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HomeMy WebLinkAbout026-1049-95-000 (2) a o ; °o I O F» h C c O C TY N ;a p -p to y 00 N l1JY c v yin 0 o ~ 3 w .c io N N N 5 00 (D 0 E v L co E 7 Ew y~ y ow € 7 y W D ld C. d o 7 fl w C O d c m O lN6 N L z: L .y.. 'O C C d w L ZO 3 ,in ~ O ~ C _ y X w 5 C Q 7 N ` N (D O V NO~,O C LL 3 v u X Z a~ y m o < CL2 20 CLO 3 N m y N Z UJ C E (a Z 0 L I v € Q $ ° a m 0 H Z C N 'O m o 7 V 7 = O Z c y 0 c v o w y m N H N 3v c y E m~ 'a N CL rn y 4) M '2 ` S 0', 0 11~ N y 0` O •~l d= t j wO O O _ m i6 N IL m c o O° a p O y O z N H z Z Z N _ w Cl) Cl) V N n a ! - r _ o ° I~ccIL a E 75 z c IL U) o 3 3 3 • _ ~aaa C> C) U) L 3 ° rn (D Z N J U rn ~w v o i0 y p ao rn O c fn c a ao 0 to N 4? U O Q U) m o 00 7 a~ ~j O O C f_yA C IV Q 0 w0 C C O 72 N O) _N O O H f0 y On N U CD :3 a 0 0 CD 0 0 U a N v y E E m y N l w co w C O r- m O O ! y o n 00 C7 o f N y N 1- I- c 0 so `n u l y n o ai E E R v • ~1' O N 2 ~L N O Z y1:1 ~71 fn y m a V C~ • a N v N a C rr~~l v E 2 c C +y+ ~1 A c°~a~ I,oinU IIilIILILIILIIiIIl~ !Il III.I II ! 8082309 Tx:4062337 Document Number Document Title 962534 St. Croix County BETH PABST REGISTER OF DEEDS Occupancy Affidavit ST. CROIX CO., WI r RECEIVED FOR RECORD 08/28/2012 12:42 PM Name - (Owner) Typed or printed EXEMPT REC FEE: 300.00 being duly sworn , states, under oath, that: PAGES: 1 1. He/she is the wner/ owner of the following arcel of/ /land~ located in St. Croix County, Wisconsin, recorded in Volume Page 13 J Document Number220St. Croix County Register of Deeds Office: Recording Area A Name and Retum Ad ess A parcel of land located in thcvw/ V. of P V % of Section 2 0 y'rA L D?j FF- T (1 N-R W, Town of CHM0^jD St. Croix DAVID S County, isconsin, being duly described as follows (include lot no. and Ned C k m b \I/X- 54017 subdivision/CSM or detailed legal description): / o~ Z~/ ~eGo~cLecl 'Y L O T C,6F-f- nF(isV2(1 )q P "'n 0111M e Z l0 - 01619 0- 3 U- l 1 D On Al e 2 2 99 as D o e ec ~~n o. ~1(o y 6SS h M-f / Parcel Identification Num (PIN) aFlg7AlWyy o~ ~Pa.f ofSw%foL cnlE Ze( 2/i, 1?4f V/- As owner of the above described property, I acknowledge that the septic syster4i serving this residence is sized for a Z bedroom home, or a design flow of 34-y d. The design flow is calculated by as uming 150 gpd for 2 Individuals per bedroom. There are currently occupants living in this residence; occupants are permitted based on the design flow. 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 accomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this day of * ACKNOWLEDGMENT o Signature(s) STATE OF WISCONSIN ) St Croix County. authenticated this day of Personally came before me this Z2- day of ~f G5 I iii the above named * TITLE: MEMBER STATE BAR OF WISCONSIN (if not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY N ublic, State of (Signatures may be authenticated or acknowledged. Both are not My'Commission Is peananent-411'sitO • L- #e etaratf ii1ii necessary.) Date: - { • a 1,r 1 "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE rJl`!1,--- the ?Tars information must be oortlpleted by submltter document title. name d tetum Tess. and SIN (d required). Otl~e~Lil , gnsnjkV louses, !eager desafptlon, eta mey be placed on this brat page of the document or maybe placed on addlf~or lt~~" ,,f" document tWL Use of thls cover' page adds one page to your docxanent and $ QQ to the recording fee. ~sconslii Sterut r 8 };t7. 1 of 1 1 ~ x r i O 3 ■ I ~ I 35,-¢" I i Siy o i 3 t~ 1 h i bi m 3- x 6'-8 10=10" do roffice 8-6 X N ' L master r m G bedroom cl) L - 4 ~C 4'-2" ~ I c t fV i X 26'- 101-1011 8 bedroom 7 -6 ~i 6'-8" X bedroo 2 (V - 5'0'x 5'-0' 10 16'-0" 32 10" jc, ~r rrz) r 7 c'6 . II J 1 t z Parcel 026-1060-30-110 08/28/2012 10:53 AM PAGE 1 OF 1 Alt. Parcel M 20.30.18.297A-10 026 - TOWN OF RICHMOND Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - WALDROFF, DAVID J & JULIE A DAVID J & JULIE A WALDROFF 398 RIVER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1478 CTY RD A SC 3962 SCH DIST NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.820 Plat: 2299-CSM 08-2299 026-90 SEC 20 T30N R18W PT NW NE BEING PT OF Block/Condo Bldg: LOT 01 LOT 1 CSM 8/2299 1.82AC INCLUDES P2986-10 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-30N-18W Notes: Parcel History: Date Doc # Type 07/23/1997 89/4 07/23/1997 887/615 2012 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/27/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.820 22,200 54,600 76,800 NO OTHER G7 0.000 0 10,500 10,500 NO Totals for 2012: General Property 1.820 22,200 65,100 87,300 Woodland 0.000 0 0 Totals for 2011: General Property 1.820 22,200 65,100 87,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 026-1060-30-050 06/13/2005 08:28 AM PAGE 1 OF 1 Alt. Parcel 20.30.18.297A 026 - TOWN OF RICHMOND 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 " WALDROFF, DAVID J & JULIE A DAVID J & JULIE A WALDROFF 398 RIVER RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1480 CTY RD A SC 3962 NEW RICHMOND` SP 8020 UPPER WILLOW REHAB DIST ll'' SP 1700 WITC f U ~ C Legal Description: Acres: 35.150 Plat: N/A-NOT AVAILABLE SEC 20 T30N R18W PT NE NE & PT NW NE EXC Block/Condo Bldg: PART TO CSM 8/2299 & PT TO CSM 17-4514 & EXC PT TO WALDROFF MEADOWS III Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 20-30N-18W NE Notes: Parcel History: Date Doc # Vol/Page Type 05/08/2003 720532 17/4514 CSM 12/20/1999 615773 1479/210 WD 07/23/1997 824/221 12/05/1990 464663 887/615 LC 2005 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/01/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.000 4,500 0 4,500 NO OTHER G7 1.150 9,900 89,800 99,700 NO Totals for 2005: General Property 35.150 14,400 89,800 104,200 Woodland 0.000 0 0 Totals for 2004: General Property 35.150 14,400 89,800 104,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 C© urs~i lT' i lO. STATE SA I3. or WISCYNSIN FORM 1-19m=m ~ -rna "ACIL wcnacvR-rta sea M=aw.ao OAT. !1 T WAR.FIANTY DEED ST. € ROIX CO.,, 4.461 p `I`Teus I d ,oad~ lsaTt~ a Edward Ater $Crt~ for Record Edxrard_...7., fr~'rt, a ~sngle_ Tnan_, 9k.C 2a,1990QN1 i~ 1 and DAYi d r = WAIAKo F ~ 4Ad r1 Ike ~ ~►ai ~ ~?~e~~ ~r~ ~ ~ I~ go~ of OM& c~mu, itnesseth, That the acid Grantor, !or a viduable co"I]eralLon_..-__ ~ conveys.-t4 grantee. the foIlowing described real estate in _ Cou,aty,_State of Witteonsin: Ii Lot I of the Certified Survey Map recorded Tax Parcel Nor Ei in Volume 8 of Certified STSrvey Mans can Page ZZ99 as. 'Document No. 4646SS, tieing a part ~j of the Northwest 1/4 of the No:'theast 114 and part of the Southwest 1/4 of the Northeast 1/4 of Scct cr --70 Township 30 {worth, Range 1: :Rest. This deed is given in partial satisfaction of that land contract i~ 1,Prwp~n._Granti-~r and Grantee dated December 4, 1990, and recorded in the St. C.O';X COUnty 1(Co15te.r vz „cu...? v: ta..• r ,oan in Volume 887 of Records on Page 615 as DocuementvNo.~464663. it H ~f I This L* ...npt........ homestead property. ~I (is) (is' not) 1 Together with all and singular the hereditaments and appurteannees thereunto belonging; And C}xaxlt,4X...: ~I warrants that the, title is good, indefeasible h. fee simple and free uvd clear of oncu:nbrances except municipal zoning ordinances and easements of reca:lri II and will warrant and defend the same. Dated this day of . - .Cel?i.?4.;' 18...9 Q, l , y/ !I ~.-/.,v (SEAL) (SEAL) A Edward Merkt I ....d ..............J ward Merlct I (SEAL) (SEAL) S` " {i ACTHzNT1CAT30N ACBNOWLEDGr4UNT jiy~YTatur.ll8j K.£._k~lY.} ci..~s€]fkt__.s?L.1_a-- STATE OF WISCONSIN y sB. -------------------.County. !I. sut„entleated ttim 6 i teas jP. O Personally came before me this day of c-"•'~' - 2°....---- the shove named i1 TITLE- MEMBER STATE BAR OF' WlSCO.:SIN CUCaWk .......•-.}crson . rho executed the + 3(4~(r, a( 1.~( C , 'l f'3ar . 00 to m kjl ovpn to he the F fareming instrument and acknowledge ~y. .ame. WAS a ~i-:T•: .^-D r,- t I I3ElxxL. NORMAN. SSC1flJ1k1A1,CF..R, SKrNNT?{L FF..ZVfi'~{~.6. New ~Fy S4017 3-`:_;. P!011:r _ county. Wis. Si C' 04. l i3e. . . . . . . . . . . . . . _ -r..... r i-1 • - f• r- Ir T_ : t!'.:cet!i_cat 9toe? _e__r=nwln jvnrl. Sr}th AT~• r '~ntrtai=sirrrt is 1 ..tt.i.- not r.. rter>.) I it datr. e •L36rt1~•4 t.•TOU r.i Ai,CTiflR !r. w _ r. r:i n. .f,} ..••y+. aS lea' f.}1>r.l .1^ f`r:nlr.l <`.^1 I....:r ~I ,r.. WARRANTY REEL 13TATF BAR flF WIR0^ISIN '•C r.r:-n>in Tsvni fcDm6 C ina. FARM No. 1 79St' ~r:3.1n +i:e+. rs. /v 14'79PAGE 210 6157'73 KATIL OF DEEDS ST. CROIX CO-, WI umber- WARRANTY 12EEDL- RECEIVED FOR RECORD This Deed, made between Edward Merkt a/k/a Edward J. Merkt, a single 12-20-1999 10:00 AN man, Grantor, and David J. Waldroff and Julie A. Waldroff, husband and WMRRNTY DEED wife, Grantee. EXEMPT M Witnesseth, That the said Grantor, for a valuable consideration conveys CERT COPY FEES to Grantee the following described real estate in St. Croix County, State COPY FER:FEE: 6~5.fi0 of Wisconsin: RECORDING FEE: 12.00 PAGES: 2 Retwrdln Area Name and Return Address BAKKE NORMAN, S.C. P.O. BOX 50 NEW RICHMOND, WI 54017 (see attached list) (Parcel Identification Number) SEE ATTACHED SCHEDULE A. EXCEPT Lot 1 of Certified Survey Map recorded in Volume 8 on page 2299 as Document No. 464655, which was previously deeded to Grantees by Warranty Deed dated December 26, 1990 and recorded on December 28, 1990, in Volume 889 of Records on page 435 as Document No. 465220. This deed is given in satisfaction of the Land Contract dated December 4, 1990, and recorded on December 5, 1990, in Volume 887 of Records on page 615 as Document No. 464663. This is not homestead property. Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated this 1- dray October, 1999.. I III, I 'Edward Merkt a/k/a Edward Merkt I AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE of WISCONSIN ST. CROIX COUNTY Personally came before me this 1th day of October, 1999 - the above named Edward Merkt a/k/a Edward J. Merkt to me authenticated this day of known to be the person(s) who executcd the foregoing ins umd ckno ledge the same. signature signature type or print name type or ~irtan~a: e TITLE: MEMBER STATE BAR OF WISCONSIN roix County, Wisconsin. (If not, ermanent. (If not, state expiration date: authorized by§706.06, Wis. Stats.) -/4'0 0 THIS INSTRUMENT WAS DRAFTED BY Names4,person g in any capacity should be typed or oJttei ig tures. Timothy J. Scott ri ~gcj BAKKE NORMAN, S.C. PV B1 (Signatures may be authenticated or acknowledged. Both are not ze p fr~»MO~` necessary.) In/ormaUan Prolesslanals company Fond du Lac. Wisconsin 800-655.2021 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ~r,- g fTOWNSHIP A-. /1,,~~ SECTION aO TO ,N-R_W ADDRESS ST. CROIX COUNTY, WISCONSIN P~ (14,k YVL?vl 7S C~ SUBDIVISION wk ig LOT LOT SIZE 3f), 44e-S C PLAN VIEW C 2 2-9 11 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 100 S G i 10~k 34- A 6#1 INDICATE NORTH ARROW BENCHMARK: Elevation and description: Alternate benchmark SEPTIC TANK: Manufacturer: 9,6 I~SC~?.~ • Liquid Cap. ld&r) 9g Rings used: O Manhole cover elev: e Final grade elev:5F57 7`s~ Tank outlet elev.: Tank inlet elev.:~~ ' No. of feet from nearest road:FrontL-'-Side , Rear Ft. 80 From nearest prop. line:Front ; Side , Rear Ft. 80 Noe of feet from: Well 11061 - , Building: A8' (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE ~ f PUMP CHAFER Manufacturer: Liquid Capacity: Pump Model:_Pump/Si Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: ump off elev.:_Gallons/cycle: Alarm: Man.: Switch Type: Location Distance f om nearest prop. line: FrontSide, Rear Ft. Dista a from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: L-----Seepage Pit: Width: C Length Z,:~ Number of Lines:-/ Area Built,--2, UP, Exist. Grade Elev. 9~ Proposed Final Grade Elev. f Fill depth to top of pipe: Z Z No. feet from nearest prop. line:Front-_4,::::Side Rear Rear _Ft.~ Q No. feet from well: No. feet from building HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of in t: No. feet fr nearest prop. line:Front Side, Rear Ft._ No. fe from: Well, building, nearest road Al Manufacturer: INSPECTOR: DATE: 9-~ 17a PLUMBER ON JOB: LICENSE NUMBER:_1~f2SGV3ZS. 6/90:cj s DEPARTMENT 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 Town l.D.Number: NWT,- 4 NE3rSec.20,T30-R18 CONVENTIONAL ALTERATIVE S (Ift assigned) 4 ❑ of Richmond CO ❑ Hol Ying Tank El In-Ground Pressure El Mound AME OF ERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Edward Merkt 1480 Co. Rd. A, New Richmond, WI vs~ BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ST REF. PT. ELEV.. ® 57 Q.. c.Ce a~f. ' I OD.S & d~ Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Gary L. Steel 3254 St. Croix 128728 SEPTIC TANK/H 1' p S ST 5 $ ' MANUFACTURER: LIQUID CAPACITY: TANK INLET E TANK OUTLET ELEV.: WARNING LABEL LOCKING CD R / PROVIDED: PROVIDE: ro c;24 YES F-1 NO ❑ YES NO• BEDDING: VEN4 DIA.: V{-W MATL.: HIGH WATER UMBER OF ROAD: PROPERTY WELL: BUILDING: VENT O ESH t •o• 11 Q 1. ALARM: FEET FROM LINE: / r AIR I 1~W ❑ YES NO ❑ YES NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: IQUID CAPACITY: PU PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALL ER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING NT TO FRESH (DIF RENCE BETWEEN VESZFBOM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEARE SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETE : MATERIAL 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 SYSTE 7 S ~R,vn L Ztl. s s; ' BED/TRENCH WIDTH: LE NO OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID S / e TRENCHES: MATERIAL: P DEPTH: DIMENSIONS (P GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. E DISTR. PIPE MATERIAL: NO. I TR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. LEA: ELEV EN/ PIP S: FEET FROM LI AI~N,L,E~Tr( 9 , T oc- f_' 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: tems to make certain that it ON REVERSE SIDE.' SHOW ❑ YES ❑ NO meets the CrI 'a for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BE DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: S ND. SEEDED: MULCHED: CENTER: EDGES: YES ❑ NO ❑ YES ❑ NO ❑ Y S ❑ NO PRESSURI D DISTRIBUTION SYSTEM: BEDITRE H WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL D TH BELOW PIPE: FILL DEPTH ABOVE COV TRENCHES: DIMENS NS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: O. DISTR. DISTR. PIPE DISTRIBUTION PIP MATERIAL & MARKING: ELE ATION AND ELEV.: ELEV.: DIA.: ELEV.: ES: DIA.: DI RIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIA VERTICA FT CORRESPONDS TO INFORMATION PPR D PLANS E__1 YES ❑ NO A ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: I COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES NO NEAREST-* R a n county file for audit. Sketch System on Reverse Side. SIGNATU TITLE: r SBD-6710 (R. 06/88) DILHR SANITARY PERMIT APPLICATION 77 In accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Ems STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than Ik ir 8% x 11 inches in size. ❑ cheision to prey ous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFOR TION. PROPERTY OWNER PROPERTY LOCATION Edward J. Merkt ~uYAy- bG Ve-W",NW %NE Y., S 2 T 30 , N, R 18 *(or) W PROPERTY OWNER'S MAILING ADDRESS LOT # LOCK # 1480 Co. Rd. #A n/a ~ n/a CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME SM NUMBER ' Z New Richmond Wi. 4017 715 46-5511 n/a 0 CITY 13 VILLAGE NEAREST ROAD I1. TYPE OF BUILD71-Xor eck one) ❑ State Owned . Richmond Co. Rd. ~~A ❑ Public 2 Fam. Dwelling-# of bedroo is PARCEL AX NUMBER(S) a-1,2 J-J 111. BUILDING USE: (If building type is public, check all that apply) 26 ~6257 f ,l l 7 0 1 ❑ Apt/Condo ! / V 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) 1.4~lew 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. G ON R DAY 12. 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 300 330 330 .91 <3 95.48 Feet 99.10 Feet VII. bUgK' CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank x 1000 1 Weeks C . P. Lift Pump Tank/Si hon Chamber 1 El I E] - VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for install ion of the~onnasite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's ature: (N m ]=/MPRSW No.: Business Phone Number: Gary L. Steel C~~,(V-~J 3254 715 246-6200 Plumber's Address (Street, City, State, Zip ode 1554 200th. Ave., New Ri nd, Wi. 54017 IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing A em: Signature (No S m Approved ❑ Owner Given Initial cc_ Surcharge Fee) Adverse Determination 10 ~v X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (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-6396 (R.11/88) STEEL'S SOIL SERVICE Gary L. Steel 988 N. Shore Drive C.S.T. 2298 New Richmond, WI 54017 MPRSW-3254 (715) 246-6200 Edward J. Merkt NW-14N04- S20 T30N R18W Richmond, township r~ 7G r ~ 0 t Ooo ~yr p ~~s1~L72q~u~X50+ ArP /ere' W jew- /le" /I /11-C Gary L. Steel M,; d' fi/ ( *"4c v S 8-1-90 sl- tF~ ea . I v u s ~r~~ ti ~ p~C p ~1990.. i p 5 n'CONNtir~~ C2 ~ JARee9istet or p~ W1 ,Q gt. Ccca CO.. N CERTIFIED SURVEY MAP Located in part of the NW4 of the NE-44- and in part of the SWP % of the NEB, all in Section 20, T30N, R18W, Town of Richmond, St. Croix County, Wisconsin. LEGEND OWNER County Section Monument - Aluminum David Waldroff (Ed Pterkt) i.. t ~ A- , Cap Found. 398 River Road F• Hudson , WI 540 16 Q• 211 Iron Pipe Found • 111 Iron Pipe Found O 111 x 241' Iron Pipe Set, weighing 1.68 lbs. per linear foot. -*---14 Existing Fenceline North line of the NQ of Section 20 East V East - A 810.721 1774.341 N Corner of M NE Corner of Section 20 T co Section 20 L O c° N o 0 C) C) ° Unplatted Lands N CT y (U~ V` 0 o S89°56' 27"W 266.34' 1.51 U W a0\ u A ~`a ao w ~ m ° ye ~o N \ \s N +°J IVEWAY ~'o\ 41 o w W ° Shed B ~ ° I~, ro C 1n V M ro 'CP LOT 1 M o 79,455 Sq. Ft. (1.82 Acres) Including R/W 1 00 61,103 Sq. Ft. (1.40 Acres) Excluding R/W Ol J I t0 - I ~ I F , to ~ rn "I 411 ro I M z : i M O o0°' Y O c Gam, `,y,, •l~ra ~ / 00°~ e oti DI. ~ 41 L 1j rX ro E - SCALE IN FEET L ~ 41 0 25 50 100 w O. / VOLUME 8 PAGE 2299 ^ APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property 10 !`t" , W~X4 Location of property _1/4 ~1/4, Section ZC~ , T_[LN-R_L8_W Township "d Mailing address 14-An e-A .-dcl ,4 7 Address of site~~ l Y~QtiV~ w4vecl p _ ih rAYl Subdivision name ~ h 40 T ~ ~ ~ ya ✓ Lot number Previous owner of property/) l~cF'iJ2 Total size of parcel Date parcel was created Are all corners and lot lines identifiable? V Yes No Is this property being developed for resale (spec house)? Yes Volume o ?6 s and Page Number _ 6~/ has 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 deed recorded in the Office of the County Register of Deeds as Document No. -Zc)ZO834 ; 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 been duly recorded in the Office of the C unty Register of Deeds a -Document No. n.- Signature of Own Signature of Co-Owner (If Applicable) J o Date of Signature Date of Signature i WARRANTY DEED. STATE OF WISCONSIN-FORM No. 1 1 i I NUMBER I Joe Merkt & Wife i New Richmond, Wis. Received for Record this 7th 0 ? 202084 TO April A. D., 19 43 at 91 Edward Merkt New Richmond, Wis. David Hope, Register at u This Indenture, Made this 11th day of January A.D. 4i between Joe Merkt and Addie Merkt, husband and wife and also in her individual capacity, j i part i e s of the 11th ,,gg r' Edward ltterkt, New Richmond, Wisconsin I Harty of the II' WITNESSETH, That the said part i es of the first part, for and in consideration of the sum of One Dollar and other valuable considerations to them in hand paid by the said part y of the second part, the receipt whereof is hereby confessed and acknowledged given, granted, bargained, sold, remised, released, aliened, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remiss, Opp' alien, convey and confirm unto the said part y of the second part, his heirs and assigns forever, the following d estate, situated in the County of St. Croix and State of Wisconsin, to-wit: ~ .IyiF The Southwest Quarter of the Northeast Quarter (SWNE) of Section Seventeen. (17), and all. ± part of the Northeast Quarter of the Southwest Quarter (NFZW) of said Section Seventeen (17) whie lies south and east of the main channel of Willow River (except the right of flowage from Will of said above described land) and the Southeast Quarter (SEA) of Section Seventeen (17) and all.t part of the East Half of Northeast Quarter (E4NE,) of Section Twenty (20) which lies north of th0 right of way of Chicago, St. Paul, Minneapolis & Omaha Railway Company and all that part of the ff~'I Half of Northeast Quarter (WLNE,l) of Section Twenty (20) which lies north of the Public Highway ~w ! from the City of Hudson to City of New Richmond as now established. All in Township Thirty (30) 1 j1 ; 7r ei of Range Eighteen (18) West, containing 305 acres more or less. The consideration above the mortgage is less than One Hundred Dollars. I 1 TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all the title, interest, claim or demand whatsoever, of the said part i es of the first part, either In law or equity, either in possession or expectancy of, is giabove bargained premises, and their hereditaments and appurtenances. N TO HAVE AND TO HOLD the said premises as above described with the hereditaments and appurtenances, unto the said party of A part, and to his heirs and assigns FOREVER. AND THE SAID Joe Merkt and Addie Merkt, husband and wife 4 for themselves ,.their heirs, executors and administrators, do covenant, grant, bargain and agree to and part y of the second part, his heirs and assigns, that at the time of the ensealing and delivery 61 theef E~ they are well seized of the premises above described, as of a good, sure, perfect, indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all lncumbrances whatever, excepting;: Land Bank loan in the sum of Sixty three hundred & no/100 Dollars which said second party hereby as and agrees to pay and that the above bargained premises in the quiet and peaceable possession of the said party of the second part, his assigns, against all and every person or persons lawfully claiming the whole or any part thereof, they will forever WARRANT AND i u IN WITNESS WHEREOF, the said part i es of the first part ha ve hereunto set thei r hands and seals this 11 r, i day of January , A. D., 19 43 1 x,~ Signed and Sealed in Presence of Joe Merkt Mary M. Swenby Addie Merkt i Ik Margaret Swenby Sager STATE OF WISCONSIN, ! St Croix County. } ss. Personally came before me, this 11th day of January the above named Joe Merkt and Addie Merkt, husband and wife and also in her individua capacity to me known to be the person s who executed the foregoing instrument and acknowledged the same. IF i Oscar A. Swenby dI+Il1 (Seal} Notary Public, St. Croix q My Commission expires May 30th p i sit Ui~l • II _ I 11.9 'j doe PZWrkt and ,.ddic, hlerkt, Ri~:;ht of "Jay Fasement. his 1,uife, Con. °+3l. etc. ~Dated Sept. 19, 1939. -tc- A.ck. S,.pt;. 19, 1939• Ii'cc. June 24, `St. Croi..-_ Cotznt~T 1,~Lec uric In I,aF:e 71. Cooperative, a. coo9erative association, I~ i Recites : T!-ie r ~_~.;rit to cri ter uport -:hc lands of tie undersigned situated in St. Croix Cot nt,y a X101 r,lot e ~az'ti cuiarlv de-scribed as t ollowrs : ;jl!0- o I'm , E'.- of of Scac • 1 also Part Of i~ t o~ T ox' Scc 20, 17r:1_r, - rind. be_i. n<; ,1. 01 railroad tracks, all in 3U-16; and to place, coins ti,uc'r,, o °ate, rer-A.i,, maint,l.in, relocate and re-olace tiler :On and in or u oon all street.- , roads or hi 7hw•rays ooar abuttinc~ sa.i_d lands an electric transmi,l,sion or distri.bAtion i line or system., and to cut and triin trees and shrubbery to the ex- tent necessary Lo k. F r) t iem clear of said el(,ctric line or slrstem, I~ and to cut doom frrn,l time to -J.znc all dead, weak, leanin , or dan- t t axe ta_l. 01-io1_;.,h to Ot,ri -tiz.e, wiles ,i falling. 1.1n grant nm this &-Lselrlent it isimdei stood t1iat at pole locations a >>1 7;1e role and a rvurtenm~i,c_-s vii.:LI bo lased and that the loc- at l.Or1 of the pole ,-ii.ll he such as, to form t!)e least possible inter ~i fey°ence to fIrr.rl o 0 crG .:i.o~~s ,o lc: s it does not materially illcrea c, 3 the cost of construction. To have :,.rid to io1d` said caseiient, tc- ^;et zcr 11itia all and s .n ;ular the ri 71-its cinc1 . ?ra-vile -cs a-),:,ert:-iinin( thereto, unto said coo,_:E;z i ;ive a: soci_at_~.o-1, its successors and ass' ns foi,ever• Tnis conveyance 'ID Uiz di2_ on the hairs, rcrresent- Ilat_i_ves, assi_oms and grarntee.l. of t .he i~ ,F o,,,, rkt and 1L~!d ~ ~ Pig rht~ VVarra.nty Deed. I husband anc',, :!nil .1:50 .L 11 Co ff C tC 0 Iicr individual capaci_t T, Date, Jan. 11, 1c))1_3, ' ck. Jan. 11 , 1_c)) .j• -t0- rye c . 1~_pril Ti~ it? Edward Tlierkt. Sli 1 of 1Jli of `=;r~r 1' :end all that 7 hart at hof r of said S`oc 17 which llo. s S and E oi' the L"airi c}) lnnel ot, ?"irillowr River (c,cc© t tIle ri"rlit of :i'1-c)r re f'i-c) i7_lo r i i.ver oL' said above described land n v and t;li 1 0 ,:)(,c 17 n al l ~ at `)art. of the F'." of IKE of ",,-,c 20 !r'_iic~n lies J Rya UI the iE~.illr0 l':{ r~. - F t f a~~ io t~•p.Iilo Of LOe and all that part of 14. of 'NE,- of sec 20 r.-ralch lies 1 of the Public Hif~,hway runein~; from the City of HVIdsnn to City of New Richmond as rzowv established; all 1-11 30-1t,;, c0ntaini: 305 acres more or 7 R ess.~ c e co„sidel^a_tion above tho mortr,a("e is less t ?.an f100, ` l' iaLs,.d ,)re 1 -rc,s are free and c1-r `ir iron 'all incv brances wi-Lateve'r, e ;ceptinm i'cclr~ral land "Irik lo,_,zi in the sul,i o- a,Uf: ao. i'rtilC_1 .l.rl .JF cC`Ylri a rt7r 1c s °si ;T l •rc~s to n air a pay, 121_ L, , 7 1 cP ti o ol` a,..~ A Redeemed July 31, 1952 by Edward J. 1,'Prkt. y s I 30 '1 . STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER -R E d u i Arcd tP,91Z K r ROUTE/BOX NUMBER T FIRE NO.~O CITY/STATE ht 2510 g&h W&&4 I A)'/ ZIP 7 PROPERTY LOCATION: 1),.A)1/4 /4, Section T__.:?ZLN, R)8 W, Town of 1R,a'A M514 , St. Croix County, Subdivision? , Lot No. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 r (715) 386-4680 Sign, Date, and Return to above address D. PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY,' DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS (H63.0911) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/M TY: LOT NO.: BLK. NO.: SUBDIVISION NAME: NV 101/4 20 /T30 NM84(or)W Richmon n a n a n a COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croi Edward J. Merkt 11480 Co. Rd. ItA, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE TESTS: NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERGULATION Residence 2 n/a Clew ❑Replace 7-24_90 17-24-90 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ns ❑US ❑U ❑ S E]U ❑ SOU conventional If Percolation Tests.are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 35 Sha BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHS ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B-1 6.67 99.10 none >6.67 1.42bl.1. 1.00bn.sil. .50bn.l.s. 3.75bn.c.s. B 2 6.92 99.08 none >6.92 1.58bl.1. .92bn.sil. .50bn.l.s. 3.92bn.c.s. 3 7.25 98.98 none >7.25 1.08bl.1. .75bn.sil. .42bn.l.s. 5.OObn.C.S. B- 4 6.67 99.22 none >6.67 1.50bl.1. .92bn.isl. .58bn.l.s. 3.67bn.c.s. B- e.5 6.83 99.00 none >6.83 1.33bl.1. 1.08bn.sil. .50bn.l.s. 3.92bn.c.s. B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. -PERIOD 1 PERIOD 2 P R PER INCH P- 1 3.62 none 3 6 6 6 <3 P- 2 3.60 none 3 6 6 6 <3 P- 3 3.50 none 3 6 6 <3 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. SYSTEM ELEVATION 95.48 . -l E 1 90- Q o j2e ~l . E 3 E I E !T } I 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. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 7-24-90 ADDRESS: CERTIFICATION UMBER: PHONE NU ER(optional): 1554 200th. Ave., New Richmond, Wi. 54017 2298 1715-246 200 CST SIGNAT DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - t. INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 5335 a cornpletr.curate soil test, your report Ma)st include: 1. C :e lest I :.)n; 2. T~ i r arty indicate whether this is e or commercial project; 3, ftt.'~.; f bedrooms or commercial use pit pct; 4. Is thi (__rnent system; sui bility rating boxes. A SITE IS SUITABLE FOR A HOLDING TAN .Y IF ALL :STEMS ARE RULED OUT BASED ON SOIL CONDITIONS; the abbrevi it -iown here for writing profile descriptions and completing the plot plan; T '_FGIBLE dia-- ^urately locating y -:.ir test locations. Drawing to scale is preferred. A .-ay be u i; S ur benchrm vertical elevation i point are clearly shown, and are permanent; all appropriate boxes as to dates, names, flood plain data, percolation test exemti- l ia. 7ch -~z- t I plain, elevation) d, r apply, plat.,, n~ r,. th~ h box; ace ye r went address and yor ficatiorz and di -")Ute as re(Juired, ALL OIL TESTS _ED 'tITH THE AU'l ?ITY WITHIN 30 DAYS OF COMPLETION. AB:" IONS FOR CERTIFIED SOIL a Soil Sena Textures Other Symbols st Sto 11) BR Bedrock col:) Cot - SS - Sandstone gr Gra.ti 3") Umesta s San ' High Ci CS Coz reed s - Metliur- V, is Fin _ BUi' Is Loarny d Great . 's[ Sandy L,,a;n Less I ns.i 'I - L ant Bn Brown sil L: ;m BI Black Si Gy Gray #cl C' L_)am Y Yellm"i scl Clay Loan R Red sicl - C'ay Loans mot - Mottles SC Clay W/ - With sic - I ay fcw, (i t r C, !ommr pt - I' ti _ ;JEany, P." ;k - bistit p - h HWL - W level, Six --neral , (ti-es St1Y ,tC',' !i )sal M - Beach 1~ - - VRP _-.Yerti Ce Point AE OWNER: + +r r, l a sa,,, < TI- cot ay rec;nest I1 A tie private y in order to ~l