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HomeMy WebLinkAbout018-1083-28-000II ~ ~ ~ ~ ~ S < G ~ ~ ~ :J j~ 7 <R ' I w ~ . ~ I, ~ I~ ~ Q ~ v I,, N ~C O ~ "C7 r N N O 'O w ~ Z D m c~~ D ~' m ~ W C ~ C;. " C ~` I } C Z 0 ~ ~ n G C ~ ~ ~ m w N i < i ~ O ro iti ro C m 7 ~ (n j' fl-'O m ~ ~ w D a ~ a~ c m w a N ~ y ~ O O . w O C ~ w T. C w ~ N ,~ 7 N a ~ < < . d O O ~ y ~ N ~~ aN.vO C p- ~ 7 CD ~ ~ ~ Z ~ 3 ~ ~ ~ ~ ~ ? _ m ~ w w o ~ ~ ~ m ~ ' p N ~ N ~ ~ 3 m m N p 6 < ~ Q ~ ~ (D ~ ~~ 3~'w~'of° - w w 3 ~~ >>rn aN o -w-~ v _ I m °- v n a p I S ~ 7 i O cn O O i O 'Q n cn O ~ 'a n j C e~i 3 3 Cl ~ O ! ~ ~ fD n <p 'O ~ / ~ ~ "f '~ ~ ~ ~ fD 3 ' I ~: ~ ~ ~ 3 r: I K ~ o W J m < 2 w -~ W o "'~ `t 1 O O) w N ~ ~ N c0 00 w,,, ", ! w ~ ~ v O ~ C. C _. a o~ -t ~ O ~ W ~ ~ ^' 1 d C ~ 7 ~ OM B , m Q- ~. a ~ v ~ I ~ O J W O N D. ' I 1 N N ~ '., c7 r cn 1 o °o m m N ~ p •• a ~ v ~ ~ ~ v v _ w °' 1 O O O 3 ~ I V1 f/1 U1 ~ N m ~ 3 ~y V ~ v q a ~ , l~D :: fA < N 1 d _ a m - ~ N Dl ~ ~ = to 1 1 ~ ~~ ~ 7 r+ Z ~ Z D ~ ~ ~ n~ ~ o N 2 m ~ _ ~ ~ N (D n ~ w ~ ~ _ p Z . ~ O ~ . J ~ A K ~ Q ~ 7^.. YI .. .. IIIm N O' oo m ~ m 1D ' ~ _ A z p Z :U J N z N ~ A W T C 7 C ~ Z p t 4 '~ 2 S ~. 0 ti 0 0 V -w b 'h` ` N Iv ~ +. ~ v Parcel #: 018-1083-28-000 12/07/2007 09:03 AM PAGE 1 OF 1 Alt. Parcel #: 16.29.17.600 018 -TOWN OF HAMMOND 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 - CALCAGNO, MICHELLE MICHELLE CALCAGNO 979 172ND ST HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): `=Primary Type Dist # Description " 979 172ND ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.440 Plat: 07-086-PHEASANT HILLS 2000 SEC 16 T29N R17W PT NE NW & NW NW PHE Block/Condo Bldg: LOT 28 ASANT HILLS LOT 28 2.440AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-29N-17W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 09/29/2003 741737 2422/231 WD 10/09/2000 631367 1549/231 WD 05/05/2000 622544 7/86 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class RESIDENTIAL G1 Last Changed: 06/30/2003 Acres Land Improve Total State Reason 2.440 27,300 231,000 258,300 NO Totals for 2007: General Property 2.440 27,300 231,000 258,300 Woodland 0.000 0 0 Totals for 2006: General Property 2.440 27,300 231,000 258,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 10/04/2005 Batch #: 05-27 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 60.00 Special Assessments Special Charges Delinquent Charges Total 60.00 0.00 0.00 /* ~ 1Niscon~in Department of Commerce Safety and Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal information you provice may qe used for secondary ptttposes [Privacy Law, s.15.04 (1)(m)J. Permi~'sName: ^ City ^ Village ~ TjpwrLOt' Evans, Will & Jennifer Hammond Township CST BM Elev.:• Insp. BM Elev.: BM Description: [~U D FI FVATION DATA County St. Croix Sanitark ~rmrt No.: 370363 State Plan ID No.: Parcel Tax N~ 018-1083-28-000 30 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic IJv~; ~ k,,c~~r.,~ ,., ~ b C~ Dosing Aeration Holding TANK SETBACK INFORMATION C STATION BS HI FS ELEV. Benchmark -i.Z lo3.y.. Alt. BM + ~ ~ q~ 0 - Bldg. Sew /d. ~t/}fit Inlet /o•g 4q.S~ ~/ ~ outle //. ~ 9 . ~ Dt Inlet Dt Bottom Header /Man. S7 g ~ Dist. Pipe S• ~~ 91- S~~ Bot. System ~ =7^ ~ . 4 Final Grade .~ ~1.~,7 St cover _ ~-- ~• ~~ ~ •'~~ I (0. ~ Z•' ~ l ~ . O PUMP /SIPHON INFORMATION Manufacturer nd Mod umber GPM T Lift Friction stem TDH Ft Forcemain Length Dia. Dist. To well p~ a~ TANK TO P / L WELL BLDG. vent to Airlntake ROAD Septic ~' ~ -~,q ~ 7j 1 ~ NA D i A ng os Aeration NA Holding C[lll ARS4RPTInN SYSTEM BED / RENCH ~ Width Length No.Of Trenches PIT No.Of Pits Inside Dia. Liquid Depth IMEN ~ .7 DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manu adurer. SETBACK INFORMATION Typeo IY~v,._ '~ ~~ CHAMBER OR UNIT Mo a Num er. Syste I S ~'~ A- f11CTQIRIITIAAI CVCTFfU ~~ _ ~r.~. ~.L._. - ~~Ca."'f'z..l Header / Mani of ,/~r / Distribution Pipe(s) , / ~ ? x Hole Size ~ x Hole Spacing ~ Vent To Air In ake ~ ~~ Oia. 7 Length ~ Spacing (O" Length 4;'? Dia. ~y - ~ l SOIL COVER x Pressure Svstems 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.) Inspection #1: t ~ / a / ~~ Inspection #2: / / Location: 979 172nd Street, Hammond, WI 54015 (NE 1/4 NW 1/4 16 T29N R17W) - 162917600 Pheasant Hills -Lot 28 1.) Alt BM Description =-t~ w;w,(,y~ ti; l l ~ +N~v,rsy C<c~l.rys (o-wir.~iy~ ~•'; ~ =r 2. Bld sewer len h = a~i A'ce,-t' w r°o•'~ ` ~~`° g ~ ~ ew(-w~i~•clcw tvt. ~La~c -amount of cover = ~' u. P, flb ~.I.lc.( X3.3 ~Y~ ~ ~~ f{. t • 11•ot -l•.~.wKe.~t - nrevision required ~ Yes ^ No Use other side for add' arhal~nfor tion. SBD-6710 (R.3/97) S~ l ~~c*~~'a'h Date Inspector's Signature Cert. No. Safety & Buildings Division ~ l~Z ~ Sanitary Permit Application zal w` Washington AvC Ir accor3 ~~a•± Comt't 8 ~.2 i. 1ti'ir Adm. Code PO Bet 7302 See reverse side fur instruC;ions for complCting this application Madison. Wl 33701-730, ,~~SCaiTlS~'ft ;Personal information you provide may be used for secondary purposes (submit completed form to cour,ry if r papartmOnt of Commerce I [Privacy Lao. 5. 15.04{ 1)tm?~ _ State owner -- Attach corn ere fllt5 (tt7 t e county rc umber Check ~ev~sionto'provttausapA t State 5swita er late p~ 1. D. Number 3 ~ ,~ ~ „ounty s r~, :('[ 1. A llca lnfortnation -Please Print sii information ~ ovation: any Louu on ,+.` ' Y stns -~ ~ ~ 1 ;r ~z :'; ~ R ~ ~l~ LNH i`~e Y U~.r/ 5' - 114 lJ [14. S T . N.1~~E or t Number 81oCk umber property O~vtter's Mailing A dress ~ ,1 SCO NUV - 2 U ~v~ ~~ L/ ~~ ~~ ~ ~ , a Subdivision Name or CSA9 Number C ty, slue Zip ode Ph , e ` S as --~ O City II Type of 8pildinS: (cheek oae) ~ ! ~~~s"' i,~,,~- ~ Dwelling - No. of Bedrooms: r 2 Famil O 1 p village ~`f'own ai ,,,, ,,,,~, y o O Pubiic~ottuaereiai (describe use): , a ~ oL - O State-t>esvrted IlI Type of Permit: (Check only one box alt line A. Check box on line B if applicable) Newest itoad 7O ~/~. ) I. ~ New System 2• ^ Replacement 3. ?~ Raplttcertent of 4. O Addition to ~ m t S Parcel Tax Numberts} b ~ -~ Dg -' ~ -bd ~ , e s S stem Tank Onl Existin 13sa~ed Perm t Numbs 8) l ~ • ~ • ~ ~ ~ D A Sato Permit was reviousl issued iiV. Type of POWT:sy:<at~: (Check ail that apply) ~ °a and Filter • ^ Cnnatnsctod Wetland 'Non-preaaui:od 1 r ~ 0 Mound ad I ®3 x 118 • ~s p Holding Tank D Single Pass O Presauri>bd In-~su ~ ' ~ G Drip Line : h D O ®3 x l25 Tnatrnent Unit O iRecircu}atiog D ~,~t D Aerobic er t / ./~C( S:`atcc:);'ouG~C~k ~`j.csulOer3 V tWl 1. Flow t Area lntormatloar opera 3. iapersal Area 4. oil Applieatiott , Percolu on linch) in R L .,8rstem Elevation Ere 5 9d sU n . : Posed Rau (GalsJdayJs Required ( ~~ - g Qt, S ~"6d ~ o ~~a l~d~ , ~~"~D.~t ~ ~ ~~~ Y ~ Z'~pk Capacity in Total ~bf Manufacturer Prefab C0r' Site Steel Fiber- C°n' g~ Plastic ; Iatonaatlon Gattons Gallons Tanks nett strutted j New Existing I Tanks Teaks a VII Ragpot~iblllty 6tatanent rho undetrsi raa nsibifit fcr installation of the POWTS shown n the attached lane. f3ustnrss ~~ Number Pbtnttttr's tgnature (na starttps): PR a. : Piasat (pstnt) ~~? l i~d ' ` . 7 /S- 3 8"G -31~ ~ /~c~ w~aEGfer tl 'ac v~~ S /~. YIIi Couttty/Departmeat U:e Only O Disapproved Sanitary Permit tt (Includes Groundwater Dau Issued Issuing Agent ignaturc o sump:) ~[ APlxoved L7 pvtmer Cliven !Willa! Adverse S arge Fee) Detertnittation ~P oZa S. ctD o - 30 - 264c~ IX. Coaditippa of Approver! tReaaona for Diupproval: ~ ~ ~~ G ~ ~,~~) ~ ~~-- as'~" ~- Sys. - -~ ~ ~ea~ ~ " -~ t ~ S8D~6398 (R 07!00} v D u o ~ i'rc ~t .~ `~ ~ ~ ~ ~ ~ ~. `~ h ~ a ~ ti ~ ~ ~ a ~ ~ ~ , ~! ~ ~~~ ~ ~° ~ ~~ V ~ Y1 ~ l ~~ ~ 1 t ~~'~ ~.3 3~ h 3 v a ,~ v t, f.. ' ~Wiscunsin Department of Commerce ORIGII~~~AND SITE EVALUATION Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 Certified Soil Testing Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must - County include, but not limited to: vertical and horizontal refe Dint (BM), direction and d t St. Croix roa . percent slope, scale or dimemsions, north arr n ~nrfa o d distance to neares - ~ - Parcel LD.# APPLICANT INFORMATION - le ~ prin all infonh ion . ~ Personal information you provide may be us~forsecon¢~r~ p1'fFpp (Privacy Laski s. 15.04 (1) (m)). ~~~. te R Vlewed By Da a,~ tIII ~~~r'~~~~. Q _ Property Owner Property Location Bonte, Ron ,,~.,-• k Govt. Lot NE 1/4 NW 1/4 S 16 T 29 N,R 17 W Property Owners Mailing Address - ~ ~ ;x ST ~` Lot # Block # Subd. Name or CSM# 1011 170th St. = NTY 28 Pheasant Hills City Stat"s,,~= Zi Co ~ ~i ~ ~~~ 15 ' ' ~ City Village ®Town Nearest Road d 170Th St ~ 796-5240. , O 1 7 .S Hammond WI . ammon New Construction ~ Reside~atia(./-Number of bedrooms 3 ^Addition to existing building - Use: Replacement ~ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •3 bed, gpd/ft2 •4 trench, gpd/ft2 Absorption area required 1500 bed, ft2 1125 trench, ft2 Maximum design loading rate •5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 24" below contours ft (as referred to site plan benchmar install 2 - 5' x 112.5' shallow trenches on contours in lower 1/2 of surveyed area (upper half is Ok for in-ground Additional design /site considerations p.~~~~ „~ ~ h~ Parent material till Flood lain elevation, if a licable N~` ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ® ^ U ®S ^ U ®S ^ U ®S ^ U ^ S ®U ^ S ~ U a7VIL IJG~7L-Rlr I IVIY RGrVR 1 Boring# 3? Ground elev 92.5 ft Depth to limiting factor 54' 2 Ground elev 92.5 ft Depth to limiting factor > 65" C~ Depth Dominant Color Mottles T Structure Consisten Bounda Roots GPD/ft2 Horizon in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. ry Bed ~ Trench 1 0-3 7.SYR 2.5/1 - sl 2 m gr ds cs if .5 .6 2 3-11 7.SYR 2.5/1 - sl 2 f sbk ds gs if .5 .6 3 11-18 lOYR 4/3 - sl 2 m sbk ds cs if .5 .6 4 18-25 7.SYR 4/4 - sl 2 m sbk mvfr cw if .5 .6 5 25-30 l OYR 4/6 - is 0 sg dl gs - .7 .8 6 30-54 lOYR 8/2 - fs 0 sg dl cs - .5 .6 7 5~4 lOYR 8/2 - S R .Z~F ~o Remarks: ~~tsx Is weaKly cememea, ~restsrar-c co penevanon wi lu r x 4i4 as Dana L oo-oy~ m-grouna pressure system ma~carea oy mss profi e 1 0-3 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 3-15 7.SYR 3/2 - sl 2 f sbk mvfr cs if .5 .6 3 15-23 l OYR 4/3 - sl 2 m sbk mvfr gs 1 f .5 .6 4 23-42 7.SYR 4/4 - sl 2 m sbk mvfr cs - .5 .6 5 42-52 7.SYR 6/4 - is 0 sg ml cs - .7 .8 6 52-65 l OYR 7/3 - fs 0 sg dl - - .5 .6 tY ~ o Remarks: CST Name (Please Print) Signature: Telephone No. Henry F. Grote ~ 715-665-2681 Address ertt to of esttng D to CST Number Ref # P.O Box 57, Knapp, WI 54749 416/2000 222774 1070 PROPERTY OWNER: Bonte, Ron PARCEL I.D.# 3 Ground elev 89.7 ft Depth to limiting factor . ~o. 4' Ground elev 88.7 ft Depth to limiting factor > 64' 5 Ground elev Depth to limiting factor > 69" Ground elev SOIL DESCRIPTION REPORT "~ ''~ ~ Page 2 0~ 3 . Certified Soil eT sting ' Horizon Depth in Dominant Color Munsell Mottles_ Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPD/ft2 Bed Trench 1 0-4 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 4-10 7.SYR 3/2 - sl 2 f sbk mvfr cs if .5 .6 3 10-25 7.SYR 4/4 - sl 2 m sbk mvfr cs - .5 .6 4 25-30 7.SYR 4/6 - sl 1 m sbk mvfr cs - .4 .5 5 30-34 7.SYR 6/4 - is 0 sg ml gs - .7 .8 6 34-68 lOYR 8/2 - fs 0 sg dl - - .5 .6 o.,,,,,,.~,,, . s an s 1 0-4 7.SYR 3/2 - sl 2 m gr mvfr cs 1 f .5 .6 2 4-11 7.SYR 3/2 - sl 2 f sbk mvfr cs if .5 .6 3 I I-27 7.SYR 4/4 - sl 2 m sbk mvfr cs .lf .5 .6 4 27-56 7.SYR 4/4 - is 0 sg ml cs - .7 .8 5 56-64 SYR 4/4 - sl 0 m mfr - - .3 .4 rcemancs:...,.....,....~ ...... Y....,.,~ 1 0-6 7.SYR 3/2 - sl 2 m gr mvfr cs if .5 .6 2 6-15 7.SYR 3/2 - sl 2 f sbk mvfr cs if .5 .6 3 15~ 7.SYR 4/4 - sl 2 m sbk mvfr cs if .5 .6 4 33-39 7.SYR 6/4 - is 0 sg ml cs - .7 .8 5 39-69 lOYR 8/2 - fs 0 sg dl - - .5 .6 ~~•~'~' ZK (p o Depth to limiting factor r } ' N ~/ .~ "~' NN ~ ~ l.~ f ~ ~ 0 d - 3 ~ Z ~ f ~ ~ ~ ~ ~ ~ ~ . ~ ~ ~ 00 ~ ~ i ~ z °-- s ~ ,~ o o ry J ~~ e ~_ ~f d s 0 l`n S D ~ ~~ r o~ v I"^/~ \ 4 ,1 1 ~ z ~--- J c/' Y; _0 ~ v J 0 g N ~~ 4Q 9 d ~ o~ s N ,,,~, o ~ ~~ Y ~ o -~ N ~ ~-~ W ~- z y ~ ~ ~ ,~ .. ~s "~ O~ r 0 ~a ~ ~ ~~. C ~\ ~ ~ ~. .: ~, ~ ~ ._.+~ 0 ~ ~ ~ ~ ~ ~ ~..b 0 - O ~ ~ ~ ~ ~ ~ ~ ~f~~~ 4 ~ ~ o r+ ~ '" .~ f ^= d ~ ~ 3 o~~ z N7' ~' _~ ~: o ~ ~d t~ t n~ d r Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: Svstem Design Specifications Sanitary Permit Number 36 Number of Bedrooms Design Flow -Peak (gpd) 6cso Estimated Flow -Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (ft2) (; C Z Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) (~6 ~ as Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 ~~ Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se ti k and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filter hall be cleaned as necessary to ensure ,proper operation. The filter cartridge sho n e removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank'may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is .difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 sT cROIx CourlTSr SEPTIC TANK IviAINTBNANCB AGRBBMEN'T -AND OWNERSHIP CBRTIFICATION FORM W ~./l s oss $Q' GJ~`,cf,,J,`~~g r~U~ ~~ (Yerif"ication required from Planning Department for new ~~~o ~ ,~ ~,~ ~ !bf , ~ Parcel Identification Number G/.~' - /d ~3 .~ '/., .G~ `/., Sec. l~ , 'r-~.N-R/7 -W, Town of ~ ~.kd.,~~ ~a a sa ~ ~~~ ll s- Lot # ~. Survey Map # _ _ ,Volume -,.Page # t Deed # ~ . Voltune ?ago # ~ house ^ yes ~ no Lot lines identifiable ~ yes ^ no _MAin"I.. 'Lt~t~..~ roper use and ruainteaanctof your septic system could result in its premature failure to handle wastes. Proper maintenance pumping Dirt the septic tank every thtre years or sooner, if needed by a licxnsed pumper. What you put into the system pti the Enaction of the septic teak as a treatment stage in the waste disposal system, ~+operiy owner egrets to submit to St. Croix Zoning Department a certification farm, signed by the owner and by a ~bpr journeymaaplumber, restcidedplumber or a litxnsodpumporverifyingthat {1) the oa-site wastcwaterdispos~ sY~~ is in aperatiag condition and/or {2) after inspection and pamPing (if nocessary), the septic teak is loss than l/3 full of sludge. to maintain the private sewage disposal system with the standards Ihre. ~ have read the above requiromcats and agree ~ of Natural R.esourccs, State of Wisconsin- Certification sat forth, as set by the xkpainnent of Commerce and the Depattm to the St. Croix County Zoning OfEce witbm 30 stating t your septic system has been maintained must be completed aid returned ~ of pear expiration date, /- "'/ DATE ~rcaNw of APPLICANT p R R i .CATION I {we} certify that all statements on this farm arc true to the best of my (our) knowledge. I (we) am (are) the owrei(s) o ~ described above, by virtue of a warranty dyed recorded in Register of Deeds O#I'ice. i.;~~ ~ D c DATE +~,(}~, OF APPLICANT «««««« «««««« ,,may information that is rots-represented may result is the sanitary permit being revoked by the Zoning impartment. •« Incl~Cde vriW this application: ~ stampedth ~~~ urv~~p nfere>~de in the warranty decd `yon 1549PAtr: 2~i STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED Document Number This Deed, made between Ronald C. Bonte and Dine M. Bonte, Husband and Wife _ _ Grantor, and Will M. Evans and Jennifer L. Evans, _ Husband and Wife ~- 6 3 1 36 7 KATHLEEN H. WALSH kEGISTER OF DEEDS ST. CkOIX CO., WI RECEIVED FOR RECORD 10-09-2000 9:30 AM YARRANTY DEED EXENDT 1 CERT cony FEE: COPY FEE: TRANSFER FEE: 60.70 REC9RDFN6 FEE: 10.00 PAGES: 1 ro Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St . CroiX County. State of Wisconsin (the 'Property"): Recctd~na Area Name and Return Address Part of the NE ~ of the NW ~ of Section 16, Township 29 North, Range 17 West, St. Croix County, Wisconsin described as follows: ~2 , Plat of Pheasant Hills in the Township of Hammon , roi County, Wisconsin Together with all appurtenant rights. title and interests. First National Bank-Baldwin 990 Main St Baldwin, WI 54002 018-1083-28-000 Parcel Identificalim Number (PIN) This 1S nOt homestead property. (is) (IS not) Grantor warrants that the title [o Che Property is good. Indefeasible in fee simple and (ree and clear of encumbrances except Easements, licenses, zoning ordinances, and restrictions of record 6th October 2000 Da~tSed~~thi~s (('~~~ /~ day of . -1~ t,,~ ) ~FCJ"~1Qy. ~+... (SEAL) ~((~%Y71~ / ~~~/ (SEAL) . Ronald C. Bonte (SEAL) AUTHENTICATION Signature(s) authenticated this ~ day of , * Dine M. Bonte ACKNOWLEDGMENT (SEAL) State of Wisconsin, ss. St. Croix County. Personally came before me this 6th day of OCtObeT ,2_000 ,the above named Ronald C Bonte __ Dine M. Bonte co TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wts. Stats.} me known [o be//[he persorS who executed the foregoing irxwtmenr.and~dcknowled¢e the same. THIS INSTRUMENT WAS DRAFTED BY Ronald C. Bonte 1011 170th St Hammond, WI 54015'. ~i (Signatures may be authenbcared or acknowledged. Both are not ~ necessary) •, ~F,~~,,,,~N' ' Names of persons signing in eny capacity mrut be typed oc panted balow their sSgnature. STATE BAR OF WISCONSIN WARRANTY DEED FORM No. t - 1998 .e of Wisconsin Is permanent. (IF not, state expiration date: WiSCOnSin t69 a1 alenk Ca., Ine. Mtlwaukae. Wis. \ ~ ~ ~, ~ ~. iv nv~.~v '~. 106, 868 S0. FT. ~~ \ ' ~ ~ ~ ~. ~. ~. ~ ~.. ~ O, ~ ` I ~ ~ ~ .~ / ~ ~ :. -- ~ ~ ~ ~: N89° 36' 01 " W 342. 42' ~ I i ~ I ~l ~ I . . ~ ` I i' ;® I ' , I . 1 I I 1 ~ ~ ~ ~ LOT 27 ~ / ~ le 1.89 ACRES . ~ h ~' `. ,~ 82, 269 SQ. FT. ~` ' ti ` • _"~ ~ .'' / / I ~ \ .;~ I ~ I ~, ~ v / ~- ~ a I ~~~' / y 2.44 ACRES ~ ~ 106, 136 SD. FT. `' I7 I I r i I '® ' ~ i 1 ,~ I ~ _ , I Yom.. ~. ~Y ~e4~ ..~.. ' ` 1 6~6, ~ 4~~.E ~~ CH ~ ~~ L q I I 1 I I I I ~ ~, ~ I ~ ~ ~ / LOT 29 NW-NW 0 N W W N `~. v rn N89°36' 01"W 3 r s. oo' N O W N '~ LOT 22 ~'~. ~~ 2.71 ACRES ~' 1 17, 888 S0. FT. ., .~ .~ sr~O .~` ~~ ~' 20p. . F~~ R'4O/C N V a? N ~ ~i O W 6~, LOT 23 2. 00 ACRES 86, 921 S0. FT. --~-~~__--- -- -----NE-NW _! _ ~--- \ SW-NW ~ SE-NW, ~ \ 18 i / ~ i \ \ /I / \ / , ~ \, ~ ~ ~ ~ ~ i LOT 30 ~ \ ~i l ~ ~~ I --~ \ ~ / yN e O. ~. z~ sp. , ~I I .: ~ /~ ®. i G .. N 'c0Q'•.• Dc ~o ` ~'~ ~ a+~ y~. o ,9 0~~ ©~ Q. 2 ~N. ~ '~ ~'°~ Or ~ ~ ~ -~ ~~/~ , 19 m