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HomeMy WebLinkAbout010-1007-95-000 II I M o° M M 0. o o � I � I o N o I Q I I O z C z C _ 7 C: LL C O � � I II Q ( 3 M (D I z N CD CO E o Z L ° o a m r) H C7 o I o z ,+ CD Z d' O c U ~ c a) v ch N N 7 °7 I (� N CL }I� N •'� C 0 m o 4) ¢ -" z m z - � I N 00 Z C N Lo co m y - d E . L r CL y d O D @ O CD may/ Z N 0 o F 0 0 0 n O z° o(n l 0) m CO -j U W o) o) } N N 0 - E N L N C7 ) O III N 7 0 w O cD V) C E N O 0 Co O 0 N C (6 t CL p p r- C4 F- ` N E T N N V C O 00 N m Lo CD &,5 3 N - C C co CU 3 � • O >> o o W Q M O z N cn z Y cn .w v� .a a`, a • CL m y c E i 'c c r� r A U a O U) U M FEB 3 AN p 7 M 3 LL� n.. ... TY t s>; ?'ply COO' TN WA , v. CERTIFIED SURVEY MAP LOCATED IN PART OF GOVERNMENT LOT 1 AND PART OF GOVERNMENT LOT 8, BOTH IN SECTION 3, TOWNSHIP 30 NORTH, RANGE 16 WEST, TOWN OF EMERALD, ST. CROIX COUNTY, WISCONSIN Prepared for and at the request of Drafted by: Bearings are referenced to the East line of Section 3, Owner: Bradley Can day da Township 30 North Y p , Range 16 West, which i g s assumed to Timothy and Melanie Banker bear North 1 degree 19 minutes 26 seconds West 1762 250th Street _W - 2 "PIPE 8k CAP FND. Emerald, Wisconsin 54012 3_ O MATCH LINE - SEE SHEET 2 NE CORNER LEGEND pi N SECTION 3 N — County Section Corner W' O 0 aD Monument of record �"'; �� ° , L 0 T 4 " °; N Q� ZI N88 °40`34 E 691.35` I ' I z _ 0 1 x24 Iron pipe weighing J I Q W 6 40.89` a minimum of 1.13 pounds Z 1, J i M� 50.46 ` per linear foot set. SEPTIC I I SCALE IN FEET ('.: VENT I ,� I o N I 200' 400 G O V __ T _ L O T _ 1_ 33' t �33' 0 S88 582.73 N WELL 1 I W ~ I W ' ti HOUSE I z �I OD I I J QI GOV I T W LOT 8 I c a N (�� to J I I i 0 01 LOT 2 ° N LOT 3 N��; N Z 0 I cX -, OD (D 15.854ACRES WITH STREET (0 16.642 ACRES WITH STREET I W a) I (0 N Q 690595 SQ.FT. 724918 SQ.FT. I - J 1 15, TREET 15,531 ACRES WITHOUT STREET I I ' 796 ACRES WITHOUT S I � N OD O (� 688081 SQ.FT• 676528 SQ.FT. 1 0 ' N QI N 1 W l I _ WI z cn N I J I � M I x ' I u 1- F.. I c ' A �D Q, n t-e 11 I N a.' ` `J I z l W 0 W J — O TO 0 I S I° Z � ( — �' 3I w Z I z U. SS �� N89 ° 35`53 ° W 501.28' u I p ��• WI C15 M F 462.82` 38. 1 M HI W ... a (n S89 0 35`53 E 800 00` M M � 762.27 ` JI � 37..73' 4.I M Zo. 1 z W p 100' W 3 � h�` I - I I Z� ���\� L O T I s� ' o I ~ O 10.072ACRES WITH STREET `� I N IA U o 438750 SO. FT. �I NI OD 9.727 ACRES WITHOUT STREET I , Z 423721 SQ. FT. 1 �?. SOUTH LINE GOVERNMENT LOT 8 1232.62' 33.02' S 89° 35'53 "E 1265.64' Prepared by: U N P_ L_AT_T E D L_ A N_D S 2 "PIPE 8CAP FND. i I EI /4 CORNER, SEC. 3 =` BRADLEY CANADAY SURVEYING 6976 26th Street Court North Oakdale, MN 55128 Phone No. (651) 779- 6435 Sheet 1 of 2 sheets Vol. 13 Page 3589 ST. CROIX COUNTY ZONING DEPARTMUM— AS BUILT SANITARY REPORT Owner /uc e 4zz e Property Address 5-0 s City /State Legal Description: Lot Block Subdivision/CSM # S - S - 3 z. 7 � '/a ' / SeC.. T N -R& W, Town of FAi er � i /J �'�I t QY� SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC/4ao / oo Setback from: House �7 Well 7- PAL Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: e a e / Width Length 2(,� - Number of Trenches Z Setback from: House ?S'o Well - ?S -6 P/L 72 o Vent to fresh air intake >s" ELEVATIONS Description of benchmark /off Elevation /oo Description of alternate benchmark Elevation Building Sewer q3 &IT Inlet �y� �' ST Outlet PC Inlet PC Bottom. Y o j Header/Manifold 93 S� Top of ST/PC Manhole Cover Distribution Lines () �1 3 • Y 0 () ( ) Bottom of System () 2, 3 () ( ) Final Grade ( ) 9 7, a ( ) ( ) Date of installation % /9 / Permit number State plan number Plumber's signature (;/ JA. License number 2 2 I V > l Date /L l/7 / 9ct Inspector 4" Complete plot plan � I r 4, 4 NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW dr—� X90 IT I INDICATE NORTH ARROW Wisconsin 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)j. 33 Permit Holder's Name: ❑ City ❑ Village ® Town of: State Plan ID No.: ALLEN Bruce EMERALD CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No,: r 010 - 1007 -95 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic boti Benchmark Dosing rv(-� g[• Aeration Bldg. Sewer V Holding St /Ht Inlet �3 7�q - 7g TANK SETBACK INFORMATION St/ Ht Outlet +4G TANKTO P/L WELL BLDG. Air to I ntake ROAD Dt Inlet ir Septic �ldD �v f — NA Dt Bottom �, �/.O Dosing �� ��p NA Header /Man. Aeration NA Dist. Pipe w o 93.80 w Qo , ' Holding Bot. System 0 36 PUMP/ SIPHON INFORF 4ATION Final Grade rex yS.o Manufacturer Demand , S� cQ� Model Number OGPM cY TDH Li ft Friction,3 System TDH b. t L oss Forcemain Length fit! Dia. Z 44 Dist. To Well SOIL PTION SYSTEM s �'` �� Rf0jtj 8 _ EbLCk0 Width Len th No. nches PIT No. Of Pi s Inside Dia. Liquid Depth 11 DIMENSION D DIMENSION N SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O f CHAMBER Model Number: System: Z OR UNIT DISTRIBUTION SYSTEM --� Header/ ifold u Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Lengt Dia - Length' Dia. Spacing q 3 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 ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) `�V is 75 EMERALD 3.30.16.42B 1 756 250th Street / _ aZ .q� g$•`�� 4 P Witt Plan vl Ion requ ❑Yes J$l No Use other side for additional information. I I / M z 6 SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: m E . d , e 4 4 ....6, ma.t�... i � G s t 8 i e.. r s m P _. w__. .. s n f 7 a i t t a i ®� s � t ...s .......... A.,. s .. t } �. �..�. �._.. ri .....m�.n. a t E � , 1 t f c o f t S ...,. —.. .... _ .-.... mve . �.... �, „„* ...� ✓ ea.a ».,..e , —<.. .... a e e � ,....,..... . g ...e. .. ,. a.... . i ] t P m B m. ®� . �mm &. a . .,... ....�. .. i..,. ---- _ ... �.. ..... _ .� ._ ._»�.......... t t - � Safety and Buildings Division • Nvi sconsin SANITARY PERMIT APPLICATION 2 01 W. Washington Avenue In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce Madison, WI 53707 -7302 • . Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information you provide may be used for secondary purposes ❑ Check if 33$$S revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property 9i/ ner .e Nam 2 P i g $ T c70 , N, R /6 E (or)(0 Property Owner's Mailing Address Lot Number Block Number z E Z C State Zip Code Phone Number Subdivisiorlame or CSM Number .„ ... y c l: �v CST 13 - s r7 �oG 11. TYPE OF BUIL DING: (check one) ❑ State Owned ❑ it Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms _ Iow o R e n S +Ce III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1.25W I 1 (0. l 2--18 1 ❑ Apartment/ Condo 016 - /0-0 ;9` eao 2 ❑ Assembly Hall 6 Q Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 Q 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. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. [] Repair of an ------ System -------- System_------------ Tank Only______________ 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 ❑ Seepage Trench 22 ❑ In- Ground Pressure // 42 ❑ Pit Privy 13 F1 Seepage Pit D� S� 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. stern Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) `�Z, / Elevation 4/n 1 `j'00 40 O Feet 4t:/, 8 Feet VII. TANK Capacit gall Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App New Existin strutted Tanks Tank Se or Holding Tank /coo /oov 23 ❑ ❑ ❑ 1 ❑ ❑ ift Pum k /Siphon Chamber I &ck Q 1 1110 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sews tem shown on the attached plans. Plumber's Name: (Print) PI s Signature: ( mps) MP/ PRSW o.: Business Phone Number: De .. -/q71 Plumber's Address (Street, City, Zip Code): 3 ? y0 Z . &-c.- k S s'Yo IX. COUNTY/ DEPARTMENT USE ONLY Q Disapproved Sanitary Permit Fee (Includes Groundwater ZDate e Is suin Agent Signature (No Stamps) Approved Q Owner Given Initial /ti a Surcharge Fee) Adverse Determination c? � X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) 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 pumped by 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 owner's name and mailing address. Provide the legal description and parcel tax numbers) of where the system is to be installed. II. 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. VIII. 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 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; Q 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. 12/09/1999 09:09 715 - 268 -6637 GILLE TRK & EXCAVAT PAGE 02 r Z S3T10 N x t� cooz J� Z7 T.�.4...1� as x �• OSr ww I � "' r 12/09/1999 09:09 715 - 268 -6637 GILLE TRK & EXCAVAT PAGE 01 372140"' Sweet, ARMY, VVI -NMI Gille Trucking Exc ftx 7a: St Croix Zoning Office now Gflie Truddng 8 Excavating, Inc. Faux (715) 3W-� Pusew 2 rheum (71 3864680 Date= 12/09/1999 Ow eiuoe Allen . CC: ❑ urv=vt ❑ pw wiaview ❑ pw� cal"W"Mrt ❑ Please ftoly ❑ Pleaae Aeryode . tommems: Aco 7 �rT Z S3T30NRlCr.c,,, E iylcdc I v Tu, .O 2 i U9 b �► 3 � x I �h rt T r I t�� I r Iv a 6 i S35 r i .� t zx i 3l�rrr� i i 2� z. z 7 PUMP CHAMBE CROS SCE TIpW A M0 S P E CIFI CA TI O NS O IR De Q. (zomv VCWT CAP '7-TA— �� 4 %.I. VENT PIPE WCATNEK PROOF APPROVED LOCKING JWICTIOIJ SO IL MAmwLC COV 0 as FROM D OOR. 1 WINDOW OR FRESH 1 Rtl Ala IIJTAKC I 1A GRADE I V-1 AIM, COWDUIT w _ �— WAIN. \ 'PROVIDE I -- . IA1LE T AiRTIGM T SEAL T _T ( 1 1 v APPROVED JOINT A - 1 I 1 APPROVED .10 W /C.T.. Pipe PO ty\ (' S ve- 1 t I 1 w /cm PIPE EXTCNDIAI6 3' ( II ALARM [XT[NOluf. 3 �J� Le fn �� �� '!� ONTO SOLID sr ONTO 1<OL10 SOIL e 1 1 1 I 1 t oN LLEK �..�. fT. PUMP— - -� OPI 0 COAICRCTE !!LOCK RISER CXIT PERMIWED ONLY IF TANK MAWUFACTURER NAS SUCH APPROVAL 3,•APA ��� BBDO SEPTIC [ SPEC,IFICATIOAIS DOSE — TANK INAIJUFACTURE wit NUMBER OF DOSES: PER D" TANK SIZE: IM!Zfadpo GALLONS DOSE VOLUME ALARM MAWiFACTURC INCLUDIN(p OACKPLOWt . GALLON MODEL IJUMAOCR: CAPACITIES: As-?/' INCNCS OR GALLON, SWITCH TYPE: S s OR �.L� "LLON -�2 :J PUMP MAIJUFACTURCR: C /G yL . INCMti OR �! WALLOW MOOEL NIJMOER: Do _ (d INCN OR GALLOIJ SWITCH TUPE: MO TE: PUMP AND ALARM ARE TO eE MINIMUM DISCHARGE RAE GPM b IN , S , TALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEN PUMP OFF AND DISTRIBUTIOLI PIPE.. FEET + 1 ulAUM NCTWORK SUPPLU PRESSURE .. FLET + _ FEET OF FORCE MAIN X a2tJt FRICTION FACTOR,. �', y /100 fL -�_ FEET TOTAL OUWAMIC HEAD = FLET IAITERNA1. DIMLIJSIOLIS OF TANK: LEEW&TH __;WIDTH ._,.;LIQUID DEPTH SIGNS CI LICENSE WUMOER: 2 DATE ' 2/ 9 - � s ciiteil,1 "bV 1 rAA 715 359 4680 ST CRI CO ZONIIN Imt • P..�t __ -.. as �ro h.•!M Ale 104010 Ana 0040100110• Pop* W,I M faf��hnr w sa' W.. _ 1 0 20. 42' A►... 0100 0' Cos, I+M t. fled 60400 ... vem Py. rrM /4r 0. /rMIrN. C0.•fM• will t' A0N•N10 flips a O•« IiPs Ol.r.l.•11L+ _.._ t.. + a.e..16 ms: faclasyss 0400 AVIV C0r1Mf TWIPIA41" Al 0ouo�n 0/ fi'.r►Ie L�t1�r.� IOfI �i SOIL FILL 018TRISl1`r101.J VIti•E A►ti'�pvfo Sy�Ifi11fTilt COVEN N44R�E6 OR, p 11 "P STRAW o� M,►RS� F1A`! 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ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 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. # APPLICANT INFORMATION - Pl� nt all mforma ' n Reviewed by Date Personal information you provide may be use or—wo ry (Privacy LaW' 15.04 (1) (m)). b �� Property Owner V L. Property Location ( n Govt. Lot 1/4 1/4,S T 3C ,N,R /� E (or)� p, ,( �,�'� v^ ( -- - f !z ; � I 3 �. Property Owners Mail g�A ` ` f' SJ � a } Low Block# Subd. Name or CSM# f� ,r� C l i /v�/ State zip ' e r ❑ Ci Villa �- Town Nearest Read C r 4r�/S_ �'h S tyi.Hz tic S 9 New Construction use: E5Residential / Number of bedrooms -3 Addition to existing building ❑ Replacement F-1 Public or commercial - Describe: Code derived daily flow % gpd Recommended design loading rate > � bed, gpd/ff =f . trench, gpd/ff Absorption area required _ ' - ) 6 0 bed, ft , St' trench ft Maximum design loading rate -4 bed, gpd/ft ' 6 trench, gpd1ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site consi erations Parent material Flood plain elevation, if applicable ft S = Suitable for system I Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = unsuitable for system -p S El B-s ❑ u $s El u ❑ s Chu E] s Q u - Is ® u SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD/ft g Texture Consistence Boundary Roots in. Mu nn�� s ,,'' ell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ell Ground Depth to limiting factor �- Remarks: Borin 9 # Ground lev.� GS ft. Depth to,�� limiting actor ' 1 in. Remarks: CST Name (Please Print) - Signature Telephone No. 7 /,S -.26 d'- «S _7 Address Date CST Number S 7 Wz S / 9- 20- PROPERTY OWNER 4 2" 4 SOIL DESCRIPTION REPORT Page Z oy ' PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Sire Consistence Boundary Roots 13 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed , Trench Ground elev. Depth 9 aS n. to limiting factor Remarks: Boring # El 7 0 2-!V41,3 Ground elev,,. Depth to limiting factor ff in. Remarks: JZ ✓T` �( �G�u...,�[� PAS � �/ �/� Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2 in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed , Trench Boring# � / 7 '�Z� /i '� �S� v?6" -" & 0 z Z /- 6Z, . T4 S— , Ground 1 , ey. Depth to limiting factor iZO in ' Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) L f arit .� Q r �� /9 eat, 416pui ST CROIX COUNT " SEPTIC TANK MAINTENANCE A aREEMENT AND OWNERSHIP CERTIFICATIO: ,l FORM Owner/Buyer 4"44 X LL e n Mailing Address Property Address IJ (Verification required from Planning Department for new cot►structi art) } city/State Parcel Identification Nw'tber LXU AL DF CR PT10pi $ Property Location — '/., ' /,, Sec. 3 _ T 3O N_g /G , Vt�, Town of ��r 4 40 - Subdivision ' Lot # —� C Survey Map # SS Sz 2 Volume _� �. , Page # s �» Volume 7 4_ , 'age # / Warranty need # �9��'G � �._.. � Spec house ❑ yes L7 no Lot lines identiliabie E yes o no S YSTEM Imaproper use and maintenance of your septic system could result in its pri taature failure to handle wastes. Proper maiptsnee consists of pumping out the septic tank every three years or sooner, if needed b) a licensed pumper. What you put into the system can affect the fimction of the septic tank as a treatment stage in the waged di" al system, The property owner agrees to submit to St. Croix zoning Department ► certification Amu, signed by the owner and by a wasterpluraberjourneym aplumber, restricfad plwrtirar or a licensed pumper veri tying that (1) the on -site wattewaterdbposal sysbt m is in proper operating condition and/or (2) aRer inspection and pumping (if ueces cary), the septic tank is lest than 1/3 full of sludge. . Vwe, the undersigned have read the above requirements and agree to maintain th4 private sewage disposal system,with the standatds" set forth, herein, as act by the Department of Commerce and the Deparb sent of l• Aural Resources, State of Wisconsin. Certification, zoning &Ming that your septic stem has been maintained must be completed and return •d to the St . Croix Co �3+ Office ce within 30 days the tLrQo err iration date. SI NATURE OF APPLICANT DATE OWNER CERTIFICATI�1 I (we) certify that all statements on this form are true to the best of my i our) knowledge. I (we) am (are) the owner($) of the de above, by virtue of a warranty deal recorded in Register ►f Deeds Office, SIG AlnU= OF APPLICANT RATE • *ww•s Any itformation that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. Include with this applicatlen: a stamped warranty deed from the Register of Mods office a copy of the certified survey map if referent is made in the warranty deed r — - SL1rE BA t_ F % FORM 2 - 1982 Y,N THLEEN H. WALSH WARR.kNTY DEED REGTSTER OF DEEDS D0T.U10FNT NO ST CRONE CO., WI RECEIVED FOR RECORD Ti mota S. Rnnker and Melanie Faye Banker, 02-01 -1949 1:30 P% r , ? } — M_elania F. Ran hu sband and wife - -- -- 4ARRAhrY DEED' -- — - - - - -- — - -- - - -- — EXEMPT I CERT COPY FEE: T ,- conveys And warrants to Bruce S. All COPY FEF: Y — — — — -- TRANSFER FEE: 57.30 RECORDING FEE: 10.00 , PAGES: I THIS SPACE RESEHVED FOR RECORDINC DATA S� — - -- NAME AND RETURN ADOPFSS - %. the following descntx•d real estate i n — St. Croix _Count - &1ACC- `1�y `► Count " State of tNisclmsin L4 �� �ti1d !�>)r C d Lot Z of Certified Survey Maps 13 -3589, as cq13 s Document No. 5 being a part of Government r l' Lots 1 and 8, In Section 3, Township 30 North, of y ` Range 16 West (in the Township of Emerald). #' 010- 1007 -10 -000 •'` PARCEL IOENTIFICATION NUMBER k 010 - 1007 -20 -000 t ' 010 - 1007 -90 -000 - A 010- 1008 -10 -000 : 4� • a t ''•• iN ' Ail r„ I his I s not _- - -- homestead propery. _ ') L10 I It runs ••, f'' ' Except Ion to warranucs Highways, easements and restrictions of record. s s� :rt Dated (his _ V 1 day of January 19 99 h - (SEAL) — -- — (SG1L) ,F Timothy S. Banker • i 7J - — 4 1 ' �S# Melanie Faye B_a er • f 1 � J AUFHENTICATION ACKNOWLEDGNIENT T ) Signature(s) — State of Wisconsin,, �' ss ?8�•' „r `, - - -- - - -- — Barro County. auth,nucarvd this- - -- day of 19 Personally came before me this - day of al January — , ly 99 the above named j ` - - -_- - --- -- Timothy S. Ba nker an Melanie Faye Banker, a /k /a Melan F. Bank r TITLE MEMBER STAIT BAR Or WISCONSIN husband and wife +� (If j - A authorize.: by §; Ot Or, �: is Stats) `� �'• to mr kno to be the perst)n vho executed the foregoing A R s.: mstrur and pcknoulcd t s _ , THIS INSTRUMENT WAS DRAFTED BY I ' 00 M ark 0. Dobberfuhl /LIDE 6 DC 425_E LaSalle A i Barron, Wf _54812 Notary Public, Barron —_ nty.Wis ' � (Signaturrs ntav F, authcnnratc.l or acknowlydged &4`) ara �t My commission Is fxr ilf x� ecesr state e prranon date nsa,:) (715) 573 -5636 L!- �_�.p_� .. .h-,Id hr I)ped or pnmcd Ix !..w Ihnr v x: S FATt BAR OF "ISCONIAN \ •.�;r � ,.y,r Errr Co - e . WA RRA SiTY L11 l) F..rm No. ? - 1982 i w� N • 2 07 H.WALSH 3 4 � � CroixC �Y�1 76 � cr CERTIFIED SURVEY MAP LOCATED IN PART OF GOVERNMENT LOT 1 AND PART OF GOVERNMENT LOT 8, BOTH IN SECTION 3, TOWNSHIP 30 NORTH, RANGE 16 WEST, TOWN OF EMERALD, ST. CROIX COUNTY, WISCONSIN Prepared for and at the request of. Drafted by: Bearings are referenced to the East line of Section 3, Owner: Bradley Canaday Township 30 North, Range 16 West, which is assumed to Timothy and Melanie Banker N bear North 1 degree 19 minutes 26 Seconds West 1762 250th Street _W - 2 "PIPE 4NER Emerald, Wisconsin 54012 O MATCH LINE -SEE SHEET 2 NE CO � LEGEND 101 N O SECTI County Section Comer W O /� Monument of record �, ( A 0 L O T 4 Q� ZI N88 °40'34 "E 691.35` 0 1 "x24" iron pipe weighing J I Q W 640.89` 50.46 a minimum of 1.13 pounds (L OD I — �ti N SEPTIC per linear foot, set. Z M VENT SCALE IN FEET o N G O V T LOT 1 i 33 O 200' 400 S88 0 20'28 "W 582.73 N WELL I I W � d U.1 ti I (ni (� HOUSE I Z OD ►- ZI G0V_'T. • a LOT �� -- - I 1 to ,� Hous e to o a Go to 0 o i _ IN o (n LOT 3 0; 0,10 o• LOT 2 6 1 6 (X: CO Z� 15.854ACRES WITH STREET t9 16.642 ACRES WITH STREET I W m IQ N p Q, 690595 SQ.FT. (D 724918 SQ.FT. I ::n I N I OD 15.796 ACRES WITHOUT STREET 15.531 ACRES WITHOUT STREET I , O OD 688081 SQ.FT. 676528 SQ.FT. I o I N N w I3 W• N 1- M 1 m I F_ ` N Q I (r) w J' o z w Io J? o Z . W sA 3 (E I z 7 0 0 cm Z U- ` M �` ��' N 89 °35'53 "W 501.28' )� '' 1 38.46` L) M F 462.82 , Hi C13 C I IO �1 W S89 0 35'53' E 800.00' ' <1 -- (N 0) �\ 762.27' 37.73` IL 1 M p ' ZI (j o (02 loo , 51 Ck Z �, °,� . �� LOT 1 ; �� o 0 U) e ��� 10.072ACRES WITH STREET I NI NI U o 438750 SO. FT. I d 0) 9.727 ACRES WITHOUT STREET I I \ CO 423721 SQ. FT. Z SOUTH LINE GOVERNMENT LOT 8 1232.62' 33.02 S 89 1265.64' I I Prepared by: U N PLATTED _L E 1/4 CORNER, SEC. 3 BRADLEY CANADAY SURVEYING 6976 26th Street Court North Oakdale, MN 55128 Phone No. (651) 779- 6435 Sheet 1 of 2 sheets Vol. 13 Page 3589