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042-1078-60-900
Parcel #: 042 - 1078 -60 -900 11/03/2010 09:06 AM PAGE 1 OF 1 Alt. Parcel M 29.29.18.446A -90 042 - TOWN OF WARREN Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 05/06/2009 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner RYAN R STEWART O _ STEW N, AY M LINDSAY C DALTO , L S LINDSAY M DALTON 774 107TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 774 107TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.730 Plat: 5622 -CSM 24 -5622 042/2009 SEC 29 T29N R18W PT NW NE; FKA CSM Block/Condo Bldg: LOT 01 19 -4970 LOT 7 (2.154AC) NKA CSM 24 -5622 LOT 1 (4.730AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 29- 29N -18W NW NE Notes: Parcel History: NEW FOR 2010; TAKES ALL 042 - 1078 -60 -500 Date Doc # Vol /Page Type (446A -80) 042 - 1078 -60 -050 (446A -05) & PT 12/15/2009 908569 EZ -U 042 - 1078 -70 -050 (447A -05) NKA REMAINDER 08/05/2009 901508 DRIVE 042 - 1078 -70 -075 (447A -10) & LOT 1 CSM 08/05/2009 901506 QC 24 -5622 042 - 1078 -60 -900 (446A -90) 07/08/2009 899644 WD more... 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/06/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.730 55,000 225,600 280,600 NO Totals for 2010: General Property 4.730 55,000 225,600 280,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 b r'T- le CROIX C PLA NNING &. ZO NING April 19, 2010 Ryan Stewart and Lindsay Dalton 757107 th Street Roberts, WI 54023 RE: ZONING VIOLATION - DETERMINATION OF OHWM IN SHORELAND DISTRICT Code Administra PARCEL #29.29.18.446A80 TOWN OF WARREN 715 - 386 -4680 Land Information Dear Mr. Stewart & Ms. Dalton: Planning 715 -386 -4674 A determination has been completed by Carrie Stoltz, WI DNR for the OHWM of a seasonal wetland north of Dale Stewart's buildings on the east side of 107 Street. In addition, Ryan Real Prop Yarrington and I took measurements of your site on April 16th to verify the actual square 715 -3 677 footage of land disturbance that occurred during the construction of a driveway, house, and Private On -site Wastewater Treatment System (POWTS) on your lot, which totaled Re cling approximately 56,000 square feet. An after - the -fact special exception permit application is - 386 -4675 necessary for compliance pursuant to St. Croix County ordinance Sections 17.29(2)(d) and 17.12(7) regarding land disturbance >10,000 sq. ft. on slopes >12 %. To avoid code enforcement action, a complete special exception permit application including appropriate fees must be submitted no later than May 3, 2010. Your cooperation in resolving this issue in a timely manner would be greatly appreciated. Please be advised fines of not less than $100.00, but no more than $500.00 per day everyday the violation exists may be assessed to resolve this matter if compliance is not met within the timeframe indicated. Do not hesitate to contact me at 715 - 386 -4680 if you have any questions regarding this issue. Si ly, l Pamela Quinn Zoning Specialist CC: Carrie Stoltz, Wisconsin DNR Steve Olson, Land & Water Conservation Dept. Town of Warren ST.CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON, W1 54016 7153864686 FAx PZ @CO. SAINT- CROIX. WI, US W W W. CO.SAI NTC ROIX. W I. U S r'r CROIX CO UNTY PLAN NING & ZONING November 17, 2009 Ryan Stewart and Lindsay Dalton 757107 th Street Roberts, WI 54023 RE: ZONING VIOLATION - FILLING & GRADING >10,000 S.F. IN SHORELAND DISTRICT Code Administra PARCEL #29.29.18.446A80 TOWN OF WARREN 715 - 386 -4680 Land Information Dear Mr. Stewart & Ms. Dalton: Planning 715- 386 -4674 This letter is a first Notice of Violation regarding your property at 774 107 Street located in the Shoreland District of Twin Lakes in the Town of Warren. Zoning staff documented Real Prop that filling and grading an area greater than 10,000 sq. ft. occurred during the construction 715 -3 677 of a driveway, house, and Private On -site Wastewater Treatment System ( POWTS) within 1000 feet of the OHWM of Twin Lakes, which requires a special exception permit pursuant Re c ling to St. Croix County ordinance Section 17.29(2)(d). You were notified that an after - the -fact - 386 -4675 special exception would be required by Ryan Yarrington, Zoning Technician and POWTS Inspector, via telephone message to Dale Stewart, discussion with the excavation contractor, and as a condition on the approved sanitary permit application. To avoid code enforcement action, a complete special exception permit application including appropriate fees must be submitted no later than December 7, 2009. Your cooperation in resolving this issue in a timely manner would be greatly appreciated. Please be advised fines of not less than $100.00, but no more than $500.00 per day everyday the violation exists may be assessed to resolve this matter if compliance is not met. Do not hesitate to contact me at 715 - 386 -4680 if you have any questions regarding this issue. Si 7� �" FSamela Quinn Zoning Specialist CC: Carrie Stoltz, Wisconsin DNR Steve Olson, Land & Water Conservation Dept. Town of Warren ST.CROIX COUNTY GOVERNMENT CENTER 110 1 CARM/CHAEL ROAD, HUDSON, W1 54016 715386 -4686 FAx PZ @CO.SAINT- CROIX.W1.US WWW.CO.SAINT- CROIX.WI.US Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division �a INSPECTION REPORT sanitary Permit No: 515170 0 G& RAL 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Stewart, Ryan Warren, Town of 042 - 1078 -60 -500 CST BM Elev: Insp. BM Elev: BM Description: T Sectionlrown/Range/Map No: / f I f 29.29.18.446A80 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER N J CAPACITY STATION BS HI I FS ELEV. Septic /,_ J �•` / Benchmark M6 l�"kv , Alt. BM F. 6r1 Aeration Bldg. Sewer $ ' 1 55 Holding St/Ht Inlet Cf. 1 3 TANK SETBACK INFORMATION St/Ht Outlet 9� S �y• TANK TO P /lam WELL ] BLDG , , Vent to Air Intake ROAD Dt Inlet Septic ! / 5D / Dt Bottom V �^ Dosing Header/Man. b d/M Aeration Dist. Pipe Holding Bot. System , 3 9Z • /C Final Grade / PUMP /SIPHON INFORMATION Manufacturer Demand St Cover S • 5 GU GPM 7 D Model Number TDH Lift 'on Loss System Hea �TD Ft " Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length / o. Of Trenches PIT DIMENSIONS No. Of its Inside Dia. Liquid Depth DIMENSIONS flp Z (+e t�— SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufactur � ^ , INFORMATION Type Of System: (?� /�y� j CHA OR Model Number –' o n �•�e.r +a�ut.Q S7 > �4D > A% a DISTRIBUTION SYSTEM 2 d' Z = $ Header /Manifold! 4 Distribution x Hole Size x Hole Spacing Vent to yr Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 4. 7 Bed/Trench Edges Topsoil Yes No Yes 0 No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 774 107th Street Roberts, WI 54023 (NW 1/4 NE 1/4 29 T29N R18W) NA Lot 1 Parcel No: 29.29.18.446A80 1.) Alt BM Description = r' �' Gam.. 2 MS 2.) Bldg sewer length = 2 � - amount of cover = ! nn nn - l Plan revision Required? Yes -:K"No �ZZ. 01 Use other side for additional information. Date Insepctor' gnature Cert. No. SBD -6710 (R.3/97) commercemi.gov Safety and Buildings Division Coun 201 W. Washington Avl., P.O. $ox 7162 ,Y. e� , i A i sco n s i n Madison, WI 53'107 Sanitary Permit Number to be filled in by Co.) Department of Commerce `M Sanitary Permit Application state Transaction � Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate ove tal unit is required prior to obtaining a sanitary permit. Note: Application forms for state - owned S are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information y roviR 'll�F econd ?,t! /�, V purp oses in accordance with the Privacy Law, s. 15.04 1 m Stats. r I. Application Informati - Please Pri t All Iqformatjgn Property O er's Name t ,� Q Parcel # f r� le t Property Owner's Mailing Ad Tess PLANNING & ZONING OFFICE Property ocatio d -757 10 � -�+ S� Govt. Lot , � •T City, State Zip Code Phone Number A * 164- ��, E /, Section z 9 dr L _ 4 � � JF Y 7- 3 � z 9 (cycle one) II. Type of Building (check all that apply) Lot # lJ ✓ T N; R /8 E or� //'' /hv.XL 1 or 2 Family Dwelling -Number of Bedrooms c.7 pl .... Subdivision Name 5°y_e_ Block# ❑ Public /Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of 5 (.22- ® Town of �k.iit -f-✓ III. Type of Permit: (Check only one box on line A. Complete line 11 Wapplicable) A. 0New System ❑ Replacement System y p y ❑ Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) B. 11 Permit Rene Permit Revision ❑Change of Plumb Permit Transfer to New List Previous Permit Number and D e Iss d Before Expirati Owner �i�J Q 93 7 1416 5 IV. Type of POW TS S stem/Component/Device: Check all that appl ,] Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component ex ❑ Pretreatment Device (explain) V. Dispersal/Treatment Area Informati : 0 2 - Cc ' X 8 l't'r . - Y 'a Design Flow (gpd Design Soil Applicatio Ra ersal Area Req ' Dispersal Area Propose,G] (sfJ Syst m Elevation G YS-0 / - ,/ , J �4 v ,/ 92-0.1 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units New Tanks Existing Tanks epti or Holding Tank Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume r esponsibility for inst allation of the PO sho the attached plans. inber's Name (Print) Plumber's Signature \\ R Number Business Phone Number Kt: AC ��a. � LZ87 L K 72- --2`/Z Amber's Address (Street, City State, Zip Code) 7-4 9 !S6 51. 853 VIII. Coun /De artment Use Onl Approved oved Permit Fee 7;7 ued Issuing ent Signa �e 7 1 iven Reason o vial $ f)� di d IX. Conditions of Approval/ Disapproval I A V IA-. 0.// P> 1 nerolw 1= �O �'✓ Attach to complete plans for the system and submit to the County only on paper not less thin 8 V2 x 11 inches in size Q f z f�. ' Q►Q o� Yc('n►>^'Q fa �'t SBD -6398 (R. 0 /09) V thru 02/1 -C J�`� � J Z L �j�p r t Y� iL C(e r 3 s C) a 1 V � v a r / J `U n a v h a. 3 Ci a .r r s M Y r � v � S KZ p n 1 � o a � v h � ^c� h GJsconsin Department of Commerce SOIL EVALUATI . P RT Page of - Di#ision of Safety and Buildings ti�A C y Q� in accordance with Comm ,�5�11t d t& County c . / ��t. o � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must l • include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and i �Tceltr t road. O L ` �l3 - �o T q D Please print all information. Y Revie d by Date v u1Jl Personal information you provide may be used for secondary purposes 'ICE ; Q Properly Owner Property Location o �� E -�L Ile- c +" Govt. Lot 1/4 /V£ 1/4 S / T N R A? E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or SM# ? S - 7 / a 1 41 ' S--. I I ZAJ 6'(g.7,2— C State Zip Code Phone Number ❑City E] Village Z[T wn Nearest Road [% -New Construction Use: Residential / Number of bedrooms 3 Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicabl ft. General comments �/� !� and recommendations: / k i! �4 F 71 Boring # Boring q ?• ® Pit Ground surface elev. / ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 30 - /d Y�Y — c 1 �' ff6ic fn- as 3 q �6 ❑ Boring # Boring ® > 1 7 1 Pit Ground surface elev. � 7. U ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 b 1C a I cc 3 33 I /o�tiyi� C ( I ��K �� a s /v Z • 3 .9 .r Effluent #1 = BOD > 30 < 220 mg /L and TSJ >30 < 150 mg /L " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg /L CST ame (Please Print) Signature CST Number OIL C& F A _ 5 LZZf37Z- Addr s / Date Evaluation Conducted Telephone Number Property Owner Parcel ID # Page Z_ of 3 F-31 Boring # ❑Boring q f. pit Ground surface elev. `0• b ft. Depth to limiting factor >/03 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 S is ,� a S 2..., 3 Z 1 G4 s !v L 9 '503 0 1"r-Y � 0 3 F-1 �l Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. S oil A plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 Boring # n Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. F Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F I I I * 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 need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. S1313•8330 (R.07 /00) � � r 0 M T 0 �r a ' N o � h v r q 1 w � U 3 l __ PAi Wsoonsin Department of Commerce SOIL EVALUATION REPORT P I of 4 Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code county Saint Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Revie by Date Personal information you provide may be used for Law, s. 15.04 (1) (m)). 7 A A Property Owner Property Location Dale R. Stewart Govt. Lot NW 1/4 J 1/4 S 29 T 29 N R 1 8 E (or) )W W Property Owner's Mailing Address Lot # Block # Subd. Name or CSW 757 107111 St ST CRnix MUNTY and part in SWl/4 NEl /4 S29T29R18W City State Zip Code pLKAqjq&W3WNG OFFICE Village ■ Town Nearest Road Roberts WI 1 54023 1 ( 7J5 749 -3698 107th Street Q New Construction Used Residential / Number of bedrooms 4 Code derived design flow rate 150 GPD Replacement Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General comments � and recommendations: ✓KD C'.trs � b r. A, 3 A D. 7 Boring # � Boring q ,Fc 1❑ �`! o Pit Ground surface elev. 100' ft. Depth to limiting factor 30 r — 3 WW 6 Soil Application Rate n Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff �✓✓^ in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 - Eff#2 1 0-30 10YR4/3 SL 2 M BK MFR C S 2 M .6 1.0 2 30 -68 10YR6/8 C 2 D 5YR5/8 SL 2 M BK MFR C S 1 F • 1.0 streaks and spots J 0- Cl 1oy2 a SL 6.4. moA 4 z 3 e- z& s S,'L. PA66k- MF — 2 ng ❑ Boring 18 Bori # 101'6" Pit Ground surface elev. ft. Depth to limiting factor in. Sod icetion Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDHF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - EfF#1 - 002 1 0 -18 10YR3/2 SL 2 M BK MFR CS 2F .6 1.0 2 18-44 7.5YR4/6 F 2 P IOYR7 /6 SIL 2 M BK MFR CS 2M .6 .8 spots 6-/3 rR 3 Z SL ter N1F e- 2 % Z 13-& S; zmea MFR. G 5 7-9 3 6- /a l il Y14 I G z Z� 5 YQ 3 f 6j'L r Ai 60k `nG2 45 -- - Effluent #1 = BOD > 30 < 220 mglL and TSS >30 150 mgA- " E _ _ mg& and TSS _5 30 mg& CST Name (Please Print) — — Signature CST Number Dale R. Stewart 220879 Address Da Evaluation Conducted Telephone Number 757 107th St Roberts, W154023 07/08/2009 715 749 -0145 Property Owner Stewart, Dale R. Parcel ID # Page 2 of 4 Boring # Boring 101 10 25 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 1 0 -13 10YR3 /2 SL 2 M BK MFR C S 2 F .6 1.0 2 13 -25 7.5YR4/6 SL 2 M BK MFR C S 1 F .6 1.0 3 25 -36 10YR4 /6 F 1 D 10YR6 /3 SL 2 M BK MFR IF .6 1.0 and 5YR5/6 E Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#f 'Eff#2 F] Boring # H Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < ISO mgA- " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employ If you need assistance to access services or need material in an alternate format, please contact the�prtment �60P66 -3151 or TTY W64 -8777. s Zl 6s .z I Ito SBD- 8330Test (R.07 /00) 161 Li, 2 6 66 - , 'au,r a , 5� eF N� �� � � f R� N tnJ /4 s PA palms � sf1� A �+ N 400' P L 47d B2. 101'6 B3 fol "�0" 6 f7 ST �1 p e YSa Z ONE 6 • X l05 1 t;; SC A t,-E 1 00 " 4 894986 BETH PABST REGISTER OF DEEDS ST. CRDIX CD., WI RECEIVED FOR RECORD 9 CEFM F1 En SURVEY M 0506/2009 12:30PM pz LOCATED IN PART OF THE NW7 14 OF THE CERTIFIED SURVEY MAP m NE7 /4 AND IN PART OF THE SW1 /4 OF THE VOL: 24 PAGE: 5622 NE /4 OF SECTION 29. T29N. R1 OW, TOWN REC FEE: 13.00 OF WARREN, T N, ST. CROIX COUY. c 3. WISCONSIN; INCLUDING LOT 7 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 19, PAGE 4970. f i t � I t — 2029 Z a M + H ta W O I 2DWXY 2OO.ar 'O S m a � 1 ` f 400_4 C�3 y LOU a _.. c'J_T Il k a 99 3 soo a "oV s � ar � EwsnNG � s9 0"8'srE 11e3.8W — - —s - SOW I N57'E 200. 04' EAS UNE O F 1 1L ~ 4 of T HE nEiµ i 'I 07TH STREET X Ja Ong � g BEARINGS ARE REFERENCED TO THE p NORTH LINE OF THE NE1/4 OF SEC710N 29. O 4 1 a ASSUMED TO BEAR NWI&42'E (ST. CROW 1 of 2 Vol. 24 Page 5622 COUNTYGRIO (1(1111 IIII{ IIIII { {II! 1 {III IIIII IIII 111111 IIII III! 9 0 1 5 0 6 1 901506 STATE BAR OF WISCONSIN FORM 3 - 2000 BETH PABST REGISTER OF DEEDS Document Number QUIT CLAIM DEED ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED made between Ryan R. Stewart, 09/05/2009 11;OOAM S f , Grantor, and Ryan R. Stewart and Lindsay M. QUIT CLAIM DEED D f newzA14 EXEMPT e Grantees. I.J REC FEE: 11.00 Grantor quit claims to Grantees the following described real estate TRANS FEE: 150.00 in St. Croix County, State of Wisconsin (the "Property "): PAGES: 1 Lot I of Certified Survey Map filed May 6, 2009, in Vol. 24 of C.S.M., pg. 5622, as Doc. No. 894936, located in part of the NW' /4 of the NE' /4 and in part of the SW' /4 of the NE'/4 of Section 29, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin,; including Lot 7 of Certified Survey Map filed April 18, 2005, in Vol. 19 of C.S.M., pg. 4970, as Doc. No. 792349. Recording Area TOGETHER WITH AND SUBJECT to a shared access easement as shown Name and Return Address: on said C.S.M. SCAT 219 S. Knowles Avenue New Richmond, WI 54017 SST7038 rl CC' Together with all appurtenant rights, title and interests. Part of 042- 1078 -60- Sff, 042 - 1078 -60 -050 and 042- 1078 -70 -050 Parcel Identification Number (PIN) This homestead property. Dated this day ofj� '', 2009. Y 6 * lkyan R. Stewart * * AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) COUNTY OF ST. CROIX ) ss. authenticated this Xersonall came before me this _ J r day of Rbf _ 2 009 the above named Ryan R. Stewart « to me o n to be the person(s) who executed the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN instrume a ack n 0 WP X e (If not, authorized by § 706.06, Wis. Stats.) ; THIS INSTRUMENT WAS DRAFTED BY zalw- P - 1 ffa21 64 a Notary Public, State of Wisconsin u �. f�: 'f Robert L. Loberg My commission is permanent. (Ifttar;afe a t'ifian.�tte:: V Loberg Law Office sw/ l0 ^al °� t ' t ' s A) �� (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 A V. 5"8 7 703&e QUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3 -2000 1 of 1 f ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer , w 4LA T — bA. "e I* f ' a Mailing Address Property Address 7 7 Q (Verification required from Planning & Zoning Department for new construction.) City /State P dS (/(/'�� Parcel Identification Number �Z- /D 7P &d- 5?)e) LEGAL DESCRIPTION Property Location A.. u. '/4 tiE '/4 , Sec. L T Z �j N R /IP W, Town of �a,c.�.E.✓ Subdivision Plat: esm / 4 4/1 ,Lot # �. Certified Survey Map # � 2 - ,�j v , Volume , Page # 41q -7& Warranty Deed # 601 3 - 1 e (before 2007)Volume Page # Z Spec house ! yes Yno Lot lines identifiable es no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, 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 Planning & Zoning Department within 30 days of the three year expiration date. 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. , mber of bedrooms J SKNXTURE OF APPLICANT(S) DATE -)n that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** , ation a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if , arranty deed. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page / of y FILE INFORMATION SYSTEM SPECIFICATIONS Owner �wcc /L Septic Tank Capacit q^! � P � 000 al ❑ NA Permit # s /SQ Septic Tank Manufacturer S' 4 w ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer S ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model 1D ❑ NA Number of Public Facility Units - ETNA Pump Tank Capacity a l -8'NA Estimated flow (average) �J O gal /day Pump Tank Manufacturer -B-NA Design flow (peak), (Estimated x 1.5) al /day Pump Manufacturer -fl Soil Application Rate o S al /day /ftz Pump Model -El Standard Influent /Effluent Quality Monthly average* Pretreatment Unit -2 Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L E!r ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) _ <150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L - El'r"n- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L EMA ❑ At - Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size % in dia. O A 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: ❑ month(s) /I 0-year(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third W of tank volume ❑ NA Inspect dispersal cell(s) At least once ever / ❑ month(s) (Maximum 3 years) ❑ NA P P y' `r - E - year(s) Clean effluent filter s 1v D�� At least once every: -8 month(s) PM - 1. 0K ❑ NA ❑ year(s) Inspect pump, pump controls &alarm At least once every: �� ❑ month(s) /yAt n AI's El NA $year(s) Flush laterals and pressure test At least once every: ❑ month(s) [I NA -0 Other: At least once every: 0 month(s) ❑ NA 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 Se to a Ser ' ' accordance with chapter NR 113, Wisconsin Admin' o e. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreat ent 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. GMW (4/01) - of the tanKlsl removed oy 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 cell(s) 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 all 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: M- 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. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ 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 POWTS INS7ALLER POWTS MAINTAIN FR Name c Q W N S Name G G L cF.�• c�, ti Phone y L Z yZ/ Phone y? Z Z� Z SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name ��ti c. Name Phone Phone 3,:5g - V U This document was rafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ma 4 .014 09 A va- dlwm I dl� = I g �� I ` � A � ^09 .0-.K q 0 0 AEI ------------------------------------------------------------------------ - -- --------------------- 1--J -- - ------------ - -- ---------- --- I - (UNAO) i I II amewau �O-w 41 is (LI ---- --- — -------------- -- ---------- - - ---------- -------------------------- -- • W-L.4444- ----- - ---- r Y a� f § ��j � .1 wnw%u woo ^vc .0-.tc -------------------------- -------- ---------------------------- - ---------- ------------ -------- --------------------------- ....... ................. . --------------------- ----------- Wz IL ---- --- — ---------- ------------------------------- . ........... ---------------------------------- TT - I - T - r - r - -------- --- - - - - ------------- i - - -- -------------- l u .................•_•. `......... ------- ............ 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N O n C n CCD A Q 7 0� N A Q C/) 7 O O O N Cl) 7 --` -i N n° m 7 7 0° p Z (D m N m ° �» O 7 0 7 O Q A Z O Q C N N N M a N O co (D O C co CD , Z 3 �� 3 Z w m N Z N N -� (D W CO W N (D N o r-o a *� D 3 m -I D X 7' Q ( Q V `G O j 7 _ C N N d C =r 7 T O G � - p N p < 0) (D O N w =R O 6 T O 7 T `< N N `� (D O t v 7 O 7 (n 7 ( C C D ) O ( O 6 N (O W Z Q S OZ Qa (D W N �. O =� O O (D _Q O< Q (n y U 7 CD (D 'O d O W N 0 0 Q t0 W N m 7 _ O ,? c o ago ° °w CD N CD CD 7 0 Ito Q 3 Q p N x n a � Cn a �' 7 V O (D N O p N (D W (D (D CD N (D , 7 7 B (D (D S (O 0 . O O Q 7 7 N EA Q b (D O I * 8 b 4 9 3 2 � 894936 BETH PABST REGISTER OF DEEDS o 10EF ST. CROIX CO. WI cn ffIFIED SURVEY MAP 05 /06/2009 RECEIVED FOR RECORD LOCATED IN PART OF THE NW1 /4 OF THE 12:30PM 1 m NE1 /4 AND IN PART OF THE SWi /4 OF THE VOL: 24 ED PAGE: 5622 ° z NEi /4 OF SECTION 29, T29N, R1 8W, TOWN REC FEE 13.00 OF WARREN, ST. CROIX COUNTY, PAGES: 2 o WISCONSIN; INCLUDING LOT 7 OF Cepl-s 3•0 CERTIFIED SURVEY MAP RECORDED IN VOLUME 19 PAGE 4970. Oi� M1pdQ'u�C® dQaD� PI� a I ► i� - N00 6'32°W 600.151 ($00-3821 "E il ls z � 579.e9' I Z �,m 0 CQ D z m �� 6�.,* n X z -�� °` �` �� ', e u �o - w qD _ ,,`uYr n k ,X O gm-, Co TT �� jo N .i � 0 X \Iv b I C;) I+ �.� 200.00 200 - N - -- -0zm� y SOO °48'06 "E 00` x --- x C = e t I o5� 7 I x ` x -- I < x p = c z i In I+ (N01 *W36"IM 9 1 , r CppTN C1y O U) Z I I+ O � � M I� Lp '' Z I 1J�N N *4 I -�G m acZ i II o I 1y �� ® Zoo of mo I� 6 R' ., , i 6 $ `� N W EXISTING OU s - � z OJ S00°40'2T rn _ rCENTERLINE — ^ Spp�18'5T'E 1183.84' A � 500°7 8'57 200 .04' t x' EAS LINE O T HE N W14 OF T HE NE j n 107TH STREET O w cn 6 'D -I m A D • • � a m a m' ? 0A C 6 CD C (D ' O z m �W m �c x a� O w rn �mt =�o Z »'"o,n� m v m �gw 1 n r . ��? 3 sv O� z TK cnz In m v o m oma r\ O �c m svp cm�m mz RI -+� w�� X .� < r �x rn O z� min 0 O O z c"0 m VT!a � io O z W2 m- ,� rn S� 3 '§c O a O l yc o m C) C.) c o �z� 0 g K �'a � CL 1-im z om o y po `- z o o O Z o n O w m G7 `z w cD m m z z m c 0 m a y Ci c m z m v 2 z� � O O o 9 m m x II p O O ,� O -I Cf a m p T o m z O ° ° P c a BEARINGS ARE REFERENCED TO THE Q a p C D p o Z NORTH LINE OF THE NE1J4 OF SECTION 29, VV ASSUMED TO BEAR N8V1042`E (ST. CROIX 1 of 2 Vol. 24 Page 5622 COUNTY GRID). 0 CO) 0 ■ - 0 � k g § § R § m LO) � , � m » 3 § z E z e®./§ 2 �. \ / \ ƒ w \ k % � / , ] s / y \ { / � � $ £ ! = e � E �))\ © � f ƒ i r \ 0 , ° » — _ � 0 Q z d = o r ■ o / 2 \ k o 0 0 :E ■ , § S § a < w z a CA cn CA & > [ / -0 m v § 2 . , ( % 3 �§ >\0 0 0 o § 70 § CD m \ I a w cn m FL 0 0 & k / z E � Q � A " z / m m m f 2 0 f \ !§_ » / » � S ®m .0 \ 8C4 , 0 C E \j \kƒ CL 0 : CD §,(n a gag C 2 27 7 D i rr } CL 0 ¥ ® © 9 $ \/k 2 = —o $ ato { A \ )o § § Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety an&Budaiing Division INSPECTION REPORT Sanitary Permit No: , 515093 0 GENERAL 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)j. Permit Holder's Name: City Village X Township Parcel Tax No: Stewart, Dale R. I Warren, Town of 042 - 1078 -60 -500 CST BM Elev: Insp. SM Elev: BM Description: Section/Town /Range /Map No: 29.29.18.446A80 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet -' TANK SETBACK INFORMAT N` TANK TO P/L WELL DG. Vent to Air Intake ROAD Dt Inlet el Septic Dt Baftorn Dosing ader /Man. Aeration Dist. Pipe ;f Holding Bot. System PUMP /SIPHON INFORMATION y+ Final Grade Manufacturer Dq nd St Cover M Model Number TDH Lift Friction Loss System Head DH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of renches XDIME S No . Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREA LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x le Spacing Vent to Air Intake Pipe(s) Length Dia Length is Spacing SOIL COVER x Presture 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 Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 774 107th Street Roberts, WI 54023 (NW 1/4 NE 1/4 29 T29N R18W) NA Lot 7 Parcel No: 29.29.18.446A80 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 � , eti O , X sco n s n Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce P A I D� j Sanitary Permit App �+in State Transaction beer A In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (f different than mailing address) submitted to the Department of Commerce. Personal information you proviiMORVEDcondary purp oses in accordance with the Privacy Law, s. 15.04 1 m , Stats. -7-7q / D � 01 s7-- I. Application Information - Please Print All Information [ roperty Owner's Name Parcel # I0 J�A Property Owner' Mailing Address Property Location �7 PLANNING &ZONING OFFICE T l® J � � Sf • Govt. Lot C� City, State Zip Code Phone Number N W y , /li E y., Section Z / 1 ,/ Q p (circle one ' R ob 114 1 W ' IT Y SL /-1�8/ T_N; R V II. Type of Building (check all that apply) Lot # 1?T or 2 Family Dwelling - Number edrooms 3 -� i -7 Subdivision Na Block # /" /� ❑ Public /Commercial - Describe Use Vi' 7 1 , 16 ❑ C of El Owned - Describe Use CSM Nu ber gr -EV L `,� ❑ ' , Village of • , '7 � � y 129Townof WA.L.-£ III. Type of Permit: (Check only one bog on line A. 14mplete line B if a0pli able) A. Tew System ❑ Replacement System g alK p y g y (explain) ❑ Tre ent/Holdin T Replacement Onl El Modification to Existing S B. ❑ Permit Renewal ❑ Permit Revision ❑ Change o List Previous Permit Number and Date Issued u�ier ❑Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all tbfit a )dNon- Pressurized In- Ground El Pressurized In- Ground El At- de [J and > 24 in. of suitab X61 To m. of suitable soil 11 Holding Tank 11 Other Dispersal Component (explain) 4-tAir+ ' retrea a evlce (e plain) / •/ V. Dispersal/Treatment Area Information: I b r Design Flow (gpd) Design Soi pplication Rate(gpdsf) Dispersal Area Required (s Dispersal Area oposed (sf) System Elevation a ,r c 9av 9i >zX ia8. �oio. z VI. Tank Info Capacity in ,� Total # of Manufacturer :3 Gallons Gallons Units New Tanks Existin arks Septic Holding Tank Dosing Chamber VII. Responsibility Statement- I, the and igned, assume responsibility for installation of the POWTS sh on the attached plans. tuber's Name (Print) Plumber's Signature /MP Number usines Phone Number Pl ber's Address (Street, City, State, Zip Code) yq /- S3 ,Q 2- G. ; q /J`0 f" 5 o k , C K" �J; Y8; 3 VIIVtoun /De artment Use Onl Approved ❑Disapproved Permit Fee Date Issued I ing Agent gna e $ ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval aoueulpao/ oo algeopdd iad se I✓F c. Si o Al Z 0 Sd " IQ6 / — A �,t�. �! /O E pe !el .ew q lsnua u annbaa ;as Ild 'Z jaq n �(q p pina ueld ewa6 a .lad s p ul lew / p of s aq lle snw eo le aad .p -SYSTEM GWNER! ch to c plete plans for the system and submit to the County only on paper not less than 81/2 e!a" 1)p,9ZU a )luel EI ag 1 Septic tank, effluentfifter anc dispersal cell must all tbg serviced / maintained c C .!�' �13NM0 IN�J1S kS as per management Ian p rovided b p lumber. ' 9 p p Y P 1'� �j,'� 4 r1',� �f'C-� r n- f7 <�-l' � � >` v cL 2. All setback requirements must be maintained / S BWY§ fpl M%R9WA A ces. ilk �r ILA LA, o �- P CA U cn r b �r o r 6 G v Q c w � Gt n to c d cs � o G 0 .t t LA • c'7� CAA � � �+ � �� U N ti a w o t t �^^ to Ite yJ � a G 0 c m 0 �a o 1• V 0 Soil Absorption System Cross Section 4° Schedule 40 Final Grade PVC Vent Pipe /09.9 /a7.1- With Vent Cap ft Leaching --► �� B 9 /� �� Chamber ft ♦— System Elevation 3 ft S ft Soil Absorption System Plan View ft i 910 ft IIIIIIIII $ ft Leaching Trench 1 Vent Or Observation Pipe Charbers 4° Dia. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model Q6 'c- K- q #,, --*A S EISA Rating /9. / sq ft per chamber Soil Application Rate r gpd /s " ft q d Design Flow + - ' Soil Application Rate T /Q• f �� 9p 9 ppl' EISA = Chambers 2 rows of chambers each. . l � P age of t ti Wsoonsin Department ofcommerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings In accjand with Comm 85, ir'Ufs. Adm. y SLcroix Attach complete site plan on paper not less thx 11 krcltes in size Include, but not Waited to: vertical and horizonnce point Parcel I.D. Y 7. percent slope, scale or dimensions, north arrot�tioru nearest road. Please prin t aN n.� c � T 141 Reviewed / Peonal information you provide maybe used for secondary pu (Privac rs Property Owner Dale R. Stewart \ lz: �\ 1/4 NE 1/4 S 29 N R 18 E ( Property Owner's Mailing Address # # Subd. Name CSM# 757107th Street 7 1 q 7 v City Slate Zip Code Plane Number Village ■ own h Road Roberts W1 1 54023 1 ( 715 749 -3698 107th Street WUM R New Construction Uses Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: Parent material Flood plain p elev AW Wapplicable / R• General comments f /Z ?`� +�✓�i /h t T / ' A " B,� J< and recommendations: NG� VQ—Illdc COrr�c;•{zu,,,a��',- a�f 1 � Boring ❑ t3orirrg # . PR Ground surface elev. ! 111' 5� t Depth to 6rdin9 fac4Or >72 In goo n Rate Horizon Depth Dominant Color Redox Description Texture Structure C nsis4ence Boundary Roots GPDW In. Munsefl Cur. Sz. Cont. Color Gr. Sz. Sh. 'Eft111 'EfW2 1 0-15 10YR 3/3 SL 1 F BK 1dL C 2F .4 .7 2 15-24 7.5YR4/6 S 0 SG NE C 1 F .7 1.6 3 2 t8 S 0 SG ML C 7 1.6 4 48-72 10YR8/2 FS 0 SG 1vL 5 1.0 = 3 2 Boring # Borirtg l = orr >72 F El pit Ground surfaceelev. It. Depth to smiting factor in. Soft Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD(f in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. `EfW1 - Eff#2 1 0-13 10YR3/2 SL 1 F BK 1VL C 2 F .4 .7 2 13 -23 7.5YR4/6 S 0 SG NE C 1 F .7 1.6 3 23-72 10YR6/8 �(, d S 0 SG ML .7 1.6 Effluent #1 = BOD > 30 S 220 mg& and TSS >30:S 150 RV& = BM < 30 mg/L and TSS 130 mg& CST Name (Peke PM) Strohm CST Number Dale R. Stewart 220879 Address Dale EvAstion Telephone Number 757107th St Roberts, W154023 06/04/04 04/07/05 715 749 -0145 Property Owner Stewart, Dale R Parcel ID # Pa#e 2 of 3 3] Boring 80" Boni # ®pit Ground surface elev. 107' to knbV factor >72 in Sod Application Rabe Horizon Depth Dornirmnt Color Redox Description Torture Strucdue Consistence Boundary Roots GPDIr in. Mansell Qu. Sz. Cont. Color Or. Sz. Sh. 'Eft #1 'EfW 1 0-8 10YR3/2 SL 2 M BK ML G 2 F .6 1.0 2 8-21 7 5YRS/8 S 0 SG ML C 1 F .7 1.6 3 21 -72 7.5YR4/6 S 0 SG ML .7 1.6 Boring 4 Boring # • Pit Ground eurlme elev. 102' 7 " 48 ft. Depth to lirniftV factor fn Sal Rabe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rooks GPD/lF in. Munsell Qu. Sz. Con* Color Gr. Sz. Sh. 'Ett#1 'EfW2 1 0-24 l OYR 3/3 SL 2 M BK ML C 3 F .6 1.0 2 2433 loygSI4 S 0 SG ML C 2F .7 1.6 3 33-48 IOYR 5/6 S 0 SG ML G 7 1.6 4 48-50 10YR5/3 M 2 P 7.5YR5/8 SCL OM MFR 0.0 0.0 and 10YR4/6 Q Boring Born a ` Grouts surface elev. ft. Depth to IirrrNirg factor Sol Rabe Pit Horizon Depth Dominant Red= Description Texture O&ucWm Consistence Bound Ro ary ots GP" in. Mun Bell Qu. Sz. Cost. Color Gr. Sz. Sh. •EB#1 'EfW2 • Ettiuent #1 m BOD, > 30 1220 n'gll. and TSS >30 _< 18D ff9t ' Etibjerd #2 = BOD, < 30 ng/t. and TSS _< 3D rng/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material m an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264-8777. son- M3"at%07Aq 4 Lo - f - 7 WA telephone , iz PL $3 11a1' U 71 + i yx y 2.15 sg Alf AAA 717 6 Parcel #: 042 - 1078 -60 -500 07/02/2009 02:39 PM PAGE 1 OF 1 Alt. Parcel #: 29.29.18.446A -80 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 04/18/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - STEWART, DALE R DALE R STEWART 757 107TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ` 774 107TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.154 Plat: 4970 -CSM 19 -4970 042 -05 SEC 29 T29N R18W PT NW NE BEING CSM Block/Condo Bldg: LOT 07 19 -4970 LOT 7 (2.154AC) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 29- 29N -18W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 04/18/2005 792349 19/4970 CSM 08/11/1999 608378 1448/208 WD 08/11/1999 608377 1448/207 WD 07/23/1997 1207/149 WD more... 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.154 38,000 0 38,000 NO Totals for 2009: General Property 2.154 38,000 0 38,000 Woodland 0.000 0 0 Totals for 2008: General Property 2.154 38,000 0 38,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 7- 1448 PAGE ?V'8 �b • STATE BAR OF WISCONSIN FORM 2 - 1998 fs4C�i 4EL:E39 �' KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER . CROIXOCO., W1 RECEIVED FOR RECORD This Deed, made between Ronald R. Stewart and Sharon M. 08 -11 -1999 9:30 AM Stewart, husband and wife, Grantor, and Date R. Stewart, a married person, Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to EXEMPT N Grantee the following described real estate in St. Croix County, State of CERT COPY FEE: COPY FEE: Wisconsin: TRANSFER FEE: 135.00 RECORDING FEE: 10.00 W% of NE %. of Section 29, Township 29 North, Range 18 West, St. Croix GAGES: I County, Wisconsin EXCEPT Certified Survey Map in Vol. 6, Page 1799 and EXCEPT Certified Survey Map in Vol. 2, Page 509 and EXCEPT Recordi Area Certified Survey Map in Vol. 9, Page 2414 and EXCEPT tl that part lying Name and Return Address North of the centerline of the Town Road known as 80 Avenue and EXCEPT commencing at the North '/4 corner of said Section 29; thence X40U XViiM First National Bank S00 0 38'21 "E (recorded bearing on the North /South 1/4 line of said Section MI 915 Davis ST. 29) a distance of 732.67 feet to the point of beginning of the parcel to be Hammond, WI. 54015 herein described; thence continue S00 "E 636.35 feet; thence N89 0 42'05 "E 644.81 feet; thence N00 0 38'21 "W 660.38 feet; thence S87e34'00 "W 645.11 feet on the South line of that Lot 1 of that Certified Survey Map recorded in Vol. 6, Page 1799 of St. Croix County Certified oat -IO7g 6o and 042 1079 7 o Survey Maps to the point of beginning and EXCEPT part to Scott , Parcel Identification Number (PIN) Huberty and Kerry L. Huberty in Vol. 1175, Page 190 and in Vol. 1207, This is not homestead property. Page 149. (is) (is not) Sharon M. Stewart joins in this conveyance for the sole purpose of conveying any and all interests she may have in the described real estate pursuant to the Wisconsin Marital Property laws. Exception to warranties: Easements and rights -of -way, if any. Dated this day of , 1999. Ronald R. Stewart X max/ aron M. Stewart AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Wisconsin) St. Croix COUNTY) authenticated this day of Personally came before me this day of 1999 the above named Ronald R. Stewart and aroa Stewart to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN T (If not, authorized by §706.06, Wis. Stats.) Notary Publi , S to Il�ihwin THIS INSTRLTMENT WAS DRAFTED BY M CorQrni s FOJBJJM. state expiration date: Jery R. Gavic �d Spring Valley, WI 54767 �nG M115 (Signatures may be authenticated or acknowledged. Both are not necessary.) •Nantes of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM Na 2 -1993 Fond du Lac, VNlscortsin 800-655 -2021 Intormetion Professionals Company FiLut MAY` T 5 406' 792349 VOL 1 9 PAOE 4970 $7T.GMX`COUNTY' BEGI�S7'E�R OF DEEDS IlR'QR'S._ftECOAD) ST. CROIX CO. VI RECEIVED FOR hECORD 64/18/2065 16 s 06AM CERTIFIED SURVEY MAP wry CERTIFIED SURVEY MAP PAGES: 2 LOCATED IN THE NW1 /4 OF THE NE1 /4 AND THE SW1 /4 OF THE NES /4 OF SECTION 29, T29N, R18W, TOWN OF WARREN. ST. CROIX COUNTY, WISCONSIN. gf�TVT BEARINGS REFERENCED TO THE NORTH LINE OWM DER OF THE NE 1/4 OF SECTION 29, ASSUMED TD unmet / S' ���nr�ir�t �� l BEAR N08049'43'E. NORTH LINE OF THE NEi/4 OF SECTION 29 RORER OS T WI. 5402 STRE —N_ N88 °49'43 E 2604.50• 1302.25' 1302.25' N1 /4 CORNER, SECTION 29 ( ALUMINUM CAP FOUND NE COR SECTION 29 LEWO�D FROM ( TIES OF RECORD INDICATES CORNER ORNER ( AS NOTED ) LOT 4 OF • - INIDCATES 1.25" c �7� V ,M'N w, p N ( OUTSIDE DIAMETER) — E F{ED R �/ G T _, IRON PIPE FOUND. _ n - INDICATES 1" x 16' VOLUME 9, PAGE 2414. ( OUTSIDE DIAMETER) ( TOGETHER WITH "AO) LANDS ) IRON PIPE WEIGHING 1.13 LBS. — — — / LINEAR FOOT SET. x — - INDICATES FENCE, I N87°34'22"E 473.55' I Tj 436.00' 37 55' x I I I I 1 LOT 5 1 1 $ 94.525 SQUARE FEET ( 2.170 ACRES g INCLUDING RIGHT -OF -WAY ti 87,164 ACRES 2Ci� $ I SQUA)E FEET ( 2.001 cu x EXCLUDING RIGHT- OF-WAY PROPOS ^ DRIVEW Y. t 35.84' t I 436.00 • I �+ NB7 47125' LL 1 I Z I 8 1x 1 33 33 o I LOT 6 g; t2l 94.177 SQUARE ET ( 2.152 ACRES ) Lu _I x R RE INCLUDING RIGHT- OF-WAY o I gl µ' 1 $' 87.164 SQUARE FEET ( 2.001 ACRES ) cr ti I o EXCLUDING RIGHT -OF -WAY. : u- g I I Z W_ r=-i g I J 436 AO' x N87°34 22•E 470.15' I I 1 1 SHA CCESS 34.SS 1 1 LOT EASEMENT ' 93.828 SQUAD FEET ( 2.154 ACRES ) Y 1 INCLUDING RIGHT- OF-WAY v I I 87.164 SQUARE FEET ( 2.001 ACRES) a I $ x g EXCLUDING RIGHT-OF-WAY : co 8 Q , S OUTH LINE OF THE NW1/4 OF T HE N ES /4 w hit NORTH LINE OF THE SWI/4 OF THE NE1 /4 O I O II • °— 32.46 I "II x 43s.00' I S87 °312% 46H 46' �� /j - I -x x- UNPLATTED LANDS — CSC O N /y GRAPHIC SCALE i" -100' * • a 'k NEW ICHMONO Q � 1 0 100 200 300 W( LN THIS INSTRUMENT DRAFTED BY: JOSEPH W . 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