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HomeMy WebLinkAbout038-1112-20-150 ~Y o ~ o I N ti p o ~ ~ I ti 4 w ~ I o I N ti a 01 I C O N z c {L c p I 3 a I M I 00 Z E z ~ ~ d °N° H UJ a m o I o z ~ ~ m z ~ ° c Z m F- U Cl) N N c m y N a O N ~ t a 1 co Z Z w Q m z N *6' c c I N 04 d d C }V d _ y O` C co v ''~OOa .0 NI Z c CO) Nr Nr > N 0 m 3 3 if •ti ) Z CD L N IL co 0 U) J V ! Z rn rn } M ~a w CO LO CO CD o m y c d I .0 d Q ~ fn f0 Ai O O ~ CY) N C p O co O ~ ~ F' v U w V1 d a rn O N C C U d m ~w O N C N N C j c') 40. r' a', O .a+ f0 r^ C N 010 M oD O M O N N N t3 V • O N fn (2 N O Z m M a ~t 4 ` a 2 t Q 0 a O~ V M STC - 104 AS BUILT SANITARY SYSTEM REPORT 12 OWNER Ll ADDRESS E& /Da .5 2-6 SUBDIVISION / CSM# LOT # SECTION pC 0 T~N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM o ti INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 BENCHMARK: ~U/olS Ele ALTERNATE BM: e e SEPTIC TANK/!) PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Lic rid Capacity: Setback from: Well House_a Other r Pump: Manufacturer Model# r' Size Float seperation i'- Gallons/cycle!-- Alarm Location ` SOIL ABSORPTION SYSTEM Width: Length 6a Number of trenches_ Distance & Direction to nearest prop. line: p~Q J el e- Setback from: well: House b 5 Other ELEVATIONS Building Sewer ~0a ST Inlet: ST outlet PC inlet PC bottom Pump Off e2? e2o 7 Header/Manifold Z 9 Bottom of system Existing Grade . OL)Final grade wP 7 DATE OF INSTALLATION: ~j vs PLUMBER ON JOB: J LICENSE NUMBER: ~7(-141l I N S P E C TO R: I 3/93:jt Wisconsin Depirtment of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Hum4a Relations INSPECTION REPORT ST. CROIX Safetywnd Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village O Town o : State PI ROETTGER, RICK X CST BM Elev.: Insp. BM Elev.: BM Description: Prairie Parcel Tax No.: /001 166, & G(~ e'er zEt . s TANK INFORMATION E EVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic o~~2 S ~a Benchmark 107, 79 /00" Dosi ng atj 2j 4l 3.3 q / o o Aeration Bldg. Sewer 7,51 /pp, 2 [Holding St/ Ht Inlet g,/ g 99 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet rl Septic >50 / Yd ` > NA Dt Bottom Dosing NA Header / Man. 9$ E g Aeration NA Dist. Pipe q,o9 Holding Bot. System 9 7. 71 PUMP/ SIPHON INFORMATION Final Grade 7~ ~d Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Fi Dist. To Weill SOIL ABSORPTION SYSTEM BED/TRENCH Width Length , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /a DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING manufacturer: SETBACK INFORMATION Type 0 / c r CHAMBER Moe Number: System: ~ea? o~ U ~o v > J~J 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 Prairie.28.31.18W,04, NW, Lot 4, 104th Street lwtv Plan revision required? ❑ Yes II No / Use other side for additional information. SBD-6710(R 05/91) Date spector'sSignature Cert No. 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i i Safety and Buildings Division 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 County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanit r PmillNu mber 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 LD~Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner 4 PPperty cation ~ y+ ~1/4 1/4,S,, T , N, R A &"E (o W Property Ow j3QI s Mailing Address Lot Number Block Number 0 v~ Cit State r ` Zip Code Phone Number Subdivision me r SMuQTber ~s fa r~a~r II. TYPE F BUILDING: (check one) ❑ State Owned ❑ City Nearest Road Village ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town of A!/" l~ ~ 111. BUILDIN USE: (If building type is public, check all that apply) arcel Tax Number(s) 1 ❑ Apartment/ Condo - G' 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 online B, if applicable) A) 1. ,New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System . System Tank Only Existing System Existing System II'' 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 62: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./inch) Elevation Z/J'O O 6 - L `lam Feet 67Feet Capacity VII NFORMATION in gallonTotal # of 's Name CoPrefab. SltSteel Fiber- Plastic Exper. Gallons Tanks Manufacturer ncretc Con- glass App- New Existing strutted Tanks Tanks Septic Tank or Holding Tank C ❑ ❑ ❑ ❑ ❑ le 11,16-e-C et -5- 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. Plumb me: (Print) v Plumb s S nature: (No ps) MP/MPRSW No.: Business Phone Number: r ^o~ 0- s '„26 g"76/~ Plum s Address Street, City, State, Zi Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved San a y Permit Fee (Includes Groundwater Date Issue g Agent Sign ture (No Stamps) YApproved ❑ Owner Given Initial Surcharge fee) - / Adverse Determination YCO , X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: V L/ SRD-6398 (R. 05/94) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber i INSTRUCTIONS a , 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, 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, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all informatior 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. Conplete for all se~otic, 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 Jrefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Corn;,Ile'e ..)guns a f st e-i(icatiorns not srra ' than 8 1/:'x 11 inches mifst_ hc_ sul,-itted t-: "hP CCUnty- The plans must piat;plan,di awn toscaieor with completec~ ioc,au(.ldindtank(s",septic tanks; buildingsewer~., Nells, watermain;,._:It: s e, ,ir 1=,kes; oumpor siphon ~o t.:~ sc~ i < --~,or,: -can systE~ms; ~et~lacemens sync_r~ tit ar..,; ~.f the building served, i.C)i% (t, E,n; ? ii i is, C' COr" p E tc r,r Or ti-c1,, dose volume; j. t, riction'..ss; F-u,rFperf~~rm<3nce~_urve; pumprno 1e ~.Jrer, D; cross section O y:enl 1 (c. q Uld G; ':C CUI+Isoll test datavr: ~i I ? `JrITI; ! ,l4 sizing 111fOfI7latlOn_ i GROUNDWATER SURCHARGE 1983 Wisconsin Act: 410 included the creation of surcharges ( lees) for a number of r?y,_ lated practices which can effect groundwater. - The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards _astPlot Plan Project Name 4x x ~D P9'~~' Byron B' Jr. Address~X CST 3;69 -3 s, S' Lot Subdivision@~~n~ Date 1/4, X1/4 SST_ZN/R W Township ❑ Boring O Well PL Property Line County * BM or VRP Assume Elevation 100 ft. System Elevation H R P lop a f~~ - ~K vc,~ t i j#4 P ~ -l 3~a l 2-0 (J`< ~4 ~~QC /b o L 'DO Scale 1/4" = 10 Ft. When dimensions aren't stated DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON W 63767 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: SECTION: WNSH UNICIPALITY: LOT NO.:BLK. NO::SUBDIVISION NAME: /#f/0/4 .ri e 6 ~ an Ave A 7:a , a ~'at r COUNTY: , OWNER'S/BUYER'S NA MAILING ADDRESS: !n O USE DATES OBSERVATIONS MADE f W NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PER O AT ON TESTS: Residence 3 _ ~gNew ❑ Replace S^ g p RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILL HOLDING TANK:RECOMMENDEDSYSTEM: (optional) _ S ❑U 0 S ❑U S ❑U ❑S ❑S U ,moo !ne If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: 4-7.4 S Floodplain, indicate Floodplain elevation: 7r O PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHE T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 2,2 /00 4- 7,~ S B- 3 02 00.E B- o. 67 B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 9Ii6 AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER10 2 PERIOD PER INCH P- 1 A 11 4-17 P_ G? P-ell P-- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 7-4 Cav t 3 i G ~ l Ii PEE + a i IN ~le'~-' ~F 1 i E ~ Wj ~ tt E ; t <0,1~ L T N.- I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and met ds4mcified,in the onsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): / TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 3 st 7 i -5 761,6 e6!4 e e r ~Ji ' dm CS SI TU E: a DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR C0111PLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, report must i 1. Complete ~al'descril 'on; 2. The use must ' ! indicate wlt this is a resin or commercial project; 1 MAXIMU.;' °umber c' I xirooms or c{ 'cial use planned; 4. Is this • i,r or reps- -rent system; 5. Cc t' , su" -ating boxes. A E 1;3 SUITABLE FOR A HOLDING TANK ONLY IF ALL OT. -YSTEM RULED OUT BASED ON SOIL CONDITIONS; 6. Pl-F use the abb Lions shown here for vvriting profile descriptions anc:i completing the plot plan; 7. f:' A LEGIBLE-im accura ~ g your test locations. Drawing to scale is preferred. A ;feet rna- 1 if desired £ Ire yoc- b id v t ference point are clearly shown, and are permanent; I.~ all apps )xes as to d.-: es, ties, addresses, flood plain data, percolation test: exemp- :I>pr( 10. 1 ( rch as flood plaint, elevation) does riot place N.A. in the appropriate box; 11. ce your current address and your certi" n number; 12. Mr: pies and distribute as re(luireri. ALL SOIL TESTS MUST BE FILED WITH THE LOCA'_ -10RITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIC.- FOR CERTIFIED SOIL TESTERS I and Textures Other Symbols - ')Ver 10") BR - Bedrock cola 1011) SS - Sandstone gr - 3") LS - Limestone s _ HGW - H ,r G cs - C~ 1, Perc P- med s - i W I's - Fine Sa i;i Bldg - F Is - Loamy Sand > c a sl - Sandy Loam < L.- Loan? Bra - E *sd - Sk Loam Ell E si Silt Gy - G..y C'._./ Loarn Y Yellornr dy Clay Loam R - Red Clay Loam mot - Mottles _ dy Clay w r - vvitl-r Clay ff f f cc corn, Inn) Mat rn d di pros 1-f,V1 - High _ ..:1 .r sure. d, BM - Bench I' V RP Verti I TC 'ER; art. is ti p in se r :..ri r ;`t. The co .in i D guest tlr's se,., the f"""I A t'r >I ivate ~-n zrnd a permit application rr order to ,inw. The s%arzir,ary permit mus i i ST. CROIX COUNTY WISCONSIN `L ' r n M N "ounf ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER ~,N, . 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 October 27, 1995 Mr. Rick Roettger Box 102 Star Prairie, Wisconsin 54026 RE: Septic Inspection for Property Located at 1946 104th Street, Somerset, Wisconsin Dear Mr. Roettger: An inspection of the septic system serving the residence located at 1946 104th Street, Somerset, Wisconsin, was conducted on June 30, 1995. This property is located in the SE; of the NA of Section 28, T31N-R18W, Town of Star Prairie, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions with regard to the above, please do not hesitate in contacting our office. S'ncerely, Mary Jenkins Assistant Zoning Administrator St. Croix County, Wisconsin mz STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER c A' R o e f 4 f -r- MAILING ADDRESS o o t l 0.~, r Pr c~ ; e L.., x 5"t a 2 4 PROPERTY ADDRESS ~6i S/ ` Pte ` c-5 °L S (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, ly L,,f 1/4, Section .2 T 3 ! N-R 1 $ W TOWN OF 5 ~ ca r lor-m_ f, J -¢.r ST. CROIX COUNTY, WI SUBDIVISION R e el 1~ ~Y1 t 6 S kA- s LOT NUMBER CERTIFIED SURVEY MAP , VOLUME 9, PAGE ;tSSH , LOT 1~TUMBER~ 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 expiration date. SIGNED: gat~~:~ 100- DATE: S S `Q S 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 property R i c~c o c k k'g t r' Location of property_Z 1/4A j L-J 1/4, Section T 31 N-R_j_y,_W Township _ 5 }w P r..; r ; e. Mailing address t l~_ lD cY'" 5k Address of site l p 9-1 'L S t, Subdivision name -Re--L Lot no. Other homes on property? Yes_ < No Previous owner of property CA, , c, k 13o P5 S 4- Total size of property', 7 a e- ce- S Total size of parcel !_1 -2 a,. G` S Date parcel was created _ 10 ) J 6 / 9 Z Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? )_Yes No Volume 1119 and Page Number g C as recorded with the Register of Deeds. I 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. S A J12. (&j , 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. ~a ~a 6 I Signature of Applicant Co-Applicant CGS l Ts Date of Signature Date of Signature 52826. State Bar of Wisconsin Form 2 - 1982 -~~c7[pt.~ OC~ • WARRANTY DEED Q~~yy $E CRODt Cord jw7 i DOCUMENT NO. VOL JL O(M286 i~eadfofRrtctd APR 2 7. 1995 Charles B. Bor strum and Kathleen A. Bor strap, 11:30 i~j M us e CaU6 1-A. G conveys and warrants to Ricky Roettger, a single person, 4e-140e 4 A .4 z THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St. Croix County, State of Wisconsin: (Parcel Identification Number) Part of SE1/4 of NWl/4 and part of NEl/4 of SWI/4 of Section 28, Township 31 North, Range 18 West, St. Croix County, Wisconsin, described as follows: Lot 4 of Certified Survey Map filed October 16, 1992, in Vol. 9, Page 2554, Doc. No. 490116. This is not homestead property. MCM (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this IM Aril day of 19_25 (SEAL) ( AL) • . Charles B. Borgstr J. (SEAL) AL) i • • Kathleen A. Borgstrom AUTHENTICATION ACKNOWLEDGMENT Signature(s) Charles B. Borstrall, STATE OF WISCONSIN Kathleen A. Borgstrom ss. ✓1+ County. authenticated this day of __ApriI 19_45 Personally came before me this day of / 19~ the above named • Kristina O~lar►d TITLE: MEMBER STATE dAR OF WISCONSIN ~I (If not, authorized by §706.06, Wis. Stats.) II to me known to be the person who executed the {z foregoing instrument and acknowledge the same. II THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland x: Attorney at law ' Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: j~ necessary.) 'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank CO.. Inc FORM No. 2 - 1982 Milwaukee. Wis. li . L..ti1 CERTII=TED SURVEY MAP LOCATIED IN TIM, S13' Or 'nir. NW; AND Tl1C NC;I Or TIIC SW Or SECTION 28, T31N, R18W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. OWNED By! SURVEYED BY, SCALE: I" = 200' Charles Bor.gstrom A & C Land Surveying .1951 104th St. 11.0. Box 32.5 too loo 0 zoo New Richmond, Wi. 54017 New Iti.chmond, Wi. 54U17 _L[:G1~NU • 1" Iron Pipe Found o Set 1" x 24" Iron 1'il)e wi.gh.ing 1.60 LBS per linerar toot. \ S51°1,fi56 E ^ 10.21 _SI',1°11':01"E HIM Co"Fli \ ri \ 12U.t36 vA~^ SpCT10r1 ?9. T711Cot C" n1.u Mr►n/M cnr moncnE N TE 17.00 ~\y r _1472°4507"E TC Ir rl . r' 9.23' 1 ~q Its ~ , ~ \VQS' r 104TH 10 Z s,, w SF ti~ nnINAO -J IN 11T1 z m Tsq_ , NQ~- IN t~ ck S34°41'35'E _ I-~ 1+ '127.46 r ID - LOT 2 ' LOT I ~ yo 1\ r •zz-Ir I~ rn \ 'J oozy 1Cn r in W ~ 4 C S8004700 W N S8©^47 UU" W w 2 3 , - Z 505.71 ,-o N T in .,1 445.00t .0 EAcT/ WEST till 1/4 LINE =AA N LOT 4 LOT 3 0 r Y to O y 39.60'•: • f - z o S00°47'OU"W L r..~ in M 375.OU b S31059'Ir W , m trI A ~C 117 56, p n IZ 204.67' Dos. 13' \ 301.90' •9 461.02' a m'^ I'L7 r S60047 00.W '865.52 t" O 11; m l i NE CO101 7 I-~I rl RED PING ESTATES • (-I m - - - - - ~ LOT S I LOT 7 LOT 3 ID z c - 1 m I ( ' 91/4 conllEn 1D SECTION 29 IZ 0 T31N, n19W ID AI 3" X 9' 1n0N PIPE I(l) Radius Central. Angle Arc Length Chord Dearing Chord Length curve 1 6UU.01' 12027'05" 130.39' S58000120.5"C 130.14' curve 2 total 300.2V 43"00* 52" 291.50' S05044' 27"C 204.70' Lot 1. 300.20' 25017'10" 171.37' S76"52'4011E, 169.99' Lot 2 300.20'• 17"43'34" 1.20.1.3' N81 "36'54"r!, 1.19.65' .curve 3 253.64' 72027'10" 32U.15' S71001'14"[; 299.00' curve 4 total 253.64' 66"46'51" 244.46' S01024109.5"C 230.66' Lot 2 253.64' 1.5"01.'02" 54.97' S27017104"1; 54.02' Lot 3 51045149" 109.49' s06606121. 5"W 103.11' ` 01 't'angent Bearings Curve 1 S51"46'56"17 S64014'01"C r^L'~ln•~' ~Tangent Bearings Curve 2 S64"14'U1"C N72045107"E 't'angent Bearings Curve 3 N12045'01"E S34"47'35"E f•;.)IIAI.b r. tt ~Tangent Bearings Curve 4 S34 47'35"I: S31059'16"W l;V,l1.,~;~11 rl. ' Area of Lot 1 - 138,130 Sq. ft. (3.17 acres) VI Area of Lot 2 - 107,902 Sq. ft. (•2.40 acres) / I` 4L 4' ~C n ) . Area of Lot 3 - 90,371 Sq. f t . (2.26 acres) X '`7~'~ Area of Lot 4 - 163, 104 Sq. ft. (3.15 acres) This instrument Was drar.ted by Douglas Zahler. n ~q O r. -0 n o m f c, o d m (DD `D 71 ' m O c) n~i m ci o w o d 00 N) 0 rn o 7 CL L L v N OD 1 J CD CD po @ > N > N O =3 :3 CD -4 CO N N 0 F L11~ A7 O c) G) 00 O 3 N S) ~ M C Q (D a) O < D iD m N N Q O C 3 0 0 Cl) (D CZ ~ to co z l n O C N Ul Ul o z Occ OCC Occ 3 " A O co -0 G G G c j < Z o n L N y N n D N 3 CO T v v g o 00 0 CAD co O 7 N I -N t0 C:;- d N O N N V cn O ? N z z co z Q D CD o O a 0 j m C, CD m CD (n c co CD N w a z o Z N C _ h ? z O a N O m ~ m W ~ z a 3 a °o z H z A CD w I a a ~ I O T v_ c z n O (D N S ti ti O O V A O A r (D m a 0 0 r H o ` r i Parcel 038-1112-20-150 06/29/2007 03:16 PM PAGE 1 OF 1 Alt. Parcel 28.31.18.475G 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 - DIESCH, ROBERT E & JACQUELINE M ROBERT E & JACQUELINE M DIESCH 1946 104TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1946 104TH ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.750 Plat: N/A-NOT AVAILABLE SEC 28 T31N R1 8W PT SE NW & PT NE SW Block/Condo Bldg: BEING LOT 4 OF CSM 9/2554 EZ-UT-1287/109 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 05/09/2002 678508 1887/303 WD 07/23/1997 1147/466 WD 07/23/1997 1119/286 07/23/1997 796/505 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 3.750 40,800 176,600 217,400 NO Totals for 2007: General Property 3.750 40,800 176,600 217,400 Woodland 0.000 0 0 Totals for 2006: General Property 3.750 40,800 176,600 217,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i IOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY DIVISION P.O. BOX 796 LABOR UMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 H (H63.090) & Chapter 145.045) LOCATI N: SECTION: WNSH UNICIPALITY: LOT NO.:BLK. NO:: SUBDIVISION NAME: COUNTY: , OWNER'S/BUYER'S NA : MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 JONew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FI r;Z/t 1Z LrLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S❑ U $ ❑ U S❑ U ❑ S blU ❑ s U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: S ( Floodplain, indicate Floodplain elevation: 7f~ O PROFILE DESCRIPTIONS r BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED ES HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 10 p 4- 7,-,? B- :z 76 to B-3 dD• `s2 5 B- 'Zoo. PERCOLATION TESTS TEST DEPTH. WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 14w1111ro6 AFTER SWELLING INTERVAL-MIN. PERIOD 1 109 2 PER INCH P- L P_ 4~ 41, P- I P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION dl - I IN ! Gems 02o S~ I ~d ni I- r- 1 ~D r I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : / TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): dm 7 CS SI TU E: h a DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. D I LH R-SB D-6395 (R. 02/82) -OVER - -{1- 1 Swi,du4FlA:euuil4ea4 tip' iw'.zJa~.,sY YY'+uua....4.as..u...t.:-pk ~u.a4.7'+:...u►+~G. ~ ,«..~Ar.--:.....,::...:a_.-iw...... _ DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS /L'~ (H63.09(1) & Chapter 145.045) LOCATION: SECTION: WNSHI MUNICIPALITY: LOT NO.: BLK. NO.D-S IVIS N YE: / ' 4 $ /T 1111/Rl ( a .~~t, COUNTY: ErWNER'S/BUYER'S NAME: MAILING ADDRESS: 16 . Grp / le to 7 ®o- rrJ o i7 USE DATES OBSERVATIONS MADE Y.l NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOUATION TESTS: Residence New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IfV-GGROUJD-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (,optional) ~s❑u 1 '❑u s❑u as WU os u ~ II Percolation Tests are NOT required rGN SIRATE: If any portion of the tested area is in the wider s.H63.09(5)(b), indicate: f s j Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- C/ / ©r ,/p / c c lC7 ' 2 q 5 r O '4 KX-. J-1 /j~ / /I - B 4-L 1 - PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER Iht*Aie& AFTERSWELLING INTERVAL-MIN. PERIOD I PERIOD2 PERIOD 3 PER INCH C- I a V P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 4o7 ` I ' I ,gip' -3 ~ r ~ ( ~ V e3v ~el~' nA'~r'~ -I G.. 4 C:11 i per.; F .1~ I, the undersig d, by certify that i sts reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin 4dministrative Co r~ r d and the location of the tests are correct to the best of my knowledge and belief. _ Z iNAME (print), TESTS WERE COMPLETED ON: ADDRESS: CERI IFICATIO NUMBER: PHONE NUMBER (optional): CST SIGNATURE: r Di~:TI,IBUTION: Ot iginal and one copy to Loca! Authority, Property Owner and So iau_Qarz_t:r,ac, !u I