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HomeMy WebLinkAbout038-1056-30-200 -o C) O p ~n y M 4 0 V'1 U O N N 0 i CL C V ~ W d C ~r O C N (D O V Z N ~ o 0 0) O Z c - n LL m c LL C QI N a~ i 3 g d Z N LO W E U) o r+ O M M W a m F- U) C O C m y co O Z :!t C O N a0i Z "I ~ c o N F rn d Z c E -a N ~ O h 0) (D O d m C O 0 O Q Z co z w z N j E N CV Cl) y 0 0 'w U U e o a N Q p N N U) O O w- CD Z M > a d 0 0 0 0 Z o •N 0 a a a IL 7 O N 0) G) a~ U) J V 3 rn rn a~ 'V Ziz o ,n o n~ o ~ m O ~ I T O O _ ~ 3 co v, c d L 'C N 0) ) ~ OI d Q } (n co O = 7 r 0 3 y c E O ~~rr N T G M 0) C C O CO r v W O O (p O y O 00 ISM M w O1 O V7 f0 t6 U • '7a O r fn W N O Z C CC V v~ d ~ ~ a ib L u d • a d 0 d E c c _1 A 00 a2 omc°~ a STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNEl of (D ADDRESS G' ,~aaz R m &r-A cil, Sy 0l SUBDIVISION / CSM# 1! > LOT # ^'3 SECTION & T 13 N-R -31 W, Town of S1'4 w Pl- C. 1 1, ~ -e ST. CROIX COUNTY, WISCONSIN 038- 165(o , 30 -a'001 PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i t B 5C L $8 INDICATE ORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. L BENCHMARK: S(,J C~ a S*g k-¢ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Uj LAA_&~ Liquid Capacity: Ja Setback from: Well /&y House -27 Other Pump: Manufacturer -1~ Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM ~N Width: .Z Length Number of trenches Distance & Direction to nearest prop. line: LJ.Lj 126 Setback from: well: House -V0 Other ELEVATIONS Building Sewer o"v,1 ST Inlet: 99,6 ST outlet: 9A PC inlet PC bottom Pump Off Header/Manifold -7 7. Bottom of system Existing Grade /twosR Final grade haw DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: j SZ3 INSPECTOR: 3/93:jt Wisconsin bepartmentof Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX ,Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284286 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: EGAN, JEFFREY J. STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 038-1056-30-000 TANK INFORMATION E~LEVATION DATA A9700055 TYPE MANUFACTURER CAPACITY STATION BS HI FS E EV. Septic; er Benchmark 7 /20 Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet q a TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom T7, I Dosing NA Header / Man. 9, r Q 17.5 Aeration NA Dist. Pipe l U' g Holding Bot. System (-,5 PUMP/ SIPHON INFORMATION Final Grade v Manufacturer Demand ,y 7 .3 Model Number GPM TDH Lift Lricti System TDH Ft Forcemain Lenz Dia. Ff Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth /41 DIMENSIONS I DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER l_rl~ Model Number'. System: / OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRARIE.13.31.18,243A,SE,SE HWY 65 LOT -5 el~ 61X Plan revision required? ❑ Yes [~'No r. l Use other side for additional information. 1/0 1,?_ SBD-6710 (R 05/91) Date p Ysignature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: v~i~'■'■R SANITARY PERMIT APPLICATION BureaSafetyu o off Buiuiildii nWater Systems gWater 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 8 112 x 11 inches in size. $`r. C r-o IY- • See reverse side for instructions for completing this application State Sa ita yfeermiit 4mber 0? The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Propert y wner Name Property Location IAC, Ir e q v\ IC- 1/4 S£ 1/4,S 13 T 3 ,N,Ri%, Fes)W Property`; ne I Mai Iin Address Lot Number Block Number U l _ otct ~)rla _Q 3 1 City, State Zip Code Phone Number Subdivision Name or CSM Number Gu E-71 > C) / Y 6 II. TYPE OF BUILDING: (check one) ❑ State Owned !ty Nearest Road ❑ Village r / S Public 1 or 2 Family Dwelling - No. of bedrooms Town of /,.r, W ti III. BUILDING USE: (If building type is public, check all thatapply) Parcel Tax Number(s) ,S6 °3 D 1 ❑ Apartment/ Condo 6 3 & /6 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 _ ;K New 2. ❑ Replacement 3. ❑ Replacement of 4, ❑ Reconnection of 5. ❑ Repair of an System SystemTank OnlyExisting 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,MSeepage 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 Requiredl (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 85 9i p (0 3 Feet /06,3 Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank /AsO ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Nam (Print) Plumber's Sig ridr0y : (No Stamps) T/MPRSWNo.: Business Phone Number: lU t. P9 >r S~ ` 5 oZ tlJ V I 0-4A__~ 7 Plumber's Address (Street, City, Stat Zip Code): QL o Ste` YIN f) A I IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) Surcharge Fee) / NApproved ❑ Owner Given Initial 4/0 . Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBO-6398 (R. 0"4) DISTRIBUTION: Original to County. One cupy To: Safety & Buildings Divnion, Owner, Plumber - 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. ll. 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 tothe county. The plan's must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a' 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for 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. , 1 ' [ 1 ' T 1 I I I I i , I ~I I I , I 1 , -77 i ( 1 I I I I I , I t I V' ? i I ~ i- i t ' I I ~ ~ i i I I t- I r f r i I 1 I - ~ I I~ I{ I~ I I~ I I I i l l l l i t ~ I I I I , Q I I I I I ' I I ,I ! I I i I i I ~ I j ( I i I ~ I I I ~ I I i ~ I 1 t , I , I I- I I i I { , I I I I { I I ~ ~ I I i L fr L I ~ r I I I I I i i. ' y t I _ _ ~ _ i L I { I _ ' - i - - I - - I -I I - I I _ .lU t pI ~ ~ I I I I ~ i 1 I ~I ' I ~ ~ i ' -J I i_ I } i i I I ~ I I I ~I ~ I ~ - - i f I _ I I i I i I I~ ! I' ~f I _L I i , I i ' I i I I I ~ I , I { 1 I I I 1 I ! I i I ~ I I , ~ I I 1 t t I ' I I I ~ I I 1 I I, I ~ I . - t a - i - r- - ! - I-- I ~ i I I I I I _ II j i ~ ' I I I I I I I ' I I ~ li I I ~ li ~ I i I ~ ~ t i I i , I ! I I I I I L _ _ I - I- t - - - I ~ ~I I I I , 7 ~ I I ~ ~ I I I I I ; I I ~ I j I I I I I~ 1~ I, fi I I 41 I _ I r i 1- ~ ( I I i i I : I ; I - I i ' 1 ~ j I t h I I i ' I I , } t I ' ' f I- I i ~ t I I - ~ 1 I I - I I I I I . ' ~ 1 f I I I ~ I I : f I I I - i , I I i i - . I r I ; I I i L _ I , I I i ~ ~ ~ T ~ I I I~ r T { i r I i ~ I i I I I I I II a I I I i 41- i A i 1 1 . I i I 1 1 ~ I -k 3 3 i i I 4 1 , 1 I v. 7 t ! i I ` t ' ' ---4 ° 4 I I II ' L- s i f a ~ 7 I { 7-PAGE OF It) _ CrUSS Sec~'lon p~ ~ SyS~en-~ CL V\. Fresh Air Iniets And Observation Pipe q r ~aP l~ ( ~^^~-Approvad Vant Cap e a. C t~ r t ~R Mlntmwn 12' Abova 40`` final Grade s %y S~'/y i 3 T3ity dig w 20- 42' Above Pipe _ 4' Coat Iron To Final Grade Vent pipe Wrah Hoy Or Synlhetle Coverlne I MIA. 2' AoVfeO'ale Olitrlbullon Over Pipe pipe 0 0 0 0 --Tea t i 6' AOareeal• ILLI-CO-Olne 8eneaIh Pipe Perforated Plpe Bator Terminattna At Bottom 01 Sr'slem PruPOS4tDcPincj grnrl< LICJr- 1 1011 /~\~"'m SOIL. FILL DISTRIBUYlou PIPE APPROVED SYWPETIC COVER 2u of AGGMA'iE op, 9" OF STRAW OR MARSH FIAy' ~LEV, of ~r7 ~rOF:~2-2i/2 AGGREGATE FEAT-`" _ -~A`~. - DIS'rR19UTI(.DW PIPE T(j BE AT _ LEAST INCHES BELOW ORIGIIJAL GRADE AIJU AT LEAS'rzo INCHES BUT Lio MORE THAI.! 42 IAICNES BELOW FINAL GRADE MXIMUM 04rH OF EXCAVATIC)" FX014 OKI& JA'L raRAK WILL BE --L=_ INCHES 11lKlMUM gEpm of EXCAvAr1(ON rKOM. 01?%I64JAL C94pE WILL BE alb INCHES SIGlJEO: LICEUSE DUMBER:-FJ b~ - - ) ir• d DATE: , l t~ 1 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations -1- -Division .of Safety & Buildings in accord with ILHR 83. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inche Ian must i I C r D PARCEL I.D # not limited to vertical and horizontal reference point (BM), direc ' /c ouf lope:,F ale o1"...: ; dimensioned, north arrow, and location and distance to neares ra REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL IN TIO~ PR RTY OWN IMOPERTY LOCATION.. d cs.,.~ < .GOVT )-`$j,5 v 1/4~ F 1/4,S 13 T 3/ N,R /O *r) W PROPERTY OWNER':S MAILIN D SS OT # BL UBD. NAME OR CSM # .2 3 -S-'-WbwN 11 LtN ~ olk_ K ITY, S TE ZIP CODE PHONE NUMBER W NEAREST ROAD, kC W Ol (713) -L SI.V60 s New Construction Use pQ Residential / Number of bedrooms ` [ J Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate 7 bed, gpd/ft2 trench, gpd/ft2 Absorption area required 6 bed, ft2 S63 trench, ft2 Maximum design loading rate bed, gpd/ft2 . trench, gpd/ft2 Recommended infiltration surface elevation(s) 7913 ft (as referred to site plan benchmark) Additional design / site considerations N/tb Parent material '0 LkT L') C4 Flood plain elevation, if applicable WP, ft S = Suitable for system CONVENTIONAL vJ OUND IN-GROUND PRESSURE TAT-GRADE SYSTEM IN FILL HOLDING T INK U = Unsuitable fors stem S ❑ U S ❑ U ULs ❑ U ©S R u ❑ S ZLU ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench X-X l D j a /D n1o to ~ K r 371 k w,-6, w rn 1 I S Ground.. Lql>. Dfo / Sq M04 V, . 7 so 41 elev. Depth to limiting factor Remarks: Boring # n A) Vr-4 Alp 9 Ground Y' /Ua-ws. -S C ra dew c - 7 d ldyg ft. /D l.1 Depth to limiting factor Remarks: CST Name:-Please Print Phone: C. v~ 2 v r ! S` -off Address: 74 9 n t:j .Z Signature Date: ~ CST Number 7 PROPERTYOWNER D&ln Ca S_ SOIL DESCRIPTION REPORT Page c..3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .111 ;J. A5 6 Im- M4 V, e- C.N f .9 Ground 3 ~by S * elev. Depth to limiting factor Remarks: Boring # CL~ ,5 . g; 4 D hA 5 tl S b c~ S Ground elev. Depth to limiting factor Remarks: Boring # 6 -jib Itod 3A AJ^A~ e, La D Si 1 3-~r sbk A) 0 VX4- W%. Ground elev. Depth to limiting factor Remarks: Boring # ~kk~••\\:i:•iii$iiiii Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) 9 s FILED JUL 1 1 1996 y KATHLEEN H. WALSH 546709 ~ SLCroixCo..Wl ti CERT I E I EIl_S_u.R E -W Located in part of the SEJ of the SEJ of Section 13, T31N, R18W, Town of Star Prairie, St. Croix County, Wisconsin. N OWNERS Daniel & Betty Casey 323 Sawmill Lane r M New Richmond, WI 54017 P.0 N Q; -W U)'Ln Ek Corner m o °o Section. c-z mw ~ N m 3 40- 0 -0 CO L M -P O N 1~ N L O "O L O^ N C 7 O - M. - 1/1 I UNPL~~ I T Gib AND Z Q c. a+ 50' S0'= (0 V) m o ni COUj S89°07'37"W 299.6 TI 249.61' 50.00' I-) I cn1 I GOI o CSI rn I d' <I N I - `N CSI _ Q] ,I M LO T i 3 C*j a1 -j I 01 LtJ1 -1 I 3 acr I N I N cn , J' N Lf) I ~ N y C-) m LZl o I p N w IJJI o I ~ z o o 0 I- I t_I I- z ~I I o ^ QI o I 2 JI I OL I L ?I 249. 4' IZW 33. S90000'00"E 299.64' 100' D M N C J~.'L. J o ° PG. 2442 N LEGEND - o ~ v` X Masonry Nail Found z • 1" Iron Pipe Found O 1" x 24" Iron Pipe Set, weighing 1.13 lbs. per linear foot SE Corner ~O Section 13 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER j~ / MAILING ADDRESS t A~S2J4!~~ /VLAJ 4C-f4/L4C7AJq", +t5 oZ! 16, PROPERTY ADDRESS #C"4~" (location of septic system) Please btain from the Planning Dept. CITY/STATE ~ I tita"'D PROPERTY LOCATION -515 1/4, ~G 1/4, Section T N-R W TOWN OF #"P, 1 a t ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP" it-9(d, VOLUME L I-1 PAGE N LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year ration date. SIGNED: 00'r A/j DATE: ' 4 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property1?•c~ ~N~ /~A/ZcNA~ jV Location of propert 5,c 1/4 5Z- 1/4, Section /3 , T,31 N-R /00 W Town hip '-AfL Ahod-l11446 Mailin address g 7L Q-Gl~ Apt /4(3.tj Iu-r m61-4/ S, 5'540 7 Address of site / PWk4 G~ f &W C'~-f/K e3 DAL 0 Subdivision name 6S /4 Lot no. Other homes on property? Yes___No Previous owner of property -1-V e;L . CAS Total size of property ACa2c- Total size of parcel - ~y 0"5 Date parcel was created 7-//'- Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes .K_No Volume 1I9 io and Page Number )t' as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 5 0.S(oo/ . and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. S' a tff o f Ap licant o Applic t ~'3 ~I I . Date of Sianatura na~~ rf UULUIViLiV i I4U. WARRANTY DEED STATE BAR OF WISCONSIN FORM 2 -1982 • 548561 REGISTER'S OFFICE w 67. MOR CO., WI Iit~C'df+xRecad Daniel J. Casey and Betty D. Casey, AUG 2 2 1996 husband and wife as survivorship marital property P.~ conveys and warrants to Jeffrey J. Egan and at ~ 4:00 ~ P Karen L. Egan, husband and wife as survivorship marital Register of Deeds property nJRN TO G 6l Gs+ydar•Jr~ 06~ the following described real estate in St. Croix County, State of Wisconsin: Tax Parcel No: 0 -3,9 -1 0 5 6 - 3 0 ~ Part of the Southeast Quarter of the Southeast Quarter of Section 13, Township 31 North, Range 18 West described as follows: Lot 3 of the Certified Su.rvey Map filed July 11, 1996 in Volume 11, page 3126 as Document #546709. RANSFER Jr, - 00 This is not homestead property. (is) (is not) Exception to warranties: recorded easements and rights of way. Dated this 20th day of August ,19 96 (SEAL) (SEAL) * Daniel . Casey * Betty D. Casey (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGEMENT Signature(s) STATE. OF WISCONSIN ss. S t . Croix County. Personal)Must me before me this 20th day of al dhaMirrafad thic day of .19 1996 the above named