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HomeMy WebLinkAbout038-1120-30-085 ,r ^ 3 0 CIA c r o o r LO °c o N 0 ~i N C L) 'o q co 4 o w co LO 2 N X V co N ~ C O O I ~ C f0 N O ~ O O O z O ~ O Q 7 c LL c N O O c0 m 3 00 ~ Y L7 N N N Q .L..~~ 3 Cl) v ~ co U) _ O z v` m v N IM- ~ a co 0 c~ c C7 -a~ U a o y1 O N F- r O z, c '6 N O _~V 7 C y n of • O O "Na a O o y-° Z co m z o N n M rp N c O N S1 m y- d c r c o o CL N z ap > L F- FU- H _ w ~~yw EL CD ►i 01- 0 0 0 z a z a) 0) 0) N O U) to U c M rn m 0) 0) } ON N O,I{ N N O O O O CS]I f Q) (D 7 w d a ~ N Mid c O N N y a0 V 3 O p C R O In O O 00 I"- N N O 1 >1 7 fr M O C Q' N Y Y 'D L N O 12 C N N j r y~ Yom/ 00' M ~p 0) 00 ca • ~'V) O N (n LL N O N U~ O R r.r w E R ~ y M a ° a • CL m 2 d y c `ili E 3 3 w A U (L 0 fA U i Q o 0 0 0 0 ao o N ~ c c 0. 0 Cl) c c v E 0 0 00 N o a I C'. E .Q U C'. N 3 U-) 00 756 oc I J O 't3 ` O - 00 co c4 y O w C TN 7 O C O L N Lo N c p O O CD U ; Z N Z am Z V IM. m o m Lo C" T LL C LL L w O O _1 L -O O N N Q q_- CL E Q An w U I 3 M o. O v ~ w I Z N N 05 W I E E r O ; O w (A O O - LL L L z r N I' a co a m 0 O Z d c c U U Q: p N O `2 C) Z !!t C C O V) F- 0 0 Z c E c E v 'O .O M i ` N C) 3 N Q. 7 O N 7 N N CL N N CD co C _ d L a L L O O C O m O Z m z Z F- Z ~ 4i 4i z N LO m ~T It_ E 10 E N m i1 _ w ~ I w_ w d > O. A : OL > a 'W L : co co co "O m) N 'O N N i N T O O O 0 o c a 4 CO o a a a L CO N N Z e0 L co (n U) H F- _ '2 L 1- _ `2 N N d m n m 3: 3: 3: 1 1 0 0 Z O O 0 0 0 0 3 a a a 3 a a a w CD Q) a z z C 7 O y C) o f N \ w 01 N V ~ rn rn rn rn z N ITV Q O O N N N ,FYI - o C) C 0 O O O O to 0 CD O O 7 m m 7 m ~ "O N N N h 00 o 3 o N c o N c 0 0 -00 E 04 LO CD CD co co E Y N E m rC 'O N N w N CO m C r N Co Lo L'' c- LL C co N 'O C 01 C) .O W ,C C) co cm ~ M O M N C? N O O O co Q N O O U • y~,~' O N (n LL N O Z N Z M O Z L' Z R co V .r E E a a E 'c C c p APR - 6 -7 t5,4 1 1 4 d VOL18 PAGE 4703 XAT11LMM H. WILSV- REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR fiECORD CERTIFIED SURVEY MAP 02/12/2624 12:45PA rrPTTEJjD~q"2VVV "AP LOCATED IN THE SE 1/4 H SE 1/4 OF SECTION 29, T31N, REC FEE: 13.00 R18W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN, COPY FEE: BEING PART OF LOT 5, CERTIFIED SURVEY MAP, VOLUME 10, PAGE 2d*,EbOCOMENT NUMBER 520779, PART OF LOT 1, CERTIFIED SURVEY MAP, VOLUME 6, PAGE 1534, DOCUMENT NUMBER 402649, AND ALL OF LOT 6, CERTIFIED SURVEY MAP, VOLUME 10, PAGE 2812, DOCUMENT NUMBER 520781. 401 A ..G.SK LOT 8 xm• JO,, B 24JZ 1.415 ACRES. 61,824 Sr. 1.242 ACRES, 54,082 S.F. ~-1=74V ~m ~ OF THE NCUJDING TOWN ROAD EXCLUDING TOWN ROAD SE 1/4 OF THE SE LJ/4 RIGHT-OF-WAY RIGHT-OF-WAY DR19MY 19" E 494.79'] _ - 9.00' 3 S23 44 ; E 9 ~I ^ -~.~AT _ ` 1- ~r N ~n N I 'PA M' P.534 & 65 ~Cr~ • 0~ ~ _~L X18_' f.- 1 2-00 eRd H I 181811 N00'17"E 39.50' ~ • , PROPERTY TRA A5 FEND 4 ® o 4 ~TROM A OLT 2 2_ 3 cor 5 00PAGE 0 yy(~ yZ N L 11 'JI' DOC, 1 1¢Q ~i I ~JZ o ~I L r--~ 238.73' N W I I I I 1 I I ~ r ~ N I I LOT 4 LOT 7 I 1y~-9 3 ~di~ 11586 19.635 ACRES, 855.323 S.F. cNl INCLUDING TOWN ROAD RIGHT-OF-WAY x I t NJ bxyl ^ w1 i 19500 ACRES. 849.434 S.F. M w 1 EXCLUDING TOWN ROAD 1 RIGHT-OF-WAY n g I I I I ^ I a l I H I I POINT OF _BEGINNING 1 1314.36' N I _ _ 658.65' 655.72' S 1/4 CORNER N 89129'27" W SECTION 29 SOUTH LINE OF THE SE 1/4 SESE CORNER CTION 92 T31Ni, R18W UNPLATTED LAND LEGEND T31N. R18W - V - - - - - - 3 COUNTY SECTION CORNER MONUMENT. N ALUMINUM CAP. FOUND. o-I 1.68f 'PER 18" RON POPE LINEAR FOOT SET. FNIG fZ • 1 1/4" IRON PIPE. FOUND. , SCALE IN FEET ®EXISTING BUL.DNG I~ s ° D 100 200 400 ~ EXISTING WELL. I~K EXISTING SEPTIC TANK. fi I *NOTE ALL RON PPE ARE D1ENSIOMED AS OUTSIDE DIAMETER* THIS INSTRUMENT DRAFTED BY JEROD A. FINK PAGE 1 OF 2 Vol 18 Page 4703 Parcel 038-1120-30-085 06/29/2007 11:17 AM PAGE 1 OF 1 Alt. Parcel 29.31.18.498A-40 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/12/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner RAYMOND FAGNAN O - FAGNAN, RAYMOND 973 192ND AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 977 192ND AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 1.415 Plat: 4703-CSM 18-4703 038-04 SEC 29 T31 IN R1 8W PT SE SE BEING PT OF Block/Condo Bldg: LOT 08 LOT 5 OF CSM 10/2810 NKA CSM 18-4703 LOT 8 (1.415 AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 29-31N-18W SE SE Notes: Parcel History: Date Doc # Vol/Page Type 02/12/2004 754114 18/4703 CSM 10/24/2003 744692 2442/548 LC 03/26/2003 714650 2183/499 WD 03/26/2003 714649 2183/498 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.415 27,900 145,600 173,500 NO Totals for 2007: General Property 1.415 27,900 145,600 173,500 Woodland 0.000 0 0 Totals for 2006: General Property 1.415 27,900 145,600 173,500 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 `VlltsconsinDepartment ofIndustry, SOIL AND SITEEVALUATION REPORT Page of Labor and Human Relations Division of Safety & Buildings in accor ' is. Adm. Code , COUNTY Attach complete site plan on paper not less than 8 l Al inchi4oir 'Fe. Pla include, but V F not limited to vertical and horizontal reference poi ~A+t , di . * tl~'/o of slo , ale or PARCEL I.D. # dimensioned, north arrow, and location and dista ce-tD nea4ii (road. REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRI LL II~Ff~EiF[IA`TION PROPERTY OWNER: t;a`ei `PROPERTY LOCATION GOVT. LOT W 1/4 SW 114,SQf T N,R /I E (or)6? .31 PROPERTY OWNER':S MA NG ADDR hS L * BLOCK # SUBD. NAME OR CSM # a ` D de, CITY, STATE ZIP CODE PHONE NUMBER' ❑CITY ❑VILLAGE MOWN EAREST ROAD r,QCri• `SAO / 7 (7$Id -17- 31 y~ S r / ✓G X New Construction Use D(] Residential/ Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow. 75a gpd Recommended design loading rate bed, gpd/ft2~_trench, gpd/ft2 Absorption area required ~y 3 bed, ft25b'. trench, ft2 Maximum design loading rate . '7 bed, gpd/ft2 . S trench, gpd/ft2 Recommended infiltration surface elevation(s) fO~~ ft (as referred to site plan benchmark) Additional design / site considerations Parent material 42at__ a, Flood plain elevation, if applicable /V/101 ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE Sv,STEM IN FILL HOLDING TANK U = Unsuitable fors stem Q~ S ❑ U cy" ❑ U NS ❑ U S ❑ U ' S of ❑ S ,~l U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary RootGPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. M-B~f Trench r y m . ~ C Ground -2 o 1, Zel -7 elev. Depth to limiting fact 3 Remarks: Boring # -9 D 3 S/ L's •~~16 Ground WO-46 `l/ ~ ® a . 7 elev. /fit Depth to limiting f'7or Remarks: CST Name:-Please Print Phone: Address: Signature: /ol Date: CST Number: PROPERTYOWNER SOIL DESCRIPTION REPORT Page - Of PARCEL I.D. # or V Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench •yti.'4 tQ:~: ~ r::t?' o~ a2- ir~/►-~- G / lei Ad Ground elev. lQ~~ft. Depth to limiting fact f- S Remarks: Boring # LS / • S :•:::,tiw I VA IV,, 31-z S~ Inir >:.:-ro d Yom-. S , l ~t Ground... 7 elev. /Osa ft. Depth to limiting factor 7/d3 S-3 Remarks: Boring # / _ D ~ S ~ rr~ ~S f' • s ~ . 6 y~ oow-~- S Cs s ~6 4.. Ground elev. %o ft. Depth to limiting factor 3 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) r Y r Soil Test Plot Plan Project Name Ray Fagnan Byron Bird Jr. Address 973 192nd St. New Richmond Wi 54017 C 479 Lot 5 Subdivision Date 7/13/94 NW 1 /4 SW 1/4S28 T 31 N/R 18 W Township Star Prairie Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of P.L. Corner Stake System Elevation 101.2 * H R P Same as Benchmark 90' 369' P.L. 0-01 B.M. 5' B-2 15' -1 6 O Slo e 0' 120' Pri A B-3 N N vi O ~ r ~ a. 0, a Rep A 10% Slope B-5 15' -4 Pro 3 Bedroom House 349' P.L. STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Q t F r, s j~~ ADDRESS a3 J (1j ► SUBDIVISION / CSM# LOT SECTION P-1 T,31 N-R ( W, Town of r ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM b 3~ 1 ~ INDICATE NORTH APRON' Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: W)'i It, ALTERNATE BM: Pon SE C TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufac LAP Liquid Capacity: Setback from: Well 7S, House Other _ r Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM "It Width: /02 Length ~ Number of trenches ZLZ Distance & Direction to. neatest prop. ine:2~ Q ZLw Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold ~ Bottom of system Existing Grade ~ CFinal grade 1 DATE OF INSTALLATION: 2-c,2 O ~n r 1-n PLUMBER ON JOB: LICENSE NUMBER: ~tl INSPECTOR: 3/93:jt Wisconsin le artment of Industry, Count p PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GEEpNt}E~pR~dACiNAN~L INFORMATION P 1''A , NMMOND ❑ City ❑ Village R Town of: State Plan o.: CST BM Elev.: Insp. BM Elev.: BM Description: X Parcel Tax No.: f _h9500061 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r_ Benchmark 00, 4~1,1 5E Dosing `'J yf Aeration Bldg. Sewer q"?, C/ Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic >Sv• 17 NA Dt Bottom Dosing NA Header / Man. QU. S ' Aeration NA Dist. Pipe ~d_ 5' QU 2e Holding Bot. System q PUMP/ SIPHON INFORMATION Final Grade ' 93 Manufacturer Demand { C r? ! 17 Model Number GPM TDH Lift `riction System TDH Ft Forcemain Length Dia. FFii Dist. To well SOIL ABSORPTION SYSTEM BED /TRENCH Width Len tI, No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSI N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System: `elR 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 e ~0 Bed /Trench Edges r..~`c2s Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Star Prairie.29.31.18W, SE, SE, Lot 6, 192nd Avenue Plan revision required? ❑ Yes E`No Use other side for additional information. Liz SBD-6710 (R 05/91) Date 61 Inspe is Signature Cert. No. f SANITARY PERMIT APPLICATION e-1tllLlllr■IIR In accord with ILHR 83.05, Wis. Adm. Code COLIN n I 1, / STATE 4R ARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 411 QQ~~1J,t/p_//► 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION 92L_;Z Ce, r~7 Y. SE S OC9 T J, N, R l E (or)® PROPERTY OWNER'S MAIL HOG ADDRIKS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 13 11. TYPE OF BUILDING: (Check one) El State Owned O VILLAGE: NEAREJT ROAD ❑ Public li~1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(S) / III. BUILDING USE: (If building type is public, check all that apply) ©3 T- ! / d2 e:v 1 El Apt/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 in line A. Check line B if applicable) A) 1. kN 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 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 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 ~o 6V3 6" 7 t..✓ Feet Feet VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's ature: (No Stamps) r MP//MPRSW No.: Business Phone Number: . 3 1 9 6 ✓ j ~ Y Plumber' ddress (St feet, City, Sta e, Zip Code): v IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee pnciudes Groundwater Date ssue Issuing Agent Signature (No Stamps? Approved ❑ Owner Given Initial Surcharge Fee) at- Adverse Determination 7j 1 q~, A X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety 8 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 the 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 & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. ll. Type of building being served. Check only one and complete # of bedrooms if 1 or2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) r PLOT PLAN PROJECT Ray Farman ADDRESS 973 192nd Ave. New Richmond Wi 54017 SE 1/4 SE 1/4S 29 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX -~~7 MFRS BYRON BIRD JR. 3318 r DATE8/4/94 BEDROOM 3 11 CONVENTIONAL )00( IN-GRO PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 648 BED SIZE 12' X 54' BENCHMARK V.R.P. Base of SE Corner Post ASSUME ELEVATION 100' ❑ BOREHOLE O WELL •H. R. P. Same as Benchmark 21 VENT SYSTEM ELEVATION 88.3 12" GRADE n AR COVERING 12;' 3g(DT K 165' P.L. 15' B.M. Pro 3 Bedroom House 105' 0' N N ~ a. T 'b a r ~ B- 35' 60' -2 L'B- 30' - - - 30' B-3 30' Rep Area Ven B-4 0 b \ 109 ' 209' P.L. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT 'abor and Human Relations vision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less e ' ize. Plan must include, but Cr0 t x not limited to vertical and horizontal refer c nt (tM), directi of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location tanc r,?st roa i REVIEWED BY DATE APPLICANT INFORMATION-PLE PRI.t1L INFMA PROPERTY OWNER: ' PROPERTY LOCATION GOVT. LOTS t 1/4S 1C, 1/4,S011IT 1 N,R E (or PROPERTY OWNER ':S M ING ADDRESS r~t•F'' ? LOT # BLOCK # SUBD. NAME OR CSM # GJ \ ~~l1Pa 6' CITY, STATE ZIP COD ` ,,PHONE NUMBER ❑CITY EIVILLAGE ZrOWN NEAR ST ROAD JX New Construction Use Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 50 gpd Recommended design loading rate 7 bed, gpd/ft2 8 trench, gpd/ft2 Absorption area required bed, ft25J trench, ft2 Maximum design loading rate bed, gpd/ft2- Ar trench, gpd/ft2 Recommended infiltration surface elevation(s) S . ,3 ft (as referred to site plan benchmark) Additional design / site considerations /2c 's Parent material Oc(r6 Lx.., .cr S Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM I FILL HOLDING TANK U= Unsuitable fors stem ZS ❑ U [2 S El U ®S ❑ U S❑ U E] S U ❑ S Z 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. c Bed Trench Ground 7 Depth to limiting factor 3- y Remarks: Boring # 6;, z ►0 3 7- -S In;, Ground Depth to limiting factor 34 Remarks: CST Name:-Please Print Phone: Address: -Ie_ J S, b Signature: gals ~1 Date: ✓ CST Number: SOIL DESCRIPTION REPORT Page of m I 0 I~ n Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trer& z r 3 ^4A1-9- s a 04 Gr Ac- t/ _ S 4s 7 ` Ground 71 Depth to limiting factor Zf Remarks: Boring # I 6,4r S cs N' 'is GroundOry ` elev. ft. Depth to limiting fog 6 Remarks: Boring # 3/7 11,4 Ground 0-7.2 oft. Depth to limiting factor d . 5 Remarks: Boring # iti• Ground elev. ft Depth to limiting factor Remarks: SBD-8330(8.05/92) =MEN 4 Soil Test Plot Plan Project Name Ray Fagnan Byron Bird Jr. Address 973 192nd Ave t New Richmond Wi 54017 T 3479 Lot 6 Subdivision Date 7/13/94 SE 1 /4 SE 1/4S29 T 31 N/R 18 W Township Star Prairie M Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Base of SE Corner Post System Elevation 88.3 * H R P Same as Benchmark 165' P.L. 15' *B.M. Pro 3 Bedroom House 105' 0' a ~ a 'r B- -2 Pri Area ►r 40' ' 30' 0 30' B-3 Rep Area ' B-4 - -1 , 109' 209' P.L. . Franklin sa o" aeTM KITCHEN BEDROOM Ie•s" . Io•a^ 0 tv.. ~o•a•• ~ ~TM GARAGE GARAGE Ie• : ea RR CLO CLO Ia• : za r----~ LIVING ROOM G r----~ 141" . Iz•e•• BEDROOM BEDROOM 9 10-4" 1 W a e° . v I I I I B ent an in I 960 sq. ft. house, 384 sq. ~'I 5?0'781. CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE SE 1/4 OF SECTION 29, 1 TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. (0 U 29 '941 ST. CROIX COUNT'/ FILED mprehensive Plamils Loring and AU G 0 1994 P,rks Committee Z JAMES O'CONNELL 9 Register of Deeds If no-t raeorded OWNER & SUBDIVIDER St CrolxGo.,WI writni 30 dayscbf RAY FAGNAN . oval dalto N 973 192ND AVE. aWevat<shatt-to NEW RICHMOND, WI. 54017 nt#& void E 1/4 CORNER SECTION 29 T31 N, R 18W w r N Cp O o N O rr) CENTERLINE OF ROAD 1 _92ND_ AVENUE N 89°42' 19" W 834.00' O Ste' 19" E 244.00' - - - - - z O n o NORTH LINE OF THE SE-SE w O? 0 N 88044' 45" W 244.03' _ C) " LOT o POINT OF BEGINNING N V) 1.171 AC. t 100' o cy) LOT 1 o C"i Q1 u, 50996 S.F. ~ " C.S.M o N 1 w INCLUDING TOWN ROAD ll~ 3: V_OL_. 6 0 ~ 0 r; ~I N a0 _ _ ~ N PAGE__1534 SE CORNER z Q 1 r` 1.00 f 8 AC. SECTION 29 Z 1 0 43,921 S.F. ± o 1 O EXCLUDING TOWN ROAD o0 T31 N, R 18W z cn N 89°42' 19" W 244.00' - - - UNPLATTED LANDS 0., > LEGEND Q COUNTY SECTION CORNER w MONUMENT FOUND. m w • 1" IRON PIPE, FOUND. D O 1"x 24" IRON PIPE, WEIGHING 1.68#/LINEAL 108T' GHTWAY SETBACK LINE SCALE IN FEET MM9 0' 25'50' 100' 200' THIS INSTRUMENT DRAFTED BY DARIN FLATER PAGE 1 OF 2 VOLUME 10 PAGE 2812 t DESCRIPTION A PARCEL OF LAND LOCATED IN THE SE 1/4 OF THE SE 1/4 OF SECTION 29, T31 N, R 18W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: COMMENCING AT THE SOUTHEAST CORNER OF SAID SECTION 29; THENCE N 00017' 27" E 1320.46' ALONG THE EAST LINE OF SAID SE 1/4; THENCE N 89°42' 19" W 834.00' ALONG THE NORTH LINE OF SAID SE 1/4 OF THE SE 1/4 TO THE POINT OF BEGINNING; THENCE S 00°17' 27" W 209.00' THENCE N 89°42' 19" W 244.00' ; THENCE N 00"17' 27'' E 209.00' S 89°42' 19" E 244.00' TO THE POINT OF BEGINNING. THIS PARCEL CONTAINS 1.171 ACRES, MORE OR LESS, BEING 50,966 SQUARE FEET, MORE OR LESS, INCLUDING EXISTING TOWN RIGHT-OF-WAY AND 1.008 ACRES, MORE OR LESS, BEING 43,921 SQUARE FEET, MORE OR LESS, EXCLUDING EXISTING TOWN RIGHT-OF-WAY. SUBJECT TO EASEMENTS Or RECORD. I CERTIFY THAT I HAVE MADE SUCH SURVEY, LAND DIVISION AND CERTIFIED SURVEY MAP BY THE DIRECTION OF THE OWNER OF SAID LAND, THAT SUCH MAP IS A CORRECT REPRESENTATION OF ALL THE EXTERIOR BOUNDARIES OF THE LAND SURVEYED AND THE SUBDIVISION THEREOF MADE, AND THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF CHAPTER 236 OF THE WISCONSIN STATUTES AND THE SUBDIVISION RULES AND REGULATIONS OF THE TOWN OF STAR PRAIRIE AND ST. CROIX COUNTY IN SURVEYING, DIVIDING AND MAPPING THE SAME. NOTE: THE PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND TOWNSHIP LAWS, RULES AND REGULATIONS (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC.). BEFORE PURCHASING OR DEVELOPING ANY PARCEL, CONTACT THE ST. CROIX ZONING OFFICE AND THE APPROPRIATE TOWN BOARD FOR ADVICE. DATE: JUNE 24, 1994 REVISED: AUGUST 1 1, 1994 FRANCIS H. OGDEN S-882 JOB# 94-2079 REGISTERED LAND SURVEYOR OGDEN ENGINEERING COMPANY 113 WEST WALNUT STREET RIVER FALLS, WISCONSIN 54022 OWNER & SUBDIVIDER ERAIVCIS H. RAY F A G N A N 973 192ND AVENUE OGDEN - gg82 = NEW RICHMOND, WISCONSIN 54017 RIVER FALLS, ~-r vas. PAGE 2 OF 2 VOLUME 10 PAGE 2812 ~d O.. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS / l 5 4p PROPERTY ADDRESS l location of septic system) Please obtain from the Planning Dept. CITY/STATE C eA'J f- - c c~-~ ,Z_N-R~W PROPERTY LOCATION 1/4, 1/4, Section Tq TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER 44: to la o2$/vZ CERTIFIED SURVEY MAP VOLUME , PAGE J'OT 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 y on date. SIGNED: ~7 DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 1 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 Location of property /4 1/4, Secti n ,T N-R W Township G ~~1 J Mailing address '9~ /y~ _ loe"'ll r 09 Address of site 9 Subdivision name Lot no. other homes on property? Yes No Previous owner of property ZY-A e--1,5 Total size of property 1~4 4 C/, Total size of parcel ~o eri Cr- S Date parcel was created / o °-o? 7 . fy 6 Are all corners and lot lines identifiable? jk Yes No Is this property being developed for (spec house)? Yes _2C No Volume Q,4' and Page Number 3 ° as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No.~ d S 7 3 , 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. Sign ure of Ap 1'cant Co-Applicant Date of Signature Date of Signature No. M W&MUfs Dni-alb Hubmd Ma wtes M $do famo . M115hd D7 ?+n CWM Soot k StAtIM Y Co. 290573 This Indenture, blade this 27 day of . October ~ 19 67 between Francis tFagnan and Virginia Fagnan, his wife, c, part i es of the first part, and Raymond Fagnan and Pauline Fagnan, husband and wife, as joint tenants, parties of the second part. Mttntt 004, That the tai part ies of the first part, for and in consideration of the sum of Nine Thousand ($9, 000.00) Dollars, to them in hand paid by the said parties of the second part, the receipt whereof is hereby confessed and acknowledged, have given, granted, bargained, sold remised, released, aliened, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said parties of the second part, as joint tenants, the following described real estate situated in he Coun y of St Croix , Wisconsin, to-wit: to undivided one-halt interest, in ,and to the: The Southeast- Querter of tie Southeast Quarter (SE~SEf),and the South Twenty-five (S25) Acres of the Northeast Quarter of the Southeast Quarter (NE~SE~) of Section Twenty-nine (29); The Northwest Quarter of the Southwest Quarter MOWS) of Section Twenty-Eight (28); The Northwest Quarter (NWT) of Section Thirty-three (33)' All in Township Thirty-one (31) North, Range Eighteen (1$j West, St. Croix County, Wisconsin. Vgtt4t4 with all and singular! the hereditaments and appurtenances thereunto belonging or in anywise appertaining; and all the estate, right, title, interest, claim or demand whatsoever, of the said part i e s of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. Zo I?abt drib to Kolb, the said,premises as above described with the hereditaments and appurtenances, unto the said parties of the second part, as joint tenants. Anb tot eatb, Francis Fagnan and Virginia Fagnan, his wife, part ies of the first part, for themselves , their heirs, executors and administrators, do " covenant, grant, bargain and agree to and with the said parties of the second part, and to and with the survivor.of them, his or her heirs and assigns, that at the time of the ensealing and delivery of these presents they are well seized of the premises above described, 6oK eAnUE' _ (b r- I. n tY~ ~ C' C ►r o) O ~0 y b a c R• a. . , ) r Ib ► ;d 1 4 h 1,•v y a n o ~o Ib d ~ {f ~ i (•dtt~ou putt ttaseaujim •saa)att,3 ftz"U IW so." wmsa *0 Um"m wn""4 +o M" xmwo *AIR nvw PvWtt~ W of ywmw7ml rItt WD p{psoaA 'aittiS 'o)M 64 '4J-'U*N) UTSUOasTM 'PUOWgDTg MON "A'eU 4V sA9=044V 's9tj2nH '0 seg2nH dq pagjejQ (Vmnd-WH.safogs" n TMWsaos) OL6T' 8T -WLdzj uorssraruro,?,XR •ttrsuoosrM'ri;unoo XT0.13 •14S `ollgnd6ia;0N T" V, sapue x& - LBa.Lnr?yio _uepuuq.,fw;as,o;unasar{a,3oa~a •paure;uoa uraraq; sasodrnd aq; rol arises aq; pa;ti3aaa aq4 ;eq; p08p0le+0u.Yoe pun ;uacunr;sur urgym aq; o; pagrrosgns g aureu asoq,a g uosrad aq) aq o; (aaeord r(lrro;oelspes ro) uaourlIIEU2E3 ETuTS•ITA puE uEu2-ej SToi vad pareadde ,dlluuosrad'raorgo pauSissapun aq;' ' TOA9N UVA SaauE.Id'7i3$ xxixxxffvxv:r 'aru arolaq' 1,961' .Iego4oo ;o Asp LZ aq; srq; u0 rf;uno0 XTO-10 •4S •ss `trtpuoalst~p 3o a;UI~ (leas) TOAM uEA saauE-ld suosul~or d 'tpne (lnaS y `,~yW,,~ to aouasa.rd ar paranrlaa pun paleas 'pa`uils ' L9 6T' .Iego4ap to ring 1,z srq; s lnas Pun s Puvq .ITalq'4 ;as o;unaraq ed eq;red;ssg aq; to SOT ;red pies aq;'loaaa(]M 003WjM uJ[ 'QNggVa QNV JNVZf;Y 'M raeasol l1 Ai dais- loaraq; ;.red hue ro alogrx aq; Surrmnlo Allnptel suossad ro uosrad fxaAo'pus ile ;sur02e 's;ueua; ;carol se `;red puooas ail; to sar;red pies aq; to uorssassod algeamad pup ;amb aq; car `sasruraid paure8req aeoge aq; ;eq; pun 'Jana;egrI saoumgmnoul lle moil realo pun aarl are auras aq; ;nq; pas 'aldmrc aal car 'AM[ oq; cal aaae;uagar to omsa algrsealapul pun a;nlosge `;oalrad `arns `poo8 a to sp r n~ 33yJ ~ Moog