I 2 o v L ®71 4 t wE raa� E X99 "08 , 40 " t 66.01' a7 N e8 Q6 So E 609 • 869 "E 576,10' ' ' " w Z ., Sq.ft. 636.96' w;� (14.000 a c:) LO rd69aaa']9 "� 0 6,90'1 0► ` including row. m =+� 573,560 Scl.ft. W CU (13. 167 ac.) ?m I j of -+ excluding row. � `' I i W cry ; N lL(0T 3 ° W I o I Oi W z Ul tL Q l J 1, OZ4, 148 Sq . ft. � $ . 0 (23.511 ac.) N o including row , in � - � l W u 1,019,992 Sq_ft. a (23_416 ac.) N 88 004 623 ,38--­10 — J excluding row. � d"N O 1 W v7 {W ,. O ® � h 0 HO USE Q I © U+ SOUT LINE OF NW -IVE M j Z NO RTH 4, INE or F lu J �1 N ao °0656" N 89'21' 13 " 1301.09' 37/9.!7 l ���7] L �fq � LANDS Leger�.d SJ/4 CORNER Section corner monument SE I AC UMI N , cAP 0 1 "X24" Iron , pipe 'weighing 1..16 Fo�HD.I pounds per lin. foot set. 1 " Iran pipe found. ` r i it i - G. * Bearings referenced to the North line S -3d9 N of the Northeast quarter of Section 8, ��� o Ia, assumed S89 °08140 "E. i 6Y SON Previously recorded information. � �y�<�� ��p D Su R APPROVED' °• ��� ST. criolx COUNT( I plennlno zv*q and Parks Cammlfle9 1 scaLE r,v r E er 1 3oa' QE C 2 2 1999 O 300 600 900 IF not ramraem WimilI Ju mays or This instrument drafted by approval data approval shall be 4992589 null and vold i Vol I q Far, 376©