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IL AND SITE EVALUATION REPORT rtmentofindustry, SO Wis.Adm Code COUNTY wl'nsin ~ Hum
'Labs, Relations in accord with ILHR 83 .05, Divj!ion of Safety & Buildings PARCEL I.D. #
. e plan mu If 4 siz on paper not less than 8112 x 1 di f cc ion and
complete site plan Point BM), REVIEWED BY
Attach of slope scale include, bu DATE road. not limited to vertical and and horizontal reference P° (
orth arrow. location and distance to nearesRMATION INForl dimensioned, n PLEASE PRINT ALL 4
PROPERTY LOCATION AR APPLICANT INFORM -GOVT .LOT 4 1/4,S PROPERTY T 0 NER: LOT # BLO K# SUBD. NAME OR CSM #
t NEAR T ROAD
PROP TY OWNER':S ILIN ADDRESS OCITY VIL E SOWN
ZIP CO E PHONE NUMBER
CI STATE Addition to existing building
Residential I Number of bedrooms t4 New Construction Use (Xl ~ft2_~trench, gpd/tt2
Public or commercial describe rate bed' gPd 2
rate ' gPd,ft2~- gbed j~_ ft (as referred to site p
C~. Iode derived Replacement daily flow Recommended design loading trench, gpolft ft2 trench, ft2 Maximum design loading lan benchmark)
Absorption area required It
Recommended infiltration surface elevation(s) Flood plain elevation, if applicable n 1 si a con iderations STEM ®ULL O D NG®UK
Additional desi9 Ar- S DEE U
Parent material IN-GROUND PRESSURE
CONVENTIONAL MOUND ❑ U ®s ❑ U S = Suitable for system REPORT GP At
U = Unsuitable for s stem SOIL DESCRIPTION Structure Consistence Bwldaly Boots Bed Trend
Depth Dominant Color Mottles Texture Gr. Sz. Sh. r
Boring # Horizon in Munse11 Qu $z nt. Color
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Depth to limiting
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Remarks:
Boring
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Phone: ~
Remarks:
01, 111
CST Name:-Please Print CST Nurn tier: Date: F 0
address: I -
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PARCELI.D.# SOIL DESCRIPTION REPORT
Page of1~f'
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J Munsell Qu. Sz. nt color Texture Structure Gr. Sz. Sh. Consistence BOI r Roots GPD/ft
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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
ADDRESS zW
SUBDIVISION / CSM# LOT ~r
SECTIONT~N-R-L7--W, Town of S,
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
I =~Osc:7r
e~
I
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INDICATE NORTH ARROW
Provide setback 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: Length Number of trenches
Distance & Direction t nearest prop. line: hL :Z2
Setback from: well: House__Zo Other
ELEVATIONS
, ST outlet
Building Sewer ST Inlet:
75 :Z 2~~
PC inlet PC bottom Pump Off
Header/Manifold 7 Bottom of system
Existing Grade y Final grade
DATE OF INSTALLATION:
PLUMBER ON JOB: ,
LICENSE NUMBER:
INSPECTOR:
3/93 : j t
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations
Safety and Buildings Division INSPECTION REPORT c" 0 !It
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION X99 ~j 9
Permit Holder's Name: ❑ City ❑ Village 0 Town of: State Plan ID No.:
CST BM Elev.:
Insp. BM Elev.: BM Description: Parcel Tax No.:
1 /00 lle)U d //'j SILL 42 J 4- 1~-k
TANK INFORMATION ELEVATION DATA " 936o a vs
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark j/ goo,
Dosing
Aeration Bldg. Sewer
Holding St/Ht Inlet 9S,3y
TANK SETBACK INFORMATION St/ Ht Outlet ~j 9S-b$
TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet
Ar I
Septic y a S J/ j NA Dt Bottom
Dosing NA Header / Man. Cr f/,~b
Aeration NA Dist. Pipe aG
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade 3r q7. y
Manufacturer Demand r 60ttrs' q~ q$, 7y
Model Number GPM
TDH Lift Friction System TDH Ft
Forcemain Length Dia. Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Widt Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~d DIMENSIONS
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type Of (~~''~n CHAMBER Model Number:
System: ~'d /off A-)14 OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over ti Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center 1! Bed /Trench Edges Topsoil ❑ Yes C] No E] Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. 'r
SBD-6710 (R 05191) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
Wisconsin Department of Industry, !191L AND SITE EVALUATION REPORT Page _ of
'LOOdr$IafthQThWQN . 3 2.31:
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COL )MY. CROIX
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARjU9%;B9
dimensioned, north arrow, and location and distance to nearest road. X
QIMWWAWNFORMATION-PLEASE PRINT ALLSI WR)ftm REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION 036-1081-80-100
GOVT. LOT 1/4 1/4,S93Q0245 N,R E (or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ❑iOWN NEAREST ROAD
[ ] New Construction Use [ ] Residential / Number of bedrooms [ ] Addition to existing building
[ ] Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND 771NGR01 N D PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ❑S ❑U ❑S ❑U S ❑U EIS ❑U EIS ❑U ❑S ❑U
SOIL DESCRIPTION REPORT
Borin Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
L imiting O .
factor
Remarks:
CST Name: Please Print Phone:
Address:
Signature: Date: CST Number:
PROPERTY OWNER SOIL DESCRIPTION REPORT Page of
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
!g m:::
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
SANITARY PERMIT APPLICATION COUNTY
,DILHR In accord with ILHR 83.05, Wis. Adm. Code
STATES IITAIRY PEVO MIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ~C: ~T8% x 11 inches in size. previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPER OWNER PROPERTY LOCATION
'/a AIA %4, S N, R V (or
PROPERTY OWNER'S AILING DRESS OT # BLOCK #
CI ,7, STAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
II. TYPE OF BUILDING: (Check one) CITY NEAREST OAO
❑ State Owned VILLAGE
OF L j
. NUMBER(S)
❑ Public 10 1 or 2 Fam. Dwelling-# of bedrooms AR AX
III. BUILDING USE: (If building type is public, check all that apply) Oil/ 7_&r
1 ❑ Apt/Condo
2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 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.E1 Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 12.ABSORP.AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
/ REQUIRED (sq. ft.) PROPOSED (s q. ft.) (Gals/day/sq. ft.) (Min. inch) ELEVATION
~O dQ 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
Tanks Tanks structed
Septic Tank or Holdin Tank
Lift Pump Tank/Si hon Chamber
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for instal tion of the onsite sewage system shown on the attached plans.
Plumber' Na (Print): Plumber' ig lure: (N mps) MP/MPRSW No.: Business Phone Number:
7 q
Plu be 's Address (Street, City, State, Zip od
.S
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater a e ssue Issuing Age Sig ure (No m
pproved ❑ Owner Given Initial Surcharge Fee) 9 l ^
Adverse Determ1na ion
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 Elxpiration 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 maintaired. 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, 60B-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)
wrc,on,5in Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 2
V..abor and Human Relations
UMsion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY ONNER: PROPERTY LOCATION
GOVT. LOT A~E 1/4 1/4,S T 1 N,R (or~11
PROP TY OWNER':S MAILIN ADDRESS LOT # BLO K # SUBD. NAME OR CSM #
ti
CI , STATE ZIP CO E PHONE NUMBER []CITY VIL GE ®f OWN NEAR T ROAD
New Construction Use pC] Residential / Number of bedrooms [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow ,;~,&& gpd Recommended design loading rate 5--bed, gpd/ft2 ,~trench, gpd/ft2
Absorption area required bed, ft2 /ADD trench, ft2 Maximum design loading rate bed, gpd/ft2_,_,~_trench, gpd/ft2
Recommended infiltration surface elevation(s) 9 ft (as referred to site plan benchmark)
Additional design / si a con iderations
Parent material Flood plain elevation, if applicable V-ldl ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ®S ❑U RS ❑U ®S ❑U E]S ❑U ❑S RIU ❑S OU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Pont. Color Gr. Sz. Sh. Bed Trench
Ground
elev.
Depth to
limiting
factor
Remarks:
Boring # -2 6/
72 j
Ground
elev. _
2 L'S ft.
Depth to
limiting
factor
~ J
Remarks: -77 CST Name:-Please Print Phone:
address:
r ~ - L
Date: 3 CST Number:
nature:
PROPERTY OWNER c/ SOIL DESCRIPTION REPORT Pagez iof~
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Ou. Sz. nt. Color Gr. Sz. Sh. Bed Trench
1
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
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Ground
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~ft.
Depth to
limiting
factor
Remarks:
Boring #
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9dZft. -
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Remarks:
Boring #
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Depth to
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SBD-8330(8.05/92)
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W iissonsin -Department of Industry, SOIL AND SITE EVALUATION REPORT Page -L of
L.abos and Human Relations
DivisonofSafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
GOVT. LOT 114 1/4,S Tg N,R 121(or
# SUED. NAME OR
CSM #
PROPERTY OW ER':S ILING AD PRESS n0l
CITYTAT
VF- ZIP CODE PHONE NUMBER 2 E GOWN NEARES ROAD
[X) New Construction Use Vj Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement ( ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate bed, gpdtg- _trench, gpd/ft2
Absorption area required -37,5- bed, ft2.?75' trench, 112 Maximum design loading rate _-j- bed, gpd/ft2-,Z trench, gpd/ft2
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design / site considerations
Parent material - Flood plain elevation, if applicable ft
S = Suitable for System CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ❑ S M U ® S ❑ U ❑ S W U ❑ S ®U ❑ S MU ❑ S In
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Clu. Sz. Cont Color Gr. Sz. Sh. Bed mach
Ground s~C7 a
elev.
'zft.
Depth to
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Remarks:
Boring #
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Ground
elev.
ft.
Depth to
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Remarks:
CST Name:-Please Print Phone: _ / ZZ, Address:
Signature: Date: CST Number:
PROPERTYOWNER SOIL DESCRIPTION REPORT Page_=Zot;
PARCEL I.D. #
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JAMES
ste er o► Dcsds L
9 g
• St Croix CO.* W►
505565 ti s
CE R T I FI ED SURVEY MAP
LOCATED IN THE NE 1/4 OF THE NW 1/4 OF SECTION 32, T31 N, R17W, TOWNSHIP OF STANTON,
ST. CROIX CO., WI.
PREPARED FOR: EUGENE MULLIKIN
NOTE: BEARINGS ARE REFERENCED
TO THE NORTH LINE OF THE NW 1/4.
(ASSUMED).
NW CORNER SECTION 32. N 1/4 CORNER SECTION
(FOUND P.K. NAIL) 32. ( 1" IRON PIPEFOUND)
N LINE NW 1/4~+ c A In
N89°52'09"E -2142.57 S.T•H•. „•6 Ti'• U) S89°52'09'W
®
0 460.06 '
N 89045'00"E 684. 50 _ 0
309.25' 33.001' 133.00' 309.25'
342.25' I 342.25
o g . ~w
=I0 O OI w
00 000 oa
N~ BUILDING SETBACK °OIN NNIO Na C;
LINE. 133' 33'1y
O• Z COMMON DRIVEWAY Z.
Z. q* I I EASEMENT. O QQ• 00-41 33.00' O~
Lo o - J'
J. (D - S89°45'00W N
Go In
(D
N
0 3 10
W;
5. Ia ACRES
o4.97AC.EXC.EASEfMlI 3 LOT 2 W W.
QO (223,332 SQ.FT.) 1- a.
0 - 4.97AC.EXC. EASEMENT O O n a (2 16, 732 SQ. FT.) O d.•
Z, Z 00 in 0 Z, cf) W E m, o
z
S
Ro
fir? Ij '91
342.25' 342.25
S89052'09"W 684.50
COUNTY
nsive Pl-,minc,
ond UNPLATTED LANDS
tvnorded GO
30 days of
-woval data a
M.
shall ba sWEiEA
S 180d SC
SPRING VALLEY I a
O = SET I "X 24" IRON PIPE WEIGHING ,r WIS. l ?
1.13 LBS. PER LINEAR FOOT. ~l ,✓p ct-~
a3 i
g
SCALE 1 "=150'
VOLUME 9 PAGE 2685
~~~OI'Ks M•~~
0' 75' 150, 300' JAMES M. WEBER S-1804
SHEET I OF 2 DATED `{'3'213
93-49 THIS INSTRUMENT DRAFTED BY ^~a
I
I
I
DESCRIPTION
A parcel of land located in the NE 1/4 of the NW 1/4 of Section 32,
T 31 N, R 17 W, Town of Stanton, St.Croix County, Wisconsin, more fully
described as follows:
i
Commencing at the N 1/4 corner of said Section 32, thence S 89052'09"W,
along the north line of the NW 1/4 a distance of 460.06';
Thence S 0007'51"E, 44.99 to a point on the southerly right of way line
of S.T.H. "64", said point being the point of beginning:
Thence continuing S 0007'51"E, 652.90';
Thence S 89052'09"W, 684.50';
Thence N 0007'51"W, 651.47' to a point on the southerly right of way
of S.T.H. "64";
Thence N 89045'00"E, 684.50' along said right of way line to the point
of beginning.
Contains 10.2S acres subject to any and all 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 Eugene Mullikin, owner, I have surveyed
divided and mapped the above described parcel of land and that this map
is a correct representation thereof.
Dated this-11" day 1993. Go t oB~rs~s `
l
James M. Weber S-1804 JAMES M. 'S
WEBER
WEBER LAND SURVEYING 5.1804
SPRING VALLEY 1
Wis. l
SHEET 2 OF 2 .....~~''.•+y0v4b
93-49 00; l1 Rv ,
e0oee:weeca~A~
VOLUI iE 9 PAGE 2685
. s
s
CERTIFIED SURVEY MAP
LOCATED IN THE NE 1/4 OF THE NW 1/4 OF SECTION 32, T31 N, R17W,.TOWNSHIP OF STANTON,
ST. CROIX CO., WI. a
I
PREPARED FOR: EUGENE MULLIKIN
NOTE: BEARINGS ARE REFERENCED
TO THE NORTH LINE OF THE NW I/4.
(ASSUMED).
i
NW CORNER SECTION 32. N 1/4 CORNER SECTION
(FOUND P.K. NAIL) 32. ( 1" IRON PIPE FOUND)
N. LINE NW 1/4
to
10 S. T. N. "64"
N89°52'091 "E 57' _ S89 S2'09 W
0 0 460.06 '
t' N69°45'00"E 684. 50 _ o
309.25' 309.25'
342.25' 33.001' 33.00' 342.25
O 3i -IW
O W
- yI CIO o Olt
~ 00~ NA
-J o0 000 0a
BUILDING SETBACK, •~N NNI• ;'t u)
LINE. Z133. 33-10 H
COMMON DRIVEWAY Z.
Z• I I EASEMENT. O
Q•
L4 33.00'_ ~I-33.00' Q•
i~ o -Or r J:
J, cD I J se9.45'OO"W
OD to
l
cD
N
3 tn
W ; = co w W.
t-
n -LOT I 3 L 0 T 2 _
r. 5.12 ACRES ' 5.12 ACRES
'aO 1223, 088 SO.FT.1 - 1223, 332 SO. FT.) N Q•
0 4.97 AC. EXC. EASEMENT - 4. 97 A C. EX C. EASEMENT
O 1 216, 488 S0. FT.1 N (2 16, 732 SO. FT. 1 0 a.
Z• z 00 v Z.
W E 0
r
s
342.25' 342.25
S89052'09"W 684.50
I
ANPLbTTED L.A.N.D.S.
pow.
w1o
JAMES M.
+ WEBER g i
S- 1804
SPRING VALLEY 1
O m SET 1 "X 24" IRON PIPE WEIGHING WIS. r
1.13 LBS. PER LINEAR FOOT. flfiri
u 11R
SCALE I t50'
0' 75' 150 300' JAMES M. WEBER S-1804
SHEET I OF 2 DATED
93-49 THIS INSTRUMENT DRAFTED BY
• a
s`
i
i
a
DESCRIPTION
i
1
A parcel of land located in the NE 1/4 of the NW 1/4 of Section 32,
T 31 N, R 17 W, Town of Stanton, St.Croix County, Wisconsin, more fully j
described as follows:
i
Commencing at the N 1/4 corner of said Section 32, thence S 89052'09"W, 3
along the north line of the NW 1/4 a distance of 460.06';
1
Thence S 0007'51"E, 44.99' to a point on the southerly right of way line
of S.T.H. "64", said point being the point of beginning:
Thence continuing S 0007'51"E, 652.90';
Thence S 89052'09"W, 684.50';
Thence N 0007'51"W, 651.47' to a point on the southerly right of way
of S.T.H. "64";
Thence N 89045'00"E, 684.50' along said right of way line to the point
of beginning.
Contains 10.24 acres subject to any and all easements, right-of-ways, t
F
restrictions or conveyances of record.
t
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 Sti 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 Eugene Mullikin, owner, I have surveyed, ti
divided and mapped the above described parcel of land and that this map
is a correct representation thereof.
Dated this-71' day of 1993. t~0*
z " " " ate, sal P
James M. Weber S-1804 WEBER LAND SURVEYING 3-49 SHEET 2 OF 2
9``~
x;
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`I
• 13140 (D) (For use by: ACA, 1•'LCA, YCA) VOL yy9pAGE 517
~ 496754 LIMITED WARRANTY DEED
-RCS O FIV THIS INDENTURE, dated March 5, 1993 , between
CRQ Cd.i AgriBank, FCB , a federally chartered corporation,
whose post office address is 375 Jackson St.,
f'^'-"ciICY' 'cQY St. Paul, MN 55101, party of the first part, and
APR j, 1993 John J. Quist, Kristin L. Quist, Eugene H. Mullikin,
and Carol J. Mullikin, as tenants in common,
E 4:15 A.; M;; { whose post office address is 131 N. 4W" Starr Ave.
~f New Richmond, WI 54017 , party of the second part,
?ETC Oeeus (hereinafter referred to as party whether singular or
plural), WITNESSETH, that the said party of the first
part, for and in consideration of the sum of
Fifty Thousand and no/100 DOLLARS, ($50,000.00), to
it paid by the said party of the second part, the
receipt whereof is hereby acknowledged, does grant,
bargain, sell, and convey unto the said party of the
second part, his/her/their heirs, successors and
assigns, forever, the following described real estate
situated in the County of St. Croix and State
Recording Information of Wisconsin , to-wit;
West 2145 feet of the NWa, except the North 1650 feet of the West 1320 feet thereof;
Also the North 765 feet of the NINWa, except the West 2145 feet thereof;
Also that part of the NW4NE41 described as follows: Commencing at the North quarter corner
of Section 32, thence North 89150'46" East along the North line of the NEa a distance of
102.98 feet, thence South 009114" East 74.44 feet, thence South along the Western boundary
of Lot 1 of the Certified Survey Map as recorded in Vol. 9, Page 2491, as Document #484832
a distance of 690.56 feet, thence West to a point on the West line of the NWaNEt 765 feet
South of the North line of the NWINE4, thence North 765 feet to the Place of beginning being
the North quarter corner of Section 32;
Y
All in Section 32, Township 31 North, Range 17 West. rv,
subject to all existing easements and rights of way; also subject to all taxes on said premises for the year 1993 (prorated) and
following years; also subject to all unpaid parts and installments of special assessments on said premises which have fallen due,
or will fall due hereafter.
EXCLUDING therefrom and excepting and reserving to said party of the first part all mineral and royalty rights, interests,
estates and titles heretofore reserved or excepted of record by The Federal Land Bank of Saint Paul prior to January 22, 1986, if
any, with such easements for ingress, egress and use of surface as may be incidental. or necessary to use of such rights. The
foregoing exclusion, exception and reservation shall include, but not be limited to, all oil, gas, hydrocarbons, coal and other
minerals of whatsoever nature lying in or under the above-described lands and all royalty interests as to oil, gas and other minerals
produced and saved therefrom. It is expressly understood that the said party of the first part will make no warranty as to the
extent of its ownership of minerals, or as to its title thereto.
TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all
estate, right, title, interest, claim or demand whatsoever, of the said party of the first part, either in law or equity, either
in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances.
TO HAVE AND TO HOLD the said premises as above described, with the hereditaments and appurtenances unto the said party of
the second part, and to his/her/their heirs, successors and assigns FOREVER.
AND THE SAID party of the first part, for itself and its successors, does covenant, grant, bargain and agree to and with
the said party of the second part, his/her/their heirs, successors and assigns, against all and every person or persons lawfully
claiming the whole or any part thereof, by, through or under said party of the first part, and none other, it will forever WARRANT
and DEFEND.
IN WITNESS WHEREOF, the said party of the first part, has caused these presents to be executed in its corporate name the
day and year first above written.
AgriBank, FCB
Lee Strom , Director, Real Estate Services
(Name) (Title)
STATE OF MINNESOTA )
ss.
COUNTY OF RAMSEY )
• 5■MMAnnnnnnnnnAAAAAMnnMhAAAAAAAAM
The foregoing instrument was acknowledged before me on March 5, 1993 2 MARY LO U LEVI
by Lee Strom , Director, Real Estate Services of AgriBank, FCB, KOTAkr Pbt LIC-tAINNESOTA
a federally chartered corporation, behalf of said corporation. H"•nPlr:.ITON COUNTY
22 My Comm. Expires May 27, 1997
I VVVVVvVVVVVVV\ "VVVVVwVVVVVVVVVVWU
J Mary Lou L vi
Notary Public, Washington County, Minnesota My commission expires 5-27 1997.
This instrument was drafted by: SEND TAX STATEMENTS TO:
AgriBank, FCB Eugene H. Mullikin
Real Estate Services 4E-27 131 North Star Ave.
375 Jackson St. New Richmond, WI 54017
St. Paul, MN 55101
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qu.u.ol.
• • C••~Iht TawM•1Mt As
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013TKIDUTIrOr'o PIKE=§~
• AP►iko%lto S'I)JTIICTIC Cove
OF A66RCCA1E °"-~'tATERtAL op. i" ov rrnm-
OK MAR.i+ IJAV
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ELEV, oF~Z FEET. «,~~••r`~•
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OISTRIbUT1ow PIPe •TV'bc AT t.'CAs -r ~L INCHCS 5CLOW ORiVIwA1. •:.~AOf
AUV AT LCh%TAO IWCHCL OUT 1.10 MORkC THAW 42, IuC11Ct 6"OW ILIAC. ralkAOC
1'.WcIMUM ®9;rti of 5j!:E/lV'T10,,J M,4m OWWAL 6RAv~ WILT. BE Iuc.HCs
rUKIMVM pr&f nt OF EXCAVATION f-1 0^ aR,I4I14AL GRAPIL WILA. 6C INC14C5
"ole
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g t OATE:-
110
i
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER_
ADDRESS FIRE NUMBER
CITY/STATE _ L-tu, LA l a/~ ZIP 5 b~ 7
PROPERTY LOCATION:-a±,1/4, NW 1/4, SECTION _32 , T3 / N-R_J_-_/W
TOWN OF St. Croix County,
SUBDIVISION , LOT NUMBER__1___.
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 a 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/lle, 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 g ur septic has been intained must be
completed and returned to the St. Croix Co. Zo Officer within
30 days of the three year expirat date.
I
SIGN
DATE: i - 1 9
St. Croix co. Zoning office
911 4th St.
Hudson, WI 54016
STC-100
This application form is to be completed in full and signed by
fthe 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), thenta second form should be retained and completed when
the property is sold and submitted to this office with
the
appropriate deed recording.
owner of property
Location of, property-- 1/4 )V W 1/4, Section , T 3J_N-R_~`7 W
Township l7~ vtfian
Mailing address 4/1111 1/ ICJ Pte. (,M„~ [~~/aj '7
Address of site
Subdivision name Lot no.
other homes on property? _yes No
Previous owner of property
Total size of parcel
Date parcel-was created
!'Are all corners and lot lines identifiable? _Yes No
Is this property being developed for (spec house)? Yes 4NO
Volume .and. Page Number :1-1 - 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 the office of the County Register of
Deeds as Document No. y~Fl , and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described property, for
the construction of said system, and the same has been duly
recorded in the office of County Register of deeds "as Document
No.
sl •ture of applicant Co-applicant
I
Date of S gnature Date of Signature
Survey a as recorded in Vol.
Document a distance.' of 690.56 feet, hen West
to a point on the West line of the NW-N ~ 765 feet South
of the North line of the NW'--NE'- thence Nor h 765-feet '
the lace of beginning being the North uarter corner of
Sec. 32
i
i
Subject to existing highways, easements, and rights of way of record.
The above described remises contain acres more or less Main Building Location
i
Attach a copy of the recorded plat if the property is platted and the plat has been recorded. Indicate scale if other than I" =
section numbers at section centers.
PLAT NORTH _
~ + I I j I ~ I I I I a
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'N'I ---j---L--- --1--- -
f
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I ~ I i ~ o7il7~i DOO^~' ~ ~(o~? 3'7~ ~P 7S
5'a o
5
.Se t, 3cZ
"lag, ou S/
CHECK LIST FOR PERMITS
Owner or Builder
Perc Test or Soil Profile
Blueprint of House
Warranty Deed With seal;docoument nu;volume ~C page nu.
Tax Nu. of Land
Certified Survey Map if Available
County Forms * STC 100 * STC 105 * Filled out ;ate signed
4,9"J -
Name * address * phone nu. * If not on Pere test
4 G~ ii V,
Nlel, l< 9 -Sao
-TOcc v\ h Fr o h I< z ~c6 5-
PLUMBER
All of above forms
PLB 67
Plot, Plan
Cross Section
Check for Permits