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Parcel #: 038-1136-70-200 05/18/2006 10:54 AM
PAGE 1 OF 1
Alt. Parcel M 33.31.18.5598 038-TOWN OF STAR PRAIRIE
Current IXi 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
DAVID L&LISA M OLSON O-OLSON, DAVID L&LISA M
1836 110TH ST
NEW RICHMOND WI 54017
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description * 1836 110TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE
SEC 33 T31 R1 8W PT NE SE LOT 1 C.S.M. Block/Condo Bldg:
8/2152
Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
33-31N-18W
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 853/481
2006 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/12/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 10.000 76,000 271,700 347,700 NO
Totals for 2006:
General Property 10.000 76,000 271,700 347,700
Woodland 0.000 0 0
Totals for 2005:
General Property 10.000 76,000 271,700 347,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 217
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
451'733
CERTIFIED SURVEY MAP
LOCATED IN THE NE i/4 OF THE SE I/4 OF SECTION 33, T31N , R 18W,
TOWN OF STAR PRAIRIE , ST. CROIX CO., WISCONSIN _owNEo 9Y=
WILLIAM E.CODY
344 S. GREEN AVE. SOUTH
NEW RICHMOND, wt. 54017.
UNPLATTEO LANO'S
. .... ... . .. . .. . . .... . . .. .
WEST LINE OF THE
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O O (2" IRON PIPE FOUND 1
0 SOUTH 329.05'
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L-NORT!L— n8128 w �- L SOUTH 329.05'
110
S STREET W �l SOUTH 329.05' W
EAST LINE OF THE SE 1/4
89-107 VOLUME 8 PAGE 2152
THIS INSTRUMENT DRAFTED BY`a�
r
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
State Plan I.D.Number:
NW 4,S e 4, See. 3 3 ,T 31-R18W (If assigned)
❑ CONVENTIONAL ❑ ALTERATIVE
Town of Star Prairi Holding Tank ❑ In-Ground Pressure ❑ Mound
W DER: T34 DRESS OF PERMIT HOLDER: INSPECTION DATE:
Dave Olson E. 11th St. New Richmond WI 5 01
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:
Gar L. Steel 3254 ST. Croix 1351;;
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ❑NO ❑YES ❑NO
BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
ALARM: FEET FROM LINE: AIR INLET:
❑YES ❑NO ❑YES ❑NO NEAREST—�
DOSING CHAMBER:
MANUFACTURER: BEDDING: 1 LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES ❑NO ❑YES ❑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 E]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 a wire,construction shall cease until MAIN
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
BED/TRENCH WIDTH: LENGTH: N0.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID
TRENCHES: MATERIAL: PIT DEPTH:
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL. BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLET:
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 I TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS;
❑YES ❑NO ❑YES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED:
CENTER: EDGES:
❑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
J _. J
Sketch System on Retain in county file for audit.
Reverse Side. SIGNATURE: TITLE:
SBD-6710(R.06/88)
SANITARY PERMIT APPLICATION
17DILHR In accord with ILHR 83.05,Wis.Adm.Code couNTY St. Croix
STATE SANITARY PERMIT#
—Attach complete plans(to the county copy only)for the system,on paper not less than ❑ ��S- 2 �
8%x 11 inches in size. c ec if Z%on o previous application
—See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER
I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
David. Olson NE Y4 SE %4,S 33 T31 , N, R18 i&(or)W
PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK#
734 xxxmx E. 11th. St. n/a I n/a
CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
New Richmond, Wi. 54017 IfI5 6-4061 n/a
11. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) State Owned ❑ VILLAGE: Star P rarie 110th. st.
❑ Public Ea1 or 2 Fam. Dwelling—##of bedrooms TAX NUMB
III. BUILDING USE: (If building type is public,check all that apply) 559B
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
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
eAS- anitary stem System Tank Only Existing System ^Existing System
B) 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
450 750 750 .60 15 96.90 Feet 100.40 Feet
VII. TANK CAPACITY Site
in a alions Total #of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App.
App
Tanks Tanks structed
Septic Tank or Holding Tank x 1000 1 Weeks Concrete
Lift Pump Tank/Siphon Chamber ---
VIII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name(Print): Plumber' i ature:(No Sta mp /MPRSW No.: Business Phone Number:
Gary L.. Steel r 3254 15 246-6200
Plumber's Address(Street,City,State,Zip
988 N. Shore Dr. , New aRichmond, Wi. 54017
IX. COUNTY/DEPARTMENT USE ONLY
Disapproved Sanitary Permit Fee(Includes Groundwater Date Issued Issui g Agent Signature(No Stamps)
Approved El owner Given Initial / 0() Surcharge Fee)
Adverse D r 'n tion I L�
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(formerlyPlb-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:
I. 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.
SBD4M8(R.11/88)
SANITARY PERMIT APPLICATION
�LHR In accord with ILHR 83.05,Wis.Adm.Code COUNTY
= °• --�- St. Croix
STATE SANITARY PERMIT#
-Attach complete plans(to the county copy only)for the system,on paper not less than ❑ ��-
8%x 11 inches in size. eck rev on o previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER
I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
Dave Olson NE X4 SE '/4,S 33 T31 , N, R 18 (or)W
PROPERTY OWNER'S MAILING ADDRESS LOT# BLOCK#
734 E. 11th. St. n/a I n/a
CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
New Richmond, Wi. 1 54017 1(715 246-80il n/a
II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD
F1 State Owned ❑ VILLAGE
❑ Public Ei1 or 2 Fam.Dwelling-#of bedrooms 3 JhRCEL TAX NUMB
III. BUILDING USE: (If building type is public,check all that apply) �V
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
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. E4 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 10 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 14. LOADING RATE 5. PERC.RATE C. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION
450 iM 495 500 .90 <3 194.32 Feet 97.95 Feet
VII. TANK CAPACITY Site
in allons Total #of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks I Tanks structed!
Septic Tank or Holdina Tank X 1000 1 Weeks connrptp F] H
Lift Pump Tank/Siphon Chamber --- F-1 Fj
VIII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached'',plans.
Plumber's Name(Print): Plumber's i ature:(No Stamps) PRSW No.: Business Phone Number:
Gary L. Steel 715 246-6200
Plumber's Address(Street,City,State,Zip
988 N. Shore dr. , New Richmond, Wi. 4017
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee(Includes Groundwater Date issued Issuing Agent Signature(No Stamps)
O� Surcharge Fee)
Approved ❑ Owner Given Initial !f j /J,—1)4—
Adverse Deb tin / `Z 1/U cx
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(formerly Plb-87)(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:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
11. Type of building being served. Check only one and complete ##of bedrooms if 1 or 2 Family Dwelling.
Ill. 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; (lose 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.
I
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.
SBD4M(R.11/88)
V ,
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 IDA"VI 0 1, , C7LSO t�1
Location of Property .NE SZ fit, Section �� , T 3� N - R �� W
Township 1Z- rff'J' ti aA e
Mailing Address P-0khTIE,
J"AcEW V'tU-AM0N b W1
Subdivision Name M
Lot Number I
Previous Owner of Property �fl 6�D'�/
Total Size of Parcel ZO QGve�S
Date Parcel was Created QCT �_1 9, 9
Are all corners and lot lines identifiable? X Yes No
Ls this property being developed for resale (spec house) ? Yes X No
Volume 0oS 3 and Page Number 4'b l as recorded with the Register of Deeds
INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING:
1. 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.
- - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
PROPERTV OWNER CERTIFICATION
1 (We) eeAti{y that aft .5.tateme.nt,6 on. -thus 4ohm ane true_ to the bust o4 my (outs)
h nowt dge; that I (we.) am (ane) the. own.eh(6) o{ the pn.ope)c ty dens nibed in -th iws
.in4onmation 4o4m, by vi4tue o4 a waitAan..tu deed P-econded .in the 064.ice o{ the
County Regl A teh o4 DeedA aA Doe.umen..t No. -,fez,-2- 'bS 1 and that I (we.)
p�eAente.y own the ph.opoAed A t:e Aoh. ,th.e. sewag�a�(Le ! y6 tem (on I (we) have
ob.ta,in.e.d an eabeme.nt, to hun. with the above de,5etu.be.d pnopehty, 4on the
con,s.th.uction oA said syAte.m, and the .same, hah be.e.n day neconded in the 064iee
oA .tbr v►ty Reg,us.ten oA Deeds, ass Document No.
c J 66.0
SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
Cc 6
DATE SIGNED DATE SIGNED
• { ' DOCUMENT NO. I1 STATE BAR OF WISCONSIN FORM 1-1982 ! THIS SPACE RESERVED FOR REGORGING DATA
WARRANTY DEED
Vr
4ss 5 Pa 4 Sl REGISTER'S OFFICE
Sr. CROlX CO., WI
This Deed, made between __Wiliam.--E �.___CQdy__-and_____---------- u' . CR IX Record
Leonette__M._ Cody_,-__hasband___and__wi:fe_,-__as__jont_______- II
I tenants -- ------ I at OCT 121989 M
------------------------------------------------------ --- --- -- -- --------------- Grantor,
8:3
and._David_ L..___Olson___and__Lisa-_M._..Ql. on,_._husba.nd_._-_
Register of Deeds
---- ------
and__w�, a-,__.cur-vzvoxsha.g--xuasz_tal--property-------------- �
.......... ----- -- Grantee, �!
tNitnesseth, That the said Grantor, for a valuable consideration_---__
_ -
conveys to Grantee the following described real estate in __.St.___Cro1.X----- _ RETURN To
County, State of Wisconsin:
Lot 1 of the Certified Survey Map recorded in
Volume 8 of Certified Survey Maps on Page 2152 Tax Parcel No- -----------------------------------
as Document No. 451733, being a part of the
Northeast 1/4 of the Southeast 1/4 of Section 33,
Township 31 North, Range 18 West.
Grantor reserves an easement for roadway purposes on and across the
South 33 feet of said Lot 1 of the Certified Survey Map provided that
the construction of any roadway on this easement shall not interfere
with the natural drainage of the property.
1"kAN's
FEE
This ---is homestead property.
(is) (is not) it
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And------Grantox-.---------------------------.------------------------ ----------------- -------- ------ -------- ----------------------------------
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
municipal zoning ordinances and easements of record.
and will warrant and defend the same.
Datedthis -------------------------- day of -----------------October--------------------------------------------------
•---- - ---•--- -------(SEAL) ----_----------------- ---••----_-- ...............-------(SEAL)
_(SEAL) ----- ..-•--•------••------------•-••----- -----------(SEAL)
* .Leone.tte..M.__Cody-------------- -------- * ------ ------ -----------_ ---_------- ----------
n
i1 AUTHENTICATION ACKNOWLEDGMENT
Signature(N -.&f-__WiI I ic'3m..E-t...Cody._ana.... STATE OF WISCONSIN
Leonette M. Cody ss.
-----------------------------------------------------------------•--------------
i ......................................County.
authenticated this Y? _.day of-nCtoher........ 19•_89 Personally came before me this ----------------day of
�y --...._.•---, 19....._.. the above named
------
* G-•---E..._-Norman................ ---------------------------- --------------------------------------------------------------------------------
TITLE: MEMBER STATE BAR OF WISCONSIN
- - -- - ----•-----------------------------------------
VX XX---------
to me known to be the person _.-_....... who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Bakke, Norman & Schumacher, S.C. --------------- ------------ ---------------------------- ------ ---------------
----------------------------
1200 Heritage Drive *---------------------------------------------------------- ------------- -----
New---Ri-chM0nd-,,_W_1-----54A1_7-------------------------- Notary Public ..........................................County, WIS.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration
" are not necessary.)
date:
*Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY ,'P:D STATE Ei Ali OF ,V E`C64%SJ Wit_or.An Le,,l Wank Co. Inc.
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SEPTIC TANK MAINTENANCE AGREEMENT �+ 1
St . Croix County t4
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OWNER/BUYER O$'VI1] L, p1„SO1�\
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ROUTE/BOX NUMBER T F'1�j�- �, ( ST Fire Number
.CITY/STATE C-AeW C " I'Ars µ0 ` ZIP S'6-01'1
P'tOPERTY LOCATION : �4, 5E �4, Section � 3 T 3i N , R 1b W,
Town of !7; - 12. 'PlAkin4C St . Croix County,
Subdivision 6--S , Lot number
I t
Improper use 9nd 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
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 . y
0
E
I/WE , the undersigned , have read the above requirements and agree
to maintain the private sewage disposal system in accordance with x
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 Zonin fice within 30 days
of the three year expiration date .
SIGNED
DATE �lx j
St . Croix County Zoning Office
P . O . Box 227
Hammond , WI 54015 i
715-796-2239
Sign , date and return. to above address .
dam- i3s�s-7
INDUS DEPARTMENT`Y, OF REPORT ON SOIL BORINGS AND SAFETY& BUILDI
INDUSTRY, DIVISI
LUVA N RELATIONS AND PERCOLATION TESTS (115) MADISON WI 5370
I�U A
(ILHR 83.09(1)& Chapter 145)
LOCATION: SECTION: O NSHI MUNICIPALITY: r OT NO.:BLK-NO.: SUBDIVISION NAME:
1/cF 1/ /T N/I� E ( --
COUNTY: MAILING ADDRESS:
Ltroi .cos-� zgel G • .sue
USE DATES OBSERVATIONS MADE --
NO.BEDRMS :1COMMERCIAL DESCRIPTION: STS:
Residence New ❑Replace
RATING:S-Site suitable for system U=Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUND-PRESSURET STEM-1 N-F I L LIHOLDI NG TANK:RECOMMENDED SYSTEM:(optional)
m 1EISISUI ❑S U
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b),indicate: w Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROU NDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST.141 TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B- >9 0-/i /'04 s/ir-_'q.x .•'��''
B-3 7--3.z tlr '.;t4 >W —*-
r
B-
9� 6 !
B-
f" PERCOLATION TESTS
TEST DEPTH . WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. I D 1 PER1002 PER PERIOD3 PER INCH
P-
P D
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate stale 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. p_ ¢
SYSTEM ELEVATION ��"
o /,20 467
tt �w
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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:
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST SIGNATURE: w
DISTRIBUTION:drigmal and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395(R. 10/83) —wFFt—_
Dave Olson f�j'57
NF�SEr S33 T31N R18W /
Star Prarie, twonship
Be , z0'5 /
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Gary L. Steel
988 N. Shore Dr.
New Richmond, Wi. 54017
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
IMDUSTrY, DIVISION
LABOR HUMAN AND MADISONPERCOLATION TESTS (115) MADISON WI 7969
(H63.09(1) &Chapter 145.045)
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
NE 1/4 SIV4 33 /T31 N/Pt8xf(or)W1 Star Prarie n/a n/a n/a
COUNTY: OWNER'S NAME: MAILING ADDRESS:
St. Croix David Olson 734 E. 11th. st. ,m NEw ARichmond, Wi. 54017
USE DATES OBSERVATIONS MADE
I)ER11A� NO.BEDRMS.: COMMERCIAL DESCRIPTION: R FILE DESCRIPTIONS: ER ATION TESTS:
esidence 3 n/a �lew ❑Replace 110-30-89 10-31-89
RATING:S=Site suitable for system U=Site unsuitable for system
r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDINGTTA�AJJN,,K17MMENDED SYSTEM:(optional)
QS ❑U L ❑U 6 ❑U ❑S ®U ❑S 9u conventional
I
If Percolation Tests are NOT required DESIGN RATE:
Q I If any portion of the tested area is in the n/a
under s.H63.09(5)(b),indicate: n/a Floodplain,indicate Floodplain elevation:
decimal' PROFILE DESCRIPTIONS page AmC2
BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER IDEPTH M ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B- 1 7.25 99.75 none >7.25 1.00bl.1. 1.50bn.sil. 4.75bn.c.s.&gr.
B_ 2 7.49 100.91 none >7.49 .83bl.1. .83bn.s.sil. 5.83bn.s.l.
B- 3 6.92 100.40 none >6.92 1.00bl.l. 1.00bn.sil. 4.92bn.s.1.
B- 4 7.17 100.75 none >7.17 .00bl.l. .67bn.sil. 5.50bn.s1.
B_ 5 7.08 98.99 none >7.08 .83bl.1. 1.25bn.s.sil. 5.00bn.s.l.
B-
decimal' PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
P_ 1 3.65 none 30 2-2 2 2 15
p- 2 3.99 none 30 32 3 3
P- 3 3.50 none 30 2t2
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 96.90 _.
D;
•Y �.."'��.;p' „�"�"�... _._ i ... 1._....,.._.. _c..__.....T .__�...._... ._. ...._ f� �( "."` � ...�...._.., ....._� I`.___ �. j ....»
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� ----I .�..�. � ._.�._ �r .vim_'-•-------"q--
6yl _ --- 111
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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 10-31-89
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
988 N. Shore Dr. , New Richmond Wi. 54017 2298 70-246-6200
CST SIGN RE:
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER —
i
INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395
To be a complete and accurate sail test,your report must include;
1. Complete legal description;
2. The use section must clearly indicate whether this is a residence or commercial project;
3. MAXIMUM number of bedrooms or cornm€ercial use planned;
4. Is this a new or replacement system;
S. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
B. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan;
7, MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A
separate sheet rnaay be used if desired;
3. ;Make sure your benchmark and vertical elevation reference point are clearly shown,and aw Pei manent;
9. Complete all appropriate boxes as to dates,names,addresses, flood plain data,percolation test.exemp-
tion, if appropriate;
10. If the informsti.yn (such as flood plain,el vatio-l)does not apply, place N.A. in the 2approl riate box;
11. Sign the form 3rld place your currerit address and your certification number:
12. Make legihie copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE
LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION,
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Sail Separates and Textures Other Symbols
sl --_ Stom (over "10") BR - Bedrock
cob - ColihIc (3- 10") SS -- Sandstone
gr _ Gravel (under 3„) LS Limestone
s Sarld HGW Nigh Groundwater
cs _._ Coarse Sans, Perc Pewolation Raatl=
reed s fvlod€urn Sand W - Vdell
fis f=roze Sand Bldg Building
is - Loarny Sand -__ Greater Than
'sl - Sandy Loam < -- Less Thais
'I Loarn Bn - Brovim
sil -- Silt Loam BI Black
si - Silt Gy - Gray
cl - Clay Loam Y -- Yellow
scl - Sandy Clay Loam R -- Reel
sicl -- Silty Clay Loarn Hoot - Mottles �
SC ._ Sandy Clay, wl :. .vvitll
sic - Silt'y Clay, fff -- ftvv,fine,faint
p �
c Clay cc _. corarrlara; coarser
l t __ Peat MITI Many,niediurn
rn Muck d - distinct
P -- prorr meat
HVVL - Nigh water level,
Six general soil textur<,rs surface wat£t
for licirlid waste disposal BM - Bench Mark
VRP - Vertical Reference Pont
TO THE OWNER'
Ti v-,sor' twit report is the first step ill securing a sanatory permit. The county or the Department may request
o- this Srt;', test i`E he fiold lot"€ol to pl rruit: iSSL1 anCe. A #;t'rTSpleje set of pll�l is for the private
-end a ,$-ra�lr€ agphc�a€km must be, suhn�atted to the, apt tlT'ra i.e locar at,�€otfty in order to
—h!;;:'n a arc r mit The '-"ar-1 'ary i.;'Imllt rlllls': be obLa?bled and poster-I pi for Y:G the start of,<rly i7L73� rrllCt;aR. -
David Olson
NF!4-SE4 S33 T31NR18W 4
Alf /r
Star, P i�ie, t owns ip
�J ' aW a 141
133 'off►
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�5o cry ►� ���
Gary L. Steel
988 N. Shore dR.
New Richmond, Wi. 54017
MPRSW 3254