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HomeMy WebLinkAbout012-1014-30-000 co } � � 0 CD -6 z UO 0 m E a Cl) \ } Lo w Z 0 Z « c CO) k qt z 2 0 E -2 (D 0) �5 N 0) d) m 0. U) Wftb L J (D 0 k 0 z m z z Its C41 cc (L 2! a I r.- LO) 1� C 0 —14.1 CD .0 CL .0 1 U) E < z r 0 CL E *6 M 000 z a. CL IL CL 4) co co 0 U) Z co co 0 j 0 0) 0 z C5 d d 0 E .5 CD Q) w CIO w c LM Cl) 4) C., 9 0 E CD co a) 0 C? (D a 0 / k U,) A A j ƒ § z W z M s (D co E E 'r-' L6 .0 0 o 10 u 0 (,) �- 2 0) z A co IL (L c% E CL 2 Q - C ,r- r- 0 m 9 o 10 IL U) 0 Parcel #: 012-1014-30-000 12/12/2006 02:51 PM PAGE 1 OF 1 Alt.Parcel#: 05.30.17.66B 012-TOWN OF ERIN PRAIRIE Current k 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-O'FLANAGAN, PATRICK&DEBBIE PATRICK&DEBBIE O'FLANAGAN 1793 160TH ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): •=Primary Type Dist# Description " 1793 160TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.230 Plat: N/A-NOT AVAILABLE SEC 05 T30N R17W 3.23AC IN NW NW THAT Block/Condo Bldg: PART OF LOT 1 CSM 2/480 NOW KNOWN AS LOT 1 CSM 7/1874 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 05-30N-17W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 813/77 07/23/1997 753/188 2006 SUMMARY Bill M Fair Market Value: Assessed with: 155663 258,800 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.230 45,900 207,400 253,300 NO Totals for 2006: General Property 3.230 45,900 207,400 253,300 Woodland 0.000 0 0 Totals for 2005: General Property 3.230 45,900 207,400 253,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 106 Specials: User Special Code Category Amount I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 (AUG251987 ED ,,Comm 429494 c� CERTIFIED SURVEY MAP Located in part of the W' of the NW-14- of Section 5, T30N, R17W, Town of Erin Prairie, St . Croix County, Wisconsin; being part of Lot 1 of Certified Survey Map, Volume 2 , Page 480 of the St . Croix County Register of Deeds . Unplatted lands owned by others ------------------------------- NW Corner of North line of the NWj of Section 5 N89029'13"E, 2631.36' Section 5 N89o29113"E 503 . 92 N 2 m N O N N 'f W 9 S r• C_T_H_ "K" °_ 212 .44' NJ Corner of ° _ Q� —"' Section 5 N S89o26'07"W 475.65' rt = N 1 OR Line No ° ° Cr o A �=W o� LOT 1 A,.✓✓1� •/y{.� � APPROVED co to 2 N $89026'07"W 502.53' AU G !,i l Ilrn 26.88' 475.65' ° n rt IH 00MP,1,EHCN54Vz PAR XS H.A' iNC, o fD Ilx ff:�]Existing House AND ZONING COMMIT'iEti = cn t 7 SCALE IN FEET + rr I £ =o 16 I I i� 0 100 200 400 I � � I r-• Id m Iw ° I Z Existing Barn ° °o ; a LEGEND C co 00 V (~ I N '0 y = County Section Monument Ln L-07 2-- x 0 0 I N CD w is • 1" iron pipe found a C = I u, i s 0 1"x24" iron pipe set, weighing 1.68 Lbs. CD Cr r) c I� I w per linear foot co to S Ln t° =. u =' J ; -3 NOTE: The NW corner of Section 5 as shown on this l "7 `;><' map is not in the same position as shown on CD I N I Certified Survey Map volume 2, page 480. Corner was measured north and east of original position. o I S87051134 11W 498.82' I 22 86' 475.96' LOT AREAS v N l M Lot No. Including R/W Excluding R/W I.° LOT g3 O 1 1 140,787 SQ. FT. 106,120 SQ, FT. I�y 1 I - / 3.23 Acres 2.44 Acres S87051'34"W 497.77' 475.96' 2 400,151 Sq. FT. 380,112 SQ. FT. 21.81' 9.19 Acres 8,73 Acres IN 3 104,588 SQ. FT. 99,899 SQ. FT, 0 o LOT u o 2.40 Acres 2.29 Acres F 4 124,719 SQ. FT. 119,403 SQ. FT. 2.86 Acres 2.74 Acres I 20.56' 475,961 S 8 7 51 ' 3 4"W 4 9 6 . 5 2 ' w_pq'e it.0, b•• �. Lot 2 of C.S.M. Vol. 2, Pg. 480 �� ~A1-i- � C. --------------------- --------- Y- NY[ .;EN Z o..__ G/ S-1407 / OWNER HIIUDSG r Richard Tibbett 1 Rt . 3 Box 310 •�,� �D .. \` W4 Corner of New Richmond, Wi . �� Section 5 353 ' 54017 This instrument was drafted by Fran Bleskacek Job No. 77-76-187 Vol. 7 PQ. 1874 •IM 'XIM03 XI0110 *IS ► ��� SdVW MAUS QSIAIZ'da0 qt�•�>���: ,0'0££ � 081 SOVd Z 'IOA or ��.� `�, 'Sifill s • 3b£X15 ;LS N Ibg OS f1H lotamS pmivml►m Y q V 79•Z Z W z -1 O l IW o_ 6 Ii 9L-LL 'ON SOP• Ob'b6Z • ,98'181 • , *0*V ke .3b£-IBoLB N 031AV80 1N3WnHISNI SIHl • .I•, ,98'118 L0 ' \Ci O 10 ,l0 '07,'Z9H O1 N343N ° 1:1 I •W l-,kq :)I1d3S 210 3115 ON101ins y 804 1VAONdd`d Nb3W ION S300 NO►SIAWnS SONIW SIHI 901bAO NddV '..• ,� I 03S 3NII 1S3M ow 13111Mrv� +/d 3MSN3H v 6v*w.ylj ss OO X10 'YS �1 n 'Oa NMOl ,99 ,N O '_ ,OOZ = 1 3-lV3S N Z 0� -4 Ib � ,00£ ,OOz 001 ,OG ,0 'v 00.81 Io o 'ld 'N11/ 'Sn 89'I 1 M `13S d 'I „bZ X„ 1 = O 8 9 N2id8 i *Peed O xtOjJ �S p ---•-------— I 10 00 0j '�e"t ees 3:DN34 IS 38 1, 11161 I s 1 ns3v �v3e O N US I X 3 00 Hlno a3wsv a lav �f snoH � I q� I alti G 0 a .M L0-9Z 69 S -11t1N 'Od 8 '03S 800 'M'N M LI 8 ` N OZ 1 ` 5 '03S -t,/I 'MN - Z/1 1S3M dVIN A3A8ns (331311833 ZBB�+t� *ON �uaumoaa F oA3nans 1080 is i i Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ,7-_ s,e TOWNSHIP SEC., �_ T __0 TOWNSHIP ADDRESS 792 ST. CROIX COUNTY, WISCONSIN SUBDIVISION / : LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•I,HR 83 SHOW EVERYTHING WITHIN 1100 FEET OF T YSTEM I . � l S ?Bt i w�cc } i to INDICATE NORTH ARROW I BENCHMARK: Describe the vertical reference point used /y.¢• /,`1 �fi�' T�/� Elevation of vertical reference point: ,�,�(�,Q Proposed slope at site: SEPTIC TANK: Manufacturer: C. _d.iquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: 9g©7 t Number of feet from nearest Road: Front 10 Side,®Rear, O feet From nearest property line Front,O Side,I, Rear,O �� feet Number of feet from: well Ye; S� (Include this information of the above plot plan)( 2 reference dimensions to septic tank) j, SEE REVERSE_ SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: r Width: /? Len$th: Number of Lines: Area Built: �------ Fill depth to top of pipe: Number of feet from nearest property line: Front, /O Side, Rear,O Ft . Number of feet from well: Number of feet from building: l3/ (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• Dated: Plumber on job: s w.. License Number: 3/84:mj s, DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 NW-4 NW ,55 T30N-R17W UCONVENTIONAL 1:1 ALTERNATIVE State Plan l.D.Number: ! ! Town of Erin Prairie Holding Tank ❑In-Ground Pressure ❑Mound (If assigned ) NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Richard Tibbett Route 3, New Richmond, Wi 54017 c/-? ' 9Y 'y DO BENCH MARK(Permanent reference Pomtl DESCRIBE IF DIFFERENT FROM PLAN REF.PT.ELEV.: CST REF,PT.ELEV.. Name of Plumber. MP/MPRSW No.: County: Sanitary Permit Number: Calvin Powers Jr. 1563 St. Croix 106098 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER l/ C/ P OV DED. PROVIDED. ;A, � � 00 14 / J-0c0 T YES ONO DYES �NO BEDDING. VENT IA.. VENT MATL: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING. JVENTTOFRESH �°`O ALARM. FEET FROM LINE- AIR INLET ❑YES " NO DYES NO NEAREST �" �SO �� �`� DOSING CHAMBER: MANUFACTURER BEDDING. JILIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO ❑YES ONO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY JWFLL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (lf soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH'. LENGTH NO.OF DISTR.PIPE SPACING COVER INSIDE DIA -PITS LIQUID BED/TRENCH v TRENCHES I MA RIAL PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL D P H JDISTR PIPF DISTR PIPE DISTR.PIPE MATERIAL'. NO.DIS NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIP !I ABOVE COVER. ELEV.I((NIlLET ELEV.END'. PIPES. FEET FROM LIN /.^� ) AIR INI, 3o V 12 � NEAREST ! (J r MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES NO meets the criteria for medium sand. TIONS MEASURED. ❑ SOIL COVER TEXTURE PERMANENT MARKERS 013SEHVATION WE LLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. ❑YES ONO ❑YES ONO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES: LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKIN(, ELEV.. ELEV.. DIA. ELEV. PIPES DIA: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS DYES ❑NO 1:1 YES ❑NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS. NUMBER OF PROPERTY JWELL: BUILDING IFEET FROM LINE: 2 2 ❑YES ❑NO ❑YES ❑NO NEAREST J + ,I 17 n�V - << `7S y . 15 Sketch System on e for audit. Reverse Side. 0✓ SIGNATURE TITLE DILHR SBD 6710(R.01/82) I Zoning Administrator SANITARY PERMIT APPLICATION COUNTY :EDILHR In accord with ILHR 83.05,Wis.Adm.Code EZ: ^� � ^�^� STATE SANITARY PERMIT#J to 40—Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION �'(' 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES I•�l NO PRO"TY OWNER PROPERTY LOCATION Zoe '/4 '/a, S T , N, R (or) PROF5ERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOC NUMBER SUBDIVISION NAM CI Y,STA ZIP CODE PHONE NUMBER CITY NEAREST OAD, AKE OR MARK ❑ VILLAGE /' J X TOWN OF 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. 9 New b. ❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously_issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. _4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. MConventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. 0 Seepage Bed b. ❑seepage Trench c. ❑See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY:- (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): Feet RPrivate ❑Joint ❑ Public CAPACITY VI. TANK in allons Total #of Prefab. Site Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank ❑ ❑ Lift Pump Tank/Siphon Chamber ❑ I ❑ EJ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the ate s wage system shown on the attached plans. Plumber's ame(Pri Plumb is Signature: o S m MP/MPRSW No.: Business Phone Number: .S Plumb"s Address treet,3 Cit tate,Zip Code):Name of signer: VIII. SOIL TEST INFORMATION Certifi Soil Tester(C )Name CST# S s DRESS treet,City,State,'Zir Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Iss ing Agent Signature(No Stamps) ,Approved F-1 Owner Given Initial S rcharge Fee Adverse Determination 126.0 X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; ! V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; Vlll. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'h 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; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground * included the creation of surcharges (fees) for a number of regulated practices which Wisco iCS can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried rea'36` is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. 0 The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) APPLICATION FOR SANITARY PERMIT STC - 100 his application form is to be completed in full and signtd by the owner(s) of the roperty being developed. Any inadequacies will only result in delays of the permit asuance. Should this development be intended for resale by owner/contractor, ("spec Ouse"), then a second form should be retained and completed when the property is old and submitted to this office with the appropriate deed recording. er of Property Location of Property _,�/l k Section T_�If' N-R 22 N Tovnehip Mailing Address Address of Site Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel Crp� Date Parcel vas Created Are all corners and lot lines identifiable Yea No Is this property being developed for resale (spec house) 7 _ x- yes No Volume s a Number Page and Pa I� as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and pa&e 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION 1 Iwo 1 co.�t,Li.6y .that aCt s tdtementA on .thus on►n cute thus to the but o m hncwtedgo_; il�at I (we) am (she) tale ownen(S¢ 06 the p40pehty de�scAi.bed6.iny.tlueh) •in601mdtion 6oAm, by viA-tue 06 a wahhan.ty deed Aeconded in the 066.ice o6 the Col►n,t Reg ' ten 06 Deeds as-,Voeumen,t No. c,en We 00poaed site 6on�.the Sewage d-i�spoS a�m ondi.that I (We) pneSentty e�usv�^ent, to hun w.i_th the above ducAi.bed pnopehty, bon .the(eon,6tAuction o6eaaid aya.t", and the game has been duty heeohded Xn the 066.tee 06 the County RegiateA 06 Vetch, as Document No. ) SIGNATURE 01? OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DAIS SIGNED _— DATE SIGNET! i DOCUMENT NO. S' E BAR OF WISCONSIN FORM 2-1982 S SPACE RESERVED FOR RECORDING DATA - *�-- WARRANTY DEED Mf si750 , boOK 15 PAGE I SS :' i5i7:K OF14CIE Richard D. Dauck and Marilyn Dauck, husband ST. CPt';RX W., WI& and wifp aG join- tenants ko;'d. k-r RecsM fhis 9th day of 8._, eAD. 1986 conveys and warrants to Rirha d Tihhett and a� 12:30 P M. Joanne R Tj-bbett, ag marital property with rights of sur ivorghip tar d Medr RETURI`ITO the following described real estate in St. Croix County, State of Wisconsin: " Tax Parcel No: 4 Lot 1 of the Certified Survey Map recorded on October 19, 1977, in Volume 2 of Certified4 ", Survey Maps on Page 480 as Document loo. 343881 , a. S being a part of the West Half of the Northwest Quarter (W } of NW 1) of Section Five (5) , ' { Township Thirty (30) North, Range Seventeen (17) West. FEE � � P bC' This is not homestead property. ' (is) (is not) Exception to Warranties: ` i�rkk Dated this 20th day of , 19_8 6 r / i. (SEAL) 1� .GC.C,.�J (SEAL) Richard D. auuck Marilyn Dauck (SEAL.) (SEAL) 'Y y' AUTHENTICATION ACKNOWLEDGMENT Signature(s) of Ric-hard D. Dauck and STATE OF WISCONSIN ' Marilyn Dauck County. �, r authenti this 2 Qday of ,19 6 Personally came before me this dale of 19 the above named ; • John . Haasch i ARAW WAWWA1ckRMk�bNWAft (if not, Notary Public,State of Wi, to me known to be the person who executed the x' r ` authorized by§706.06,Wis.State.) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY J R. Haasch, Broker 4� Notary Public County,Wis. i (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19 g� "Namds of persona signing In any capacity should be typed or printed below their signatures. NTF Rte` STATE BAR OF WISCONSIN l WARRANTY DEED Nelco Forms,P.O.Box 1015,Green Say,WI 54308-t071I;' $, Form No.2—1982 CERTIFIED SURVEY MAP Located in part of the Wk of the NWa of Section 5, T30N, R17W, Town of Erin Prairie, St. Croix County, Wisconsin; being part of Lot 1 of Certified Survey Map, Volume 2 , Page 480 of the St. Croix County Register of Deeds. Unplatted lands owned by others NW Corner of North line of the NW4 of Section 5 N89 929'13"E, 2631.36' Section 5 N89029113"E 503 . 92 ' N N O d z N N 7 N C.T.H. "K" °_ 212 .44' N4 Corner of :r Q� Section 5 '^ I ` S89o26'07"W 475.65' -- �* N ` R/W Line Nrn ° fD o v• o o m N FN d 7 I °w LOT 1 '2 N c0 z m I I N AI+ n t0 N S8902610711W 502.53' w rr I1rn 26.88' 475.65' A . °t 0 e 10 ,.r o. 1y w• CD I1x [�]Existing House cn I � SCALE IN FEET - N � rt I C 10 16 1 I �' 0 100 200 400 I `-- IN rt ° I z I Existing Barn in ° ° LEGEND O I co I C N I pl0 I V �r I N '� Z �- r ' LOT 2 x County Section Monument V a _ N C w 10 • 111 iron pipe found I m —h a _ I L a p 1"x24!' iron pipe set, weighing 1.68 Lbs. w E I w per linear foot 1 0 co zo Ln Ict I-' N in 0 I I ,y OWNER °o l w I I Richard Tibbett N I Route 3, Box 310 o I New Richmond, WI 54017 S8705113411W 498.82' 22.861 , 475.96' LOT AREAS �� ao �y Iyr^� Lot No. Including R/W Excluding R/W flL,O T 3 jam o o ° 1 140,787 SQ. FT. 106,120 SQ. FT. It-i _ 3.23 Acres 2.44 Acres 11.3 - ' I k `9 S8705113411W 497.77' p 400,151 SQ. FT. 380,112 SQ. FT. I 1 475.96' 9.19 Acres 8.73 Acres 21.81 I IY 3 104,588 SQ. FT. 99,899 SQ. FT. Ln Ln� LOT 4 2.40 Acres 2.29 Acres 4 124,719 SQ. FT. 119,403 SQ. FT. I2.86 Acres 2.74 Acres Lu.56' 47 ' S87o51' 34"W 496. 52 ' r Lot 2-of-C.S.M.-Vol'.-2,-Pg_ 480 $ ~ALLEN C. �- ----- -- ------ ---- ---- >~. NYIiAGEN Ln o y S-1407 '< o 1NSS. W4 Corner of �' V �U� Section 5 This instrument was drafted by Fran Bleskacek Job No. 77-76-187 SURVEYOR'S CERTIFICATE I , Allen C. Nyhagen, registered Wisconsin Land Surveyor, do hereby certify that by the direction of Richard Tibbett , I surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: A parcel of land located in part of the W 1/2 of the NW 1/4 of Section 5 , T30N, R17W, Town of Erin Prairie, St . Croix County, Wisconsin, being part of Lot 1 of Certified Survey Map, Volume 2, Page 480 of the St. Croix County Register of Deeds; further described as follows : Commencing at the NW Corner of said Section 5 , also being the point of beginning of this description; thence N890-29' -13"E along the North line of the NW 1/4 of said Section, 503.92 feet ; thence due South, 1533. 27 feet ; thence S870-51 ' -34"W to the West line of said NW 1/4, 496. 52 feet; thence NOOo-17 ' -10"W along said West line, 1547. 32 feet to the point of beginning of this description. Above described parcel is subject to right-of-way for C.T.H. "K" and a Town Road as shown on this map and all other easements of record. That this Certified Survey Map is a correct representation of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Revised Statues and the Land Subdivision Ordinance of the County of St . Croix is Surveying and mapping same. r�rn".i7 �xk7f`!gRy ��Si yey yid •�'y'. �!•,'f K" l' �n zg $7 0" < �' ��� ` • Allen C. Nyhagen date SLI t �yrYYw ti's 9 J H H a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z 0 a OWNER/BUYER ,sago /i,(fB rn ROUTE/BOX NUMBER Fire Number 7 CITY/STATE ZIP ,S`-li PROPERTY LOCATION: _�, _14, Section , T -Q N , R2W, Town of St . Croix County , Subdivision � l//E� Lot number_. Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into 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 . 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 Zoning Office within 30 days of the three year expiration date . SIGNED DATE St . Croix County Zoning Office P. O. Box 98. Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign , date and return to above address . DEPARTMENT of REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY,` DIVISION ' LABOR P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 537907 9 53707 r (H63.09(1)& Chapter 145.045) LOCATION SECTION: N/R C (or�TOWNSHIP/M ALI I LOT NO.:BLK. O.: SUB I VISION AME: COUNTY: O R'S BUYER'S N E: MAI G ADORE T+ USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCI L DESCRIPTION: r� (PROFILED SCRIP IONS: ER LA 10 TESTS: dResidence New ❑Replace —7 7 RATING:S=Site suitable for system U=Site unsuitable for system ' CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OL IN TANK:RECOMMENDED YSTEM•:(optional) S E1U S DU [ J S ❑U EIS U EIS YU If If Percolation Tests are NOT re uir DESIGN RATE: Q If any portion of the tested area is in the under s.H63.09(5)(b),indicate: . Floodplain,indicate Floodplain elevation: ,/ _,(J PROFILE DESCRIPTIONS Jr e' BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH I'IV, ELEVATION OBSERVED EST.HIGHE TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) i1n/ B - / /-�-u 4.0 SAS=���n/ B- / i //" B:3 - 1. B- B-,5- 7 /3 3 sad 13- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IUCU96• AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P PER INCH P 3 I P A t P_ y 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 horn 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 A 'S'?j% j� r�rl iA).lk�e •' C / .© _ 1 i 1 ' ` 1 f, j vA 7D'� I I • )'"'�(�1TtCs� :_ }. led I lh/0 I AN Ix , 4A i_ 11 s ` ! I E I f 1, J 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 rint - TESTS WERE COMPLETED ON: J0 AD CERTIFICATION NUMBER: PHONE NUMBER(optional): 2 -.IJ7- S, CST SI TU �: rr �L DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD•6395 (R.02/82) —OVER — L 117 f 76' y `p►� r Iv d ' � I i • r PAGE OF Sy r �? Frooh Air Inlels And Obcorvatlon Pipe i /(�� ^ Approved Vent Cap e, L .� �r" Mlnlmum 12"Abore S � Final Grade 20-42"Above Pipe _4"Cast Iron To Final Grade Vent Pipe Morsh Hoy Or qAggrogal ring gate Oletrlbutlon Pipe — 0 0 —Tee e o Perforated PI a Bolor o p o Coupling T erminating At Bottom Of System c / SOIL FILL DISTKI BUT 1of" PIPE APPROVED S40JJ14FTIC COVER r'•• ° --MATER�AI- OR 9" OF STRAW 2"OF AGGREGATE OR MARSN NAy (er OF 12 -21/2 AGGREGATE ELEV. of ClIC FEET, DIS'T11115UTIOM PIPE TO BF AT LEAST ICHES BELOW ORIGIUAL GRADE AMU AT LEAST20 IIJCHES BUT MO MORE THAI) y2 IWCIIES BELOW FINAL GP.ADE MAXIMUM DEPTH OF EXCAVATIOW FROM 08,I6INAL 6KAK WILL BE FICHES MINIMUM ®EPT•14 OF EXCAVATlmN MOM. 01KI41MAL GRAPE WILL BE � IrvcHEs SIGHED: LICEMSE I,IUMBER: lneA�, j DATE 110 1