HomeMy WebLinkAbout030-1086-80-000 0MIX COUN'T'Y ZONING U[:I'AlU'MEN'I'
AS BUILT SANITARY RLI'OIt"['
Address 1 3 ( I c - (/ V
City /State H u Sr, ti( a /
Legal Description: r
Lot S Block — Subdivision/CSM 11 13 j 3 5 - c?
'/• V. , sec. , T N - R W, Town of PIN f1 D U - /C �' Lc
�__`'
• SAP
' SEPTIC TAN — SE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer 1 / S E rZ— Size ST/PC / Setback from: House Z 3 ' Well e 6 P/L I
Pump manufacturer Model
Alarm location '—
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION S YSTEM :
Type of system: SN FILTRATotZ- Width 3 Length 7 S ) Number of Trenches �-
Setback from: House 5- ' Well I Z P/L 1 " Vent to fresh air intake I z 5
ELEVATIONS:
Description of benchmark 1 " PVC ; � - l n v . o a � , yp Elevation I C�C ,Do
Description of alternate benchmark 1 o P c f � I0 c I< f� v� L �a 7 r r �, 10 Elevation I t 3 3
Building Sewer ST/HT Inlet �' 3 i �$ ST Outlet �� Z--� 7 7 6 C Inlet —
PC Bottom
Header/Manifold `�- S8 - ys ' $ Top of ST/PC Manhole Cover �, 9 9 y�
Distribution Lines (,f) T, 80
Bottom of System(
Final Grade (
Date of installation it / ?P/ C/ P Permit number Zp 2_52 State plan number
Plumber's sigaaturc � !��� -�( License number lbtr l I - 3 Se a Date /l 120
Inspector
c•ompi«< plot plan K
S "I'• CROIX COUN'T'Y ZONING UEI'AIU'MEN 'I'
AS BUILT SANITARY R[;1
Owner tf /y( rat ► t eft
Address 1 34, � C 7 � "V"
City /Stale 14
Legal Description:
Lot _� Block Subdivision/CSM # 1
?cD T N -R I `P Town of ti'f To S E r�l�t
_ PIN #
t
" " ..- SEPTIC TANK — ..DOSE CI�AMI3ER — I�OLDING TANI{ INFORMATION:
Tank manufacturer ► i� - -.. Size ST/PC 1 / Setback from: House 3 Z� Well (, , P/L 73
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: Lt'Acq 1'kfW-# th g G� Z ""
Setback from: Souse �_ Well `ia �t p� (io Number of Trenches
Vent to fresh air intake �L o
ELEVATIONS: io Description of benchmark To? Of I } ) / PIC -)N FAST le-,`j Elevation /D 2 . Z "
Description of alternate benchmark T6 cf I✓±cck c c NG, 7! �� , �y_ Elevation
Building Sewer ST/HT Inlet k,, , -Z- ; ST Outlet t ` ' .� PC Inlet
PC Bottom _ Header/Manifold IC- Top of SUPC Manhole Cover S
Distribution Lines( ) 1 ' i Z. ( ) (� d ( ) 13,7
Bottom of System( )
Final Grade ( )
Date of installation Permit number a -
State plan number
Plumber's si nature MM r,
g r�� tL� x �:� �� License number � /� �` - ,ZN.� Dat (
Inspector
c ompletc plot plan K
r
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safetyand Buildings Division CountT.
INSPECTION REPORT CROIX
GENERAL INFORMATION (ATTACH TO PERMIT) SanitayMiir:
Personal information you provice may be used for secondary purposes [Privacy W,
SAM S w, s.15.04 (1)(m)].
Permit Holder's Name: ❑p T C OS E ity ❑ Villa e Town of: State Plan ID No.:
. J
CST BM Elev.- Insp. BM Elev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9800441 017 ,�-T'
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic , e/- &a'e Benchmark Z^G�i /D -06)
Dosin s
Aeration - - -- -- Bldg. Sewer
Holding St/ P' Inlet �a, Z 3 3, 97
T, K SETBACK INFORMATION St / Outlet
�
TANK TO P/ L WELL BLDG. Ve make ROAD Dt Inlet / - -
Septic � ' ( 32_. rj+ NA Dt Bottom " "..`..
Dosin -° ILIA Header /Man. d;5+ -, l ow
Aeration NA Dist. Pipe
HoldiNg.— Bot. System
PUMP /SIPHON INFORMATION Final Grade
Manufa - U"r ` Demand
M del Number _ GPM
TDH Lift
Fri ti em TDH Ft
ea - _
Forcemain Le ngth Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Len th r No. Of Tr riches PI No. Of Pits Inside Dia. Liquid Depth
DIM EN 1 N 3 .S�Z,Z. DIMEN I
SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LE INS Leu
u
INFORMATION Type O /12Z �c, r , w , -' CHAMBER Model Number:
System: j �', �¢�,, >� OR UNIT
DISTRIBUTION SYST15
Header/Man old i Distribution Pipes) Y,-Hole Size x Hole Spacing V it Intake
Length Length Dijl Spacing "�,
SOIL COVER x Pressure Systems Only xx Mound Or At -Gra stems On f�
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.)
0 LOCATION: ST. JOSEPH 3 0. 3 0.19 , SW , NW 1365 COUNTY ROAD V - T 4
Lz xeWx
f
Plan revision required? ❑ Yes
Use other side for additional information. /� 2 f FJoT I
SBD -6710 (R.3/97) Date Inspector's Signatur Cert. No.
Safety and Buildings Division
� SANITARY PERMIT APPLICATION 201 B Washington Avenue
Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302
• Attach complete plans (to.the county copy only) for the system, on paper not less County
than 8112 x 11 inches in size. � , Carbix
• See reverse side for instructions for completing this application State Sanitary Per Number
Personal information ou p rovide may be used for seconds � ` pre vious 2� �
Y p y second purposes ❑Check if revision to app cation
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. N
1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATIO
Property Owner N Propert Location q
S(,t11 rrs/ /4,5 3 Q T. , N , R I ( E(f) W
Property Owner's Mailing Address Lot Number Block Number
o` Z. ---
City, State Zip Code Phone Number Subdivision Name or C M Number
II. TYPE OF B ILDING: (check one) ❑ State Owned o v ita a Nearest Road�� fr
Public 1 or 2 Family Dwelling - No. of bedroom T own OF ST S s 1t / I c - r Y V
III BUILDIN USE: (If building type is public, check all lt that � apply)
/ Parcel Tax Number(s) p p-
1 ❑Apartment/ Condo 3 0. 3 Q• I 1• J I `1 � ® Q— / O o L O G U70
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. )i6 New 2. ❑ Replacement 3. ❑ Replacement of q ❑ 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 A. , 42 ❑ Pit Privy
13 ❑ Seepage Pit 4I I#gl TR/fTa /L y'* 3X 56., 2 S 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) I z,o 9e,0 Elev n atio
Z �/ - t� s SIX Feet I Feet
VII. TANK Capacity
in gallons Total # Of Prefab. Site Fiber- plastic Exper
INFORMATION New Existing Tanks Manufacturer's Name Concrete Con Steel glass App.
structed
Tanks Tanks
eptic Tank o k Q (� �s ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ 1 ❑ I ❑ 1 ❑ ❑
VI11. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Si natur (No St s) MP /MPRSW No.: Business Phone Number:
Aiie
a L�- S-tozoa 1 8�v `8`109 iR
Plumber's Address (Street, City, State, Zip Code):
�n r+� Tf P- O►4
1X. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater V1.0 S ate Issued Issuing Agent Signature (No Stamps)
Jo Ap p roved []Owner Given Initial ` �0 aD
A roved / Surcharge Fee)
� � J
Adverse Dete 0
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11/97) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber
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Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of
'Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
• COUNTY
' Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S CV_0 LX
not limited to vertical and horizontal reference point (BM) } rt n qnd of sl scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance �neaKesj % :�oad,
APPLICANT INFORMATION- PLEASE PRIIAI.L�INF M IOff, %,, REV ED BY DATE
PROPERTY OWNER: S t`'l l LOCATION
G I t m l 1, h-! StAJ 1/4 MW 1/4,S 30 T 3(Z) ,N,R N- E (oQ
PROPERTY OWNER':S MAILING ADDRESS LOT # ...,. BLOCK # SUBD. NAME OR CSM #
R o _ dux ks 1 , r ��GJ - - ;Z-: w o 3 q c.s M
CITY STATE ZIP CODE H []VILLAGE MOWN NEAREST ROAD
��JS`t�r.r, k/ I S , LOI(, L 9 T. s" >r1 G`f?� ` V 4
(� New Construction Use Residential / Number _- r n [) Addition to existing building
[) Replacement [) Public or commercial describe
Code derived daily ow \4 SO
IY gpd Recommended design loading rate -- bed, gpd /ft • L trench, gpol
Absorption area required bed, ft t t Z S trench, ft Maximum design loading rate • S bed, gpd /ft - 6 trench, gpd1ft
Recommended infiltration surface elevation(s) S� t4 ft (as referred to site plan benchmark)
Additional design / site considerations S� 1 pftS E Lf
Parent material s L 0 OukFm Flood plain elevation, if applicable A It
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE I AT -GRADE SYSTEM IN FILL I HOLDING TANK
U= Unsuitable fors stem IRS 0 U 5 ❑ U NI S Ell C9 S 1 U ❑ S ®.0 ❑ S Dau
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon Texture Consistence Bouiclary Roots
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends
n � v � o -�Z �o�tz �lz - sil z�'sbk v��h aS - •S •�
,r \z
Ground 3 u8-8y -S Y2 31 - S a G o Sg V1 'i - •7 - �
elev.
Depth to
limiting
factor
Remarks:
Boring # S
t c :rca;:r Y O -12 I Q)- tz - / Z
iwn
v.X..tC`:.ti.. .
Vvl�
Ground
elev. w-t tZ 31 y _ St C* u S
O t. ft
S � Z -82 1 S � iz y/ 3 - � c�,,.� wt `� i � ' � • Y
Depth to
limiting
factor
> S Z'
Remarks:
CST Name: - Please Print Arthur L. We erer Phone: 715- 425 -0165
Address: Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022
Signature: /� Date: CST Number.
� c �'�h��t 48 -1 ° !3 -2 `c3 c� � � M00576
PROPERTY OWNER SOIL DESCRIPTION REPORT Page 3 of
PARCEL. ED. # t 111 G
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou day Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch
-f o - n\11Z 3/ 3 - �s 1 esb my &-s - •7 .
Ground 3 A `7 •S yR V/y eS�IZ 1 �U`� - cS _ .�� .S
ele ft. fit
Depth to
limiting
factor
Remarks:
Boring #
LiM -tu iD`1R - — Stl Z.�Sb� vn`Fh �-$ � • •�
Z 1D 3 , )o 'q R 3/ L 6
3 I - ) - 6L -� S 7>z V t 39 Y cg
Ground
ele v. -?-S ft. yiZ 31 — s 6►- c� s� m — .—i •�
Depth to
limiting
factor
Remarks:
Boring # � � /y
or`, wlf'�3stu 1j G L 3 t �-c1�v
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page ) of
Labor and Human Relations
Division of Safety & Buildrgs in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S CZO lY,
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D.O
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: S f�M E. M L PROPERTY LOCATION
G ! t, M L uoirit m Q eOW-tM S t 1/4 MW 1/4 30 T 30 ,N,R V E (oQV
PROPERTY OWNER':S MAILING ADDRESS LOT 0 BLOCK # SUBD. NAME OR CSM #
SOX \S l Z - ;�:' �uW 63E;p C.S ri-1
CITY STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST. ROAD
4&6:Sx3W' ST. s�� G•n} V y
[� New Construction Use [4 Residential /Number of bedrooms 3 (j Addition to existing building
j) Replacement [) Public or commercial describe _
Code derived dairy flow `L SO gpd Recommended design loading rate -' bed, gpd/ft trench gpd/ft
Absorption area required bed, ft t 2 S trench, ft Maximum design loading rate • 5 bed, gpd /ft - 6 trench, gpd/ft
Recommended infiltration surface elevation(s) Std; (as referred to site plan benchmark)
Additional design/ site considerations STET T- L Lf
Parent material S L L`N Outm %1<► # C_" UAL Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem IRS El [0 S ❑ U M S ❑ U Ns ❑ U ❑ S Eau El S RU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Barxiary Roots Bed Tmrch
o -\Z Z E's vn�� es - S •b
.:;::<:�_>< � �z -4 v to � �Z 31 c� s � J 3 � s bh - • 5 - b
Ground 3 48-8y S Y2 31 y �' S Gf- o Sg V1 - •�
elev.
Depth to
limiting
factor
I T
Remarks:
Boring #
r: .
Av - .:.N:
Y Z ` Z lZZ6 10`18 �/� S td _2'�JDlz hi'�1 C - •S:.�,
O:va %.v...v.v..
-.. 3 i6 - Yf; 1•Sy1Z. JIy -' S a'�:. U S� Y�1 � cS - .� .�'
Ground
elev. y �$ J d ` t 2 31 y S q vh u S 1v► cS _ 1`.
° tom �. ft
S z -82 S iz y/ 3 - L Q�11
Depth to
limiting
factor
>SZ` I I I
Remarks:
CST Name: - Please Print Arthur L. We erer Phone. 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 '
Signature: //' / Date: CST Number:
�2Z /ft��y1 48- [ ° l� -Z b -`1 c�C: M00576
PROPEMYOWNER SOIL DESCRIPTION REPORT Page 3 of
PARC€LJ D. # Ni= A� I K1 G
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch
: [3 b -b w 313 - 13 \ dsb yq\) e-5 - •7 -
w-f - M. -- 3 tG�- 0 S9 m I CS %- -%
Ground 3 U-so `) -S yR VA s 1 1 �S� �►! v`�- cS S
e lev.
ft. 4 so- S 1 '1 P- Y/3 - L o w, 1vi'� - . � : •�
Depth to
limiting
factor
Remarks:
Boring #
.\
Z 1e 37 l��rZ s� J Z �s h k ��- LS - •S -b
3 3 - )- 6L 7 S yR 3/y - G�1S • U gg cs .1
Ground
elev. y �_go - �-S Yp 31y S d 6h 0 Sg M
° t1• Z ft.
Depth to
limiting
factor
00 `
Remarks:
Boring #
a— O - � S
nE�M:ivw: \:ti
or,-, v - Pr3siol lU G LLms fMV 3 r AC V
Ground
elev.
ft
Depth to
Wiling
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
OwnerBuyer
Mailing Address
Property Address (P s e T N y
.n
(Verification required from Planning Department for new construction)
City /State &_a_,QZQ „M J / Parcel Identification Number
LEGAL DESCRIPTION
Property Location 5 W ' /a, AlUI' /4, Sec. . , T .30 N- R /!9Z'CV)Town of
Subdivision Lot #
Certified Survey Map # `Sg �� c 1 0 , Volume 3 , Page # .3 SY
S'to -0 - )to
Warranty Deed # --k e. _ /"'c c Volume 1 Page # s�q
Spec house X, yes ❑ no Lot lines identifiable 0(yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
simg; �� DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the nr=erty described above, by virtue of a warranty deed recorded in Register of Deeds Office.
IG TURE O APPLICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
556990
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE SW1 /4 OF THE NW1 /4, o
SECTI ❑N 30, T30N, R19W, TOWN OF ST. JOSEPH, w
NW CORNER ST. CROIX COUNTY, WISCONSIN. N � N�
SECTION 30
O
w OWNER �` A C am
co Zo SAM MILLER U� ° o
P.O. BOX 282 9 w D
c v HUDSON, WI 54016 cy zQ
Z _ _ _SEP 1 4 1998 ► 10 �
—
0
I ------ - - - - - �' wn�► iv 5A
I- R e� o 1 N z 12
33 3� � 0 JN
I ? �a
C.S.M. IN in3°
VOL__ 2 PG__511_
ELINE IS 4.4'+/- NORTH
NORTH LINE 4 THE SW1 /4 OF THE NW1 /4
— — — — — FENC S89 "E 820.
NCELINE IS 0.8' +/- NORTH
50.001, 737.51' 33.00'
Qi z 50' 50' 3 j 3 - - - - - --
;l "�q
Q I Li N a ; 5.879 ACRES INC. R/W ° PARCEL 1
J�
co 00 N N 256,083 SQ. FT. ----------
o ; 5.278 ACRES EXC. R/W 3 CS_M__IN
oI Z 229,897 SQ. FT. � ui VOL. 2
Ld z ' ' ' '
00 N8 517.49 Mo 1 .(0 - - - - -
- -
Qi ~ 50.00'.; - 467 O - - - - - --
N _ o
w
0_i 3 00 { ' 3,321 ACRES INC. /W 270.00' 33.00'
Zi Ln 144,679 S u? "
:Di W __._- _ _ -� N89 39 08 W I Z PARCEL 2
N a, 3.000 ACRES EXC. R/W N C5 303.00 I w ---- - - - - --
Z
130,700 SQ. FT. zo O w C_S_M__IN
Iii N85*39'08'W 517.49' J � M j I W 337
V�L- 2
�i I O 0,00' 467.49' to 0 Ld �i I - - - - - - --
0 % 3 O Ui \i I Q 0
` Zi (j i I i Z ao m o . /.3 � / 5 M :O Q i ; I �°
i •� �� U? u) M 3,321 ACRES INC. R/W �° L? O d' 0-i �' I w
D I �i I r � rl °o • 144,679 SO. FT. o � N I Q
N N Z 3.000 ACRES EXC. R/W N N _>
i 1 130,700 SQ, FT.
(.31 i 50.00'
of —. — - 467.49' - -
o ,', 'a W �/S"
— — — N 89 39 08 W 517.49
PARCEL 1 aau -1 0
CIO i
AS J. cD
3'50' PARCEL _1 i 512/468 ZAP
I
512/468 < '
W
°) °
a o LEGEND:. ..: S(JFtV
STAYS BAR OF WISCONSIN FORM 2 - 1962
WA1 ;itAN DEED
Y
DOCUMEN r NO. I VOL ?Af 89
_ y
REGISTERS O
ire ory Plartin Sexton a Susan Waniess Sexton, ST GRt7iX'
— _ - - - -- J U N 13 19 .t
conveys and warrants to __ S E. M a sin a rs o n 1 —__ f: 11:30 A
— — _ it 4,,t.a
stenS SPACE RESEP` FOR RECOROeNG DATA
%&MEN **dD RETURN ADORES$
the following describr_d real estate in 4t _ C'roi x County,
State of Wisconsin:
038- 1 086 -70 Li
p, IDENTIFICATION NUMBER Nh.
part of the SW 1/4 of NN 1/4 of Secri )n 31S, TownssMp 30 North, Range i9
West, St. Croix County, ':ieconain described as f0110w9; Cottttrtencing at a
point on the West line of said NW 1/4 473 f, North of the SW corner
thereof; thence East along the Non.lt line of parcel eon eyed to William R.
Brown and Patricia A. Brown, a distance of 518 feet: thence North parallel
with the west line of said Nvt 1/4 a distance of 468 feats thence West
pare ?.lel to the south line of said NW 1/4 518 feet to the West line thereof;
thence South along said line 468 feet to Point of Beginning.
I
o
v i!
This is not homestead property.
X( (is not) i
Exception to warranties' Easements, restrictions and rights -of -wW of record, if any. iI
3
iI
cr— day of (SEAL)
(SEAL) `June A.D.. 19 97
Dated t _L Y
4
_ __
Susan Waanle�s Sexton
G r
ego r tin Sexton — II,
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
State: of Wiseons i ,
Signature(s) St_ Croix ss.
_ County.,
authenticated this day of 19 —_ Personally same !1wkwe the this La_ -- day of !I
June _.19 97 . the alxwe named
Greg 3kwtin Sexton an Sus _
Wanless Sex`tac► husband and wife __
TITLE: MEMBER STATE BAR OF WISCONSIN Brenda Poulin-
(if n(x, _ - -_ - - -- Notary Publi -- II
authorized by §706.06, Wis. Scats.) State of Wisconxive 1 --olTt :o41e fiK lrersottS- -who executed the foregoing
inctru -rd �IC#rntw.irdg/Isaffv.
THIS INSTRUMENT WAS ORAFTEO BY
YQL PWE11.(l
.ri6�S STATE BAR OF WISCONSIN FORM 2 - 1922
t
WARRANTY DEED �!
DOCUMENT 1`10.
Da vid B. Olsen and A_ udrey_ - L Olsen I` $; C�, X C:)-, U i
_hu sban d and wife a.00 k, r.Aa
- -- -- J U N 5 1997
conveys and warrants to Sam i 11 r. -a- SinglQ. �,�8.Q11 � — i 0.11i 10.30 A M
-- it �,Vlat.rl �1 t:�w7s
I j THIS SPACE RESERVED FOR RECORDING DATA
II (NAME AND RETURN ADDRESS
�I the following described real estate in St. Croix County,
I' State of Wisconsin:
I
I
030 - 1086 -80 I
PARCEL IDENTIFICATION NUMFZR
I� I'
jl (See Attached Exhibit " A " ) j
I
TR
$ o f
t
i
I
t
i 1 +
FEE
I ) This is not _ homestead property !)
)M (is not) tl
Exception to warranties: Easements, restrictions and rights -of -way of record, if any. I �
tA-
I�
41
June 97
Dated this day of A.D.. 19 i
t (SEAL) �d �� (SEAL)
David B. Olsen Audrey .Olsen
I I
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
St. Croix 5S.
County. /
authenticated this day of 19_ Personally came before me this y day of
Ttme , 19 97, the above named
— — — _David B. Olsen and Audrey L. Olsen, —
husba and wife, —
TITLE: MEMBER STATE BAR OF WISCONSIN Brenda Poulip} —
Ii kno to be the ( i f
uthorized by §706.06, Wis. Stats.) Notary iSCO
a person _d Lhe foregoing
I State of Wisco#si�x d who execute i
instrum d acknowled / the sole., t
!I THIS INSTRUMENT V.AS DRAFTED BY ` L Y ` / ' L
II AttnrnPv Kristina Ogland / II
.. Yo11244 11
EXHIBIT "A
Pact of SW!A of NW%; of SncLion 30 -30 -19 described all followas
Co—a+On-Ing at the Heat Quarter corner of Bald Section 30; thence
Northerly along the West line of said Secfi.on 941.0 feet to the
Point of Deginninq; thence rast:er-ly parallel wit•li Lhe South line of
said section 021 feet; thence Northerly parallel with t:ha Went line
of said section 372 feet more or less to the North line of saki
-forty; thence Westerly nlong the NorL line L•lher.eof 1321 feet-
Southerly along the West line of said Section 379.0 feet more or
less to the Point of Beginning.
Subject to the tise of the wesL'erly 50 feet thereof for C.T.H.
"V^ right of way and to use of the east 33 feet for a private road.
There is also conveyed Hereby an easement to use as an access
road and for. the installation of ut:iliLy lines a at-
rip of land GG
feet in width described as follows! Commencing at the west quarter
corner of said Section 30; Llience Easterly along Cite South Nitta tho
NW's thereof 7130 feet to the PoinL of Deginninq; thence PtorLherly
parallel wiLh the west line of said forty; thence Easterly along the
North line of said Forty 66 feet; thence Southerly parallel with! the
West line of said forty 1313 feet more or less to the Sout•.li line of
Said forty; L'hence Westerly along the Soutli line of said forty 66
feet to the Place of Beginning, provided, however, that Elio
grantees, their heirs and asaigns as owners of land abutting on said
private road shall share proportionally in the :ua'.nL'enance thereon.
i
St. Croix County, Wisconsin.
f'�
R
1101 Carmichael Road
Hudson, WI 54016
Phone: (715) 386-4680 St. Croix
Fax: (715) 386 -4686 Zoning Department
Fcix
To: Dave Anderson From: Shawna Moe
Fax: 386 -5638 Date: January 28, 2000
Phone: Pages: 2
Re: Inspection Report -1365 Cty Rd V CC:
❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
-Comments:
ST. CROIX COUNTY
.� WISCONSIN
,owe ZONING OFFICE
O g q p o l l q N IA ST. CROIX COUNTY GOVERNMENT CENTER
" "� ", 1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680
January 25, 2000
Dave Anderson
Century 21 Premier Group
Hudson, WI 54016
RE: Septic Inspection for Sam Miller located at 1365 County Road V,
Town of St. Joseph, St. Croix County, Wisconsin
Dear Mr. Anderson:
A septic inspection of the above referenced property was conducted on November 24,
1998. This property is located in the SW'/ of the NW'/ of Section 30, T30N -R19W,
Lot 4, Town of St. Joseph, St. Croix County, Wisconsin. At the time of the inspection, this
septic system was found to be code compliant for a three (3) bedroom home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
Sincerely,
�5k41 jKtr
Shawna Moe
Secretary
/sm