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HomeMy WebLinkAbout042-1011-10-100 (2) \ 0 D % « j 2 § ) c % 0 ) Rk 2 = i � o =L / ck � k� � $ CL a� CD ) 2 A5 LL \ 2 § § ) J /2 � 2 Cl) \ E ) :t § k » / \ a 2 § � ) § ƒ ] ) 7 k z \ . ■ ® I 7 CL (D t § 0 Q kcok f C ) \ \ ; r- L a . ƒ : � E § f / \ . 7 § a a r b k \ / a \ E - £ E a a a « § 0 U t 00 0 2 2 j v , § § 2 % \w D § § % E e co @ a J ) / 2 I � © ; 2 I s / 2 / � £ # E _ = � c a a- § 8 06 to ID co 00 . % ƒ ) E \ / i k c k \ / / - & ® b : I = § E 0 ) _ & ) 2 A CL ) r a / v a t ; o w 0 r Parcel #: 042-1011-10-100 02/05/2007 11:43 AM PAGE 1 OF 1 Alt. Parcel#: 05.29.18.71 C 042-TOWN OF WARREN Current X11 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 TERESA FRITZ O-FRITZ,TERESA 1164 103RD ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description 1164 103RD ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.865 Plat: N/A-NOT AVAILABLE SEC 5 T29N R18W PT SW NW LOT 1 C.S.M. Block/Condo Bldg: 7/2077 4.865AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-18W Notes: Parcel History: Date Doc# Vol/Page Type 09/07/2005 805695 2883/266 QC 06/16/2003 725848 2276/007 PR 04/04/2003 715893 2194/427 QC 07/29/1998 583923 1344/084 WD more 2006 SUMMARY Bill M Fair Market Value: Assessed with: 148985 317,700 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.865 48,100 183,700 231,800 NO Totals for 2006: General Property 4.865 48,100 183,700 231,800 Woodland 0.000 0 0 Totals for 2005: General Property 4.865 48,100 183,700 231,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 552 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 r ( to MARI IL��7 X989,co DoC�NNELL 4G C 07', CERTIFIED SURVEY MAP 1 Located in the SW 1/4 of the NW 1/4 of Section 5, TZ9N,R 18W , Town of Warren, r St. Croix County, Wisconsin. Surveyed . for: David & Donna Ray 1V^) Rt. 4 New Richmond, Wi. 54017 'A6, UNPI.pTtED�ANgs S SILO ,2gpE 448 OEj' OFTHEI THE SWI/4 NW /4 O N gg'02 1 414.53 CURVE INFORMATION 1 1 a= 18°26'20" CHORD=0199.63' 1 1 CURVE INFORMATION N 10°I I'30"W 1 1 p= IT° 54'28" ARC = 200.49' R- 656.00' TAN.OUT=N I9 024'40"WI CHORD- 204.20' N 90 55'34"W EXISTING SEPTNC �►° 1 1 ARC= 205.03 ' SYSTEM 1 1 TAN. OUT= NIB°32'48"W VENTS 1 5' 1 BARN ° DRIVEWAY i v t _ 6 6 W 4 n W E�L - N 3a jW in oI W ZQI TRAILER 11 O x a I s3 LOCATION CU QD J to I o� O z cn W I ►- p m 001 Q� OW v 2 11896 SO. FT . N N �I z W r� ( 4.865 AC.) c� �l o INCLUDING R.-O.-W• 3 wl JI o a �I z 195774 SO FT. cv o U. z ( 4 494 AC.) I w O O J WI W W QI to z z EXCLUDING R.-O•-W u7 N WI F~-I N w a = 0 °o =I �I z a • ~� z W W • n, tD n W W O �Y 0 h 405.52' z S 87'01'37"W 437.34' ' ' 3'•62 UNPLATTED_L.ANDS_ LEGEND / EAST LINE OF ' ft t /' THE SW"" OF' V SECTION CORNER MONUMENT 4_ THE NWI/4 O 1 °X 24" IRON PIPE WEIGHIN E ROAD N w HASIVEY 0. I. 68 LBS./LIN. FT. SET, n "NNW" - -- X -FENCE m 3-1899 3 POINT OF wIS BEGINNING b ( TO DETAIL O t jQ o Nq SU � 0 SCALE IN FEET I° : q� 100' z 31.82' 1 20' NNEWEi 0' 25' 50' 100' 200' E 1/4 CORNER NOTE: Town Board requests that main floor ( I"IRON PIPE) elevation of any future building be above 1303.69' 3912.55 existing septic system elevation, II I) N89° 5441 E , WI/4 CORNER SOUTH LINE OF THE SECTION 5 NWI/4 T29N, R18W MAR � � ��y 17K3� ( COUNTY MONUMENT)a7� 489-1528 ST <,:f ONCOUWy Vol. 7 Page 2077 DRAFTED 8Y JWG C AND ZOIWIJL'S AM.. \ j 2 \ ' / r pR k ) J/ � ¢ = a b ) @ 2 )) /0 ® c o \ Lo # 2f � ) D ) k A/ U. 22$ k c \ 2 § 4) < E n I � \ � • k k � » / \ a m § ) z � zf � $ 4) z 7 7 I © 5 ) 9 � . CL 2 ) / Q zmz ° ] � .. k � C, 4 k c \ ■ . 6 . . m \ _ 2 2 (L I / b z $ k ■ ■ ■ _§ k \ . k \ § § } - CL a a a § � � Ix CD co o § k k z z \ % 6 2 ) \ § . / E $ 2 r g t Cl) % J z J 2 � ■ � � . c # 4) E 0) C I a ` ° a 00 CD B § ® (D ° 2 E 2 3 / , 2 k C'4 [ \ / \ c k \ \ S / \ 0 2 / k z CD \ EL � . E $ E k a ; I / J a M 0 2 2 ! Parcel #: 042-1011-10-100 02/05/2007 11:43 AM PAGE IOF1 Alt. Parcel M 05.29.18.71 C 042-TOWN OF WARREN Current X I 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 TERESA FRITZ O-FRITZ,TERESA 1164 103RD ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1164 103RD ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.865 Plat: N/A-NOT AVAILABLE SEC 5 T29N R1 8W PT SW NW LOT 1 C.S.M. Block/Condo Bldg: 7/2077 4.865AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-18W Notes: Parcel History: Date Doc# Vol/Page Type 09/07/2005 805695 2883/266 QC 06/16/2003 725848 2276/007 PR 04/04/2003 715893 2194/427 QC 07/29/1998 583923 1344/084 WD more... 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 148985 317,700 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.865 48,100 183,700 231,800 NO Totals for 2006: General Property 4.865 48,100 183,700 231,800 Woodland 0.000 0 0 Totals for 2005: General Property 4.865 48,100 183,700 231,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 552 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 4 G/ ao s FILED ('� 9 MARI719898 W JAUES O'COIVNELt '�v ��er of oeed� CERTIFIED SURVEY MAP ' Located in the SW 1/4 of the NW 1/4 of Section 5, T29N,R 18W , Town of Warren, r St. Croix County, Wisconsin. Surveyed. for: David & Donna Ray Rt. 4 New Richmond, Wi. 54017 AT Q L�Ngs UNPL (E — O SILO , �— EAST LINE THE SWI/4 N 81�02,2BrE 448•p6 1 1 OF THE NW I//4 1 414.53 CURVE INFORMATION 1 1 a 18026'20" CH0R0=0199.63' ' CURVE INFORMATION NIO011'30"W l 1 pa 17054'28" ARC = 200.49' R s 656.00' TAN,OUT=N 19024'40"W 1 CHORDS 204.20' EXISTING N 90 55'34"W SEPTIC �yo 1 ARC a 205.03 SYSTEM I 1 TAN. OUT= N 180 52'48"W VENTS ' 9t 5' 1 BARN pp bn o DRIVEWAY 6 W W E�L Lot N 3 n � W � of v W ZZI TRAILER r, x m 13 LOCATION N ~ z -i U) LOT i o� 0 z W I � o n CD al N o r c 211896 SQ. FT . N N �I zl v 1 al r� ( 4.865 AC.) �I o INCLUDING R.-O.-W. 3 m wl �I W< z� Z 195774 SQ. FT. U. N FYI I Wa I ( 4.494 AC.) aD o J� FW-� W i o � EXCLUDING R.-O.-W. in N w� I-_ u J zo o =I D.I a u .Z 3 . ~I W W N (D ( m N :,- 19 oil on 405.52' z S 87'01'37"W 437.34 31.82 UNPLATTED_LANDS_ LEGEND / EAST LINE OF THE SW I/4 OF - SECTION CORNER MONUMENT THE Nwl/a O t� O 1"X24" IRON PIPE WEIGHIN EROAD I N •* HANVEY 13. 1. 68 LBS./LIN. FT. SET. ►` 4141011SpN X FENCE'—,>F---- ENCE 3 yr �w� M POINT OF N h BEGINNING e I DTETAIL T OSCALE G < jQ NO 0 SCALE IN FEET I° a 1 Z Q// 100 31.82' I 20' '72 5' 50' 100' 200' E 1/4 CORNER NOTE: Town Board requests that main floor I I" IRON PIPE) elevation of any future building be above 1303.69' 3912.�I 55 existing septic system elevation. II N89° 5441 E W I/4 CORNER SOUTH LINE OF THE SECTION 5 NWI/4 T29N, RIBW MAR � 7 g ( COUNTY MONUMENT) J' 489-1528 sT uPOD(cou y Vol. 7 Page 2077 DRAFTED BY JWG C AND ZOPIiOJt DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING &ABOR&HUMAN RELATIONS DIVISION P.O.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON WI 53707 p State Plan I.D.Number SW,NW, 5 ► 2 9► 1$W pf assigned) Town of Warren `CONVENTIONAL LTERATIVE v ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Kenneth v4elch Rt . 2 New Richmond 54017 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: Calvin Powers 1563 t. Croix 119552 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: 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 ❑NO NEAREST---11111- 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: NO.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 [__1 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: ELEVATION AND ELEV: ELEV: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM ❑YES ❑NO ❑YES ❑NO NEAREST System on Sketch S Y Retain in count y file for audit. Reverse Side. SIGNATURE: TITLE: SBD-6710(R.06/88) Zoning Administrator Thomas Nelson I I I i l I I II I i -+ - �-�- - t- -�-- - I I I li { - I - I I t I t --1-- - � 4� __ I ;� I 1 �- I �{- I I • I --i� ---t---±--r---�---t- ! it �i- --- 1-i---�----{---j---{-�----i-�-- '-- - -�-�--r--+- �-� I --{----f-- i I � I j I _ I ! I i } I I � 1 � I I i , i I I I - , I , I -I I I ; , �- - ...... -- i ----- - - - - -- - - -- - -- -----± - - - -� - 1 ; , i I j i I ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code couN [70 �..�a°�nnw.�wrs� STATE SANITARY PER # —Attach complete plans(to the county copy only)for the system,on paper not less than (`(I S 2 8%x 11 inches in size. ❑ Cn k if revision to previous application —See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. PROPE OWNER PROPERTY LOCATION Aj '/a %,S T N, R E or PR TU!ER'S MAILING ADDRESS LOT# BLOCK# CITY,ST E S ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBE R y of 7 II. TYPE OF BUILDING: (Check one) ❑State Owned ❑ VILLLLAGE NEAREST R AD ❑ Public X 1 or 2 Fam.Dwelling—#of bedrooms CEL TAX NUMBER(S) dAQ 111. BUILDING USE: (If building type is public,check all that apply) 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.,KlReconnection 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-Pr ssurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 El Specify Type 41 El HoldingTank 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(a 1.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION Feet Feet CAPACITY Site 4N.–TANK in allons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tan structed Septic Tank or Holdina Tank 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 ame(Pr' t): Plum is Signatur :(No S mps) MP/MPRSW No.: Business Phone Number: um er' Ad ess treat,Ci ,State,Zi ode): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Vanitap Permit Fee(Includes Groundwater a e s �sue I (No Stamps) ^ nj XApproved ❑ Surcharge Fee) Owner Given Initial L Adverse D termin tin X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber INSTRUCTIONS 17 i 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 rhaintained. 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 numbers) of where the system is to be installed. II. Type of building being served. Cheek only one and complete ##of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers;wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398(R.11/88) i APPLICATION FOR SANITARY PERMIT S T C - 100 full and signed by the owner(s) of the This application form is to be completed in permit property being developed. 'Any inadequacies will only result in delays of the p owner/contractg ' ( issuapce. Should this development be intended for resale by ed and completed when the proper ty 'ispec house") , then a second form should be retain deed recording. sold and submitted to this office with-the-appropriate- _ - - - - _ - - - - - _ _ Owner of Property Location of Pro p ert y S/"L 3% Section _1.4 T N _ R � W f bwnship ' Mailing Addtess v� Subdivision Name Lot Number Previous Owner of Property ' Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No i develo ed for resale (spec house) ? Yes No Is this property being P j as -recorded with the Register of Deeds Volume and Page Number INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: ' 1. Warranty Deed 2. Land Contract 1. Other recordings filed with the Register of Deeds Office be wou In addition, a certified survey, if available, ionl helpful s avoid referencestoa Certified Survey of the reviewing process. If the deed descript Map, the the Certified Survey Map shall also be required. - - - - - — - - - - — — — - — — — -- - - — — — — — — — — — — — — — — - - - - j PROPERTY OWNER CERTIFICATION ! that aP.E btatementa on thi s jonm ane tkue to the best 06 my (dun) 7 (we) ee�.ti b y o e t deacA bed in this know.iedg e; that 7 (we) am (cute) the owners(s) o b the pn p y .ice o the `i .injonmation bonm, by vi tue ob a wanAanty d e neeanded in the 0�� f County Regcaten ob Oeeda as D oeument No. ; and that Y (we) i pneaent,Ey own the proposed a.cte bon the sewage pob system (on Y (we) have obtained an easement, to nun uzith the above dese�c.i.bed pnopeny, ion the. conAt,%uc ion ob. said system, and the dame has been du,ey retard;d in the O bice ob the County Reg•c.aten ob 'Deeds, ab 'Document No. ` SIGN RE OF CO-OWNER (IF APPLICABLE) SIGNATURE OF OWNER /6�/ DATE SIGNED DATE SIGNED 1 I UM[NT tvo. $TATS B" OF WIBOONBIN�F/O�RM i— 1� t s em sswttssn �• } t,}v 4r. x: 449759 � •y�n�El� , � IThW DeQ0, me& between . : :ever Firms,,. n: o..po'raon... ... .... . . .. ... ...... � �• � � JU ' a R11nQ.th,•A. ••Welt:h ,and JoAnn Welch.,. husban an it r.; r , q•••as marital,_survivorship property . ..•.....••.• j .. ,. ..M,� ............ ...................... ............................, tiraatsy t!1• 1 That the said Grantor.for a valuable consideration...... "� f ft8e , aYar .....;Wq-•. ........ .. .. ..... . . ...... _ ..... i' a al►sru TO 4.. !o Grantee the following described real estate in St Cr01 X,-... ,•• 'y r ,8ta of Wisconsin: rt of the SWk of NW% of Section 5, iriaparcsl Nor..:..... k township 29 North, Range 18 West, St. Croix JCounty, Wisconsin, described as follows: of Certified Survey Map filed March 989 in Vol. t1711, Page 2077 , Doc . No. 446186. ''`°'+ f r � p t.i r M- I ":y t� � r F, h� 1•s~ nOt homestead property. ^¢' - (is) (i- .......) Together with all and singular the hereditament@ and appurtenances thereunto belonging; ''''' a ever Farms Inc. is that the title is good, indefeasible in fee simple and free and clear of encumbrances eYCept . ,� , �• `` easements, restrictions and i-Irhts—of—way of record, if',&ny�. sand will Warrant and defend the same. , 1 Dated this . ���'�!.. day ..f Jul;l , 1�v9 y /'>v F r , Tnc , by • ,):tvi ! C. Ra.y, President ',i Fl 1 a, �retary •e. . AUTHENTICATION ACBNOWL8Dt3ltSN! - STATE, OF WISWNSIN ' '. F�- Btgnatass(sy .. -' r r ro I x....... ....... c ounty. Y sattbtntieated this . ... day of.. ... I9 . Personally came before ms T J Ta�. ....Donna fTr=: .1_• stay y 3 MEMBER STATE BAIT OF WISCONSIN . s authorized by 1 7".66. Wis. Stats.l 3 z F to m•. kn,rwn to he the Gerson for : .in• inst on d neknowl go thy! .x: .THIS INSTQUMr N' WAS Of'••�'F•>1'v •�ti m.. Ir atina Cj ],an:l i•ur.,., er, T. ^lei.�-hauer _ r Attorney at Law r� "�� , :.:...,.. ... :,rt.,• I .h1 .it . Cflunty.�' Y (Slgnstur" may he »n!hontiratrd r,r xri;mrwladtr'J f•. \t wn i ' ot, atKte ett ip are not necesllary.► l,r., -r't di 5rl�f q(erlr of MHonr **"Inf rn ar.. 'a.—ty •r,,.—t ::r• ,.: r. .,u .:, r '.r , ;}w t YTATr. NAIL U{' A'IR('4NnIV it wrwaRw,rr� OSSO H1:..m.ln isr• ►'f►MN Vim. 1—lots `^•--. •_;. .M1 NllwanY�• W06 ,. ...a,.,.. 1 /1 S T C - 105 SE1 '1• LC PANIC MAINTENANCE AGRL•:EMENT St . Croix County OWNER/BUYER i ROUTE/BOX NUMBER R Z Fire Number . I CITY/STATE__ Ale,.j ZIPQ j I PROPERTY LOCATION : _S� � 7 , Section R � W, I Town of St . Croix County , Subdivision_ _ Lot number i I Improper use and maintenance of your septic system could result in its premature failure, to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you pdt 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 . Cr'bix 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 . 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 Depart- ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . S I C N E I) D ATE < � i St . Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign , date and return to above address .