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022-1080-70-000
'0 0 0. 0 N c~ n O I O N I' b N z i I I I 0 I i C Z LL c o I Q I V ~ Cl) 3 z E z = o v E o Z l a m 00 00 04 00 04 o I c (9 co o z d c ,r d z d C.1) c z N H r N c E 'o ce) m 0 2 3 j N N Vl C • a` U L o C C O U Z Z p O z N Lo N d NC M O R E 7) W A 7 O m= d d i n. O. m w c N > d i 0 w G G IL 0 c U 0 co (n U) U) Z N> LL H H 1- 22 I d U o > 0 0 0 z •N ~ ',~aaa i ~w a -o 7 O N O co M N fq U y rn rn } m O m 0) 0 f6 M N N 0 0 j W M 0 C m O N Q } Q C 7 0 C O O 3 N O M O m H Q 0 N O 0 j co N O L" O M U J d C a 0 d 0 0 0 r \ ~y.ir "1' C V) tcs N N N C -0 v O 00 o C .2' C .2 E C 75 M N M :E 0 04 , t L' co U N v 'o H c N cD 04 " co co C_ T 0 N O E N U • jyll 7a N O N Y CA O Z 1-5 U) O ~ I .r IL cl a m .2 4) `IV E c c ~w 3 t A U a o 2 l O t/~ U t 1 PM • Parcel 022-1080-70-000 03/26/2007 02:08 PAGE 1 OF 1 F 1 Alt. Parcel 28.28.18.439B 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SYLVESTER, LEROY D LEROY D SYLVESTER 1126 RIFLE RANGE RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1126 RIFLE RANGE RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 9.200 Plat: N/A-NOT AVAILABLE SEC 28 T28N R18W 10.2A IN SW NW LOT 2 Block/Condo Bldg: CSM IN VOL 2/345 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 02/17/2000 618489 1490/576 QC 12/10/1999 615292 1477/291 QC 07/23/1997 1031/135 WD 07/23/1997 1025/409 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.200 100,000 178,100 278,100 NO Totals for 2007: General Property 9.200 100,000 178,100 278,100 Woodland 0.000 0 0 Totals for 2006: General Property 9.200 100,000 178,100 278,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 516 Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ^.In, su 1ht'L1 ll i i . v4 iiLt it l ~hof end Xtyril. lalations tTvi ion of safety 6 ButdinBs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper nor less than a 1/2 x 11 inches in size. Plan must it I+~dA, but St Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. rt dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Steven Cudd GOVT. LOT SW 114 NW 114,S 28 T 28 N,R 1 W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM N 112Q Pine gidgp privp 2 g~_ CITY, STATE ZIP CODE PHONE NUMBER Et t:ottQ m (MOWN NEAREST ROAD River Falls WI 54022 h15)425-2757 Kinnickinnic Rifle Ran a Road (X] New Construction Use Ix I Residential / Number of bedrooms 3 ) ] Addition to existing building O Replacement I ) Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate __4_bed, gpd1ft2 trench, gpd/ft2 Absorption area required 1 j 25 bed, ft2 9p.0_ trench, ft2 Maximum design loading rate - 4 bed, gpd/tt2 -5 trench, gpd/ft2 Recommended infiltration surface elevalion(s) It (as referred to site plan benchmark) Additional design/ site considerations Care has to be taken to kp-eja sysf:pm shillrw ha!Aiisp of gmind Ural Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN•GAOUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ©S O U ®S []U (OS O U {aS O U 0S ®U O S Gd U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence ©arid~Iy Roots GPD/ft4 Boring # Horizon in Munsell ' Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trends r° ]1 0-17 -4 2 17-31 10YR 4/6 None is 1 m sbk mfr as 1 4 5 Ground 3 31-43 10YR 6/6 None is 0 m s mfr a if 4 elev. 96.4311. 4 43-6 10YR 7/3 None s 0 m s mfr as .7 .8 Depth to 5 67-7 10YR 7/3 f1 f 2.5YR 6/6 s 0 m s mfr as NP NP limiting factor 6 79-12( 10YR 7/3 C1D 2.5YR 6/ is 0 m s mfr ITP i NP 6711 Remarks: Boring # 1 - 2 16-26 10YR 4/6 None is 1 m sbk mfr as if 4 .5 2. 3 26-42 10YR 6/4 None is 0 m s mfr as if .4 1 .5 Ground elev. 4 42-89 10YR 7/3 None S O m sa- f 92.Uf1 Depth to 5 89-12 10YR 7/3 f1f 2.5YR 6/6 is 0 m s mfr NP NP limiting factor 8911 Remarks: CST Name:-Please Print Phone: Steiner Plumbing & Electric Inc 425-5544 Address: N8230 Highwav 65• River Sgnature: Date: CST Number: Jul 26 1993 30 7"4 v oOtL _ it PROPERTY OWNER -.qt-even Cudd PARCELLD,t 'Structure Roots GPD/tt Depth Dominant Color Modes Texture Consistence BounctarY Bed Trerxh Boring # Horizon In Munsell Qu. Sz. Cont Colo Gr. Sz. Sh. .,.A ,wF{ 1 0-21 10 3 6 n 1 m bk mfr as 1 m 4 5 2 21-28 10 4 None is 0 m s mfr as 1m .4 .5 Ground 3 28-42 10YR 6/6 elev. s 0 m s mfr s •7 .8 96..42IL 4 42-55 1OYR 7 3 None 0 m s mfr as ~ ~ Depth to 5 55-72 1 OYR 7/3 l fl 2.5YR 6/4 s f Wiling 0 mfr NP NP factor 6 72-12 10YR 7/3 C1D 2.5YR 6/4 s m s 55" - ' Remarks: Boring # sl 1 m sbk mfr as In .4 .5 1 0-22 10YR 3 3 None i 1m 4 i .5 .41 r is 1 m sbk mfr as 4 2 22-33 10YR 4 6 None is 0 m s mfr as 1m .4 .5 3 33-53 1OYR 6 4 None i Ground s 0 m s mfr as .7 i .8 elev. 4 53-96 1OYR 7/3 None 97.41 ff. 0 m sg mfr NP ` NP 5 96-12 10YR 7/3 1f1 2.5YR 6/4 s Depth to limiting facto 96" Remarks: i Boring # None sl 1 m sbk mfr as 2m .4 .5 1 0-15 10YR 3/3 - 1m 4 5 mfr as None is 1 m sbk 5w<= 2 15-21 10YR 4/6 is 0 m s mfr as 1 m .4 .5 3 21-46 10YR 6/6 None .7i .8 Ground s 0 m sg mfr as elev. 4 46-53 10YR 7/4 None 95.12 It. 7/4 W Depth to limiting factor 5311- Remarks: Boring # Ground elev. IL Depth to limiting factor Remarks: can.P-im(R.05192) f ~ PLOT PLAN 5 Gale I"= goo, S~cue Cuad N To of I%C~ VcJ' 1311 p r Flew ~c~~o' v ~ y i ~r r I i , ~I i I I csT 3o7y s R-d (It Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP ki n fn SEC~T~_N-R_W ADDRESS G "PST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE 0 14cI'e~ PLAN VIEW Distances and dimensions to meet requirements of ILHR.83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 11Pe l%~ lark Q. 97 ' uC y,- Nom Be ck ma k Q. 3St Indicate North Arrow BENCHMARK: Describe the vertical reference point used y~ r Elevation of vertical reference point: ZOO Proposed slope at site: SEPTIC TANK: Manufacturer: A)e1S e r Liquid Capacity: jt'~) 6o Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: 9 9 1 Number of feet from nearest Road: Front, OSide,ORear,O Felt From nearest property line: Front,O Side,&ear'0 Feet Number of feet from: well building: 7/ I (Include this information of the above pl6t,plan)(2 references dimensions to septic tank) SEE REVERSE SIDE a PUMP C ER Manufact Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size I Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property lin Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTE14 41ad-. `1'* ench Width: Length: ~d Number of Lines: Area Built: Fill depth to top of pipe: Ic N a,g" Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: / 9,5 Number of feet from building: f 15' (Include distances on plot plan). SEEP PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or dis ibution box O been used on any of the above soil absorbtion systems? (Check one). HOLD TANK Manufa urer: Capacity: Number of 'ngs used: Elevation of bottan of tank: Elevation of i et: Number of feet fran earest property line: Q Front, O Side, O Rear, Ft. Number f feet from well: Number of feet rom building: Number of feet from n st road: Alarm Manufacturer: Inspector: Plumber on the lob: DATED: License Number: 79W 3/84:mj A5bui-It Plot P )an IG~c~C~q ~rtscr Sepi Tank gy 12- 7rerAS 5' w, de x 9o g2 ® ` .c/%ipvc F/pV l00' ~.e Roy S yl v es~Pr' LQfis&WMrrartlfiarldV1"t1PNIC 28.2W#A~%%WAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) sanitar rmit Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI 17M- 61 p. BM Elev.: / BM Descriptio K Parcel Tax No.: 60, to /1~ 922-408- TANK INFORMATION ELEVATION DATA A9300226 P , TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic a c . Benchmark Z, ~/o Dosing 6-41 Yl 35 /09 lo~ Aeration Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION St/,~j outlet 0, 99.ai' Verit TANK TO P / L WELL BLDG. Airito ntake ROAD Dt Inlet Ar Septic NA Dt Bottom Dosing NA Headers Maxi. 95, 73. 3 5.v Aeration NA Dist. Pipe 9 S / Holding Bot. System s' 91/. 70' s. PUMP/ SIPHON INFORMATION c ' r'a e T Manufacturer Demand T/l Model Number GPM TDH Lift Friction tem Ft Loss Forcemain Length Dia. Dist. SOIL ABSORPTION SYSTEM ~~o?r BED /TRENCH Width Lengthy No. Of enches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S DIMEN I N SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEAC Manu acturer: SETBACK INFORMATION Type O &-"1 / a m er: System: ( ~/SD / CHAMBER _IVIo 50 OR U DISTRIBUTION SYSTEM Header / 4Vi""11- Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Z22- Dia. Length -5'7 Dia. Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Depth Over Depth Over xx Depth Of eeded /Sodded xx d B**V Trench Center a - ~ Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) „LOCATION: INNICKINNIC 28.28.18.P439,B L~jL~~/!/~GvCX ~/l. ~~G~'//~~.C.~U/1.. v.li? J ~ ii7l? ;/t. ' - r• V C Plan revision required? ❑ Yes 0'No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No. r ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: a T DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code P•~m^~^~ St Croix STATESANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 ~ 8% x 11 inches in size. c k i r vis n o 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 LeRo & Juanita Sylvester '/a '/a, S 28 T , N, R W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1126 Rifle Range Road 2 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER River 715 425-8446 II. TYPE OF BUILDING: (Check one CITY NEAREST ROAD ❑ State Owned O VILLAGE NY BE(S) u R ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms -3-- PA III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo VVV CCV// 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 120 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.E] 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 F] Seepage Bed 21 El Mound 30 11 Specify Type 41 El Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 430 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) 96.5 ELEVATION 450 1,125 1.125 .4 Feet Feet VII. TANK CAPACITY Site in allons Total of k,ncrei~ refabFiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Con- Steel glass Plastic App Tanks Tanks structed Septic 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): P e Signature: o tamps) MPjQ.: Business Phone Number: Paul C J Steiner 6780 715 425-5544 Plumber's Address (Street, city, state, zip code): N8230 i hwa 65• River Falls. WI 4 IX. COUNTY/DEPARTMENT USE ONLY Issu ing A t Sign Lure (No Sta Surcharge Fee) ❑ Disapproved sa!W, ary Permit Fee (Includes Groundwater N)n/ Approved ❑ Oner Given Initial 145 ~il~ Adverse Determination 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 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 (R.11/88) PLOT ALAN 5 calG = ~64' 5 1-e e c u d N Nev.Of Acres uje a To Be Nt,~e ~'ll~w hp' Fho►K pra~K T"kAr«t Prow, 5epf'c rack ~ ry t proPose~ }douse 1.0~4~ro,1 ~ /000 dal Se~tii Icnk B ~~'n 1, Dla~ri Trencks~ S'A 90' 83 hem/,~~ Oki 4 r PV / ® 1 B.3 qk I ~ A Wkconsin Departrnent or Industry. SOIL AND S r E E V A L U A[ 1014 R L P 0 R T Fage of Latin; and Human Relations Di rsion of Ss fety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but PARCEL I.D. St =i-x A not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Steven Cudd GOVT. LOT SW 114 NW 114,S 28 T 28 N,R 1 144W PROPERTY OWNERS MAILING ADDRESS LOTS BLOCK I SUED. NAME OR CSM N 345 2 1 Vol"-2- CITY, STATE ZIP CODE PHONE NUMBERK~OcB GOWN rEARI STROAD Road River Falls WI 54022 (715)425-2757 Kinnickinnic fle Range (xJ New Construction Use be l Residential / Number of bedrooms 3 (J Addition to existing building ( I Replacement (J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate __g_bed, gpolft2 tench, gpdm2 Absorption area required 1 J-25 bed, ft2 goo trench, 112 Maximum design loading rate • 4 bed, gpolb2.5 trench, gpolft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design/ site considerations Care has to be taken t--n ke jLSy.St-Pm -,ha l l nw t'°ra»ca of =Cxin l uvA Parent material Flood plain elevation, if applicable it S =Suitable for system WOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK S ❑ U ®S ❑ U ®S r 1U Fias ❑ U ❑ S ®U 0S S U U e Unsuitable fors ste~17CONVENTIONIAL SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure Consistence Bantry Roots GPD/ft Texture in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench r~ mfr a --q _2M_ 4 -5 - 2 17-31 10YR 4/6 None is 1 m sbk mfr as 1 4 4 Ground 3 31-43 10YR 6/6 None Is O m s mfr as if elev. 96.43 fl. 4 43-6 10YR 7/3 None s 0 m s mfr as .7 .8 Depth to 5 67-7 10YR 7/3 f1f 2.5YR 6/6 s 0 m s mfr as- I NP NP limiting NP NP factor 6 179-12C 10YR 7/3 C11) 2.5YR 6/ is 0 m s mfr 6711 Remarks: Boring # 1 - 2 16-26 10YR 4/6 None is 1 m sbk mfr as 1f .4 5 3 26-42 10YR 6/4 None is 0 m s mfr as if .4 .5 Ground elev. 4 42-89 10YR 7/3 None s 0 m s mfr 92,52% 5 89-12 1OYR 7/3 f1f 2.5YR 6/6 is 0 m s mfr NP NP Depth to limiting factor 89" Remarks: CST Name:-Please Print Phone: - Steiner Plurrbin & Electric Inc 1 Address: N8230 Highway 6 River CST Number. Sgnature: Date: Jul 26 1993 3074 PROPERTY OWNEF ri PARCEL I.D. ! Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botrrary Roots GPD/ft . In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0-21 10 2 21-28 10YR 4/6 None 1S 1 mfr as 1m 4 5 Ground 3 28-42 1OYR 6/6 None is 0 m s mfr as 1m .4 .5 elev. 96.42n 4 42-55 10YR 7/3 None s 0 m s mfr s .7 .8 Depth to 5 55-72 10YR 7/3 1f1 2.5YR 6/4 s 0 m s mfr as NP NP limiting factor 6 72-12 10YR 7/3 C1D 2.5YR 6/4 s 0 m s mfr NP = NP 55" Remarks: Boring # None sl 1 m sbk mfr as 2m .4 .5 •v,•w 1 0-22 10YR 3/3 4 2 22-33 1OYR 4/6 None is 1 m sbk mfr as 1m .4= .5 Ground 3 33-53 10YR 6/4 None is 0 m s mfr as 1m .4 .5 i 4 53-96 10YR 7/3 None s 0 m s mfr as .71 .8 97e141 It. 5 96-12 10YR 7/3 1f1 2.5YR 6/4 s 0 m sg mfr NPi NP Depth to limiting factor 96" Remarks: Boring # i 1 0-15 10YR 3/3 None sl 1 m sbk mfr as 2m .4 i 5 2 15-21 10YR 4/6 None l s 1 m sbk mfr as 1M .41 .5 3 21-46 10YR 6/6 None is 0 m s mfr as 1m .4;! .5 Ground elev. 4 46-53 10YR 7/4 None s 0 m sg mfr as .7i .8 95,12 IL Depth to - limiting factor 5311 Remarks: Boring # Ground elev. ft Depth to limifing facto Remarks: S80 P.190(R.051121 PLOT- PLAN s colt I,. _ 200' 5~cue C~,dd N b M Top o f I'/z P vc G'~j~~. El~u. lan,o' L.ot ~2- 9',aD Ares I i i e S ~ ' J BY ~rpn i i a i h Po ~ Ir Q~ i i i Y s a g 338318 s FILED f EB 281977 "04 CERTIFIED SURVEY MAP emmy, HERBERT D. CUDD ~l wbow* b of the Southwest 1/4 of the Northwest 1•/4 of Section 28, Township 28 North, Range 18 West,, Town of Kinnickinnic, St. Croix County, Wisconsin. 69.97 - - - - 3 - - 118 °47' ZO" G 1325:39 _ - - - - 'Ile 90. EASL= MLNT o~ C) 1-0 APPROVED .1i 8 FEB !5x 51 LOT 3 2 h 17. 9 A cRes ST. C OiX COUNTY d NI COMPREHENSIVE PARKS PLANNING N I"= 00 AND ZDAING COMMITIEE o pD X33, 0,0 WGSZ' 1-53 1 .00 5. 5 0 1sb 6(l>5- 5 0 u9 , tijG Q °a .)P i lp Z 0 al ~ ~ a 0 I._._ O T I i__ d T Z N 10. `L Ac12ES 10.2 AcFRCS I V) 0 , 0 6~ O ~ Doh ~ o0 49~s ~\.k0 3s. w ~.sT I'S3(o . 2.4 w 1/4 cozNQR - ~ -rowN 2.oAO S EC . Ze 'r e Indicates 1" diam. pipe found. o Indicates 1" x 24" iron pipe set. Description: That certain parcel of land located in the SW 1/4 of the NW 1/4 of Section 28, T 28 N, R 18 W, Town of Kinnickinnic, St. Croix County, Wisconsin, more fully described as follows; Beginning at the West 1/4 corner of said Section,28, thence go N 000 57' 00" W along the West line of said Section 28 a distance of 1217.18 feet; thence N 880 47' 20" E a distance of 1325.39 feet; thence S 010 26' 30" E a distance of 1245.441 feet to the South line of said NW 1/4 of Section 28; thence due West (assumed bearing) along said South line a distance of 1336.24 feet to the Point of Beginning, the above described parcel containing 38.3 acres, including the Westerly 33 feet and the Southerly 33 feet thereof presently used for Town Road purposes. State of Wisconsin ) County of St. Croix) I James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, H.D. Cudd, I have surveyed and divided the lands shown hereon dccord- in to official records and in accordance with provisions of Chapter 236.34 of g t Wisconsin Statuted and the St. Croix County Ordinancep,l-,14 pfk,,~ Pat the map and description shown hereon are a true and ]orre Q'7/q ereof. Dated: 8 February 1977 + J + ! ._~7L~~ y~ Vol. 2 Page 345 _ I_, Y j ~ Certified Survey Maps j gs'_ Lc; Mu$p~yz,. n St. Croix Count e is L -.,S a or, ~'lr y Records g _ ~X'vL . ~ St. Croix County, Wisconsin; wl"c. Vol. 2 Page 345 SEPTIC TANK MAINTENANCE AGREEMENT a r St. Croix County ~ OWNER/BUYER ke P* 64, C~Y1 G~ J~ i /ye- o QLUCtfj 04 Fire Number ( o ROUTE /BOX NUMBER o9 0 CITY/STATE 9.1VQr- ZIP M PROPERTY LOCATION:' S_ , Nlc~ Section, T N, R_L Town of ' K,n ni , n n jC , St. Croix County, Subdivision CSwl ✓eP•a )A. 346-1 Lot number a Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed 'sept'ic tank pumper. What you put into the system can aT ect t He Function of the septic tank as a treat- ment*stage in the waste disposal system. tefor St. Croix County residents may be eligible tofr a cfailinggrant a maximum of 60% of the cost.of replacement sys, whic 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 sys'tems agree to keep their system properly maintained. The property owner agrees to. submit to St. Croix County p Zoning r,a certification form, signed by the owner by a mater 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 t three year expiration. y 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 Depart- W meet of Natural Resources. Certification form must be completed b and returned to the St. Croix County Zoning Office wit in 30 days of the three year expiration date. u SIGNED / DATE f. II St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. APPLICATION FOR SANITARY PZRMIT 8TC- 100 This application form is to be completed in full and signed by the ownez(s) of the property being developed. Any inadequacies will only tesult in delays of the permlt Issuance. -Should this development be intended tot resale by owner/contcact0c,(spec house)- then a second form should be retained and completed when the property is sold and submitted to this office with the apptoptlate deed recording. ______N-__ ~ Q Owner Sot property I n~• ~nA yr,~c-~►~~ Location of propetty ~ W14 •A1/1, 8ectlon ♦'RY Tevnshlp Jl~nn~c, r,i L Malling address 1~a /.tee- o f~; ~p.►- FQ lls ,w c ~5yoaa Address of alte vc?r ~czll~ LJ~ ~yD~a Subdivision name C-5M t/~ef 34/< • Lot number a n Previous ovnet of property S Ven GLA Total 5120 of patcei 9,c2 14e-re 5 , Date passel was created . re--6. ae, /'777 ,_•,__J1o At* all cornets and lot lines Identifiable? as is this property being developed for renal. Capes house)? as /Y 0 Volume Demand Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION TUN FOLLOWINGS A WARRANTY DRID which Includes a DOCUMI<NT NUMBYR, VOLUMN AND PAON NUMINR, and the BRAL OF THN REGISTER OF DNNDS. In addition, a cattIlled survey, if avallable, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Ceitlfled survey Map, the Cattifled Survey Nap shall also be requited. PROPERTY OWNER CERTIFICATION f(W" certify that all statements on this form are true to the best of my (out) knowledge; that I (wO am (ace) the owner(s) of the properly described In this Information form, by virtue of a warrant d4 •d recorded in the Office of the County Register of Deeds as Document No. ~'_M t and that 1 (We) presently own the proposed site for the sewage disposal system tot i (wet have obtained an easement, to tun with the above described property, foe the construction of said pyatem, and the same has been duly recorded in the Office of the County Regis c of Deeds, as Document No. 1. gnatuc of Ow ee 8 natut0 of Co-Owner i AOP icablel Date at Signature DatO of 'Signature DOCUMENT NO. THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED STATP_ B ~ ~VISCO I,~t FORM 2 -1982 ; I ~-Q j rr~ - - 504742 ~t11~L ~~1J. ~J~ IST R" ~*i-1C :ec'd for Record Steven G. Cudd and Gail L. Cudd, husband and wife I , 1993 holding as survivorship marital property AUG 31 11:40 A. - - ° ~I . conveys and warrants to LeRoy..D. Sylvester and of Deeds ,Iuani> a...._:yI mest~x~ husbnd .and wife as xvl~SZx8hz8 to xi 1 :.1?xoperty......_.•. - . (I THE FIRST RATIONAL BANK i' RETURN TO B0;! 166 RIVER MLS, WISCON.$1N._54D22- ! the following described real estate in St. Croix .County, State of Wisconsin: Ij Tax Parcel No: i I LOT TWO (2) OF CERTIFIED SURVEY MAP IN VOLUME TWO (2) OF CERTIFIED SURVEY MAP, PAGE 345, AS DOCUMENT NUMBER 338318, FILED IN ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON FEBRUARY 28, 1977, BEING PART OF THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER (SW 1/4 l OF NW 1/4) OF SECTION TWENTY EIGHT (28), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC, EXCEPT the North 66 feet thereof. i I' i' i S'p'a, I This ...-----is not homestead property. N4)- (is not) ii Exception to warranties: easements, restrictions and rights of way of record, if any. i Dated this o...... day of August 19- 93 i - --(SEAL) :..............(SEAL) S ven G ud i - ---•-----------•------------•--(SEAL) = ..........(SEAL) Gail L. Cudd I AUTHENTICATION ACKNOWLEDGMENT i Signature (s) STATE OF WISCONSIN ss. I I • • County. authenticated this day of___________________________ 19 Personally came before me this .Z~...day of August , 19._.93. the above named Steven G. cuad ' TITLE: MEMBER STATE BAR OF WISCONSIN Gail L. Cudd (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person S who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY - I Joseph D. Boles - Attorney at Law . River Falls, WI 54022 (715) 425-7281 ' Notary Public S~~.s~ \ County, Wis. ~I My Commission is permanent. (If not, state expiration ~I (Signatures may be authenticated or acknowledged. Both are not necessary.) JULIE C. MOELTER I; date: 19-----....) 1~tolelry" Pubi46=6 aT 1+Vfso~ My Conunis on Expires Apr. 10, 1994 'Names of persons signing in any capacity should be typed or printed below their signatures. jl RA nw- STATE BAR N F WWISCONSIN SStock NO. 13002