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HomeMy WebLinkAbout038-1100-10-300 o m o r p vi, N ~o a~ a I o I ~i N a I ~ I a II' I I y m I I z° c _ LL m LL C O a I ' I 3 ch z 00 C o m N cy) W a H U) I o C z U O Z e- O 1 - d Z m C Z N H r ~ I c -o o ch cu a) (A U C a (n _O d o 0) a Z co z o N a z V N I t) y ` m Y a > 2 l6 L ° c C C a o m Z co > E F~ f c U w o O ' 3 3 3 a z I U • ro 3 CL a a. Z I m V) o o rn rn vi J U rn rn V W-4 (n o ° ° E N N m N N 000 Q } C d ~r O 7 O o 3 a~ H e M w o t o c c co r- © CC O N 1- U tUn vUi U n- 0) p _ N O p p N N C o o ra Q~ M p p C N N ❑ a a v N H I- a°i co V CY) M m E E U • L> O N (n (n N O cn to ~ l CK I V d c a • CQ CL d ,U d w c o `m 'o rn c~ `~1 A V a. 1, 0 Parcel 038-1100-10-300 02/15/2007 09:05 AM PAGE 1 OF 1 Alt. Parcel 24.31.18.420E 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - LOGAS, CHARLES R & LAURA R CHARLES R & LAURA R LOGAS 1384 200TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1384 200TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 4.500 Plat: N/A-NOT AVAILABLE SEC 24 T31 N R1 8W PT SE SE BEING LOT 3 OF Block/Condo Bldg: CSM 9/2563 4.5 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 05/01/1998 578225 1319/354 WD 07/23/1997 1085/320 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.500 44,500 183,600 228,100 NO Totals for 2007: General Property 4.500 44,500 183,600 228,100 Woodland 0.000 0 0 Totals for 2006: General Property 4.500 44,500 183,600 228,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 108 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 9j 9 1 STC - 104 AS BUILT SANITARY SYSTEM REPO OWNER _r v ADDRESS o4ry`' SUBDIVISION / CSM LOT SECTION _T_ N-R ,L W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW 4' SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM '1 S i~ a8INDICATE NoR'lli Provide setback a d elevation information on reverse of this form. Provide 2 Flimensions t center of septic tank manhole c'ovei BENCHMARK: ALTERNATE BM: SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: ~2:: 0-1 L Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: _ Length c- Number of trenches Distance & Direction to nearest prop. line: Setback from: well:-- House Other ELEVATIONS Building Sewer. ST Inlet. ST outlet t PC inlet PC bottom Pump Off Header/Manifold Bottom of system -7 Existing Grade a Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: h? 3/93: )t Wisconsin Department of 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 PegW Na rCHAEL E] City ❑ Village Town of: State Plan o.: ERA CST BM Elev.: V Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic J~ Benchmark L /1JO, r Dosing 17*7 - -7 ;~f,~7 Aeration Bldg. Sewer St/ W Inlet 9 , 95, E Hold,lag-• TANK SETBACK INFORMATION St/ Outlet hS 9 off' TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic >-"z ~6 NA Dt Bottom Dosing NA Headert v ¢Z q , 3-z Aeration A Dist. Pipe / Ho4ekrfg ° Bot. System 7 3 7 PUMP / SIPHON INFORMATION Final Grade Manufact rer Demand Model Number GPM TDH Lift Fr' on System TDH Ft Flea Forcemain,. ength Dia. Dist. To wen SOIL'ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT No. Of Pits Inside Dia. Li th DIMENSIONS 3s` DIMENSION LEACHING r. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION Type Of ncti~ c,+u CHAMBER del Number: System: 4-111 ~70b). 35 l~ OR UNIT DISTRIBUTION SYSTEM [Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacin ent To Ai ake ength Dia. Length `L Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Sy ms On y Depth Over Depth Over _ 2 ; xx Depth Of Seeded /Sodded F Mulched Bed /Jf&sfrrh Center 3Co Bed /T Edges J~ Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)kAs n eLktc(-)Ir LOCATION: Star Prairie.24.31.18W, SE, SE, Lot 3, 200th Avenue -u LP Plan revision required? ❑ Yes 21N g a~ Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signat a Cert. No. ~C~'■•Ci SANITARY PERMIT APPLICATION BureaSafetyu o oand f f BuiluildinWater System! ng Water 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, Wl 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. • See reverse side for instructions for completing this application State sanitary Permit Number 33 JID 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 wner Name Property Location 1/4 1/4, S T , N, RZoiq E (or)9 I s m Mail Ad ress Lot Number Block Number Cit , tate Zip Code Phone Number Subdivisi n Name or CS1VI Number ( ) II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ City Nearest Road E] Village E] 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 _ 3dD 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 ❑ Officer/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1- jg New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------System System Tank 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 JZ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min ./i ch) Elevation Feet Feet VII. TANK Ca in act gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for in' allation of the onsite sewage system shown on the attached plans. :Plumber s Na : (P nt) Plumber' Si at re: NQ a ps) MP/MPRSW No.: Business Phone Number: s Plu rlritier's Address (S Feet, City, tate, Zi ode): r i 44 -5 ~6- I IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa Itary Permit Fee (Includes Groundwater Date Issue Issuing Ag t Signature (N tamp jApproved Surcharge fee) ❑ Owner Given Initial pd'o0 ~/~r~ Adverse Determination O X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, 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 permi,. issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply IV. Type of permit Check only one on line A. Complete line B if permit. is for tank replacement, r,~(onnection, or repair V. Type of ~ys~ m C:hec:< appropriate box depending on system type. VI_ A.n n r~' en ;n~armation Provide ai ',,r.ormation requested for nurnhc- throu(,,0 V1i ill in the ca)acity of eve y rtevv/or existing lack, I t~,t~_o'.a! gallons numlc rr of tanks and ,".~.~a~~u~'~ ..;r e, indicate p refab ar s~ e .:hslructed and tank rna er: ~l L; ~ ;piece c>r af1 septic, pump/siphon and iloiding n a I '","lerr (heck expen-n. <al approval only if tar? exper rnent_al )roduct: approval from VIII r e;porsibility stct~rn InstL,lling plumber isto 'III in name, license number vvilh appr,Jpria`e prefix ((?.g. MP, etc.), address and phone nuIT-;ber. Plurnber must sign application form. IX. :__ounty / Department Use Only. X. `-aunty / Department Use Only. a . x h t -1t\ The clans must wli) pie'LC ;iding tank(s), septic primp or siphon v._ ilding served, r c.is; dose volu-, , -oss s ction nformation GR0UNDWA7ER SURCHARGE v.,h Ch can o ; C 'c4rge . >~d for mcnit, rl ,i_ ~ investigations a t ar,t 0 rcl s.~ore 7 ~ ~ i~~~ ,3,ro,~ ' oLor ~C,,,,,~ r .n I ~ I tl i, ~a' g~~ a o 70' a©~ s~ r ~iheAek ~r Eo,,// ~~B~t i 3~ ~ $s',~o ®~ote~.o ~lz/l .DX Jr's~ i s ! ~ 3 ! PAGE OF CrUSS Sec~Io("1 C) von Sy 15 01 Froth Air Inlelc And Obrervallon Pipe Approved Vent Cap Minimum 12"Above Float Grade 20- 42" Above Pipe _ 4~ Cast Iron To Final Grade Vent Pipe Marsh Hay Or Synthetic covering min. 2" Aggregate Over Pipe 0letrlbullon - Tee PIPe - 0 0 0 0 0 6" Aggregate o Perforated Pipe Belor Beneath Pipe 0 -Capling Terminating At Bolcom Of System Pru~oSe T Inc.I 4gr~.cl< T- C7 SOIL FILL DISTRIBUTIOU PIPE gPPROVEO ~4WPETIC COVER c. o ° 1~-MATF- RIOR q" OF STRAW Q" OF AGGR ELATE OR MARSu HAy ~a (o OF 12 -2t/2 AGGREGAT E"8 ELEV. OF~ FEET i DISTRIRUTIrOU PIPE TO BE AT LEAST INCHES BELOW ORIGIUAL GRADE AMID AT LEASTLO INCHES BUT KIO MORE THAI.1 42 FICHES BELOW FINAL GRADE MAXIMUM W N OF FXe-AVATI-00 FKOM ORDINAL &RADR WILL BE INCHES MINIMUM ®EP" of EXCAVATION FROM. 0~161WAL. GRADE WILL BE ~L.-- INCHES ~ I SIGIJEO: LICLUSE IJUMBER: a DAT E : ~Z7 g~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and -Human Relations pivision 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 St. Croix 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 OWNER: PROPERTY LOCATION Robert Volkert GOVT. LOT SE 11 1/4SE 11 1/4,S24 T31 N,R 18 for) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 3 n/a na/ CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGExff rOWN NEAREST ROAD New Richmond, WI. 54017 (715) 246-5100 Star Prarie 200th. Ave. New Construction Used] Residential /Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate . 7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 93.36 It (as referred to site plan benchmark) Additional design / site considerations none Parent material outwash Flood plain elevation, if applicable na/ ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem iaS ❑ U :B S ❑ U fRS ❑ U US ❑ U ❑ S Rku ❑ S x® U 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 Tmnch tiv....1...... 1 0-12 1 r2/2 none L. 2/m/sblc mvfr c/s 2/f .5 .6 2 12-30 10yr4/4 none sil. 1/f/sbk mfr /w 1/f .2 .3 Ground 3 30-84 10yr5/4 none co.s. 0/sg ml n/a n/a .7 .8 elev. 96.36ft. Depth to limiting factor >84 Remarks: Boring # 1 0-I4 10yr2/2 none L. 2/m/gr mvfr c/s 2/f .5 .6 2 2 4-43 10yr4/4 none sil. 1/f_/sbk mfr g/w 2/f .2 .3 3 43-84 10yr5/4 non co.s. 01sg ml n/a n/a .7 .8 Ground elev. 9 5.40ft. Depth to limiting , factor >84~G!t~(~ij 'L f Remarks: If CST Name:-Please rint Gary Steel 715-~= 6200 Address: 1554 ,299th. Ave. New Richmond, Ell. 54017 Signature: / Date: CST Number: 11-11-92 2298 16- PROPERTYOWNER Robert Volkert SOIL DESCRIPTION REPORT Page 2 of 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 `<3 1 0-8 1 r2/2 none L. 2/msbk mfr c/s 2/f .5 .6 11 2 8-30 10yr4/4 none sil. 1/f/sbk mfr g/w /f 2 .3 Ground 3 30-84 10yr5/4 none co.s. 0/sg ml n/a /a .7 .8 elev. 95.50 ft. Depth to limiting factor >84 Remarks: Boring # 1 0-10 10yr3/2 none L. 2/m/gr mvfr c/s /f .5 .6 ='4 2 10-22 10yr4/4 none sil. 1/f/sbk mfr g/w 1/f .2 .3 3 2-82 10yr5/4 none co.s. 01sg ml n/a n/a .7 .8 Ground elev. 94,9L ft. Depth to limiting factor Remarks: Boring # 1 0-12 10yr2/2 none L. 2/m/sbk mvfr c/s 2/f .5 .6 `<5 2 12-31 10yr4/4 none sil. 1/f/sbk mfr g/w 1/f .2 .3 3 31-82 10yr5/4 none co.s. 0./sg ml n/a n/a .7 .8 Ground elev. 96.16ft. it le ms with mot. (2/5yr5/4-7.5 4/4) a 2.50' no contigu s in orin Depth to limiting factor >82 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) i ~ r STEEL'S SOIL SERVICE Gary L. Steel C.S.T. 2298 Robert Volkert New Richmond, WI 54017 MPRSW-3254 SE%SE 4 S24-TKN-RIM-l (715) 246-6200 Star Prarie, township lot. #3 -lop 911). V) ,~,of S°IfiiS ~ Z tr ff )13 t r 1 f M _ 491425 FILED ~ soft. JAMES O'CgNNELL Z Register 01 Dcods S'L Croix Co., Wi i 0 • z N N th I i i I = 0 w- t1j H m la x I I c 3 G7 S N rt N S '3 ~ r• H 7 •.I G 7 N• N O fD 7 t~ O = d t j cn t-' 31C O H T Cf X ty. r~ rt -O O O W. g . 0, 0 o m c c I r CSI a to co m a ~ M F1 (D M 0 L1 . . c c o 0 0 r* ao tT H v N f.,. tp to fD O_ t9 V X_ Q- 4- Qo M M W. M. 1 rt 0 O I.•..I p II L /~TT~ 11 IL A ft 0. I i vIV1 _HN[ 1}~ 6 6' West line of the SE} of the SEJ (t rt I N00040'1611W 632.64' 0 N (D C_ -33.00' 599.64' m rn N X N ° V 7 r .J t' O CO V 0 O a 0 Q O N I O a N-3 v+ ti n a to cn f1 T N e0 S N S V t~ r-t O r1 - N m -n I V co rt ic- 't d t2j 'Z H z ` N00°43' 42"W 632.65' oho c O w o Q OII' 599.65' 0 m 10 :0 L4- (0 CD 41 L4 En t2 7 r IW-• N , 41 to N X N Lrl 1 I o w w oo V f o o r O o txj ' r 0 Irn I ~ W rn 2:. CA r) N ti 0 z a 0 z o ;CJ 0• ;C7 ; rt ° 1 S N i .0 -3 \ •3 \ - I I ;D to c0 ° M me rD Z N N Ir- 1 1 L04 N '>7 N ~I M t3 I- K7 N00°43'42"W 632.65' L I ;U) H 3.00' 599.65' w N to z co -to m iNv • t CPO -4 - IV X to ~ r w ~ ° " O o O O N 0 n N 00 N N d ~ \ • ~ \ O O O m T M E W N - ca T rt rt H 0 - 33.60' 599.65' ~4 o S00043'42"E 632.65' 0. rn 0 0 ;(.0 ryh " 'Rip 33'33' I I~~ i ' g~ (n r Cr1 1- II> I ,a4 ra° aas rI' I ~i - ERs •d 00 00 Z to m li Z y f( 4 1O0 1\ I O C b III) Iv s CI 5no A-a Z CD Z me• iC) I L i S.' ~t v v. ~ t C (D 1 VOLUME 9 PAGE 2563 ~srr~}Sr~~~r?,A9d,~~ N N D 0 IV rt C"i N CD s And p Z 4.- o + IL 4. !t Bearings are referenced to the -~i m n south line of the SE} of section 24, assumed to bear N69044132"W. L v ~c £99Z ZOVd 6 SHMOA •anipp 30; 90i3;o 6utuoZ Aqunoo XTOaO • qS auq 4op4uoO Taoaed Aup butdo-[anap 30 butspgo3nd 93o;ag ( • oqa 'Taoapd oq ssaoop l azts qOT wnwiuiw IspupTgaM '•a•t) suotqpTnbaz pus saTni 1sMpT AqunoD pup agpgS oq goaCgns sz (gpTd) dpw stgq uo uMOgs Tao.apd gOPS ~ ~ Y J '•y.aaa v > ~A • J a .MEft '~•1~'t, 4 • • auces buTddpau pup BUTAOAans UT XTOID -IS ;o dquno0 9q4 ;o aOU.eutp20 uotstnipgnS pueq eq; pup sa;n;egS uisuoaSTM aq; ;o V£-9£Z a94deg0 ;o SUOTSinoad ;ua33no ag; q,4tM patjducoo Ajjn; aneq I jggj !pagtaosap-.pup paAanins Aaepunoq aotaa;xa aq; ;o ajgas o; not;p;uasaadaa ;Oa.zaOO a ST dew dananS pat;Z;390 STgq 1egq A;TjaaO OSjp 'I •p2009a ;o squoucases jje pup (anuanv g4OOZ) peox UMOs .zo;.ARM-;o-;gbta o; ;OaCgns ST jeoavd pagiaasop anogy • UTUUT aq ;o ;uto eq; oq lea; 59'Z£9 'aat;;o spaaQ ;o aa48-c6ag AjUnOO xzoa0 •4S 9q4 Ie LZ9 abed '6L9 auxnIOA UT pagTaOSap puej ;o jaOaed e ;o autj JsaM aqj buoje 2„Zb,SVo00S aauagl :Iaa; L6.6Z6 'z„Z£,VVo68S 9au91q4 :409; V9'Z£9 'uoi;aas pees ;o .{,/TSS aqq ;o V/TSS aq; ;o outj ;saM aq; buojp 'M„9T,Oto00N aOUaq; :499; 09'0£6 'autj g4nos pees buoje 'M„Z£,VVc,68N buinui;uoO aauagl utuuz eq ;o auto eqq 04 lea; 00'88£ 'uot4099 pies ;o V/TSS ago ;o auTI ggnos 91q4 buoje 'M„Z£,VV o68N eou9g4 :VZ UOT409S pies ;o 19uaOO SS aql Ie 5utOUaunuo0 :sMojjo; se pegtIasap 1ag42n; :utsuoOSTM 'dquno0 xzoa0 •;S 'ataipad ap;S ;o UMOy 'M8TH 'NT£s 'VZ uot;OOS ;o V/TSS aq4 40 V TSS aq4 ;o 'VEpd ut p94paoj pupj ;o jawed V :sMojjo; se pagTaDSap st paddeui pup poAanans 19oaud pupj aq; ;o Ajepunoq aoz.za;xa aq; ;eq; :dew xananS p9i;iga90 sigq Aq paquesaadaj sT gOigM je wed pupj eqq pagzaasop pug paddetu 'peAaAans angg I ';aaxjoA autxew pug gaagog ;o uoTgoaaTp aqq dq 42g4 A;z;JaO Agaaaq 'aoXananS puRq UTSUODSTM paa949tba. 'uabggdN 'O UQIIV 'I SS~IO I3I S2IS0 s , ~oasn~ns STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE S 9 ; A t4, eoAd , I i , PROPERTY LOCATION 1/4, S L 1/4, Section ~`1! T__-_J__N-R <i5 W 'SOWN OF S6"' l~yf'e.' Ir ST. CROIX COUNTY, WI SUBDIVISION _ J a LOT NUMBER CERTIFIED SURVEY MAP , VOLUME PAGAWTZ, 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 returne to the St. Croi County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: t5- St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - loo 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 &CA\eX1j C ~ A, S c,,n de r Location of property ~E 1/4_1/4, Section X07 ,T-31 N-R'_W Township Q__ Mailing address Address of site 'pco_ Subdivision name Lot no. 2_ Other homes on property? Yes _ ✓ No Previous owner of property Total size of property Total size of parcels Date parcel was created Are all corners and lot lines identifiable? -LZ Yes No Is this property being developed for. (-1pec house) ? _ _Yes V-'No Volume h _f- and Page Number as recor-cied 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 ware.-arty deed recorded in the of f.ic(~ of the County Register_ of Deeds as Document No. 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 corded in the office of the County Register of Deeds aS ocu ent No. - - - - S.igna ure of nppl-icant Co--Applicant. Date of Sl.gnattire Date of signature i ` DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 VOL • PAS 711 Robert M. Volkert and Maxine Volkert, husband and ft&OWd fe......-••-.-••........••-•.•••---......--•••-•..--•••-•------••.---•----.-•.......---••-•---•---- JUL --5 1994 , Fib 10.00 , A. conveys and warrants to -.Michael.C.__ Sanders_ and. Natalie_ A. Sanders_,_husband_ and_ wife,________________ RETURN TO Michael & Natalie Sanders 371 East Third Street NoAx Richmond. IJI 54017 the following described real estate in St..C'rOlX County, State of 'Wisconsin r, Tax Parcel No: Part 6f the SEl/4 of SE1/4 of Section 24, Township 31 North, Range 18 West,- St. Croix County, Wisconsin, described as follows: Lot 3 of Certified Survey Map filed November 12, 1992, in Vol. "9", page 2563, as Doc. No. 491425. This is not homestead property. X~ (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of -Jun - - - 19..94... - (SEAL) • - (SEAL) Robert M. Volkert (SEAL) EAL) Maxine Volkert AUTHENTICATION ACKNOWLEDGMENT Signature (sRobert-M. VOlkert STATE OF WISCONSIN Maxine Volkert ss• a --uthentienti ~ June 19.94 ------County. aca ted this--_.. sy f Personally . r.mc before me thi .d-y of 19---•---- the above named - Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not- authorized by § 706.06, Wis. Stata.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland Attorney at Law Notary Public ------------------------------------------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19--------- 01-Tames of persona signing in any capacity should be typed or printed below their signatures. Wie I -I PI-L- r,, i~~ r V ~ ~ c__ r \ t!/ iI' f ' ' 1 ' / ~ I ~ i I --a ~ ~ ~ ~ l - _ _ > ~ _ _