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026-1116-30-000
0 0 0 c~n 0. 0 0 =~`9 c o o m o N - Z o ago m o vp c N E m (n ca 0 0 cQ'i o t . I ~ m COL E c o m c~ o~ E I U O N N- N N N E d 7 N C Q , T o 0 V) 0) 'O Z rn L Z C N G co c cu :5 _j U. c LL -2 O w O L) C ' 3 a) Z 3 Q v ¢ c r o.w I Cl) M 7 0 Z N Z N Ft Z 00 C Z L L d d d ° w a co a m 0 c C7 -6 m a O Z a c c N N 4) Z d 'Ill o o o rn ro Z m c E ° c a M '0 N N C C3) CY 7 CL C n d' W a) W N • N N C N N dl N a cn g a U) o a~i Q o 0 Q N 3 zco z zco z 0 Z co _0 N t- cc 0 E ~V j O y y (6 O _ y LO G m .L.U C (0 (D a. m ..C~ L CD C) ° I.. O O a o o a a~ N 1~ N N N ~I !n !N fn 3 o o c rn y cn 3 N H H H o N N ° F- F- ~ d Of • a E~O.aa as z°oo Oaaa m s a ry 3 0 s Z° o U) 3 v v (n W J U Z OOi } Z C M ~ O N - 0 O O ~ w- O O a O N N ° 7 ° a - - = Q) co m .d. p rn w p cn Q > rn ¢ Z ii) O (O N N N °0 3 y ° co w0/s c v a rn o 1 c_ O c~~C++ o a o 0 c Gi CJ C _ c O O N. E (D Y Y N \ F.r 00 a) o N c c ra r 0, v _ C N N C 0 y 7 M CD U) N C N (D > W Y N O a) G O N O ttx'' I~1 6 M L ~ O ao 7 C O 04 cu 0 U) co cu 0 O d N Z N 2 U) (n - O Z N Z Z O y I r 2.1 V Q 'III O a N a a w a • c m u m y c E ` c .rw 0 m 3 3 o 3 :4 0 r A U(L 0 a)U 0 LnU STC - 10 4 AS BUILT SANITARY SYSTEM REPORT } e+a I-A OWNER V t O~r~T-zra.~' ADDRESS _~,5'Z) j N y fe 5 a u_I 124 e, a,-rin.Jn Ir i UBDIVISION / CSM s LOT Zz aw"~ECTIOXo N-R,~$W, Town of ;T. 'CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM f i i3 i -iig 37. 0 'i INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. t I BENCHMARK : /4rC D 7' U ~T~Z~[ ~YCr~D 4 .3 ALTERNATE BM:~ m ~L-plc. ~QJ/,'27 SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufa turer: i Y' 1quid Capacct ~ Setbac from: Well q House' Other I - Pump: Manufacturer Model# ~ Size Float seperation Gallons/cycle:! Alarm Location i SOIL ABSORPTION SYSTEM Width: ' `-17'4 Length Nomber of renches Distan~e & D'rectior to nearest rqp. 1ine:k- { Setback from: well: House; V 7er T1 ~Ct~ } j ELEVATIONS Buildi g Sewer S ST Inle_t. C+~ ST oufilet S~ PC inlet. PC bottom Pup Off Header}'Manifold Bottom of syst Existing Grade Final grade r DATE OF INSTALLATION: PLUMBER ON JOB: - T LICENSE NUMBER: 2/2 rj INSPECTOR: [v 3 3/93:jt r~ 1 ~I d ' N h C N I 1 mac`- Q I 76 4 b L ~.1 Wisconsr Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor an ' jman Relations INSPECTION REPORT ST. CROIX SafE<y andings Division , (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village n[], Town of: State PI o.. WILLOW RIVER JOINT VENTURE X CST BM Elev.: Insp. BM Elev.: BM Description: R, _011 Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic,, f ®b Benchmark /0 0 `0 0 Dosing H'L~ /o 1.2 106' Aeration Bldg. Sewer 6.37 5,03 Holding St / Ht Inlet 4,(~ -3 '?yr 7 7 TANK SETBACK INFORMATION St/ Ht Outlet ~y (o TANK TO P/ L WELL BLDG. AirI to ntake ROAD Dt Inlet rl Septic /5'6 NA Dt Bottom R3-pf Dosing NA Header/Man. '71 5-(y 4 , 7 1.5-3 9 ar3.~~ Aeration NA Dist. Pipe 1,7 Holding Bot. System 9aF~3 47 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction Syestem TDH Ft Forcemain Length Dia. FFii Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length ! No. Q Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~1~ DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of I)ltl A)IIt OR UNIT Model Number: System: /d 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.) 7 LOCATION: Richmond.1.30.18W, SE, NW, Lot 22~ s-q -7 7-7 J t X Plan revision required? ❑ Yes ❑ No Use other side for additional information. R/1-' (O SBD-6710 (R 05/91) Date Inspector's Signature Cert No. _ SANITARY PERMIT . -COUNTY CILHR TRANSFER/RENEWAL UNIFORM PERMIT # (PLB 67-T) d 1 b~ PERMIT RENEWAL DATE: PERMIT TRANSFER DATE: ORIGIN PERMIT I SUANCE DATE: STATE PLAN I.D. NUMBER: PROPERTY LOCA I CITY: %'S ( ,T3 N,R O/E (O W OWN 6-F) 'B LOT NUMBER: BLOCK NUMBER: SUBDIVISION NAME: f ROAD, LAKE OR L~NDD~M~ARK: 272- W, //01.1) leiJL-~ 014) ~'W T PREVIOUS SANIT PERMIT HOLDER (IF CHANGED): SANITARY PERMIT TRANSFERRED TO: NAM : GNATURE: - NA PHONE/NUMBER: ADDRESS: PHONE NUMBER: ADD ESS: I, the undersigned, hereby assume responsibility for installation of the private sewage system that has previously been approved for this property. PLU B S SI ATUR _ PREY, S PLUMBER'S N (IF CHANGED): 3 s' MBE ADD S ~v CS PREVIOUS PLUMBER'S DC ~GQ/ (MPJMPRSW NUMBER: PHONE NUMBER: MP/MPRSW NUMBER: PHONE NUMBER: (7~5 ►►l ~Z ~.~o ~S'~~~ nt5) a916-J73S__ SIG ATURE OF I S ING AGENT: DATE APPROVED: DISTRIBUTION: Original-County Copy - Bureau of Plumbing O (a 7 Copy - Owner ft DILHR-SBD-9 ( .5/82) Copy - Plumber S~ Dn_op t i--- = to 1-9 d SANITARY PERMIT APPLICATION ' ti' LriR In accord with ILHR 83.05, Wis. Adm. Code COUNTY ' STATE S~IT~iER# -Attach complete plans (to the county copy only) for the system, on paper not less than Q! ~D[ IV` 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 19 )11 1 ~ bt, a .9t/4 /V 0/4, S T ~O N, R J ~ ) W PROP RW OWNER'S MAILING ADDRESS LOT # BLOCK # 5715 s s a::k CITY, STATE 06 ZIP CODE PHONE NUMBER SUBDIVISI N NAME OR CS NUMBER II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE : t ` ~c G ❑ Public K 1 or 2 Fam. Dwelling-# of bedrooms PA CELTAX NUMBER( S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ 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. 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 420 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 co ® S -1;L16 13 i ~ 3 ( Feet ~ Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New )Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App T nks Tanks structed Septic Tank or Holding Tank El M 171 1 F1 Lift Pump Tank/Si hon Chamber Ej El El I El Vlll. RESPONSIBILITY STATEMENT I, the undersigned; assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu er's Name (Print): Plum er's Sign re• No Stamps) /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, Stat ip Code): l ~;16 1-9~_ IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanita Permit Fee (Includes Groundwater ate Issued a:03. gnature (NO Sta pal ~ Surcharge Fee) , Approved ❑ Owner Given Initial Adverse Determination zX. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: safetyBuildings 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 The 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 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 in line A. Complete line B if permit is for tank replacement, reconnection, or repai r. 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 systern. 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. i SBD-6398 (R.11/88) AV LJ 15c)s ~ I ~./Yleadaws Pte. ~.1 I~9~ /ax 6 9 %G y ,I o 0 lp" >o W s /Z /.Aso • , r 1T) ~ ~ l\ ~ S ~ ~ C ~ 1 t) t'1 c A Utz J ~ S 1 C Fra►A Air Inlel► And 0p►e rvotlon Pipe Veal Cap . ►11Mrn~ra 12' Aaere . final CraOe • 20. 424 A►ara Plot _ 4' Call Iran To final oraaa Venl Ilya Wrr° tieq Or $ rnlA.lk Cererln~ kin 2' A/l,el►la Oral Plye Oletrl►rllon Plte e o o -Tea i ~•A11~eleta Oeneala Ilya ° PNleratea Plra 6e19r 0 Ca.glnl TNa,lnalinl At dollom 01 SfeJen► Prup ►on SOIL FILL DISTRIBUTIOM PIPE APPROVED ZyNTMCTIC"COVC 2"0F hGGRE6A.1E AT9RI,% OR 4" or, sTRAW S;:. ~ OR MARSH µI1`.! ~~EV. O b~!r f:•OPlz-~I/Z AGGRCGATE ePw F FEFY. OiSTRIBUTIUIJ PIPE TO INC AT LEhsT _ r IAICKCS BELOW ORIGIM' AL GRADE AQU AT LCASTLO IIJCHCL BUT {.10 MORC THAI) 42 INCHES OELOW FINAL GRADE MNcU1uM Da PrH OF FXCAVATIOP rXo11 OR16WwAL 69ADF- WILL BE ruKiMUM 0EFT11 OF IFXCAvATIoM r'RO^ 0' 14INAL GRnVf- WILL BC IIJCHES INCHES SIGLICO: LIGCUSC UUMBE11: DATE: --el ywYM Y, pEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, _ 1 DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS 'ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP/ Y: LOT NO.:BLK. NO.: SUBDIVISION NAME: SE 1/4 NW 1/4 1 /T30 N/R18fx(or) W Richmond 22 n/a illow River Jt. Venture COUNTY: OWNER'S/MME: MAILING ADDRESS: St. Croix Willow River Joint Venture 1505 Hy. #65, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE r7DRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PER OLATION TESTS: esidence 3 n/a Chew ❑Rep ace Il 10-23-90 10-23-90 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONMOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) IUSOCEISEA ®S ❑U S ❑ S HU conventional DESIGN RATE: If Percolation Tests are NOT required If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 28 SIM BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHjW ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 7.33 97.77 none >7.33 .83bl.1. 1.33bn.sil. .42bn.l.s. 4.75bn.c.s. B_ 2 7.33 97.56 none >7.33 .92bl.1. 1.08bn.sil. .50bn.l.s. 4.83bn.c.s.&gr. B_ 3 6.83 97.71 none >6.83 .83bl.1. 1.08bn.sil. .67bn.l.s. 4.25bn.c.s. B- 4 6.75 97.37 none >6.75 .83bl.1. 1.17bn.sil. .75bn.l.s. 4.00bn.c.s. B- 5 7.00 96.51 none >7.00 .83bl.1. 1.50bn.sil. .75bn.l.s. 3.92bn.c.s. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IDCKM AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R PER INCH P_ 1 3.71 none 3 6 6 <3 P_ 2 3.50 none P_ none 6 6 6 <3 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 94.00 a_ E r E y ~ . _ _ . . AA r IM' Wfm E .3 f. _t T E i E 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: Gary L. Steel 10-23-90 ADDRESS: CERTIFICATION NUMBER: [PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi. 54017 2298 15-246-6200 CST SIGNAT DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - i ET' F 'il A_ C T THE OV (C St it t aft ol 803.51" 80 425.10 Q Vtlot t 4 1. z S, r 3r 147Acra to W 11, .1Nr 2.03 Auss o asy~ rymh ,tom ' 1 { ! 18._ N 1 2.02 ACrosI i ve ♦ 2.01 AC[W , ?73 7O 2.02 Apa .,1 ~ Mead e~ 5p Av 3 bid 2a ~m ~'°e zo3•A«a 15 ~b+ 2.15AUes ?79 ` 305: 2.02'ACros ry . . ' °a 208 99 13 21, 2.18 Afros 2.08 Acres J, 34 r 361:13 ° 9 N. 0 N _ 161.13 200, m 283.18 2.01 Acres ui 2.00 Acres, 2.00 Afros' gory 12 N 22 201 AcrM ZWACI'9t' N 4 .208 2141 m 135:29 Public 298. CC, 48D.74 . I Wis. { 2 Rai . .00 Afros, N . 2.22 ACM& Zy5 200 Acres 2 ♦6 N { 7 289 208.30 .~y 24 504.30: o. 2.0o Aua. r W. 6 y 28 2.27 ACM 2.02 Acres., h `p 15~ 425.25 x,00' ~l j o 1 c ° 318.33: 1 ~ m 25 2.01 -Acres r N ( 2.04 Afros N 640:49 @ N 7 ro 29 b 2.33 Acres N ,o: 2.32 Acres n .Bo w 4 77.60 r A ° ~ 1IYdl01A1 i 2.0 Acres, a m ti RIVBf 478.33 260.57 R°j~ r9g 77.60 City of New Richmond i 26 N 40 b ow i 2.39 H. hway 64 0~3 3 acres ma• i11 Aria N 507.06 30 228 428 200 211.03 2.08 Acres 1* C! a County Rd. GG 323.20 a N n 32 33 40 ~m N n 220 Acres N O. N1.94 Acrd CIS 2 31 N° o 1.81. Acre= N 203 Acres N r N l7 200.50 326.37 228' Highway GG (715) 246-2320 RRICK Route 1 New Richmond. CONSTRUCTION Wisconsin STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County CUI iL(.O w o/ "7- Vc"n 2c OWNER/BUYER /O 1q1C4i~4t-c. S mV r tS MAILING ADDRESS 150 5 l _Gj~ A]-'DL- 4wr ca At-0, _5~(o PROPERTY ADDRESS /7 f q ~ 7P ST (location of septic system) Please obtain from the Planning Dept. CITY/STATE LLcq~ /C/CP,'gOtJ PROPERTY LOCATION S 1/4, 14LA-1 1/4, Section , T 3 N-R $ W TOWN OF 1 C "4 M d u.D , ST. CROIX COUNTY, WI SUBDIVISION !N/ L L-6w WIL."'' LOT NUMBER Z - 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 year expira 'o date. SIGNED: 'e 0 V ~ DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 i STC-100 This application form is to be completed in full and signed b Ithe owner(s) of the property being. developed. Any inadequacies will only result ~n delays of the parmit issuance. ,Should this development be intended for resale by owner/contractor,(spec house), thenta second form should'•be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording , VvtL~,w l~v~ Sri arb owner of T . V~N~(LI~V' 4 cn•' G _ property - 0 M I Cti roc` IL S -Vt~~ ~ Gabs r Location of property 5 1/4 N*yl/4, Section 30 Township c~H ,vim 0 E-4 D Mailing address C Sc~ S (oc~ L) ri Address of site "1(0 ( ~44Ti4 C r, M,1=Nw Mo &10 subdivision name 5 Lot no. Z Z other homes on property? yes X No Previous owner of property (_1Q147UA Lac Sc.c-~ M 10 T- Total size of parcel Date parcel .was created !'Are all corners and lot lines identifiable? X Yes No is this property being developed for (spec house)? X Yes No Volume and•Page Number 9 as recorded with the Register of Deeds. INCLUD'E WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & 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 am the (we) (are) the owns propert descr r(s) of y ibed in this information form, by virtue off, a warranty deed recorded in the office of the County Register'',-of Deeds as Document No. G}So33~S , and that I own the proposed site for the sewage disposal system) Orr I e(we) obtained an easement, to run the above described the construction ,of said system, and the-same haso been duly recorded. in t ho- office Y of County Re sate No . 4Co 3"31 g r of deeds as Document si tore f app scant Co-applicant Date o signature Date of Signature. oCUMEN7 No, STATE 13AR OV WISCONSIN FORK 1-1982` t"is sr c . 4~ cu~R~►x ~N ~ ~ b>SEd "'REGISTER'S OFFICE T - r made between a .1... . Y + CROIX CO., WI ~1Ii# bibed, . T.' CR gerttUde.i,E- ,SChlni,t, by Beverl..y:,Buckher.r,„c3uAt~I.t Reed for Record .....Y:.:f: ► OUT 2* 1999 (Gantor, dt g , 00 A i M and 1~~1ie11 > + StevfHs r : W3 li aml H ! Derr-e, A t n~ Will io,.M+.Y. Ktt!CN1._ Tho049,1.! A499d .f.G Reoftolbsa& Reoi~eroflbeed: .......:.1:.... ..1.........---........................... { Grantee, WffiieSSOtilf That the said Grantor, for a valuable consideration VV u Gertrude E, Schmit b Beveri I3uckner ......1.._.._......... I pEtUpN tb Conveys to Grantee the following described real estate In t.?....OiX9.11-:.....• ' County, Mate of Wisconsini Southeast Quarter of Northuest Quarter and Northeast Quarter of Southwest Quarter of Tax parcel No, .Section ij Township 90 North, Range 18 West! This deed is glAt0 l pursuant to the Order to Se11 j dated October 16, iW j and the Confirmation of Agreement and order] dated October 19, 1989, both duly authorized by Order of the Court and whereas the dndersignedj gever'ly bucknerr is authorized to sell the same by+Lettera of GtiardiAfthhip certified on October 22i 1989. kAY .A 4 this :..no homestead property. (ls) (is not) Together with all add singular the hereditametits tend appurtenances thereunto belonging, , And.:..G,et.i;tude`..>l.Lh.t;hmii;. b 1leverly.: 11uoknr ..11:,...............: warrants that the title is goodf indefeasible in he timple and free and clear of encumbrances.peept easements j kodtr1ct1ong and rlght6 -of-Oay of rec ord j if any, a • and will warrlnt and defend the same, 19$9.... bated this day of October:..,..,.,............ 11...... :(SEAL) a~r.:- A:.f.~a.' :............(SEAL) .....:1:....1.........: Gertrude 1. Schinit by I3everly ....guorte>`~ •Gtla-rdi•ain , (SEAL) ..................•.:1:..................... (SEAL) ............................•.{....:,..•.•..1!...:1.1.•,1 it" :,.1 ~ lUt.l:.•iil::1.....,tY.1J1{.Ya.:.,,..+ .,,:,laJU::iI....::,.a n a ; At)Thti3t1~1~ltdAfittlrf ~ ~ AdI~N r dtATtl 60 tvIAMMMN • 13lgnature(~' •...::a,..t..i.alt.::a.,a.Yaaitl:Y.+..,ta.:..li•tsa:::..:la •:r ~ , All hev6riy huckrier ti•1Y..auaY.•a.ta....: .......,1.•,i•.1.Y•:Y...::.Yl:........a•:YLi1:Sa::. Y1 ....::County: authenticated this . day of....C..obe'r 19. Personally came before me this day of ! ! 119 c t 19...... the above named f lltfa:,::.~ I.4t4 ..r..ia !.:.:•.~i1 z.R,/Sf ►i~f►;tr J p af' ..Itrl661na ogiand LUNd€en • i.k,.Y•a1:Y•.i t u:,••1Y::.a{:.•, .N..a.aa1.N. ' ~llf.aiaflsla..uata:laY•.t:.Utlf{a't!f{t!{sti..:.f,. i.i.:.iat l:iai/ a•+al..laaliYl.J•{ti.YtY.a..JY•Y.iY.JYU.u.a.•tUusilita.a....: Y...:.... IMUDI A NtAT9 MR DO *16CONSIN 04 0,A5A,. jft. {.'1"t,1 r+ ::fj. Y.•~. ./~,i , ti J#i3aiaa..t••atktfall111liVfa!{Y!#::•,Na,.Y,lut•t.uaL .•lilt•:JY • J R #1I i1e Li l sal. J:fuf't, {i H .fi 1 .Ittiuii•~ liltl.itusY.lt `~l,.lal!ls.,.a.i.t.1t#iftif:all.,sass.a{t{ttattt#tu,...,fa P Ahther i13 9y 1 706.b~J to `md kHo~vti 4t1 be the person'..Yltl...... Who pxrruted the A `'~#~i „:t.l.Y, r•1++Rtitn +fh~?:1 `~t ~ ru•+r; gut 1• • ?a ~ti! R r~a;:''Y•;{ : t, ~r, , foregoing in3trument and acknmvledge the same. )i ( ■y 1 .t~.t1y;(1J11,ty{Y; * +L is r r r ? ,~p,~t.1<lij~ 'O 1a 11Q V~r~C~.t L ~ ~Cll 1..1...:.,Y.....,t.•tYtlttt.:.aLt1111►Y:•.Yaait.aYtittlYti+... a ~ ~ .t. .i::ulltlla .YYlai i11ta.1t Ul,Y:..l YlU►,. rl..:.......... t L a:. I~ ' flilli 61Y1t► l.i...Ytri.xlaa t,illitiaif t/f: liYlY tY1~J:Yl:.:JitYa.YYY. a.l:i Rotnti, Wis. 1646166* mad be authentl &64 eE ncknowiedged. Loth 11}- Commission permanent, (tf not, state expiration Ake Hot necissaty.) 19........) ARA#iiiU bi 'Oti iii iltnin` tit inj iapsllif lhoulti 6 4010 bt ptinted hlluw theft Atnaturki. i L ~ ~ ~.t;~~~hti, r .c•,.,.J 11•{_....1.. 1.1 ril..«I. r« t«.. SANITARY PERMIT APPLICATION u: ^ COUNTY V.~j,~AR In accord with ILHR 83.05, Wis. Adm. Code C<D STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11. inches in size. ❑ Check if revision to previous application application. STATE PLAN I.D. NUMBER -See reverse side for instructions for completing this appI'l 1. APPLICANT INFORMATION - PLEASE PRINT AL INFORMATION. PROPERTY LQC TION PROPE TYO NER tea /2%, S T36, N, R E (or)0 N BLOCK # CITY, PROPERTY STATE OWNER'S AILING A RESS LOT # P CODE r PHONE NUMBER SUBDIVIS ON N-~ME OR CSM NUMBER r S rc~ z 7 Z' : CITY NEAREST ROAD IL~t S II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ ILLAGE : C 4401m~ on ❑ Public,, ❑ 1 or 2 Fam. Dwelling-# of bedrooms- ARCELTAx NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) D t 3v 1 ❑ Apt/Condo 10 ❑ Outdoor Recreational Facility 2 ❑ Assembly Hall 60 Medical Facility/Nurs}ing Home 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 90 Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) Repair A) 1 ❑ New 2. ❑ Replacement 3. ❑ Rank cOnly ement of 4. ❑ ERec x song System 5.E] Ex sting System System System B) ❑ A Sanitary Permit was previously issued. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) Other Non-Pressurized Distribution Pressurized Distribution Experimental 11 Seepage Bed 21 ❑ Mound 30 [:1 Specify Type 41 ❑ Holding Tank ❑ 42 ❑ Pit Privy 120 Seepage Trench 22 El In-Ground 43 ❑ Vault Privy 13 ❑ Seepage Pit Pressure 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PnERC. R h) E 6. SYSTEM ELEV. 19 7. EFINAL LEVATION (p GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/dZ' sq. ft.) 1~o -'-3 Feet , 3 Feet , [J Vll. TANK CAPACITY Prefab. Site Fiber- Exper. in allons Total # of Manufacturer's Name Concrete Con- Steel glass Plastic App INFORMATION New xistin Gallons Tanks structed Tanks Tanks ~ Septic Tank or Holding Tank LiftPump Tank/Siphon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Si nature: (No Stamps) MPRSW No.: Business Phone Number: Plumber's Name (Print): Plumbe Address (Street, City, Sta ip Code): F dZ_ - l ` 00 f Z 11 IX. COUNTY/DEPARTMENT USE ONLY Issuing Agent Signature (No Stamps) Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued ❑ Approved ❑ Owner Given Initial*(537, v ©U Surcharge Fee) Adverse Determination 11 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber . tea, ou ~ty a Ilaings Div on Owner Plumber _ rr I "T, a a , s x tl~x~x 1•<•{°~~ra= r,=xz rr•z; f z '['Y T i 4 t. !.E S ♦ t a a a i . . a .Y.i~. - 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. 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 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 (8.11/88) Pl~ho OWS S R Z. S~VZn. 14471 ►1 coT* P-vC, ~l A-SCY2, f 4 I t - Co. D-0 C= la - mss-r 1-7(.o I t4 4-T:;A- ST s. ~ru~nn so N t'1 S 4 14.rµ S~- a 3 4 F1o2~t Ul ~ t o ~ j ,tgosws SitsN t M T 4 n~S. Go vN ry 75 c « ~j 9 T a -0 E a c o v o eT t 00 ° ~oaE « 1O T~ N m m cQ 0 c d E E lL ar to y m` CE o O~L W °o > o F- d Emti O `o m sn w r M 07 C C M :2 i N 10c $ N m T' c o • - ai L • Z E cv a 0 = r °7 T W Lai_y E`~~° a a, a 3v dL E~ car: d L aa, T E_ E t CL ' O T r L N Of d Ol l p W M CL M .T «T LL In tpc jOC C Tvi ~2 Ln M 3 CD y E- = V c m d m d E ii .2 W `oE ao~dm 10m «5 aE o~ C) 0. 0" M> 0 E a`0 cE=d m yc 3U W V o m m c c E m o TT rm t~ t`Z3:, r'. 0 Lo >.T 1 F- W o Z I ud E w 10a a° :mom v~ n cx: fr Z z w z 9 v) C O U O o w OC C/) Mac > > LL C) co .a m U) W C Q Ir ° O C Q Cf) L L I C i 0 a W Q U Q Q = C U ~ c 4 a 0 0 2 0 c LL 0+ low 1*2 o w down g I s U U) m Z ° w ~ L o #ANEW C6 X - •i aa~ Ficu 4 w COOOD IM o o w • ~ J LL 2 CC cac: ~3 co cr o O o_° LLJ _j O z 0 U) = CL C101002 0 CL H Q H STC-loo This application form' is to be completed in full an the owner(s) of the property being.developed~ An inad qua es will Only result ~.n delays o£ the paxm~.t igguance y Shou d this development be intended for resale by owner/contractor d spec Douse), thenla second form should-*be retained and completedcwhen the property' is sold and submitted to this office with the appropriate deed recording. -----ran...-----r---- rrr-rrr Owner of property o FU 1 C.& 0S.~c' j-S -~►2~ Location of•property l~4 N 1/41 Section _ T - I~ ~ --N R-_.._.W Township Ko Mailing address (150 S (acs c-~1 w~co ~ S ¢ o ~ l Address of site "1(0 144 ' c'~ <<'1 U-1 M o ~I p Subdivision name. . yl LS-,ow ~-tv plc-~oow S Lot no. Z Z Other homes on property? yes X No . Previous owner.of property p Total size of parcel A- Date parcel •was created Q - ~'O 'Are all corners and lot lines identifiable? X . Yes No Is this property Peing developed for (spec house)? X yes No volume C~ and. Page Number ~ of Deeds. as recorded with the Register i '`-------------------------------------------.a-r-r--------r-----r-r-r--- INCLUDE WITI•I THIS-APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. certified survey, if available, would be helpful ~I o asd toiOavoid 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 the property described in this information faoyrm b e owner(s) of warranty deed recorded in the office of the County Register of Deeds as Document No.__ own the 4So33~ S , and that I proposed site for the sewage disposal system) orr I e(we) obtained an easement, to run the above described the construction ,of said system, and the same has° been duly recorded. in tt~ office of county Register of deeds as Document No._ 4co~3.31~ si ture f app scant • Co-applicant Date og signature Date of Signature. STC-105. SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County L(Aw ~LVC~- ~E~ 2c cv~ r OV'VNER/BUYER 0 ~s ~la• ~iw~+.ta u~~ . MAILING ADDRESS 150 SL PROPERTY ADDRESS 1,7(4/ (S7- location of seP"ticsYstem) Please obtain from the Planning . DeP't. - CITY/STATE ) ~&44AIC)tJ 0 , LlJ1~ 5ya PROPERTYLOCATION :Ste- 114 114, Section _ T Q ' N R W TOVVhT DF ST.CROP COIIY, '~?VI SUBDIVISION - GU/t.[~c,✓ v~2 : /~x~D~~ LOT-NUMBER ZL CERTIFIED SURVEY MAP VOLUME PAGE . ; LOT NUlVIBER Improper use andmaintenance. 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 expira "o date. SIGNED: DATE: -9 '9 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 iii, p ol~1 t_1 i utuuiL_ui )USTlil, 1 IU~V ~ y~~ (».y VU DIVIS, BOWAND P.. MAN RELATIONS V•'1 fs (115) MADIS(01 B0 53 0 (ILHR 83.09(1) & Chapter 145) CATION; SECTION: ITOWNSHIP/19 Y: OT NO.: BLK. NO.: SUBDIVISION NAME: V4 NW 14 1 /T 30 N/Rl8)&Ior) W Richmond 122 n/a illow River A. W-mtui:. UNTY: OWNER'S MME: MA D SS: 3t. Croix Willow River Joint Venture 1505 Hy. #65, New Richmond, Wi. 54017 DATES OBSERVATIONS MADE NO. B DR : COMMERCIAL DESCRIPTION: I TS: esidence 3 n/a lixew ❑Replace II 10-23-90 10-23-90 ING: S- Site suitable for system U- Site unsuitable for system VENT/ NAL: MOUND: IN-GROUN : S ST -IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) S ❑U QS ❑U ®S ❑U ❑ S QU ❑ S ®U conventional DESIGN RATE: ercolation Tests are NOT required I If any portion of the tested area is in the /a ( er s. ILHR 83.09(5)Ib), indicate: n/a Floodplain, indicate Floodplain elevation: n decimal' PROFILE DESCRIPTIONS page 28 SHB ING TOTAL._ DEPTH O R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH BER DEPTH ELEVATION OBSERVED HIGHEST EST. TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1 7.33 97.77 none >7.33 .83b1.1. 1.33bn.sil. .42bn.l.s. 4.75bn.c.s. 2 7.33 97.56 none >7.33 .92bl.1. 1.08bn.sil. .50bn.l.s. 4.83bn.c.s.&gr. 3 6.83 97.71 none >6.83 ,83bl.l. 1.08bn.sil. .67bn.l.s. 4.25bn.c.s. 4 6.75 97.37 none >6.75 .83bl.1. 1.17bn.sil. .75bn.l.s. 4.00bn.C.s. 5 7.00 96.51 none >7.00 .83bl.1. 1.50bn.sil. .75bn.l.s. 3.92bn.c.s. decimal' PERCOLATION TESTS DEPTH WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES BER IDS AFTERSWELLING INTERVAL-MIN. PER INCH 1 3.71 none 3 12 none 6 6 6 <3 13 3.65 none 6 6 6 < PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- I 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 d slope. , STEM ELEVATION 94.00 r' ,Q 17, e 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 inistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. E (print : TESTS WERE COMPLETED ON: ry L. Steel 10-23-90 RESS: CERTIFICATION NUMBER: PHONE NUMBERloptional►: 54 200th. Ave., New Richmond, Wi. 54017 2298 15-246-6200 CST SIGNA . RIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. LR-SBD-63951R. 10/83) -OVER - 452767 II cu~►lt l l r ~N ~ s b»>;~ PEGISTER'S OFFICE ttlel bled, malls between a. .t• ............:St: CROIX CO., WI x;tlord...... . ,Srhmi.t.,by,. ev.xly.,BuCkher,;,au,~►r~,ia Recd for Record a.• :.:....•:...............•.t•.t.•..:a....a............. I...... 1•...............i:. p V• 20 1989 :.N . L. •It I...• . 1 . Grantors al S:Qo A, M • :LJ a - . ~;C.kj.i • .........i l~~/~t„~•~11~:~1n~..~±.ia~..~/~~r_xrt;('~~C[`'~+~1..b. ThQo m~}~~.,.>~%~ ,D~/x1x.~t tc~k.. ~.~a..i.t, ~•1 .:i•1a{:l:A\H~/Xf'. d... .:...K T'. fi. .211A..174... .e.041 N... i. ~f v.1•!'i`Q n Y• aeARler of Deods .•iaa.a.al.:• .......:{,........t..............•.......................1 Grantee, ' W141OSSethi That the flald Grantor, for it valuable consideration...,.. a crtfrude...> !...9chm1b . by.. gevexiY...buCkne_r• R~tUpN tb t;onveys to Grantee the following described real estate in .....Q.tO.&i...... i Codnty, State of Wisconsint Southeast Quarter b€ Northeest Quarter and Northeast Quarter of Southwest Quarter of tax Parcel No ..Section i# Towhship J0 North, Range 18 West, This deed is §IVOO ptitsllant to the order to 96111 dated October 16, i09, end the ContikMAt.ion tit Agreement and Order, dated October 19, is 10855 both duly euthbrited by Order of the Court and whereas the dndergighed, geveri Buckner, is authorized to sell the same by.Lcttera' of,ddard ahhhip certified on October 225 1989. 1'i~~"•~t ~EPA • mhi3 :.1~~ ngti ..a: homestead property. ~I (is). X011 hot) 'together with. all add singular thb hereditamente end appurtenances thereunto belonging) . , And riid~ t..b►.,.gCv0kly...Htlc.knor. ...........t: wArtants that the title is good! indefeasible In ee limple and free and clear of encumbrances except cesdments r kfadttIdtlons and is fghl;6-of-,fay of record, it any, tend *Ili warrant andr~defend th6 tame. R(~ bated this i ...1 ..I....:::......... ...a day of a... a:...OctvDe :..i..i.i:........... 1........1i•..... a. .1 f9Y. T...•. .(SEAL) I ~,::.:~:.t'.t...........(SEAL) ..t••iu ...................a. ....i....a::....i::...,........•. .:y.. Mt~!"I": lal'..t•:!. der Crude ti Schinit by Beverly b ...........................:.:............:i......•............ DiektiLit) - ljtm•rdfalti .:a:.t......i ..............:a,.a..........:..:a......... a........... (SEAL) ..........:a:..iJ:..........t••.,......... 1. (SEAL) •i '1:. • 1111:1 ia•113::,...•ait•alilal ••iii{ti•::1{ail,:{111t•{l.••.::ui,~, ! Lli...•J.:...•.::••..••..•..••N•....•H:.. J••. a.la.. a..ll + ~y Slth> tutd(ef ::•.a.:ta:iii:i..l.:i.iatltt:iluiai.•,i:ii,l:iiii::::;.ia # di. 611 WltibrJNJO . . .a q.. 1 r •w ~e~►e1:1~+- bucltdtsr_ . ' _ u•ia►....ata.a.:a.....•a........•l..u.iilii:a......ta:........liatallili::.ll :County: . - ..October ~g authenticated this : .....day of 18...... rersonally carne before me this ................day of . ..........i...aa:..:..:.....i..., 19........ the above named t i1:a13:w`1:ii~i1~ yi.il1 i:.•~.la.:~•':.:.. Z*id•..~1{:.:p.:~.(.ja....u.......:.i...... ►,=1 ~;~~1..~~. f.; t.r~~,I\L itlti h(a o~i~Jl/~LuL~CC/,~ i..:...t.,..i1„:i.....i......i:.,i.t.al:..a......i.,...a..a M i1 !lli,aalllli,:l..+ad.iaaa:.ii:Nitlia ili/i,lsil/f:ill.l./:::iait.l:ali :3.i•3•al.ctrlil.Ialt.lat:.a•at•i:lLlau.•:.a..ilia::1{aaaa.a.:•..::a..::.... ?(.~F: yr A 1~a,- b i. MbMsfi~ g 'A 3 SAS t1 ii►t CciNiflN .j,4,,. t iy'j' ~ r• l r•.,~ .)j.-i tc l.~ . t ' 1 •tl'liil.a.la..l:ulalil►liittlaau,l:..aiu•aa••••ua•U.:i.taa•.a.•....•..: r !Tt` R''~ ~l# ,10 l) i d,: laltla. !a ii `{i i Utii iit:•ililtiatuai:a/ tiG~lal.,it:t.a.iiliius/ailu.:....L.i . !►iitheiiet# ~y 7os.odiv#el S 4 ; r > , tit>, i' ri` d :tit.) t• !~t• 1,1igtlt~ .t r, r~ t , to'md kdOWlf td' bo the" person,a.taa►...... *htl ht!rNtea the lick.. ,~d~tay~ fl J t. t~ ~'t slit, f .{w+ ' r t` rfo6koing FM struinent and ackinowtedge thn saute. It.,ts+i!! ~i ~ 't• • , 1, ~r , r ~ it 4 r 1.11...:..{a•:saN•tJ Nll Nt Nlt{l31{Ilial.lia..i N:Ila Niu:.•1..•.... i .t t' ny((J,~,l,,~.`.L'`,' t,. , a .I~ i t;i' , • . ~ ' . _ `...::..1..•..{::ultltl:al.iili,lltliillilaaal:a{..:ilt/1a.:.1.i ~ illfil13,i3~1llilti...iih..cu.isiililtitltfl.illitlllt,li.atai,3,:3.i1►:.:,.1 hotnrV PubilCl ,a31 i.aa:.tl::at.:••.•••a.,i.,..i,tc.,.Counttl Wis. . tit} 701 fiifi&§ tt,aO be authrntt~b!$~ et e►cknowiedgpd. both • Conihilikeioh 1A psrhtanent, (lf hot) state Opiration Ai•s Mot necEeaary.) , . `dt~F@! , , • - , ) • . •.::::::.tt:31:1lt/:Ali•lall/f1lil,iltll•.:iaall..•.al 111........• A ARAtiU 0 bltiohl rltnlni fh Any 40thilif 1611A U 4041 bl 1*11144 hlh,tt• their SIltnstnrki.. , • • r • t !'•N wti, r) 603.5E ' 1 li , ,~I , ` •t' t 6a 42a.10 0uttot 1 ' , 6. 17 s t . J 3 103 A"" r; 1. o ;{,i,~~~~~•~~ , , , o I t 10; 161 p ' River ~ Zoz Ate.. ~ 201 Aces p,, ill a ad ours g9~ . Av p. 3 b~%.. 9 .20: o ~0 boa ~ zo3•Aae. %1b 2.15 Acres 14 ar9 ~~~s ~y. 305' 202 Aces a d . ; m 206 99 gti 13 21, ~37 rS 2.18 Acres ' M 2.OS Acres 361.13 M v in 161.13 200: m 283.18 N 9 Ift ■ 1O 2.01 Acres. N 2.00 AaU, 2.00 Aces-, 12 ~ . 22 1 2.01 ACrM ,~too.Aa..' 8 206. 214 135.29 a ' • Public 298 469.7s 23 air $i 7 2.00 Acres it zoo Acre& N 122 Acres 289 206.30 24 504.30- 2.00 Aflee 6 2$ t 2.02 Acres. 2.27 Acres. ^ ' h co ,boa, mr 425.25 0 316 $ rj a o 0 25 201 Acres v 2.04 Acres N 1 N a a 440.49. N 27 29 c!N o a 2.32 Acres 233 Apes . 77.60 2.0 Acres a River 47ea3 25"7 ~a raaS? `77,60 City Of New Richmond 26. 2.11 ACM 3 2.90 Acres N 507.06 2036 Aces o us 428 200 211.03 o a 6 County Rd. GG 323.20 V . 32 33 m n x.20 Acres N1." Acr.. 2 s ° n. Oil 31 No ° 01 121. ACM N 2.03 AIM N 4 ed ' rz t 20010 326.37 226 Highway GG (715) 246-2320 RRICK Route 1 pN W New Richmond. CONSTRUCTION Wisconsin o tv 'Lo~ C o 3 3 CD d O N ~ ~ N ~ 00 0* CD 3 CD CD N W CD O T. V n' fD n W y- O - 7 O 00 A CD C1 0, n N N W O O V O O O O CD n O = O ~ CA N C C 0) ^r 3 °o p o ~ ~r CD n D 0) a CD r ~ C CL N a O O CD CA O CD WC. O COO COO Z y p Cl) O O CD r z cS~ 0 cS~ 0 rT O _ N CC 0 p i i 0 C ~ C0 (q ~ N G d O ID CAD ! l~ ~ of •O ,Z1 LU d A 'CCD N 7 3 D r V C lv D co a m O w O CL ' I CD CD d C cC 7 C COD N CD W (D a Z m N N O. A 3 p. m N m CD Z I A M °o =r C. y Z C W o OD.. CD O 7 d v c 0 oz a I m o a, CD F~~ o N c o ::r e m m a' m M ~a v m - Q CD ~ N C t- A A. O C CD Op b A o 0 o O CL V Parcel 026-1116-30-000 06/03/2005 10:58 AM PAGE 1OF1 I~ Alt. Parcel 01.30.18.674 026 - TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner * PABST, DONALD E & BARBARA A DONALD E & BARBARA A PABST 1761 144TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1761 144TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.000 Plat: 2630-WILLOW RIVER MEADOWS SEC 1 T30N R18W SE NW & NE SW LOT 22 OF Block/Condo Bldg: LOT 22 WILLOW RIVER MEADOWS 2.OOAC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1101/526 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 47,300 232,300 279,600 NO Totals for 2005: General Property 2.000 47,300 232,300 279,600 Woodland 0.000 0 0 Totals for 2004: General Property 2.000 47,300 232,300 279,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 115 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEP RTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION RSON, r) 15707 State Plan I.D. Number: i4 f eC • 1 , T30 -R18 (If assigned) Town of Richmond L 22 ❑ CONVENTIONAL ❑ ALTERATIVE ff~ Holding Tank ❑ In-Ground Pressure ❑ Mound C R NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Michael Stevens 1505 Gwt 65m New Richmond WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Calvin Powers Jr. St. Croix 128833 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑ YES F-1 NO ❑ YES ❑ NO BEDDING: VENT DIA.: 7NT .:HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: El YES [:1 NO ❑ YES ❑ NO NEAREST No DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED. PROVDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: IFEET MBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FROM LINE: AIR INLETPUMP ON AND OFF ❑ YES ❑ NO AREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE GTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: I FEET FROM LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST Retain in county file for audit. Sketch System on Reverse Side. SIGNATURE: TITLE: SBD-6710 (R. 06/88) QILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 8% x 11 inches in size. Cn resi us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROP PTY OWNER PROPERTY LOCATION '/a t/a, S T &O, N, R (or)0 PROPERTY OWNER'S MA LING ADDRESS LOT # BLOCK # CI , STATE ZIP CODE PHONE NUMBER SUBDIVIS ON AME OR C M NUMBER & ;1 j 1-:.2 NEAREST ROAD / III. TYPE OF BUILDS IIN{G: (Check one) ❑ State Owned 13 VILLLLAGE : JOWN OF: ❑ Public LAJ 1 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL AX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) sm -Q~ 1 ❑ 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 50 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. 0 New 2.E] Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 511 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 .C Feet Feet VII. TANK CAPACITY Site in al ions Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New lExisting Gallons Tanks concrete structed glass App' Tanks Tanks Septic Tank or Holding Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation o onsits sewage system shown on the attached plans. Plumber' Name d(Prfint)- PI is Signat e: (N Sta s) MP/MPRS/W No.: Business Phone Number: 6r 3~ Plumb is Address (Street, City, State, Zvzek I X. CO TY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing em Signature Surcharge Fee) o Stam Approved El owner Given initial C _.,/1~ ~ Adverse Determination ( J ` X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r ' 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 13 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.- 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 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 systM. 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 rnains;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; close 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 1.15 form; and F) all sizing. information. - - - - - - - - - - - - - - - - - - - - - - - GR'ObNDWATER 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) i , APPLICATION FOR SANITARY PERMIT . STC - 100 his application form is to be completed in full and signed by the owner(s) of the roperty 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1/v► -LLOw T2AVeI- ,oV"T• ye-,* o"F,:r Owner of Property r>i tc.*4 ar_t_ ie , §xa/cN.S Location of Property `7 E k N W k, Section X10 N-R W Township Pic-F► Mol10 Nailing Address 1So S Hwy (oS ~ 4 v New P-1c'o"O , V11 Address of Bite _ e 1-1(101 1 44• ST- K e w R-1 L.+-1 &A 0 F-A \A,/ 1 S 4¢ 0 17 8ubdiaion llema W~~t.ow ~tvc`h~ N1,EOtOOwS Lot Number t. ZZ Previous Owner of Property ~CA-%-M,'r Total size of parcel 2- I~C~'t~`tj Date Parcel was Created to - lal - 01a Are all corners and lot lines identifiable? Yes No to this property being developed for resale (@yesheidor~ ? x Yes No Volume _ and Page Number -PI 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 ovoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Hap, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I 1(k) comti,6y that as a,tatementh on this ane ?hue to the beJSz o6 my lounl hncwtedge; that I (we) am (aAe) the ownen(JoAm 06 the pnopehty de~schi.bed in VUA in6onmaLEon 6o&m, by viA-tue o6 a wa"anty deed kecokded in the 06 ice o6 the CoenLyy RegLsteA 06 Ueeds ass Voeumen,t No. 33 5 ; and that I ~We) pneaentty c.un tl:e p1topoaed site 6oh the sewage diiSpoe AYStem (on I (we) have obtained an rdh"en..t, to 'tun with the above do cAtbed pnopWtf, bon the eonatnucti.on o6 aaid aye.tv"p and the acme has been duty neeonded .tn the 066.tee o6 the County RegiAteA o6 Veed8, a,b Document No. s sLGNATURE OP OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) In-3/-- `0 , DAIS SIGHED DATE SIGNED 1 Llf-1[ 1!l ra WARRANTY DEED TUIE SPACE RESERVED FOR RECORDING DATA STAT BAIL (IF WJSCON31N FORR51 2-1982 455206 ; 861 PAGE 4S6 REGISTER'S OFFICE MichaeI.,R....Stevens William -H,. Derrick, ii ST. CROIX CO., WI William._M.....Derrick, Thomas.-.__Derr.ick..and......... Recd for Record Ronald. L.. Derrick as_.tenants _in-common.-.. of 'AN I ~1J9G M . . 8 3 corive s Iuid A,arr: nts to Willow. River --Joint-._..... ......Venture. . ~ ' ReghferofDeeds _ I~ . i~ 11 11 RF_TURN TO the followinu described real estate in St. ..Croix ...................County, State of Wisconsin: Tax Parcel No: Southeast Quarter of Northwest Quarter and-Northeast Quarter of Southwest Quarter of Section 1, Township 30 North, Range 18 West. ~i I i This __i.s..not........ homcstc:Nl (~rultcrt}. i (is) (is not) exception to warrantles: municipal and zoning ordinances, easemdnts and restrictions of record6 h Ida, 7_10 9.0. hated this _ day of .......January , .........(SEAL) Michael R. Stevens William M. Derrick (SrAt,> (SEAL) i b William H. Derrick Thomas E. De ick AUTHENTICATION o C 'N MENT Michael R Stevenst STATE OF WISCONSIN Si,nnt?,>e(s) - William H. Derrick,--.Will..iam M Derrick- --•Thoma --E. --Derrick -and Ronald L it De ek ......bounty ersonally ettffi -before-m+e •thta -day of _ ht (i[A 1r_ (.C. LfrLC~1 *cr'i~. i , 19 the above named i Judith A. Remington TITLE: MEMBER STATE BAR OF WISCONSIN (If not authorized by $ 706.06, Wis. Stats.) to me known to be the person who executed the foregoing Instrument and acknowledge the same. TH14 INSTRUMENT WAS DRAFTED BY Rrsf.4 TON LAW OFFICES iio ami0.-t'...... n540`1 C Notnry Public .....County, Wis. (Signatures maq be authenticated or ac)cunwledged• Both Mir Commission is permanent. (if not, state expiration i are not necessary.) dater , 19........) 'Names of persons signing in nny enpneity shmshl I,e tylic-l nt• printed helow their signnhtres. WAnnANTT MED STATH BAIL OF WISCONSIN Wisconsin Legal 111nnk 4 1 nr. I~ THIS SPACE RESERVl } FOR RECOROINO BATA i' oCUMENT No. STATE BAR OF WISCONSIN FORM 1-1982•I . 452767 GUARDIAN'S DEED REGISTER'S OFFICE ST. CROIX CO., WI This Deed, made between etde Shit uckner, Guardia Reed for Record 0OT 211989 Grantor, n d..... Michael.-R.._-Steyens•,...W_ 11-iam..H_._..Derr.ick,........... nn William M Derrick T mss E. Derrick and C~a~J~JC. . .:...ltol~a~.d L.~_..Aeri.ck..._..e1lants...,~?...c4mm4?7 ReglaterofDeeds Grantee, 1 aid Grantor, for a valuable consideration...... ertrude E.....S......... chmit bY.Beverl conveys to Grantee the following described real estate in t.!...Cro X........ RETURN TO County, State of Wisconsin: Southeast Quarter of Northeast Quarter and Northeast Quarter of Southwest Quarter of Tax Parcel No: Section 1, Township 30 North, Range 18 West. This deed is given pursuant to the order to Sell, dated October 16, 1989, and the Confirmation of Agreement and Order, dated October 19, 1989, both duly authorized by order of the Court and whereas the undersigned, Beverly Buckner, is authorized to sell the same by,Letters of Guardianship certified cn October 22, 1989. • t'~~i ~~3SF,~ 0 VA is not This homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And..... Gex.hrude F..... S_chmit...b ....Beverly....Buc.kne.r warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. 1 and will warrant and defend the same. , 19$9.... Dated this day of Octo be............................................... (SEAL) SEAL Gertrude E. Schmit by Beverly * ....BUCkt[er t ..Gua-rdi-an . (SEAL) (SEAL) a • AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN Beverly Buckner INS. Coantq authenticated this _ .....day of ..October . 19 8.. Personally came before me this day of 1 .a.......• . , . ` the above named h~ Krishna Ogland Lundeen _ 'fTLE:f MI;MBEft STATE BAR OF WISCONSIN : tr1-s 1„ (If not, r authorized by a 906 Ot3, Wis Stats) to me known to be the person who executed the foregoing instrument and acknowledge the same. Ay" ....~ttArha.y-ah...Lax Notnrp Public County, Wis. t t be authenticated or acknowledged. Both Dl} Commission is permanent. (if not, state expiration 1 nattres may are not necessary.) date: 19 1 .......................c.,:.......................... , i bA 014smes of persona signing in any capacity should be typed or printed below- their signatures. _ - cr.•rc n.n nr. R-ICr1tS~U _ _ 11.1-....._!.. t.....1 bl-...1~ r., r. i eo&5n as 42a.ta~Uf~'Ot J J I '~s~ ~ 1.OTAast N ~ 1,10'' r r y 203 Acre, N 0 ( 2.02'ACtM 9 . 0 R We r 16, 2A1 A«.z 2:02'Acrar , i; Meadaws'':. , 20 s 2:03,ACres t 5 2.15 ACrea T4 N ' •SS. H, 305' 2.02'ACres 99 g" 13. , 21, 218 Acres a2.09 Acres { Gn 7P 3t 361t13 A 16113 200. 283.18 V to l O 2.01 AQes.{ ka 2.00 Acres: q ' ' m O . r 11 ' a 200 Acres : 2 N r .3 2:01'. Acrm,% 2100 Acres N 206 214 135.29 Public s 298 469.74 m 23 H 7 2.00 Acres 2.00 Acres as 2.22 Acree' 7 fp 289 206.30 1 504.30 C~ 24 2-00 Acres, z27 Acme r 2.02 Acres. 52- 425.25~g. ,mr n 5 31633 i 25 Q 2.01 Acres, a a I 2.04 Acres 440:49 Ol 2 9 _ a L,7 m 233 Afros N m 2.32 Acres 477.60 a r a`s W&W 2.a acres 1. River 47E.33 25G.57, t Pte, ~77'.B0 City, of New Richmond lA N N ~i0. 26' i 3 s 211 A", 2.30 Acres o ai H' 64 N ' 507.08 3 0 , 228 488 200 211.03 S 2.06 Acres. $ County Rd. GG 323:20'' N V I cc 32° 33, - ~ ~y a m N 2.20 Acres n 1.94 Acres N ~ 2'31 N 31 a 3 K N f. cm 1.81. Acres. q 2.03 Acres a r Or 200450 326.37 223, r Highway GG (715) 246-2320 RRICK Route 1 New Richmond; CONSTRUCTION Wisconsin SEPTIC "ANK MALNTEMANCE AGREEMENT St. Croix County OWNER/BUYERNNF.TN }mow ROUTE/BOY NUMBER 11(ol ~44-77"' ST Fire Number. CITY/STATE k-W zip- 4-0 t1 P^OPERTY LOCATION: NW '4.-, Section T '~'70 N, R W, Town of C.+4MO~D St. Croix Count ~ y, Subdivision Wtwc)vu fA%AM.-, Lot n u m b e r ZZ . VN-4e^OflwS Improper use Xnd maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix County residencs.mav 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 requireme-nc that owners of all new svstems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain.the private sewage disposal system in accordance with the standards sec forth; herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning ffice within 30 days of the three year expiration date. SIGNED DATE Jd~ St. Croix County Zoning office P.U. t3ox 217 Hammond, WI 54015 7L5-796-2239 Si..n. !a~.~ -ind re-rrr.n rc~ ;shove address. t laic I ON SOIL I , j A14U SAFETY & BUILUh i DIVISi •1 P.O. BOX 7 d .,cLATIONS 1 e "J I•J 415) MADISON, W1 53 ►7 (ILHR 83.09(1) & Chapter 145) SECTION: TOWNSHIP/ Y: OT IqO.: BLK. NO.: SUBDIVISION NAME- S E i/4 NW 14 1 /T 30 N/R18)fx4,a W Richmond 122 n/a illow River A. Veotur COUNTY: W ME: MAILING ADDRESS: St. Croix Willow River Joint Venture 1505 Hy. X165, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: ~iesidenc. 3 1COMMERc n/a DESCRIPTION: 151mew ❑Replace I 10-23-90 10-23-90 rs: RATING: S- Site suitable for system U- Site unsuitable for system -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) MVENTIONAL: IMOUND: IN-GROUND EIE:r[D M S ~U ~S ®S OU S FAJ El S ®U conventional II Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.091115)(b), Indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 28 SHB BORING TOT DEPTH UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED E TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 7.33 97.77 none >7.33 .83bl.1. 1.33bn.sil...42bn.l.s. 4.75bn.c.s. B. 2 7:33 97.56 none >7.33 .92bl.1. 1.08bn.sil. .50bn.l.s. 4.83bn.c.s.&gr. B. 3 6.83 97.71 none >6.83 .83bl.l..1.08bn.sil. .67bn.l.s. 4.25bn.c.s. B- 4 6.75 97.37 none >6.75 .83bl.1. 1.17bn.sil. .75bn.l.s. 4.00bn.c.s. B- 5 7.00 96.51 none 1 >7.00 .83b1.1. 1,50bn.sil. .75bn.l.s. 3.92bn.c.s. B. decimal' PERCOLATION TESTS T DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER IQiill~f>)S5 AFTER SWELLING INTERVAL-MIN. PER INCH p. 1 3.71 none 3 P- none p. 3.65 none 6 6 6 < 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 94.00 6 41 1, tl.e ur.daaer.ed, haraby csrtify that she toil tests reported on this form were made by me In accord with the procedures and methods specified in the Wisconsin AOmw"War..e Case,"that the dare recorded and tN location of the tests are correct to the best of my knowledge and belief, w TEST WERE COMPLETED ON: ry L. Steeel 10-23-90 IE Eq TIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Ric)wwW, Wi. 54017 7.298 15-246-6200 CST SIGNA . DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR•SBD8395 (R. 10/83) - OVER - .sell- ' o ',~s Y6 1 PAGE OF CroSS S~c}IU1, p~ lJrl~ y I! fill ' k ftsitA Ali Inlata And ObtstvqllCA Pipe ~ Apptovid Y►nl Cop ►llnlmum 12' Aoore . final GroA• 20 2' Above Mille -4"Cose licit To flail Grea♦ Vent Pipe Marsh liar Or Symbolic Co.ooiny uu 2' Ayyropole 0 .68 Plpo ' Ololrlbvllon 0 0 0 --Too ► ii. aallo Pao e Perlorvlea Pipe below B o noolll pipe o -C0r0ln0 Twodnollnp At Balloon 01 System o e p ry, cl t -.~7, 7 _ SOIL FILL OISTRIBUTIOM PIPE • APPROVED Stim ETIC COVCR ""'--l1ATERIj% OR 9" OF STRAW 2" of MGRS TE alt MARS►+ HAy l:•0FJL-21/2 AGGRCGATE ELEV.OF FEET, .y\~~i~`~• b 3 r i DISYRIBUTIOW PIPE *TO BC AT LEAST, IIJCHES BELOW ORIGIMAL GRADE AQU AT LEASTtO IIJCHES BUT 1.10 MORC THAI) 42 IAICNES BELOW FINAL GRADE i MNcIMUM M.r.H OF F-XCAVATIO0 FKo11 OWWAL 6RAK WILL BE ~~7 _ IMCHES 1 NJ?1VM pEPT't1 OF EXCAVATION rA01A CA?14INAL GRADE WILL BE INCHCS f' 51GDEO: LICEMSC DUMBER: ~x DATE: .~1 - - - I t o _