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HomeMy WebLinkAbout012-1043-10-100Parcel #: 012-1043-10-100 04/17/2008 02:55 PM PAGE10F1 Alt. Parcel #: 18.30.17.283A-10 012 -TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -REBHAN, JAMES & GAIL JAMES & GAIL REBHAN 1640 CTY RD G NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 1570 CTY RD G SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 35.300 Plat: N/A-NOT AVAILABLE SEC 18 T30N R17W SW SEE 1165FT OF SW SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-30N-17W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 12/06/2004 781736 2709/046 ALC 10/13/2000 631671 1550/296 LC 07/23/1997 1106/596 WD 7nn1x CI IMMARV Bill #: Fair Market Value: Assessed with: ---- - Use Value Assessment Valuations: Last Changed: 06/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 30,000 382,200 412,200 NO AGRICULTURAL G4 32.300 6,800 0 6,800 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2008: General Property 35.300 36,900 382,200 419,100 Woodland 0.000 0 0 Totals for 2007: General Property 35.300 36,900 382,200 419,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 554 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 r' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (11(m~l 'ermit Holder s Name: ^ City ^ Village ^ TIIiwn of: Zebhan, Herbert Erin Prairie Townshi .ST BM Elev.:- Insp. BM Elev.: BM Description: s AIVR IIVrVKMAI IVN TYPE MANUFACTURER CAPACITY Septic ~ IZ ~ ~ Do ~ ~____ Aerati Molding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Airlntake ROAD Septic > ~Sb l 3 i ~ ~ ~(~ ~ NA A Aerati NA Holding PUMP /SIPHON INFORMATION cturer Demand Model Numb pM TDH ift Lriction stem TDH t orcemain Length Dia. Dist. ell ELEVATION DATA County: St. Croix Sanitary Permit No.: 363980 State Plan ID No.: Parcel Tax No.: 012-1043-10-~'~ . Z~~ STATION BS HI FS ELEV. Benchmark 1, U ~- u . U vU Alt. BM ~ a ~ Bldg. Sewer 'Y ~ 9~ Ht Inlet l~S i S(~/ Ht Outlet ~ Z S/ ~ , Header/ Man. Dist. Pipe l -I'I o. ~ 3. 9~ Bot. System ~`~ ~~ ~ ~~~' 1/ • t Final Grade ~S St cover 3, a ~ ~. ~ SOIL ABSORPTION SYSTEM /-~ ,/_ L__ ~ ,.~/ BED / E C Width Length No. Of Trenches ~ ~ PIT No. Of Pits Inside Dia. Liquid Depth DIM ~ .2 3 DIMEN 1 N SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manufacturer: - INFORMATION Type O ~ ~ ` r ~ -------- A~R Mode um er: System: ~ UK QNI I DISTRIBUTION SYSTEM ~ ~ ~ Header /Manifold ' r Length ~ Dia ~ Distribution Pipe(s) ~ Len th ~ Di ~ S i x Hole Size x Hole Spacing Vent To Air Intake / ~ " . g a. ng ~ pac S 0 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) ~' Location: 1570 County Road G, New ] 1.) Alt BM Description = S~ Cov</ 2.) Bldg sewer length = I ~ ~ -amount of cover = 5'/~ r' ~~tio %vt~~ a.~ ~,;ha~ Plan revision required? ^ Yes ~ No Use other side for additional inform tion. SBD-6710 (R.3/97) Inspection #1: / ~ l sl yo Inspection #2: / / Zichmond, WI 54017 (SW 1/4 SE 1/4 18 T30N R17W) - 183017283 / Y~ ~~~ppH s~~cf~o~.. p~`pP 5// c~PrP r`.. s~(41~~ ,N f~~ ~`~`( G~a,.~~~~ Tow` t~G(.~ GYM. Dat Inspector' gnature Cert. No. ~d r t ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: a_, ~_ _~ .a ~ ms ~.~ ~ __._ m®~~ ~ ~a ~ _ _ _ _ ~-_ r : E i S { r .. ...~. .. ems,. Ww ~ 5 ~0 ~ I~ L ~ iMn w " r ~ Sanitary Permit Application Safety & Buildings Division •~' In accord with Comm 83.21, Wia. Adm. Code 201 W. Washington Ave. PO Box ?302 ~ ~~ , Sec reverse side for instructions for completing this application Madison, W 153707-7302 ~i~~,~ n ~ DeperYment'of Commerce Personal information you provide may be used for secondary purposes (privacy Law s. 15.04(l)(m)~ (Submit completed forn- to county if not , state owned. Attach com lete tans to the coon on for the stem, on a er not less than 8 -1/2 x 11 inches in size. ~,,,,ty ••, tary,eknit Ntanber ^ Check if revision to previous application State Sar State Plan I. D. Number ~T ~ ~ 33 FF~~O I. A lication Information -Please Print all Information Location: Property Owner N ,, ` ~~C ~~ ~ ~ +~4 Property Location ~ 1/~ 1/4 S N >~7E ,h / r property Owner's Mailing Address Lot Number Bock Number ~fJ ~~ ~ - ,--~_. Zip Code Phone Number State Ci Subdivision Name or CSM Number , / ryas ~1 -~~ `~/ ~ _ f,;,'~ ~-~v7 ~ ~ ~ ~ `'---.. . , It„Type of Building: (check one) ~ of Bedrooms : - No Dwellin il 2 F . 1 ^ C'ty ^ v l n of ' ~ . g am y or ~ . a ~ , w .~ .~ ri n Cur,-+~ ^ Public/Commercial (describe use):_ O State-Owned ~~ / ~~~i S' 3 T i ~ r. ~~ t. s /oZ /.. e vc~ / Nearest Road ,,~ / ~!~ r, .roc 6~ Gr ~c~.. ~ ~fr ~ d~ Parcel Tax Number(s) D c~ 1 d S/~ - III. T e of Permit: Check onl one box on line A. Check box on line B if a licable 6. ^ Addition to 5 . A) 1. ew 2. ^ Replacement 3. ^ Replacement of 4. Existin S tem S stem S stem Tank Onl Permit Numbcr Date Issued B) A Sanita Permit was reviousl issued 3 6 3 - 3 ~ - IiV. Type of POWT System: (Check all that apply) n-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ent Unit ^ Recirculatin ^ Other: t T bi ^ A m rea ero c ^ At- de V. Dis ersal/Treatm 1. Design Flow (gpd) ent Area Information: 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade ti / ~ ~/, Eleva R) (MinJinch) 7''~ /s l Jd G R r/ , ay q. s ate ( a Required Proposed Q ~(~ ~1, ~~ 1~/_ ~(p ------ T ' / ~~r~. ,ma C/ G/ _ ~; / ! ~ r VII. Tank , Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic - glass Co Information n Gallons Gallons Tanks Con- Crete structed New Existing ~ Tanks Tanks ~/ ~ ^ ^ ^ ^ ~ ~ ~ ~ am ~-~ ( C^ ' L f ' :e er ^ ^ ^ ^ ^ VIII. Responsibility Statement I the undersi ed assume res nsibili for installation of the POWTS shown on the attached lens. Business Phone Number Plum Name (print) ~ Plumbers ature (no stamps~;.j ` MP/1vIPRS No. ~ ~'~3~ ~2~~6/ °- / , , ~. / o /^~+y- ,ice ,rte Pl s Address (Street, City, State, Zip Code) , .~ - ~ ~/- IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Ag«rt Si lure (No stamps) Approved ^ Owner Given Initial Adverse robe`~ Fee) ~ 9- /~^ ~ 5 v' Determination eas o X. Conditions of Approval /R ns for Disapproval: ~ Q,. ~ ~~~`-' I ~ - / PLOT PLAN PROJECT Herbert Rebhan ADDRESS 1640 Co. Rd G New Ri SW I/4 SE 1/4s 18 /T 30 N/R 17 w TowN ERin Prairie 9-13-00 MPRS Byron Bird Jr. 220527 DATE CONVENTIONAL XXX IN-GROUND P SSURE C VENTIONAL LIFT MOUND SEPTIC TANK SIZE ~ 250 LIFT TANK SIZE ,BENCHMARK V.R. op Of house foundation ASSUME ELEVATION 100° ^ BOREHOLE O WELL *g,R,p, same as BM chmond 54017 COUNTY ST. CROIX BEDROOM 4 HOLDING TANK DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers c / I ~. Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85. Wis. acim rnrir~ Page of Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must County / i - c~iY1'~ / / include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, sple or dimensions, north arrow, and location and distance to nearest mad. . . ~ /vim ~O ~~~L~ _p.~ Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (privacy Law, s. 15.04 (1) (m)). _~ Property Owner ~~ Property Location ct. ~ ~.I _ Govt. Lot ,~~1/, 1/4 S T . N R E W Property er's Mailing Address G ~~ ~ ~-- Lot # Block # Subd. Name or CSM# e , 6 a ~ City to Zip Code Phone Number _ ^ City ^ Village own Nearest Road Gtr ~ ( ) "'~~~ ~ ~.+ New Construction Use.`~Residential / Number of bedrooms Code derived design flow rate GPD ^ Replacement ^ Public or commerd I -Des ~ Parent material Gt. C~ Flood Plain elevation if applicable ft, General comments. and recommendations: ~j~+ / / ~'~ ~.G~~~ ~i^ _ v~ C/ /~~/! ~ ~~ J i~ !! /'s / r D/~ Boring # Boring ~J pit Ground surface elev. / ~ ~ ft. Depth to limiting factor. in. ~ -~ ~"-- Soll Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Efft/2 o i ~ ./yl ~" . c~ G ~ ~~ f ~' $. ~{z ^ Boring °2 Boring # / ~ ~ ,> ;_ pit Ground surface elev. ~~a~ ft. Depth to limiting factor ~~~ in. Soil Application Rate Horizon Depth Dominant Color Redox Descxiption Texture Strudure Consistence Boundary Roots GPD/ft' 1n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 l ~/ ~ //G - - .t-.~ - r~ r ~ ~~ it i~~~ v/j~ .~ ._ --~ . r ~ 4/ ~ 3 {. ~2 ' Effluent #1 = BODa > 30 < 220 mg/L and TSS >30 S 15 _ 0 rttglL ' Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L _ CST Name lease Print) f ~ Siena CST Number ~~ ~ AddresB ate Evaluation Conducted Telephone Number ~~ t l/f' ~ s?~,G i- ~ ~9~ ~~O/ ~-~f ~~ ~D ~/S~~cl' 7~/~ ~ 1I Y 11( t Property Owner Parcel ID # Page of Boring # Boring 3 Pit Ground surface elev. ft. Depth to limiting factor > !~ in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz: Sh. 'Eff#1 'Eff#2 - .-~ ~^ ~ q/. ~ a~F?/.s''~ 3s-~~~Y~ ~ y3.z .z' Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. So11 Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BODs < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. sso~as3o fx.wao> i Soil Test Plot Plan Project Name Herbert Rebhan Byron ' d Jr. Address 1640 Co Rd G G~ ~~ New Richmond Wi. 54017 CSTM #220527 Lot--- Subdivision --- Date 9~13/OC~ SW 1/4SE 1/4S18 T 30 N/R17 w Boring Q Well PL Property Line ,BM or VRP Assume Elevation 100 ft.top of house foundation System Elevation T-1=91.7 T-2=91.5 ~~ l~' T- 3=91.~•R•P• same as BM TownshipErin Prairie County ST. CROIX ~' 5 C.Tt~ a.`` ~ ^ ~~~~~~ ` ~Y ~~. 3c~. i ~• Z~' 3 Sanitary Permit App >< ion I d i h Safety & Buildings Division 201 W. Washington Ave ~ ~ n accor w t Comm 83.21, Wi . ~Ad1n. Code ~ 2 # ~ . PO Box 7302 Q~ ~ ~'~ `Q~~~"~ See reverse side for instructions for com eE this,i or i~i~~ica x~ ~ M di WI 53707 73 , , Personal information you provide may be use~Yfisecondary~ttt -•_ a son, - 02 ~ De ertment of £ammerce P [Privacy Law, s. 15.04(1) ': COUNT`! completed form to county if not ( . , ,, ~ \ state owned. Attach com lete tans to the coon co onl for the stem, a r not ess an 8-1/ i't ches in size. County ~ ~ State Sani etm it Number ^ Check if revision >apt~igi7s;ap~p_lic_a~'.~n.; ~ , ~~ an I. D. N umber y r a ~ . •. u i ` I. A lication Information -Please Print all Information Location: Property Owner Name Property Location / Property Owner's Mailing Address Lot Number Block Number ~ ~o Co i'~~- - ^- City, State / ~ Zip Code Phone Number ` Subdivision Name or CSM Number < lfn < vl7 d~~~ / ~ c lI Type of Building: (check one) 1 or 2 Family Dwelling - No. of Bedrooms :~ ^ C'ty ^ Village ~ ~ t /~ ~ ' ' C Y Q ~/ own of / / ^ Public/Commercial (describe use):_ ^ State-Owned 3 X ~ n 4• L S~ '{'YrM- o Neazest Ra (_ _ ~1 ~ C-~ W"Se Pazcel Tax Number(s) ~~~ /d C~ O e of Permit: Check onl on box on line eck box on line B ' cable III. T q) 1. New 2. ^ Replace nt 3. ^ Replacement of 4. $. ~6. ^ to S stem S stem Tank Onl S stem B) Permit Number 1 ^ A Sanita Permit was reviousl issu IV. Type of POWT System: (Check all that ap ) `Non-pressurized In-ground ^ Mound ^ nd Filter Constructed Wetland I y ^ Pressurized In-ground ^ Holding Tank Ingle Pass ^ Drip Line .~ ~. ~ ~ ^ At- de Aerobic T tment Unit Recirculatin ^ Other: a~`t7~ V. Dis ersal/Treatment Area Information: •`{ ^5a; ~- 1.Design Flow (gpd) 2. Dispersal Ama 3. Dispersal Area .Soil Application 5. P rcolation Rate 6. S 'on 7. Final Grade ~~ ~ Required ~ Proposed ~ ~i (GalsJday/sq. t ~nJinch) ~ _ ~~~ Elevation ~ - / VII. Tank Capacity in Tota # of Man acturer Prefab eel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted Tanks Tanks J ^ ^ ^ ^ ^ VIII. Responsibility Statement I, the undersi ed, assume res onsibili for installation of e POWTS shown on the atta ed lans. Plumber' ame (print) ~ ~ Plumber's S' (no MP/MPRS No. ' ~ Business Phone Number // ~~ '~`lL 0,'I ~/// ~ / /y ~ Street, City, State, Zip Code) Plum s A ddre s s ( y~ ~ ~ j / ~" "/ fi ~~/~ /JZe~/^ / IX. County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issu'ng Agent Si tore (No stamps) ,Approved ^ Owner Given Initial Adverse Sur~ar e F ~ #S ~ 3 Z ~ ~' Determination ~ , X. Conditions of Approval /Reasons fo Disapproval: C ` ~~ ~ ~~~ C/II f sy ~„ .Q,Q`s,., sl~. ~~ . I WBd~,,b2lS 0~~ tY r .t ~~ 0 `{ ( ^^ ~ , . n . .. ~-- w ~ (ego o.a- ~~~~1~'z s;~ ~~'` S\, T/`~ LWCtrJ ~o. 8 .rl~~ . ~r _~ ~d ~~ Plot Plan ~~~ C-~~~- /~,~ ,.~1 PROJECT Cr BH ~ ADDRESS . ~ C ~~~ ~~4~U~7 ~~/' 1/4~~,~ 1/45 /~ /T~~ N/R ,1 y- W TOWN~,..,~~ ~~`,~; COUNTY_~=G~ ~y~~ Byron Bird Jr. 220527- DATE ,7, ~° BEDROOM CONVENTIONAL IN-G UND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE a ABSORPTION AREA° D# of chambers ~ vl`~ BENCHMARK V.R.p-_~ p ~ ~ ME ELEVA I ^ BOREHOLE O WELL *g,A,p, ~,~~`?~~ ~p/JO~f7<<.r~--~~ SYSTEM ELEVATION ~~ ,~ /" ~~~ Vent >12" Sidewinder High of Cover Capacity Leaching Chamber with 31.8 ft^2 6„ per chamber 6' Long 34" Grade at System. Elevation ~ ,Cdr. ~~ ~~~ ~ ~OO j ~ j~ 2 /N ~~``f Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with Comm 83.09.,.. Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan~must County include, but not limited to: vertical and horizontal reference point (BM), direction and ~ percent slope, scale or dimensions, north arrow, and location and distance~to nearest road ~ ~- .I. rcel I. . # APPLICANT INFORMATION -Please print all information. ~ eview d by Date Personal information ou rovide ma be used for seconds ~ ~ Y P Y ry purposes (Privacy Law, s,. 5:04 (1) (m)~ ` "'k~i _3 ~_ Property Owner ~ , , Pro ' i n ~ ,• ~ ,e y,, ~ ~ Govt. Lot 1/ ~1/4,S ~ T ~ ,N,R~ E. W Property Owner's Mailing Address Lot # Block# Sub ame or CSM# City State Zip Code Phone Number ^ Vill Town Nearest Road ~/~ ^ Ci New Construction Use: ~ Residential /Number of bedrooms ~ Addition to existiny building Replacement Public or commercial -Describe: Code derived daily flow ~o gpd Absorption area required L90 bed, ft2 /v~1J trench ft2 Recommended infiltration surface elevation(s) ~~° '~ Additional design/site considerations // / G Parent material _ (~o~ ~ ~ • J` S = Suitable for system vv~ wci wv~ iai U = Unsuitable for system ~ S ^ U Boring # Ground e~~l~~ev~~. %~"Fft. Depth to limiting factor in. Boring # Ground ~I~ r ft. Depth to limiting factor ~in. Recommended design loading rate bed, gpd/fi2 . 5 trench, gpd/fit Maximum design loading rate . ~-! bed, gpd/ft2~=trench, gpd/ft2 ft (as referred tTo site plan benchmark) ,. ~/'_ ~~ «- ~ ~~ _ ~ ~ ~-,. `7 Flood plain elevation, if applicable _~,[ Mound In-Ground Pressure AT-Grade System in Fil ~$ ^ U ,~S ^ U ,(~ S ^ U ~S ^ U SOIL DESCRIPTION REPORT Holding Tank ~'S ^ U ~~ !' Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~ / art-...~_ , '~ 5 /~J ~ G ~~ . S ~ - 6 ~3 0 ,mss ~ ~ I - ~- ~ ~` ~s ..~ .-~, y ~ A ''f3 • ~I . L , Remarks: .~ p ,3~ ~ v~ r G /C , ~ : ~ 3. . L ' Remarks: :.ST Nam (Please Print) Signature Telephone No. ~ rb ~ ~f i~cl Ste. ~/7 ~~ '6l~ Addr Date CST Number y ,S .z . cf .S _~ • ' ~ ~ Soil Test Plot Plan Project Name ~.~,~,.~~~,~ .~/. ~~~~~ Byro Bird Jr, Address /6~p C~ ,~~ Lot ~-- Subdivlslon ~--- Date /~ ~~_~ ~~ 1 /4~1 /4 S~T ~ N/R~ W-~- Township ~d~. G yd I3orinb Q Well PL~ ProperEy Line County ,,.o,' ~as~~ 7`_ ~ / ~~ ~ ~ . 1 I3A~ or vRP Assume Elevation 100 ft'. "~r . 5f~~~~~Zc~s~ o o~ Sf~~ SVStP.m Flavatinn G~~ ~ iL Bunn ~. ~ PROPERTY OWNER ~,'~~Cr~ f~.6~~-'~ SOIL DESCRIPTION REPORT PARCEL LD.# Boring # Ground elev. 9 ft. Depth to limiting f in. i~ • ~ ~ ~ Page of Horizon Depth Dominant Color Mottles T t Structure i C t B d R ts 2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ons s ence oun ary oo Bed ~ Trench I ~~ 0 3 "~ ~- ~ ~ ~ d r2 ~~ ~--t. ~ ~~ G ~ , ~ 3 ~~' Z- Remarks: .s Z .~ Ground elev. ft .~ O ~ 5 ~ - ~ Remarks: Horizon Depth Dominant Color Mottles T t Structure i t C B d R ts GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh ons s ence oun ary oo Bed ,Trench d ~ j '~O G-l~ s.. d _ a s7 ~-,-~-- ~ ~ y - ' 2 y ,~ ~y Remarks: Depth to limiting .ZI .. 2 factor in. Remarks: SBD-8330 (R.9/98) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ,Pr~.O~s~ ~ ~ Mailing Address ~G ~~ ~~C~ ~~-- i~~Lw~~I~o~l ~r w~ Ya/' Property Address ~ j 7 v Cs /C,~ ~ ,~ ~~ (Verification required from Planning Department for new construction) / S"`7 City/State /~"~~/~ C ~ ~~parcel Identification Number ~' /~-1~ cr 3 ~©-- ~L~ LF,GAL DESCRIPTION ~~ ~ Property Location ~~/4,~ /,, Sec.~7~ , T~ N-R~W, Town of "'~"i~ ~o^cf~,.,~ ~ Subdivision ,Lot # Certified Survey Map # ,Volume ,Page # Warranty Deed # ~~a~~~~'~_ ,Volume ~O~_, page #/`~_~~~ Spec house ^ yes f~-tio Lot lines identifiable,,(~yes ^ no ---- SYSTEM MAINTENANCE 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 tluee years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to 3t. Croix Zoning Department 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/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ay of the three year ex irat~on dat~ - ~, SIGNATURE F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p ope described abo e~y virtue of a warranty deed recorded in Register of Deeds Office. ~-- IG ATURE F PPLICANT /~ ~ ©~ DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Departrnent. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed . ~ :~ C •7GUA~ENT NO ?~~~5 SPA.::! RESERVED FOR PSCORDI Nei DArA .............. ............ ............ ...... ............. ............ ............~. .... ......" it .. ..... ...... .... ..... ...... .... ... .......... ........ ...... ... .... _.... -.. _.. .. '.' RETURN TO - ... ..... .... ..... ....... ~-•-~-~-.. - ..- .. .... ...... -. I the following described real estate in ._ ..~t•.-~D..._..._..__ .._.County, -_ -- State of Wisconsin: ~~~ 11.~6~~~f59fi _- t Friday Canning Corporation, a Wisconsin Corporation .. conveys :t d ova rRt t to Herbert J. RP~'1dI1---- rallyd .T. , wz a as survivorship marital ~y - • husbar>r~ arx~ 1 ~` -- - - - - WARRANI'V DEED STATE BAR OF WISCONSIN FORM 2-1982 524592 - Taz Parse, Rio :.............................. The East Halt of the Southwest Quarter (E~ of 544~,i) and the Southwest Quarter of the Southeast Quarter (SIB of SE's) of Section Eighteen (13), Zbwnship Thirty (30a, Range Seventeen (17) , subject to easal>erlts of regard and conveyances for highway purposes. This oanveyance is made pursuant to the Offer to Exchange Property between above parties dated November 14, 1994. :~N~~H $~°~~~~° This 1S. ~_ _....._.. homestead property. (is) (is not) Exception to warranties: Dated this _ A~~.-_ _. day of DeCHllber _ 19 94 . _. _- - -. ......(SEAL) ~ L ~~'~! ISEAL) ` -- -- _.-- --- ----- -- --- --- •...~. Ef,~.Wertt..President . ......... ......(SEAL) -~e Y __..__. (SEAi.) R.P. Twite, Secretary AIITHSLN+TICATIDDON rr~~~~.,~,,}~, .4lgnatIIre(S) ___~~..+f s...[]f•44R.-~3.*.~a__Ayl.~~. suthenti //~~ thfis~~ ~~_ Z_da''y/Iof ........... ....... , ls_94_ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _--•------•-••-•--•---•----------------------•------•-----•- anthorized by ~ 703.06. Wis. Stats.) THIS INSTRUMENT WA~s DRAFTED BY Feinstra & Van Dyk, S.C. --~Q1._Saiif~i--Krioiales -Aii~-;-'P-:O-:--HC8r-2~'f------- --New--Rictxn~nd...-WI----5.4D1.Z----•---------- ---------------- (Signatures may be authenticated or acknowledged. Both are not necessary.) ACHNOW LSD(}MSNT STATE OF WISCONSIN S1. -----•---------•--•------ -•--•--•----County. --_--•••.Personally came before me this ................day of __.._....., 19:::_:___ the above named to me known to be the person __._........ who executed the foregoing instrument and acknowledge the same. Notary Public _..------..--.-------._ ----- ------ --County, Wis. Ny Commission is permanent. (If not, state expiration date: _- --- -- -----•--•--------- - - ------------ -- 19- - - -.) __ •?lames oipersooa si¢ain¢ in any capacity should be typed or printed below their eignstures. vJARRANTY DEED STATE HAR OT 9iTISCONSi`V FORM No. 4 - tuN2 W+sconsin Legal 81ank Co .Inc. Milwaukee.. Wiscorsin 1~ ..