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Home My WebLink About042-1050-10-075 p m M 0. 0 r Lfi a 0 o r- E N N (D L f O � � p O> U CD O p 0) Lo a) U'O t w 3. N N 3 �L 7 � L �L O U U c O N p C O N Z D L w O 'C X O O Z O a) — Y 7 LL c C N _ 'O ? co O N Y > N a) Q ao a) Q Cl) > Z N a0 i C Z W d d ao FN- IV'', d m c 0 o Z d c U 70 y fn h r m Q N Z C f0 E O N = f N N O N O A5 LL ro O O �= Q I 4'- Z c Z z N' E N 10 70 M N N L O O (D L D) W n "T C m O O O N - t0 N d 47 O °O a) G G a E �, N E > F_ 7 E U N EL v 3S 3: 3: ~ o w O O O •w ;� oaaa FL (Y 7 O N 0 0) 0 a) I. 0) 0 to J V N �0 a) Z O N `l f6 C - E _x ° 7 w a m cn W 7 w O �n r• N c 0 0 _r_ o a E M CC Q C Q. U N 7 7 p ° 3 (D V O 2 CO o� w p c o N N O O M O of O N U • ?, o U) M o Z T Z Y w l V d E a as • a z :2 d a 0 a 2 0 v� U - 'f3s866 VOL 19 PAGE 4916 XATREEEA H_ REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 01/26/2065 10:30AM CERTIFIED SURVEY MAP COPY FEE: CERTIFIED SURVEY WAP LOCATED IN PART OF THE SW 1/4 OF THE SW 1/4 OF SECTION 18 AND IN PART OF THE NW 1/4 OF THE NW 1/4 OF SECTION 19 TOWNSHIP 29 NORTH, RANGE 18 WEST, TOWN OF WARREN, ST_ CROIX COUNTY, WISCONSIN. LEGEND: SETBACKS: NOTE: ■ PIN SE T N WT. LBS_ /FTTN REAR 25'5 THE R L NE OFRT E CEO TO FIECE'VD FRONT = SEE MAP FRACTIONAL SW 1/4 OF SECTION C • FOUND 1 - IRON PIPE 18, ASSUMED TO BEAR S89'43'03 "E. X POSITION SET FROM COUNTY TIES OF RECORD MAY 1 s } COUNTY SECTION MONUMENT OWNER: (FOUND AS NOTED) BrightKEYS Investment Holdings, LL��,C��M G WELL LOCATION STILLWATER, MN�550 2� Stftzycl} - s AEnr,.,.,, p SEPTIC LOCATION "-�nY OO DRAINFIELD VENT CURVE DATA TABLE: CURVE RADIUS ARC I DELTA CHORD CHORD BEARING TAN. IN TAN. OUT C1 4357.88' 128.88' 1'41'40" 128.87' N 7049'37» W N 71'40'27» W N 69'58'47" W UNPLATTED LAN QS S 89'43'03" E 1467.47' S 89'43'03" E 523.34' _ - - - S 85 ' 0 2'59» E 614.9-7- SOUTH 1/4 CORNER U N_P L A_TTEp > �� - - - - _ _ _ _ _ s SECTION 18 _LANDS N -S 89'43'03 "E 26fi5.76'- - - -°� FOUND 1" ^° SOUTH LINE OF OU *' T 1/4, SECTION 18 0 0 SURVEY NAIL SOUTHWEST HOUSE LOT 1 f AT D CORNER UNPLTE SECTION 18 p Ao w 8 N + LAN�S o O 217836 S.F. , _ -Co o� q� GARAGE 5.00 4RS \ Y SETg4Ck 1 A J \A\GN S • \ �1 � ZS 44 3 S w 24 2.76• o_ G �•� / \• ` �S moo` «• o f • \ ` \ OGER 0 R ��►d •_ OL_5 PG. 1345 Ht S-21 iREIf- 5 -2188 MLLE f WiS.Q` SCALE: I' - 150• , Q NN l� O 75 150 swumula lolylo V THIS INSTRUMENT DRAFTED BY KEVIN SAMUEL, HUMPHREY ENGINEERING SHEET 1 OF 2 Vol 19 Page 4916 n ■ ■ - o o k , m . w a / X $ f < / E a § m » $ k , :r _ \ e o m > _ (D , - / / P > ■ �j\\ @ �Q \�� / @ JG J OD C> O � ® \ c _ f// 7 \ \ = f o § @ CL §g; 4 § J = o r ■ CD 8 8\ i rr t � o \ 0 0 0 s a 2 § § � cn \ \ M 0 § 0 /` §E�\ \ N) \ z § ` � f � = g § K 0 (D § ` I 3 f 7 CD J « § \ C § R 0 CD � \ co co CL Z 0 \ C k � ID I � [x -,k ■ Ef 22 ( I & R E - - § - 2/}0 ƒ §0 %� 2 } )� @ £k§2 a 2wan a ° an ¥ 7CD % =o« n . 3 — / CD @ 2 a / / \ � , _o w \i ®k , � Parcel #: 042 - 1050 -10 -000 06/21/2005 03:47 PM PAGE 1 OF 1 Alt. Parcel #: 18.29.18.283 042 - TOWN OF WARREN Current 1 X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner STEPHEN & CAROLYN TRST STOLBERG ` STOLBERG, STEPHEN & CAROLYN TRST PO BOX 215 ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 891 ALEXANDER RD SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 38.240 Plat: N/A -NOT AVAILABLE SEC 18 T29N R1 8W SW SW EXC PT TO CSM Block/Condo Bldg: 10/2725 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 18- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 10/18/1999 612206 1463/590 QC 08/09/1999 608268 14471564 QC 07/23/1997 877/604 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason RESID e �.. - G1 1.000 20,000 88,700 108,700 NO �GTUCULTURAL G4 11.240 1,700 1,700 NO PRODUCTIVE FORST LANC G6 5.000 14,000 0 14,000 NO ENTERED BEFORE'05 CLO W8 21.000 58,800 0 58,800 NO Totals for 2005: General Property 17.240 35,700 88,700 124,400 Woodland 21.000 58,800 58,800 Totals for 2004: General Property 17.240 35,700 88,700 124,400 Woodland 21.000 58,800 58,800 Lottery Credit Claim Count: 1 Certification Date: Batch #: 523 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 042 - 1052 -20 -000 06/21/2005 03:56 PM PAGE 1 OF 1 Alt. Parcel #: 19.29.18.294A 042 - TOWN OF WARREN Current ! X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): = Current Owner STEPHEN & CAROLYN TRST STOLBERG STOLBERG, STEPHEN & CAROLYN TRST PO BOX 215 ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 8.700 Plat: N/A -NOT AVAILABLE SEC 19 T29N R18W PT NW NW LYING N OF HWY Block/Condo Bldg: 12 EXC PT TO CSM 10/2725 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 19- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 10/18/1999 612206 1463/590 QC 08/09/1999 608268 1447/564 QC 07/23/1997 8771604 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason ENTERED BEFORE'05 CLO W8 8.700 27,000 0 27,000 NO Totals for 2005: General Property 0.000 0 0 0 Woodland 8.700 27,000 27,000 Totals for 2004: General Property 0.000 0 0 0 Woodland 8.700 27,000 27,000 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 ST. CROIX COUNTY ZONING DEPAR T -� 8 AS BUILT SANITARY REPORT : I I .. / Owner �` . r Pro Address , j t City /State rX<; t -. Legal Description: 4;� Lot Block — Subdivision/CSM # 7 e s / 1/Ic1 ' /a fflk-) 1 /a, Sec. �, T � j N -R_Z_e W, Town of LJ c V r i 9, ,2 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer L.-e -les C, e vSize�C /mod/ Setback from: House `7Z Well iyy' P/L /e' Pump manufacturer -! Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road ,��t Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Width _ 3 Length S- Number of Trenches 2 Setback from: House /vi Well 104 '; PIL 42�- `t Vent to fresh air intake ELEVATIONS Description of benchmark �-- �' D °� Elevation /00 Description of alternate benchmark 7e a �l �� <r ,4 � 6 �� gr -T � Elevation /0 Building Sewer � 9 5�z ST/HT Inlet ST Outlet 6 7 PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines Bottom of System ' () ( ) Final Grade ZS () ( ) Date of installation / (9/ Permit number _ 95 3 78 State plan number Plumber's signature cum License number 2-066'7- Date l J Inspector Complete plot plan � 1 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 + idt U , � r .� Lj i ° ; \ 1 � vtz INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM afety ynd Buildings Division Count9t Croix • INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitj5rj"tNo.: Personal information you provice may be used for secondary purposes [Privacy Law .15.04 (1)(m)]. Permit Holder's Name: ❑ a e own f:• State Plan ID No.: City ❑ tolberg, Stephen �a�telQl p CST BM Elev.: 71 M Elev.: BM Description: ParcebT42 h 2 -20 -000 0 . 0 /U �C- �e = t N oa.re CST` B ��1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic MCD Benchmark 2' J r - " Q . I o2 •Lf2 I tM . o o Dosing Alt. 13M 0•42 5 " 1 02.0 Aeration Bldg. Sewer 5 2 ' `" Gf . 1 2— Holding St/ Ht Inlet 513 3 7 " qe{ g Y r TANK SETBACK INFORMATION St/ Ht Outlet - 4, :?-5 3.' q " TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic Iso 2 NA Dt Bottom ---- Dosing NA Header / Man. Aeration NA Dist. Pipe 11 3 ► W 1/v 9 1• I I Holding Bot. System 12,69 12- T 4 8• - 7 - 3 I PUMP / SIPHON INFORMATION Final Grade g 14, gr Z tr q4- z r� Manufacturer Demand cover S257 5�3 9 • 1 Model Number GPM TDH Lift Fri ti S stem TDH Ft Forcemain Length Dia. Dist. 7o Well SOIL ABSORPTION SYSTEM c, uv s TRENCH Width Length i N . Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM O DIMEN IONS SYSTEM TO P/L BLDG WELL I LAKE /STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION TypeO r Model Number: System: Coq v. 7ftSD _ 1 0E - OR UNIT DISTRIBUTION SYSTEM /oS Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length lee._. Dia- `I Length Dia. "—' Spacing -> IZo 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 C ( a dis5 a &ns r t i� L i n specti o n Inspectio Location: 891 �lexancler Roact, Koberts„ 4U�3 irb W 1/4 19 T29N R1 8W 19.29.18 1.) Alt BM Description = 6 S' °(`�� cam`"` S(°'(' "u�V1 '` cQe a� sa-c5� ' ) 2.) Bldg sewer length = 95. o - amount of cover = > 42, Sol Plan revision required? ❑ Yes No 2 Use other side for additional information. SBD -6710 (R.3/97) to Cs►�Gics Inspector's Signature Cert. No. Wiswnsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y Safety.pcl 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)]. Permit Holder's Name: ❑ City ❑ Village [R Town of: State Plan ID No.: S b I Town of Wa n M 6' CST BM ev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Benchmark 1 5 " . `/'L. 1 4 1, 2 Dosing A lt. BM o ''( ,f Aeration Bldg. Sewer ,� _ -2 Holding St /Ht Inlet �� c� TANK SETBACK INFORMATION St /Ht Outlet ?-_ ' q G _' TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic ] 6 z/ 2 NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe 1 it 3 / FX, J1 Holding Bot. System , 6 9 (2 3 9, PUMP / SIPHON INFORMATION Final Grade g g 2- 11 9y Manufacturer Demand St cover - Model Number GPM TDH Lift Lriction System TDH Ft Forcemain Length Dia. Ff Dist. To well SOIL ABSORPTION SYSTEM l' BED/TRENCH width Length No f T nches PIT No. Of Pits Inside Dia. Liquid Depth D IMENSIONS DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeOf CHAMBER Mo Number: System: OR UNIT DISTRIBUTION SYSTEM Z f 3 = J a S 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 I ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 891 exander Road, Roberts, WI (NW1 /4, NW1 /4, Section 19 T29N -R18W) - 19.29.18.294A y��k� (som 51az _ 2, )75,0 � y Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert No. Safety and Buildings Division ,• SANITARY PERMIT APPLICATION 201 W. Washington Avenue ♦� i co" n 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 Cou�y than 8112 x 11 inches in size. • See reverse side for instructions for completing this application State sanitary Permit Number 3531 - 7 -2 `$ Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application IPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF MATIO N Property Q per me Property Location K A A pja,J 114, 5 9 T ?_ , N, R 14? R (or)�o Property O ner's Mailing Address Lot Number , Block Nurr,¢er City, t ) Zip Code Phone Number Subdivision Na a or CSM Number ,� fc a z ( ) -7 II. TYPE " IL IN : (check one) ❑ State Owned Ity Nearest Road " Public 1 or 2 Family Dwelling - No. of bedrooms 3 ° Tow OF c Zqw Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) Al X1. 1i � 1 ❑ Apartment/ Condo �� Z le)S . 20 - act 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 online B, if applicable) A) 1. Cg 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 CaSeepage Trench 22 ❑ In- Ground Pressure , , 42 ❑ Pit Privy 13 ❑ Seepage Pit ,2 - 3 x 5 `7 43 ❑ Vault Privy 14 System-In-Fill - 5/cf✓ec� �jrc.,��la -e✓ VI. ABSORPTION SYSTEM INFORMATION: 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. /inch) Elevation ZS 5 t'P 2 . x`72 , Capacity �YY. Feet 9 5: Feet . VII. TANK in allon Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con steel glass Plestic App. New Existing strutted Tanks Tanks Septic Tank or Holding Tank /per .re�r�5 Gi P ❑ El 11 ❑ 11 Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ Vllll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum am e: (Print) Plumb is Signature: ( Stamps) MP /, Business Phone Number: Plumber' Address (Street, City State Zip : Code 216 add �s�12 IX. COUNTY/ D EPARTMENT US E ONLY [] Disapproved Sanitary Permit Fee ( includes water ate 7ssu Issuing Agent Signatur (No Stamps) Surcharge ree) C, pproved []Owner Given Initial �- / „ Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (11.11/97) WSTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber JOB ��k e 'h- TIMM EXCAVATING SHEET NO. OF / Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY ! � DATE (715) 772 -3214 (715) 386 -5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE Id SCALE V ..... .... . i ............ i v 1 !i .....................:...........:...........:...........>...........,..........:...........:...........:. .........:..........:.......... i t .. ........... ... .............. ..... ......... .. . (D .... ..... ..... . R` .. i� . ..... fy ..... .... . . ...... �� `,� r r rti ' � .............. � /..... ......... ...... ��^ ? ........... t "duo � a� s�........... f 11 ail � Yrt ..... ... _.... ------------- ..... ... ! ........ PRODUCT 205 -1® Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1 -B00 -225 -6380 Wisconsin Department of Commerce SOIL AND SITE EVALUATION DivisFon of Safety and Buildings _,....._,, , Page f of Bureau of Integrated Services in accordance Will s',.ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. F?�an r4st County include, but not limited to: vertical and horizontal reference 'I t (BM), direblo?►d/Tc�,� e on percent slope, scale or dimensions, north arrow, and locatio dnd distance to n'e' ai a ad. Parcel I.D. # r _... APPLICANT INFORMATION - Please print allnfdrmatios� c; " Re vie ed by Date Personal information you provide may be used for secondary purposek(priv$cy�. 1�fi ) (m)). o� Property Owner ' 1 5 7 rty .Location Govt. Lot (,� J& 1/45 1/4,S T�q ,N,R J�( E (or)® r✓ ! Property Owner's Mailing Address `° Ltit• # °= ` Block# Subd. Name or CSM# P I q 0 c6 r ej _5 City State Zip Code Phone Number ❑ City ❑Village ® Town Nearest Road L ud 1 ( s' - h!�' (1 "S` 15 `2 5 227 a rtyt New Construction Use: ® Residential/ Number of bedrooms 3 �� Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow Q gpd Recommended design loading rate .4 - 7 bed, gpd /fi trench, gpd /ft Absorption area required $5 bed, ft 7.5 trench, ft Maximum design loading rate ' 7 bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) (59 ft (as referred to site plan benchmark) Additional design /site considerations 41—,f , Q pp-w eq. /0 t e r- �S y• lo Parent material &I c • C1 v l_-� C4 S Flood plain elevation, if applicable ��/ ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system i ® S ❑ U ®S ❑ U P S ❑ U ® s ❑ U ❑ S I ❑ S ,a 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 l 1 O la r 3iz- Ground 3 6 -r2, 8 tG /r'_11`i Tr tob 7 .� elev. Depth to limiting factor s ZY in. S O Remarks: Boring # y c _ r / o r 3I 1Mq / /C 0 r 6 5( ) Ground elev. Depth to limiting factor in. Remarks: CST Name (Please Print) Sign a ure Telephone No. 49- A Address Date CST Number So r_e rse4 4,11 PROPERTY OWNER SOIL DESCRIPTION REPORT - -/ Page, of PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Z I /z- Ib v r 3 /& Uf Ground _�� ! — CU ✓ �— • a elev. 9 'Q0 ft. Depth to limiting factor t2-0—in. Remarks: Boring # 0-/0 1 Y r 3f t iNt r' C lv • Z 3 Ground elev. tZ_I g t. Depth to limiting factor l in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # 5 Z V 4 0 6 Ground elev. ft. Depth to limiting factor LZIp ' Remarks: Boring # .......................... ........................... Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) S (re. 6 /GU. U Sly, vo. C) s f ewe e l Fc(, fS4 t• u�. L�weir d��10 � red o � t� pct e.. i3 y 2a AYce t; RL `r f I Tn Z \ O gm el m le — / l G�G u . /GO. c) Q .n Z t /W. Qo. C S �r•n el-e�. �Cf, �S� V ppu 8`1 • � U t• clw, G�we1 �lf.l0 �o red i o � L7 ,ic..l ,6 go '` t � • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND / OWNERSHIP CERTIFICATION FORM Owner/Buyer Sl B L4 J l.i Mailing Address a?/ Cea ,Qr LJ. Property Address Tq / 41 4e-' � -w , Qa l (Verification required from Planning Department for new construction) City /State 4L"06 Lt-T Parcel Identification Number -0#2 - l04Z -- Za- 4 LEGAL DESCRIP ��// Property Location r1GJ '/<, 1 A, Sec. I , T_Zj N -R_1,6?_W, Town of Subdivision ! 7r amore l Lot # Certified Survey Map # , Volume . Page # Warranty Deed # 64V1(, 8 Volume I SIY3 , Page # Spec house ❑ yes X no Lot lines identifiable 19 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 masterplumber, journeyman plumber, restricted plumber or a licensedpumper 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. Fwe, the •— dcrsigaed 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. OF LICANT DATE OWNER CERTIFICA ON 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 a e, by virtue of a warranty deed recorded in Register of Deeds Office. 144 1. - , --,- 7 /Y O ICANT DATE * * * * ** * * ** Any information that is mis -re resented may result in the sari permit being revoked b the Zoning De ** P Y GYP S Y g artment. P ** 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 ' � 6t)82Es8 • STATE BAR OF WISCONSIN FORM 3 — 1982 KATHLEEN H. YR< SH QUIT CLAIM DEED REGISTER OF DEEDS DOCU NC. PAGE ST. CROIX CO., W1 DEmPIa Flit REM Steph E. Stolberg and Carolyn M S tolberg tN- 09-1999 9130 M AMAIN DEED 16 quit - claims to gt e E Stolbers[ and CarolyrLM Stolberg.,_ CM COPY �1 c Trustee, of -the a hen E t41.be_ TMN �s or ,.ucc +ssor Trt,st St p . S �g and — TkpMSFER FEE1 Carol n M. Sob �_. T,r1v 'Ill 1999 RECORDING fEEs 10.04 v t e.� evocable PAGO: 1 the following described real estate in St. Croix Courn State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS The West One -Half of the Southwest One- Quarter (Ht-1 of the Heywood S Cari, S.C. SW;4) Section eighteen (18), Township Twenty -Nine (29) Box 125 North, Range Eighteen (18) West, and also a parcel of land Hudson, W1 54016 described as follows: Commencing at the South East (SE) corner of the South East One- Quarter ofthe South East One - Quarter (SE of the SEA) of Section Thirteen (13), Township Twenty -Nine (29), Range Nineteen (19) West, OG2- 1050 -10 -000 042 - 1052 -20 -000 thence North Twenty (20) rods, thence West Eight (8) rods 042- 1 IFICAT -000 PARCEL IDENTIFICATION NUMBER thence South Twenty (20) rods, and thence East to the place of beginning. Also all the part of the Northwest One- Quarter of the North West One- Quarter (Nk of NW-x), Section Nineteen (19), Township Twenty -Nine (29) North, Range Eighteen (18) West, lying North of U.S. Highway 12 and the right -of -way of the Chicago, St. Paul, Minneapolis and Omaha Railway Company right -of -way as now located and established containing 2.5 acres more or .tess. St. Croix County Wisconsin. is not This is property. (i4) (is not) Dated this 30 day of _ July 19 99 . (SEAL) �1 _ (SEAL) • tep en E. St g Carolvn M S hPr (SEAL) _ (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures) Stephen E Stolberg_ and State of Wisconsin, ss. Carolyn M Stolberg — County authenticate e— day of July 19 99 Personally came before me this day of the above named S muel , C ri TITLE: M ATE bAR OF `NISCONSiN -- Of uot, — rt authorized by 4706,06, Wis. Slats.) to me 'Kw to be the person _ who executed the foregoing Instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY H oo 5 Bow 125 �. vw` C ar i. S.C. , Hudson, WI 54016 Notary Public, County, `tis. (Signatures may be authenticated or acknowledged. B: -.h aro not Sly c.lrnmission is permanent. (If stare expiratior, date: necessary) • Names of persons stgnmg in .ny jV<cir should by tvmd a _oted below thev signac�r-s STATE BAR OF M'.SCONSIN Wtsconsn Legal Ear* Co., kx:. QUIT CLAIM DEED Firm No. 3 - '962 M+.vaukee, W'S'