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Parcel 038-1099-80-200 06/18/2007 11:23 AM
PAGE 1 OF 1
Alt. Parcel M 24.31.18.417A-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 - CAMACHO PROPERTIES LLC
CAMACHO PROPERTIES LLC
1072 GOLDEN OAKS DR
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 2036 HWY 65
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 29.660 Plat: 4523-CSM 17-4523 038/03
SEC 24 T31N R1 8W PT NE SE & PT SE SE; Block/Condo Bldg: LOT 01
CSM 17-4523 LOT 1 (29.660AC) HWY PROJECT
8936-06-21 EZ-1-2157/098('03 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
24-31N-18W SE
Notes: Parcel History:
Date Doc # Vol/Page Type
10/08/2003 743084 2432/090A WD
10/08/2003 743083 2432/89 WD
10/08/2003 742894 2431/48 QC
05/27/2003 722981 17/4523 CSM
more...
2007 SUMMARY Bill M Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 25.660 4,800 0 4,800 NO
OTHER G7 4.000 35,000 124,100 159,100 NO
Totals for 2007:
General Property 29.660 39,800 124,100 163,900
Woodland 0.000 0 0
Totals for 2006:
General Property 29.660 39,800 124,100 163,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
7 x2981
t . 5 2004
MAY
tj VOL 17 PAGE 4523
KATHLEEN H. WALSH---
REGISTER OF DEEDS
ST. CROIX CO., WI
CERTIFIED SURVEY MAP RECEIVED FOR RECORD
05/27/2003 02:50PM
LOCATED IN PART OF THE SE1/4 OF THE SE1/4 AND CERTIFIED SURVEY MAP
IN PART OF THE NE1/4 OF THE SE1/4 OF SECTION COPYFFEE: 5?12100
24, T31 N, RI 8W, TOWN OF STAR PRAIRIE, ST. PAGES: 4
CROM COUNTY, WISCONSIN.
Ml~!]G°?dLQ__~__u_'C~D_~MD~ O_~t7_~_[rvlL~D__o_~T 04~]CG3
WEST LINE OF THE SE1/4 OF THE SE1/4 WEST LINE OF THE NE1/4 OF THE SE1/4
N01 °11'09"E 1254.81'
APPROVED
Ip ST. CROIX COUNTY I ~
O Planning Zoning and Parks Oommittee I
IC9
w M AY 2 7 2003
Q I i
1 (3
V
If not recorded within 30 days or
approval date approval shall be
null and void I a
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N01°0 7'38"E 300.04' m 2 O m I ff~/
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,w Im -i SHEDS 178.04'
'co m = °
-
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z i ~o
100' SETBACK LINE FROM RIGHT OF WAY
m I*
N C3 ~ ~ 801 °10'38' :A cn I ~ ; o
.0 ' 110' HIGHWAY SETBAC LINE FROM _
...6 . . 4911.63' .Ef.Y ...................u.............. CENT LINE
"ACCESS R STRICTED SEE ACCESS RESTRICTION NOTE
1441' ~PAGE~3
m STING •
798.59' T DRI
N87'5 AIN V
801°07'38WV 9 3.00' -
49.5' ' EAST LINE OF THE S_E1/4 OF SECTION 24 _ _
EXISTING CENTERLINE S_°_T.H. °gr° --N01°07'4112627.56'
'n m m N C,) > O ra
o /
- D~ =p zQ(0 -ZNOO~ 20
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mp us m -0 V
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° m o m
o o
5--- r
o o =
~f] o D Z BEARINGS ARE REFERENCED TO THE
o EAST LINE OF THE SE1/4 OF SECTION 24,
THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 03-04 DATE; 2-24-03 ASSUMED TO BEAR N01°OT41"E.
Vol. 17 Page 4523
43887G
CERTIFIED SURVEY MAP
Located in the NE 1 /4 of the SE 1 /4 of Section 24, T3 IN, R 18W,
y XTown of Star Prairie, St, Croix County, Wisconsin
Surveyed for: Mr. Robert Volkert
Rt. 3
JUN 2 rJUN 2 sign, New Richmond E I/4 CORNER
_ dELL~ T 31 N , R 18 W
_'-rofDc-ds SECTION 24
ix Co 4V1 0
I V , r~ 00
N -O
W o .lco
J - -
?UNPLATTED LANDS
S89°51'51"W
o * HARVEY
00 W o 389'22 POINT of 33.0 ' JOHNSON
g+189
~I BEGINNING U) I
LOT I
o c~ ~ 3 I~ I HUDSON
w JI 77844 SO. FT.
W (1.787 AC.) Y <
p
z v, - CO
" w~ o o - 4 SUR`l~
Op y DRIVEWAY 0 o0
W `1 ~I o
-CO
Wv QON O Q
W °z ~I 11. U)
Zi a.
W 389.22 W
m o N89051 51 E ? W
J W
UNPLATTED LANDS <I
W
SCALE IN FEET I"= 100'
33' 33'
100 200 LEGEND
SE CORNER
SECTION CORNER SECTION 24
10-
o I"X 24" ROUND IRON PIPE
DESCRIPTION WEIGHING 1.68 LSS/LIN FT SET
A parcel of land located in the NE 1 /4 of the SE 1 /4 of Section 24, T31N, R 18W ,
Town of Star Prairie, St. Croix County, Wisconsin, described as follows:
Commencing at the E:1/4 of Section 24; thence SO°08'09"E (bearings
referenced to the East line of the SE1/4 of Section 24, assumes S0°08'09"E)
717.38' along the East line of said SE1/4; thence S89°51'51"W 33.00' to the
point of beginning; thence continuing S89°51'51"W 389.221; thence S0°08'09"E
200.00' ; thence N89051'51"E 389.22' to the westerly right-of-way line of
State Highway "65"; thence NO°08'09"W 200,00' along said right-of-way line
to the point of beginning, containing 77,844 square feet (1.787 acres) more
or less, and being subject to all easements, restrictions and covenants of
record.
I, Harvey G. Johnson, registered Wisconsin Land Surveyor, hereby
certify that I have surveyed and mapped the above described property; that
such map is a true and correct representation of the exterior boundaries of
the land surveyed; and that I have fully complied with the subdivision
regulations of the Town of Star Prairie, St. Croix County, and Section 236.34
of the Wisconsin Statutes, to the best of my knowledge, understanding and
beI' f.
I
ZS/c~
Harvey G Jo on S-1899 ul
Ruseh Surveying, Inc.
407 Second Street
Hudson, Wisconsin 54016
This map is hereby approved by the Town Board of the Town of Star Prairie. gD
Date Town Clerk AM"M
b
28
Vol. 7 Page 1991 40XNM
c..L..sCJ
Is.
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4611:00G
CERTIFIED SURVEY MAP
Located in the NE1/4 of the SE1/4 of Section 24, T31N, Cn
R18W, Town of Star Prairie, St. Croix County, WisconSurveyed for: Mr. Robert Volkert
Rt . 3 New Richmond, Wi.. NOTE: This ma is to revise and replace E I/4 CORNER
that ma recoded in Voume Page 1991as ocument 388? ST31 NE C TI.ORN 18 2W4
St C
st Cf0IX Co.. WI
SCALE IN FEET 1" 100, Rem=
100' 75' 50' Or 100' 200' I M
uNPLA_TSF_D J.ARDS_ I Q
2• w ( w
S 890 51' 51"W wo
11 1 -A 0 ° I W = w
t-- -,a - - - -f- -
257.55 d-
0= wnI ) N o
_ ~N
~ a
Cy_RJLFLE Q _ w LOT 1 3 NCI ~ U.
U1FLVFY o 45,738 SO. FT. 0.05 AC.) v m I Ci 0 w~ I I
-P - m ° Q ° Z it w
V-QL Z. o w Ww
PG_ 1991 o DRIVEWAY E o N oc X o
I N Z = I w 0 u. co
1 Zoo
1 QI
I 257.55' wo
N 89° 51' 51 "E I a~ zl wZ°
1-------------------------~ i-I .=)I m-i u)
WESTERLYh11R_-Q._W LLNF 2L m
51A- iHiaY.I
UNPLATTED LANDS
DESCRIPTION
SE CORNER
A parcel of land located in the NE1/4 of SECTION 24
the SE1/4 of Section 24, T31N, R18W, Town
of Star Prairie, St. Croix County, Wisconsin, described as follows:
Commencing at the El/4 corner of Section 24; thence SO 08'09"E (bearings
referenced to the East line of the SE1/4 of Section 24, assumed SO 08109"E)
717.38' along the East line of said SE 1 /4; thence S89 51''51 "W 33.00' to the Point
of Beginning; thence continuing S89 51ts51"W 257.551; thence SO 08'09"E 178.041;
thence W89 51151"E 257.551; thence NO 08109"W 178.04' to the Point of Beginning,
containing 45,738 square feet (1.05 acres) more or less, and being subject to
all easements, restrictions and covenants of record.
I, Harvey G. Johnson, registered Wisconsin Land Surveyor, hereby certify
that I have surveyed and mapped the above described property; that such map is
a true and correct representation of the exterior boundaries of the lard surveyed;
and that I have fully complied with the subdivision regulations of the Town of
Star Prairie, St. Croix County, and Section 236.34 of the Wisconsin Statutes, to the
beat of my knowledge, understanding and belief.
Harvey G. Johnson S-1899 co
Johnson Surveying, Inc.
407 Second Street • 1~r HARVEY y
Hudson, Wi. 54016 Q. _
JOHNSON ~
LEGEND s'~899
H S N
4- St. Croix County Section Corner W1 +
° 1"X24" Round iron pipe weighing 0 SCR
/ 1c~
1.68 lbs/lin, ft. set
1" Round iron pipe found
This instrument drafted by: JwG 0 1 4901801
VOLUME 8 PAGE 2290
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER LJ `J / /,~r'f
ADDRESS
SUBDIVISION / CSMf LOT 9 _
SECTION. T N-R~W , Town o
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
11 0
'to -7
I
okev
c
i i 41
INDICATE NORTH ARROW
Provide setback and elevation information on reverse Of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK: /b 1° c d~ec / O /i~~✓-~
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION
Manufacturer: -e .CLiquid Capacity:
Setback from: Well House OtherAo 1r'u~~ r
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
':SOIL ABSORPTION SYSTEM
Width: Length "I Number of trenches
Distance & Direction to nearest prop. line: Ilea
Setback from: well: House, Other
' ~~Gf h ~Jd !
ELEVATIONS
Building Sewer 1 ST Inlet: ST outlet
PC inlet PC bottom Pump Off
Header/Manifold ~ v Bottom of system
Existing Grad Final grad
DATE OF INSTALLATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION L
Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
a Is 61300 !.o
Za
TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 2, 1
ng-
Dosi 3 5~ 75 r
Aeration Bldg. Sewer
Holding St/ Inlet S ' 9 SSL~
TANK SETBACK INFORMATION St/ Outlet 6,0 '
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header / Man.
Aeration A Dist. Pipe
H„ Bot. System 96. 9
PUMP/ SIPHON INFORMATION Final Grade 601 Sa
717
Manufact Demand S /1~0, F~
lue~ 21, ,
Model Number PM
TDH Lift Friction e t
Loss ead
gt Dia. Dist. To well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length ' / No. Of Trenches P No. Of Pits Inside Dia. Liquid Depth
DIMENSION DIM N
SYSTEM TO P / L BLDG WELL LAKE / STREAM `LEACHING Ma cturer:
SETBACK
INFORMATION Type O CcnLA a / ber:
System: o(^-5 OR UNIT
DISTRIBUTION SYSTEM
Header / Meri fft r~ Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length _6 Dia. Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade System
Depth Over '~11 Depth Over c xx Depth Of xx Seeded ded xx Mulched
Bed/ Tzep,-hrCenter a~l~'-,3a Bed /IcerrdTEdges Topsoil es ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.-),
Plan revision required? ❑ Yes [moo
Use other side for additional information. 93 - W~/ le'l
SBD-6710 (R 05191) Date Inspector's Signat re Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
I
i
~ 1
SANITARY PERMIT APPLICATION
TDILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY
G
STATES IT RR IT
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ /
8% x 11 inches in size. h if , o vevius application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY f PROPERTY LOCATION
r i~- Y4 S T , N, R (o
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
C TY, STATE ZIP CODE ~j PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
;Sfa . NEAREST ROAD
1111. TYPE OF BUILDING: (Check one) ❑ State Owned VILLLLAGE s
c
❑ Public 9~ or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(5)
III. BUILDING USE: (If building type is public, check all that apply) p fr fi Q~9f3
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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
1120 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
Vl. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
V G ~ A7- Feet Feet
VII. TANK CAPACITY Site
in al Ions 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 Holdin Tank
Lift Pump Tank/Si hon Chamber Li I El I p p 0 F1
Vlll. 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 'nature: (No Stem MMP/MPRSW No.: Business Phone Number:
~ 0~'76~1s
Plumbef s Address (Street, City, State, Zip Code):
l-19ilo- 6V'6"e, c> t.- c5
IX. LINTY/DEPARTMENT USE ONLY
❑ Disapproved Sa ry Permit Fee (Includes Groundwater a e Is ue Issuing em atu a (No mps
Approved El Owner Given initial Y urcharge Fee)
C~ ~7 c
Adverse Determination
001-
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 sar?itgry permit may be renewed before the expiration date, and at the time of renewal any new
criteri i in the Wisconsin Administrative Code will be applicab:e.
1 fill revisions to this permit must be approved by tie permit i,suing authority.
4. Changes in ownership or plumber requires a Sanitary Perryw I iansfr r/'Renewal Form (SBJ 639)S) to be
sublz:itted to the co,,.nty prior to installation.
5. Ons.t : -~vrage fys!2rrs•-mus1 br-pr, perly rnainlai zed. ?h tank(s) nnt:st Ea f ;~i~=ec~ by a licelised
pumper whenever. necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code adrriinistrat6r or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete,aRJ-,accurate this sanitary Hermit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the systems is to beinstalled..-
Il. 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 pet init is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Abso pt;en system intr.roration. Provide all information req last--rl in ##1-7.
VII. Tao K - i,r'ndtiDn, Fil capacity o' ...r}`_ -ew and/or N; S-k, ;!st F-& s i! ;x9 number of
tanks an^ .'iamjfadurer s naive lndlcat -fab or site co,is; v, t;d an e' tank ry!atee;at. Co, l for all
seps c,, fr. r .is! han < rid holding tanks tliis system. Check =irriental approve; c- • f lani<s "eceived
exper:r-,.t;-r ~ ai prods c, approval from DILF,P.
Vill 'Responsibility statement. Installing piu~»r ~~r is to fill in name, „f-.: ~>e number with z!^ ~rort-i-0te prefix (e.g.
MP, etc.,, address ano phone number. Plumber must sign ~s '.ton form.
IX. Countyli"3ei)art'rent Use Only.
X. County/Departiient Use Only.
Con-, pir-n:': a pecification.s , of r?,Olen than 81h x 1 111x r":u3t bE' sub i [:-d to lh,- co!.,,r,ty. The
rit ' ;;1qIJ'dP 1 'foil, Yd-g; n, ) rIs.. drawn t0 .,,n,ri~ EDIf3'ic r r,4 -.On,s , _
-'s. ri j u.! . : ` cn of,
hole sep;: or other trv ~;7t tanks, wells, VVa ~C'C n~t'.vrtef service;
strean!s <i!c! 1-3r:e , putt--,ip or siphc- tanks: ?!i''44ibt!tion box! S ",-7r0ti,-)11 sysr!=?'T!a rr rr,:: 'E. nn nt system
areas,- ar: :!O 'ocati'J' i, of "?e bul' '!ng s T ho, 1Zont6 a clevali Points;
C) complete tspecificat9ons for pumps and controls; dose vclurviv, iwvatior, differs .f' trictiCn loss; pump
performance c.rve; pump model and pump manufacturer; D) cross section of the sell aL,sorption system if 4
required by th6county; E) soil test data on a 115 .form; and F) all sizing information.
GRGUNDWATE14 SURCHARGE
1983 Wisconsin Act 410 inc: tided the creatio ! urcharges (fe6s,, f-;: f l:,er of
regulated pracc' -es which can effect groundwute .
The i!ionie.5 ,co :eCt1~d'ihf.~ ou. h titer si _irc
har'gE?5 $f.e used f( rT,iUnitC~r+r t. ^tT~~6!Vtcst _ r.•r".,t .
- rY
water contan w4tio-, it «r +ogr it*r?s anc establishn 4~ r+f'standards: '
SBD-6398 (R.11/88)
JJ PLAT PLAN A/
PROJECT D,OC^~ADDRESSv20 c• ~5~~ ll~l~/P I~JS/V7
114_~;e- 1141So241T~'?~ N/R/,,i( W TOWN 11
=c COUNTY
MPRS Byron Bird Jr. 3318 DATE -
BED ROOMJ CLASS PERC ~r CONVENTIONAL,t- IN-GROUN ESSURE
CONVENTIONAL LIFT_ MOUND_ HOLD G TANK
SEPTIC TANK SIZE LIFT TANK SIZE
DOSE TANK SIZE HOLDING TANK SIZE
ABSORPTION AREA PERC RATE _BED SIZE 1~2 x-51
kL Benchmark V.R.P. Assume Elevation 100'
Location of Benchmark
* H. R. P
O Borehole Q Well Scale = Feet
O Perc Hole System Elevation
Vent
12
Gradp
TYPAR COVERING
2"
12" 3' 4 6' O 3'
1 6 " Sewer Rock
1.2'
09,
'N
i 9~9
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of
Labor and Human Relations
Division 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 e--,Po
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. _/_0 10 - Q " 44
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
6 r f GOVT. LOT 1/4`j 1/4,S T j N,R j E
PROPERTY OWNER':S MAILING ADDRESS as LOT # BLOCK # SUBD. NAME OR CSM #
Gr1ca
zf/ a - 4 ~
A:9 ATE Zfp CODE PHONE NUMBER []CITY []VILLAGE OWN c NEAREST ROAD
&7 l
tc+,_ ' rr e-
O
U-5
New Construction Use [X Residential / Number of bedrooms 3 ( ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow aj~a gpd Recommended design loading rate bed, gpd/ft2__,_T_trench, gpd/ft2
Absorption area required &a 5 _ bed, ft2 S4 3 trench, ft2 Maximum design loading rate ,2bed, gpd/ft2_trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material Q Zi /I 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 ❑ U S ❑ U jas ❑ U KS ❑ U ❑ S ~9U ❑ S AKI U
31- 1
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
' 02 Ol U~ r~ G
Ground 3
elev.
A ft.
Depth to
limiting
fact
Remarks:
Boring #
.........::o:
(Alf
Wj Pq
Ground 3
elev.
1o1Lrr ft.
Depth to
limiting
factor
3.7 Remarks:
CST Name:-Please Print 7
7r Phone: rt~~~~~G lr
Address:
Le oe~gne_,*< 661t* O~
Signature: Date: CST Number:
7 > T
i
PROPERTY OWNER10he,^1 D/ '~~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 Trerch
F7
lee .4,44-
Ground al4v
elev.
Depth to
limiting
factor
Remarks:
Boring #
r
Af Volt
Ground
elev.
ft.
Depth to
limiting
face
Remarks:
Boring #
m c cl ~
Ground:::::
elev.
fexn~2ft.
Depth to
limiting
fac r
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
Plot Plan
Project Name ,/re,F~!/4~lIcrf Byron Bird Jr.
System Elevation 1,*"7..,3 CST# 3479
L Benchmark _4&~~
d Boring O Well
l
0
of
W
S
Ila
MIN.- i
I `a o
S~
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER e
1,917
ADDRESS O LkJ~ y
FIRE NUMBER CITY/STATE_ _ 'e", I~ Gam'
PROPERTY LOCATION:.d&1/4..11/4, SECTION, TN-R ZJK W
TOWN OF St. Croix County, '
SUBDIVISION LOT NUMBER
Improper use and maintenance of your septic system could
result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three
years or sooner, if needed by 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/We, the undersigned have read the above requirements and
agree to maintain the private sewage disposal system in accordance
with the standards set forth, herein, as set by the Wisc nsin DNR.
Certification stating that your Sept' s been ma ntai ed ust be
completed and returned to the St. of Co z nin ce within
30 days of the three year expira o to
SIGN
DATE:
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 ~n delays of the permit issuance. ,Should this
development be intended for resale by owner/contractor,(spec
house), thenia 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 DOf r~//fit ~--f
Location of'property-1/4Section, 'T F/ N-Rl2r W
Township '000/'cc iri C
Mailing address /7G ae-
Address of site ~u !n
Subdivision name Lot no.
other homes on property? _ >X yes No
Previous owner of property
Total size of parcel _ 4d ~
Date parcel -was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house)? Yes _,.XNo
Volume 4/4 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. a 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 o said system, and the same has been duly
recorded 76f ice f County Register of deeds as Document
No.
g ature of applicant Co-applicant
Date of Signature Date of Signature
No. 8.11. Quitclaim Decd-Common Form (STATE OF WISCONSIN) Published by Eau Claire Book & Stationery Co.
eoaK _ FacE
295()42
Tbi.q 3nbenture, Made this 21st day of January A D. 19 69
between Jan Van Dyk and Rom Van Dyk, husband and wife and eadh "J-n'
• their own individual capacity, and Gerrit Van Dyk and Patricia Van:Dyk
husband and wife, and each in their own individual capacitly
part., ps o t#re first part
and
Robert Volkert, also known as Robert M. Volkert, and Maxine Volkert,
husband and wife as joint tenants,
part i esof the second part.
U!itlM5!3t M, That the said part ies of the first part, for and in consideration of the sum of
. One ($1.00) Dollar and other valuable consideration -iititllem,
to them-,7 hard pair., by the said part ies of the second part, the receipt whereof is hereby confessed
an;' ac':nowledr;c-?, ha Vgven, granted, bargained, sold, remised, released and quitclaimed, and by these
presCrts do give, ;rant bargain, sell, remise, release and quitclaim unto the said part ies of the
socand part, and to their heirs and assigns forever, the following described real estate, !
sit;r.!ted ir, the County of St. Croix State of Wisconsin, to-wit:
I
i
The Southeast Quarter (SEf) of Section Twenty-four (24)
Township Thirty-one (31) North, Range Eighteen (18) West;
' ICI II
~0•, : ~ III
I,!
to,:,•tber with all zmd sin,>ularthe appurtermces milprivilet,esthercunto
1 a o, in } . tl;- rat rato ilu~rt as in na rill the estate, right, title, interest irrcl claim
ies of the first part, either in law or equity, other in pc;,~.,siun or ~i
I, ro 'l.c only pro;,er tac, ber,cht and behoof of the said part ies of the second part,
their e rs;,nrl rssinrrs forever.
!i"? IL:IiGf~iu _f tl e said ,cart ies of the first part ha ve hereunto set their hand Sand
1 s thi 21st day of January A. D., 19 69
Si .r.d and Scaled to Presence of
Jan Van Dy
k ~ I
____..__..y. _ _ _ _ i (Seal)
RQm Van,y
n . ....(Seal) III
Gerrit Van nyk
lil
_ t
atr a..... i $cia 'Tan I
L', - Iii
r'rances ` flo)n.,on
i~
I! ~tari' of Mi;colloitl,
ss.
St.Croix
County. ll
1'crs~ar.:rlly came before me, this 21St day of January A. D., 19 69,
i
Jan Van Dyk and Rom Van Dyk, husband and wife, and Gerrit .
j the, b"°e rarn`d Van Dyk and Patricia Van Dyk I
to me known to b<:' the person Swho executed the foregoing instrument and acknowledged the same.
o' I
ii
C 01 X-,.; County, Wis.
Notary public, ...at...._
, A. D., 19
n expires
Drafted by ..-Hughes Law Office, New Ricri$i& 4ig. U
,
(N.B.-Ch. 59 Wis. State. provides that all instruments to be recorded shall have plainly printed or typewritten thereon the names of the grantors,
grantees, witnesses and notary.)