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HomeMy WebLinkAbout020-1180-50-000 a p °6F3, d m O 0. 0 0 0 N O ti C ~L I ~ I N O C Z LL c 3 a I M z Li E Z = O Z a m 0) N I- u) O I 76 O 2 c y_ a~i Z 2 c ~ fA F- r- I~ ~ N Z C E O ~ M N C Q N 7 O C i U) .0 m 0 - I o N Z co z o N w E Z N y W - l0 N 01 i CL cc 0 c"V`I m c Q a` -0 E ago I ` o U Z •P*4 !3aaa CL 7 O U) U) y rn rn U c N U rn rn } N ~V N O O Y O 1[1~ C LB (D Q N c j 1, C3 ~ a a ~ ~ ~1" I m o ~ v Q ~ in co J C 0 ❑ O O co N C O O r N LO V) 0 C~ CD 0) N O O M C5 0) N a _0 L _ ~ E 40 C LO U L d 3 t~ CO " ° N-0 en , m O N E U •O O N 2 j LL r O Z G' PL Cl) v EL l` a a • ed a m 0 d E .c r- `1 A 0ILE I,oinci } Parcel 020-1180-50-000 02/10/2005 10:00 AM PAGE 1 OF 1 Alt. Parcel M 28.29.19.1135 020 - TOWN OF HUDSON 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 * FALSTAD, R RUSSELL R RUSSELL FALSTAD 762 LARSEN LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 762 LARSEN LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.338 Plat: 0152-CEDAR HILLS ESTATES II SEC 28 T29N R19W 2.338 ACRES SW NE LOT Block/Condo Bldg: LOT 34 34 CEDAR HILLS ESTATES II Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 05/04/2004 761605 2564/556 AGREE 1020/418 QC 858/592 783/549 2004 SUMMARY Bill M Fair Market Value: Assessed with: 49175 265,000 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.338 48,900 156,100 205,000 NO Totals for 2004: General Property 2.338 48,900 156,100 205,000 Woodland 0.000 0 0 Totals for 2003: General Property 2.338 48,900 156,100 205,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 106 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 i Form - S T C - 106 i ASUILT SANITARY SYSTEM REPORT r • - _ r . _ OWNER" .11,06e.-53 TOWNSHIP ,~`a SEC. 2 T a:ZLN-R y W T ADDRESS :nr 1.7 CROIX COUNTYo WISCONSIN P _ . ! SUBDIVISION <5' +e r' r1!'l/s LOT LOT SIZE ~ ~2 _ ..._.w PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 = i SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i ! R~3 t ~Y 4 ' N w y:.i......e .till r 16 lot ' :mss,: INDICATE NORTH ARROW BENCHMARKs Describe the vertical reference point used ~r+ e • r, . . 0, . • r Elevation of vertical reference points Proposed slope at sites SEPTIC TANKS Menufacturars• r1f r~~~ Liquid Capacity: _l 6 y p '',"Numbet of rings used: _ 25 - Tank manhole cover elevation: • Tank Inlet Elevations Tank Outlet Elevations Number of feet from nearest Road: Front,O Side Rear, O d"' 0/ feet • From nearest, property line : Front IoSide Rear, ;'-7 a feet 10 Number of feet from: well (l~(building: (Include this information of-the above plot plan)( 2 reference dimensions to septic tank) SEE, REVERSE SIDE PUMP CHAMBER Manufacturers _ Liquid Capacity: %Puep Model: Pump/Siphon Manufacturers Pump Size Elevation of inlets Bottom of tank elevations Pump off switch elevations Gallons per cycles Alarm Manufacturers Alarm Switch Types Number of feet from:nearest property lines. Front, O Side, O Rear, © Ft. 1 'Number of feet from wells Number of feet from buildings (Include distances,on plot plan). SOIL ABSORPTION•SYSTEH Bdd s- Trench: Width: Z Length: - .-.Number of Lines:, Area Builts,!5~ Fill depth to top of pipes Number of feet f~om nearest property line: Front, O Side, ® "Rear,O Tt.p a ,Number of feet from wells N 'bar of feet from buildings a (Include di Lances on plot plan). SEEPAGE PIT Size: Number of pits: Diameters Liquid depths Bottom of seepage pit elevations Area Built: ' r ' Has either a drop box O or distribution box O been used on any of the above *oil abaorbtion sytems? (Clack one). HOLDING TANK Manufacturers Capacity: Number of'.rings ".ad:. Elevation of bottom of tanks • Elevation of inlets Number of feet from.nearest property lines Front, O Side, Q Rear. OFt. ..Number of feet from wells Number of feet from building: Number of feet from.nearest roads Alarm Manufacturers Inspectors. Dated: Plumber on jobs License Numbers 1y^ L ,4' 3/84:mj ' I DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMtN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION Plan .7SN y S 1Vr, µ,92c. 29,T29-R19 (If Stassignled).D.Number: CONVENTIONAL El ALTERATIVE assign Town of Huds'on' udson L 34 Cedar Hills Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Russ Falstad 109 S. 125th Hudson WI 54016 QQ l4`Ud BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.' Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: William Schumaker 6382 St. C ix d35485 SEPTIC TANK/ ' rl CAX,-_ MANUFACTURER: LIQUID CAPACITY: TANK INLET V.: TANK OUTLET EL E7.-.- WARNING LABEL LOCKING COVER "Cl / , PROVIDED: PROVIDED: / ~ ./S YES ❑ NO ❑ YES NO BEDDING: NE.0 DIA.: u&W MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WE BUILDING: VENT Tt) FRESH C O C.O. ALARM: FEET FROM LINE: , 3 AIR INLET, [__1 YES NO C~~ ❑ YES NO NEAREST ~III, DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES El NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE 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: MATERIAL AND MARKING: or excavation. (If soil can be rolled into ire, construction shall cease until MAIN the soil is dry enough to continue.) , CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. O I DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH TRENCHES: ~ MATERIAL. PIT DEPTH: DIMENSIONS / 1 t5,a 1 / (P 7 q - - GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE 0 STB'~P,1I~ MAT NO. ISTR. NUMBER OF PROPERTY WEL~ BUILDING: VENT TO FRESH BELOW PIPES: ABOVE CO'V~>R, ELj~jV INLET] EL V. EN ~ KJ pr2 PIPES: FEET FROM LINE: .3 AIR INLET: a `Y~` % r 'S 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 OVER TRENCH/BED DEPTH OVER TRENCH/BED S OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: DEPTH ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND 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 -,a"~ 64 0 E Sketch System on /'Retain in county file for audit. Reverse Side. jSIGNA RE: ~ Lml r-_ TITL SBD-6710 (R. 06/88) /f/!/ SANITARY PERMIT APPLICATION 01LHR In accord with ILHR 83.05, Wis. Adm. Code couN TATE SANITARY PER T#! -Attach complete plans (to the county copy only) for the system, on paper not less than `8i~ x 11 inches in size. revision to prev 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 JIF a r r='~'a~ aL sAv S T Aj:?, N, R 157 E (or W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # MT -3 GtJ i ' S V CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one) 13 CITY NEAREST ROAD ~11 State Owned VILLAGE : -All ❑ Public DR1 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL AX NUM ER() 0 - v--© Q 111. BUILDING USE: (If building type is public, check all that apply) F ~3 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ 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. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION yso s ¢ 9 0 7Z 57 . 7~ Feet C. ~ d Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New P-xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 4:2410 Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) P MPRSW No.: Business Phone Number: L,J. fl:•e A" .sC6i , •u~r 3r 2c Plumber's Address (Street, City, State, Zip Co e): Cr " , dG d~ IX. C NTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (include g roue Water Date Issued Issuing gent Signature (No Sta ps) pproved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/68) 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 (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your'onsite sewage system, contact your local code administrator or-the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) 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 developat nt 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 te AoullUe.11 nn Location of Property 3, Section T N - R W Township Mrs i 1. ing Address 76.2 L e ....It) l ~~S~O /lam Subdivision Name 2 P Lot Number Prvvious Owner of Property o- Total. Size of Parcel P DaLe Parcel was Created Are all corners and lot lines identifiable?„ Yes No Is this property being developed for resale (spec house) ? Yes ✓ No Volume and Page Number S2,a. 4s-:recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION.ONE OF THE FOLLOWING» 10 Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office 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 the Certified Survey Map shall also be required. PROPERTY OWNER CEUIFICATION 1 (We) ceA i. y that aU 4tate wAU on te,ia oAx axe true to the beat od may (oun) knoix ed9e: t t (we) aM (ang) the oWne/i(A) of the pto eUy deeeAibed in thiA , .i,ndoonti.on down, by virtue od a waman 4 deed U90Aded in the pdgee ad the County Regislten od Deed6 as Document go. ; and that I (we) pneaentl y own the pnopoaed .6 to on the 's Re poaal~so tem (on I (we) have obtained an eaa ement, to tuun &N the above des ai bed pkopeUy, bon the cons tAucti.on od aa.i.d b,Ratem, a,nd the .some has been duty neconded in the, Od ..ice od the County Reg,i.ate ',od Deeds, aa Doe m+ent No. 1 2 SIGNATURE OF OWNER JiTU=EOFCO--OWNER. (IF APPLICABLE) DATE szcNcD ~ DATE SIGNED _ , - . . is . Owner's Ils The Title lrlsurancc t.`k~nla~_nin~tent is si 1 t,,_.la +,(,Ilitart t)tttv'.eil ou .rlu{ . 01c Cur.,pally. It ttssu:d t0 Information show the b sls on which ,ve will issue: a Tide 111 :urancc Pollck,to vou. The Policy will insure ~ou Sheet against certain risks to the land titir:, Sul iCO to 61C lirllitatl0j]S shMJ) itl the Palley. The Company will give yilu a stunp.le X11 the 101-111, if "ou teak. The Comb itrnetrt is hjsrd on the, label title tts of the Commitment Date. Any changes in the land title, or the hansacholl may '111M th". ('Oltill) On lent ,uul the Policy. The Citillntitillc it is suh)CC`I t0 its kc.q llretnents, F'o cptiorls anal C'oln.lilions. THIS INFORMATION IS NOT t',NR C)h T HF.- THT. INSURANCE CONIMITMiENT. YOU SHOUILD R.EAI-) THE COMMITMENT VERY CAREFUL LY. If you have any questions about the Conunituir-'1111. contact the Issuintr G hcc. Agreement to Issue Policy CificagoTide Insurance Compan u'e agree f issue ~a policy to you according to the t~•rlals of this Connllitnle.nt. When we show ~ III West washillz;I„ll Street the poh(:y alrt01.1111 and gout narllc as the Chicago. Illinois 60602 proposed insured in Schedule A, this Commit- illent becomes effective as of the Commitment Date shown in Schedule A. 11 the IlCquirl: mi.~n1:; shokk n in this Commit ; curt?t have 110) N201 nua within 6 months- after AL TA COMMITMENT the t '0l7itlcnt Date. our ohlif ation wuicr tilt,) Commitment will end. Also, our ohbt?.a- 1982 (Rev. 10-19-88) 11011 under this C'otninitrtarnt will end when the Policy is issued and then our obligation to you will he under the policv. Otar obligation UndCV this Coll11n]itment is t limited by the following: The provisions in Schedule A. The Requirement; in Schedule B-1. a The Eixce-ptions in Schedule B-11. I'Ilk, t'onddiorc; o:1 Page This Colllllilt Incnt I,, Ilk)( valid without SCHFDULL A and Sections I and II of SCIIFDULF 13. Issued bv: RIVER VALLEY ABSTRAGF & TITLE. INC. 220 Locust Street PO. Box 149 Hudson, WI 54016 (71:x) 386-7772 ('I11<AC~() A I II.F INSt!RANCF. COMPANY ~ ~~t111!'ORA7~ r ~ /f C.o~attt~.rsi2no:d ~ . C , 19rvJcvia. ta~tnrnizec! 5~~,~iutnry..rte ) .n- ..r G'r fir,: . .,_r. < i H'.•"~^.Y1 r.F:. Alllt 14x(1 i:,an~l i'itle ..111cago, A sociati«n Insurance Company hou'ni i350 i.ft,,IU-19-88) SCHEDULE A Commitment No.- 89-2126 Effective Date of Commitment - November 16, 1989 8:00 A.M. 'x Prepared For: Lundell Real Estate Inquiries Should be Directed to: River Valley Abstract & Title Inc. PO BOX 149 - 220 Locust St. Hudson, WI 54016 (715) 386-7772 1. Po.ticy or Policies to be issued: mount (a) ALTA owners Policy - Form T970 $20,000.00 Proposed Insured: Russell R. Falstad and Joanne L. Falstad, husband and wife (b),ALTA Loan Policy 1970 $N/A Proposed Insured: N/A 2. The Estate or interest in the land described or referred to in this Commitment and covered herein is a Fee Simple. 3. Title to said estate or interest in said land is at the effective date hereof of record in: Mark A. Highstrom and Linda A. Highstrom, husband and wife as survivorship marital property 4. T#e lend referred to in this commitment is located in the County of $t. Croix, state of Wisconsin and described as follows: Lot 34, Cedar Hills Estates II in the Town of Hudson, St. Croix County Wisconsin. 9 CASE No.- 89-2126 REQUIREMENTS SCHEDULE B-I =k 1. The following are the requirements to be complied with: 1. Instruments necessary to create the estate or interest to be insured must be properly executed, delivered and duly filed for record. 2. Payment to or for the account of the grantors or mortgagors of the full consideration for the estate or interest or mortgage to be insured. 2) Warranty Deed from Mark A. Highstrom and Linda A. Highstrom, husband and wife as to Russell R. Falstad and Joanne L. Falsta.d, husband and wife. 4 I t q CASE. No.; 89-2126 EXCEPTIONS SCHEDULE B-11 `fl. Schedule a of the policy or policies to be issued will contain exceptions to the following matters unless the same are disposed of to the satisfaction of the Company: 1. Defects, liens, encumbrances, adverse claims or other matters, if any, created, first appearing in the public records or attaching subsequent to the effective date hereof but prior to the date the proposed insured acquires for value of record the estate or interest or mortgage thereon covered by this Commitment. 2. Standard Exceptions: (a) Rights or claims of.parties in possession not shown by the public records. (b) Easements, or claims of easements, not shown by the public records. tc)'Encroachments, overlaps, boundary line disputes, or other matters which would be disclosed by an accurate survey or inspection of the premises. (d) Any lien, or right to a lien, for services, labor, or material heretofore or hereafter furnished, imposed by law and not shown by the public records. 3. Special Exceptions: a) General taxes for the year 1989 (due and payable January 1, 1990). Total taxes for the year 1988 are $375.16, which are paid. Computer No. 020-1180-50. r b) Right of Way Grant to Wisconsin Telephone Company, its successors and assigns dated April 19, 1971, recorded August 11, 1971 in Vol. 1147511, Page 54, ,Doc, No. 306319 being 10 feet distant from the first line installed hereunder. c) Plat of Cedar Hills Estates II dated January 30, 1987, recorded May 13, 1987 in Vol. "5", Page 39, Doc. No. 425605 reserves a 10 foot utility easement along Larsen Lane and a 30 foot drainage easement within the Southerly portion of the subject premises. A common driveway with Lot 35 of said Plat is hereby reserves along the common lot line of Lots 34 and 35 of said Plat. d) Declaration Establishing Protective Covenants dated December 19, 1986, recorded December 22, 1986 in Vol. 763, page 582, Doc. No. 420552. Contains no reversionary clause., . s v~ . a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z d a OWNER/BUYER e Ilusye .jOQ,A L /.1,11ad _ M ROUTE/BOX NUMBER 76.2- Lurser% kn Fire Number CITY/ STATE c, „n W= Z IP 5 PROPERTY LOCATION: 14, Section T N, R W, Town of /yd44dr% St. Croix County, Subdivision Lot number improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into i the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their 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 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 is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H F I/WE, the undersigned,, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with N the standards set forth, herein, as set by the Wisconsin Depart- ~v 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. S I C N E U ,a .mil O'Z~.wr. q D A'r E/3/QQ St. Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS IND"I'Rl(, DIVISION P.O. BOX 7969 LXBOR AND . PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: FTOWNSHIP/yk+NtCt?A CTT4: LOT NO.:BLK. NO.IS BDIVISIONINAME: sW 1/ N 1~ 1/4 Ze /TZ9 NM9 E (o) 1 (QsoN 34 COUNTY: BUYER'S NAME: MAILING ADDRESS: ~79 Ls,~fl lv9 5. 1_Z Sr N W) USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PRO IL DESCRIPTIONS: ER AT ON TESTS: AResidence New ❑Replace Z 46 v RATING: S= Site suitable for system U= Site unsuitable for system COI IV TIO❑NAL: MOUND: ~~N- JGROUS P❑~ RE: SY I S I❑ I EIS - I~/J~V~ : ECOMM INDE 0A'4L SYSTEM: ItLj ~JJ l ICJ L If Percolation Tests are NOT required DESIGN RATE: J I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: CLA-,S Floodplain, indicate Floodplain elevation: rIPr PROFILE DESCRIPTIONS BORING TOTAL DE TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH. ELEVATION OBSERVED ST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- r ► 9,47. q9?C CAN >9.4Z B- Z 1D,U 97.43 V4,j E > io. 67 B- 9.17 r > 9.1-7 i' c c_iS 19"'BQ 40"~~ta rti1J B- 9.ZS 97.14 NCNL ? `1 2S 1C' LL'-:!; ?2"~~R~~ r~7S B- S,q-Z 4`l.3~ a~i~ > 9•~~ li"' «~s 1~" L 1?`~~` : -r .e 7o"'8Rti 1~= B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 111CRIS AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD2 P R PER INCH P. I 14,Sv o 9-7.20 /0 /ze P- z 4--7c NaNE 9T46 / O '/4 114 P_ 4 10 r~.N, 19-7-40 /4 4 P- P_ L~V1~i 10 11" t C 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. SYSTEM ELEVATION _QZ, 70 37~ - B~S 9-2 ycwmnR-)~ - NW C01Z4;6 P pp~F ~ k 3 CONCfZE`t~ P14 GCUtN1% DLUE A 11'' ,1 5S ~ MOLL ~ nr1 App AucivT ~o ~ TY.> L -3 '.~Cyxt k' L C V 4T 10)-- /60 00 Q o_z / ~7 g4 ~ 1 hr1. ~ l~002 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. CN: NAME/(print): 1 TESTS WERE COMPLE D ' 11 ADDqRESS: CERTIFICATIO NUMBER: P.OONE NUMBER (optional): 40~ 3~84~ CST SI N TUBE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. IR-SBD-6395 (R. 10/83) - OVER - k c-f G A vF u ds III '/L {N ~r Al hr l d ss' fl,*tO Allp D _ Y.~Y • ~ ~ of