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HomeMy WebLinkAbout038-1174-90-100 ti c Q> o O c r 2 a) _ O 0 0 ° o in N E E L O� 1 o ) 0 0 N a m 0 c 0 3NO � • o c aa) 'o �E�oa) ID 0 aDOm3 c LCn j C— V � o. O N Lo 0 (n Z O (37) �' 1 a z y 3o3 c a) m o � � m LL o EU) a - o o ro c o— (n (0 0 ''0 0 0U) Q 0 a) (n « N U 3 v a) Z y 00 E U) - O Z r iL d y .r, U) a m O Z v c c E � � I (3) O — �V 7 cu a) 0. in c C cD N O 4 U O N O O O N Q '.^., O N Z co Z o � Z O NI C O y i > a m m - CL :°. '@D Q to W ar c Q) N a O a a c Q j co H F O U d O 0 0 0 0 •ti E a a a a �i O A N N 0p O O m .. 00 D Q N N 'M a7 L a m q} u CN d @ O �+ O 1 N 7 .+ �j O H � 0 3 N c o o I� o E CO H r 0 tn ar o 0 0 0 c 0 ° o ° o 4 0� N m C o N N O N c N N 00 M ' o5 I W D 'p co z L w r 4 � E a y 1C a 1 5 EL • �v a d .2 m c "�1 A U a 0 N U RECEIVED 4 - SE . _�,ti SEP 12 V6 � � s 1 $ --7 * i SE W. G RG VOL 27 PAGE 5205 NEW RICHMOND ! KATHLE�1 H. W1 i ST. CROIX COUNW REGISTER OF DEEDS !9 •'•. •' Q SURVEYOR'S RECORD ST. CROIX CO. YI RECEIVED FOR WORD S U R� tip -1� V 05/12/2006 10:36AN � ,U REC FEE: 13.00 P CERTIFIED SURVEY MAP COPY FEE: 3.00 LOCATED IN THE NEY4 OF THE SWY AND THE SEV OF SWY OF SECTION 15, T31N, %Wf'fOWR OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN, BEING LOTS 17, 18, & 19 OF THE PLAT OF APPLE RIVER BEND. BEARINGS REFERENCED TO THE NORTH LINE OF LOT 19 OF THE NOTE. DISTURBANCE OF SLOPES OVER 12 %MAY PLAT OF APPLE RIVER BEND, PREVIOUSLY RECORDED AS AND REQUIRE A LAND USE PERMIT OR SPECIAL EXCEPTION PERMIT. ASSUMED TO BEAR NWZY15•W. CONTACT THE ST. CROIX COUNTY PLANNING AND ZONING OFFICE NOTE. no new lots have been created. The purpose of this map is to show BEFORE STARTING ANY CONSTRUCTION. how Lot 18 of the plat of Apple River Bend has been divided and is under PART OF THIS CERTIFIED SURVEY MAP IS IN A SHORELAND two different and now seperabe oaxierships. AREA. ANY GRADING AND FILLING MAY REQUIRE A LANE) USE OR SPECIAL EXCEPTION PERMIT. L OT X OF APPtE R -- BEND N822 39ao(y - „ \. _LO_T !. 7_ $ S �( / . EASEMENT 105,724 SQUARE FEET 2 1 / LOT 32 OF I ( 2.427 ACRES) "� ' • SEE SHEET 2 2 FOR H APPLE RIVER 3i . ` / lif v _ CURVE INFORMATION _BE_ND_ 1ST PARCEL DESCRIBED IN VOLUM f f ADDITION 40' wldE JQ�NT oFtivE PAGE Al A — PER PLATQF71PeLE DOCUMENT # SoZ5 /iS� RIVER BEND { f L x \�\ LOT 18 ` \ / o o PARIL DESCRIBED IN \ PREVI T LINES ?41 w� VOLjJME \ GE DOCUMENTM `�2 !83 \ 1 ?8r g / t N -; LOT 17 99.988 SQUARE FEET \ ( 2.295 ACRES) LOT 16 OF APPLE RIVER B END / SURVEYED FOR DAVE WOLNER vi 1132 212TH AVENUE NEW RICHMOND, WI. 54017 �N & JOSH CHARLAND VV LEGEND 1141 212TH AVENUE NEW RICHMOND, W. 54017 THIS INSTRUMENT DRAFTED BY: r � -- - 1.25 IN IRON PIPE FOUND , KRISTIN J. GRANBERG 1' - 2.25 IN IRON PIPE FOUND 100' 200' 3W — - — - 100' ROADWAY SETBACK LINE SCALE IN FEET 1 SHEET 1 OF 2 ' Vol 21 Page 5205 1 of 2 o ? 03 ° / ƒ \ § \ ) � m § f » I @ � \i \f ® s z / z ° § \ ®§ S e k k / \ (CD Cl) 90 » ( f _ (D _ o 2 ■ PO \ \ \ \ ° \ \ / � 8 2 ° k CD » ® $ ■ Q ~3° EE \0 8 . � g /2\p� 2 @ ¥ > 2 E \ \ ® \ @ \ e \ $ w 0 CD = \ - c \ Z ® » 7 z CD f to co CD co CD X� !T rr 2 z 0 0 0 0 0 3 f \ § e c £_ G f �\\ CD kE/ / C ! PO \ / ( E Z CL .� 7 " \ > E 0 \ \ g 2 ' \ 7 2 7 I �- a \ § 9 § \ . C . \ 5 Ot z ] [ - ■ _ / 0. ¥ § 9 ƒ . . c T q j ) 4 g E \ / Z ` ® & k z \ » C) $ . � > CL 0 § � \ ƒ 0 e } 0 � # ; . � . � \ ( , � k . � 0 . ; § / 0 \ ° C) = k Parcel #: 038 - 1174 -90 -100 02/06/2006 04:42 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.18.863B 038 - TOWN OF STAR PRAIRIE 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 JOSHUA J & ANGIE S CHARLAND O - CHARLAND, JOSHUA J & ANGIE S 1141 212TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 1141 212TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0047 -APPLE RIVER BEND SEC 15 T31 R1 8W PT SE SW THAT PART OF Block/Condo Bldg: LOT 19 LOT 19 APPLE RIVER BEND IN SCHOOL DISTRICT -3962 (NR) Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 15 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 06/02/1999 604168 14301524 WD 03/08/1999 599049 1409/189 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 120104 240,100 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 23,500 212,500 236,000 NO 05 Totals for 2005: General Property 0.000 23,500 212,500 236,000 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 23,500 208,200 231,700 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 #: 038 - 1174 -90 -000 02/06/2006 04:45 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.18.863A 038 - TOWN OF STAR PRAIRIE 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 JOSHUA J & ANGIE S CHARLAND O - CHARLAND, JOSHUA J & ANGIE S 1141 212TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1141 212TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0047 -APPLE RIVER BEND SEC 15 T31 N R1 8W PT SE SW THAT PT F LOT Block/Condo Bldg: LOT 19 O O g 19 APPLE RIVER BEND IN SCHOOL DISTRICT -5432 (SOMERSET) Tract(s): (Sec- Twn -Rng 40 1/4 160 114) 15 -31 N-1 8W Notes: Parcel History: Date Doc # Vol /Page Type 06/02/1999 604168 1430/524 WD 03/08/1999 599049 1409/189 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 120103 24,300 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 23,900 0 23,900 NO Totals for 2005: General Property 0.000 23,900 0 23,900 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 23,900 0 23,900 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 i— ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT -. Owner Property Address -` City/State 7.., Legal Description: CE. Lot P? Block 4 Subdivision/CSM # j a,2 - s '/4 L ' /4, Sec. , T =N -R�gW, Town of PIN # 0 �8 - /! 7 f�• yo - /vo SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer 41,.Ek&tZ Size ST/P / Setback from: House )_ Well, P/L 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: ZG�o Width _/V Length Number of Trenches Setback from: House - 2_ Well IIS PAL Vent to fresh air intake _l�n ELEVATIONS Description of benchmark _ ��y�� r IIBr��r� .�� Elevation AgrZ,:V DD Description of alternate benchmark Elevation .1A.2 Z— Building Sewer S ST/HT Inlet 27, -spa ST Outlet ^ y6 PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover W,, el&l Distribution Lines () 9-V, -f"9 () ( ) Bottom of System () ,9-2 Q () ( ) Final Grade () & /—,") () ( ) Date of installation s 7 P omit number _ ?ZV) -s — State plan number Plumber's signature _ License number /. Date Inspector �//7a,�'� Complete plot plan � 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. PL �yo s .vr, � . yo a-1 INDICATE NORTH ARROW • Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST CR IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 338815 Permit Holder's Name: ❑ City ❑ Village IN Town of: State Plan ID No.: M & G INC. STAR PRAIRIE CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: 00.00 J. J (o / I "` (�.,, . 038- 1174 -90 -000 TANK INFORMATION ` ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic y- �., Benchmark Q Dosi ng 1 .0o Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 6,1 TANK TO P/ L WELL BLDG. Vent to ROAD Dt Inlet Air Intake Septic � D17 ' �a' y �� ' NA Dt Bottom Dosing NA Header /Man. g 8 Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 51yf 96 Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft oss H ead Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No. Of T enches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /� DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of / CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 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 Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATIO STAR PRAIRIE 15.31.18,SE,SW 1141 212TH AVENUE — 'Xl� t J Plan revision required? ❑ Yes [/No Use other side for additional information. SBD- 6710(R.3/97) Date nsffect&'sSignature Cert No V i scons i n SANITARY PERMIT APPLICATION safet and B ingt Ave nue s 201 W. Washin 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 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Per Number Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Propert wn Name I Property Location v4 1/4, S S T� , N, R 16- (orD Property Owner's Mailinq,Ad ess Lot Number Block Number City ate j Zip Code Phone Number Subdivision me o CSM tuber ( ) r P F B IL IN : (check one) ❑ State Owned It Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms To OF r , f2),e 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Nu c`�3 — 1111'(4 15. �.1g.863A 1 ❑ Apartment /Condo 0 11 74 --9d -1oil 1� 3( IS• �(.3 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ______System ________System _TankOnly______________ 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 RSeepage Bed 21 []Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure r 42 ❑ Pit Privy 13 ❑ Seepage Pit X 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 78$ 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /i ch) Elevation Feet Feet Capacit VII TANK in allos Total # of Prefab. Site Fiber- Plastic Exper. Con INFORMATION New Existin Gallons Tanks Manufacturer's Name Concrete st ucted steel glass App. Tanks Tanks e tic an — t ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ ❑ 1 ❑ ❑ V111. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for i stallation oft onsite sewage system shown on the attached plans. Plum e ' Nam (Pr t) Plu e ' ign CIS s) MP /MPRSW No.: Business Phone Number: l _ Plu ber's Add ess (St eet, C "t , State 'p Cod p IX. COUNTY / DE ARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issui ent Signature (No Stamps) / 8 l� Approved []Owner Fee) Owner Given Initial ���fi6 1 Adverse Determination ` X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: .SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber N / \ j 4, 1 1,V N I- f5 Wisconirin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page J_ of Bureau of Integrated services in accordance with Comm 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.D. Af APPLICANT INFORMATION - Please print all information Re ' wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). _G Property Owner Property Location t Govt. Lot 1/4 1/4,S T N,R(orf Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 3S �u 19 — 1Z-5,11) 1 Ciiy Sta a Zip Code Phone Number ❑ City, ❑ V lage ® Town Nearest Road ' < ( ) - rC ® New Construction Use: Residential/ Number of bedrooms _ Addition to existing building ❑ Replacement Public or commercial - Describe: Code derived daily flow _ gpd Recommended design loading rate bed, gpd/ft trench, gpd/ft Absorption area required X bed, ft 7Sd trench, ft 2 Maximum design loading rate /•� g g bed, gpd /fl trench, gpolft Recommended infiltration surface elevation(s) / 19 It (as referred to site plan benchmark) Additional design / site considerations Parent material �,.fl��r/ Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system S❑ u s❑ u s❑ u s❑ u EIS 2 U EIS JZ u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft Texture Consistence Boundary Roots in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench v j Ground - elev. Depth to ' °B 9 limiting factor f fn Remarks: OUNTY Boring # m 5e 6j 1-7 �¢ o / Ground - elev. Depth to limiting factor ;�_�in. Re arks: CST Nam (P se P t) Signatu e ` Telephone No. Address Date CST Number �p L_ /yJ / SOIL DESCRIPTION REPORT ^ PROPERTY OWNER ��1�[' 7�/� Page .� of PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench zl z2 Ground 3 _ �elev. 7�ft• ' Depth to limiting factor Remarks: Boring # s 8 S' q _ Ground I� , ft. Depth to limiting factor R O r _ Lin. "f Remarks: i Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # S Ground elev. Depth to limiting factor > — ' n ' Remarks: Boring # a� a Ground elev. Depth to limiting factor ' Remarks: SBD -8330 (R.9/98) (� 1 e o g � IL I i b•ln�•- Mv / t f � o V ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ",;N\k # Mailing Address Property Address (Verification required from Planning Department for new construction) (� G3S- �J��y�4� ©a City /State `n.A_vJ 6�r�c� Parcel Identification Number 0313 I ly ti - QD 00 0 LEGAL DESCRIPTION Properi} Location _S,C ' / <, '/ Sec. �, TAN -R_W, Town of _ Su'C s _ LOt 1 q Certified Survey Map # , Volume , Page # Warranty Deed # Volume , Page # Spec house"M yes ❑ no Lot lines identifiable yes ❑ no SYSTEM .MAINTENANCE Improper use and maintenanccof your septic system could result in its premature failure to handle wastes. Proper maintenance rnncicf< nFnnm.,int+ ,;,,r the septic tanl- rv-ry three years or sooner, if needed . by a licensed pumper. What you put into the sVSter 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, journ m eyanplumber, restrictedplumberoralicensedpumperverifyingthat (i)theon- sttewastewaterdispos al sy stem 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 acid 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. �M A—, M 1 'o SIG ATURE O APPLICANT DATE OWNER CERTIFICATION I (we-) certify that all statements on this form are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) of the property described above, by virtue of a Ncarranty deed recorded in Register of Deeds Office. A , A )� k A Iq l SIGNATURE % LICANT DATE ...... Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. s «.... " 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 I 1409PAGf1S.9 )o STATE BAR OF WISCONSIN FORM 2 — 1982 599449 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT NO. 5T. CROIX CO., WI RECEIVED FOR RECORD RICHARD n. 9TnT7T 03- 08-1999 10:15 AN WARRANTY DEED EXEMPT # CERT COPY FEE: conveys and warrants to _ M 9 G, TNC _ COPY FEE: TRANSFER FEE: 105.30 RECORDING FEE: 10.00 PAGES: 1 THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St _ Croix County, lC.k 84OL't State of Wisconsin: (3 5 3 Qw 4 k e G r• Lot 19, Plat of apple River Bend, 'down of H LL CA S Nn Star Prairie, St. Croix County, Wisconsin. n18- 117 9O -Q0 PARCEL IDENTIFICATION NUMBER 038 - 1174 -90 -100 This i G n o t homestead property. (is) (is not) Exception to warranties: easements, restrictions, rights -of -way and covenants of record. Dated this 5th day of March A.D.,19 Richard 0 . Stout (SEAL) (SEAL) (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St- Croix County authenticated this day of 19 Personally came before me this 5th day of March 19 the above named Richard C)_ 1 ;tont- * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the s mtC.'/y THIS INSTRUMENT WAS DRAFTED BY �/o a� ✓qC� Janet P. Stout 4as 1 3 , Hudson, Wi 54016 Notary Public, (Signatures may be authenticated or acknowledged. Both are not My commission is per�agent. (If not, state expiration date: necessary) 9, ' Names of persons signing in any capacity should by typed or printed below their signatures. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. WARRANTY DEED Form No. 2 — 1982 Milwaukee, Wis. o Lr_t - • 7� a ' t4' 37' �-v 384. 9 ' LUI LOT 2 S7 Ac. N ° 44'4 8"W 72.922 SO. FT. �. _150. 1 N C � Q n' I �588' 37' �6 "w 390. S.7' y . x Q 8EI E S E �N USi 41 .� LOT 20 N '— 68,909 SO. FT. q W t V/ 392, 00. CD LOT 3 i at z s 62 AC nJ O j 7O.419 SO. FT (l N � � W 1 Z j 3 1 9 cv 56 . cv ti 101. 0 co z t� N64' M :r 22 to w ` 102.41 ' " LOT 1.62 AC.P 2 v J 70,608 SO. FT. , N LOT CP .000 a z` 16 1 4A AC. 64,685 SO. FT A[. / • s . A .n FT ".. \ // Labor and Human Relati Department ti REPORT Industry Lbor and SOIL AND SITE EVALUATION PORT / 3 ab Division of safety & Buildings in accord with ILHR 83.05, Wis. Adm. C ley Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must i nd ,but not limited to vertical and horizontal reference point (BM), direction and % of slope, 1a;1 L 1. D. dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION 6 `. V! BY DATE PROPERTY OWNER: PROPER 00ATION ` 7 ?_; r, V/C hARD 5 o 7— GOVT. LOT S t 4 _W t �� ,N,R /9 E (o Wio PROPERTY OWNER':S MAILING ADDRESS t' LOT If 8l # td fit 353 1 4 w,4 7 AlE:= 7- Wrill CITY, STATE ZIP CODE PHONE NUMBER []CITY OVILLAGE 1 REST ROAD t V S00 6015 SL/016- (�is)s�fq-�731 1_. PRAIRIEr ,ycvy. CC- lpt<ew Construction Use ( 4- tesidential I Number of b6drooms 3 +0 4 [ ] Addition to existing building (] Replacement (J Public or commercial describe Code derived daily flow y� OD gpd Recommended design loading rate • 7 bed, gpo1lt - S trench, gpdJft Absorption area required 9 S bed, 11 Z5 trench, ft Maximum design loading rate . 7 bed, gpd/ft ' _ trench, gpW Recommended Infiltration surface elevation(s) SEA } • 3 ft (as referred to site plan benchmark) Additional design / site considerations Parent material SCS 1 i (3 v R k RU 1 Flood plain elevation, it applicable ft 0 S = Suitable for system CONVENT U ❑ MOUt� U IN GR"DD U ESSURE AT - GMDE SYSTEM IN FILL HOLDING TAW U = Unsuitable for stem IkK [9'S RS L'd'S O U [�3� ❑ tf I [Is g4r SOIL DESCRIPTION REPORT 41 1/2 = Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Barry Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed It3rlLfl 0-10 t o vie Ztj 2- 1 0 - 20 io Y2 71'3 S 2,, She /44 vfiP Js 1 . 7 •8 Ground 3 X0 1 io Y,�e /ee — c s. D s d f . - 7 f3 elev. 100 ft. Depth to limiting factor 7 7� Remarks: Boring # o- /O y�2 �I �$ 2 sti,e art vf,C ::.:2_ _ /o io y2 1 Ground elev. 1 - g 7 .S t/ %lG . S. 5 l oo . 32- ft. Depth to limiting f actor 7 go Remarks: CST Name: — Please Print R d 4 I: R T 2A L Q R I L\ T Phone. 71s 386, Address: _, . _ ., --- Signature: Ulbrlcht & ASSOCIV Date: CST Number: Private Sewage Consultants 655 O'Neil is Hudson, Wls. 54016 ORIGIN l PROPERTYOWNER R 5f00T" SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.DA GOT lr iE !Vak Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BourAvy Roots GPD /ft In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ienct 3 . - (-, io YR 2 (t Z, i 5 ,e 7 S L •'? • 8 - 3 2 — /O YR 313 of Cw .S Ground 3 . S ? j elev. . ft i Depth to tlmiting factor z Remarks: Boring # . ( n ��' 10 y �t s z.�r sti,& of s �` • ? (. 8 Z F -r a- /a 1? 3 S 2 5 -k- v 7 w cw 7, g Ground t 3 s - �� O s • elev. j idl ft. i Depth to € limiting factor , Remarks: i Boring # ................ 2 - 1 )--30 - /0 2 3 Ground et elev. t ILL ft. i f Depth to limiting l factor f _^ >� / Remarks: Boring # 13 _ Ground elev. ft. Depth to limiting factor Remarks: Con 0•f —13 nc M7 1 +� I—OT 2-1 _ SON 3 - i ( �M Sar T' ; ToP of 3 /y' 7'4/;v IZA// / ,d//e ,vim ;c r 7 �r liq' a, ys B Z 30 13 v �9n L0 3 � lE uhrto�S .` 7, s4 135 10 2.,S q (3 q T�E-v Ck low TPtFo c h 17. So CURVE T E EAJCW AS R EQ L9 ,cZ�D. TD t-r , 9-r� S/ D�S 3 GO� , L-0 �-