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Home My WebLink About038-1055-60-060 0 oc c ~i 0 w tl h O O N b'i I O y O O ~ I tl M d O ~ 'C M ("A ~ N U o Z ) C Ch lL c ~ O ~ 3 ¢ o M Z iii 1\1VVVV\\\ Z a m O Z a v c Z N IZ- a Z O 2 M N fn N ~ L U 0 c 0 U 0 O Z 1- Z w z N_ 0 d wQ 3 E N a E CL 'R Y c Y! 0 ` N m O - c c a -0 E Z v 3 fn VJ V) j L ,U Z 5 a~~ z •N 0 a a a d n. as U ) O N Q o o N J V L O 01 Z O O N N O N U o o N X 0 0 Y o j n M d CD C p 7 Q O O o f0- 0 V a o o o ~~r o 0 0 ~ O N C ~ ~ a N N N O ~ ~ N O c i FN O M d w N 'O ~ L O O m O O O N O O U • O o f~ a 0 Z c Z (n C7 a`r R € a Pik n a~, • a m ;2 aD `Iv E c c r~ a> 3 r A 0(L oait°~ 3T D AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP5-~ 2, 4:55k'i SECTION N-R--/-4LW ADDRESS ST. CROIX COUNTY, WISCONSIN 4-k fV SUBDIVISION LOT LOT SIZE ,;"-'7 4tc ' PLAN VIEW SHOW EVERYTHING WITHIN 10Q FEET OF SYSTEM ~-y i I ` tG5 P~ 1 1jj INDICATE NORTH ARROW BENCHMARK: Elevation and description: S/tsvL~° c~.s°/`~ Alternate benchmark SEPTIC TANK: Manufacturer: ~lis~. r~es7` Liquid Cap.Zi915& Rings used:-C-)Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front , Side., Rear Ft. 1.~5~ From nearest prop. line:Front-~C- , Side , Rear - Ft. f14 No. of feet from: Well Building: /Z Z (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front_, Side_, Rear-Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length _ Number of Lines : _ 2 Area Bui lt"V5, Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: 4 l( No. feet from nearest prop. line:Front , Side , Rear,Z_Ft.22.LE No. feet from well: ?s~""No. feet from building 4;L~S- HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front Side Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: INSPECTOR: F PLUMBER ON JOB :lam - DATE : C 4 LICENSE NUMBER: 6/90:cj Labor and Human Relations ions 13. 3P'9IVAY1'S9 AGSM SY to CC County: ,Safety and Buildings Division INSPECTION REPORT ST- CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 186555 Permit Holder's Name: ❑ City ❑ Village ❑kown of: State Plan ID No.: STEVE STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 138-1055-60-000 TANK INFORMATION ' ELEVATION DATA A9300011 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 1 )060 Benchmark Dosing Aeration Bldg. Sewer [Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 7 9 TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet Ar I Septic l 17' NA Dt Bottom Dosing NA Header/ Man. 7, 6 O 93,75 Aeration NA Dist. Pipe 7 Yl 93,5/ Holding Bot. System 9a,s~ PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand r Model Number GPM `riction Syestem TDH Ft TDH Lift I oss a d F_ Forcemain Length Did. I f Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of nches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake It Length Dia. Length ~ Dia. ~ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over [ j xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Cent V Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies~~ n~',present, etc.) LOCATION: STAR PRAIRIE 13.31.18 SW SW CI, RD, CC 1r3~` cl 31 y 1 ~ R Plan revision required? ❑ Yes No Use other side for additional information. 7 d~ ~o SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: - =:T9Z_ LHR SANITARY PERMIT APPLICATION , In accord with ILHR 83.05, Wis. Adm. Code COUNTY RRMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than STATE ~<ick SAJireJ12ion'Zrovious ITA 8% x 11 inches in size. fl 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 Di`r c e/ Py'S ;V %4 S4i %'S 13 T& ,'N, R E (or PROPERTY OWNER'S MAILIN ADDRESS LOT # BLOCK # ' CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER is ~r-S O TOV.el-e e- 11. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE NEAREST ROAD A ii ❑ Public ~r 2 Fam. Dwelling-#~ of bedrooms PAR L AX NUM ER ) 111. BUILDING USE: (If building type is public, check all that apply) G a5-S" _ G a 1 ❑ Apt/Condo O 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. iQ New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.E] 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 ❑ Specity 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. GALLO=PERDAY 2. ABSORP. AREA 3. ABSORP. AREA LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVAT N o ~02 Feet Feet VII. TANK CAPACITY Site in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xistin Gallons Tanks Concrete structed glass App. Tanks Tanks _TT Septic Tank or Holdin Tank OC+ d-d Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. / Plumber's Name (Print): Plumber's Signature: (No Stamps) k`MPfiMPRSW No.: Business Phone Number: A. , If Plumber's Address (Street, City, State, Zip Code : G IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved $ar~it~ Permit Fee (Includes Groundwater EDate ing Agent Signature ( S mps) Surcharge Fee) Ar-lar Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: co O'k.7 ' 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 tfiis permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires aSanitary 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. .tea SBD-6398 (R.11/88) WisconasiinnPepat R Relations. use' SOIL AND SITE EVALUATION REPORT Page 1 of 4 Dreision 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 St . Croix 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 Scott Counter GOVT. LOT SVI 1/4 1/4,S 13 T 31 N,R 18 f (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 1911 B Riverview Ln. n/a n/a Tornio Dev. CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE JyOWN NEAREST ROAD Somerset, WI. 54025 (115)248-3694 Star Prarie Co. Rd. 41CC [ "ew Construction Use [zT, Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate . 7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 99.-C)5 ft (as referred to site plan benchmark) Additional design / site considerations n/a Parent material ni1twash Flood plain elevation, if applicable n/a It 1 '7 S = Suitable for system CONVENTIONAL MOUND 7 IN-GROUND PRESSURE FAI E S YSTEM IN FILL HOLDING TANK U = Unsuitable fors stem 3M S ❑ U 06 ❑ U 06 ❑ U ❑ U ❑ S iaU ❑ S ERU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Tiench §0 - 1 0-9 10yr3/3 none L. 2/m/shk mfr g/w 2/f .4 .5 2 9-18 10yr4/4 none sl. 2/m/gr mfr g/w 1/f .5 .6 Ground 3 18-8 10yr5/4 none co.s. 0/sg ml n/a n/a .7 .8 elev. 95.95 ft. Depth to limiting factor 180 Remarks: Boring # 1 10-10 1 3/2 none - L. 2/m/sbk mfr g/w 2/f .4 ':.5 2 10-27 10yr4/4 none sl. 2/m/sbk mfr Ground 3 27-86 1 r4 4 none co.s. 0/s ml /a /a .7 ::.8 elev. 97.15 ft. 9 1~ Depth to limiting Ilt factor 886 O Remarks: 02 c0 C'~ CST Name:-Please Print p~ cO Or~~ ti Address: Gary L. Steel 715-2!-A-6200 1554 200t V.e, New c d, WI. 54017 ~ r Signature: 2-1-92 Date: 72 STEEL'S SOIL SERVICE Gary L. Steel 988 N. Shore Drive C.S.T. 2298 Scott Counter New Richmond, WI 54017 MPRSW-3254 S ASW'_~, S13-T31r?-R18W (715) 246-6200 Star Prarie, township P, 6 (J7 IJ IL~0 1322 loo -Z-0 0 2 v ~ ~ 1 66• lie'"' ~1 1 lj~ ell 3 X4 4 a~ vy,` 5 Li it# U V i~ artrnf~rt`atlnc}us IE 13.31 IV ATE SE'WA~GE 1Y COI RD. CC County: STEM Labor and Human Relations INSPECTION REPORT .Safety and Buildings Division ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryPermit No.: 186545 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: STAR PRAIRIE ev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 038-1055-60-000 TANK INFORMATION ELEVATION DATA A9300002 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosi ng Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Verit TANK TO P/ L WELL BLDG. A ir Ito ntake ROAD Dt Inlet Septic NA Dt Bottom Dosing NA Header/ Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION S I SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRARIE 13.31.18.238D,SW,SW, CO. RD. CC Plan revision required? ❑ Yes ❑ No Use other side for additional information. i FF1 I I SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ' ICI DILHR SANITARY PERMIT APPLICATION cou ,_„a In accord with ILHR 83.05, Wis. Adm. Code Z 221:64 7 STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than •8% z 11 inches in size. 1:1 Check IF", Iona 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 oh s t G s ts.rJ GW t/.s' '/a S Z3 T3 N, R Ir E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # Xa;2_1 Air CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER e~ ; oh YQ Ta 1 .7~ el II. TYPE OF BUILDING: (Check one) ❑ State Owned VILLAGE Spa ' NEAREST ROAD cdA?ei ec ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL TAX NUMBER( S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 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. 0 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ 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 a 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) ELEVA~JON `sd 9 d ~G r 4 Feet Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank +_10ad / Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Iss ' g Agent Sign No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety s Buildings Division, Owner, Plumber INSTRUCTIONS 1 , XWitary permit is valid for two (2) years. 2 Four sainitar~i 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 systern. 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 a/I 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. i SBD-6398 (R.11/88) STC-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), thenla 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 f r T Location of property - 1/4 5W 1/4, Section TJ/ N-R__.LLW r Township S T-44" P-I L Mailing address Address of site subdivision name_ ( E /V(1 u, Lot no, other homes on property? yes- X No Previous owner of property Total size of parcel L~ AC (Z.( y Date parcel -was created L,P 7_ l q 'Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)?-Z.-Yes No Volume , 8 and. Page Number _ 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 i the office of the County Register of Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system or I (we) ti obtained an easement, to run the above described property, for the construction of said system, and the same has been duly record Ved in the office of County Register of deeds as Document z No.- 4.E Z~ a a ignature of applicant p Co-applicant :Ile A' f Date of Signature Date of Sig ature L • 1„Ib SVA.L Nr ir,.YLU FOR Nt'~rNt•N4 D~,A ooc-uMENT NO WARRANTY DEED STATE BAR Oil WIS(:ONSIN t'UA.1 2-1882 483 60 1111- (~50PAGE153 REGISTER'S OFFICE VOL ST. CROIX CO., WI Reed i« Rr~ctxd Jeffrey A. Tarman and Laurie J..Tarman, MAY1 21992 as his wife and in her own right AA at 11:30 A. tuu~r~+ :uni l,.rrr:u,t~ to John Peterson and Steve F. a eA Peterson, Lenants in common jt ofDo*& St... Croix ~••"rt>• the fullu.l•Int; dexcrdKtl real evtutc in . State of Whconsin: Tux varrel No: 038-105.5-60... Part of SW4Sld' Sec. 13-T31N-R1 Se described 11d7 0 1 inWVol.1 3, Page of Certified Survey Map file p 863. 1 .•r~. yr fee IS.oo The above described property shall not be suhdivitl'tvt,untill I,,tlnis ; ,'iwife, lha A. Tornio and Nancy C. Tornio, husband ftcl property which they own in SSW<, No trailer or mobile home, inclildinft a double-wide mobile hcnue, shall at any time he used as a residence or placed on the property. Nc driveway shall be located within leiO feet of the East lint, ()f said property. These covenants shall be binding and inure to the henefit of all heirs, successors and assigns and shall run with the land. TI:I, is not hoot(`+t,ml I,r„I„•I't>. 6j.14 l is not) F:Nt',I,ti.,n t'• %NartantiPr: FA ist:inf, 111~',hwavs, ea tiement s ri},,hts of w:l\ and resit rit•t ion,, oI record. J 1 a.,, „ 'clan i•' l 3effre\ A. Tarm:tn I ;till- i t .I . I :l I Hain AUTHENTICATION AC KNt)W LE1)C. N1EN'V ~iynahmr 1 ~ 1 i:'t i•l uJ \ ' 1 1 101. tit wal, 1~ J .1. rey :1. '1aCC111I1 ol'i 1_oll: it! J . tar!,iall, hil`;haiid tilt; 11.• reel.( \1V\1M%1::- 1111 I:\1 t, i", :,1111 •.1 : t, , ,I' r• t. 3 , t S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER J0`'1l7 ADDRESS_&25 0 - FIRE NUMBER-- CITY/STATE ZIP PROPERTY LOCATION:•S_tJ/_1/4,1/4, SECTION, T_N-R~W TOWN OF ST19 ~Z P&zir C St. Croix County, SUBDIVISION-- Two 2 / A/6 , LOT NUMBER_2_ 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/Ile, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning officer within 30 days of the three year expiration d te. SIGNED: ILI DATE : 2>2~ , Z&zzz~! St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, , C DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 N WI 53707 HUJVIAN' RELATIONS • (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSH I P93tX91§3EXXI TY: LOT NO.:BLK. NO.: SUBDIVISION NAME: SW 1/4 SW 1/4 13 /T31 N/Rl8A lore W Star Prarie n/a n/a Tornio Dev. COUNTY: q S/BUYER'S NAME: MAILING ADD ESS: St. Croix Jeff Tarman IR.Rdl, Box 150C, Osceola, Wi. 54020 USE DATES OBSERVATIONS MADE TESTS: NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERCOLATION IUResidence 4 n/a 19bNew ❑Replace 3-26-91 3-26-91 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURETI TEM-IN-FILLHOLDING TANRECOMMENDED SYSTEM:(optional) ®S ❑U ®S ❑u ❑U S ®U ❑ S conventional If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the /a under s. ILHR 83.09(5) (b), indicate: n/a Floodplain, indicate Floodplain elevation: n decimal' PROFILE DESCRIPTIONS Page 12 BxC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I LEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 7.17 101.45 none >7.17 .92bl.1. 1.00bn.sil. 5.25bn.c.s. B-2 6.93 101.60 none >6.93 .67bl.1. .42bn.sil. .92bn.l.s. 4.92bnbn.c.s. B-3 7.17 101.60 none >7.17 .67bl.1. .92bn.sil. .33bn.s.l. 5.25bn.c.s. B-4 6.91 100.05 none >6.91 .58bl.1. .58bn.sil. .42bn.s.1. 5.33bn.c.s. B-5 16.83 100.45 none >6.83 .58bl.1. 1.00bn.sil. .75bn.s.1. 4.50bn.c.s. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER bNZMS AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER D PER INCH p- 1 3.50 none 3 6 9 <3 P- 2 3.65 none 3 6 6 6 P- 3 3.65 none 3 6 6 6 <3 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 97.95 E a5,a~ E E E F E i 3 Aryt 3 -7' tN E - 3 E i E i T i 170- . ,F a E ,a p 7 I, the undersigned, hereby certify that the soil tests reported on this orrT. were°rf'by me in ac th the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the ~sts/ re corre~ so the b knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 3-26-91 ADDRESS: CE CATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi. 54017~~ 7 5- 6-6200 CST SIGN R zmu DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - r H TO THE t eU ,a Ilk r9~ ~ ! U ~R N ~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 4 Lai and Human Relations Din 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 St. Croix 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 Scott Counter GOVT. LOT SW 1/4 SW 1/4,S 13 T 31 N,R 18 jj(or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1911 B Riverview Ln. n/a n/a Tornio Dev. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE UFOWN NEAREST ROAD Somerset, WI. 5402.5 915)248-3694 Star Prarie Co. Rd. #cc [ flew Construction Use [zT, Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) g? _ 95 ft (as referred to site plan benchmark) Additional design / site considerations n/a Parent material 0,, -wagh Flood plain elevation, if applicable n/a ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem )m S ❑ U 06 El U 06 El U RS ❑ U J_] S iaU ❑ S i l SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxby Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tiench 1 0-9 10yr3/3 none L. 2/m/sbk mfr g/w 2/f .4 .5 t 6 2 9-18 10yr4/4 none sl. 2/m/gr mfr g/w 1/f. .5 .6 Ground 3 18-8 10yr5/4 none co.s. 0/sg ml n/a n/a .7 .8 elev. 95.95 ft. Depth to limiting factor X80 Remarks: Boring # 1 10-10 10yr3/2 none L. 2/m/sbk mfr g/w 2/f .4 .5 '.:7. 2 110-27 10yr4/4 none sl. 2/m/sbk mfr g/w 1/f .5 .6 Ground3 127-86 1 r4 4 none co.s. 0/s ml /a /a .7 .8 elev. .4 Q. 97.15 ft. zoo'9 ,77 Depth to limiting factor 8>.6 Remarks: CST Name:-Please Print PIO^- Gary L. Steel 71-5-2-M-6200 Address: 1554 200t V.e, rTew is nd, WI. 54017 Signature: Date: 2 2 2-1-92 PROPERTYOWNER Scott Counter SOIL DESCRIPTION REPORT Page ? `of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourclary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends g > 1 0-9 1 32 none L. 2 m sbk mfr /w 2/f .4 .5 2 9-15 10Yz'5/4 none sil. 1/f/sbk mfr g/w 1/f. .2 .3 Ground 3 15-24 10yr4/4 none ls. 0/sg ml g/w 1/f .7 .8 elev. 97.10 ft. 4 24-90 10yr5/4 none co. S. 0/sg ml n/a n'/a.7 1.8 Depth to limiting factor 990 Remarks: Boring # ;R Ground elev. ft. Depth to limiting factor L Remarks: Boring # . ..:•:::::':'i Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 988 N. Shore Drive C.S.T. 2298 Scott Counter New Richmond, WI 54017 MPRSW-3254 S1 .SW% S13-THN-R1814 (715) 246-6200 Star Prarie, township G l r0 u 7-1 IY), vl . h - - - - - - - ~~----rep` - - - 0- ID - 4~ C 1)( • . • SAFETY & BUILDINGS DEPARTMENT OF REPORT ON SOIL BORINGS n! AND DIVISION INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.090) & Chapter 145) _ KI7Y: LOT NO.: BLK. NO.: SUBDIVISION NAfv1C .OCAT 010 :E; TION: fOW Star NSHIPD4htPrari eXgt%tIM n/a 31 N/R18A(or)W n/a Tornio llev . 000NT Y: UYER'S NAME: MAILING ADDRESS: - Sld SW 1~ 3 T R. R. ~~1, Box 15OC, Osceola, Wi. 54020 - J- - St. Croix Jeff TarmaCl DATES OBSERVATIONS MADE _ USE 73_~6_91 I-TL~1i€S cfT11'TTbTv P>ai~TTON TES T_1.7 NO. BEDRMS.: COMMEE CiT1-DFSCRIPTION: Replace 3-'L6-91 - ~Residen 7 - RATING: n/a LiDNew ~ RATING: _S- Site suitable for system U= Site unsuitable for system - - - 1 COW EN T 6NgTf MOUND: IN-GROUNN)fiEI Lill : S TEPA-TN-FILL HOLDING TANK: RFC M1HET _0i_D SYSI EM.loplional) fl E _ Esau ®s au 1 Cos ❑u as ®u _ F DESIGN RATE: If any portion of the tested area is in the n/a --I f Perrolation Tests are .89(5)lbl, NUT indicate: required _n/a FloodPlain, indicate Floodplain elevation: und~ers. ILHR 83 l "de PROFILE DESCRIPTIONS )age 12 BxC2 - - - _decimal' F BORING TOTAL LEVATION P H TO ROUNDWATER-INCHES fc~SOIL l~NI) DFf'I II NUMBER DFhTH 1 OBSRVES IGHEST EDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 7,17 101.45 nn>7.17 2bl.1. 1.00bn.sil. 5.25bfT.c.s. - B-2 6.93 101.60 none >6.93 .67bl.1. .42bn.sil. .92bn.l.s. 4.92bnbn.c.s. 13- 3 7.17 101.60 none >7.17 .67bl.1. .92bn.sil. .33bn.s.l. 5.25bn.c.s. B- -4 6.91 100.05 none >6.91 .58bl.1. .58bn.sil. .42bn.s.l.. 5.33bn.c.s. B.5 6.83 100.45 none >6.83 .58b1.1. 1.00bn.sil. .75bn.s.l. 4.50 n.c.s. B - PERCOLATION TESTS - DRUP IN WATEti L V L•INCH S _ RAT pE E R I MI N N DCHT_ES decimal' DEPT"H WATER IN 40,1-E TEST TIME Qg <3 LLG INTERVAL-MIN. NUMBER S AFTER SWE L N P_ 1! 3. _J0 none ---z~------ _ 6 ----b - P, 2 3.65-- none 3 6 6 _ P. 3 3.65 none 3 6 P- P- - PP_ Indicate the ldirection what aand the hot ~rrni distanc PLOT PLAN: dimensions of suitable soil en plot plan. Show the surface ellevat on at all bo ingse Describe showthei orings and d vertical elevation reference points tests, soil zon(e) t of land slope. SYSTEM ELEVATION 97.95 fr~ J 1 j F t~D w m 14~' I i NCO: , Vol 01 170' t1 S E3 ~04 r Aa j i i i i r I oez r 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wiscons Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. TESTS W NAME print): ERE COMPLETED ON: Gary L. Steel 3-26-91 ADDRESS: CF. CATION IVUMBER: PHONEE NUMBERIoptiortn ~j6 1554 200th. Ave., New Richmond, Wi. 54017 7 5-A6-6200 CST SIGN R f DISTRIBUTION. Originni and one rnpy to I. ocnl Authority. Property Owner and Soil Tester. DII ►IR-SRq_f,_395 (R. 10/83) - OVIETI - . APPROVED ST. CROIX COUNTY Plannina 7onino and Parks Committee FES - 3 W SEP 0 4 2002 689276 ST. CROIX COUNTY VOL 6 _ PAGE 4367 If not recorded within 30. ,d.a. xa f aRProveatl~li DRAFTED BY KEVIN REED JOB NO.6144-01 DATE: 04/17/02 KATHLEEN H. WALSH l~MN~F null sand void REGISTER OF DEEDS ST. CROIX Co. 0, WI p RECEIVED FOR RECORD 0 09-04-2002 2:1 9 BEARINGS ARE REFERENCED TO THE 1 ~ = N 0 9) I&M m ( I WEST LINE OF THE SW1/4 OF SECTION CEG~ ~ Q S li~m 13, ASSUMED TO BEAR N01-13'47"W RE ]Nf COFff I Z In 1 PA 8~m tea) O '11 I~ I• ZI ~mc-0 m i i~ I 115' Z~r 'Cry O> m cn u~ c 0 m 1~ 1 = I 55 50 iP A 11 G) lJV I t vqgD I I i T 13 o 01 A U0 L~ (N O 0 i0 / A* F i c is i IIn I~1 mt 40 19 I I~ / 113 I o oC.T.H.---- 00 ZZ N01 °13'47"W 2578.20.' - +I WM WEST LINE OF THE SW1/4 WM < (SOW13'37'E) U1 no en NO1 °13'47'W V325.27'9 N 2252.93' = -200' to (601901,E) LUn °13'47"E SQ1 j-~- 180.20' ^ o + w 1" \ = 0 £ u ;4pQNm1mIN11o0 N I~ ` /IL0~1 NvDN M~N 0 r ~ -n n ~ Z w D~ V c~ O 008 i= m 0boa 0m. OM 0 n m 0 jc~~:F )0 m In V CA) 10l4 -4 SEPTIC VW 0 0 C i~ I~ I WELL ] @ -VENTS (A r4 ~ m -4 R _ :01 M 02 C is z 1N 1 i c° N~ i~o ~ O Z f 1~ IHas t- z *4 1 I :@ m' W ~OO Z 4~ 1 I4 m 10 I W r 0 O Nw iFCN- -L ru-1,2 Q I WAT i wX030 * z" (Dw l I (j) M x O c m W mImw05 m y w( 34.07' 1 291.64 I° i 1(5 -0 0 iCC y 1 v! y 01 S01 °13'47"E 325.71 I N a I z C C VI O I 10 WI° 'nIn N i 10 W;0 mffi2 0 4 L) (10 0 °o m 0 O c m :@W co Z -n z 1 P CO 0 -4 c~ 0 6 IN d~ j vN~~N~ r i° r I D 20 o Rz m 0~A°0 loo N I( C m p ~10 n rrI0 j 8DQvD~ _j < w D 0 00 I~ t0 1 y l 000MOt Of 1 y z M c/) r- KDOc D s~~04 m; 0' V :1) Iga z z A o ; o~-~ 33' 33' I W I mTzz 0 1~ • O I ~ N n o z 1'J (34.95') z ~ 1 291.15' • I $6 m 1 34.91 I - - - m c o T ; S01 °13'47"E 326.06' o ' ( t0 (S00'13'3rE7) i iL481gt dog 4 0°~°~° Vo~o 9 G?Co-~4i~U ' - - - - - Ofl CORNER W 8 CTION 13 Vol. 16 Page 4367 Parcel 038-1055-60-060 10/05/2005 04:59 PM PAGE 1 OF 1 Alt. Parcel 13.31.18.238D-20 038 - TOWN OF STAR PRAIRIE 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 - SHILTS, BRYAN E BRYAN E SHILTS C - MICHELLE JOHN MICHELLE JOHN 1304 210TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1304 210TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 2.806 Plat: 4367-CSM 16/4367 SEC 13 T31 N RI 8W SW SW LOT 4 CSM 16/4367 Block/Condo Bldg: LOT 4 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-31N-18W SW SW Notes: Parcel History: Date Doc # Vol/Page Type 03/25/2003 714486 2182/221 CORR 11/05/2002 697174 2036/87 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.806 35,000 197,000 232,000 NO Totals for 2005: General Property 2.806 35,000 197,000 232,000 Woodland 0.000 0 0 Totals for 2004: General Property 2.806 35,000 197,000 232,000 Woodland 0.000 0 0 Lottery Credit: Batch 568 Claim Count: 1 Certification Date: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 0.00 0.00 Total 0.00 FORM NO, 9MA . MCMNbrMnprM® FIL ED 359763 197 SL CROfX COUNTY daa~' lei SURVEYOR'S RECORD Wioaldb o M; Z ti 3 - 0 OF C.T. H. "C" °wp ~ SECTION LINE n z N 00q-13'-37"W 644.52' RO:E 1 11 z ~/Ww\ ~ 322.26' " 322.26' N 00°-13'-37 611.50' wM o 289.20' ;D w W / 322.30' N, m ~ ~ 4 10 ° m !O 1° N N t0 / N z z CIO CD CIO ; to OD W m M .A, w rm as cn 10 O 10 1° X U o O x ~ o r- .4 4 00)0 0 mo O 0) w 3 N(~ O 20 0 W o D D N cu o = Z ;O z W N m cZi z z N N ° o c O v W N v ~ ca cn I m N W W D Q W -I N O O to 0 ~p m Z APPROVED Lit 0 ~ APPROVAL OF THIS MINOR SUBDIVISION ~ W \ ° X to ° D ~ DOES NOT MEAN APPROVAL FOR HUl7 '~0 + W BUILDING SITE OR SEPTIC S M z Y~TEM. z OD RWER TO H62.20. a~ fit. ~.n9c&9% oY Z z .4 "ww ~Ftif o ro 0 ~ O 7 ] % ~5 'b£ se ,BI'88Z ,01'£Z£ 'sell ,OZ-9b9 3 „L£-,£I o00 S SONtf-, 0311C7"IdNfl ~N„tft~t o • m o° ~v-I Z~=m> G7 Off = = cn 'a /p I I I R1 mDCn omm m mc d to ~n + o o rn o Z W Z 4 0 rn rn m m o c X c D O to z v yw>z z GIN z r ° -1 W m -n M n toow1A oZA o m wArvm L z . v/A ~ O- - , v ZDD ~m cf) x p cn Zt co, o -o Z O mMZ moz ~Z~ ,Q . N oz n N O ZG7 CD .D z M cn N m v N "Mrt x mm m m ° m ~ O cDn 110 M m LA M , o VOL. PAGE 863 CERTIFIED SURVEY MAPS ST. CROIX COUNTY, WI. Volume 3 Page 863