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HomeMy WebLinkAbout038-1084-20-100 ST. CROIX COUNTY ZONING .)EPARTM~fy' AS BUILT SANITARY RE I'ORT Owner Gtw., IN ° ST CROIX j' Address ;Zo ~o COUNTY ZONING OFFICE City/State S' x, 4"I.:c s Legal Description: Lot 5_ Block Subdivision/CSM # 3I g ''V4 SE' %a Sec. Zo , TIN-R 18 W, Town of S'TQ Z.:..c PIN # o38 - /any- 2cr/o0 ao- 3(. 18. 3SZp 10 SEPTIC TANK DOSE CHAMBER HOLDING J :ANK INFORMATION: Tank manufacturer _A/e-xA Size ST/PC IL/ Setb ick from: House Well P/L Pump manufacturer - Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: _ i___ Width _ Length -7 Number of Trenches Setback from: House Well - P/L _ Vent to frest air intake 7 z S' ELEVATIONS: Description of benchmark Elevation /00 Description of alternate benchmark Elevation Building Sewer 77, S'-7 ST/HT Inlet :7G. J' ( ST Outlet 2~- 36 PC Inlet PC Bottom Header/Manifold Top of ST/ ='C Manhole Cover Distribution Lines ( ) S ( Bottom of System( ( ) Final Grade ( ) `1 / Z ( ) ( 1 Date of installation / / /S7 Permit number ~?9W-Va Starr, plan number Plumber's signature & License numberr 607YS 4 Date J / Inspector 7/5-73 Complete plot plan r 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 lank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW N ~ G7 17 I ZZO INDICATE NORTH ARROW ,WiiWnsir, Deeartmentof 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 299140 Permit Holder's Name: ❑ City ❑ Village X3 Town of: State Plan ID No.: CRANDALL, DAN STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ttsp' t a J VL - /of 038-1084-20-100 TANK INFORMATION ELEVATION DATA XQ7nn AMC TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic -e 12 p v Benchma j~ . Dosi ng Aeration Bldg. Sewer f-717 Holding St/Ht Inlet 7$1' re-Sb TANK SETBACK INFORMATION St/ Ht Outlet S 07' qC,.7,e' Vent TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Air Septic Z~ ~Z ~2 h2 NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe I O/ Holding Bot. System 57 PUMP/ SIPHON INFORMATION Final Grade 1Ig. 2' Manufacturer Demand Model Number GPM TDH Lift Friction stem TDH Ft Forcemain Length D Dist. To Well SO BSORPTION SYS EM ~IIIEAARENCH Width ' e/ Length No. Of Trenches PIT No. Of Pits Insid Dia. EN I N 7 DIMENSIONS SETBACK Liquid Depth SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manu ct rer: INFORMATION Type O CHAMBER Mo um er: System: COr Dar V1 T, In A OR UNIT DISTRIBUTION SYSTEM "I 2_72-07 Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing /{cjM 7i~7 L17_ SOIL COVER x Pressure Systems Only xx Mo d Or At-Grade Systems Only h Of xx Seeded /Sodded xx Mulched Depth Over Depth Over yet) Bed /Trench Center Bed /Trench Edges ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons presv LOCATION: STAR PRAIRIE 20.31.18,SW,SW ~Z CTY RD C Plan revision required? ❑ Yes [/No Use other side for additional information. S, 7 F wa `td-G( 7 SBD-6710 (R 05/91) ~l' al T177 Date Inspector's Sign ure Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 77 7, Safety and Buildings Division ~~■~r.r. 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 Count than 8 112 x 11 inches in size- l . • See reverse side for instructions for completing this application State Sanitary Permit N mber X99 The The information you provide may be used by other government agency programs ❑ Check it 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 (.1C1/JL(1/4, S RO T31 , N, R 1~E (Of Propert Ownpli; 's Mailing Address Lot Number- Block Number Cit), State [L'f Zip Coe Phone Number Subdivision `CN7amme' or CSM Number 57yo II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cat t Nearest Road ❑ village ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town OF 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo Oo 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. rk New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution r Pressurized Distribution Experimental Other 11 ffSeepage Bed `8 X (a 7 210 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 E] 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 Grace Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation ~p Feet Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel plastic glass App. New Existing strutted Tanks Tanks Septic Tank or Holding Tank - ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I I I EF1 ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibilit for inst tion of the onsite s wage system shown on the attached plans. Plu a : ( rint P er's Sign r : (N S ps P PRSW No.: B siness Phone Number: ra 6 P umb d'dress (Str t, City, State, C de IX. OUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial 46 Surcharge Fee) Adverse Determination /90 X CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: O5194) DISTRIBUTION: Original to County, one copy To: Safety s Buildings Di-ion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be 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, usue: !y every 2 to 3 years. 6. If yoa_ have auesiio^a concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, u'et; and Buildings Division, 608-266-3815. To be complete an ac.urate this sanitary permit application'must include: I. Pro,rert; ovvner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be instaIIed. IL 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. Vill. 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 8 112 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; 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 (tees) 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. A7 x 6'3 1 a~-, ~goo~ 40 " a D Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau ofintegrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Sr percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # © I r-'018 Y - ?o /00 APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Props er Property Location Govt. Lot gh 1/4 4~k/1/4,S,? a T N,R l~ E (or)&v Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# /GS8~ Gy S' CSC Vol Il 3 (Z I City State Zip Code Phone Number ❑ City ❑ Village R] Town Nearest Road 21 New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 4w gpd Recommended design loading rate j S_ bed, gpd/fF 16, trench, gpd/ft2 Absorption area required 1200 bed, ft2 X0450 trench, ft?~ Maximum design loading rate bed, gpd/f12~_trench, gpd/ft2 Recommended infiltration surface elevation(s) -l5.D ft (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system f!] S ❑ U f9-S ❑ U Ems ❑ U ❑ S ETU ❑ S @ U ❑ S [I U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. MunJnsell Clu. Sz. Cont. Color . Gr. Sz. Sh. Bed , Trench 44e &ZeZe 2 1127 , symQ S'Ij _ s4 sXC 4 4 Aw ,Y Ground 27 7 S;Ylf yle J FS i f~o elev. 9Y~.zn• ' Depth to limiting Victor Remarks: Boring # r 6-1 11,3-// -s S IiI14lt' lI(/ W S~ .2- Z -34'YW37i3 s9 FS Fil as 'X y ; s Ground elev. Depth to limiting factor 79-in. Remarks: CST Name (Please Print) Signature Telephone No. rl i 7t ~x J116-a0p Address Date CST Number 37 2 1.0 714 ST /9/ne~• Ev' Sr t- ~'7 SOIL DESCRIPTION REPORT . PROPERTY OWNER Page 2 of, PARCEL LD.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GVptft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench 175 SL d' i~f a /X 2 3U 7> IQS SL ,S~t ~s ~P s / . q j Ground 3 I elev. 9Q ~a n ; Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. tt. ' Depth to limiting factor 'n' Remarks: Boring # L Ground elev. ft. Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) + 1J nn ao S~''i~ 3 S/Q 9 wy Sa?0 T3 > A/l~°/g w i /C0 NI 7Z Z ~ ' 30 ' 3s' i _ .2o9 ' jqjD I _ J~ ~ ~1 ~ i i .j I~ I'i I _ _ _ _ _ _ _ _ _ --f ~ - ~ i r t , . ,,'ti - _ f _ . _s _ _ _ _ - _ - - _ - -a- - - _ _ t y a 'S II _ _ i. ~ _ T _ I. Y , 08/19/97 11:48 $1 715 246 6886 BANK NEW RICHNON 11003/008 1• tell s FILED 'OV t 2 1996 ► RATIi sw itWh m /y 552049 w 3/ c: r, 0 ' ^ Bearings are referenced to the Co q North - South % line of Section @ pi 20° assumed to bear N0100415211E. 0 r :1 M ri ?i y W Nov 12~$di \ iisst line of the SE{ of the SWII M O S01°20'33"W 1 5.51' 'f' ~ 'r"" igNQi Plenni ~c 640,00 405,51' 2•liq~lld q= p V n w, M flo! rse~ldsri ` " 4 A wW& 30 idoys of ,p NOf °20'33"E ~i80.84' '71•iral sn'~ \0 s ~ M M `6 W- el UP ~ ~ ~ 1 ~ ~ A ~n N g ° 'fin w iC' c N! Ig H z 2ae;gs' R CS ~ N z ~ No12o'ss"E ~ r ~?A w Y ` ~ ' Go .In N01104152"E $21.61' s's H Rag \ ✓ s'. a v e` n \ 4#i\~``+\ y0a Its O O r++ iWO O w in Tn, W ~ rh {I ~rPhy r p, 1067.42' 240.36 3950.66, ~D e \ HOl 04 52 8 -9 n N01 °04'52"E ~ y 3 3 °c N01°04'52"E N d'~ '7 ° to CA ` \ \ North • Sou 4 line rn •I w $ m of Seat an 20 a' 0 173 R p r~ o u3 H 10 k, on 11/3181 This instrument drafted by Michael Erickson Job No. 94-107 Vol. 11 Pg. 3181 08/19/97 11:53 $1 715 246 6886 BANK NEW RICHNON ______Q _D05/008 v ~►~Y.~LVK' 8 CB1iTT t~nT4 ~j I.OK~in~tfa{ I' Allen C. Nyhagen, registered Wisconsin that by the direction of NMI Clouti Land Surveyor, hereby certify , I described the land parcel whi er ch is have surveyed, mapped and Map; that the exterior boundary of the land parcel this Certified land mapped Is ed is described as follows; A parcel of land located in part of the S81/4 of the SW1/4 of Section 20, T31N, R18W, Town of Star Prairie, St. Croix County, Wisconsin; further described as follows; QzMeng.nn at the 81/4 Corner of Section 20; thence N01004152"$, along the north - south 1/4 line of said section, 1067.42 feet to the gam of bgYn UJAg; thence continuing N01004152"8, along said north - south .1/4 line, 250.36 feet to the north line of the S91/4 of the Soft/4; thence N86o46132"W; along "said north'Tizae, 1314.68• feet -to the 'west line of the 881/4 of the SW1/4; thence 801020133"W, along said west line, . •1045.51 feet . to... the northexly. right-of-,way of,.- County Tag thence 28b4a thence N61022'12"B, along said right-of-way, 705.69 feet; thence , 12;28, 7148 Ong said right-of-way,. 10.00 feet; thence g said right-of-Nay, 804.20 feet to the X012 DQIZLL t Above described parcel contains 19.57 Acres (852,459 Sq. Ft.) is subject to all easements of.xeeord. I, also certify that this Certified Surve representation to scale of the exterior y map is a correct described; that I have fully complied with the current provisions and Chapter 236.34 of the Wisconsin Statutes and the Land uubiion Ordinance of the County of St. Croix in surveying and mapping same. Bach parcel shown on Township laws, rules aath this map (plat) is subject to State, County and cces6 to parcel, etc and (i.e., wetlands, minimum lot size, a.). Before contact the St. Croix County Zoning OOfficegand appropriate 10p~ nay parcel for advice. Town Board Vo1. 31'ptr 3181 - 08/19/97 11:44 $1 715 246 6886 BANK NEW RICHRON [&001/008 T STC-195 SEPTIC -I'WX MAINTENANCE.4GRZEMNT St Crob oua OWNERMUYER MAIIX4G ADDRESS 6 N Pn J~ ~!~s~ +srvL --S l7 PROP13LTY ADDRKS000 16 ~~t.+nttw w - potation 0.1 sceptic sy taft) Please obtain ltom the Planning Dept. CITY/STATE { 4&,;C' WT- - G PROPERTY LOCATIONSo 1/4. S 114, 3-dod. -20. T_,~-R 1 O W TOWN OFv. 1 ST. CROIX COUNTY, WI SURD11MON LOT Mm n= CERTMEDSVRVIE;YMAP ~VOLVM 1A PAGE IfrJ LOTmmmYR- !5'- Trop use and suebtaaM p of your septic syatmt cogid result in its Premature fhilure to beadle wastes. Proper maintenance eonsisb; Ff pump .Ing out the septic took every tbme yeses or sooner, if needed by 1 oaasad septic tank pumper. Wh you put rata des system can afaect tee 11mcdca of the septic lade as'a treatment stage in the waste diq (cal syetatt. i. St Croix Conmy Mwerb 6 ~W be eligible to receive a Pont for a maximam of 60% of the coat of replacement of s fuiiag system, , blob was In operation prier to July, L, 1978. St Crvut County accepted tbis program k August of 1980, witb the nquirsaomsq tbet owners of all new systems agave to keep their system properly maintain id. The property owner agiws to ~ubmit to SC Crouc Zonin a certification form, signed by the owns and by a mater plumber, jwmeyma . Oumbar. restricted p1um01r or a licensed pamper varifying deft (1) the on-site wastwaver dispoeel 0"V on is in proper opa~ aandtton -md (2) after inspection and punning (if necessary), the septic tar* is less than 113 Atli of jUlp and saurn. k . VW% the undarigned Nteve n the abwm n qui vmmtp and apse to maintain the private sawgp disposal system in accordance with; the standards set forth, haasm, ea set by the WNsoonsin DIM Certification stating that your septic i?a been maintained must be cowieted and returned to the St. Croix County Zoning Officer within 30 dais of the three expiation date SIONSD:jh( DAT& b - St. Croix County Zoning ofte Govenhmect Center 1101 Carmichael Road Hudson. Wi $4016 11/93 ..o.y~.as ors u av010 delays of the revierjing process If the deed description references to a Certi:ried Survey Nap, the Certified Survey flap shall also be required, PAGIPRTY Ownit CRATIrXCATION I NO certify that all statements on this form are true to the best of my (our) knowlellge that I (we) am (are) the owner(s) of the property described in> this information loan, by virtue of a warranty deed reeordetr i t a~ g~~jce of the county Register of [leads as Document No. ' l `~56 , and that I (we) presently own the proposed site',,-for the sewage disposal system or I (we) obtained .an„ep;o agnt., t' run the above, described •property, for the construction of said system, and the same has boon duly recorded in th Q ~jejy'e~~Q' o.f the Cci my Register of Deeds as pgqumex►C No.. S gnature of Applicants CO-Appl'iear+t''" - 08/19/97 11:50 $1 715.246 6886 BANK NEW RICHMON Q004/008 . N a T c - lao This application form Ls to be completed in full and sighed by the Owner (a) of the property being developed. Any inadequacies will orIly result in delaye of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second ;form should be retained and completed when the property is sold', and submitted to this office with the appropriate deed recor,ling. Owner of property Location of rope y` y1/4 1/4, Section Z)T3J_N-R-L--N Township rzjl-^41A,~ bailing address l ~S$ w► A e-of , Address of site 2&1 O 4Z~ 1010 Subdivision name Lot no . Other homes on propert t? Yes____~__No Previous owner of property 1 , Total size of property Y, 5-7 Total size of parcel Date parcel was created Are all corners and lo'; lines identifiable? -Yes No Is this property being ~weloped for (spec house) ? __?g -yes No Volume L and page !umber ~ as recorded with the,Register of Deeds . --------------------w~.• i+--__------ - INCLUDE RITZ I TSZS "2UCATION TIM FOLWWXUG: A WARRANTY DE$D which Includes a DOCUIMT NOMM, VOLUM AND PAGE NUMBER AITD THE SEAL CP TIM RRGISTER OF DEEDS. In eAdition, a certified -survey, if z;vailable, would be helpful so as to avoid delays of the revie%~ling process. If the deed description references to a Certi;lied Survey Nap, the Certified Survey. Nap shall also be required; FROLRRTY Oi1MW CERTIFICATION Z (we) certify that aal. statements on this form are true to the best of my (our) knowle4ge that I (we) am (are) the owner(s) of the property described ini this information form, by virtue of a warranty deed recordedl i t ~ or the County Register of Deeds as Document No. l 4-T , and that I (we) presently own the proposed siteI or the sewage disposal system or I (we) obtained - an.. eesem¢nt, . t o. run the above described •property, for. the construction of said system, and the same has been duly recorded in th ' ~~QQ fice of the &Unty Register of Deeds as Document.. No. Zf Signature of Applicant Co-A001'1cant r 08/19/97 11:55 '01 715 246 6886 BANK NEW RICHMON IM 006/008 J 32 RIVER VALLEY ABSTRACT & TITLE, INC. 208 2ND STREET HUDSON, WISCONSIN 54016 CONTINUATION OF ABSTRACT NO. RV3708 From the 12th day of November }g 96 at 10:30 o'clock in the A. M. of the land described as: Part of SE} of SW} of Section 2-31-18 described as follows: Lot 5 of Certified Survey Map filed November 12, 1996 in Vol. "11", page 3181 Doc. No. 552049. 33 Earl W. Cloutier and Kathleen B. Cloutier, husband and wife, Warranty Dead. Dated Dec. 3, 1996. Ack. Dec. 3, 1996. -to- Rec. Dec. 5, 1996. Dan P. Crandall. In "1212". page 69, #552946. Part of SE} of SWJ of Section 20-31-18 described as follows: Lot 5 of Certified Survey Map filed November 12, 1996 in Volume "11", page 3181, Document No. 552049. Recites: This is not homestead property. ($69.00 Transfer Fee). I 34 Dan P Crandall, a single Mortgage. person. Con. ,$20.865. -to- Dated Dec. 3, 1996. Ack. Dec. 3, 1996. Bank of New Richmond. Rec. Dec. 5, 1996. + In "121211, page 70, #552947. + Same land as shown in No. 33. Recites: This Property is not the homestead of Mortgagor. I 1 RIVER VALLEY ABSTRACT & TITLE, INC. l I t 08/19/97 11:56 %P1 715 246 6886 BANK NEW RICHNON Q007/008 J STATE OF WISCONSIN COUNTY OF ST. CROIX Iss RIVER VALLEY ABSTRACT & TITLE, INC. hereby certifies that the foregoing abstract, consisting of Entries No. _V_ to m both inclusive, is a correct abstract of title since Nher 12_,1996 R 10:30 AM. of lands described in the Caption at No. 32 hereof. THAT, FOR THE PERIOD COVERED BY THIS CERTIFICATE, SAID ABSTRACT CORRECTLY SHOWS; Ail matters affecting or relating to the said title which are recorded or filed for record in the Office of the Register of Deeds for said County, including Federal Tax Liens (for the past 11 years 60 days) filed therein against the parties listed below. 2. EXCEPT as shown in this abstract, there are no unsatisfied mschanle or material !lens affecting tide to such lands docketed In the Office of the Clerk of Courts in sold County for the past 2 years, 3. EXCEPT as shown in this abstract, there are no unsatisfied Judgments, including delinquent income Taxes, docketed in the Office of the Clerk of Courts in said County within the pest 10 years, as and against the following named persons which effects the title to the real estate above described to wit: Earl W. Cloutier Kathleen B. Cloutier or Dan P. Crandall. 4• EXCEPT as shown in this abstract, and according to the tax records in the Office of the County Tressuer of said County, there are no delinquent taxes or deliquent special assessments affecting sold land. Such examination covers up to and including the year 19_2L_. (038-1084-20) That for the period covered by this certificate, all instruments appearing In this abstract contain the necessary number of witnesses and acknowledgements unless otherwise noted, THIS PARAGRAPH APPLIES ONLY IF THIS iS A 60 YEAR ABSTRACT. This abstract or any trustees oecieivers of f either, and aCporations a Public Service Corporations, as into ea of thhee State or any Political Subdivision ort M n cipalBCor? poratlon thereof, and there are no further easements than those shown on the abstract. Duplication of this abstract by anyone other than River Valley Abstract £t Title, Inc. Is prohibited, We assume no liability to any part other than upon this original abstract or continuation containing the raised seal of sold company and the original signatures of an officer of this company, That this certificate and annexed abstract and also any prior certificates, if any, made by the undersigned, cover- ing the same land, are furnished for the use and benefit of any and all owners of the land described in said caption and their successors in title, including mortgages and guarantors of title. Dated at Hudson, Wisconsin thisth day of December 96 19 at 10.30 o'clock in the A• M Al i VAL ABSTRACT Et TITLE, INC. BY PtNid®ntlaacntary 08/19/97 11:58 $1 715 246 6886 BANK NEW RICHNON 1&008/008 II Ij ATB OF WISCONSIN ) } ss LINTY OF ST. CROIX } RIVER VALLEY ABSTRACT & TITLE, INC. hereby certifies that the foregoing abstract, consisting of Entries No. 1 to 31, both inclusive, is a correct abstract of title since May 3, 1951 0 8:00 AI.M, of lands described in the Caption at no. hereof. T1iAT, FOR THE PERIOD COVERED BY THIS CERTIFICATE, SAID ABSTRACT RRECTLY SHOWS: . All matters affecting or relating to the said title which are ~IIecorded or filed for record in the Office of'the Register of Deeds br said County, including Federal Tax Liens (for the past 11 years 0 days) filed therein against the parties listed below. EXCEPT as shown in this abstract, there are no unsatisfied echanic or material liens affecting title to such lands docketed in he Office of the Clerk of Courts in said County for the past 2 ears. . EXCEPT as shown in this abstract, there are no unsatisfied udgments, including delinquent Income Taxes, docketed in the Office f the Clerk of Courts in said County within the past 10 years, as nd against the following named persons which effects the title to he real estate above described to wit: Earl W. Cloutier or Kathleen B: Cloutier. EXCEPT as shown in this abstract, and according to the tax ecords in the Office of the County Treasurer ofsaid County, there re no delinquent taxes or delinquent special assessments affecting aid land. ii uch examination covers up to and including theiyeir 1995. PIN 038-1084-20 hat for the period of covered by this certifigate, all instruments ppearing in this abstract contain the necessary number of witnesses nd acknowledgments unless otherwise noted. HIS PARAGRAPH APPLIES ONLY IF THIS IS 4-66 YEAR ABSTRACT. his abstract shows all interest of Railroad Corporations and Public ervice Corporations, as defined by s. 184.01 or any trustees or eceivers of either, and all interest of the State or any Political ubdivision or Municipal Corporation thereof, and there are no urther easements than those shown on the abstract. uplication of this abstract by anyone other than River Valley stract 5 Title, Inc. is prohibited. We assume no liability to any art other than upon this original abstract or continuation ontaining the raised seal of said company and the original signatures of an officer of this company. hat this certificate and annexed abstract and also any prior ertificates, if any, made by the undersigned, covering the same and, are furnished for the use and benefit of any and all owners of he land described in said caption and their successors in this title, including mortgagees and guarantors of title. Ii DATED AT Hudson, Wisconsin this 12th day of November, 1996 at 10:30 P'clock in the A.M. RIVER VALL ABS T Ni TITLE, INC. I BY: ea s terry I~ I; L Vot V19-ma" State Bar of W isconsis Fm ,,4,"2 55294(; WARRANTY SEED ~ - zj CF Z: C J., to P.cc': a, i -W%l i Earl W. Cloutier and Kathleen B. Cloutier, husband and •►iie conveys 1) EC 5 1996 and warrants to Dan P. Crandall the following described nral estate at 10:30 A•M in St. Croix County, Wisconsin: -'K.K -'t NAME AND REWP ::NWRESS REMIN(JON LAW OFFICES Ju&th A. Remington 126 S. Knomies Ave- Nm Rlclun ml. WI 5*)17 ~ yPF T 038-1084-20-100 3 (Parcel Wentification Number) T. arter of Southwest Quarter of Sedan 20-3 l - 19 described as follows: Lot 5 of Part of Southeast Qu 1, 3181, Document No. 552049. Certified Survey Map filed November 12, 1996 in Vok> c 1Page 3 7 This is not homestead property. easements and restrictions of record. Exception to warranties: municipal and zoning orb Dated this 3 / day of December, 1996. W. CLOUTIER t 40EEN B. CLOUTIER !t ACKNOWLEDGMENT AUTHENTICATION crATE OF WISCONSIN) 08/19/97 11:47 01 715 246 6886 BANK NEW RICHMON 191002/008 ~o n ~n J uxsc) 5,F-WS r Pic h. piny ,wV` row ~uartErs .~©..0 oil J N s. A oa 1 S0 ' d 989b982 01 311 I J 2 wn99I MS NN I no WOJd WUT2 : 60 L66T-02-0' Parcel 038-1084-20-100 04/08/2005 12:34 PM PAGE 1 OF 1 Alt. Parcel 20.31.18.352A-10 038 - TOWN OF STAR PRAIRIE Current XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner CRANDALL, DAN P DAN P CRANDALL 2010 CTY RD C SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2010 CTY RD C SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.630 Plat: N/A-NOT AVAILABLE SEC 20 T31 N R1 8W PT SE SW BEING LOT 5 Block/Condo Bldg: CSM 1113181 3.63AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1212/69 WD 2004 SUMMARY Bill Fair Market Value: Assessed with: 30256 117,400 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.630 40,200 82,400 122,600 NO Totals for 2004: General Property 3.630 40,200 82,400 122,600 Woodland 0.000 0 0 Totals for 2003: General Property 3.630 20,800 61,900 82,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 132 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1084-20-000 04/08/2005 12:34 PM / PAGE IOF 1 Alt. Parcel 20.31.18.352A 038 - TOWN OF STAR PRAIRIE Current j x ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * CRANDALL, DAN P DAN P CRANDALL 2010 CTY RD C SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.340 Plat: N/A-NOT AVAILABLE SEC 20 T31 N R1 8W PT SE SW BEING LOT 4 Block/Condo Bldg: CSM 11/3181 3.34AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 10/28/1998 590030 1370/174 LC 07/23/1997 624/91 2004 SUMMARY Bill Fair Market Value: Assessed with: 30255 22,400 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.340 23,400 0 23,400 NO Totals for 2004: General Property 3.340 23,400 0 23,400 Woodland 0.000 0 0 Totals for 2003: General Property 3.340 20,200 0 20,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wiscrosin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page-/ of, Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code } d4 - un ' A~ach complete site plan on paper not less than 8 1/2 x 11 inches in sizQ. Phan rf3uet'-~ ~QoTc/c inNr ude, but not limited to: vertical and horizontal reference point (BM~dire*ii and a ST peWcent slope, scale or dimensions, north arrow, and location and dicta o nearest oa~1„ I I.D. # s--i~8-y-zo APPLICANT INFORMATION - Please print all infor~if'~tj,on.:y ` ,t 4 R ed by Date Personal information you provide may be used for secondary purposes (Priva, s. 15.04 (1) (m)). Property Owner 1,'r, , Prgpert gcation E '?x/ Sv 1/4,s2e) T N,R ~8- E (or)qg Property Owner's Mailing Address L ubd. Name or CSM# L l 7 City State Zip Code Phone Number ❑ City ❑ villa Town Nearest Road ST a s-s/o 9 (G/z X777- I z93 STa ® New Construction Use: ® Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow S"0 gpd Recommended design loading rate d,-bed, gpd/ft2 a trench, gpd/ft2 Absorption area required 900 bed, ft2 trench, ft 2 C Maximum design loading rate e %T_ bed, gpd/ft2_ etrench, gpd/ft2 Recommended infiltration surface elevation(s) _ _ f•~ ft (as referred to site plan benchmark) Additional design/site considerations Parent material ou-,*- Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ESS ❑ U fS-S ❑ U EJ-,s ❑ U ❑ S ESU ❑ S E- U ❑ S ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Z~ 43 731W 1/3 - or A G au~ /~c Ground A elevy ~ ss ft. Depth to limiting factor '257 in. Remarks: Boring # 6- ,xmz.J"/~ Rev 2 2 'y - / r 3 gC S/ey/1 Z, Ground ,efty_ ft. Depth to limiting fac or 7jr1n. Remarks: CST Name (Please Print) Signature Telephone No. Address ~X Date CST Number /yo sT A~~~ ~v_1- s'S~oo/ ~i-1! 9~ 3s~o g 37z 0S OIL DESCRIPTION REPORT t . PROPERTY OWNER Page Z of U PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench o; sY/PZ. Fs /pAur Akx( cu, 01 GeV nd 4101 ~W ft. Depth to limiting factor Remarks: Boring # 0 t- 1W q 2 - z ),5- /3 Its *14 3 t Sg 7. r'Yjy/y S 414 Ground e jov.~ Depth to limiting in. *If 10, _r Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ~ d Y •ZS/~ S /~FSd/l /!w< ~a.~ Ground elev. 0 S ft. Depth to limiting factor !01 in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) -a lx. -ji- ^ e S Tg., 3,v6 g ~E Y sw s 2-o r3 i NRV 8 L~ 444~ LOT S sysT^ SAC U S ` R AI #A/ /o7+ Cwrn..~ '40 A&..e boo ~ 14 RP ~'h-, , 106 ( r 72L VIC LOT ys` oul I~- 4t' U I vef ~ i s FILED ~o NOV 1 2 1996 ► DEC 1 2 1996 KATHI B H. wALSH Il Register of Deeds St. Croix Co., WI ST. CROIX COUNTY 552049 c, SURVEYOR'S RECORD ti Bearings are referenced to the p f Y" North - South 4 line of Section 0 tv 20, assumed to bear N01 °04'52"E. 0 I a rI y 3 j•Y ~ A O IV ~I UNPLAF I Eft LAUDS ~ b \ mA West line of the SE4 of the SWk " O S01 ° 20' 33 "W 10 5.51' CROIX COUNT', ~"Wehens4 Pianni 640.00 N 405.51 Zenkq end ~o y4 ~ or 71 Parks Cavtt" VA im w L M ~y 40 ff not recerdec! k\ 4~ U1 00 within 30 d*ys f N01 02013311E 480.84 arvvat sK- o ~r'~ p~ ` < i m o~►- ~ w w :q OD 0 s os a 0 o rn n ~c 00 dr- a to F N n ~S \o --r N o y 11- (t CY) 5 a . * z (D I-I o -n O ss ~o - ~ o I-I 2Q' O ~ IC7 N d o CD 00 rn o v- C= O N ID .n rn O X00 Ippz W C / •00 ~cA 208:85 C IG~ Z 1-- M o F N01°20'33"E rr w I~ \\C \C~ yd •Op 0000 0 0 (3, 0) 00 O -I NM ~o S v 01 •N01 °04'52"E 521.61' all H fit = ~ • 0 a m to \~C,1\`~i\ Dom • / O z I / ~•O `rte is C) w t!~ / s ~ w --1 rh o a ~rC(U ,\r~ y rn !A x - ~ IG~ 1067.42' \ \ St~l - m