Loading...
HomeMy WebLinkAbout042-1053-20-300 �� 0)o \ � ? ; ■ � T } \ . Qƒ 7\ o ° 4 E ƒ$ 2 _{ # a , > _' � \ § } R ( n � 9 a 9 ■ / / \ @ 0 2 § \ 482( @ ƒ ! \ O w® E E a E • & ■ w £ E i - z \f 7•.$ \ � D C5 Up o k' / 3 \ f § e E _ / 4 0 @ 2 2 / co C 0 \ < § E } CD 0 d \ L T m m ƒ �. i ® r k k k m § s n CA CO) CIO - / C4 z \ k £� \ 0 § ro \ a § \ o s g - 7 ° � $ \d ƒ ? § $ % $ / o % a _ \ k k k / 2 ` 0 Z o w M $ § @ E] /z § F ! @ 9 z 2 \ CD # ± 2 a \ § zz % �CD z � � k / ) / � 2 � _ { g 5 » ° § { j 69 � @\ � �) . �.�..��.. . Parcel #: 042- 1053 -20 -300 05/16/2005 01:30 PM PAGE 1 OF 1 Alt. Parcel M 19.29.18.301 -30 042 - 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 * BURTON, COREY R & JOLENE E COREY R & JOLENE E BURTON 974 80TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 9.111 Plat: 0945 -CSM 13/3746 SEC 19 T29N R18W PT NE SE BEING CSM Block/Condo Bldg: LOT 3 13/3746 LOT 3 9.111AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 19- 29N -18W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 04/29/2002 677590 1880/288 QC 08/23/2000 628674 1537/57 WD 07/23/1997 947/31 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.111 60,800 176,500 237,300 NO Totals for 2005: General Property 9.111 60,800 176,500 237,300 Woodland 0.000 0 0 Totals for 2004: General Property 9.111 60,800 176,500 237,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 572 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin,. Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureat, of Integrated Services in accordance with s. ILHR 83,.Q9 Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Z# must Q000ty include, but not limited to: vertical and horizontal reference point (BM), 'rectiori and .? percent slope, scale or dimensions, north arrow, and location and dista `! �tq near tM '' ' 0. APPLICANT INFORMATION - Please print all inform Nab, � � � ) h ` ` eviewed! Date ry Personal information you provide may be used for secondary purposes (Privacy L yG,a 15.64 (1) ( . (;r li'. -7 L4 s Pro erty Owner \ ProgeO x ' oft ` ;, b biP�7 fNwQ� ✓�t�r. d taovt.Lot 67 1/4 / JX /4,S l� T .29 ,N,R A*r)o Property Owner's Mailing Address hail / Blpctc## $dbd. Name or CSM# Ci State Zip Code Phone Number ❑ City El Village LF Town Nearest Road 114.S 5�'a,? 3 1 (7K" ) 7V7-V1, t✓a r• e.-L I C'o */-?, 1446 New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: ^7 Code derived daily flow � gpd Recommended design loading rate 1_ bed, gpd /ft - Ae— trench, gpd /ft Absorption area required 6 V-3 bed, ft .� trench, ft Maximum design loading rate g g bed, gpo1fi PjF_ trench, gpd /ft Recommended infiltration surface elevation(s) Se 'e j eew to -3 ft (as referred to site plan benchmark) T / - Additional design /site considerations of e S` o - 1 - 1 - o � es 6er_e.-_, 4-e r/ .Sl le ^/ Parent material 0 -Ap cld r� W Flood plain elevation, if applicable / r/4 ft S = Suitable for system k Coonventional Mound In- Ground Pressure AT -Grade System in Fill Holdinn NI U = Unsuitable for system S❑ U � S El YS 11 U Rl S ❑ U (R El El SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench o - 12 ,7/3 ---- G a Cj l,L� �,5 : -6 s- Ground 3 37 �S' Z, 5' QS l" ► L-� '7 elev -ft. to )er ` s ©S 1� Depth to limiting far.tor Remarks: Boring # glr Ground y "6 S/ v S es' 'f'K el v� j 4 u Depth to limiting for in. Remarks: CST Name (Please Print) Signature Telephone No. � L3') S�/9 —� 3" Address. Date CST Number PROPERTY OWNER 9./orig SOIL DESCRIPTION REPORT Page of �? PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Grou elev.nd 6 -s/ Depth to limiting factor 9 �in. 3 Remarks: Boring # .......................... Ground -946 /10 s- /� S s �"'► / - elev 9 , Depth to limiting f ctor 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 # d Pv' '=S /a .e s --� SCC GMs ��F w a�' . S� Ground (/-Tye Q elev. Depth to limiting factor y tin. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 41v J �e�; �','e�, Su -� ✓ey c��e y�. lee th$_ ��ikq S GX" Al - 040 7 p r- ro yo op rq W � i I I _ JI r � - -- I i I II 1 - � -- i . I ) K tl[j 80 `_ eve 4 04 Lo 1-6 C r I - -_ ' 1-x-3 �_ F _ ._.. �. . �! '!_ _ - r __ -- ,.-. -�- � _:_ i I i i ', i ,. i _ . _. _ - , _ __ _ ;_ ', i y ... _ _ __ , -_ _ � _ � -- .: �. � i i _ , ;. �� � ': _ i I i . _ �I I � � � ;_ - -1 - -' - -- - - - -- I i i _, _ � � fi i �. i �i F � � l i _ j. ,. __ - I 1 , i 1 i � _- f } i � i � t t i - - - - � � � - ' T ti d 3 F ILED 1 01 OC T 0 5 1999 ► 4 KATHLEEN H, W °+- AISH M R'S R . Re0!tarotD� �1�.57`7 ST. - C0 ECO O �� St Croix Co., WI S SURVEYO mtz C h1 O UNPLATTEA Z �� n a IT, rA .� O O - 1 c, LANDS � I-�t - - -- - / rn r o� � -tz X34 � A ?-o � �9 Rp EA o s T '� Q o '3 � ' ( �° m M ,ft1 1V 0.0p; �2 C5 p O y w o co m m. \ -Pp \O� CL I•p Cp o N o \ S 9 O 117- n i2' I � m \ N� I D \ y In ~ 0 Me 0 ,5Z'9i t M ..ZB .00 °00 S 66 \ 0 O � — — � 14 o, l 11 , N A o D Cl) 0 ! ^' 116.5 ' -_ 6.63 0 O� m 1 00 °46'32 NIC o C ty rcp rn z - 1 r c(o�O mlb p 0 8 G� I� C I rno�o; o m��vrn (n _�Im O (f) O ! m C 1 n1 c oo 0 Z I CD O G� r ,� z I� r N I 9 ! � °' m mt{� 0 +n AO �z r� Irn O g z ! --4 N �rnp •� 7C O I --1 , 1�1 00 . 0 n 240.00 CO I W APPRQVEQ N I � = �O I !,N 00 E 9 O OD 1 0) m l� CD S'1. CROIX COUNTY �O z � L�'86Z I i o N � Z j Z M Planning Zoning and Parks Co ' n co m w as' . v �I1 � r I M °Z£ .0 °00 S � v iv W N W CA O p rn 0 N �, ° o C6 l"` D w IUD ►�� OCT 0 5 199 2 O N NI I w A 0 d -4 - � 0> If not recorded within 30 dayf f m = 1 1%) pl Q n ! n m•m K) I� approval date approval shal m m -4 ..,� >C �� cn - n ,. I� Holt and void -i I �' D m m .p m I� N I'll o m m I I CD �. Y z r n M m \ ,ZV 6L �� - n (� O ? O 294. 4 " M ..Z£ .9v °00 S ;0 CO N b � d i z o SO 0° 46' 32" W m �► o� OD 0 W •d O ^y C,0 N 9 C.0 UNPLATTED LANDS c n ' W c� 0 8 OWNED BY PLATTERS n p .� � - - - - - - Dz t� ti z 0 N g y C .,w ` 1321.37' S 00° 00' 29" E 1,321.37 ly 2642.74 EAST LINE OF THE SE1 /4 THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG SHEET 1 OF C �t 2 1 10 0 o O 3 ID 0 0 'p A 7! 0 W s O rr Co _ n m O O v O? `C • C O O 3 < N v IV N ~ O G) O CO 7 Co W C 1 N O O a n N ° ° O N O O O C m c j C) W A7 3 • C, A ID v v m ID eo a ° cD c :�! U' a t0 I C Q o W o a N 3 0 ° ° co O O CD O DD O ? O 0 0< n r N 0 N O O 7 (n . O. C ° 000 �i � o (n D < w z N _� 3 cr - a a A O ICD <D 'NO W Q _ .. o m = cp .► H N Q > > O z z o ° I � 0 w (D = c O N G CD W (D o a Q N 7 z (D N O m n° I A O v a Q 0 z W V ; CD co A 1 z a 9 . cn ° m y z CD ? O a a o' v c o a z 0 I I 0 I a a I I I a I N A 0 W O_ O CD hQ li O CL ti Wisconsin Department of Commerce y Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count St. Croix INSPECTION REPORT ANERAL INFORMATION (ATTACH TO PERMIT) Sanitar 7 45 ! q o.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. Permit Holder's Name: ❑ City ❑ Villa e [] T n of: State Plan ID No.: Burton, Corey & Jolene Warren Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: C -V . a' o `' Pvc- Cs�6 '- 042 - 1053 -20 -300 TANK INFORMATION 0 ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 2(� Benchmark $.R I o8• ( 1 Dosing Alt. BM Aeration Bldg. Sewer Holding-- St/Ht Inlet • 3 I b2.6o TANK SETBACK INFORMATION St/ Ht outlet 6•S� oz.3`f� TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic > 5- 0' NA Dt Bottom Dosing NA Header/ Man. Aeration NA Dist. Pipe E. IZ z� W 13- N� S- 3 , Holdin Bot. System E o 16 . 1 PUMP/ SIPHON INFORMATION Final Grade ,(, I� •31 88.60 Man urer Demand St cover • D o �{• 9 I Model Number GPM TDH Lift Friction TDH Ft oss ea emain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM is TRENCH Width , Length No. f T enches PIT No. Of Pits Inside Dia. Liquid Depth IMEN I N 3 `N 1 - 5 Z DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Man a ure : SETBACK . - � INFORMATION Type of /� CHAMBER model N System: C.Y v Z 3 OR UNIT - DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe x Hole Size x Hole Spacing Vent To Air Intake Lengt<�� Dia. g Dia. Spacing 2 S r 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 I ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: le /IS /rho Inspection #2• Location: 974 974 80th Avenue, Robe s, WI 54023 (NE 1/4 SE 1/4 19 T29 R19W) - 19291830130 -Lot 3 1.) Alt BM Description =7 �� &, C 5;,A 5 � 2.) Bldg sewer length = IT -O v - amount of cover = I `• s °' 3 � 'D�,'ai,n p � (�Q, i +�s+�%�` ��• `e � ' �eJ� ow.�e..'s c� ¢..tr� �t�laX � P.a.ee.. - �.e� Plan revision required? ❑ Yes No Z 13 O I c z /V se other de f r addit'onal in rm tlon. l� �) (' ��' � Date Inspector's Signature Cert. No- 710 (R.3/97) f &A&A�L • ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ` a. .. ...� __._ e 4 l r E s .�—�. � t j t , t � � t I S I a I e , � a _ � � a ��� E Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 `�SCOnSl Personal information you provide may be used for secondan purposes Madison. WI 53707 -730^ Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if r state ownec Attach com lete plans (to the county copy only) for the system, on pape not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan 1. D. Number or I. Application Information - Please Print all Information -'�^ Location: Progeny Owner Name �0/4 y Location oz ;to L /UC U 2 $t I /4, S/ ?TZ f N. R or Property Ownerls Mailing Address / L t,Nu ber Block Number D T f O � , City, State Zip Code Phone utnbi r ;C Sub yis on Name or CSM Number Z II Type of Building: (check one) #e� * V lage 1 or 2 Fatuity Dwelling -No. of Bedrooms: 1 . s P er 54 L = '. ❑ Public/Commercial (describe use): P� S 18]town of ❑ State-owned WARR E Af WAR III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road L 40 TH A) 1. ONew System 2. ❑ Replacement 1 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) / 9 2 -f / ,P. 3o( — 3Z) System Tank Only Existing System D 2 - - 2. a - B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) 5[Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V Dis ersat/Treatment Area Information: 3 I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. Sys em Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Z F_S ,. Q Elevation 6 001 o L s e ✓ 7 0, z i 9�'. or 9913 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 s , -« a ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ S•( A - /cam VII Responsibility Statement I, the undersigned, assume res on ibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plu Signature (no stamps): I MP RS No. Business Phone Number Plumber's Address (Street, City, State, Zip Code) o — 2 VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination Z 2.S 00 ' (f 4� IX. Conditions of Approval /Reasons for Disapproval: l 1 P S�pc /S 1'X' 7G'0'1V x / 61% / r � e6o / trip" / «,ar a- sysle x eff �v / a�% \ ors a 9._U I' 9�v O (3's�p q t y �4lgrn 14/s1 Q dl�4,aci POYTi`o.1 �Y TLte ( U/.!(/t✓ C4 � � YAWvI$(a ) in � // S(G u 6�e5 Z )'t:�lTC' �O �C 1�q�tti�Qr`N1� /Ct✓ W1QNLlI�LYlrl"c /S I- CGOfv/N7PhAQT( hl'� �+(Qv�. SBD -6398 (R. 07/00) 1 t i I i j ; 1 1 I _ : i 1 1 t 1 I 1 T I , _ - 1 � 1 1 , i Ore- If Ja - - -- - - Y ; Ali - 1 I I 1^Yl� � t i i , t 1 1 1 ; i , ; , _ _� �.13 Etc l ; t 1} I , P , _ t I , P : I i 1 , 1I 11 + r I E r f i E S , 1 � i I r t 9' I s f ; } l E 3 j , 1 , E I , j . ! r 6 j l , I I !! ! I i s . 1 1 I f l `3 I t i - t 1 , 1 t � • 9 __ I 1013 Wisconsin Department of Commerce SOIL EVALUATION REPORT P 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. 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;trl %iinfo -� R B pa rt of: 042- 1053 -20 - Date Persons information you vide rr be used for second y Y f Y IP Y �+, s. t5.f14 (t) (m)). 9 fl L oao Property Owner -N [ (t Property Location Albright, Robert And Sand � ",LIVED Govt. Lot na NE 1/4 SE 1/4 S 19 T 29 N R 18 W Property Owner's Mailing Ad ss ^ p r Lot # Block # Subd. Name or CSM# 962 80th Ave. r 2 5 2 0 _ 3 na City State Zip CWeQftpp Numbe J City _j Village Ej Town Nearest Road Roberts �`, WI CO?N, C - 749kV Warren 80Th Ave. Vj New Construction Use: 6 Ike o edrooms 4 Code derived design flow rate 600 GPD A Replacement j r okSie - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Possible system elevation: Area I 96.5' M jej Boring # j Boring Pit Ground Surface elev. 99.48 ft. Depth to limiting factor > ` i Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 -9, 10yr3 /2 none sl 2mgr mfr Cw 2f .5 .9 2 9 -25 • 10yr4/3 none scl 2fsbk mfr gw 2f .4 3 25 -37 • 10yr4/4 none Is Osg ml gw if .7 ✓ 4 37 -121 10yr4/6 none ms Osg ml - - -- - - - - -- .7 14, 3 �" Boring # Boring J Pit Ground Surface elev. 99.55 ft. Depth to limiting factor >125 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 0-7 10yr3 /1 none sl 2mgr mfr Cw 2f .5 / 9 ✓ 2 7 -15 • 10yr4/4 none sl 2msbk mfr Cw if .5 �✓ 3 15 -24. 10yr4 /4 none Is Osg ml gw - - - - -- .7./ 4 24 -125 10yr5/6 none ms Osg ml - - -- --- - -- .7 3 . " Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = 800 130 mg/L and TSS s30 mg/L CST Name (Please Print) Signature: � CST Number Thomas I Schmitt 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number Somerset, WI 54025 8/18/00 715 - 549 -6651 1 ! Property Owner Albright, Robert And Sandra Parcel ID # part of:042- 1053 -20 -000 Page 2 of 3 [ ] Boring # Boring Pit Ground Surface elev. 92.85 ft. Depth to limiting factor > 125 - in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2mgr mfr Cw 2f .5 ✓ .8 2 8 -32 10yr4 /4 none 1 2fsbk mfr Ci if .5 .8 3 32-43. 10yr4/6 none Is Osg ml gw - - - - -- .7 ✓ 1.2- 4 43 -125 10yr5 /6 none ms Osg ml - - -- - - - - -- .7 1.2 F-1 Boring # J 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 Boring # Boring Pd Ground Surface elev. ft. Depth to limiting factor in. � Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD L30 mg /L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format. nlease contact the denartment at 6OR -266-3151 or TTY 609- 264 -R777. r - - �Ilill I I I 1 ✓� ate= `� P 7 -- E j oe t II I I I ; , , , I � I I - - - -' -- - -! - I , , - , - - - - I I I i , 1 I 6 Q , , I , I I -- i ', I I I __ i i _ 1. 'I - � � _' i i I � ! •' { , I � _._ , i - -- , � � i , � � I i j _. 1 � I _ _ - I i i I �' I' i I ' j � � I 1 __ � _ __. _ ._ I c �. I - i I � � � - � i � - - -- - -'— �. � j. I � 1 -.i � i ;_ ;__ � __ _ _ ; I - - -- � ._ _ _ __ - - -- - - � __ -- I i . ' , 1 � I II ' I , '- - — I _ -_ _ I 1 �, � �. � I } I �` I- a . _ I _ � `__ _ — _ I_ � _ _ i_ � � f } � j _ _ . 1 � -- �, I i i i � y ... _... -.j. .- Y ,, -.. - -...�. _. I- � _ - .._ � .. �._ _. _. � - __ I - .... _... _.._ _..�. -. .__ I i I i 1 �i � � � �' L I i i � I � I I i � .. ___. -._ _ -. _.. �.. - �.. _. -_. j_ . —.� .._ � _... _ _ _ __ _ _ I _ I. - __ � __ _.._ 1. ___ , L I i' , i i I � I.. 1_ � I �• ;... ... � � L_ I � I �, I I � i � I i I � 1 I -� -{ I I � i I i i I i I � � � I � 1 I I I � , � I � i � - -. __. I_ I I , � 1 i F ' �- I - ,. _. - I.. _ - _. 1 �� I I I i I � � I I�� � I � I I , I 1. ' 1 � 1 � 1 I i �- ._ �i � I.. ! _.... _. __ r .� .... � ... f ..__ 1 _.___� _- I- -__- I I , r , I I i I �i I 1 � � i � �I I I i �. ___ �._ . i � .. � _ l �_._ -_ .. � •. i _ -___ I 1 , 1 ' I I I h � f ___ �_ _ _ __ _ _ _ 1 . -I.. � .+ .�_.�._ _ _.. � �__...._. .._� -_ i.. 1 -- ._ _ __ -_ .�_. �. 1 � �: ._ -. _ �� _ .. . -_._ _.. I � - _i_____ _. _ � -__ _�. __ —_ ... __. �__.� 1 �� T �. � I I i :__ I i � i - _ , L i i I i i I I i f . i i_ _ - -- - + -- -- i- -. � r L � _ j . I � � I I i ,_ � I- i , I I , ; i , i ' � . L .. I � -_. 1 I _� �_ _�- � - � -_ _+- ._ _. _ I _ t __ ,_ �._ L I I ' I 1 � - , - F- - �- --..._ _ _. _ L_. i I, i i � I � i �.. I i � l 1 _ _ } - r I - E _ _ _ _. - . - - t- - -_ �- —__ _- I I � L .. -� I 1 _ , � - �- _ ;_ ; __ � , I I r _,.. i �_ � , �. , I , I __; I - , i i ': _ _ ,_ � , , I I _ i � I 1_ ,- -} .. -__ __ I , I t � � , ' � I I I �_ t. � � , � � �- f - , i _ _ � � J__- � _ � _ ! ��'_ _ L I _ I � I � I � I ' i -_ i _ _ 1. _ 1 �. L t.. I .. _. _ � L I I_.. - __ F ' 'i f - �_. _- t � I i I ' I - - - I 1 � _ L -- -- - '- I - � � _ �� � � - . _ I � � I i i I I � _ 1 _ } � i 1 i 1_ - _ _ i I _. _ , _ E ;_ ` � i 1- - �_ - I _ i i __ ; - � _ ' __ , , � I -- � � � L__ 1 � ! I I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS111P CERTIFICATION FORM Owner /Bu er i y Mailing Address Property Address (Verification required from Planning Department for new construction) City /Stale _ w Parcel Identification Number D � — �� �J" — 020 - 000) LEGAL DESCRIPTION Property Location A ' /�, �E ' /,, Scc: 'C__jLN -RleW, Town of 60 Q.ry'er� Subdivision , Lot # J Certified Survey Alai) # 5 7 , Volume _Z3 _, Page # � . Warranty Deed it _ , Volume 15 3 7 , Page # 5 7 Spec house El yes ❑ no Lot lines identifiable yes 0 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 lank 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. 'llie property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a nraFlerplurnber, journeyman phunber, 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 tire above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Connnerce and the Department of Natural Resources, State of Wisconsin. Certification stating thar your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days,of t three year expiration date. 2 //)/ 60 SIGNATU : OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to file best of my (our) knowledge. 1 (we) am (are) the owner(s) of the pro city described above, by virtue of a warranty deed recorded in Register of Deeds Office. l l� ,ov SIGNA'I3JRE OF APPLICANT 47 DATE * * * * ** Any information that is mis represented tray result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** In0nde with this application: a stamped warranty deed fro►n the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 'VOL L 1537 PAGL 57 ►© STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST. CROIX CO., WI E RECEIVED FOR RECORD T is Deed, ma a between Ob�'1 08 -23 -2000 1:30 PM t2 C i YARRANTY DEED EXEMPT N Grantor, !� CERT COPY FEE: COPY FEE: and I� TRANSFER FEE: 30.00 RECORDING FEE: 10.00 1 +� PAGES: 1 Grantee. Grantor, for a val able consideration, conveys to Grantee the following described real estate in rte � X County, State of Wisconsin (the "Property "): Recording Area Name and Return Address Map & I l 5"7q '' 0 ,6 2- 1 9b Ave 9 e 37 r - RAu 5 , W l s4o�3 fat 3 loeate in fhe /VE'l - NW P arcel (y � e vO l Identification Number (PIN) This homestead property. is is no OF Sec hors f� IFW, 7b wj, D tUar ren ) S"+ Croix Co L- 'Mi 1 Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except fh 0 2 00 : oe Dated this day of , (SEAL) (SEAL) (SEAL) (SEAL) , AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, /a ss. '5t P' 0 County. authenticated this day of Personally came before me this l� day of J L• Al h , �0 Q, the above named I AP TITLE: MEMBER STATE BAR OF WISCONSIN � • • • � to (If not, me known to be therson�_ s ted the foregoing authorized by §706.06, Wis. Stats.) Instrument a ackri f e jge the s e. •i�i • • 11 • THIS INSTRUMENT WAS DRAFTED BY • sanAr:a e Notary Public, State of Wisconsi� My commission is permanent. (II 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. STATE BAR OF WISCONSIN Wisconsin Legal &a. WARRANTY DEED FORM No. 1 - 1998 Mdwaun r { • ycpP� FILED p� OC T 0 5 1999 ► h KuTM>a f w� f 11.57 7 SL for S mar o UNPLATTEd 1 Z " ,`�', p �o o LMKS- C ► P1 ' .� ZlM17N K in 0C� I 'C'm, Z tTj c� Z. 0 � � ® �C�fVIZI� 1 5° s 0 �1 O NN N �`\`\``� O 0 w. ? ro o " � \N o 10 O '`I w •r m O rp 4 0 -a m C n „C C , ` O W � o ,-. � z O m w p �► -� �� � O %_ o) � [rl D p to C l C 0 Zj , i o0 j; m m Crf w. .zt,'LOt, y 6 / �, , v r 0 I N a x 2 0" W v DA0 ! ^ '116.5 ' . 6.63 � c,� con c �._ C o 0 O ta �; 1£ 100 °46�32�E ID a 0 > 4 .. Y m =' m 0 rnn mW I z � I � m O a. C oo � o D En 08 M I C 1 gmN m •a 0i c lm O �y CAN t o ao;zlcn r �m '000ct a D C" A O =. rn m I .. -n 9 I .. o n r� `d z I z ld � t m I I z� w ' O ''l2 NO m m Z rN �� �.� N 7c z v n I -� ; o; 9 1 1N 240.00' °; 6 = 0, APPROVED I� _ co I boo °14s' 32° E X ST. CROIX COUNTY n ID m w V V Z planning Zoning and Parks Cont a (/) m w• LV86Z I t � 1 •��, N 4 41 O M .Z lf, .0 � S . I"t tv t°n� w v m 01 cn o o c gr-c, N CD wo W C o r y OCT 4 5 1999 C Z o N < i y y C j It not recorded within 30 days m = N rn pI m approval date approval shal/� m rn v D C y C w !! n 5. null and void "i m ° v D js, r m " m m L 00 m I -4 Cn to m Y I ! ,it,' 6t 12 ? ? 0 294. 4' �'�. M "U ,9t, 000 S ry � 0 .. b ;0 4% S 00° 46' 32" W Co z N o �m .. n�`° 0 ; z r(n O �, N 00 �,, UNPLATTED LANDS n Drn 2 W _j Oo OWNED BY PLATTERS n p • rn w D V ` J (7 z O N � ca .. 1 321.37' S 00 00'29" E 1,321.37 2642.74. EAST LINE OF THE SE1 /4 THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG SHEET 1 OF 3 Vnl 11 PArlp. 374E O th 04 I I a= ❑ I '' II� � illl I ,� L7 l i ! ► C I ❑ ❑❑ i. r ; I ❑ ❑E]. yl C7 � I i I Ilil I � ;N i ❑ D;I❑_ DO 1 0 T I I I J I I I II III - �a I ,! ❑ ❑❑ I T EIS i I p L + j II `lam N — Ip If ,k- Ilo��51 uojzi �z 11 i 9 � ° off fr 3 .n g r lP I r N Ns� K I h r N d3� R lh, X116�j I1� Rag Il�l'}'� IIZ Y�I N iL T a x 2 it a I� u °1 Ii � 1 po1ZZ M � N @j N r >L cr So X 9� a � 1 � N � � ugl4t � ✓�� NT'_ill I ��� � � a N L h a �N hlib uLis I I I I J I x �� kl • I � N s Z UN I L Y %;ex „off l „b�tl ia,S �ZZ Y I —b 10 -{7 39yd I1ya limi Ilya 3mSl 9 z 2 N ,5Q - a _ I 1 -F 4 J Q i _ N a - < 9 f -4 z N3 z ,b