Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
004-1021-20-000
h � v o �.. O p ' o 4 g Q �,� U W N N O m Z C'4 N O fn z c (9 a p Y `1 N O w co O i Lo Z O) a N w QON C _ p @ c_ — j r' O s ' . 0 0— = � c V) -0 > o ° c a) -a Z` 3 E o -2 Q - 2 co Q LL. c m O m C T3 (U N C) E Q U) LL N Q 7k Cn U � M V Q 2 W E ` z o L z y p 04 Z a. on � V o z CD 'z v> t- a) E Y � N � � ® 2 z z I N y c . c d c ' m =3 w d _ a@i ) Q •m � � U) w N N O O a .1 6 0 E Y •ti ; � ►� g i o 3 0 N — 07 W N (A J U rn rn } w co w M > _ O O O N N Q N N N N L O co E N to to CO p m a N n N CA N LO a m y} O C N C O ., � V - V� N O) O) ' T} N N N N N \ O C C C C a) N N to (O •� CD O H N r- N N O 4 L2 5 E CL RS t • y am' .. .- cl a ,U a) c 0 L c y = O m 3 O U a � 0 in U Parcel #: 004 - 1021 -20 -000 12/28/2009 11:19 AM PAGE I OF 1 Alt. Parcel #: 10.28.15.145B 004 - TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - CALLAHAN, SHAWNA M SHAWNA M CALLAHAN 3079 50TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description ' 3079 50TH AVE SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 13.500 Plat: N/A -NOT AVAILABLE SEC 10 T28N R15W 13.5A NE NE EXC EAST Block /Condo Bldg: 877.8 FT 451/594 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 10- 28N -15W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 860/416 07/23/1997 451/594 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 52490 70,000 Valuations: Last Changed: 10/27/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 19,000 21,600 40,600 NO 10 UNDEVELOPED G5 8.500 12,800 0 12,800 NO 10 PRODUCTIVE FORST LANDS G6 4.000 13,200 0 13,200 NO 10 Totals for 2009: General Property 13.500 45,000 21,600 66,600 Woodland 0.000 0 0 Totals for 2008: General Property 13.500 29,800 31,000 60,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I t a !► 5 r� .. 4 .Tk '� • it 4 x # F ;cam . `7 ► L z fi ' 7 ¢E, ' ` , ,�'� ° Y • �' ��t .. od n x,.,k `s� �'?l�,�n1C ''�, � 1 7 r�� '` �.�iP F � ' �� H t � � • * s & n r a `'�' r� ti G' �'� '`� ? r �� r"i"d `'k A'" +Fcx� w � ": +J1 ST. CROIX COUNTY ZONING OFFICE L l } P. 0. Box 98 Hammond, WI 54015 rilK�. Telephone - (715)796 -2239 or (715) 425 -8363 The St. Croix County Zoning Office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Completion of this form is essential so that the property can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING--------------------- - - - - -- -FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $127.00 (For VOC'S) SEPTIC SYSTEM INSPECTION---------- - - - - -- -FEE: $25.00 (Determines if system is properly functioning at time of inspection) Property owner's name .�, S � TiyJ 0 CE Property owner's addre s T ©X c� c1. U3 LLS,v ) r "s Legal Description Ll/J1 /4 of the x ,_1 /4 of Section , 14 , T Z� N -R Town of CAoS Lot Number Subdivision Name FIRE NUMBER 3O / 9 LOCK BOX NUMBER -- C/ V_ ` ate / � � U � 4 / S -D Color of house riC_ Realty sign by house? If so, list firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several. hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper a- rangements with this office to ensure time when entry may be ga_ned. Firm or individual requesting Ser vices: � {.,p� Telephone Number J�� - c�L 1 r - f ♦ 7 A MEMBER OFTHE SEARS FINANCIAL NETWORK 1262ND STREET HUDSON, WI 54016 BUS. (715) 386-3942 V DON SUKOWATEY REALTY, INC. k �. RESIDE TI.ML =To2O PF-ICE 59.001 ,. LISTIPTG nGE? T 77TCE HO Pi �.}--- ' �, � ;`� `� _.. i r � �IV�- - �• 356 -6395 ADDRESS OF PROPERTY RT. 1 BOX "32 m�� .T ..'.^.C7 D� m l- T�RTTTG 1�T .T. CIl [ITILSO. Y T _ TOTni F-L- 11 F T. 90C SC FT.1''' 1 00 R 1 LOT SIZE - T 1 i 1 m 1 !`t__T I; I I ' u n BR i 1R_ —PLj i Y _nFm r 0 H a -r c, T- 'f' �' - 1 y h :ice_ T ., i i I An IndepEndently Owned and Operated Member of Caldwell Banker Residential Affiliates, Inc. ry C A D Y ���`�,, �� = Cry T. 28 N : - R. 15 W 23 r J(eor� SEE PAGE 37 AVE. I � , fL E v.:.ft C /ft s a /�Ce 1 �} • Lester , /v y y e Ant, JameS.2 l,'ror Lund w tl y 'c J .denyst ./ y` • O'Me¢ a �`r/7ar¢�cTf Bari7�t.�' K Bch /.v :otlo � `� o wV ^ • ao �'Bo Lee s Bo 1 ha Pau /ne �srctvc; tlaro /d v', y d �` .john cSchu> t/errr,¢n w �hansrn z o 7 „< NN Ha /moo won � f�Ok y �r \ � �lu�' `7' - �I ssrR A • 117 vrP y;N/ay( new �. ,: b'ah/ dsrs �-� or y • �>.ne.nan �� �� .70 1496 /.. �icw ^J W 9 fiL rM� 7z..�z P/ahn � ' Fred G /e'bke zB.77 E /sen -w�h frre e � %a..- `c'sas •�- e . _ n a.B 73S • i36 E,CQh • 6,6.9 c> 2f1 r .1'Y Hai sin hrtSr' rBC �tN 0!N • i Ma S ' tl /G'fi. /i'c F . P . V S Js? .S n. ” " /.' •. U /d e F 6 q °NeU.r �. Loren 4 AvE. 1 ,.: -1 i --L�.nd by • ;Pas .r • � 9e \ y� rr,oT,o.son q 'y3er reriess Trry' L. J� p J .ao • ref :cson ac Inc aeob • � td �� } • do 72 L Goss n1 N e,i I Ass \�) � y � s'o�a s 4� Z . yerb eat f • W v • CC r am r_ h Peta�son • sv r C /�nc P 7X p • �.5o p ira Haos� N , p N a \" rJ eeker y c'.ch¢rd • ay �`� Bs v �y 0 ` y •40 7 _ �: asmusscn � Pti/ e 4 ez O. / P q y � C In • /20 i ^� ry y ,� • Jo 1 7— SX.C'(177C117 n • ° ack C p • �2oyer o l C �c ,o V . re '/ d b cr o o tl` y� 'a eta/ tl Q Krnd d-'a � h B 9 .345 • �raenrva � tl 41 BO Q /40 '�.ys Ron¢/ ern Fauns, z c '� � • n f Caro/ Aq7 ,e,r f v 0• o. c, and ✓o /d ;$feo/ier/ /.✓.// a.m /yQ ro /d Reek Lar,c • �W Sonmo� Teun i ••O! . • r� AVE . Bo at w zor w • Jc, eYaJ C ° . Ho �se/n f °29 > 70 (n • A.,y / k 6ccY ccGw .Pon i • 45 D F .fieity c � fefe/ L , PiCha.rtt f G i A .B anvo/ ^� VOnr1e L ri7LC u. G � • Leon `� y, � Morrvsor7 C/a ence s Fran.e v �' � .f�grd. �r9 x -a-o a Ba v Olo lJ' p • .+� � ° p 0 Lp Leon Osbocoa cSchr -rb ei• Hryyh k��� �p'y �' /" � Vl� d�� CHex� /zo C d� v W ¢P,�rre o)9, `hl n Osc°n p� V 0 teen 97 Fc2rT �I, p L'C n IVi/SM Gr C M g r r Ma 37� Q p - --Y . alAq Lr�eSfd-rc� r I v tlQ �vhJ ¢n . G¢r/ f \ l •CO. /20 xl EM y N °� 7 s , ° c ' ` • � Berson � � •� yp 2375 �� � h reo � n /// nip 0 �Cy US ` � a .V CIO L h' 30M '��• � j .c� /i E viBO�� F�'i�,iiee�e �@ � ��03 ti � a �� �W n J 0 71 `, d 22a �e c s •5evern f won H• fie �>° Orion g JUC/7 hO n 2 bert F 0 y N/alte/'K t.9i ci Timm rTens cn O vie e s�7 ow �� N e 'on L ro \p1'p h Fafii CrLL •�1 � FQber' E. Bo Bo M /,en 7o to / 40 4oe// � Ti w � Q / e . ff F �,7,( -stop b . eB3t • Afar'* f ; 0 0 • f p p p7• E/aine De/ .z.r� l >. ♦ As a /1e, -C C h • V p zzo. 7s Ne /Srr�e 711771" r�>a -rve tie • Ee/9ene p p 0 V J ,,, °n .c ry� c n can •�\ s '� V2ro ¢rd• NFAIB� ' w L. Hanson !'Va y X`C, Bo / //7 • ♦ C V rr>%T •BQ[.GC/ P/SOn l� �R o C o q p do r/e k • ,3ern°rd e i to `� Ly /e Names P h t, ,`� Marton o p .. /ariPton • Hamof' r7 ytl` Cnrrsto lA ny/n.a }� [/e.as a` La ✓em Mork 6 .L�nnis F • 792s son t/o /e ud \ V \ L Bo b • 0� 71--, eta./ = . inmE•99.�/ BarQ2la _y !/ 4° Lark 4.o R chard F 6 • .eodne P k v .tea O T ea /off .Dean -`� 9h Hnn cT¢cobs ' m `/oFTre¢/cF 77 /Ueuba�e•r ti nPto 7 ~ v a �E /eanc / • Be Bo CL e-) Bo ' !°� z oB ° �� 0 ,O/scn ame_ • Thomas L. 223.92 /Qi Z.l�v! sther c2z,—s f V•r mia rroAeenhau- � ^? N°rman f7 n /70 ' DiX.e h(7 %rub er Tirn else /ores /y y Srri gar 2 • Bo y° lsxi¢ Q; /'>a�a tt Borsncs ��,:, � Ot Caordorr r �s 6b • /lenn�th ITh NL Herr n, jMarve/ • Hou - ` °� 79 r ,car °hme!' d 'P¢Q- G FCherr.e �.Y. ei a �Z9 y /r Timm ° Q - .�� W //T i I cc er y Gcn3 zoo .jA r • BB p \ \' I /rage f� � °$, \ n / rze • � �e p� s I � � Harney Acres, H /on '1 x p 0 C1� Bo yG v � y�' 2 `� —. � 1 � �. > � moo. ao: .y � �- • 79 . ° v 0 � � J • 542/ cn ll' • �;" /or • ¢rte , A "E ,•; - h • 29 <2 _ ! rUer/ E /70 9 ire / /er y l �� n /a'fr c SJU/l 'e /a/ • '� I�nnisC FCarheri/�eM �:- l C ° .zoo Harve O .; o Ricf.ardson 1� b 0 p p L 4c 40 G4ef.�/' /VN ° ` �ti • $ v - >ch f j r °� yV , c ( TefF E F/'aw N �_ > �� - _ /46 �r rr.Cr oc ce i � � � � ioz. o A>/a� 6chu /rj • z 3s, /5 .Do7>iri2 V rr ntt A kio '50 6o i � Gvcber' � I �� !� �� � - �_ 3 � o • an /�" , .:`,fir ac � � I S'`.:zLd L ti �. � • � G.4 EAU 1.L �� n �¢ 7 ✓ -2o Z �� � e e� ico -� i F V Sowaf= +`� KoPPr 9 `�� p f ,C7nd rn Y 9hes i_ _ Lee f�cres, LAC err 0 N — �' - ` WRESE/d V0 /f� parson � ,�".� er v,o • N ilyi /yam; k'ocf-f cra'r7ao F 6/s I c RiERCE- PIERCE COUNTY • - `4u ' St CRO /X cSt Croy C'o��n >y, w "a RO. PHONE(775)698 -2479 LaPean Impl• Inc. S U N SONS TOOL INCOPPOPATED O� ®n + 460 THOMPSON PD. SO . WOODVILLE. WISC 54028 East Highway 12 - Menomonie, Wisconsin 54751 METAL STAMPINGS — TOOLS & DIES SUB - ASSEMBLIES PHONE: (715) 235 -7909 or 235 -6851 1 1 � ! C ~ - c of O y C 7 (D CD V CD a 4 L2 O N N 7 7 N 3 O cn L N (Q fQ cn ? A N O C O co p w y N O Z to O CD C D a -4 fD f �r N N G `.. N C C_ O co N 3 N _ _ O CL { � !. O W -< 8 r + OD 00 17 CA O !V O O O a 1 0 O v N _ (p O M N a CD N Q 3 m C CL I D D Q O CD I �• CD I � � CD 3 c m rn -i N N a z 0 N O z -i (D CD m co a z 0 3 o 'r z CD m � i A W N O O@ N Q C CD .4 y ? O G (D .ZJ N 7 n � v a v c N COD OZ a `. N CD N O N N 7 pj N fZfl O N N h O ID N A CD AOC7j '� O N O• N �. co O N 7 -4 0) O O O 'S o b I I N pp N Efl 0 O N O a CL � S.O. ? \ r 0 / � ƒ % k \ § k \ / [ / 0 \ 2 \ 2 § k \ q a ( M + \ tn \ / o£ ;& E Z g; o@ S Q a a \ k ] ° $ ! # a § R e & 9 j° \ q E 2\ a t\ I [ @ \ C / C y (D E a ; e =. . N) - } _ c ) \ 2 \ » 7 / $ \ CD oo \ \ k k \ g ƒ ° ° A \. o o o 2 5 j j j Cn / SD } o v I ƒ� § \) � } § o \ \ o > > \ \ \ 0 \ \ a = ; _ ƒ , � [ 2 2 i , R { z E t o 2 \ f ] G EX z 0/ \§ � 7 = � §_ \ ° ® C')D k 2 . � \ . � \ Z 0 $ � \ � \ / � ƒ . � r \ � 2 \ � I � ; > / G \ q a f o § \ k � � G CD \ � \ 4��i «iii i «�i �i��i � 11113 RECE IVED 847368 APR 1 3 M7 V KATHLEEN H. W L H REGISTER OF DEEDS S,. CROIX COUNTY ST . CROIX CO. , OR SURVEYOR'S RECORD RECEIVED FOR RECORD 03/29/2007 12:30PM CERTIFIED SURVEY MAP REC FEE: 13.00 COPY FEE: 3.00 CERTIFIED SURVEY MAP NO 5376 PAG ES: 2 VOLUME 22 , PAGE 5376 LOCATED IN THE NORTHWEST 1/4 OF THE NORTHEAST 1/4, SECTION 10, TOWNSHIP 28 NORTH, RANGE 15 WEST, TOWN OF CADY, ST. CROIX COUNTY, WISCONSIN N w UNPLATTED (ANDS t � tV NORTH 1/4 CORNER NE CORNER O V1 SEC.10. 728N. R15W � � _ N SEC.10, 7241". R15W w 3/4" REBAR >- FND. CO. SURVEY NAIL : NORTH LIN NW 1/4 — NE 1/4 50TH AVE. 0 _ — _ - - -- - - - -_ B9.N ------- - - - - -- _ X - -- — -�_— — .il_ ,j32 -42' }32.41' J32.42' Z 3 33.00 2s2• J3.00 3.00 J3.00 33.00' "89'52.44 "W ^1 t°3 O _ _ _ _ _ _ _589'52'44 "E 1329.67'_ _ _ _ _ _ _._ __ 1329.67' F Z 100' BUILDING SETBACK LINE o 3 S $ B4--. — LOT 1 s V C 440.946 2.1. g ° 12' V 10. acres ° 2O• y \ 3 i (incl, r -o -w) i'� w d 429.976 s.(. .� Cn O Z Z z , 9.87 acres co r Z w Z 1 W I(not incl f -OlJ ) 1 r ,. e W 1 i 3 ei .r =C L7 o ry LJ LLJ SWS W 1 ,G ,r N (J / M•1 N ° S a r Z C CD F m 3 Sv N' I.; 00 ° 00 n r Sao 1 Z h a 1V a .N N a N Z LOT 2 LOT 3 LOT 4 I 441,035 s.f. 441,124 s.f. N 441.213 s.f. Z i 10.1 acres + 10.12 acres .� r 10.13 acres ( incl. r -O -w) (inct. r -O -w) O (incl. r -a -w) r I 430.065 s.f. 430.154 s.f- 430,244 s.f. ° 9 -87 acres 9.88 acres 9 -88 acres 1 i 1 I ° o (not incl. r -o -w) (not incl. r -o -w) (not incl. r -o -p 68 v L` 332.40' 1 332.40'. 1 332.39' 332.40' I ; - - • - — .,. —.� N8949'58 "w 1329.59' SOUTH LINE NW 1/4 — NE 1/4 z ; O UN PLATTED LANDS SCALE: 1"=300' LEGEND 0 GOVERNMENT CORNER (AS NOTED) e SET. 1" X 18" O.D. IRON PIPE O' 150' 300' 00 800• WEIGHING 1.502 LBS, PER LINEAL FOOT_ — "—'— EXISTING FENCE e SOIL BORING LOCATION 1 of 2 SHEET 1 OF 2 Vol 22 Page 5376 r S cn 3 a "o O# O O" n n rt M a ° ro ' o m CT N o CD # o j'''' o " p 99 rt O LA CD n ©' G� C C p p u o m (D 7 m oN *k v —h 0 o o < s 0 m D O (3 C Ir -0 tD E 'O X N Q rt = p 0 rt =3 O � C) (-n `L _ Cl O ' to U'I c C� v 0 O R N f+ (D CL LO fy N cJf o c o c _ 7 > ;7 I cu ❑(jo ❑ fl Parcel #: 004 - 1021 -20 -000 04/22/2008 08:01 AM PAGE 1 OF 1 Alt. Parcel #: 10.28.15.145B 004 - TOWN OF CADY 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 O - CALLAHAN, SHAWNA M SHAWNA M CALLAHAN 3079 50TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 3079 50TH AVE SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 13.500 Plat: N/A -NOT AVAILABLE SEC 10 T28N R1 5W 13.5A NE NE EXC EAST Block/Condo Bldg: 877.8 FT 451/594 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 10- 28N -15W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 860/416 07/23/1997 451/594 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 03/31/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 28,000 31,000 59,000 NO AGRICULTURAL G4 11.500 1,800 0 1,800 NO Totals for 2008: General Property 13.500 29,800 31,000 60,800 Woodland 0.000 0 0 Totals for 2007: General Property 13.500 29,900 31,000 60,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04117/2001 Batch M 511 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I J Parcel #: 004 - 1021 -30 -000 04/22/2008 08:03 AM PAGE 1 OF 1 Alt. Parcel M 10.28.15.146 004 - TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/12/2007 00 7 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - FOREST RIDGE PROPERTIES LLC, RETIRED RETIRED FOREST RIDGE PROPERTIES LLC Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 10 T28N R1 5W 40A NW NE Block/Condo Bldg: -- RETIRED - -CSM 22 -5376 TAKES ALL NKA PCL'S 004 - 1021 -30- 100,200,300,400 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) (1 46A, 1 46B, 1 46C, 1 46D) 10- 28N -15W Notes: Parcel History: Date Doc # Vol /Page Type 03/29/2007 847368 22/5376 CSM 03/01/2006 819616 WD 07/23/1997 860/416 07/23/1997 451/594 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/12/2007 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT_.1_. n \ Owner S k R W V1 A C A I I A� a N Address -3 v • "�.. 3 a so ,4 � �J City /State Wd W1 9 0 a C ROY ST ree Legal Desc G Lo Subdivision/ M '`� al / �� F CF � CS # t / a /Vf= t / a N1<, Sec. 1 D , T2EN -R1,57W, Town of C a A,e >' SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer H u F F c u TT Size T/PC / Setback from: House � Well So ' P/L -�U f Pump manufacturer Mode oD o0 o o ,� Ho I J; Alarm location (HOLDING TANKS ONLY) Setbacks: Service road orb Vent to fresh air intake Water Line !o Meter location 6 Y Pressc�k'� Alarm location 1� Y Prc.s s y y e Ta k SOIL ABSORPTION SYSTEM Type of system: Width Length Number of Trenches Setback from: House Well PAL Vent to fresh air intake ELEVATIONS Description of benchmark I o P 6F W e 11 CA IR Elevation 00 Description of alternate benchmark Elevation Building Sewer 9 �r 3 y STIOInlet 1 3 ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines () () ( ) Bottom of System () () ( ) Final Grade O O ( ) Date of installation G / I /9 Permit number 3IS' 8 D - 1 State plan number Plumber's signature _ CL License number - P 4> 110 4B Date //y/99 Inspector 2eJ Fs�,ru e.r Complete plot plan .r X+ R l i 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. _ J VIEW PL4 ro 3 3 k > 2 °- w � `1 3 0 M -9I M . s 1 E dr 1 s y x \ a1J 1� s S � r d 7 i INDICATE NORTH ARROW r � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Y' Safety and Buildings Division Count $T . CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarlmtll.: Personal information you provice may be used for secondary purposes [Privacy L I t, s.15.04 (1)(m)), CALLAHAN �NaS Ia Y ❑ Village Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel ftf%Q_1021--50 -000 TANK INFORMATION ELEVATION DATA A9800217 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic , , 11600 Bench Ea Ftf 2. (7 CZ-r/ (. Dosing Aeration Bldg. Sewer �. $?' ��' Holding St / (bnIet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airl to ntake ROAD Dt Inlet Air t Septic p Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holdin Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Numb GPM TDH Lift Friction Sys1wr., TDH Ft ead Forcemain Length Did. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length IT No. Of Pits Inside Dia. Liquid Depth DIMENSI __4f DIMENSIONS - STEM TO P/ L WELL LAKE / STREAM NG Manufacturer: SETBACK CHAMBER Model N INFO ( System: DISTRIBUT M j Distribution ) x Hole Size x Hole Spacing Vent To Air Intake Lengt Length Dia. Spacing SOIL COVER x Pressure Systems ound Or At -Grade Systems Only Depth Over ver xx Depth Of xx Seeded /Sodded xx Mulched Bed/ Trench Center Bed / Trenc Topsoil No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: CADY 10.28.15.148A,NE,NE 3079 50TH AVENUE matt, Z. o I I Plan revision required? [ Ig- No Use other side for additional information. a ( �� - SBD -6710 (R.3197) Date Inspector's Si ature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: m K f Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County, than 8 1/2 x 11 inches in size. U+. On i • See reverse side for instructions for completing this application State sanitary Pe rm The information you provide may be used by other government agency programs El Check if4��siaFi to v_,.t application (Privacy Law, s. 15.04 (1) (m)J. State Plan I. . Number R log 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF O MATION Propert O ner Name Property o ation CA L� A ) 1/4 tj k 1/4 S T Z$ , N, R (or) W Property Owner's Mail in Address Lot Number Block Nu T, er Cit , Stat Zip Code Phone Number ubdivision Name or CSM Number )1 S (` l '� - --- II. TYPE OF BUILDING: (check one) ❑ State Owned ❑cit Nearest Road ❑ Vil Public U 1 or 2 Family Dwelling -No. of bedrooms Town OF O s � III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo T 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. n 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 ❑ Seepage Pit 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. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 5 C) - — Feet -- Feet VII TANK Capacit S Total # Of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks I r Septic Tank or Holding Tank 2b(go Z U V U i u C ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber -- I --- -- ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu b is Name: (Pri Plumber's Si tur . (N Sta ) MP /MPRSW No.: Business Phone Number: Pitimber 's Address (Street, Ci State, Zip Co IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Includes Groundwater Date Issued Is&gAg t Signature (No Stamps) Approved E] Owner Given Initial �j� �� . cha rgetee) ���,/�� —Adv erse Determination �0 CC�y Vv /! J � . CONDITIONS OF APPROVAQ REASONS FOR DISAPPROVAL: bq 5 A ,�/ Cc kra 1 ire, i t.� ' -� r'�vn ( J-du - on -Ae— lti1 rc, 't-� 4o C"94 � S SHE)-6398 (R. 05/94) DIST UTION: Original to Cnurdy. One copy To: Safety & Ruildings Divr Von, 0w, r - 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 -3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(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; Q 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 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. Safety and Buildings 15837 USH 63 _ HAYWARD WI 54843 -8107 8visconsin Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, secretary May 28, 1998 CUST ID No.3412 HERB J PELKE S5 CTY RD AA DURAND WI 54736 -8076 RE: CONDITIONAL APPROVAL Transaction ID No. 81063 APPROVAL EXPIRES: 05/28/2000 SITE: Site ID: 8248 ST CROIX County, Town of CADY; , CADY NW1 /4, NEIA, S10, T28N, R15W SHAWNA CALLAHAN FOR: Description: HOLDING TANK, 450 GPD Object Type: POWT System Regulated Object ID No.: 20618 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. A meter, with remote reading device, shall be installed by a properly licensed plumber, on the water system, that adequately measures the amount of water used by the structure, excluding hose bibs and wall hydrants, which do not discharge into the sanitary system. 2. Anchor tank as necessary to negate buoyant forces per COMM 83.15(4)(b). A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. P.®, Co.nd Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. When making an inquiry or submitting additional information, please refer to Transaction ID A P 1 No. in the regarding line. DEPARTME14 OIVISI�Oi SAI Sincerely, DATE RECEIVED 05/26/1998 / �-- �' SEE CORF Z.e, - FEE REQUIRED $ 60.00 PATRICIA SHANDORF , POWTS LA VIEWER FEE RECEIVED $ 60.00 Integrated Services BALANCE DUE $ 0.00 (715)634 -7810 , M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE. STATE. WI.US Page_L of -. PRIVATE SEWAGE SYSTEM INDEX AND TITLE SHEET Property OwnWs }: S,y v�✓,✓A G �9LGA.yA.✓ - ProjeCt � idR���A �AL 4A.SiAA✓ ' / OG 3 PrOjeCtLoCatitlrn: slse Stroot A�dross a��tion otisn ar M[mic�aHty ` T. n x �o ,rrr contents: Page 1: /it/OEx rT Page 2: �� `O� ` ''�•✓ Page 3: �`O� YAK �i�orr- �� �ri..✓ Page 4: W.T. Page 5: Page 6: T OF COMMERCE =ETY AND BU IN" Page 7 Signed: Credential Nmnber: Ewa Date: -I RIO -9� Address: 7 Phone Nmnber: /r w N ' 0 O W � n b b 2 v o Q � a J � W4 > a z � v o V a � � k HOLDI14G TANK CROSS - SECTION Approved -' Weather Prdof Vent Cap Junction Box ;+ / Approved Locking Manhole Cover. ��� C. I, --� . With Warning Label, Attached And Padlock Vent Pipe Minimum 12" /Final Grade 4 14inimum Approved Joint ,_ _„_ 18" Minimum dater Tight' i Nigh Water Seal Alarm Switch SPECIFICATIONS New 'Existing roved Joint TANK tin pp Manufacturer: g F6a•.rr /.��. w/ C• I. Pipe Tank Size:---- d000 Extending 3 Blind C.I. al o ,s Onto Solid Soil Plug ALARM Manufacturer: �4 r.,o Model Number: o/ Switch Type W uA or NUMBER OF BEDROOMS: 3 GALLONS PER DAY 3So 3" of Bedding Under Tank I ...................................................................................................................................................................................... ------ ------ I ----- -- HOLDING TANK SERVICING CONTRACT :on;racl Valle This contract is made between the ----- ^ - - --_ ----------------- - --- -- — — — loldiog Tank owner(a) 4 arnels) arid Pumper'S Narne -54 "1 wo C�0,'Zo lt4 ILI 267 --ZY I Aj/ -!5VOZ9 Ve acknowledge the Installation of (a) holding tank(s) on the following property (Provide legal description:) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — ---- - -- 1 The owner agrees to file a Copy o(this contract with the local governmental unit hereinafter called the "municipality' ohich has signed the pumping agreement required in Ch. ILHR 83.18 (4) (b). Wis. Adm. Code and with the County of eo �-4 2. The owner agrees to have the holding lank(s) serviced by the pumper and guarantees to permit the pumper to have c1( ss and to enter upon the property for the purpose of servicing the holding tank(s), The owner agrees to maintain the all•wen -r access road or drive so that the pumper Can service the holding tank(s) with the pumping equipment. The owner further cc es to pay the pumper for all charges incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pump: 3, The pumper agrees to submit to the municipality which has signed the pumping agreement required by s. ILHR 83.18 1 (b), Wis. Adm. Gode, and to the county, a report for the servicing of the holding tank(s) on a semiannual basis. The pulrooper TLII sr agrees to include the following in the semiannual report: 8. The na ne and address of the person responsible for servicing the holding tank; b. The name of the owner of the holding tank; c. The location of the property on which the holding tank is installed; d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced: 1. The volumes In gallons of the contents pumped from the holding tank for each servicing: 9. The disposal sites to which the contonts from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract, In the event of a change in t contract, the owner agrees to Ille a copy of any changes to this service contract or a copy of a new service contract with the! inicipality and the County named above within ton (10) business days from the date of change to this service contract. Owner(s)Narnew(P' t) Owner's SifjnAiure(s) S�W�� Subscribed and sworn to before me on th Jate'. Pumper's Name (Prlml) 11MPCr'$ SignAlure lWary Public 11MPC1'13,1,gnAlurC r YcoXtOlAkrryeil� r zz - h Pumper Number P UBLI M-7574 (N. 11185) This instrument was drafted by the State of ent of Industry, Labor and Human relations, Bureau I Nu m bing. --------------------------------------------------------------------------------------------------------------------- - - - - -- ----------------------------- - - - - -- ------------------------ -------------- �90 U iQL � � o ^l'F �i(�9 Document Number/Plan l.D.No. HOLDING TANK AGREEMENT This agreement is made between the government _ unit and holding tank owner S . Name and Rctum Address R I TER'-S----OFF �^ 5T, CROIX CO., W1 Rsc'ci for r!scord J JUN 0 5 1998 t ��Da r7 10:00 A Parcel Identifier number (PIN) Agreement ato P /v -0`9 15 I� � , .6 - Z - qty - ..- Govemmcntal Unit Holding Tank Owncr(s) Re star of pwds of t crvo (&C We acknowledge that application is being made for the installation of (a) holding tanks) an the following property. (Provide legal land description. Use reverse side if additional space is needed) F : //-V - /V I 5 F ti i or ,— or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containvill of sewage Also, the property cannot now be served by a municipal sewer, or any other type of private sewage system as permitted under Ch. UM : Wis. Adm Code, or Ch. 145, state. ��11 � As an inducement to the S�. �•—,t LAC to issue a sanitary permit for the above described property, we agree to do tht lowing: 1. Owner agrees to conform to all applicable requirements of Ch. iLHR 83, Wis. Adm. Code relating to holding tanks. If the owner far o have the holding tank properly serviced in response to orders issued by the governmental unit to prevent or abate it human health hazard as t gibed in s. 254.59, Stata., the governmental unit may enter upon the property and service the tank or cause to have the tank to be serviced a charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as In gibed by e. 66.60, Stats. 2. The owner agrees, pursuant to a. IL.HR 83.18 (10), Wis. Adm. Code, to have a water meter installed in a new building or new structw The water meter shall be installed by a plumber authorized by the State to conduct such installations, with said installation complying with Stu -egulatio— and manufacturers specifications. The owner agrees to be finally responsible for the purchase, installation, maintenance, and repai 'the water meter, and agrees to allow the governmental unit to enter the above described property on a regular basis to read and/or inspect the wa meter. S. Owner agrees to pay all charges and cost incurred by the governmental unit for inspection, pumping, hauling, or otherwise vicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank_ The gove rental unit shall' notify the owner of any coats which shall be paid by the owner within thirty (30) days from the date of notice. In the event the a ar does not pay the costa within thirty (30) days, the owner specifically agrees that all the costa and charges may be placed on the tax roll as a speci reeeasment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 4. The owner, except as provided by e. 146.20 (3) (d), State., agrees to contract with a person who is licensed under Ch. NR 113, Wis. Adn:. de, to have the holding tank serviced and to file a copy of the contract or the owner's registration with the governmental unit The owner further t ies to file e copy of any changes to the service Contract, or a copy of a new service contract, with the governmental unit within ten (10) buainem a from the dare of change to the service contract. 5. The owner agrees to contract with a person licensed under Ch. Nil 113, Wis. Adm. Code, who shall submit to the governmental unit a the count, on a semiannual basis a report in accordance with a. ILHR 83.18 (4) (a) 2., Wis. Adm. Code, for the servicing of the holding tank. the case o registration under e. 146.20 (3) (d), State., the owner shall submit the report to the governmental unit and the county. The goverri.z tal unit or county may enter upon the property to investigate the condition of the holding tank when pumping reports and meter readings may im to that the holding tank is not being properly maintained. 6. This agreement will remain in effect only until the governmental unit responsible for the regu(�ticYti'ifiveye sewage systems ter !s that the property is served by either a municipal sewer or a soil absorption system that complies wjtR Fi .'Wis. Adm. Code. In iition, thi: agreement may be canceled by executing and recording said certification with reference tw, i eemeni: "ir! i �i ,.manner which o permit tht existence of the certification to be determined by reference to the property. , T A NO ri 7. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner ehall^submit the agx dent to th• register of deeds, and the agreement shall be recorded by the register of deeds in a manner which wilFWrmit the exi fence of the ag ment to b determined by reference to the property where the holding tank is installed. t o PUBOG Ownc Names) - Please Pri Governmental Unit 011leW Name - Please Print Subscribed and Ito before me on m etc: Notarized Ownci(s) Signaturc(s) Govcfnmental Unit OffieW Title - Please Print t r1 kk% Iotary.Pubhi 1 L� � Go ernmental Unit Official Signature Mmission expir4 Drafted b , Y> 1�� Porsonal InOtmallon you provido may be used for secondary purposes {Privacy I.a�v 5.41 (lxw)) I, -_C- ilNiscbnsin Department of Industry SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety &Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ' t Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REV WED BY DATE PROPERTY OWNER: PROPERTY LOCATION 10A'w4 Z01,44*4 1 GOVT. LOT,,, 1/4 W - 1/4,S/,o T e 78 AR /_S- PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SURD NAM OR CSM # __� CITY, STATE ZIP CODE PHONE NUMBERY eVI LLA RffOWN NEAREST ROAD .v�,v /.J y 9 (7 /S) 7.7- yys-7 I eo y I So [ ] New Construction Use Residential / Number of bedrooms [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow yso gpd Recommended design loading rate bed, gpd /ft trench, gpd/ft Absorption area required — bed, ft trench, ft Maximum design loading rate bed, gpd /ft2 _ trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations a4a� S r.- .16 err Parent material LD6SS d w aovd wws Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL I HOLDING TANK U = Unsuitable fors stem ❑ S ®U ❑ S ®U EIS O U EIS IR U EIS ®U ®S ❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bolxtdary Roots Bed Twich 4:d ...:. Z _ /a Yit S .7a/ stirs S. / i, A Ground 3 6 - :7 */" 3 f >.sre s/ -so/ / a r elev. s y2 s/8 � _ `— ft. y- B S" Y� j w b - r 1 .4 f t ry t/ --;_ Depth to limiting factor Remarks: Boring # W1.2 j �y Ground elev. s ya s/8 ft. d- a s xt * t r e c ,/ rLL Depth to limitin u Fn uj rWrL o✓ .vi✓sS s✓f� ti .va O ./ LC d /L / ✓i � L eX ?' oT art u 1 odSo Plod Yin Remarks: CST Name:— Please Print L Phone: 'mss - Leo A ddress: �So s- Signature: Date: CST Number: -moo - F8 .�� I `PROPERTY OWNER SOIL DESCRIPTION REPORT Page _of ' • . PARCEL I.D. # Boring # • Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouncl3y Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench K.: �h >.:i . . . . . . . . Ground elev. n. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 4v�•.. ti Ground elev. ft. Depth to limiting factor Remarks: Boring # { Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) C; CIO n 17� ro H H O O H H lb LIN c � a b \ ` s � 4 z 2 c � a lh a rA 41 M 4� b A 'AM� K632T9a -YG95 7131233331519 ,u s.9 P. 01 PEIKE �. tF Fax :715- 672 -5267 May 6 1 92 9:31 • P. 0? ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CLERTIFICATIO FOn Owner/Buycr , %2.l. QjAj ��.QL Mailing Address �) �1 �,�0� � -- Property Address _ 7 . ] o 7� ~ �l � �_ rQ U . -- • (Verification required from Ptsnnft Depawtnunt for new construction), City/State t7 Parcel Ideotie'ication Number /D • �S? . / i�g� ` ' " L EGAL pESCW= W & Property Location _ ' /., --ba, '/, Sec. _10 T_Z N•R,..1„5..W, Town of Subdivision _. _,. _ . Lot # Certified Survey Map ! Volume ._, Page # __ Warranty Dc d # _.q �� � _r.______ Volume Page # _.._�_!..' ,. S A �n rnr I Spec house 0 yes C1 no Lot lines identiftal)le O yec 0 no SYSTEM E Improper use and mainteaaacc of your septic system could result in its premature failure to handle wastes. Proper ma ttttemaucc eooslsrs of pumping out the septic tame evtty slime years or 600mr, if needed by a itceused pumper. What you put into the systea: can affect the function of the septic tank as a treatment stage in the waste disposal system. rat property owner agrees to subtait to St. Croix Zoning Department a certification form, signed by the owner and by a musterp!umbet, jottmeyman plumber restrictedplumberor a liceasedpumpor verifying that (1) the on•stic wastcwatci disposal sysicor is in proper operstittg condition and/or (2) after inspection and pumping (if•neeesssry), the septic tank is tcss thm 10 full of aludgc. Uwe, the undersigned have read the above requirements and agree to nuiotain the private sewage disposal system with the standards set forth4 llereip. ai ict by the DtPUTA ent of Commerce and the Dopattment of Natvial Resources, State of Wisconsin. Certification sta6q, fhat your septic systp-ru has been nuiatained rnuat be completed and ren,med to the St. Ctuix Cou,lry 'Zoning Office within Y, day of the three year expira6da dale. NATURE VF APPLICANT DATE DATE s� YU -8 C �� IML IC A1 1 0 Ilc aew, DOCUMENT NO. ... - STATE BAR OF WISCONSIN –POW = p lc 417 t nr DEED 1��� 1Nrs pACf 11ESt11VED FOR RECORDING OATI i RWISWS MCE Dorothy L. Kostuch, a single woman ST. CM Reed for Recad JAN 0 51990 conveys and warrants to Shawna N. Callahan,, a single co 11:15 M woman W . f rru" TO the following described real estate in S j • Croix COEN*F. State of Wisconsin: The Northeast Quarter (NE}) of Section 10- 28 -15, Tax Key No. EXCEPT part to Lee Gordon and Pauline L. Schutts in Volume "581 ", page 233. T sm 51ra FM This — is homestead property. (Is) (is not) Exception to warranties: Dated this 29th day of December , 19 89 . (SEAL) (SEAL) Doro L. iidstuch (SEAL) (SEAL) ( AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this S ay of STATE OF ■19MNSIN 19 St. Croix County. County. Personally came before me, this 29th day of • DOCOR 1969 the above named DorOt�h TITLE: MEMBER STATE BAR OF WISCONSIN L. Kobtueb (If not, authorised by § 706.06, Wis. Stets.) This instrument was drafted by William H. Thorie to me knows to be the person who executed the fore Office P ark �N. , going and a edged the same. Baldwin, WI 54002 ,.tv,.. (Signatures may be authenticated or acknowl/. Both• - •* I. Pedexxttuen are not necessary.) - S r l�fotary Pubdic t• Croix County, Wis. lkCbmmissiow is permanent. (If not, state expiration "R"C -S nl lent n i t Y y S4 C"mmeisson Expires Mar I I 1990 WARRANTY DEAD -Sr AT6 BAR OF WISCONSIN, FORM NO. 2 -1977 MhY -21 -98 12:15 AM K632T96DJG95 7151235351519 P.02 y: L. a^ STATE OF WISCONSIN I ' COUNTY OF ST. CROIX 9,+ 6 INC, hereby rertifius that the foregoing absaect, consictlnp t+f Entries RIV0 VALLEY ADSTiIACT @ TITLE, fAi!Trli_7 7, 19!19 Gt Li,lltl I�.M g 9 _ t0 _ f+ J _ , huth inctuaive; is 2 collect u4stroct of title No.. __ — — 59 itereuf, HA T of lands desr.ribed in tho l aption At No. _ — T PERIOD COVERED BY THIS CGRTIFICATE, SAID A®STTIACT CORRECTLY SHOWS- T' i 'OR HE 6 Years and 30 days! filed therein 1. All niatU :rK affecting or relating to.the said Fad ouch ary recnrdOd lax l iens !for the pant u, filed for record in the Office of I c Register of Dudds for said Courtly. eguinst [lilt p,uties listed below. 2. EXCEPT uti shown 1n thil er abstract, the Ci k of Courts in t n sd O Cn my fur pest 2 yea atfat:r,np title to such lamas dac'Katctl 11, Nis O �., 3. Tax" EXCEPT as shown in tl,i9 atar.uart, there am no unsatisilud judgments, incturiiny delir,qucr,t r,rome. s, docketed in the t)fticu of the Clerk of Cot ,n said Cu4enty within the past 10 lu will as anrt ageing[ the dockated named , lies pu -u O wliir.h afiacIS the title to lire real estate above dusCribc[I to wrt: folluwiritj >a T11om,15 M. Kn. uch L)nrotlly L. K[*,5t.1X71 -n of 5114wr.a M. Callahan 4. EXCEPT as shown in this ebstr;iet, and ar.cord)nq to the tax records 4i4 the Off t :e of the Cou4tty 'teasuer nt gait County, meta are no dcti. ti,Kag At daliuuer speCiat ut, mP is N NOS l 9eUUlan� n11 2n Such Ox,ntinAtiurr covers up to kind ii4cludi'19 lhr. yr;;er 19 -. ._• (`}}GG d j ff t ttt ° r�3 ?,:arV { Thal for the j eriuif covered Di this mntifiratu, all instruments appearing in tl abstract cw•.tai e nu,nbc of witnuOSas 2nd er•.knuWled!t0,mu'dg '- Inless nthc4wiga notwl. 1104 t0 ?i — � i :) IH)S f ARAGRAPH APPLIE$ oNl Y IF THIS l3 A YEAR ABSTRACT- i of to y s"Nex uwsa�rtuwors of ail er,. d�ir c�i 5t u sanyCl•olltic l 5ulncfiv'+ n htu'ycipt l 184.01 o, !, pocalipn t`lereo {, and there see nn lurihrr eJSemunts than those, ;;now" on tar. ahrt got Dunlicattan of this Ot,6truct by 1+nYe other titan Rivfir Valley Abstlact Er Tliie, anti ni g hil mis (I ,is of no FrahilitY IO any pi11t olhar then upon this original ebstfec, of continuation Contuning [lilt raigcil se.f of acid company and 1140 original sigtlathres of an Office! Of "i's cCmtiany That this Certificate and ariner<ci c and 0 - 0 ally PI and alltuwneas nt tIle diisCfit7ai it n t suid raptiar IIl<J the s:.u»e Wild. a - tUndshed t Uatal4�Or6 Ur title• and thnil sucr,"sm; in titltt, !nch morilia99S and i a 24[.01 day of As 't g0 Dutud at Iludsnn. Wisconsin this _—.. . —. A. — 10 : 30 — _ o'ciolck in the HIV R VALLEY AUSTRACT Et TITt.C, INC. BY — . I /Sccrew"v P,ca!Ow. it l} ,! 62 W need. Dorot3)y I,. 1K0 -,tLlch, Uatocl Dcc. 29, 1089. a ,i woman, Ack. L?ec. 29, 1989- �. ReC, LT an. 5, r - In "$60 ", PI'9(= 417. #4�4�10. . iI O f Sectio 10- 2.81 ShtZwnrz M. C�illahan, Tito Nra �� a g i n�3 P woman . EXCFPT Part t t,ee Gordo 61" I�ac1E 233 (j�C). 41) . I and t'a�zl i nc� Ir. Schut.ts in Valum� { : RcritcS : This is hcmc�steac3 prcT:c�rt.y. (Trainsfor. Fce $1 77 .00 ) i 1 , 63 � Mt7rtgag0 , i; Sh,iwr-a M. Callahan, c3 Con. $47 ,200-00- si ngle per son, Dated Dec:. 29, 1 i Ack. ncc. 29, 1 ti -ta- Rc�c 3an• 5, 1990. �i . a 416, #4,4 1 l. 5 First. National Bank of y Baldwin, Wisconsin, t { , 7'awnshiP 2A North. Ra119r.' 15 Wc-st, EXt�RIyT F az 231 4 c_,; S_ct.i�n 10, „ sacra 233 (N�• 4 ) r t.a T.,ce Gol and r`ctul,ino L. Scl�utt.s in Volt.lmr� 58 1 ,.,.. Croix County, Wisconsin. zor. 'i`t,i s T'rc,[,crt.y is th? homestead oI Mortga ,a 1