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HomeMy WebLinkAbout030-1079-30-100 00 r 0 o ' 0 m -0 n k k � \� �� � � � ;K x F z 0 C.) CO CD U) 0 0 co w L . L co co m cD 3 0 CD CL U) j � 3 G) ( = A 3 . CD Co -4 CD a) CA co 0 cL cr (0 a o 0 W a) (D c 0 0 0 U, U) > E < CD Cn CL W m CL 3 a 0 (D CD CD 0 r CA (n T 0 i -a 3 "*A CD Z 0 0 0 -P a Cl) =r v OIQ CA) 0 CA CO) CO) 3 T a a CD 0 0) 0 z z 0 0 a) CD :3 (D N OI Q =r CD 0 a 3 z C6 (A � � & ( E § � � � � CD z 0 :3 Cl) -- q w T m CA 00 CD (D C) CL z 0 z CD 0 z CL 0 z 0 � � � cz Parcel #: 030 - 1079 -10 -100 05/17/2006 04:04 PM PAGE 1 OF 1 Alt. Parcel #: 28.30.19.283A 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner STEPHEN D TR KUSLICH O - KUSLICH, STEPHEN D TR 10343 DELLWOOD RD N STILLWATER MN 55082 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE SEC 28 T30N R19W 20 ACRES WEST 1/2 OF SE Block/Condo Bldg: NW Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/02/2004 767729 2609/178 QC 07/23/1997 1187/179 WD 07/23/1997 829/418 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/31/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 6.000 700 0 700 NO AGRICULTURAL FOREST G5M 14.000 9,400 0 9,400 NO Totals for 2006: General Property 20.000 10,100 0 10,100 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 10,100 0 10,100 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 Parcel #: 030 - 1079 -30 -100 05/17/2006 04:00 PM PAGE 1 OF 1 Alt. Parcel #: 28.30.19.285B 030 - TOWN OF SAINT JOSEPH Current [X! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner RICHARD A SCHMITT O - SCHMITT, RICHARD A 551 VALLEY VIEW TRL SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es):. ' = Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 64.060 Plat: N/A -NOT AVAILABLE SEC 28 T30N R19W PT NW SE THAT PT OF A Block/Condo Bldg: PARCEL DESC AS COM E1/4 COR SEC 28; TH S 0 DEG W 550'; TH N 88 DEG W 1853.10' TO Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) POB; TH N 0 DEG E 1855.88'; TH N 89 DEG 28- 30N -19W W 738.50; TH N 88 DEG W 652.52'; TH S 0 DEG W 1305.85'; TH S 88 DEG E 650.71'; more Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1111/543 WD 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/2612006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 38,300 235,000 273,300 NO AGRICULTURAL G4 51.060 7,600 0 7,600 NO UNDEVELOPED G5 12.000 20,000 0 20,000 NO Totals for 2006: General Property 64.060 65,900 235,000 300,900 Woodland 0.000 0 0 Totals for 2005: General Property 64.060 65,900 234,600 300,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 132 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner fRr`L'A T T Address 5'5'j IJAjjli�4 Wr 7 City /Stat 34 _7 - ' / _VO Legal Description: Lot AIA Block S-A Subdivision/CSM # '/4 . Sec. 166-, TAN -R Town of S?, ?asGO /V PIN # —/,0 —467,0 6 --iv7 - Yo - ©00 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: ao Tank manufacturer mil_ `S Size ST/pC � Setback from: House Z2 Well P/L L Pump manufacturer, Model It A Alarm location HOLDING TANKS ONLY) Se _Vent to fresh air intake ne .�� Meter location Al SOIL ABSORPTION SYSTEM Type of system: " c Width 3 Length — 5 7 Number of Trenches Setback from: House 3 6 ` Well P/L la ' Vent to fresh air intake O ' ELEVATIONS Description of benchmark /o4 Elevation /,040 O Description of alternate benchmark "V I - tr Elevation Building Sewer ST/HT Inlet FY- 2 ST Outlet PC Inlet PC Bottom Header/Manifold q Top of ST/PC Manhole Cover Distribution Lines 9�, y 7 Bottom of System (t) T (N) FAC 9 7 ( ) Final Grade C / 3 7-o 93 ro 99 ( ) Date of installation 1-3 / Permit number State plan number Plumber's si afore - License number ZZ / 2:K1 Date / // / Inspector Complete plot plan Or 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 �2ro5 aj 3 Aev 2�wrr o,es� 19 3` `---* .2 - A 7 " 7 BL=S f N Ff i RATOQS 4cl? 1 INDICATE NORTH ARROW Wisconsin Department of Commerce ' Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Permit IX Personal information you provice maybe used for secondary purposes [Privacy La s.15.04 (1)(m)]. 3388 Perrr�jt tiRl e[ pld; eRICHARD El City Vill To n of: State Plan ID No.: PH CST BM Insp. BM Elev.: BM Description: T ,J M � : Elev.: 1 . Parcel Tax No.: CN .o • 2 Pte ► S 030- 1078 -40 -000 TANK INFORMATION ELEV TI ON DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 8 . 13 1o8113 Ov • a Dosing '�(. ��J • S$ 03.56 i Aeration Bldg. Sewer d- " Holding St /Ht Inlet .Y 6 M. 6 TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air I ntake ROAD Dt Air Septic >taID / � U p l r NA Dosin NA Header /Man. �/• �� g ?7,02 Aeration NA Dist. Pipe II .& qS io /5 b o3 9 . to Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade a s Manufacturer P—wn and St �• O �O /, 09 Model Number GPM TDH I Lift Frictio stem TDH Ft Force ength Dia. Dist Il SOIL � %SDRP TION SYSTEM TRENCH Width r Length No f enches PIT No. Of Pits Inside Dia. Liquid Depth DIM DIMEN I N 4 SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O >r �� ♦ y r � � CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header nifold I Distribution Pipe(s) + xHole Size x Hole Spacing Vent To Air Intake Length Dia. Length ia. Spacing �� 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 ❑Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) LO TION: ST. JOS PH 2 30.19.278,SE,NW 551 VALLEY VIEW TRAIL ®�� a -4U C,_ I se 2,�� ��wedQ. (MA (:;,f � - 5 �;.�„ Plan revision required? ❑ Yes No Iii. S Use other side for additional information. IZ Zd qR Z SBD -6710 (R.3/97) Date Inspector's Signature Cert. No SANITARY PERMIT APPLICATION 201eE.Wand ashnlgtonAve sion INA s co nsin In accord with ILHR 83 -05, Wis. Adm_ Code P.O. Box 7969 Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. , • See reverse side for instructions for completing this application State Sanitary PP S Number The information you provide may be used by other government agency programs ❑ Check if re to previou a plication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Property O ner Name Property Location • �� • Zia va, S g T , N, R E (o K W Property Owner's Mailing Address Lot Number Block Number aA tzev Ple Cit , State Zip Code Phone Number Subdivision Name or C5M Number T YPE OF BUILDING: (check one) ❑ State Owned Cit Nearest Road ❑ Village El Public 2j 1 or 2 Family Dwelling - No_ of bedrooms Town OF S 7 9&4rr /PLU 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)�o - -107 -000 29. So - t`1.28 1 ❑ Apartment/ Condo 28.38.1'►.218 ,74 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home fO ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. Z New 2 ❑ Replacement 3 ❑ Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an ______System ________System _____________Tank Only Exl ______________ Existing System ________ - -- yytem - B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 []Mound 30 ❑ Specify Type 41 []Holding Tank 12 0 Seepage Trench 22 ❑ In- Ground Pressure 1\ 42 ❑ Pit Privy 13 ❑ Seepage Pit �J •Z 43 Vault Privy 14 E] System-In-Fill �,�` 1�r�, 9 � {� V �-�_ VI. ABSORPTION SYSTEM INFORMATIO : 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 17. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) 9S. L Y' I Elevation y' Feetj Feet Capacit VII. I NFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- steel Fiber- Plastic Exper. Gallons Tanks Concrete glass App. New ExiTin strutted Tanks Tanks Lift Pump Tank /Siphon Chamber ❑ ❑ 11 11 ❑ 1:1 VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibilit for installation of the onsite sews e s stem shown on the attached plans. —] Plumber's Name: (Print) Plu e s Signature: (No Sta s} M PRSW N Business Phone Number: of /T - ! — " umber's ddress (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee (includes Groundwater ate I ssued ssuing A gnature($tamps) �A pp roved [:]Owner Given Initial t�J Surcharge Fee) 3 Adverse Determination ��� ` 6a X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD4M (R.11/96) DISTRIBUTION: Original to County. One copy To: Safety 6 Buildings Division, Owner, Pkwd er INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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: L Prope. —Ly o'wner's name and mailing address. Provide the legal description and parcel tax umber's) 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 served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for 2 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. - I I /N it i4li x1T I , ! to . f , arp� , 1 , -t- __ i t 1 f , , i 1 , r i i ! pt? f 3 R� a o�rsc= caeca , I I UT t- 1 � - � __ g'-' � - • --tom -- - -_� f - - -- - ! V t t i Y , 1 I t , w r 1 , T 'tn_ Ar - -- -- - — - - - - - -- - - - - - -- � 91z f 1 - _. _ - _ I � � � E ' �� � F , n __ — i -_ t - - . _.. � _ _. - - - - { i i I , I � � ' _. j _ _ __ _ � _ �_ _� ! i _ t � � � I i � � � � � _ __ _ _. __!_ - _ - -- -- -- -- -- F ' _ _ .. - -- +_ . �_ . _� � - .. -E - -- � -__ - r_ __-�- -t -- t- - _ ._._.__ - -- -- -- -- i ; � ` : `_ __ I __ I - -- - _ _ - - -- - -- -- -- __ _.� t - __ -' - -�- _ _ } _� � __. — - -- -- — — —_— —_ i i ' . _ . __ s ( . i . _ _. � _. __ _�_ ._ _ .._ ___ — — _ _ ____� � __ f t.._. __ _._ _ __ -__ - — � ! � � � I � __ - -�___ � __ _ _ _ _ - -- —__ — � � - -_ - -I— — ±— — -— — — — —_ _ _ —� -- -- — - - -- ° ` 4 i � f I i i ,._ E � � � i - -- -- - -- -- � � f j _ - t i - -, - .. _ - — . �. } - - — — __ _ -- -- - � � �— T ? -} I � � ' � I � X _ �_ .. ' . _ � - -- - - -. -- - -- r ._ _ _ .__ � 1 r_ t � i � � i 1 f ._ �� - -- __ __ - _. _ � i � � � i 1 _ - -- __ _ e ` � s _+ f. � _ _ — f — — � i ; _ _ ! _ — -- - -- - — -- -- — � � � } t f -- — -- C __ � � � � �� #. i -� - -� _ _ _ _ __ _._ __ _ - - - -�- - _ . �. _ }- - -t -- .- - __. � _ � �__. _ _ _- - - -- -- Q i_ _.__ {__ _ __ _ � � f � -- -- - - -- -- - - - - -- - -- �_-- _ -T ._ _.. _ _ �__,.. ._.. _._.. _ � � y_ - -�- - - - - -�-- - — -- � .. _� .. _. _ _ i � -- � r � _� r _�_ �. t _. � r - -- - � _ __ _ __ -_ _�..._ --} _ � - -_-}_ -- � -- � - -- -- __ �- �._� _ - - --- -- -- - -- T - _t -1- ... r. � I S 6 A � � t _.�_.... __ . _. I _ : _ __ � � � � � �� I � � i t f � t �� � ��' I __ � } _ _ _ - —_. .__.� _ } -- - t 1 -- � -- - - — _ - � ..� _ t _ _ _ _ - - - -} - -- -- — - -- - - - � -+ �- r i � 4. � �- - - - _ _ - _ _ - _ - - _ -� t _. _.. _ *._ _. , � k a r E � i � a s � � �. � z � � � ; --- -- -- _, f � f I < jj � .�' ._ - _ . _ ____. _ .. __._ __ _.._ .... ...._ .. E i I i i � I i _ - -- - r ' t r -- _.._ - -- - _. r i � { +- - * -- r -� _ - - -- -- - - - -�� �.._ __ _ � +- i - -- 4 � � -- -- _ �_ _ .. �- -- fi +- !_ _ 1 {+ y �.. _. .�_ ..� }__..._ —a_. .__ ... .... —.. .Y L.. __�...___ _.._ ____ _._ ___._ �� __ _..._.. __.. ._.__ .. _... ._.._ ___.. _�. s � - �...., � I � � __ ' E i 3 � t ` __ — i ': II � � ! M —_ — ...._' — -- - - - � _. �. � : F .___. i f Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings r -- Page of 3 Bureau ot(ntegrated Services in accordant ithi� IIIIR 83:0, Wis. Adm. Code i " i size Attach complete site plan on paper not less than 8 1/2 x 11 in e� size ,PJa'➢'►°in � V 1 s t � include, but not limited to: vertical and horizontal reference n M), dif 4tio :at�� "d percent slope, scale or dimensions, north arrow, and locatio n distance to nearest road. Parcel I.D. # �30— 10 /O - 00 0 f F;9 030 /O7r- Ve -- Da y a -r APPLICANT INFORMATION - Please print all µ i matioti :.w Rev' ed by Date t. % S r , Personal information you provide may be used for secondary purposes PriG a y LaVs.,Jr}. !!! Property Owner Property Locai n 12 ` v / r' ; � Lot, ` 114NU114,S �(� T2(7 N,R � �!� W Gt f I'l'l i� Property Owner's Mailing Address Block# Subd. Name or CSM# Ci� 16tate Zip Code Phone Number ❑ City ❑ Village Town Nearest Road New Construction Use: Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ,,// El Public or commercial - Describe: YJ Code derived daily flow O gpd Recommended design loading rate 4 bed, gpd /ft trench, gpd/ft Absorption area required kV bed, ft .S ? trench, ft Maximum design loading rate 7 bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) /4 Tr PrszG lip b y. ft (as referred to site plan benchmark) Additional design %site //coo�nsi/derations T� e a 9� l // Parent material (1(,,.T w as Flood plain elevation, if applicable A ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ® s ❑ u ® S E] u ®s ❑ u ® S ❑ u C'S ❑ u ❑ s u 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 Ground -q6 /'Q e l elev. Depth to limiting L in. Remarks: Boring # :..._... 3 3 6A AV ms s-- Ground �e�lev�. Depth to limiting fa for 9� in. Remarks: CST Name (Please Print) Signature Telephone No. T, 5 ,ti, - ff C / Address Date CST Number Ila !le 4/11&-) `_r�a 60 r � - 1..E-1 22 7 ya PROPERTY OWNER & A& r 56,AM SOIL DESCRIPTION REPORT Page oe' ' of ' 3 030-- 10?q -10 -v0 0 PARCEL I.D.# 630 /bJ8 ?b- Ott_ Boris # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench �n t' C eJ ysvq /O vie V/y yo qj Ground '3 _9p SAV J N'f elev. 7�L�ft. Depth to limiting ctor O in. Remarks: Boring # ........................... Ground elev. Depth to limiting Y actor 6-- in. 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 # 0-/Ln 1(n /L,?/ 5/ L 02M 9 C G.✓ o7 V •S' • 6 r- Aowe yAy C OS 6 so M Ground z s ev. Depth to limiting factor X-4!-in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) 4 Sy s�e �1e - � t Z- vU) a _ 1 Y wl -r S ' is : ; d - r�. '7 xf - I 1 �i i I r i I S �.5�✓ >` SST 7 t - -- - -- - I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer RiCYAw 2hV7zT r Mailing Address 151 Ll AGpy u fc - & � Ze Property Address S'5_1 (g L G E y /' = L& i /1 (Verification required from Planning Department for new construction) 030 -- /0)r — 000 City/State < 22 mhe/p 'O T //I/ . Parcel Identification Number D3 o -/ o J 8 -YO - Odo LEGAL DESCRIPTION Property Location SL-7 '/4, " ' /a, Sec. A T 30 N- R -,-W, Town of 57, Subdivision Lot # Certified Survey Map # j Volume , Page # Warranty Deed # .5 ,2 G , Volume // // , Page # S V3 Spec house ❑ yes IX' no Lot lines identifiable W yes ❑ no 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 tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (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 Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. -=�- 4 e . �" z y X23 / 9� SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed t ! DOCUMENT NO . I WAItRANTY DEED THIS •PAC[ RESERVED FOR RECORDING DATA STATE OF WISCONSIN• FORM 2 - 5260x8 - - -- VOL' PA;F:J43 REGISTER'S OFFICE This indenture, Made this ............. r.k:L _ .. da y of ....... CO. bruary ST CROIX CO WI ......................................... A. D., 19...9.5.., between ._...F.i]C X14 ►� ?_ r__..II1C.. ... ......... ........ . . . -- _ Redd for Record ... -••-••-•-•••_---••••••- .... ----- ................ _........ a Corporation duly organized and existing under and by FEB 16 1996 virtue of the laws of the State of Wisconsin, loeatettat- - lYlisceDtip of the first part, and ... 49 rd_. A..._ a. C�.7.. �t .......................... ...... ........ at 3.00 P.M ...------ ..... ... ............. _...................................... ..... _ ................ __ ........ _ .... _ ...... _ .............. _ ......... _ .... _... �'� I..,, C� �1. , _ .................. _ _.........._ -_-_........_....__.....- - ...... -- - -_ _.. ..., Po,01-terofDeeds part__V._.._........... of the second part. •- Qom. - -. <:. - n _a Witnesseth, That the said party of the first part, for and in considerationof the sum of...Fift..,Yn..K?tisand Six Hundred nifty -four to it paid by the said part�I_.___.__... of the second part, the receipt whereof is hereby confessed and R rwM & Wertheimer, S.C. acknowledged, has given, granted, bargained, sold, remised, released, aliened, conveyed and con- 430 Second St. P 0, BOX 106 firmed, and by these presents does give, grant, bargain, sell, remise, alien, convey, and confirm unto = E fUdtiOn, Wi 54016 __ the said part_u.._.._._._.__. of the second part ........ ?.S .......... ........... ... heirs and assigns forever, the following described real estate, situated in the County of ............ S t.___(,'• rjpiix ......... ................................................. State of Wisconsin, to -wit: '1 i711NSF See leqal description on reverse side. 1 73 .0 0 EEE Except mineral rights reserved to AcTriBank, FCB, f/k /a Farm Credit Bank of St. Paul, a federallv chartered cornoration by a Limiter Warranty need dated Mav 31, 1944 and recorded June 3, 1994 in Volume 1031, at Paae 239, as Document r b. 517417. Party of the second Part, by recording this document, agrees to not further subdivide the Property herein conveyed for five (5) vear's from the date of this Warranty Deed. (IF NECESSARY, CONTINUE DESCRIPTION ON REVERSE BIDE) Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the estate, right, title, interest, claim or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. To have and to hold the said premises as above described with the hereditaments and appurtenances, unto the said part. Y_ ............... of the second part, and to ... _...... ........ ....................... _................. heirs and assigns FOREVER. And the said ...... Er icksmith, Inc._ party of the first part, for itself and its successors, does covenant, grant, bargain and agree to and with the said of the second part, ......... I AS.__ ...... ............................... heirs and assigns, that at the time of the ensealing and delivery of these presents it is well seized of the premises above described, as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all encumbrances whatever ............................................. ..... ........ ...... ................................ __.__......_._ . ..................•----............___._......_...._...__..._._._.._.__...---.._.._._._..--•---...._.._..._..._ ._._._..__........_.__._....... _..........----..._....__...---...------------ -••---...._._.__._. ..........--- --- •- -•- _._....... ......... ............... ............................... ..•••--.........._.._... ........._.._..._...._......... __......_....................._....._.._........_........_........_..._...... ..............._.......... .._......_.__........._.._..... .... .........................................•--...__._...._......._....._...- --- -._...........__..__..._ -_.. _.__.........._.................._.... .....__...._... and that the above bargained premises in the quiet and peaceable possession of the said part..V .............. _... of the second part, _____.13.1.7-. heirs, and assigns, against all and every person or persons lawfully claiming the whole or any part thereof, it will forever WARRANT and DEFEND. icksmi-th, Inc. In Witness Whereof, the said . Er .... .............. ................. , party of the first part, has caused these presents to be signed by_.__ ......D.eMi,9.._W_....EY•iCkSOn itsPresident, and countersigned by........ -- ....................................... ............................... ........................................... _......._.................. .... its Secretary. ;tt•K ........... .._... day of ................................ ��? .._........._.......... A. D., 19- --- ---- corporate seal to be hereunto affixed, this Hu son ...... ....................... ------ ........... , � 1tieO115in, lllt RS iiN:� 95 , I . 4gED.AND SEALUD IN I- Ith;8WNCE OF Ericksmith, Inc. r '` e � • � �, / � -- •r . .. . ..................... .Corporate Name ._... AZ61 .. ............ ..................... . .............. . ....... a � cr t a Dennis ra , Erickson President s .4V i 4 � ' COUNTERSIGNED: - ~ I• r.,,.•...• ..............._.._._.____......._.._.-_._._•°----••......_._._....._ .........._......__........_... Secretary STATE OF WISCONSIN l } .............. S. t-.-••- C, rU, 1X ..................... _....... County. J ss. . f /( _ () Personally tame before file, this �) da y of T'PhTIa�YV �• t�... 5 dpt..1,. . , .)- kJlllla.:J -1•)I. ) -'jl_� t11i:.al.rl l I',cal.lcul, un.l . -.. _ _.....J'. • �.•.a.���,1:., bau)atasy of the above named Corporation, to me kuuwn to be the persons who executed the f regoi g instrument, wri •tb be such � President and SCCft any of said Corporation, and acknowledged that they ex e u ed th for ing ' ttumenl� �d tF�e,c7eed of said Corporation, by its authority, `iliAM• ; L ..c.... _.. .. �1........._.......:. THIS INSTRUMENT WAG DRAFTED By Hu H. Q ain 4 L C Z � • -• NSEALY Notary 1 uhlic, ..... S.t•...- C.rOlX...._.......,rl�. •.a...ul:abunty,'_ Vis. Atty. Huah H. (Agin , : y ( is) nermaneri� .E�.. y commission . _ (Section 59.51 (1) of the Wisconsin Statutes Provides that all its to be recorded shall have plainly printed or typewritten theregn the names of the grantors, grantees, w,tn notary, similarly requires chat the name of the person who, or goverb. mental agency which, drafted such ins !1 be priau:,i, t stampol or v•ittco dicreon in a legible manner.) WAItHAI1fTY nrrsrn_n. r...caoralJu„ rr:..... - .. .,..- -__ - - ... .. I (c, C i r A parcel of ,.and located in part of the SE1 /4 of the NW1 /4, the SW1 /4 of the NE1 /4, and the NW1 /4 of the SE1 /4 all in Section 28, T30N, R1)W, Town of $t.. Josepl , St. Croix County, Wisconsin; further described as follows: Commencing at the E1 /4 corner of said Section 28; thence S00 11 W, along the east line of the SE1'/4 of said section, 550.00 feet; thence N88 "W, 1.853,10 feet to the point of beginnin4 thence N00 11 E, 1855.$8 feet to the north line of the SW1 /4 of the NE1 /4 of said section; thence N89 "W, along said north line, 738.50 feet; tlierice N88 16 along the north line of the SE1 /4 of the 1/4 of said section, 652.52 feet; thence S00 53 along the east line of the west 660 feet of said SE1 /4 of the NW1 /4, 1305.85 feet; thence S88 "E, along the south line of said SE1 /4 of the NW1 /4, 650.71 feet; thence S00 along the west line of the NW1/4 of the SE1 /4 of said section, 1306.69 feet; thence S88o59 "E, along the south line of said NW1 /4 of the SE1 /4, 748.10 feet; thence N00 56' 755.53 feet to the poin of beq,„nni ng . Above described parcel is subject to all easements of record and contains 64.06 Acres (2,790,410 Sq. Ft.) �Q9�y ra '��•'1r �In U11�