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HomeMy WebLinkAbout020-1071-30-000 } ` \ \ �. \ 0 a c ® � § � k 0 % q (D I /C § ® o k / L § ) ; n0 $ 00. 2cm $ } 2f 2 jam © C \ k2 j Cl) 3 � \ \/ 0 z / % % m § $ a co q . k B = k_ g « ® 2 z 7t$/ IT { } £ 7 7 N ? � § _ D n E § § S f R 0 z m } c k \ 2 m / ^ 4 co CL M k co 0 _ & k 2 m § E k k k k m } _k a a a IL IL ( , . = m 2 j q § c 2 \ § . * § @ a 2 a 2 R ) � I n 3 � _ CD ® § k° §§ ) = o C, § j k \ ) / k / _ 6 @ 2 § ` $ - � § \ I ' � � 0 2 E c k k a i $ 0 IL 2 � o U) J a. Parcel #: 020-1071-30-000 12/20/2004 11:35 AM PAGE 1 OF 1 Alt.Parcel#: 26.29.19.278E 020-TOWN OF HUDSON Current OX ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): '=Current Owner *SCHOUMAKER,WALTER J&RENEE L WALTER J&RENEE L SCHOUMAKER 792 KINNEY RD HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *792 KINNEY RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.010 Plat: N/A-NOT AVAILABLE SEC 26 T29N R19W NE NE COM NE COR SEC 26 Block/Condo Bldg: TH S 313. 25'TO POB S 318'W 700' N 318'TH E 700'TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 26-29N-19W Notes: Parcel History: Date Doc# Vol/Page Type 05/20/2003 722018 2246/105 WD 817/493 791/09 727/322 2004 SUMMARY Bill#: Fair Market Value: Assessed with: 48197 294,100 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.010 53,500 174,000 227,500 NO Totals for 2004: General Property 5.010 53,500 174,000 227,500 p Y Woodland 0.000 0 0 Totals for 2003: General Property 5.010 53,500 173,000 226,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 157 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 Ik ' Form - S T C - 104 Y AS BUILT SANITARY SYSTEM REPORT OWNER �KO�eF\ �OWNSHIP HU,j JOTJ SEC.Q( T ��N-R19W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•I.HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM vJ �doo I jW 103' �q, 1 I 1 IaxSa e 3' INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used ,zQI Raj, Elevation of vertical reference point: 00, D Proposed slope at site: SEPTIC TANK: Manufacturer: S Liquid Capacity: o I�eS l Number of rings used: 0 Tank manhole cover elevation: 1` Tank Inlet Elevation:1-0 Tank Outlet Elevation: Number of feet from iKearest Road: Front,O Side, Rear, Q QIDO feet From nearest property line Front,0 Side,0 Rear,O 35 feet i Number of feet from: well 10 , building: aQ (Include this information of the above plot plan)( 2 reference dimensions to septic tank) 1 SEE REVERSE SIDE Y • 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: p 4 (Include distances on plot plan).-5kot S80 eADeR . 8• / 1 U - I 7 . ?y (00.00 SOIL ABSORPTION SYSTEM 19� �s�� �ND 9g-7? " /g�77 Bed: J Trench: �ed Width: Length: o Number of Lines:_ Area Built: Fill depth to top of pipe: � I I Number of feet from nearest property line: Front Side, O Rear,®Ft . Number of feet from well: `NC' Number of feet from building: J � I (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, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: +�] Q Inspector Dated: ��U. I 1913 i"� Plumber on job: &� T' ' License Number: ��d 3 1 3/84:mj r *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 NEi, NEi, S26,T29N-R19W CONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number: TOWN. aj Hud6on ❑Holding Tank El In-Ground Pressure El Mound Kinney Road NAME OF PERMIT HOLDER: ESS OF PERMIT HOLDER: INSPECTION DA E Steve Knam ADDR 714 3nd Stteet, Hudson W1 54016 �g 1t.do BENCH ARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.. 1� JI Name o1 Plumber MP/MPRSW No.: County: Sanitary Permit Number: Fi Richand Ha " I 1059 St. C&oix 112728 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER /�� /\ PRO DED PROVIDED '^ S V V lo l I S YES NO ❑YES NO BEDDING. VENT DIA.. VENT MATL.. IHIGHWATER NUMBER OF ROAD PROPERT WELL: BUIL Nql G. VE TO RFSH ALARM FEET FROM / LIN c °_//\/5 JA —INLET OYES O I) ❑YES NO NEAREST rO+�/ �J DOSING C MBER: MANUFACTURER BEDDING: LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. ❑YES 1:1 NO ❑YES ONO ❑YES ❑NO GALLONS PER CYCLE: �UMP NDCONTR LS PERATIONAL: NUMBER OF PR OPERTV WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) El ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check th s it mo' lure at hedepliofplowong I LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled IO a Vonstruclon shill cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH NO.OF JDIITR PIPE ACING. COVER INSIDE IA -PITS LIQUID BED/TRENCH TRENCHEy� M AL: PIT / DEPTH DIMENSIONS a I / ✓ GRAVEL DEPTH FILL DEPTH JDISTR PIPE DISTR.PIPE DISTR.PIPE MATERIAL. NO.DI NUMBER OF PROPER TV WELL BUILDIN V NT TO FRESH BELOW P El.1 ABOVE C ELEV INLET ELEV.END. ��/ ^ PIPES FEET FROM LIN AIR INLET 1 `D Y pO NEAREST— 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- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER ITEXTURE PERMANENT MARKERS OBSEHVATIDN WELLS ❑YES ❑NO DYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. OYES ❑NO ❑YES 11 NO ❑YES El 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 JMANIIOLD MATERIAL NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEVATION AND ELEV.' ELEV.. DIA.. ELEV.' PIPES DIA.: DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS OYES ONO 1:1 YES ONO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PR OPERTV WELL. BUILDING. FEET FROM LINE 1-1 YES 1:1 NO El YES 1:1 NO NEAREST I si� %J Sketch System on Retain in county file for audit. Reverse Side. SIGNAT� .� TITLE. �1 DILHR SBD 6710(R.01/82) 1 111 �J�� Zoning Admin.usttc.atan 1 SANITARY PERMIT APPLICATION CO" (`DILHR In accord with ILHR 83.05,Wis.Adm.Code Sf. 6 IX STATE SANITARY PER�MII # -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 I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES E&O PROPERTY OWNER V PROPERTY LOCATION 1�12d l�e(� �.'/4 NC '/a, S c� , R 19 E (or) PROPERTY OWNERS MAIL G ADDRESS LOT MI�BER BLO K NUMBER SUBDIVISIQN NAME CI ST TE 1d11� Z PHO BER CITY NEARNROAD,LAKE OR ANDM K S�W W S�• /� ❑ VILLAGE: f p II. TYPE OF BUILDING OR USE SERVED: p_ /07 50-G Number of Bedrooms if 1 or 2 Family -3 OR ❑ Public(Specify): C ON 6 U p III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e.❑ Repair of an ystem 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. RIConventional 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. ENeepage 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): REQUI ED Square Feet): PROPOSED(Square Feet): 3 �Q 1 Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in gallons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank — 000 El Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plum er's Signature:( tamps) N MP/MPRSW No.: Business Phone Number: fr Goa , N 71 38 0 Plumber's Address(Street,Cit ,St te,Zi Co ): Name of De igner: � �d o N VIII. SOIL TEST INFORMATION Certified So Tester CST)Name hh CST#Q O CST' A DRESS(Stre -pity,S e,Zip o e) Phone Number: 1 o , So U 01 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Is 'ng Agent Signature(No Stamps) Approved ❑ Owner Given Initial Surcharge Fee Adverse Determination 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 t 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 per : ust be,approved by the permit issuing authority. A new permit may be needed if there is a change in oubuildin plans, system location estimated wastewater flow number of bed- 9 Y 9P � Y ( 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: 1. 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; VIII. 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 81,6 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. --------------------------------------------------—-----—_------------------------------------------------------—-----------—------ --- I 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 $ C included the creation of surcharges (fees) for a number of regulated practices which Wisco itI"S can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried r @$Si1fe' 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 monitciring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) DEPARI-MENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDIIV INDUSTRY, DIVISION,. LABOR AND PERCOLATION TESTS (115) P.O.'P BOX 71 HUMAN RELATIONS MADISON,W1 5370 (H63.090)&Chapter 145.045) k o t— T /sue B �:OWNSHIN@fP S;UBD�IV�SI�/N�NAME: SECTION:I � git lT 74NJR/ Yl o BU R S AM COUNTY ' ' Cr USE , DATES OBSERVATIONS MADE NO.BF_DRIVIa: 0 R TI0 : Residence �lew ❑Replace . • - RATING:S-Site suitable for system U-Site unsuitable for systam ONVE 1 AL: MOUND: IN G ILL OLDING TANK:RECOMMENDED SYSTEM (optional) rms DU IBS DU S DU S. 20 OS ®U DESIGN RATE: If Percolation Tests are NOT required [FloodPlain,f any portion of the tested area is in the under s.H63.09(5)Ibi,indicate: indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL P H R UNDWATE -INCHES CHARA TER OF S IL WITH THICKNESS,COLOR,TEX'T11�► ,AND DEPTH NUMBER OEPTH ELEVATION gSERV D TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACKI • / /./7 B S,.S B �s r' �yj'Rsdtr�. ,,, ��s; yr B- 1.17 /03•t4 D•G7 . 2t' 3' �9 i 2.t �s /.LS��HS1/�✓yS'.ts��, S B- 2- '7 75 /41/67 7. 7,5 w of l J FF F 3 / .SY !��•9Z /� SQ"� 3 VIS, .9t' B.fs, • Z'�F Onz B- 4 :r 4A ' ♦ d . // $1S BaS, 5. 6 7 B�f es 4��.-:�tI/iw tR B. tf gcY 9 > q _ PERCOLATION TESTS DEPTH ATER IN HOLE TEST TIME -I R MINUTES NUMBER RJBHES AFTER ELLING INTERVAL-MIN. PER INCH P_ 1 S/7' 2 & 3 P. Z S'v' Z � �? P. Z L 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 ill borings and the direction and percent of land slope. � SYSTEM ELEVATION 97, 92 .i o' tN A4_7ttt LLI. I LH " E . ::H >r P o' I ' I i i 1,jhe undersigned,hereby certify that the ail tests reported•on this form were made by me in accord with the procedures end methods specified in the Wisconsin Coda and that the data recorded and the location of the tests are correct to the best of my knowledge and belief,• , Administrative NAME r t • TESTS E M 91 TED ON: , Z ADD E S: CER IF ATI N NUMBER: HONE NUMBER(optiongl 0 W� �f L CS I A end Soil Tester.DISTRIBUTION:Original and one copy to Local Authority,Property Owner ; DI LHR-SBO.63A5 1R.02;821 —OVER — - --- - I , APPLICATION FOR SANITARY PERMIT STC - 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/contracEor, (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. ------------------------------------------------------/f------------/--,----------- Owner of property Location of property WE-_114 .1/4, Section D(::: , T_.,2a_N-R_qW Township od SD/1� d Mailing address "7 �4 1-1�a{sc3 r1. LA S S �LUt C Address of site 7VA X ",;3 vLfy Subdivision name V. Lot number Previous owner of property Total size of parcel Date parcel was created �/ /,�, �c, ,�"o/, c�•r_. �v7.���77� � -/S - 7 ✓�.Cec� 6-ao-7i� Are all corners and lot lines identifiable? _Yes No Is this property being developed for resale (spec house)? Yes X No Volume / pnd Page Number 4�9 3 as recorded with the Register of Deeds. (7o,v�vd �� �o SYe&,--,v A.lei, o'#"ev A!ala. / , l ea✓ti',S ------------------------------------------------------------------)----------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. 3 y Ra .3 ) . Signature of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature L I I ' � I DOCUMENT No. WARRANTY DEED II THIS SPACE RESERVED FOR RECORDING DATA If STATE BAR OF WISCONSIN FORM 2-1982 4>_ 9823 aooK d1 l_r-A�A9J- - REGISTER'S OFFICE Dominic A1, $T. CROIX CO., WI Jilek and Sally R, Jilek� husband and wife c - ------------------ --------- ------- -------- - - ...................................... Recd for Record as joint tenants ...................... ---------------------------------------•. -------------------------------- A UL 26 1988 ---------- .......... ---••-......•...f ......••- conveys and warrants to -- - v Kromer -._.-- • d - r •-, of 10.20 AM � ---------joint tenants Steven M. Kromer and Linda M. Kearns I 0 � I ------------------------------------------------------- --------------------- ----------- Register of Deeds --------------------------------- ------ .-----•----------------------- - RETURN TO – --------- ----------------•--..--_--.___._-__-___..-._._..--_--_._.-__.--.-.-_-_•-.--..-•-•----................ ICI ----- -------------__.. ._•-__----__---------•--•------. .---•`•--•••-•--..-.-----------•-.-----_..._-._ ---- I ...._ the following described real estate in ............ �...CTQ�.7C..................County, j State of Wisconsin: ' I Tax Parcel No: -------•---------------------- Al parcel of land located in the Northeast Quarter of the Northeast Quarter of Section 26, Township 2914'North, Range 19 West, Town of Hudson, more particularly described as follows: Commencing at the Northeast corner of said Section 26; thence on an assumed bearing due South along the center of a town road 313.25 feet to the point of beginning; thence continuing due South 318.0 feet to m point located in the center of said town road;, thence South 89055, West .0 feet � p 33 to a 1-3/411 iron pipe and the Westerly right-of-way of said town road; continuing South 890551 West 667.0 feet to a 111 iron pipe; thence North 318.0 feet to al 1°" iron pipe located on an existing fence line; thence North 89 0551 East, 667.0 feet along existing fence line to a 1-3/411 iron pipe located on the West right- of-way of said town road;; thence continuing North 89 0551 East, 33.0 feet to the point of beginning. This deed is executed in fulfillment of that certain land contract between the parties; hereto recorded in the Register of Deeds office for St. Croix County, Wisconsin on September 14, 1987 in Volume 791, pages 9-10, as Doc. #430113. 'MAN FED • This __.-is Y10t,---------- homestead property. 00 (is) (is not) FEE I Exception to warranties: easements and restrictions of record`, if any. i _ 6 Dated this -------------�--------•---------------------- day of July-----------------------------------------> 19...88-. --------------- -----------------------•--------------------- (SEAL) -- 1sac/ �`z G� r�------- ------(SEAL) * -Dominic_A-•-- ek------------------------------- ,� C 6' ---- ------------------------------------------(SEAL) 11.' ` --------------------(SEAL) j Sall. R ek ------------------------------------------------------- J'------------------------------ j AUTHENTICATION ACKNOWLEDGMENT Signature(s) --------- -------------------------------------------------- STATE OF WISCONSIN SS. ------------------------------------------------------------•------------------- St. Croix ----- ------------------------------County. authenticated this --------day of--------------------------- 19------ Personally came before me this __ '__day of I ------_------------- L1�!•_____________ 19.1$_._ the above named -------------------------------------------------------------------------------- Dominic A Jilek and Sally R• Jilek, - *--------------------------------- ----husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN , � -----------------•------------------------------ y ------ (If not- --------------------------------------------------------- L ;;.ten .„ .'-P authorized b y § 70G.06, Wis. Stats.) �9.. to me known to be the person .s___a exc�tec,.tHe fore 7".4-in rume and acknawl a Sin THIS INSTRUMENT WAS DRAFTED BY s1 ;� •� Sally R. Jilek s - -------------------41�� ---------- ----- _--- --------------_--� ------------------------------------------------------------------------------ Notary Public -- St.__Croix--------------------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary.) date: A ee I!c ti / 7 -------------------------------------------------- 19 "Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Cu. Inc. FO1t,1V1 No, 2— 1982 Milwt.ukee. Wis. it STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 3fe_o e r'a nA P.r- ROUTE/BOX NUMBER / 9cQ f �, � ,�. FIRE 910. CITY/STATE ���A.C� /,�� / ZIP S.IOI 61 PROPERTY LOCATION: 1?)67_114 /4, Section �_, TAN, RW, Town of St. Croix County, Subdivision ///- 4 • , Lot No. �• Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED�! �'�� DATE S `" 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 ,- - -RB ' 67 R 0 SS SECT 10 1\1 - L. PLOT A fsl [) (.,.. \ - .. .- P -I OJEC T P L U R M E Sts nLe N-A M E E) AL OCAT 10 N... I KN L I C E N S E pt OAD �7 Jr�a P L n T M A r4 3 BQj>KU0rn Homo, /00, lot C job Kt�RK ORNOM x 9a� 55' 5()if Stf P, las 30 A94t -A 0 �axsa P ;�; �' 2 a C, 0• 0 6 131 63. 10 8V 301 FRESH Al AND OBSERVkrIOU PI-PE C110") -S SECTION Approved Vent Cap lQAI) 'rwpl GRAJ, Minimum 12" Above Final 4" Cast Iron Above Pipe Vent Pipe To Final Grade.,--,- Marsh Ilay Or Synthetic Coveri-ng Min. .2" Aggrcy'-t( o ut Over Pipe Distrib Tee Pipe Aggregate Perforated Pipe Below Beneath P' Coup.l.ing Terminating At 040 Bottom of System