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030-2034-90-000
0 O c N p e» o ao o a y t P, (D N LO g XC U o Co ~ I O c 0 c Y O 3 I U - O. N N O O O Z 7 ( N LL C X °5 p -p N C TS N 7 N T3 N O ~ Q 7 S U O M N ~ (I1 O LLJ N Z O Z - d d V a Co N I- Z c c9 I O Z .U a O N d F- r O ~ c ~ v 0 0 N co d N O C (O U) 0 0 0 • Arl d c U N 1 Q ~E 04 Z m z Q 4 Z o N r_ I ~ v E E N N R Y O _ 4 - CL o a R Z a) o v O C a Z N > i- F- F- U 3: 3. IL o C O O O •i.NN,~ ; oaaa ►i CL '0 o = rn rn N U a~ rn rn } I U) O N O d O C M O O 7 N 0. (O 'd co a) _ Q } O °0 3 N c o c (n o ~ a~i a~i c N _ rn Oo O N U) E N N O N co M 1✓ i. M L O N O N n Z Liz: n N 0) h.V O' co tsX,+ M y O O E U 1 • "w y' O N (n S O =n f- M U)l r E C~ N ~ d a a CL 4/ U N y = E c c + A U a O in U Parcel 030-2034-90-000 12/16/2004 05:02 PM PAGE 1OF1 Alt. Parcel 24.30.20.466C 030 - TOWN OF SAINT JOSEPH Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner JULIE A STEPPE ' STEFFL, JULIE A 1496 23RD ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1496 23RD ST SC 5432 SCH D OF SOMERSET SP 1700 W ITC Legal Description: Acres: 3.440 Plat: N/A-NOT AVAILABLE SEC 24 T30N R20W NW NW LOT 2 OF CSM Block/Condo Bldg: 1/247 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 01/18/1999 595926 1396/373 WD 07/23/1997 732/41 07/23/1997 540/37 2004 SUMMARY Bill Fair Market Value: Assessed with: 6002 221,500 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.440 79,600 138,300 217,900 NO Totals for 2004: General Property 3.440 79,600 138,300 217,900 Woodland 0.000 0 0 Totals for 2003: General Property 3.440 46,600 111,100 157,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 207 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r AS BUILT SANITARY SYSTEM REPORT OWNER L,j,_-- C ,C TOWNSHIP SECTION--2,/ _T N-R , W ADDRESS 14VI,_2-?'S~ ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT _-~2 LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~p~ ~INX ;a Alas - SO, b INDICATE NORTH ARROW BENCHMARK:Elevation and description: a~ l/ Alternate benchmark ® _ SEPTIC TANK:Manufacturer:/4 Liquid Cap. /fi190 4, Rings used: Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front Side Rear Ft. From nearest prop. line:Front Side, Rear Ft. y6 No. of feet from: Well ~_2, Building: ..21 (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE I 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:r Length SS Number of Lines: 2 Area Built~&16 Exist. Grade Elev. o" Proposed Final Grade Elev. 2 Fill depth to top of pipe: '3'r) No. feet from nearest prop. line:Front , Side X , Rear Ft..:~ No. feet from well: /Xs'+ No. feet from building 13Z 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: 761;~?- U PLUMBER ON JOB: LICENSE NUMBER: r 6/90:cj WsEATTRc irtAAtifITrcfGi V11 24.30. JRIV4A 511 A%jjSI.f`' AA 23RD County: Labor and Human Relations ^ INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary ermit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan I o.: HENZLER STEPHEN Q ST- JOSEPH CST BM Elev.: Insp. BM Elev.: Description: Parcel Tax No.: BM - 1 010-9034-9 -00n TANK INFORMATION ELEVATION DATA A9200242 Z 2 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark Septic ck)- D sing Aeration Bldg. Sewer Holding St/111110 Inlet TANK SETBACK INFORMATION St/ Outlet Z"qs/ 95 /3 TANK TO P/ L WELL BLDG. Ventto ROAD Air Intake Septic > 5-(0 NA l3ng NA Header /b4v y5/ Aeration NA Dist. Pipe g9 Holding Bot. System n( PUMP/ SIPHON INFORMATION Final Grade Manuf Demand Model Number GPM TDH Lift Friction Syste TDH Ft Forcemain Length Dia. H Dist. To we SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS_ DIMENSIONS___ Ma nufacturer: LEACHING SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION T pe O C cY1 CHAMBER Model system: -60 ha >106 1 / z OR UNIT DISTRIBUTION SYSTEM Header RAwT fofd Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length 5.Z 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 EdgesTopsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discre ancies, persons present, etc.) r Plan revision required? ❑ Yes 9-,1-0 Use other side for additional information. 7 y SBD-6710 (R 05/91) Date / Inspector's Signatur4 Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: C~1LHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code cou STATE SANITAKY PERMI -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ~7 Sid x 11 inches in size. c ec if r Lion 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 S T , N, R ae, li (or)® PROPERTY OWNER'S MAILING ADDRESS OT # BLOCK # ~O sil. CITY, TAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Ii. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State Owned ❑ VILLAGE ~ ~ 172 o E] Public ❑ 1 or 2 Fam. Dwelling-~# of bedrooms PARCEL TAX . UMBER( ) III. BUILDING USE: (If building type is public, check all that apply) D3© 9,0 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 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. ® Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PER . RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/s( . ft.) (M1 ./inch) ELEVATION _3. (1~ y ,f/r9 /"Feet 0 V /Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank F1 F1 Lift Pump Tank/Si hon Chamber El E] L] E] -L,+[--] VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installat' n of the onsite sewage system shown on the attached plans. Plumbs 's Name (Print): Plumbs Si nature: (No St} / MP/MPRSW No.: Business Phone Number: Z~ -7, 1 1 1 / V Pum 's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ,~y~ ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Agent Signatur Approved El Owner Given Initial Surcharge Fee) 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 sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SB0 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 'oy 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, 678-266-3815. 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 th(i location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; frictinn 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) STC-100 This application form is to be completed in full and signed by the ow ncr(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 _57`ta~e-4 L. 4e, Z 1--e r, ' Location of propertyN 1/4 1/4, Section' , T26 N-R? o W .Township J), o,eSetio'A Hailing address IN 1(7 L ~ I, ~ ST ij OuL TOh w! S c f~/cs z . Address of site Subdivision name ok- Lot no. Other homes on property? yes Ho, Previous owner of property ► i &,e v +tZ D /1/V ® n L~ Total size of parcel, -Date parcel was created Are all corners and lot lines identifiable? __-__._;•.Yes No is thin property being developed for (spec house)? Yes No Volume f and Page Number as recorded, with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARIUUIi'Y DEED which includes a DOCUMENT NUItBER, VOLUME AND PAGE HUMBER & THE SEAL Or THE REGISTill 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 ny (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 tl office of the County Register of Deeds as Document No.j3-1/ I rip , 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 duds as Document No. signat a of'ap~ cant Co-appl ca t Date of Signature Date of Sign ture J ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT n FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the ,ErJ~ r-.0 residence located at: 1/4, 1/4, Sec. , T_2,~_?N, R,-O W, Town of Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced Did flow back occur from absorption system? Yes No (if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete_ _steel Other Manufacurer (if known): Age of Tank (if known): (Signature) (Name) Please Print (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to t e best of my knowledge will conform to the requirements of ILHR-83 Wis. m. Code (except for inspecti n opening over outlet baffle). Name Signature MP/MPRS Sod 5/88 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYERT h e h G, L h t ~-Zr ROUTE/BOX NUMBER P~~ K b L 1~r 5r. FIRE NOl CITY/STATE ~ o j i-.fio~ ~3 ZIP ..l-go ILL- PROPERTY LOCATION:} /V 1/9 1/9, Section T N, R : 0 W, Town of A/6 d C fd'n , St. Croix County, Subdivision , Lot No. 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 $3000 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master 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. Certification form will be sent approximately 30 days prior to three year expiration. 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 Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED// C DATE l~P L' St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 59016 (715) 386-9680 Sign, Date, and Return to above address tr ont'n otoohr^ort 01 Inoutlry, tabor /md human Retat,ont JVII. UtJl.nlr l lvl t nt.t Nft I 0 To dison. lot • • I (Attach Soil Profile Location Map - To Scale • On A Se crate, Signed Sheet) ' a L 'f -7 aOIIvM.0af1 CurMNIMIfe6YIN0aprM ~MRy~ttMK 4:2 ►ape 4000 •1 00001e{a tarty T/ 'tart a► a eer 10a0e4 OtO w a t.OCat fON tOvfM N t►KrtY ~ / taalMtelKMtfl C"A1 - - LOT BLOCK Sve-D1tITlTtTFI maw wxatrlate 13 • Morton Depth Dominant Color Mottlet Structure in Munttll t. t.Onl. J191 it{ r Gr, t, h, n then e R of " Linutlnq Faclef/ laongGPD to A. ar Owl tfanch Oad ( I c v = .~.iL . A114. s A) .9 17 f3• Hof.ton Depth Dominant Color Mottles Structure In Munttll u t, ont,C for T e / lrmglep Faslofl o GP n Of. St. h, Contt tent Roots !o ndar Depth tf•Ach ncn sea Sae -1/ 14 -41 Elev = el 11,41 Jz'l Al 14 Q • I Mofftom Depth Dominant Color Mottle{ structure llrnlllnq 1104:16#1 L6&*^g GPa ao A. In Mumsell ay. t. on , color tit rt Gr. St, h, -Conslittme Roo ! nda Owt trench tied Elev RAI A) 1,4 '11 Za ;5-42 , FC7 Jd~ 1-4 s4j, A~i 1/&7 q-~Jt )142 13 , I MOf-ton Depth DamonanI Color Mottle{ Structure In. Mun ell llrrMq Faeterl laangGPp•tq R. S . C n , COlot 1 trture Gr It. h on hl n e Rots 0 n a Owllnth tyanch Sol Elev = 13. Morton DI ath 00Mf tan'IColor Mottl tt Structure llmtttnq Faelof/, laanpopo+o n. -V-142 a St. Con . Color t e r r st'sh- n t nt R ot% eo ndar Owlh TfafKh a.. Eiev = Additional Remark{: RE 0MME-ND D SYSTEM TYPE: 0thtr Sue Features: r Syslcm Elcvation ate woe 010 Phone No. CST r/V~~~. 0 1 CST Nam* Pr ~ f~'P.~~,~i,E 1n f ,L ~ -7/ ( ) City State Zip I I T I I I eill - - I I ji I - r r i 7-1 r I i ~ I 1 t mcvJ✓~/h ,mat-. 1 , I I f ( I . I- I-- A J I _ ! 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I I I rt I I I I I I ~ i F-Y-- r- , I I , I I I ~ ! i- I I I I ~ 1 T T T I i ~ ~ ~ 'i I ~ - _ ~ ~ ~ -1-r _ _ - - -T _ _ - _ - - - - - ' I - - - _ _ - _ - - - - - - L- i I ~ - - - I i i I ( I I ~ ~ f ~ i _ '._...____-_-.___-t_..--.._--_ _ ~ _ i j ~ ~ ~ I ~ ~ I ~ ~ f ~ i i ~ I i - T-- - _ - _ , - - _ - _ _ ~ - - - - - _ - - _ , _ _ _ _ _ - _ - - - - --r - - - ~ ~ ' i i - - - - _ I~ ~ _ _ _ - _ - - t ~ ~ - - - _ _ i _ _ _ _ _ _ - _ _ _ _ - - _ _ _ - - - j ~ ~ ~ i ~ I T I , _ r ~ _ _ _ - _ _ _ _ ~ - r--'- _ ~ _ ` T ~ , ~ , , , - , ~ - ~ ,--1 i -T- ' ~ ~ _ - - - - ~ - - ~ ~ I I j - _ - J-- i i _ _ y------ - - - - ~ ' ~ ~ ~ ~ i ~ i ~ i - _ _ _ I I ~ - - I ~ ~ I I ( i i ~ ~ _ ~ i I I - _ _ - - - - ~ ~ ~ ~ ~ i i ~ ~ I i ~ ~ f _ ' I ~ i I i ~ ~ , ~ ' ~ i i ' - _ _ _ - - ' I _ _ i r i I ~ i ~ ~ ~ ~ i i _ - --f _ ~ - _ ~ j ~ ~ PAGE OF ~rUSS JKC~1l)1.1 Q S~dArt "C ftplh Alt 111191+ Aad 00i,p+rotlon PIP• 41 ^ i 1~ AppoOv:d Y•4+ Cap 12* a /14.1 Good. l7UGt// • 20. 42• Above Plpr 141" C•.1 bos ! To 0`1461 a••d• v41 Py I _ M& oft lost 01 covellf, O..• Pipe I 01•uu.n•4 . `IPo o • T•• + S• A1go •1.1• _ !•4••lo PIP• P.rlau•• PIP• 6.10. e C0,01011 114`0410161161 As + iollom 01 i~•1•w I SOIL. FILL OISTRIBUTIOLI PIPC APPRO`~4G S-19picTIC COVc r•, r "'/'111T~RI^I OR 9" OF vrnm. 2MOF&GGREGAIE OR MARsi► 1!Ay ELEV. o l.~OPJs-P-1= AGGRCGATE F T-..- . r DISTRMUTIOW PIPE •TU DC AT LEAaT WCHES BELOW OR►G11.1AI. •:..;AoC ASJU AT LEAST t0 1WCHEL BUT IJO MORC THAI) 42. IMCHES 15ELOW FWAL. CI\AOE ,t • /r x1muti paPt'H OF EXCAVATIOP FXoM OKIGWAL 6XADv WILL BE IMLHCS tVt(IMVM 0CF71i OF EXCAVATION r-011\ 0,14IWAL C RAPF- WILL Bc --:Z!Z_ INCHCS j j SIGUCO: i • ! LIGEMSC IJUMBEIZ: y ~9 DATE: 110 REPT1.31 ST. JOSEPH ST. CROIX COUNTY ZONING PAGE 2 07%22/92,09:22 REQUESTS FOR INSPECTION WORK SHEETS FOR: 7/22/92 AREA: jiff3"r Activity: A9200242 7/2,/92 Type: CONVSEPT Status: PENDING Constr: Address: ST. JOSEPH 24.30.20.466C,NW,NW,LOT 2, 23RD Parcel: 030-2034-90-000 Occ: Use: Description: 171477 Applicant: HENZLER, STEPHEN C Phone: Owner: HENZLER, STEPHEN C Phone: Contractor: O'CONNELL, KIM A. Phone: Inspection Request Information..... Requestor: Kim O'Connell Phone: Req Time: Comments : //1110 Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION SM'n• Inspection History..... Item: 00012 FINAL INSPECTION v Y I i. WARRANTY UEEU 1 r THIS SPACE RESERVED FOR RECORDING DATA ~,^L X40 ~P1~F`~ 4 J 3 418 6i REGISTERS OFFICE Michael L. Rivard and Deborah K. ST. CROIX CO., WIS. 'I' (~ti I)b ';I1~ m,,Ile+ Ilrlyd~+r+n I~l vtl r.~ , Lt w Rec'd, fur Record this 1ttl day of _July A.D. 9 76 Grantor - j and --Stephen C. Henzlel and Pamela J. Henzler husband 9:30 A.# .--__-and wife, as ioint tenants Grantee, I Regbtu of Deed W 1 t n e e a e t h, That the said Grantor for a valuable consideration _ l conveys to Grantee the following described real estate in St. Croix -County, gETURN TO i~ State of Wisconsin: Lot 2 of that Certified Survey Map filed in the office of Register of Deeds for St. Croix County on May 26, 1976 in Vol. 1, ,at page 247, as Doc. No. Tax Key It 333150, the same being a part of the W-4 of the NW-4 of Section, This is not homestead property. 24, T30N, R20W; Together with and subject to the road and utility easements therein noted, the said easements to be non-exclusive roadway and utility line easements for use by the Grantors and Grantees, and their heirs, successors or assigns. Repairs, maintenance and snow removal costs on said private roadway shall be pro.-rated among the users t of the roadway. Subject to easements, restrictions, reservations and covenants of record. TR SFER j Sellerto pay 1975 real estate taxes, FEB• I Together with all and singular the hereditaments and appurtenances thereunto belonging o: in any wise appertaining; i II And Michael L i v d• nil Deborah K Rivard , has wife warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances excep z and will warrant and defend the same.- Executed at Hudson WiSCOrlsin this_ 9-th_ day,,, of JU1 T SIGNED AND SEALED IN-PRESENCE OF ' e~~ 1(-'L.r• (SEAL) I; Rivar 1 (SEAL) - 11Phorah K_ Rivard I~, I' I (SEAL) - I: - (SEAL) i~ - ;i ~a Signatures of Michael L Rivard and Deborah K Rivard, his wi fe authenticated this 1'Q t}1 day of 00, 19- `j . Alex S. Kosa Title: Member State Bar of Wisconsin or Other Party Authorized under Sec. 706.06 viz. STATE OF WISCONSIN 1 J} Ss. - - -__County.: Personally came before me, this day of 19 , the above named r . - 1. to me known to be the person---- who executed the foregoing instrument and acknowledged the same. This instrument was drafted by y Alex S. KOSa Notary Public..__- County, Wis. The use of witnesses is optional My Commission (Expires) (Is) Names of persons signing in any capacity should be typed or printed below their signatures. N,GMnlarConpsny~ WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. 1 - 1971 i. _ _ . r , ` Oy,,~r 1~~ ~ J ~ ~ Y l,~ t~'Fr~ . ~ ~ ~ ..:a.... ...w.. ..w.-~. • 59 ..w .i « ....m u•_u r..i . 'a"'w r 3 3 IS I N I/4 CORNER 24 ~ SECTION NW CORNER `v l TION 24 T3ON R 20W SEC ME 601-12' MEASURED T30N,R20W 2 5 89°24'E (2606.50' RECORDED) V N O R T H LINE OF NW 1 /4 1300.56 r 13(10.56~ POINT OF BEGINNING S 89°24'E 1267. 56' x- _ --'-iJ - ' - 617.28' 13' a O 650.28' 6 _ lb-8t6 33 rVAL 90o o~ v 2 obb M1`0 1 ICARLSON 0 v cr' rn 3, 4 4 A C R E S -b9 - `l M M RIVARD r I I F VAD a rD c G n JT FOR POND -U) t 66 N cD f PRIVATE ROAD & UTILITIE 5 1r w _ co 3 5Q O cD z I (Di 4 _ 6''° O O J ED. - OOH Z UN O 68'9q LOT LINE v<O iii 9.73 ACRES N 740 (D O LO a) ° _ 1 2530„ w J U_ RIVARD cj O r a Ors 6 6' ~ 0) w w co z M Z _W N 2~X 4B' F zQ ( (0. E p > lc~ J LO rn HOUSE 91 24' CO 't BASEMENT ui ? CT) ip a o rn m 7J 9~ ° z or a I I N o CD GARAGE z N p W) N O 5. 9 0 AC R ES 00, 30 3 JI t,1 F- ~ a NW-NW K•U K L I S 3 Z o 3 6.5' ' C, 105 5 _ + 0 215.5 -314.4- G29.34 wI 635.40 I F-I PO D W EST 1264.74 I 3 L,l iGI iN D --SECTION COItN1;lt I~R)NUM.N'1' 2"x30" 1'IPIi W1'1'11 IIIiIZNS''I.N CAP i 2" PiPli O DII.MJI)Lilt (;OItNI:It I"x3w 1'.11'11 FEET SCALE I N.....- O 111x24' PI. PI 400 0', 200 FENCE J l;I,NlIt\I, 'fA (,I•,\V q Ill CURVE I)NIA _'1ABI N. (7lultl) t;llOl~l) ~\Nl,l I, - \I:lyt 'Itnl,, ,,;3 I I;N~ _fl l I NI: CURVI: 181. 75' S77°0(1' 30"IV 00' ~f),c 1.2 Not'th Sicle 375.(,4' S77°00'31"lV (:enterlirir. 342.(14' 1o ).78' 3°00'3(►'' 1.49.82' S77°00' 30"IV 28° i South Side 309.04 tl -WO 1117 . U(1' 121.24' S840171 S8430"1V (12°34r N74N74°°2255'' 30'- 4 2° 3~1' 3_ 4 North S i cle 25' 30' Centerl. i Ile 2(10.00' 1 I1 S .19' °1.7'3U"IV n ' 1(19.15 S84017' 30"IV 42°34' 474 t South Side 233.UO ; 1"IV 33° 1012011 571° 54' 10 Siclc 241.40' 139. 83' 58844 •i•i°UZ' S(2' 1(1.. 5-6 North 208. 10' 132.38' S87 03 211 W ° 5h3°45'2r Center, inc r S84°39'5 5 "IV 111 4 ~1 1011 South Side 175.40, 1"25.20 APPROVAL OrTHIS ti~INO;t SUgDIVISIc POESNOT N1I-.AM APNZOVAL FOR SEPT. r, . SYSTEM. ►.LF7IZ TO 1-162.21.0 IT. GOv1.::~... COMMIIIEC-. AND 20 ' VOInmP PAP w-ter,^-•.-;'-', i``' ~ f V I. - - -1 TTW inc.... . j='.l, ) .....L.. _ }l. .ti`