The URL can be used to link to this page

Home My WebLink About032-1061-70-020 y ° O o h ~ ul. I 1 N C hj 0. II O I +a ~ = CV n N N r O O 'C N O Y OR - !E O CD O N C C N ~ - U Y _ O Y -0 N N YO d O rn E N N 0) Q) Q C O N - L > O N 'O O C (6 N ` J f6 CL a Co 0 v I ~ o T N TS y„DO C1 > N 0 L 7 CL) I N 4 2 CL 0 C Z E , 0) O 4= U. u O -0 'O a )-o N O L C co L a 071 U ' CO N ' ] N I- O L C Q .a .0 X M V ~ Z N 61 O C I ` ~ L G Z CL m M M N F- Z o I O z c I a _ - N U ` p O d z c cn t- Z c ~ 'o O Cl) N N 7 m 7 00_ N N N N N C N • O ly L N L O N Q w Z m z o ~ d ro M p t6 N N N io Y Ln a. CL 'M o N d i O C a) C: 0 0 Q a E o N 0 C> N O • m a a a Z CL Q g 7 O N C 0 i O N fA J U j 0 0) } Q M a o0 ^ri t _ co o o 0 o E N N 7 M o m a o m w Q Z O U O N C co N C (J C 7 a0 rn O ~r O N C N U 4. cn o }r N_ L O7 y E C N EO C N\ M O M C:, 0 L+ N 01 ~ N N O O • M M O O~ O N m E N U S.i 0 N U) N O - Cn r \ ~ I, R E IV I V « IV d eo l L a 3 #t EL L: a Y • 'c~ c m a~ y ~ `O E L c G L) a 0 in 00 0 rn o a d -0 0 o d (D A `7 'n ' it a' at ~ I ~ 3 'i r; xt ~ \ 1 m C- z N z O N N O C 1 3 O J A 0 O W W • C1 CD CO fD O w ~m w 3 m m 3 CL a CD W 0 CD CD -4 0 (0 N( M O CD C) ? O N Q ~O1 CO 00 3 O d ;0 N l~ 7 O d to N 0 O CD Z D C o D co O o O C r N ~y N 3 0 0 v W S O CL (D co CD < n r N a, Ccn Ln ~ (p 0 c c ~ r. c m ~ M v o e• 0003 t~1 A O O m < A z o n n c N y N a 'I o D N°o o' m rn rn Z 3 °w (D Ln :3 -4 z l~ z co z O o n0i' O D m m o N+r CD CD CD CD a) 0 _N C CAD CD W CD CL ..7 I, O_ 3 7 V_ z CD N O A Z CD 0 CL A 3 I 0 'I z j w (D CL 3 z I A T1 0 C! Cn y z F A W Fr C O O Q CL cc ° a tQ CD M N C a O 7 < T O _ o o _ 3 z Nay a o -00 - N CD < :21 CD v C, y fD r O ! o ti 7 N A CD Cn O c 0 -0 CD o 3 Ln O CD S = 0 c f0 a O N V p N p tv rn ~ p N to V A Dp b O p CD O O : ti H Parcel 032-1061-70-021 03/28/2008 04:00 PM PAGE 1 OF 1 Alt. Parcel 23.31.19.312C-10 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/11/2007 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MONTGOMERY, RANDALL P & JOAN M RANDALL P & JOAN M MONTGOMERY 609 205TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 609 205TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 5.325 Plat: 5453-CSM 22-5453 032-07 SEC 23 T31N R1 9W PT NW SW FORMERLY LOTS Block/Condo Bldg: LOT 05 1 & 2 OF CSM 10/2773 FKA LOT 4 CSM 11/3037 (9.43 ACRES) BEING CSM 22-5453 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) LOT 5 (5.325 AC) 23-31N-19W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 09/11/2007 860256 22/5453 CSM 07/23/1997 1129/359 WD 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/17/2007 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 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of LaUor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code RREVIEWED 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 / dimensioned, north arrow, and location and distance to nearest road. / t7 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY 0 NE R: PROPERTY LOCATI 'Z 0 1/4 1/4,S T N,R j~or PROPERTY OWNER':S MAILING AD RESS LOT # ~fOCK # D. NAAeG rep CITY-STATE ZIP CODE PHONE NUMBER ILLAGE [Zf WN NEAREST ROAD l New Construction Use Residential I Number of bedrooms `5 [ ] Ad I I ul n_g j j Replacement [ ] Public or commercial describe Code derived daily flow er gpd Recommended design loading rate S" bed, gpd/0__,_~_trench, gpd/ft2 trench, gpd/ft2 Absorption area required _ g 'b bed, 112 7-5:22 trench, ft2 Maximum design loading rate gibed, gpd/ft2, Recommended infiltration surface elevation(s) 977 ft (as referred to site plan benchmark) Additional design / site considerations Parent material «an Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL M UND 7IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem 0S ❑ U n S O U IS ❑ U E S D U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. C nt. Color Gr. Sz. Sh. Bed Trench AA, Ground elev. ft. Depth to limiting factor F7 Remarks: Boring # r IV 11/4 -v' 'la d7 Ground elev. ft. Depth to J limiting factor r 90 Remarks: CST Name:-Please Print Phone: 2-291 Address: )el I/ D Signature: Date~~/_ CST Number: 2 L z . J - PROPERTY OWNER SOIL DESCRIPTION REPORT Page-~,) of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cqnt. Color Gr. Sz. Sh. Bed Trench V/j Ground elev. ft. Depth to A~w Al, limiting factor Remarks: Boring # / C Ground elev. -51?-9r h ye ft. Depth to limiting factor ~ `lam Remarks: Boring # `vim 7 Ground elev. ,Z U ft. Depth to limiting factor y Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: ST D-8330(8.05/92) X ~pCi9T'AnI. O~S, TE _ . •~~Rta.~ acs C'sTfi~o~.3~~` s~ 33 BWEG~oI .GOB 'lJl~~' -301 ,~~rEs -s-'s-3 1 ~ ~ - ~ X79 o . I f i I .IW IN I~ r t1j r t N r W r A N Ln N Ul O O O t.71 V r W V W W Ot - r FO r V O r W N CM N to F ° to CO to O O (M a " a V p to n r )t- V p ...'y . y N rt 41 0 Cr) n r n r n W M OO n (P . 7 '7 7 '7 -3 t,•... t O tT < N N N N N N N CD N M N tD 7 N N M .o N to N d N Vf .0 4t N O `J tD O v F L... rt rt N T x -n 7 ~1 x -n O -n x T S rt n rt n rt. rt rt n rt .n ~o z p, rt MC me 2C 2C N O .S.M. IN VOL.7, PAGE 1811 C N N I O Lid 11 2 LID II I - m rt ~ o ' rt. n 0 0 7 o ~ o -3 E N CQTH STREET W L=West line of the SW of Section 23 W O S000 09i S00°00'09"E 882.90' rr 470.00' 412.90' 1768.54' G, 470.00' w 380.00' (D IC- H o SOO000'09"E o ti 850.00' e t £ CO f-r 0 . . . . . . . . . . . . . CA 0 U (n N ry W W 1001--+. M rn r '3 I/ r o r 4- C2 -P, CO 00 CS W C CD = CO K) m o W M N o (D IM o 00 v° °o I!U I~; n -n m azO 110 P- M 01 I~ O ° ° >E o I-I ly eq. I > C, to 1~ IZ - N00°00'09"W 883.98' - I= n~ c 850.00' - o ID 'M w 470.00' 413.98' :M lu rn 1 H N00 00'09"W 318.14' 151.86' 380.00' CO d - 531.86' - 33.981- N IC D CO - N00°00' 09"W 565.84' - IfTI I? Z D UI\11=,11 1 F_D LANDS w - - - CO goo to Z/ N ~ to lD to to x ~t o N O W o 100'-+-; ° O _ 531.85' 35.00' 1-h S O 'NO0°03'08"E 566.85' tO O 33t 33t se N 5 y tr=J 'j- -PLr'1I I EIS L~1ULD9- d v N LT1 n t m (D .01 ; z PakCC"t ;N V. _ 5n~, P. 0 .t n o (D f+ W. 7 O ° N rr x ' C h' r -h n r• O M O M O (p 7 O A r CD et N tt o - O C+ o ° k 3C 3 ° (D G 't rf rt Bearings are referenced to the a+ west line of the SW} of Section CO 23, assumed to bear N00°00'09"W. o ~ o N n 7 3. a 4 I Vv" r ~ i X23;. C_S._ _ _1_1 / 3037 LOT 4 r, Z' 312 C 4S I la •Y;! ll . O to / 4 NW SW - s ' r 0 .4 ~ 1 ~vk 312 E s ' LOT 4 F 1 928 400' t~}1' ,r~• 444 e2 o LOT 3 x, 927 0 CIO W X37 f i 808.64' to 313 LOT 2 926 Sw l/4-SW o-• 6 STC 104 AS BUILT SANITARY SYSTEM REPORT' ' 4^ 19°15 (X,-bNTY OWNER -"DwN(iOPF«CE ,L ADDRESS sIC SUBDIVISION / CSM# LOT # f SECTION,,,- .,ZT_T , 74 N-R_,Ig _W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM au5~ ~a INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: s/~ti`m.H Tt' S.:oJ✓a S.S/c,0 -%/i~0 J ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: 1111JA Liquid Capacity: Setback from: Well House- 4~ Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: /7 !c Setback from: well:- House Other I ELEVATIONS I Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold / Bottom of system Existing Grade 9` f/j Final grade DATE OF INSTALLATION: PLUMBER ON JOB: ` LICENSE NUMBER: i INSPECTOR: 3/93:jt } Wiscon"sin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: P r iM6iW:, RANDALL ❑ City ❑ Village R Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: 1i Parcel Tax No.: A9500345 - TANK INFORMATION ELEVATION DATA /0/2 / TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing: Aeration Bldg. Sewer Holding St/ I/ Inlet ' a? SU TANK SETBACK INFORMATION St/ p C Outlet -7 9,;7 TANK TO P/ L WELL BLDG. Airinta to ke ROAD Dt Inlet Ar I Septic 166 9~ NA Dt Bottom Dosing A Header>-~. 771 / Yp Aeration NA Dist. Pipe S Holding Bot. System 9d, (05 PUMP/ SIPHON INFORMATION Final Grade r,:~' gam, Sl/ ' Ma acturer Demand 9-5.7,2 Model Number GPM TDH Lift riction tem TDH Loss ea t Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches P No. Of Pits Inside Dia. Li uid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE STREAM LEACHING acturer: SETBACK INFORMATION Type Of Re- OR I CHAMB T Model Numer: System: [r DISTRIBUTION SYSTEM Header /l 6- ~i Distribution Pipe(s) u / 7 x Hole Size x Hole ng Vent To Air Intake Length Dia- T Length Dia. Spacing Ca SOIL COVER x Pressure Systems Only xx Mound Or At-Grad stems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes E] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)-* LOCATION: Somerset.23.31.19W, NW, SW, Lot 1 205th Avenue i ) Plan revision required? ❑ Yes E40 Use other side for additional information. SBD-6710 (R 05/91) ate Inspector's Signature Cert No. SANITARY PERMIT APPLICATION Bureau ofBu Id ng WaterlSystems 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. • See reverse side for instructions for completing this application State Sanitary '~Peermiit NNumber The information you provide may be used by other government agency programs ❑ Check i~vision to pr-e ilbus application [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Prope Owner ame Property Location 1/4 1/4, S T ; N, R 16 Prope y Owner's Mal ing Addr s of Number Block Number City, to J7, Zip Code Phone Number Subdivision Name or CSM Number ( ) .CA 1A Ill. TYPE F BUILDING: (check one) ❑ State Owned Ity Nearest Road ❑ vil age Public 1 or 2 Family Dwelling - No. of bedrooms Town of III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑Apartment/Condo 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. X New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------System System Tank Only______________ Existing System Existing System - B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ 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.) (MinA ch) Elevation Feet Feet VII. TANK Caa in lloac(t ns Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks manufacturer's Name Concrete con- steel glass Plastic App New Existing structed Tanks Tanks I _X_ Septic Tank or Holding Tank /zrz / }a ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the ndersigned, assume responsibility for i tallatio of a onsi sewage system shown on the attached plans. Plum er' Nam (P Plum is na re: mp MP/MPRSW No.: Business Phone Number: , _ Plu ber's dress (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved San ry Permit Fee (Includes Groundwater ate Issued Issui g Agent Signature (No Stamps) Approved Surcharge fee) ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: .SOD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Divmion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitarypermit 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 vvheneyer 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. I 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. 11. 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 isto 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; 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. a 9 del asa , ~~~h 5 Ll pl ~ I Wis'sonsinDepartment of Industry, SOIL AND SITE EVALUATION REPORT Page _L of ..S ~,abor 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 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 REVIEWED BY DATE PROPERTY 0 NER: PROPERTY LOCATION GOVT. LOT Ali ) 114 1/4,S T N,R 0'(or 'd",)l PROPERTY OWNER':S MAILING AD RESS LOT # LOCK # SUBD. NAME OR CSM # CITY STATE ZIP CODE PHONE NUMBER 11CITY VILLAGE 17 WN NEAREST ROAD New Construction Use [A Residential/ Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow; - gpd Recommended design loading rate bed, gpd1ft2_trench, gpd/ft2 Absorption area required _ Dry bed, ft2 7--L2 trench, ft2 Maximum design loading rate , S- bed, gpd/ft2_,,/_trench, gpd/ft2 Recommended infiltration surface elevation(s) 977 ft (as referred to site plan benchmark) Additional design / site considerations Parent material o 0_j,2' wry-~ ~h Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL M UND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ~S ❑U i~S ❑U OS ❑U Ms ❑U ❑S ®U ❑S [OU SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. 22nt. Color Gr. Sz. Sh. Bed Tmnch Ground 3 elev. - - 211 ft. p x( Z' Depth to limiting factor cl~. Remarks: Boring # 7 Z4 %!r Ground elev. / _ - !y_/ ft. z Depth to limiting factor 1__y RLIMU Remarks: CST Name: Please Print Phone: f c, Address: Signature: / Date: - (;ST N~um er' PROPERTY OWNER .~2z SOIL DESCRIPTION REPORT Page PARCEL I.D. # Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Copt Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench i- / Ground elev. ft. V, 4/ 0? Depth to limiting„ factor - Remarks: Boring # l l , V/j 21f yxf-4 .t? Ground elev. /w-, Z ft. Depth to limiting factor Remarks: Boring # 7 -3 / - Ground L27- 9e 7 elev. &I ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) l a / /l ~EyN X ~GpC.9T/any" ®~.S:fTE oQ~ 3S .30/ /68 SJ33 ,~a~~5 /Is ~ X79 -3 z r r r to Io C> W N r•+ ~ ty l~ N F f+ W N Ln r,) Cn > O v W W (M r s 00 • v o W N o) N tO i t0 CO CO t0 r. O O N rt Of A ~l A V A to A F• a V A O < N A N N N CD N fp N CD N eD 4 f N A d N .O N a fA 17 N .0 N A yf •'^ti i•• to o M o -o m .a m o-r ffl , . M. 0) In x -n -n x -n n x rr e) rt l7 r+ t<) ` S Cr t) rt, t7 rP Cl) /J . `i Z Z f •1'~ y = 7C N C J ;fit f~. eD r I - - - r* N N CO MC CD I-C t 2 LC 71 I rt n ~ I I N. 0 Z :3 M 0 "1 TH STR~r• FT N 7 w ___J_=West line of the SW of Section 23 w F) S00 00 09 S00°00'09"E 882.90' 4 rr 470.00' 412.90' ~:Y• 00' 380.00' 1768.54' T~Caoi 470. S00°00'09"E ti 850.00' CCO e`' W fi CO loo'-► m N - - O CO = O N U) -1 G -I p - 00 C, ID rt irn r °o ° r w ° I IN 1- rf l.J w - - W _ IQ a w w ~ CO CO ~I(Jl i O d M- I> e IZ - N00°00'0911W 883.98' - I= ,-j N C er I~ - 850.00' - o ID f(~ w 'V7 470.00' 413.98' IC Cj- I C M ~rn H N00 00'09"W 318.14' 151.86' 380.00' CO - 531.86' - 33.98'- N IC D N 3 - N0000010911W 565.84' - `IM I~ Z D IL,11 TEI~ I~NIDS CO r. W tO A ` ~ n ~ r p p I-~ N fA N !O ° r^ - o to x Z N_ W O rt O y :0 O t•• r• x 100'-i-' M o ' c O CO 531.85' 35.00' rt ° O "'N00°03'08"E 566.85' o, C 5 r33'j 33' a a ty (D N x - N ['L I T EIS L8UQr% N CL . s.~ U ~ to (p f~D F c PARCEL !N V. 762, P. 231 n r• to r O '7 0 CT 7 O C O En r• d eD 7 7 w C+ n n a >r ~ -v ~c p) N o to M (D 0 0 ~ O f+ t/) 1+ o O fp h+• O f•+• r. rt ~ k N• O f n rt Bearings are referenced to the west line of the SW} of Section 23, assumed to bear N0000010911W. 4p o N CD 0 O N. ti s FILED g t JUN 10 1994® 0 JAMES O'CONNELL 51'7`711 Register of Deeds St. Croix Co., wl I~ IC) r r w r :2 cn N ui O w O Cn v w w Cn r w li o w ,v - - O - .r o w ...ti. a Cn o, Cn O N rt Q o r m o O, a a V D LO a r a V a rt B O, N :C r n Cn 0 0 0 w 0 Co n , L (D g N !p Zi Cn N Cn N N N Cn M Cn O Cn N .i'• f, - N O FMetTj y N 2] 0 L N N d N CD C) N f•l ' H M H rT~ • H 1• • .%r X T 7 T X T 7 T X T Oj . j~ rt rt rt rt n rt n rt 'T"' ID a o T3 H z b.' 0, a cn c a[ r x z E K r co (t 0 N Cn O 77 - - - rr Cn CIO L_ 2JJ I_~JL ' m sl-• i rt n I I y I (D n o rt n > > ° L W QQ TH STREET N A~ -h oWest line of the SW} of Section 23 W O S000010 9"E-- - S00°00'09"E 882.90' 470.00' 17-4 412.90' 1768.54' 470.00' w ~ 380.001 s 1~_ N o S000 0010911E o 850.00' L N H - ~ G °Oi7o - Co 6 6' U n . . . . . . . . Co . . . . . . . . . . . . A~ H 11 " 100'--V O C-) * I, H In 0 w Fh M c 1-~ Co r OO r O O o0 r - 2 C, W i0 ' -I M O .O m °°D° O .v IM o 00 uo o I~ J~D 4- C5 IN) 0 -M N o Co lO m II o o - to O CJ rt 1i _ a[ o I-~ ly CD CD 1_G - N00'001094 883.98' - I= I-I CJ) lU - 850.00' o 10) ID ;n w 3 470.00 413.98' 1C IU < M N00 0010911W 318.14' 151.86' 380.00' ao Irn y d - 531.861 - 33.981- N 1Z Ir w CD ° 1 I\I? ~ - N0000' 0911W 565.84' - N Im 1D Z M I.~I X11 TED LANDS Ln ; CO. ~ - - - o IC.7 r H o° ~ or o I-' O - N t0 M ,o so z Z N W O v r - - ~ 7 O rt o co ~ o• y O 0 100 0 r _ 531.851 35.001 rt 10r, Cn O N0000310811E 566.85' y H a 3 3' 33' jt7l (D w -0 ,v tzj PAR to (D A r c PARE 7 1 , rD ~..L IN , 6G P. 23 A rt W d - --T N } rt j xN L0 H :rj ZG ,r• o m CD rt~ < p w 0 0 ~w n o C) ! O d r< C7 m rr C/) rt K m c a i0 C1 O O 1-t- 0 l1 0 N K » L 3 Z ` -4 = CD (D n In a s ° s (D v O lD r1• rt 6 Bearings are referenced to the ,ri- west.line of the SW} of Section 23, assumed to bear N00°00'09"W. o N. o ~ n 0 VOLUME 10 PAGE 2773 En w S T C - 100 t 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 property A4A1nA,4z_ Nely Location of property//, lU, 1/4 _S (4,/ 1/4, Section Township ~-E~---Mai].ingadc]r.e:~r /7`41';= TO f , G,//Sc v - - Address of site Subdivision name Lot no. _/_Y' CZ Other homes on property? __Yes N No Previous owner of property 0?z< 61V 7 Total size of property Total size of parcel .46T #Z-231 ~?M WT-I&C, 772 _/>OL fil Date parcel was created J ~ 'Hr_- )c /C/ 9'j4 _ Are all corners and lot lines identifiable? Yes No Is this property being developed t~ for* (spec house)? JL_No Volume and Page Number / -3 a::; recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATT.ON THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMi3ER AND THE. SEAT, OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. Tf 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 wart..anty deed recorded in the office, of the County Register of Deeds as Document No. , and that I (we) presently own the proposed site for t-11~wa(je 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. e, S.iclnat.u of: pp.1 .c-; nt: C:o npp .t.cant: 3 , /5'9 7S Date of gnature Date of Signature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER LL C j -l L MAILING ADDRESS PROPERTY ADDRESS ~S S'o i 7r2S L (location of septic system) Please obtain from the Planning ept. CITY/STATE S,et~~ lv/ ~C' PROPERTY LOCATION /V /N 1/4 S 4.. 1/4 Sec 3 . , ~ ton T ~ N-R l W 'S'OWN OF _ L6126eS.6- r ST. CROIX COUNTY WI SUBDIVISION LOT NUMBER d CERTIFIED SURVEY MAP, VOLUME, PAGE, 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 ye' expiration date. SIGNED: DA'Z'E: S St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 ~ Lu G ri v I I ~ ' ~ I I r, rl 1 i ~ 'o I~ it ►I II I o ~ O I I I I (1~ I I~~ I ( I i t ~I~ lop II ~IL_~il _II I JI II` ~ ; I I y I I ~a ~ I I I I l i I ooI - j ~ -II II I) II I I I ~ I A l l I I I I - _ it II I II I I F4 I II. II II I ii I I l i I I i t I I f_ I- -I -r- - LI -1 L - - i- - - I y-~ J~ I w n9F Q 9 A i - ~•w 530 State Bar of Wisconsin Form 2 - 14 _ DEED DOCUMENT NO. ova 112Q(JPACE`~, 59 (i F.~, Steven A. Parent and Patricia C. Parent, tt~;: ut~~ Y k a Patricia Pa~:2nt husband and wife _ C! L Z 1998 conveys and warrants to Randall__P_._ntgo'mery-and_____._ 1:00 P 9 -Moan M,-Montgomery.,--husband and OVA. P, THIS SPACE RESERVED FOR RECORDING DATA - NAME AND RETURN ADDRESS /a00 ~ot.adoU c~Jcan man,,*rre4 the following described real estate in St. Croix l) fq 1'4 Cu f 0a ~ Trw' County, State of Wisconsin: N- 1 +0 11 l~ e ~ 0 ~ 2 (Parcel Identification Number) Part of NW1/4 of SW1/4 of Section 23, Township 31 North, Range 19 West, St. Croix County, Wisconsin, described as follows: Lots 1 and 2 of Certified Survey Map filed June 10, 1994 in Vol. "10", page 2773, Doc. No. 517711. 00 $~0 FEE This----- _is-_not_ _homestead property. (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this / `t IM day Dr June 19__95_. (SEAL) --"E-----.__ (SEAL) .Stev A. Parent (SEAL) -'t. (SEAL) +Fatricia_C,__Parnt, a/kla Patricia Parent AUTHENTICATION ACKNOWLEDGMENT Signature(s) Steven A. Parent Patricia C. STATE OF WISCONSIN Parent, a/k/a Patricia Parent Ss. 4_- _ - County. authenticated this day of June , I9._-95 Personally came before me this day of SCWT 19 the above named 1"V9A 111, Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Scats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY - Krstina Ogland Attorney at Law Notary Public County, Wis, (Signatures may he authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) 19 ) "Names of persons signing in any rapacity should he hyped or printed below their signatures. WARRANTV DEED STATE PAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. FORM No. 2 - 19x1 Milwaukee, Wii,