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042-1045-90-110
FORM - STC - 104 . AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIPp SECTION T00 N-R~W ADDRESSJ,j 2 ~ ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ftioa~e ed ob A t,o o w INDICATE N RTH ARROW BENCHMARK:Elevation and description: ` -ox ~ 4 521, 0F 6 3 Alternate benchmark D (l SEPTIC TANK:Manufacturer:, Liquid Cap. Rings used:-LManhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Frontx, Side , Rear Ft./ From nearest prop. line:Front/~'-, Side , Rear Ft. _ No. of feet from: Well 'fir , Building: r9o (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: r Width: Length Number of Lines: cf Area Built 8D0 -*(l 9,(6 Exist. Grade Elev-j(0 Proposed Final Grade Elev;Wd ?3.6 D Fill depth to top of pipe: No. feet from nearest prop. line:FrontZL, Side - , Rear Ft.~ No. feet from well: ~60 No. feet from building 7D 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 Fn Alarm Manufacturer: Q INSPECTOR: DATE : / PLUMBER ON JOB : LICENSE NUMBER: 3a 3 6/90:cj 4EPARTMfNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: SE, NE, 17 , 2 9 , 18 [CONVENTIONAL ❑ ALTERATIVE (If assigned) Warren ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound Jf~AOE O PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: - Ken Herink 1057 110th St. Roberts WI 54023 2 91 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. L ST REF. PT. ELE ,i7~ g3,03 . , w(~ ~ (~o~~„, - - ~ ' Cc;; /lay= = D LL3. Name of Plumber: MP/MPRSW No. County: Sanitary Permit Number: Thomas Wan 3231 St. Croix_ 128890 SEPTIC TANK/HOLDING TANK: ,,03 z MANUFACTURER: LIQUID CAPACITY: TANK ~IN L EFE TANK OUTL V.: WARNING LABEL LOCKING COVEi PROVIDED- PROVIDED: / ~690,qd- F, ~~c3 ~ O ❑ YES BEDDING: VENT DIA.VENT MATL.: HIGH WATER NUMBER OF D: PROPERTY WELL BUILDING: VENT TO F ESH /r ALARM: jQyj,' FEET FROM LINE: , AIR IN ❑ YES NO ❑ YES 0 NEAREST DOSING CHAMBER: MANUFACTURER: BLI P MODEL: HON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS YCLE: PUMP AND CONTROLS OPERATIONAL: NUMBE PROPERTY WELL: BUILDING: VENT TO FRESH (DIFF NCE BETWEEN FEET FROM LINE: AIR INLET PUMP ON AND OFF ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER RIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH TRENCHES: / M,A.T.F13IAL: PIT DEPTH: DIMENSIONS 7 p Q a :Is 11Q I GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. ISTR. NUMBER OF PROPERTY WELL: 1 BUILDING: VENT TO FRESH : n PIPES: FEET FROM LINE: r AIR I~NLETT BELOW PIPS: ABOVE COVE/- ELEV. INLET: L EP,. END C 166 - OW k U rr. b r t NEAREST MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVE ENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF T OIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PR SSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAV PTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. ISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: D DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST y G. ~7 8S DI f X5!9/ r; I.t) 25C~ ~C lA ain in county file for audit. Sketch System on ~ SIGNATURE: TITLE: Reverse Side. ' Zoning Administrator SBD-6710 (R. 06/88) ` SANITARY PERMIT APPLICATION 7 ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNT STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than /o cp 90 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN UMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY NER I PRO TY LOCATION Plljil '/a /a, S T92, N, R E (o W jtL PROPERTY OWNER'S ILIA RESS LOT # BLOCK # OTY STAT ZIP qPDE PHONE NUMBER SUBDIVISION NAME OR CSM UMBER C , II. TYPE OF BUILDING: (Check one) CITY NEAREST ROA ❑ State Owned El VILLAGE : e ❑ Public N 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 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 40 Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 50 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. X New 2. ❑ Replacement 3. ❑ Replacement of 4.E1 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 220 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit a - x'15 1 Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED( ft.) PROPOSE q. ft.) (Gals/day/sq. ft.) (Min./inch) 8~. d F /ATION ~l77// C Feet Aelv Feet VII. TANK CAPACITY Site in gallons 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 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. Plumb is Name (Print): PI b 's Signature: o ps) MP/MPRSW No.: Business Phone Number: 1 3.93( or, S r~ PI ber'sL dress (Street , City , Sta e,ZIp Code): L R a fW ~ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sarfflary Permit Fee (Includes Groundwater [Date Issued Issuing ent Signatur 1NVQM111PPF) Approved ❑ Owner Given initial qtr! 60 Surcharge Fee) Adverse Determination 118 P/ L 9 L ~ ~ /1 7 _r~ ~ X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber } r ~ APPLICATION FOR SANITARY PERMIT 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), 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 .q<1E..W_A) C-_ )d_ tj J Location of property fj1/4 1/4, Section 17 , T, end Rj.JV_V Township Lo c..r''e, A.) Mailing address / ®4S / / 0 53 Address of site Q S Subdivision name i<Etu Ee Lot number Previous owner of property A f A-nu ej/ns~S Total size of parcel / _ . 9 9 e r-Date parcel was created Jbeo_ 154 / F,9y Are all corners and lot lines identifiable? ✓ as o Is this property being developed for resale (spec house)? Yea No Volume snd Page Number_ 3 s 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, and 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 dee ,recorded in the Office of the County Register of Deeds as Document No. S !5~ 15 and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has bppn~duly recorded in the Office of the Co ty Re to rof Deeds, as Document Nu. Sig ature of w r Signature of Co-Owner (If Applicable) Date of Signature Date of Signature La SEPTIC TANK MAINTENANCE AGREEMENT ` St. Croix County .ro rr OWNER/BUYER -)I i' iv o ROUTE/BOX NUMBER ' ' r S '`7 it n S7`° Fire Number o5 ry w CITY/STATE[ ' ZIP Sad M PROPERTY LOCATION: k,AIE k, Section. 1-7TAN, RIK W, Town of~ St. Croix County, Subdivision"4,,~' , Lot number- Improper use and maintenance of your septicsystem could result in con- its premature failure to handle waste . sists of pumping out the septic tank every three years or sooner, if needed, by a licensed'esepunct tan P k. umPer. Whatt you astait the system can a ect t f he nt~stg to waste disposal system. a a in the . me . St. Croix Count residents-may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whit 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 'system s agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and •(2)•after inspection and pumping (if nec- essary), the septic-.tank k be is sent less approximately th130fdaysdpriordtoc~. Certification form three year-expiration. H 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment 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. SIGNS DATE I St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. DEPAR. T OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS 'INDUSTRY,. DIVISION LABOR AND P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSHIP UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: sa 1/ IJE, y /Tzq N/R La E (or w Z~Z ) - uPoS~ C. s. COUNTY: MAILING ADDRESS: )O S"~ Q 11 ST. sT. c RotX tC.Etil 1~ ~Rl 1-C Raa o z USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMME R AL DESCRIPTION: I~I N - Residence 3 " A ~ew ❑Replace II _ 9 O 17 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) rlnS ❑U EIS RU LAS ❑U ®S ❑U ❑S ®U z7vc~es_ pct-) s'x *DvE t=~cc~ssluE Z" If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: C, --INS S Z Floodplain, indicate Floodplain elevation: o,6c GPD/SO.FT,PROFILE DESCRIPTIONS BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED, EST. HINTS TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 9 0 $ 3, g )Ur.Q C 7 `3 o C. E Z o r Z I B- Z g Z 43~• 2. rr ? 4 Z tl B- 3 qg q1 b 98 B- y B- S 4 L B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES } f NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p I 1 P 810D 2 PERIOD PER INCH P- P- P- No t ki S lr I,, ff ),j C itot S s z ~r b v 5 L.Q ez G 4S . -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. $6.0 $i.° -\*:pt 6 E Sq ~v~~}~-1DT- S~T1~tE 00~ 1 Pl_2X SYSTEM ELEVATION Ila i R 'eI~ Z - 84- ' u- vyL ' y.,oo s r' E T - - t 7 f 2 l f _,V\ J.S P{IT_ i 3. y f i 1 t E ~ f _ ! es 3j \ Lo S 14 i IT! W 0 5 6y i tP'. SCA'-r' t"-6o' ~f sic 1-) I, 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 Wisconsin Administrative Code and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. WEGERER SOIL TESTING NAME print : AND TESTS WERE COMPLETED ON: DESIGN SERVICE 7-) ) - 1' ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O. BOX 74 421 N. MAIN ST. CST 0(-'ju S'7 6 1 S_ y Z S- 01 6 S RIVER FALL3., WI 22 CST SIGNATU E: 715-425-0165 Gam' DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - f SOIL DESCRIPTION FORM Attach So) Pr lu Location map-On a So arate Sheet) LINEAR L IN RAT 3 ' D CLIENT. PPOSE; FhR SOIL AW 19 JIMI SLOPE: I a 0° ncscrt_IPrION sr 1~IT~' '1U1i2 L 1E-6 eZ ASPECT: N $0 E _ DkTr g o/ u CURRENT LAND USE' C~I~STU R-~, COUNTY/STATE: Ste' C'a"~~1X coUJV VEGETATIVE COVER: LOT DESCRIP ION: P 01= x/ ' ~g- -%M\-),TZ9►.~ R16~vow►INAGE CLASS: w~-~-- ~ » LOCATION: OF GALLONS PER SO. FT. PER DAYt 0' 6 ~vwT~1 SOIL SERIESt Bv~2.lz~'A'RDT- CA1~1P~-~.X PARENT MATERIAUSVOEPNr:_ HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS P1I •BOUNDARY REMARKS 010 1st Gr Si. Sh . COATINGS BV G _ L z, ~ >r. Fr~ ~ s ~ p_lp 10~1R 3 1'Z. ^ Z 10-3D y/ L 2`~Sb`rc M~h 9w 3 3~-~I9 10`-L~ 3/6 1S Z`FSbk ~n c S H 49 -q o lb~ t R- 6/ - `Fs o .S kl AJG 0-ty Ib-fR 3 1Z - L Z'~`3~ m`FI- cS 'Z Iq -Z t~'-ttz y! - L 2 Jbk m 3 y3 IrIllk IA 1 S Z my S y3 A lb-lR 6/ - s o s M ~ ~U G 1 0 _)D 16K2 312 - L~ Z S~k r1 Gw Z 1~-2Z3 l~yR - L ZmS~k_ °JL.u 3 11 A-14 l~yR 6/ - S rn D- 0 1);)4 7- 3! L 9L.v lbyR Y ! - L Z MJbYt m fi,_ 3 ZZ-14V 1044 3/6 - 1s 2 I+,~b~ rlv~I 1 o s •Tvi I to ! S yV_96 b y~ I o G 5 _ . 1 0-9 ►o~ 3! - l- 1-~ h m h cs Z 9_11. )b`I R y/ - L S bk m 5'-v 3 I.~-4y lo`-TR )/6 - S ~.13bk Yl1 cs y- 9'6 lzsL jR_6 / y - ~I OTHER SITE FEATURES/NOTES: ~~:r~•wr~ ~ 11-9c3 000576 Pnbe? oF? LIMITING FACTORS/DEPTH: Signature Date CST 0 r • O r 1 1e IF Pi'A utter w 110 021 bl~i~!'1C (~Qr I II ppF O ti • ` FILED Z B JDM S p CO 1990 Register o} D6~B St Croix Co., WI 465054 CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE NE 1/4 OF SECTION 17, T29N, R18W, -rm'1 TOWN OF WARREN, ST. CROIX CO., WI. OWNED BY: KEN HERINK o R T. I 10 A AF ROBERTS. WI 54023 A - -x AZA 6 3 uS W~ « hx 7E: BEARINGS ARE REFERENCED iE - to 9;u EAST LINE OF THE NEI/4 93 ♦ Wx (BASED ON RECORDED BEARINGS). O xa•.: 'A o aFo y ozz uzz 00 W U I. 'A 14 x.. ,.E 2 UNPLATTED 3°033; . . . . . . . NT .w LANDS bC ~l~ N: 3 Z. N J• E z LOT I S W 4 .4 10. 99 ACRES o rv nto N83°72' I1 47660 SOFT) t - ° 10.16%. EXC. R.O.W . p W• „In1442,541 $O. FT.) O v F•.. 0 O S74°36'16"E n; W Q. A 77.28' - N z J' a' - W a ` `F4• v = Z. IF a L' ,as, 4•ee•Iea ` 538 66'WIOE PRIVATE R040WAY „ O O 0 3p4`. N' 4= EASEMENT o U, W ~ e J 0-0-7 Z' ♦ n \t LOT 2 20 ACRES Z C). e (126.353 SO.FT,) • ; ® \ o W, 2.67AC. EXC.R.O.W.3 w ~ (116. Iso so.Fr.) . „ LOT 3 w F a• w 3 0 • s o / W 2 m h P O p H 2: J• m 3.67 ACRES °t°. O a' Z q ( 159,924 SO. FT.) A o i O y, _ « 3.46 AC. EXC. R.O.W • LOT 4 a Z, ( ISO, 550 SO. FT.) N O°• N6 e o } O 2.82 ACRES 1 ' I- 1 122,993 SO.FT•) ♦ z 2.35AC.EXC.R.O.W. °p (102,190 SO. R.) / OF " I - u «1 ' 569.28'26"E 3.7' 4, FENCE , 77.0 - 49ozo9' 120. oo ' 314. ae• 385.00' 8 -V N89°28'28"W 839.38 ( ~E-W OUARTER SECTION LINE S 0. 34'12" I NO 17.47' Nt \SGON$1F0-,UNPLATTED LANDS eli4 coRNER secrloN 73' 33' 17 , . ( COUNTY MONUMENT '-V0j~r • • ' ' FOUNO. SET NAIL FROM I M": rIES). JAMES M. r. • I I* w S-188(4 = 0- S I "X 2 IRON PIPE WEIGHING 1.113 3 LOS. PER LINEAR FOOT. SPRING VALLEY • WIS. ft¢'~ G• 0 IRON PIPE FOUND. I ; I y'•q y Irko; SUVkl SCALE 1"- I50 -~O tC!-WE~j: SHEET 10F 3 JAMES M. WEBER S-IBO♦ 0 7$ 150 300, DATED -W-2, 8.1•\90. THIS INSTRUMENT DRAFTED BY - -•-+~c~e¢ VOL, r p4GF x303 1 7'977 1 8 41 2 8 2 3 P 2 3 8 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., W1 Document Number Document Title RECEIVED FOR RECORD St. Croix County 8611512085 12:30PH 4 AFFIDAVIT Occupancy Affidavit EXEMPT # REC FEE: 11.00 l i r~ y1 S TRANS FEE: COPY FEE: Name - (Owner) Typed or printed CC FEE: being duly sworn , states, under oath, that: PAGES: I 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume j090 Page 238 - Document Number 719g2rSt. Croix County Register of Deeds Office: Recording Area Name and Return Address A parcel of land loca in theSE ~V4 of the A16 Y4 of Section r. L-e- ( , r 124- i A S 2 T~_ N - R W, Town of _ WZ , St. Croix lpgfr 96 to A Je- County, Wisconsin, big duly described as follows (include lot no. and ~ wc,(5, to 1: 5r.~oa 3 subdivision/CSM or detailed legal description): ~ bed ~cS t of- .1 O-( 0-Sm V0 9) .Pte, 1-Z363 042 t~15- D - Parcel Wen Uftcatlort Nu mbar mber (PIN) As owner of the above described property, i acknowledge that the septic system serving this residence is sized for a 3 bedroom home, or a design flow of 4S--0 gpd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently_? occupants living in this residence; occupants are permitted based on the design flaw. Therefore the septic system serving this residence is code compliant. However. I understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to acoomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that 1 will make this information available to any future parties Interested in purchasing this property. Dated this 15 of J U-V\ L . X005- . * * l L. * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )$a• sudw*cated this day of St. CMIA County. ) Pe lly came bbeefo~re me this 5 day # 6ira~f' v(•F *4L riS TITLE: MEMBER STATE BAR OF WISCONSIN - (if not, to me klwwn to be the person(s) who executed the foregoing authorized by § 706.06, Wis. State.) instniment and acknowledge the same. THIS WSTRt>wA WAS DRAFTED BY -DarAre- L * I Notary Public, State of ~ jf sconstn (Signatures may be authenticated or adviowledged. Both are not My C. mmksion is perms vent. If not., state : necessary.) Dow: '7 "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" 71* Information must bs corrplered by subbmlaer: dd=ntif name A return address and W (/f rmqukvd). Ot6erk*nneum such as" E wft dwsm lespel dosplp A eta may be placed on Mb EM papa of ate document or racy be plaosd on addfloWPtrpes of ow document. IYf; Use of line cawpaps adds one paps to ytwr documeW and ,V,oo 12 110 reoordleo lbs, %boonsirr ShaRes6 59.517. Tri-County Sanitation 1029 0' St. RIFr.F1VEC` Hudson WI 54016 JUL U ° 2005 Blair and Deirdre Rains 1088 W Ave S; CROIXGOUNI Roberts WI 54023 ZONING OFFICE Mr. And Mrs. Rains An inspection of the septic system at your residence of 1088 %th Ave. Roberts WI. was conducted on 6/19/05. This septic system is made up of a thousand gallon septic tank, and a two trench type drainfield. The septic tank was not pumped at time of inspection. At this time, the system appears to functioning properly. This opinion was based on a surface inspection of the system. This inspection was limited to checking the inlet pipe from the house to the septic tank, checking the inlet and exit baffles in the septic tank,and checking the liquid level of the septic tank. By doing this it helps us determine two things, first, if the exit pipe from the septic to the drainfield is open, and second, if the drainfield is able to absorb water fast enough. If it could not absorb the household water fast enough, it would back up into the septic tank, raising the level. It also involved measuring and checking for any water in the inspection pipes at the end of the drainfield trenches, they were both dry, indicating the drainfiled is absorbing properly. Please keep in mind a drainfield is like any other appliances that get used everyday, it will wear out and need to be replaced at some point. It is impossible to determine exactly when that will happen. The inspection did not involve any excavating to determine soil quality or code compliance. Therefore, it is understood and agreed that there remains the possibility of hidden defects in the system, which are not discoverable by a surface inspection. Tri-County Sanitation makes no guarantee as or representation as to the age or condition of the septic system. Tri-County Sanitation makes no guarantee as to the continued proper functioning or operation of the septic system after the date of this transaction. Tri-County Sanitation recommends that the septic system be pumped every 2 years. If there is an existing garbage disposal, that it be used as little as possible. Also, to not use powdered laundry soaps, and other non-biodegradable materials not be run through the septic system. This pumping estimate is based on an average family of four, and can vary depending on the age of children, work outside the home, and use of a garbage disposal. Therefore, the future and prolonged life of this system is dependent on proper maintenance of the homeowner. Ben Morgan Tri-County Sanitation WI License # 81587 rt Ulbricht Master Plumbers License #226375 i CC - - C'e 01/28/2005 04:59 PM Parcel 042-1045-90-110 o PAGE 1 OF 1 Alt. Parcel 17.29.18.260610 042 - TOWN OF WARREN Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * RAINS, JAMES B & DEIRDRE L F JAMES B & DEIRDRE L F RAINS 1088 96TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1088 96TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC I it Legal Description: Acres: 17.230 Plat: 0390-CSM 08/2303 SEC 17 T29N R18W PT SE NE LOT _I CSM Block/Condo Bldg: LOT 1 -8/23~~03 1~0.99AC & INC COM KEZ©R SD Gb~VI; l H SLY 424.42FT; TH S 73'W 274.14 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) FT TO POB;TH S 01' E 190.17 FT; TH S 83' 17-29N-18W SE NE W 248AFT; TH N 77'W 166.88FT; TH N 18'E 301.99FT;TH S 71'E 323.64FT TO POB more... Notes: Parcel History: Date Doc # Vol/Page Type 12/31/1998 594889 1392/110 AF 12/31/1998 594888 1392/108 WD 12/30/1998 594732 1391/285 AF 12/30/1998 594731 1391/283 WD more 2004 SUMMARY Bill M Fair Market Value: Assessed with: 38176 390,800 Valuations: L st Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 17.230 85,200 258,700 343,900 NO Totals for 2004: General Property 17.230 85,200 258,700 343,900 Woodland 0.000 0 0 Totals for 2003: General Property 17.230 85,200 258,700 343,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 135 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 , m s DOCUMENT NO. $TATE BAR O WISCONSIN FORM 3-19921 THIS SPACE RESERVED FOR RECORDING DATA I DUI* CLAIM DEED I 519925 VOL 10-9 PA,E238 REGISTER'S Gr rl~.Eq ' r I I~a►hs Artmerl~,j Known as ST. CROIX CO., WI Reed 11or Record q t-clalmst L- F AUG ~5 1994 o r - at 11-00 ~ A M Rf~abr d D9sds ~•J t the following described real estate in -County, State of Wisconsin: . ' t` RETURN TO /lo •:r A I/S~964 Tax Parcel No: if- A- (I Vq a -14-t e- /J jF- 14 1 VA q -Deer,ul be.J as 1&-f - .1 o-- CS tit vo 1, S~ Pa~~ x303 fE2 This (is) (is n homestead property. nt~ /n Dated this day of ` ec"a S , 193~ i ' )i (SEAL) (SEAL) 'r L, F i wd' (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN n. Ss. ST. CROIX County. authenticated this day of 19 Personally came before me this 5th day of August , 19 94 the above named Deirdre L. F. Rains r-. TI1LE: MEMBERSTATE BAR OF WISCONSIN (If not, to a known to be the pgtttdri~..., who executed the authorized by § 706.06, Wis. Slats.) f r going inatrumen aqd 1Rtgoq? ame. THIS INSTRUMENT WAS DRAFTED t OL Fl- e~ V S p C • _ I; James = O'wnsel -41 Notary Public - r County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is :perh~IneR . (IfVnot;:state expiration are nct necessary.) D 201 4 dale: i ~f ~ •}199 'Names of persons signing in any capacity should be typed or printed below their signatures. S03 NTF ow OUIT CLAIM DEED STATE 9AR OF WISCONSIN FORM No. -1282 Neleo Tax Forms P.O. Box 1 6209, Green Bay, WI 54W7-0208 STATE BAR OF WISCONSIN FORM 1 - 1982 (i - r'3s''-131 594731 ;I WARRANTY DEED { KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT NO. II ST. CROIX Co., WI _ . • . , RECEIVED FOR RECORD This Deed madebetween Kenneth J. Herink & 12-30-199a 9:15 AM Pamela F. Herink As Survivaish p mar tai i WARRAKTY DEED Property EXEMPT I Grantor, CERT COPT FEE: and James B. Rains & Deirdre L. F. Rains COP1f FEE: f Husband Wife as Survivorship Marital I ~ ° 5'~ RECORDING FEE: 22.00 Property PAGES: Grantee, Witness eth, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix THIS SPACE RESERVED FDA RECORDING DATA COUrity, $State of W15COn51ri: NAME AND RETURN ADDRESS ' A parcel of land located in the SE 1/4 of 15 a d B L fR~it?s "r I-mimes the NE 1/4 of Sec. 17-29-18, Town of Warren, St. Croix County, Wisconsin, described as I lz7 C-9- Follows: Po Igo 1, 4 Commencing at the E 1/4 corner; thence N 89 31,471, W 839.58 ft. along the E-W 1/4 Sec. _ j line;Thence N 8 51,571, W 646.43 ft. to the - - ~I centerline of 96th Ave; Thence S 74 39' 3511 E ~~r-90 -000 77.28 ft. along said centerline; thence N PARCEL IDENTIFICATION NUMBER I 00 32,1611 E 34.13 ft. to the Northerly right-of-way line & the ! point of. I ii Beginning; thence N 74 3912711 W 68.56 ft. along said right-of-way line ofl 96th Ave; thence Northwesterly 54.58 ft. along the arc of a 177.00 ft. it radius curve concave to the N whose chard bears N 65 49,3511 W 54.36 ft; thence N 56 591351, W 55.00 ft; thence N 00 03,561, W 64.52 ft; thence S 77 2110811 E 166.88 ft; thence S 00 3211611 W 98.35 ft. to the Point of Beginning, containing 14,407 square feet (0.331 acres) more or less. NOTE: The above description is to a parcel of land to be added to an existing parcel of land. Tt is to be added to Lot 1 of that Certified (r Survey Map recorded in Volume 8, page 2303. I This i m n n i- homestead property. (is) (is not) Ii II Together with all and singular the hereditaments and appurtenances thereunto belonging-, And warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. i Dated this day of Ce M P~ 19 { j Q~~lrf\D_Y A~ ` / r. 1 (SEAL) (SEAL) R m l v1 ear i ~K E (SEAL) (SEAL) i AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, _ S') CiC'O l x County. 11 authenticated this day of 19 Personally came before me this I day of i C: 4P 1r\ Vn-Q-1- ,~a 19~~ the above named f f • • • n S. eR 1G I li • • r Heri nl TITLE: MEMBER STATE BAR OF WISCONSIN i • • • ~ (If not, _ • 41V authorized by §706.06, Wis. Slats.) - • to e k to be the person Swho executed the foregoing d acknowle the same ~i • THIS INSTRUMENT WAS DRAFTED BY i~~ • • i • • 11? t1 f) e J71-\ T FL er i n k- t,a~ r ec, l T~an~eS ,j I~ Notary Public, _ St- 4"X. D% County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: ~i necessary.) • Names of persons signing in any capacity should by typed or printed below their signatures. - ~j !i WARRANTY DEED STATE BAR OF WISCONSIN Wiwona:n Uo" Blank Co., Inc. Form No. 1 - 1982 MIIWeukN. Wb. ~I " . . . , ` ~.y~ , . t i~r . > ..~'t \ '..I........' . TAT-R: . ...rte.. ~ .tr`, M : ` }~t ' . is . : r l;.... r , 3""' r: ; : , ' ' , ; x' t . ',11 1 . .iw m`: , rte. #g k q ~'3. . 4 T: \ : :11 li" . ,-.:-awrrm,•an.n•~.aw:. a .r.e,•w . .,rrk , .,wxanwuaa.a . :4: t. rL'. " ' . R ' :»•,.n'+n-wayir'c . .irYy:trT.•:nV.....awa:r~r' , «.n.n.w '.a.:ia.j~,r.i m-\:,~t uaup.y w..vtti tiasA~:. ii•+a-xti-:.W...iY}' . e . YY: " n:;.: : a.~ • .4i: n:.kY ::y'. ..y..: y . r. , .r ; .~a~t~p ~are:..riyi <:dw, ny,uc r•. a........,.. ;.ir;.. i.:.:.;.i :r.rc~*a ' ~erit':hw.r::, [=d ";ck:,'• :h.:w \ a wdt•Y~ 4,, lid.. 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Y.v yip y. i1 t kY F ea ::i. r d . T :fit' .:Y). 'M J' \ r a,..r:•r....r...r...r.s..:.'Mr-,,.r., •a,..,.r::.',. . is ~:;?f.. r . rciM R . .t:t.,..:; w ? a4 "ham . \ . : '77' .....;x:~•~t% . .1:h91 ~•?t: 'M '?YY\k~J.YAtS ~:4~54iq4.:V'3' . 'ratira .'ref.-. • . , \ . s ak~xir.;... s : ; 1 n j ' ' t . . ' " a ; .',K.a,.n,\...}.w\. wS«4.:nv .rnY:•a - ~•w:'^t' +x,•. i,i~q,~ ~a a 141.4 1• ;.Air]ILrYF `,M1. ',.T*: E- }.t•*:. ±[t '4~: i:}., i•~ia. . . Sir•~satc~a4 <t s~3: '~A)i:.} tti.€'r:iEact dt4 .1tst' krayl~~i}~ta... ct!'T1.; rr`~izu +t s:a° ► . . ;xp~';GV VjsE>r xi.?3srst tt~E....' ci?~¢'ir . m' *F3. , K , . , . d;r..:t F.$.S .s!;i+ ~,rtplia5 )'-.-t's. s~iibx:,r91 ifl...'s-- Akid. Z&a{:~kLtr bj iuan{:i~+ , ..t.,. : : im 4t ! i s. *a . . S ..fit 'Is. N: i .liv#~rd# CAh • " . , . 594732 VOL 1391 PACE285 s~4~3a KATHLEEN H. WALSH Doera.enr Doc mgg YWe REGISTER OF DEEDS ST. CROIX CO., WI r t t r t t t r r = seem RECEIVED FOR RECORD a 12-30-1998 9:15 AN AFFIDAVIT- EXEMPT N CERT- COPY- FEE: St-Croix County Zoning Office TRA OPY NSFER°FEE; St-Croix County Government Center RECORDING FEE: 14.00 1101 Carmichael Road PAGES: 3 Hudson, Wisconsin 54016-7710 Reeotau C Am (715)386-4680 Nave and Return Aridness Jam.m 8.4 b&-Jre L j~:7 kair~s AFFIDAVIT State of Wisconsin ) ) ss. D~d2-~D ~r10 Un County of St. Croix ) P=d [deaf Gmfian Nmmbw (PQM Ja s go u~,d 1~wi j,t, F, bins dal sworn state (name) g y X, under oath that: q re. 41 1 • ~e,F•che4s-the owner%pazE--oaner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume 090 , Page X3.8'. , Document No.-5-09A s St. Croix County Register of Deed's Office: A parcel of land located IM 0.✓-~- S~ 4 NE y AJ; ~ eu-, beef i~X4-rv 3 2. The above parcel has had added to it the following described parcel recorded in Volume~, page, Document No. St. Croix ounty Register of Deed's office, resulting in a single parcel: A parcel of land located -5e-e- A+{-6~eLV j jx ~i toij- 4 St. Croix County, Wisconsin, described as follows: 'Uu WOMAd" nWd be OOQI ktod by rAmittee: sfecwaunt dde. arse A rea,n address. and PIN WrePdnd). Other Wa , rreh as At rruwaal dswcs, l< at desc 'r'Odoa t ,lpBon, <re. araJ be placed on 64 J4sr pre nI rise decrranu ear w,ar brc rlseed er. addiataaal /wrier of de decowaL &!e: Use of Otis Cowr Nee A.Us one Tire to y"r dthcwaenr a, l r~]-A, r.• t: rrn• /ri, N':rraN,u. Sarver. S9.S17. i{7CDA 21M ...i" t »:..t? ,,..,i,t 11 'l. t i'6571•j"V\5 "ll. ,.L~\. t,. 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Ltn ua:A:rca,w~dtt&4~pYntY fittd~'a M~'y< k`~e~ax~sii:Rffial° '`l~'AY~ ~#'C ,~\'9~1~8t~A !9.~Pd'Ar+~Si.Cy#a ^l. l' ( °5:; I, W,tfi tK5'#5 t'a4ktF3Y:t51i'(' ~ .'r,' :l , ~i L . ~ ..u. n,`. f ,•isx+..,tj ' .i Nti,D, . , 5',n;:. high t4:?w>.'j ix' A: I<tl&.^:.'. a!f.'.,'AI Wr ItrA>I' X,y(N.!lL:~lptg I$8 R':N L'M?at Yh. dtrCaAt>'N'Y k' [Al1t:C} ffiC'dl'p`'$: $.4#A 1'k'ff' W.4$LdDitS•tiK NauY.c. X't~a. K':s::r.R, 0'(5 SO* rCbi M, C"aaa 4.%t4My.'t!V3 ?i:P3td?'~:dk'>#~ .4 , t , . , \ .::ti'!;:. t fi't' VOL 1392 wclo3 STATE BAR OF WISCONSIN FORM 2 - 1982594858 H WARRANTY DEED REGISTER OF DEEDS DOCUMENT No. i ST. CROIX CO., WI = - RECEIVED FOR RECORD Mindy K. Zuehlke, a divorced, unremarried 12-31-1998 11:00 AM woman WARRANTY DEED EXEMPT I CERT COPY FEE: conveys and warrants to amen B. ains an D.afrdre L. F-- COPY FEES Rains, husband an wi e as marital TRANSFER FEE: 62.70 RECORDING survivorship property PAGES. FEE: 22.00 i III`` THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St. roix County, emu''` State of Wisconsin: I o I~ 1 1 Part of 042-1045-80-000 PARCEL IDENTIFICATION NUMBER i; SEE ATTACHED LEGAL DESCRIPTION ji The parcel shown on this document is being added to the parcel shown as j~ Lot 1 of a Certified Survey Map dated November 8, 1990 and filed 1. December. L9_,_ IRSO,_ in Volume 8 of Certified Survey Maps, at page 3, as Document No. 465054 in the office of the Register of Deeds f r St 3 Croix County, Wisconsin, which is also owned by the Grantees herein. This transaction creates one parcel and is thereby exempt from Chapter 18I of the St. Croix County Land Use Regulations pursuant to Section 18.05 (A) (3). J it is not This homestead property. ii (is) (is not) Exception to warranties: TOC''I'HER WITH AND SIJB.TF]G`r TO any other easenterits, covenants, reservations or restrictions of record, if any, but this shall not be deeitled to extend !i any such other recorded encumbrances beyond the term established by law therefor. 31st December 98 Dated this day of , A.D., 19 (SEAL) (SEAL) Mindy K. Zuehlke I; 'I (SEAL) (SEAL) Ii AUTHENTICATION ACKNOWLEDGMENT 1 Signature(s) of Mindy K. Zuehlke State of Wisconsin, as. ~ I i County. i i authenti ed t IS ay of December 19 g$ Personally came before me this day of Ilt 19 , the above named Hu H . (;win N TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06. Wis. Stats.) to me known to be the person who executed the foregoing THIS instrument and acknowledge the same. I~ INSTRUMENT WAS DRAFTED BY Atty. Hugh H. Gwin, (WIN LAW FIRM, S.C. i~ 430 Second St., Hudson, WI 54016 Notary Public, County, Wis. 1 (Signatures may be authenticated or acknowledged. &,th are not My commission is permanent. (If not, state expiration date: necessary) 19 ) II • Names of persons signing in any capacity should by typed or printed below their signatures. f STATE BAR OF WISCONSIN Wixom., Lapel &Ws Co.. II WA RRAN TX-DEED - Fwcn-l*. 2- IM- Mawatsaae. ~ v "IL 1391p~rF`~3~ , STATE BAR OF WISCONSIN FORM 1 - 1982 - T31 594'31 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS DOCUMENT NO. ST. CROIX Co., WI 7 7 RECEIVED FOR RECORD This Deed made between Kenneth J. Her i nk & 12-30-19M 9:15 AM Pamela F. F4erink As Survivals P imarital WWRAIMTY DEED Property Grantor, CERT COPY FEE: and James B. Rains & Deirdre L. F. Rains COPY FEE: Husband & Wife as Survivorship Marital I TRAK ER FEE: 5.4o Property i RECORDIIpt FEES 12.00 PAGES: 2 ! ,Grantee, i Witnesseth, That the said Grantor; for a valuable cortsidcrador conveys to Grantee the following described Teal estate in St. Croix THIS SPACE RESERVED FDA RECORDING DATA County State of Wisconsin: NAME AND RETURN ADDRESS A parcel of land located in the SE 1/4 of and d L 1' QQit+S j ~ Z794- q 9(0an ✓tr r~ the NE 1/4 of Sec. 17-29-18, Town of Warren, I ! St. Croix County, Wisconsin, described as I n~`~e, Follows: P0{'V'-j" , (/J~ •'r`~~r~3 Commencing at the E 1/4 corner; thence N 89 31,471, W 839.58 ft. along the E-W 1/4 Sec. line;Thence N 8 51157" W 646.43 ft. to the ~ ~ ~a~5 q0 `70 -400 l centerline of 96th Ave; Thence S 74 39135" E 04PARCEL IDENTIFICATION N~ 77.28 ft. along said centerline; thence N T~!I 00 321161' E 34.13 ft. to the Northerly_ right-of-way line & the point of Beginning; thence N 74 3912711 W 68.56 ft. along said right-of-way line ofi I~ 96th Ave; thence Northwesterly 54.58 ft. along the arc of a 177.00 ft. II radius curve concave to the N whose chard bears N 65 491351, W 54.36 ft; thence N 56 5913511 W 55.00 ft; thence N 00 03156" W 64.52 ft; thence S 77 2110811 E 166.88 ft; thence S 00 32,1611 W 98.35 ft. to the Point of ;i Beginning, containing 14,407 square feet (0.331 acres) more or less. NOTE: The above description is to a parcel of land to be added to an existing parcel of land. It is to be added to Lot I of that Certified Survey Map recorded in Volume 8, page 2303. This i n n n f homestead property. (is) (is not) ~I Together with all and singular the hereditaments and appurtenances thereunto belonging; And warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except i I I I i and will warrant and defend the same. r Dated this day of C)e-ce trn 1 -e 19-22- is , (SEAL) (SEAL) P m t w -Y-'t rK E ErZ1 N 'I (SEAL) If (SEAL) ~I 1 AUTHENTICATION ACKNOWLEDGMENT i~ Signature(s) State of Wisconsin, I~ as. - S'T Cx-o 'l x County. r` 4 I! authenticated this day of 19 Personally came before me this day of 19aSL, the above named O ~ o n S. 2.R 1L f l w Ne-ri n1 4 li TITLE: MEMBER STATE BAR OF WISCONSIN a • li (If not, • a I authorized by 11706.06, Wis. Stacs.) * • # to e It to be the person r_ who executed the foregoing ~i as d acknowlc the same THIS INSTRUMENT WAS DRAFTED BY n 4\ T f-t r i n k- ~ rtYt t Z e.L_S hec 4 ► ~anl Notary Public, Sf O't County, Wu. (I (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: i necessary.) .190) ) Names of persons signing In any capacity should by typed or printed Ixtow their signatures. j !i WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. Form No. I - 1982 M"&,koo. Ws. f I DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDV,PrRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS (ILHR 83.090) & Chapter 145) LOCATION: SECTION: OWNSHIP UNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: sa 1/ v,) R_ / » /Tzq N/R ~e E (or 1,-J Z~ 1 - ml poste C. S. n. COUNTY: MAILING ADDRESS: 1o S7 `13~ ST. ST Cl~l)LX ~-EN ~~R1lJ~ ~r~a~12 Q-2- USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: R 1PERCOLATION TESTS: ®.Residence 3 A 5'New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: JSYSTEM-I N-F I L LHOLDING TANK:RECOMMENDEOSYSTEM:(optional) S ❑U 0 S DU [ZS ❑U 0S EA ❑ S ®U Z hae~es_ LRCM sly- s' uw * tQE t_ KC-AeSS I UE 5LOpev, - If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the Nl•~_ under s. ILHR 83.09(5)Ib1, indicate: C \-N~ S Z Floodplain, indicate Floodplain elevation: 0.6o GMJS®.F1•,PROFILE DESCRIPTIONS BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HI-CH-EST- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 q 0 Q3.8 1uf.',QC 7 90 Sal=-E p~ e. z a p -Z B- Z ~Z 44.Z ? gZ tl B- 3 q8 °tl.~ 98 e~ B- S 9 (a 6 -7 4L 1, B- PERCOLATION TESTS EST DEPTH . WATER IN HOLE TEST TIME DROP I WATER L VEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. _P RIOD 1 PERIOD 2 P R PER INCH P- P P- 1vo Iti s 1..L C s sZ " 'DE'EP v SLCI QD6E'. 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. © $6.0 82.0 6 E 5°~ 1~vC~k}{-p~~pr S~~ v ~p 1~ ~L~( SYSTEM ELEVATION a ~go.t"1 E mm E - rsL $3 0,7l~c~J Z "~z:'I I..aoep S'F'r°thetc 811 vk- 2 8 1R L ~t_. X43 'Q/J Z47c2~ tiuuuA SAfIk-E~ } t E E i E w r ?V ~~tCItC~S ;W , 1% Is-, rm l3"hST t-A- 'To w coF- i 650' ~ 4F `iZt ale li ~ ~S e 'LO S9 14 - a SV~ a F ~ E S; Y~ `rR By C!}~ 5 m i mm~ E 4 4771 - n_ t 413 1-7 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. WEGERER SOIL TESTING NAME (print): AND TESTS WERE COMPLETED ON: DESIGN SERVICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O. BOX 74 421 N. MAIN ST. CST UoU S'76 7) S- 4 ZS- 01 6 S RIVER FALLS.. WI 54022 CST SIGNATU E: 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. pfd b~ pF Z DILHR-SBD-6395 (R. 10/83) - OVER - SOIL DESCRIPTION FORM Attach Sold Prof Ile LoCa ion Map On a So"arats Sheet)' CL E 1 LINEAR LOADING RAT D PURPOSE: ~U SOIL BRAS w 'sViTmm SLOPE: I S O DESI.RTPT ION BY 1~~' 1~ l.flt~ l- w EEG elZe ASPECT: N 80 E _ DATE: 91 CURRENT LAND USE: ~I~STUZZ~ COUNTY/STATE: ST' C.~J~X COV VEGETATIVE COVER! C~1Z f~S S LOT DESCRIPTION:" ~J E 1/ -M \-),TZ9U !Z) 6w DRAINAGE CLASS: w~.Jr.J pF wRR-R~TN GALLONS PER S Q- FT. PER DAYS 6 cs LOCATION: ~yrt~r- PARENT MATERIAL(S)/DEPTH SOIL SERIES, 0 El Mum, HORIZON DEP111 MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS in. moist Gr. Sz. Sh COATINGS 8C~ G ~_-LD lO~tR 3 1'Z L 2.~' 49 to 3 !6 - 1 S Z S ~k M ` s y 49 -01 o tie~R 6! - `Fs u s M AJG 1 0-ty 1b`t2 31Z - L Z~g~- m'Fl- cS 2 14 Zy l~`11~ y) - L Z 3b•iz m Yh 3 z~-y3 Irj'- ill 1 s Z sblz my ~S - y3-01 ►D~R 6/ - S o s M p lu G 1 0 -!D JO~fiZ 31Z - L Z s~~c Yn cw Z I D- 2~ 10`112. Y ~ - L Z m Sl~~z Jet `~1-• 9 k-' - 3 Z$-43 luyR 316 - ~ S Z ~S ~k m v`F~, cS (43-9 )oyR 6l - S S rn ~O N6 V- 3 7 jb-'LZ. loyR Y - L Z Ms~~ F►- 9w 3 z2,~l~( lo~IZ 3/6 - is 2 >hsblz >nv~ lz", 6! - S c~ S m u /v6 s L 1-~ ~ ,M~h cs O_9 1u~jL 3l - 2 9- 6 Loy>zU1 - L Z 3~k- m 9w 3 1~-~y lo4T 3J6 - S -'eSVk YAV) ~ GS - 3 O S q1 vV- %6 1a'-jk 6-/y - - OTHER SITE FEATURES/NOTES: ///jf, )1-90 ooo57b nnG~? of Z LIMITING FACTORS/DEPTH: Signature Date CST 8 DEPA-R'I"MENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR P.O. BOX 7969 UMA H PERCOLATION TESTS (115) MADISON WI 53707 N AND RELATIONS HUMA (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSHIP UNICIPALITY: LOT NO.:BLK NO.: SUBDIVISION NAME: se 1/ QF' V /T 2-,9 N/R L8 E (or 1. pmt z~ 1 - Ppwposec~ C. S. n. COUNTY: MAILING ADDRESS: )O S 7 O Ili ST. SZ-• c 1lX ~cCE~I ~1 YC Rr~13 (!~w U Z- USE DATES OBSERVATIONS MADE NO. BEDRMS.: 1COMMERCIAL DESCR TION: Residence New ❑ Replace A , RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ICJ S ❑U ❑ S a] D? S ❑U ®S ❑U ❑ S ® U es- el-\ct-~ s' x- s' LZ..i 6 DvE L'~ccss ► uc; sLo If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: C NS S Z Floodplain, indicate Floodplain elevation: N A 71 GPD/SO.FT,pROFILE DESCRIPTIONS BORING TOTAL DEPTH R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED, EST.Tff&7ffST- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-) qo 83,8 ~oQ~ -7 qo SErE ~+~o~ Z a~ Z B- Z g , 434• Z at Z tl B- 3 qg ql.~ 7 9~ B- y 90,8 > ~6 i B- S 9(a $~.6 9~ B- PERCOLATION TESTS TEST DEPTH , WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD3 PER INCH P- P- P- N I ki t~ C s s z"-t~, v s t-c► E D GS 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. ® 86.0 Q~> $7 .o ~R 6 F Sal 3vCzkjj- _pf ShTi~E COy 1 F~l-2~( SYSTEM ELEVATION o 84-3 0 g° . ° _ - - 17E L +a-8 -9 WE 1.1- 'To %a! Fi v\3 Ir S T__ __j 6 5 ' `~ltET ~ y , ~ i ~ I X6.31 I (Lp ~ _w. to. a. a 1 t pO I s 5 6-41Y scht-IF l60' Sk~-- 17 ~ I, 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 Wisconsin Administrative Code and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. WEGERER SOIL TESTING NAME (print): AND TESTS WERE COMPLETED ON: DESIGN SERVICE ) -1 ' ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O, BOX 74 421 N, MAIN ST. CST oo O s 6 r) S- q Z J - U! 5 RIVER FALLS. W1 022 CST SIGNATU E: ~p 715-425.0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. pfje~ p~ Z DILHR-SBD-6395 (R. 10/83) - OVER - SOIL DESCRIPTION FORM (Atta SolI Prot i IO Location Ma On a- So-Parsts Shoat) GLIENT: LOADING RAT : PURPOS: 3 • D . SOIL AW 0AJ S111MI SLOPE! l B OAS DESrrt_IPt IDN BY 1~ Tom' UIiZ L w G e2 ' ASPECT: N _ 80 E DATE CURRENT LAID USE: C~hS'Cu2 COUNT / TATE: s.-T• Cv_wy_ co VEGETATIVE COVER: C~1z l~s S LOT DESCRIP ION:' P , OF SEJ/ - Aj E l! SEC V7,Tz9U RT 8w DRAINAGE CLASS: W 2A) Alm ~C1WT~1 OF WARREN GALLONS-PER S Q. FT. PER DAYS 6~ LOCATION: _ PARENT MAItlilAl(Sliuern . SOIL SERIESt c0+'tpLF x IKlRI10N DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII -BOUNDARY REMARKS }n, an}st Gr. Sz. Shp. COATINGS 8b G -t0 10~R.31Z L 2~ Yn ~S 3 30-49 lb`t~. 3 /6 - 1 S ZiS'Mc M G S AJG 2 ICI-Z lo`1tz y/ 3 Z~ y 3 tort R 1 L 1 s Z. -~sbk m y r- s 143 A to-IR 6/ - s o s M ~ o Av 6 Z lOyR y~ - L ZmS~~c -S Z8-113 luy~. 31b - S `~S ~1z n1 v'F~- C.S ~J y3 _9 loyR- 6/V H - 3 3so, rn \ D- ~0 1b~t2 31Z - L 3 Zz-u(1 to~tz 3/6 - \s 2 rnod~ ►~v yV-9to 1oy~ 61- S S M 0 5 )yl e_ Z g-t Ev Ib`'1R V/ - L S~Y~ rn 9w 3 l~-4y lobR D/6 - S-'Q3bk 1nA vjt,, CS yL/- %6 IayR 6 / - 3 O S i OTHER SITE FEATURES/NOTES: 11-9v 000576 '~n6~?oF? LIMITING FACTORS/DEPTH: Signature Date CST N L. ILI O pEC i91~390'~- JAMES O'GONNELI fie9)ste(ct Deeds WI A SL Croix Co., 46054 CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE NE 1/4 OF SECTION 17, T29N, RI8W;, • TOWN OF WARREN, ST. CROIX CO., WI. OWNED BY: KEN HERINK RT. I M titi ROBERTS, WI 54023 6a 'z ZA• 3 0= A W N 4n NOTE: BEARINGS ARE REFERENCED ° TO ME EAST LINE OF THE NE1/4 00932 M. wz ! BASED ON RECORDED BEARINGS). ~r ~Hp N Ozz u » 00 W V 4.14. y€a.- z.- U.N PL AT'. TED N130 033 (.1 y is 1 ;t 1~?t!'iJ . J. • O Q WT to 0 j tD J• E z LOT ' to S k" 032'31"E 248.4 10.99 ACRES O N viap N83 ( 478, 660 SQ.FT.) ' ,nQ 10. 16 AC. Ext. R.O.W. p W• 1442,549 SO. FT) O v z S 74036'16"E M 3 W Q' 77.28' z J' (L W 7 Is. L' o ~./e" 138 66'WIDE PRIVATE ROADWAY a O O W qq' EASEMENT ~O c a q~ - O W + 7 M\ ? J ti M 2B1 6g \ In N' W p: v LOT 2 y ~ c 2.90 ACRES v / Z 0• - (126,353 SO.FTJ v o 0 liJ' 'D 2.67 AC. EXC.R.O.W. OF i-. ,CO •1118,130S0.FT.)yp LOT ~N P°'a\o '3 ai N W - J. ~ r 0 - 3.67 ACRES + m p z r / Z • 1 159,924 SO.FT.) A o\ 4 0 w .46 AC. E XC. R.O. W WZ M LOT 4 ti. M z ° 3 Z' ( 150, 550 SO. FT.) o 7. \ t_ y 2.82 ACRES u 1 1 122,943 SO. FT,) \ I ' Z O 2.35, At. E XC. R.O.W. o ` ( 102, 190 SO.FT.) pF e NI I S89•28'28"E 3,7' "k 4 07.08' 120. 00 ' •4' 334.58- FENCE . 383.00' 33.0 N89028'28"W 839.38 ' E- W QUARTER SECTION LINE ° s0*34'I2"W I co ~t~N~111thyNt 17. 47 I <<~ N E114 CORNER SECTION 33' 33, Ns~ U N P;L A T•T E D, LANDS 17.( COUNTY MONUMENT FOUND. SET NAIL FROM I W~ I TIES). JAMES M. SE1804 Or SET I"X24"IRON PIPE WEIGHING 1.13 LOS. PER LINEAR FOOT. SPRINVISALLEY~ + Or I" IRON PIPE FOUND. ~r~ up . IS^ U SCALE I " = 150 II1~tN JAMES M. WEBER S-1804 SHEET I OF 3 0 75 150 300' ] r DATED -Nov: a, I gyp, VOLUME 8 PAGE 2303 f THIS INSTRUMENT DRAFTED BY _ ~~tr.w•ese~g~~• \