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HomeMy WebLinkAbout022-1081-80-100 N 03 m ~ I H 0. 0 ° I ~ I 0 o i N N V i C K I o I ~ I Z° c LL co O I I Q 3 ~ j CD Z y 00 0 0 d o a0 N W a m N H Z O O Z V ~c U M H 0) N Z c E -o O~ N CL 0 O ~ I N (n N I''' N C CL C C 0 U Z f- Z O O N z _O N i! N N R t (D a) IL LO CL m H 14 _ A v 0 m C O O O C a a -0 7 co N O N CO U) N a O N H H H O U N Z r > LM 31 3: w L O O O a z o 0 +~t m a a a a r 7 O N N rn Cl) N J U o rn rn y N CO 0 0 O O N O N N co 0 T N 4) In Cl) _ I (V O O ap 7 -M L~ N U) F~ O C O 'O E C O LC~Q+ p~~ N U C O Q 0 0 0 Q a. G O a C -O N N V O p ao -"j c co co LO 4.r O Y - N L G} 7 r N N r~ N C LO w ID -a F- N M O Z6 1 CN co 2 • N 00 C N 0 N O E U O N Y O Z :9 Cn O ~ r r C a w CL 0) r A tia~ 0w0 f Parcel 022-1081-80-100 03/26/2007 02:33 PM PAGE 1 OF 1 Alt. Parcel 28.28.18.445C 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 - MEYER, JEFFREY J & CHERYL L JEFFREY J & CHERYL L MEYER 1148 RIFLE RANGE RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1148 RIFLE RANGE RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 9.663 Plat: N/A-NOT AVAILABLE SEC 28 T28N R18W PT NE SE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2647 ALSO COM E1/4 COR SEC 28; TH S 00 DEG W 341.94' POB;TH S 00 DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 310.67; TH N 88 DEG W 554.87'; TH N 28-28N-18W 123.09; TH N 74 DEG W 144.23'; TH N 02 DEG W 221.80'; TH N 81 DEG W 189.86'; TH more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1023/200 WD 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 9.663 100,000 391,600 491,600 NO Totals for 2007: General Property 9.663 100,000 391,600 491,600 Woodland 0.000 0 0 Totals for 2006: General Property 9.663 100,000 391,600 491,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 502 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION 7969 LABOR AND PERCOLATION TESTS (115) P.O. BOX 3707 HUMAN RELATIONS MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: /MU 1111 CI PALITY: LOT NO.: BLK. NO.: SUBDIgISION NAME: . /4 a% /TaN R/8'E(o ~nniC-1 146C COUNTY: OWNER' UYEF:r A MAILING ADD ZRES Sj. c~'di x Cl lit er USE DATES OBSERVATIONS MADE ]_NO..BEEDRMS.: COMMERCIAL DESCRIPTION: PROFILED IS RI PT IONS: ER O ATION TESTS: Residence New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CnS it E JD_A_SYSTEM: , 1 em 1 a 1) CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMM(op tional 0 S MU M ❑U 11S oU OS ©U ~ S ®U /i a~ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 6-10' ~ l s la av" 6n S; 1-?(I'~d B- I ~C B- s Lu / tk, r) Lt k &As mo{ S A~ B-`~ 4-- V/ b Si /~-3~''Bn~'~►~es 1 3a-~~ ~n g" B_ I ,n S MIJ4'IR char W1 AA Al B-3 't L ~'j gy-vt B- to k' R ar Qn M6t O t 91' PERCOLATION T STS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P ay 3 s 3 P- 30 SVc- y00_ P_ c 3 S "VIF 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 • - o 2- 90.13 F99,Q stf~ F t boh g3 j r) `b.~~~ ~c~se ~~eeT'~e,~+~ ►~sl~~c~_';b "SI 10~ 3 a 1~5 o = Pe wC E RI to' AV, D TN E k E 3 3 E X 9 Rifle I x 1,7 All F 3 E E I, the undersigned, hereby certify that the soil tests re oQe onih 'firm wert~made q - in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the c of i1' .jests are cor, 6he best of my knowledge and belief. NAME (print): tf~ TESTS WERE COMPLETED ON: as 1,~~~93 AD (jE CERTIFI ATI N NUMBER: PHON NU B pt nal): l~" 5 aaa o < a k" er d CST SIG VA;Lp E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - l t s ~ MPL-- re Sul, ~'[4 _L 9 C( qa tl : : r , : his Z E Dr: d-I`tiC V vtITH THE TES, trze~~ s G . t Y 'M i) t ~ 1 + 1 TO T This soil tE r : ~9 a init. The county or the Department may request verification of tE s farce. A complete set of plans for the private sew_ e system and , v the appropriate local authority i-- r- ~r to =~rmit. The sanitary permit r t. J osted prior to the start of any cortr--(A )n. DEPV WENT OF IN REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS R'Y, DIVISION L BOR AND c P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) *;Q MU FPALI' LOT NO.:BLK. NO.: SUBDIVISION NAME: LOCATION: SECTION: E ~/a E~/a aFr /TAN RA?E(or k'j ; i iC COUNTY: OWNER' NA MAILING ADDRESS: Cro' e er 1/35 bL 01v. C;~er s Vl'. 1/6,)09 USE `j DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DES RIPTIONS: 1PERCOLATIO TESTS: Residence New ❑Replace ///U 1 L?; T- dF RATING: S= Site suitable for system U= Site unsuitable for system S • C 2"IM 7 4k 10 J~ OUND: N-GROUND OESTI❑U. M5dS F] 2S P❑URE:SY❑s IaLHDSG~TAN R U s OMm m nQ{~• } es 990 rtum~ C A err rha Extend S LiTe_ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested ea is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) &N E It 0-/ e "g 1 S i / F- 36" 15 o S'~' 36~7a n s w Or I B- ► 7~ 99 a v o n X e I js S B-~ t~ r l p. 11 B-~ 1,2-36 en 3, 3o-),9",Bn.Sw ~/;n6, -s B-~ a " 6 ~ " /~'~ls ~ l -3o a,~ S j 136- 7a Yn 3 to ,Bndg __2 I B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERI D 1 PERIOD 2 PERIOD PER INCH P_ l 30 P_ 30 P- 3 d s' /r 8' 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. Perm itAf 9S!00 A IfieV, 'ff 1- 97, a5 V 3-9,'/ 75' a-93. a~ ~a-96. a~ ~ v- 9vab SYSTEM ELEVATION 3-%2, 75 ®d o~ ~>*d See j trace ! ,le~4ti~') &+se k~ '~~~r 99• ~ s 6O= ~or~ ~-~a~~°S 1 I o . re r( e F . 5/a' 8 3 .Y P Grease ~.~ne1e,/9~.~ - e(r►nanenr>n~ _ 3 o N EW =//0, L s s ~n 04l r S~IJ P. 1.• Co in er N zO Ra F € t - ` F I, the undersigned, hereby certify that the soil tests reported on this form we by me in accord with the procedures a3 t~s s ecif" I Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. ` t L NAME (print): TESTS WERE COMPLETE ON: a s► 019 3 ADDRE S: CERTIFI ION NUMBER: HO NUMBER(op Tonal): 6 if C e 1 as ~ls k);. 5c vo ~01 CST SIGN DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - - } 0 'LL a 3 t M TES t TO TI This soil test report is the first step in -curing a sanitary permit. The county or ' Department may rezauest verification of this soil test r tl i )r to permit issuance. A cornp' plans for the private sewage system and a permit a, - --ist be submitted to the appropr; I authority in order, to obtain a permit. The sanitary pe, ~it t obtained and posted prior to the of any construction: _J ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 January 20, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Vernon Peskar property, located in the NE1/4 of the SE1/4, Sec.28, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Tom Wang, CST# 2860. This onsite revealed suitable soil for onsite sewage disposal to a depth of 56" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a conventional septic system. It is the recomendation of this inspector that only trenches be installed, that two septic tanks be installed in series, and that dosing be considered. Should you have any questions, please feel free to contact me at this office. inc rely, mes K. Thomp on Assistant Zoning Administrator cc: file STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER t !r/- lylG-e~ ADDRESS /P Zee Y SUBDIVISION / CSM# LOT # SECTION T N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a~ r /r i INDICATE NORTH ARROW Provide set ack and. elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM• SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: S~ Length 7 Number of trenches 2- Distance & Direction to nearest prop. line: ~O y Setback from: well: 106L,--- House /ODD Other ELEVATIONS Building Sewer ST Inlet; ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: l~ LICENSE NUMBER: INSPECTOR: 3/93:jt 6 L'A""WaAMP &!iNIC.28.2t ~A{~ ~T$ iD) County: Labor and Human Relations INSPECTION REPORT E Safety and Buildings Division (ATTACH TO PERMIT) Sanitar unit ` GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI lev.: Insp. BM Elev.: , BM Description: X Parcel Tax No.: 11)d e;? 2 -test ee too TANK INFORMATION ELEVATION DATA A9300190 v TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing / 0,94,?- Aeration Bldg. Sewer O 0 S(v~ Holding St/ Inlet S~ 35-' ,A Outlet TANK SETBACK INFORMATION St/ TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 1> SO ' SD ~.v { 114 NA Dt Bottom Dosing NA Header / Man. Aeration Dist. Pipe: Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manuf Demand AG S Model Number GPM TDH Lift Fricti Ft ead For n Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width, 51 Lengf~ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS % DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Mode Number: System: OR UNIT DISTRIBUTION SYSTEM Header /Manifold t, I Distribution Pipe(s)/ / 7 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 Depth Over Depth Over xx Depth Of xx Seeded /So xx Mulched wrench Center _OsRbTrench Edges Topsoil s ❑ No ❑ Yes ❑ No _J- E COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC.28.28.18 (RIFLE RANGE ROAD) Plan revision required? ❑ Yes C3" No Use other side for additional information 0-~ k-/W 1/91 SBD-6710 (R 05191) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY .e.:.N,.a.,..,..,,.,.,~ TWA, STATES ITARY 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 -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 F, /yyf~ Y '/4 4, S V , N, R If E (Or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ~~11 ❑ State Owned O VILLAGE : ~ 1, r G ~ 42WN QF: 14 ❑ Public l~'SI 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX N E ) 111. BUILDING USE: (If building type is public, check all that apply) Q a ~Q~/r- ~`d /00 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.E] Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.0 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) v e ELFATION 600 I Yao , 3v2 d r 70 1 - Feet G. • e u Feet VII. TANK CAPACITY Site G,-IS in alIons Total #of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shovy{~ on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number: 3rC - 31;'.? e Plumber's Address (Street, City, State, Zip Code): G~ S'G.G/ LCD r L v n ' A2,%,/_ / 4c L IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee (includes round water Date Issued issuing ge SApproved ❑ Owner Given Initial j/it► GQi~ p Adverse Determination CJ~/ X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: i 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, purnp/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 vertica' elevation reference points; C) complete specifications for pumps and controls; dose volume; elevati,); ,''fferences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross Becton of the soil absorption system if required by the county; E) soil test data on 61~15_fQrm; and F) all sizing information. - - - - - - - - - - - GROUNDWATEIR SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a numL:;r ~f regulated practices which can effect groundwater. The monies collected through these surcharges are used for vr,o,nitoring grG.,undwater, gror_rnc':- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) t S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property 1/~ ~~J lJ~~ye,y Location of property j= l/4 -5Z- 1/4, Section 79,7_N-R /FW Township Mailing address Address of site A;~< o-P h Subdivision name cr_g 'sw Lot no. Other homes on property? yes- -No Previous owner of property oes/ fc y Total size of parcel a Date parcel was created P Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes Z No Volume ids? and Page Number ad d 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 & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. , and that I (we) own the proposed site for the sewage disposal system orI presently (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. 7L S gna ure o~fa icant Co-applicant Da of~ igna re Date of signature iI DOCUMENT NO. I I' STATE WARRANTY DEED 1982 I THIS SPACE RESERVED FOR RECORDING DATA BAR OF WISCONSIN FORD[ 2-502689 ~je~ Vernon P REGISTER'S OFFICE eskar and anley G. Peskar, as tenants _ in S7' Mix CO. ! common, an undivided 1/2 Stinterest to each Rac'd for Record - JUL 21' 1993 - conveys and warrants to .._-effrey J,._hleyer -----and-.Cheryl _L._ _IYeyer, `2000-. ~•~.p, husband and wife as survivorshi marital•~ro ert Q M ! I o/p~di t+:;c3k } > RETURN TO - ' I } the following described real estate in St. Croix State of Wisconsin: ••-----•-----------County, Tax Parcel No: _ LOT ONE (1) OF CERTIFIED SURVEY MAP IN VOLUME NINE (9) OF CERTIFIED SURVEY MAPS, PAGE 2647, AS DOCUMENT NUMBER 502412, FILED IN ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON JULY 16, 1993, BEING LOCATED IN THE NORTHEAST QUARTER -(NE: 1/4) OF THE. ' SOUTHEAST.%QUARTER: (S& 1/4) OF SECTION TWENTY EIGHT (28), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST, TOWN OF KINNICKINNIC ST. COUNTY, TOGETHER WITH EASEMENT FOR ACCESS OVER AND ACROSS THE~ROADWAYOAS SHOWN ON SAIDNSIN. CERTIFIED SURVEY MAP FROM RIFLE RANGE ROAD TO LOT ONE (1). AND FURTHER, SUBJECT TO AN EASEMENT FOR ACCESS TO GRANTORS ADJOINING PROPERTY 0V AND ACROSS THE SOUTHERLY 66 FEET OF SAID LOT ONE (1) AS SHOWN ON SAID CERTIFIED SURVEY MAP- THIS EASEMENT SHALL RUN WITH THE LAND AND BENEFIT GRANTORS, THEIR HEIRS, SUCCESSORS AND ASSIGNS. , t' Is not ; This homestead I property. (tom (is not) Exception to warranties: easements, restrictions and rights of way of record,.if any. Dated this ..............20th day of uly.................................. , 19...93.• ..---•--•-•......------(SEAL) • (SEAL) V. n E. Peskar ---------------•----------------------(SEAL) - . (SEAL) • Stanley Peskar AIIT$gNTICATION ACHNOWLBDC}>f[gNT Signature(s) .of Vernon- E. Peskar and ' . STATE OF WISCONSIN _ Stanley G._ Peskar authenticated this t_ ay of........... Jul County. to, Personally came before me this .day of • se h D. 1--------- the above named - P Boles } - - -iii TITLE: MEMBER STATE BAR OF WISCONSIN (If not, b by f 706.08. Wis. State) to me ]mown to be the foregoing instrument and acknowledge the ameU the THIS INSTRUMENT WAS DRAFTED BY .Joseph D.•Boles - Attorneq at Law River Falls 54022 (715} 425-7281 (Signatarea may be authenticated or acknowled Notary Public not, -staCounty. Wis. f are not necessary.) + ged. Both My Commissionis permanent. (If n notot, state expiration i date: II 19.........) + NaDta, of Deraona ,iinlDS in any cspaeity should be typed or printed below their sitnatarv. i` WASRANT! DEED STATE BAR Or WI9CONSDC Wisconsin Legal Blank Co., Inc. -.R~ r ~.;..V.V ~`.a Milwaukee, Wisconsin SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County 014NER/BUYER J ' I;- 11 d ROUTE /BOX NUMBER 3 5"* :~j Fire Number • ZIP i~ •'Ue~IIS CITY/STATE -5~3~, Section TN, R -W' PROPERTY LOCATION:_ Town of ,~,/jvr`c%i St. Croix County, Lot numb e r ' / Subdivision Improper use and maintenance of your wasteseptProvertmaintenancescon-in its premature failure to handle sists of pumping out the septic tank every three years sooner, if needed, by a licensed' 's'e t•ic tank pumper. What y put into the system can affect t e' .unct on o. t e septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents-may f be eligible to ofrecieve aggrantefor a maximum of 60% of the cO replacement 1978. St. Croix County whi.c was in operation prior to-July with the requirement that accepted this program in August of 1980, owners of all new s stems agree to keep their system properly maintained. owner S and Croix by a Zoning The property owner agrees tb submit veri- certification form, signed by r journeyman plumber, restricted plumber or..a licensed pumper fying that (1) the on-site wastewater disposal systemiis iifpnecer operating condition and .Cis.lessrthanpl/3ifullnofpsludge and scum. • essary) , he septic .tank Certification form will be sent approximately 30 days prior to three year expiration. 0 to maintain undersigned adthe v system requirements and to maintain n the e private sewage disposal the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification for mustw be com30edays and returned to the St. Croix County Zoning of the three year expiration.date. SIGNED DATE " St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. CERTIFIED SURVEY MAP LOCATED IN THE NEI/4 OF THE SE 1/4 OF SECTION 28, T28N, R 18W, TOWN KINNICKINN►C, ST. CROIX COUNTY, WI ~I•/ 4 Z ~ ~O / t. 1 'il u n 2 / u u • rn 10 W W V W: gyp: N M m L% 0 °+S = 1 m = 30 ~~l ¢ y q IAA O 1 94 rn ~rn o m 1 0) / a rn - I ',J v A7IDo :0 to a~oP o I o uNw OD O O aW rn ro b; w~ W OO ~p RI O In D w N A \ A h UI D W A rn y\10 ~3 \o UNpC4 g _ turn rn ':4•. 6;.. lips m I ~ ~ x96.13• q/q. 27, o ~1011N11111 m m a .C o mN ti 9 vXWA "1 T- •r A IN o •A y o I co z •o ~ N ~ •r • co) w 1 w V •O n H grn .rn rq co (p y A to fb ~ ~ V ~ ~ ^C z SONV'1 a3llVldNn `g V A G/ V O ON y m mm .66.02' I 5706• m • SO°00 0 ' ~ ~ P m NO.19'14"E 19'37.92' W 123,09 . , S0.1911411 W 632.61 93 0 E. LINE SE 1/4 SHEET 1 OF 2 r DESCRIPTION A parcel of land located in the NE 1/4 of the SE 1/4 of Section 28, T 28 N, R 18 W, Town of Kinnickinnic, St.Croix County, Wisconsin, more fully described as follows: Commencing at the E 1/4 corner of said Section 28; Thence S 0019'14"W, along the east line of the SE 1/4 a distance of 652.61'; Thence N 88028'44"W, 554.87' to the point of beginning: Thence continuing N 88028'44"W, 438.86; Thence N 14028'46"E, 414.27'; Thence S 81005'32"E, 189.86'; Thence S 2013'26"E, 221.80'; Thence S 74027'31"E, 144.23'; Thence S 0000'00"W, 123.09' to the point of beginning. Contains 2.67 acres subject to a 66' wide access easement. Also subject to any and all additional easements, right-of-ways, restrictions or conveyances of record. Note: Parcel shown on this map is subject to State and County Laws, Rules and Regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office for advice. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Vernon Peskar, owner, I have surveyed, divided and mapped the above described parcel of land and that this snap is a correct representation thereof. Dated this Z0-day of 1993. ii i~ I'Z JAMES M. James M. Weber S-1804 Z WEBER ° WEBER LAND SURVEYING s 1804 Y~ SPRING VALLEY WIS. ! ` ; ~ To -q , C SHEET 2 OF 2 93-30 S A Fk r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILUINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) wl~l MU ICIPALITY: OT NO.: BLK. NO.: SUBDIVISION NAME: LOCATION: SE TION: E'/ iE ag /T N R/~' E (orl~ is I i COUNTY: OWNER' NA MAILIN ADDRESS: 31 Cr ' e- er //35 L, USE - 5 DATES OBSERVATIONS MADE NO. BEDRMS : COMM AL DESCRIPTION: PROFIbDESPFflPI ON A I ESTS: ®Residence NNew ❑Replace , j RATING: S= Site suitable for system U= Site unsuitable for system 1 1 1-~ ~/L 013t (1 I) it ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMM NDED SMtSTEM tional) ZS ❑U OS DU D S DU D S ©U D S ~U _ Jaw rFh c1 es 19v , , ~ 7 If Pa►n o c la," b e o rha l4 Ei-tend Sqs- Life If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested ea is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, CULOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. OBSERVED S GHE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 99- 0/$ ;615 i /8=36" n 5•,' 36-7 n .3 a, De B 1 I NONE b S 611 _T e -ids /Anyl B-9 V' rJ~r I? f' -36" s. 561/) 61 S ' = p S w if ; 6~ T B- 3 7~ tI 9~, 6$'I ya'~Is; /~-3o~n s i 3o-~~„bn5w t~i;nB;,~S -&'6 (S l)-ay I'm .te is a fi,u L B-~ a 95.a~ 6g ,F71311,$ tS,~s; /,7d''e„S B-16 - PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. I D I D PER INCH P. I 30 3v yFr 8' I P- 30 30 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 hor 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 percen of land slope. Permaitnt */-900 Ahfr,wf,97-t)5 P3`9y75 SYSTEM ELEVATION 3-ra._7{ a'96. as v- 9vao 6a /DO.O A " &!J Sfiee / let c e Po 31 5 'IV ,Ld, kew p~ J alter fhEaVILase GrtJ[ky fs 60 n 131 A = Ore Na ),o--, 0-- Pe rC ~ _ p3 Per ne+1~ -f l'enZ Jl Gra base !,,)1e k /e~./ 96.5 ~ Ps a~ 3 95, a~ P~ S &104 Flo' a 5 S it e 90' aoo' ~if1C QQ. `i,iw PJ'. c6rner 7,APPro Y. 650 ' tO Ri f It kA11 e Kd, J I, the undersigned, hereby certify that the soil tests reported on this form we 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 COMPLETE ON- - 93 ADDRE S: E' ^ CERTIFI ION NUM ER: HO NUMB Rluplonall' 1 Q s/t/l ~J S vy CST SIGN eMLA') 4 ~Ii,4 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILH"BD-6395 (R. 10/83) - OVER - lr 9-/- od 93~as y z q ~y Z ~ 1 avo Sa.c 't tGG ~y 3 _ S- x e9 Tre 4,44CS