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022-1048-50-100
4 0 ~ ° 1 h O vi a0 i M C Q. ~ I °c (U N N w I ~ ' I .i .U 4 m I ef. ~ N C 0 N y ~ ~ s I a I o m c it c Z ~ 3 I LL C Q C O i ~ ~ co I q ci I m ~ I I r z N co E O 0 °0 w a F m N- z o I o z 00) z a ° o J) F- c -zp (U m hhhh m (D a, 1~ N U) N C • L C L IL 2 U L) o z F- z N z ED 'a w~, 1~ N N ~T N : y 1 lC N N LL LO 0 10 w Y O : O H 'r W g E N p G G CL a E O U) U) z co Z li 3 ~w o O O FL U) z ;j O ° •r(vv ~ a a a m I w~ a B 4.; 2 N > N M 7 O fn N to U O ' ° ! 0 ! ° N 3 E O O 7 m M c 'o m aNi ~=s> ~ o 3 d Q~ m c Ili H 0 (D 7 O O O M W C O O C C E ~o 00 L? CD a c E E N L) a CL CL r- - 7, ao C6 42L' O U m~ L L O ty~, H 6 N C y cam- ~ f'- f'- C N 64 ~V yy o Y Z O -T cn ~I o ~ I E m d M a L3. 1 L: y is a w • a m m rr~~ 7 `~1 A 0 a~ 0 Nc) Parcel 022-1048-50-100 04i12/2007 03:32 PM PAGE 1OF 1 Alt. Parcel 17.28.18.261A 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - NESS, BRYCE L & HOLLY R BRYCE L & HOLLY R NESS 1034 TOWN HALL RD RIVER FALLS WI 54022-5803 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ` 1034 TOWN HALL RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 5.590 Plat: N/A-NOT AVAILABLE SEC 17 T28N R18W PT NE NW BEING LOT 1 Block/Condo Bldg: CSM 9/2477 5.59 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 956/364 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/08/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 60,000 319,600 379,600 NO AGRICULTURAL G4 2.590 200 0 200 NO Totals for 2007: General Property 5.590 60,200 319,600 379,800 Woodland 0.000 0 0 Totals for 2006: General Property 5.590 60,200 319,600 379,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 117 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 II C ~i 0 o0- C cn C ^ ^I Go Cn m r- C CL 0 ct 110 ~O O C j j Nd~ a to v ~0 t -le z ~ ~ ~ ( a A~ a 0 .~C r s ~J 0 2 0-n W p in (f1 a N ~ a ~ N a~ o r ` 4) to Y in ~n cep G. 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W A ~r Ln to 0 vi J LU Z -:2 4' P9 cl :2 O a w offi l r- %I- O 0. lL L o N O ~j G ml c Ou I u v 77 x 2 ''i► O V M 1 -P C N. M _ J N O 2 O to Q ~l E X 3 C N N ea I o «N f 3 ME E 41 qv 0 06 = I es F v v p a V v'~ ° C - v m 'i LL, LL. ~ Z O W m y p o M .2 ) L r yYY lu -0 INJ 4-- ID 3 y- p°o3 u QjN H 1 ,7' z I?~ o o I i~ Z; g Cl. 71 9-F cl As Cl ~ c N {5j d)l O _4f r1i 0 t 0 N \ O'' N ° o- \ \ w\,~ y d J lei J v, 01 P4 fi ri rJ -VI H 1 l 00, J I I I L o a oli ~y I o ~ c r ~ I I 0 0 Ch vi of ~i jt7 R Z Ir~~~ ' ~~~r L Li d i f ~ P n ` 0 +ri► ~ 'v "06 i 0 I N - 1~N ~v ~cvl-7 --iS~M 3 0 i o -77 Oo3 of to A~A Ip~V1 7 ~y4t:C r ~d a?-cy VI I v VN ~ h H ~r ~ z ?F o It Cl. z~ ~ F I 7. 0 3 3 ~ ~ g~jlw 1 - 0 di N p \ ` \ 041 v _ N p`i 2 1 \ 6' -1 ? q N d~ l o ~LA J o W (A r1 0 iJ 94 " oil C4 41 3 II of ° v+ z :o h~j /dry -h~I~N ~o ~(v17 --LAM .mss 1 AS BUILT SANITARY SYSTEM REPORT OWNER A 2.35 TOWNSHIP SECTION_Z,?_T N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT-/t~-z-,-LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Q/ ~E 10 % ~G 5- X INDICATE NORTH ARROW u 4 l BENCHMARK:Elevation and description: S~ A-e- Alternate benchmark SEPTIC TANK: Manufacturer: Liquid cap. zWl Rings used:_~?- Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Frontj(,-, Side , Rear Ft. 6G.r- From nearest prop. line:Front , Side , Rear _Z_-Ft. 4:9e No. of feet from: Well A/o- , Building: /9' (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: C Seepage Pit: Width: 3- Length C Number of Lines: 2- Area Built S Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: .57L I No. feet from nearest prop. line:Front , Side , Rear X-Ft. No. feet from well:,d. e-- No. feet from building 3 ` 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: DATE: PLUMBER ON JOB: 1 LICENSE NUMBER: 6/90:cj IQiQpartrie=olinc~'uryNNIC 17.28 18.P261 NE NW 40TH AVE. PRIVATE SELVAGE SYSTEM County: Labor nd Human Relations INSPECTION REPORT Safety and Buildings Division T. CROI (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 171489 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: NESS, BRYCE KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 022-1048-50-000 TANK INFORMATION ELEVATION DATA A9200255 7192 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosi n ylC~ iii / Aeration Bldg. Sewer Holding St/ blt Inlet TANK SETBACK INFORMATION St/ Ht Outlet 9' 9 TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic >/,m NA Dt Bottom T Dosing NA Header / Man. Aeration NA Dist. Pipe I Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manu Demand Model Number GPM TDH Lift Friction SYs TDH Ft oss Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of T enches PIT No. Of Pits Inside Dia. Liquid Depth S S CoS 1 DIMENSIONS DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Ma cturer: SETBACK Mo a Numb INFORMATION Type of CHAMBER System: OR UNIT DISTRIBUTION SYSTEM Header /fda 4e44 Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake i 2Length 2! Dia Length ~ Dia. C 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 Bo47Trench Center - ~a Be+/ Trench Edges Topsoil C] Yes El No E] Yes E] No 30 I COMMENTS: (Include code discrepancies, persons present, etc.) 161'r-, 2c 7,/s ~ld -r-- _ _Y th ~ Plan revision required? ❑ Yes Q_too / Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH i SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION ~ 761LHA In accord with ILHR 83.05, Wis. Adm. Code COUNTY ~ .a~rwnua STATE SANITARY P IT -Attach complete plans (to the county copy only) for the system, on paper not less than /~J~ 8% x 11 inches in size. ® Ch k i isi pr sous 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 A-1, 1/4W&/%, S T ,N,R / (oriff PROrPE TY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER `u~v' a~tS w s'Ye~ II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned VILLAGE : ~ • OWN OF: 0?~ II r ❑ Public R1 or 2 Fam. Dwelling-# of bedrooms R EL AX N MBE ( ) 111. BUILDING USE: (If building type is public, check all that apply) 6/a4 1 ❑ Apt/Condo CJ ! V 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 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. El Replacement 3. El Replacement of 4. F1 Reconnection of 5.0 Repair of an system System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 -Seepage Trench 22 ❑ In-Ground 42 ❑ ,Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6.O~ YST ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ,I %VATION Al ce Z14- fed rJG e v Feet Qv.,, 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 _11F. F] F-1 71- 0 L1 Se tic Tank or Holding Tank Lift Pump Tank/Siphon Chamber Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. M PRSW No.: Business Phone Number: Plumber's Name (Print): Plumber's Signature: (No Stamps) : ?:P- Plumber's Address (Street, City, State, Zip Code): l & S e IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater a e slue Issuing Age Si ature (No Approved F-1 Owner Given Initial Surcharge Fee) A4- Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1.' A sanitarq-permit is valid for two (2) years. 4... 2. YioUr sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where ;the system is-to be,installed: II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. Ill. 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) DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUI ~ sw.m~.r s STATE SANITARY PER IT -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Ch PkIvisl n to pre ous 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 „e t/4 W/4, S / T , R E (or) P OPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CO PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned 0 [Z NWW VILLAGE ; ❑ Public 1)11 or 2 Fam. Dwelling4 of bedrooms PARCEL TAX N e III. BUILDING USE: (If building type is public, check all that apply) -,56 /;:~o 1 ❑ Apt/Condo 2 ❑ Assembly Hall 80 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 5 ❑ Hotel/Motel 90 Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. RNew 2. ❑ Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 -Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM LEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) /Q,x.l~ EL VAIION /,0,0 Cj ° ell S d 9P•, %15- Feet /0 S Feet VII. TANK CAPACITY Site in allons Total #of NPrefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name t Con- Steel glass Plastic App I Tanks Tanks structed Septic Tank or Holding Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans. Plumber's Name (Print): Plumber's Signature: (ZSS) MPRSW No.: Business Phone Number: 4ke?l 001, P umberr'n Address (Street, City, State, Zip Code): LJ 0 G G lew G- xSdzl r s IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Si Approved ❑ Owner Given Initial c~ C>A a Surcharge Fee) 7 7^ f Adverse Determination YO U 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 sen'ftary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper, whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. NIP, 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 131/2 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) ho•izontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; fricticn loss; pump performa.6ce 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 SURCHAF&E 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) S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Bel ~i 1. Ale" Location of propertyAll/4 1/4, Section 17, T &N-R~_W Township Les4I;k,,:.i[ie " t e *P* w, Mailing address /4 I-.124V4 &Z' Address of site Subdivision name Lot no. Other homes on property? yes No Previous owner of property I9I411 ! Total size of parcel I Date parcel was created .7?- 9.2. Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes f"No Volume 954 and Page Number 31041 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description .references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. V2AMLj3 , 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 . 'yl9s"0 ,/3 064 Aoca y Aw Signa ure of applicant Co-applicant Date of Signature Date of Signature DOCUMENT NO. -~STATE BAR OF WISCONSIN FORM 1-19821 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 485043 VOL 906^NnE6 -==v-_- -~i------ - _ - _ REGISTER'S OFFICE This Deed, made between ._-DOnald___D_,-_• I_ue.l ls.r...and, ST CROIXCo., WI .--Gl-oria..Muell-er-,- -husband__and__wif_e w.if.e & Reed for Record JUN 2 31992 Grantor, and------- Bryce--L.---Ne.s.s...an_d.-liQl-l.y---R. N_es.s-,--hus-band----- at and wif-e,__-as_ -survivors-hi-p_-marital--- propeYt_y__-__---- 2:00 P. M Grantee, Witnesseth, That the said Grantor, for a valuable consideration.._--- R egister of Deeds conveys to Grantee the following described real estate in ....S t..... C_ro-ix--------- RETURN TO County, State of Wisconsin: Lot One (1) of Certified Survey Map in Volume 9 of Certified Survey Maps, Page 2477, as Tax Parcel No- Document Number 482432, filed in St. Croix County Register of Deeds office on April 24, 1992, being located in the Northeast Quarter of the Northwest Quarter (NE4 of NW4) of Section Seventeen (17), Township Twenty Eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic. I i I i This 1S--_110.t........ homestead property. i (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And----- 1.?a-na.id---D..---Muel l_er_..a-nd-.-G1 or.i_a.__Mu-el__l.er_ - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except i easements, restrictions, and rights-of-way of record, if any, i and will warrant and defend the same. Dated this - 22nd..... day of June 19.-.9-2-. ----------------•----•------------•---........-•--------•------------(SEAL) 1!(SEAL) * --.Donald .-D-• .-Rue-filer------- - E~-~-'-`'-`-'~'=--------- ......-•-•-•--•------------••---•--.....---••--------------•--•-•---.(SEAL) v (SEAL) * * Gloria Mueller AUTHENTICATION ACKNOWLEDGMENT Signature(s) Donald. D Muel l-er..and_..•..__. STATE OF WISCONSIN Gloria Mueller ss. County. authe Had is 2.2.___-day of._....T13I1e 19-•.92 Personally came before me this day of I 19........ the above named . C. L. Ga lord TITLE: MEMBER STATE BAR OF WISCONSIN (If not- authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the I foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY C_.___ .....Gay_.lord..Attorney River Falls, WL 54022 Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration are not necessary.) ) li date: 19......... *Names of persons signing in any capacity should be typed or printed below their signatures. -Al 411 R7~~ -STATE FORM No. 1 - 19 2N31N Stock No. 13001 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER By'yaG Ale&r FIRE NUMBER ADDRESS .314 CITY/STATE ZIP %N-R_/p W PROPERTY LOCATION: 1/4,jft1/4, SECTION Z;?-, T*4 TOWN OF I~C~r1Ie~Mid , 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 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 date. SIGNED: ,z~~ DATE:. St. Croix co. 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QC-p ' w v 2 . 1 (1~ p N ~/I. is N I U- C V 2 C Cis Z O in Z; ti- 0 41 4j 0 C: -C E 1Y1Y i J 0 003 o tI7 d N r N n ' D I I (A v ! ! v t D ' z ?,-o a 7-07 20 0 ~ 0 3 a nr d)I 12 • NI0 N .Y 55- 4? r1i a `n N ~ o ~ ~ r r► 03 P4 ~i J e. 1~ tl 41 ,N , I I i v~ of 3 r +411 a- / F- .m 2 I ~ I Lj d \ P. a D 41i. cs D p6 Ai MXA,* ~ Ail 11 -IAN :jo --Xvj 7 -1S~M e mot' s,fcr ire 25 D _ 3 oaf ~ t0 ~ STS u k ST~~ FJ r l lam, T~-° Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 6At of 6 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code t COUNTY Srt . C_Czo LX 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: GPROPERTY OVT. LOT LOCATION W ,1/4 NW 1/4,S \-1 T 2t3 N,R 18 E (ol1A aR,~CE Iv~sS PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 316 tti, ~~6LS\z R.o~A \ - as 1-1 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD CZti~ -t1~-~S I.vL S~[oz-z (its) 4.Z5,_ ozoo ~c u C 'fo7N Rve New Construction Use [~Q Residential / Number of bedrooms 3 [ ] Addition to epsbng building ] Replacement [ ] Public or commercial describe Code derived daily flow + Sc3 gpd Recommended design loading rate bed, gp(W 0, --s-trench. WW Absorption area required - bed, ft2 °03c) trench, ft2 Mabmum design loading rate - bed, gpd/ft2 0. S trench, gpdtft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations VIST# O-l, 3 ` V,*v ct{S , VMII`cC.bt S' X "~+Q ►m U M b o' L-oN 4 . Parent material SFi+"wti L%s #\m -n %-L Flood plain elevation, if applicable N - R - It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE 7AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ®S O U ❑ S O U 0 S ❑ U % ❑ U ❑ S ICU [I S I@ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Coke Gr. Sz. Sh. Bed rertch 6 1 b - \0 1,o `1 CZ 3~ 3 S t Z`4' S bl-c Yn`FH C S d. 5 0 . ~a L (x_23 lb-I Q- 3J(e S ZSb~ 1l1~L C$ 0.5 b. ~o Ground 3 23-31~ \e`1R 316 - 6~.5 Z- "A sbY~ ~n`~r~ as o.S o.b elev. cj ~'l `f 3b-~ SKIZ 31 y! - sr \ c sb`R Muiv o.y 'o.s Depth to S yy- 66 \-O` L t-2- 31y \ s Sg I v.~ 0.8 limiting fja= 46 Remarks: Boring # 3 1 0-'~1 L G tjFu U 'T'o AL t-oa 1N S p K3 OF -TTLe S ~Vj b- Z the Z Nov - ~c~ti a R 3 E3 Ground 1 ~3 ~Z 4 1- vLSED Z-► _qZ. elev. ft Depth to limiting factor Remarks: TName:-Please Print Arthur L. We erer Pine 715-425-0165 V egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: S(43z. 1 14 9 2 CST Number: 576 L_ 11 PROPERTY OWNER SOIL DESCRIPTION REPORT page _01 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftin. Munsell Clu. Sz. Cont Color Gr. Sz. Sh: Bed iench Ground elev. ft. Depth to limiting factor Remarks: Boring # 13. Ground elev. ft. Depth to limiting factor Remarks: Boring # tom::. •CC{ Ground elev. ft. Depth to limiting factor Remarks: Boring # [31 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) as WEST- LIAR of NL~l~y- Nw !,y Jrj d ® r n (~1 1 O 0 10 I I r J 10 N 1-0I to `a~ rp Z A `I N i z ~ r rn rJ o!~ ~p o ;w✓ Zr m~ ~T u r N DI N G U~ tj ~m a N o ra O CAM ~ _ ~ ~ \ \ tit r% -Q ~ U' y 6` •p . 0 d two ~ ~o ~ 1 ~ or .WiisconsinDepanmentoflndusty, SOIL AND SITE EVALUATION REPORT Page 6A of 6 Ifflabor and Human Relations Division of Safety & Buildings in accord with I LH R 83.05, Wis. Adm. Code ' COUNTY S-r'. GCZ.U tX 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 '2>"C1` tv~s S GOVT. LOT Nom, 1/4 NW 1/4,S l-1 T Za N,R 1~- E (ola PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD ~tiu~z V:;~ lv) SYozz (its) 4Z5 S- oZOO rJ0V0- ~u c 'V0 _M f7uE New Construction Use ()Q Residential / Number of bedrooms 3 I ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived dally flow ySO gpd Recommended design loading rate bed, gpolft2 , S trench, gpddt2 Absorption area required - bed, 0 °t y0 trench, ft2 Maximum design loading rate - bed, gpd/Ft2 ° • -S trench, gpdjft2 Recommended infiltration surface elevation(s) ft (as referred to site plan Wnchma N Additional design / site corsideral>ans wSt ky, 3 `t4Ove-tom , e1~c11 S' x r-, ►N im uH b o ` Lorj C. Parent material 5E1ho%4 L%s Am -n L-t_ Flood plain elevation, if applicable N - R - ft S = Suitable for system cONVEN110 & MOUND MI-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ®S ❑ U ❑ S O U IRS ❑ u If S ❑ U ❑ s OU ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BOnlt lay Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed nEirlch 6 1 0- >e W-t 3l 3 - s l 1 Z'~ o'0t NAn qF - C s o. s o Z 6_z3 1bKQ- 3~(, - S ~ Z`F9b1rr (r1~ CS 0.5 a. ~ Ground 3 z.3-3b ko`1R 3)b - S.s1) Z."wA sNt;k cs d elev. cLb•~ ft 3b-~! ~-S to-Z- 31y - s' \ e s~k y,~u C-1 L j 0.y ;o.S Depth to S Yy-66 ~~R 3!y \s o sg l o.~ -8 limiting bCtDr 6 Remarks: Boring # "~`~c 3 0~1 L 0 N G ~:U U 'T-0 R lh) bAJ € of 13 3 lf_)Stet~b CF Z 'h_% S >J onv - 6NCV R Ground l 1-~3 `t2 4 [~.vtS~D Z-t -qz. elev. ft. Depth to limiting facto Remarks: TName:-Please Print Phone: Arthur L. We erer 715-425-0165 g rer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signadxe: / Date: CST Number: dt s~.lt,, 1992 576 c~ESr L[,,.~ ov-- Nw by o o W ~ 94_ d ~ a~ I ~la ~d N 19 I i fJ` ~LA IN INI L ~V!I cn io 10 N GI G 0 -~I~~ 10 i 0 Z p I H j ► -i rt, C/. -11 Lo r r ~al o',~ _ ~ O LP -v Ln N cp ~ w Z r • N I N N G N ICP C7 .0 to F U Ic vJ ~ col I ~ ~ ~ ~o_ tr ' .4 a- o T tp o P o ~ i g'C~~ ~ x ~ z p m V,~ o0o a IA m Ull Irb j c `o o ' z I 0 7-