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Home My WebLink About026-1082-91-000 \ ¥ -0f � ~ 0 \ 0 E00 ~ E )% \ . o . ƒ %» 2 co k 0 W aza § \ 0 . 0 LL co 2 ch) mƒ. � ® k j § }8 z m / z a m E I § z « 2 U ) $ § ® t ■ e / k \ N Cl){ \ 7 a) .%IRA § $ ƒ § z ) z / .. ) a � k f � ~ k � \ \ \ e § o a m 2 ® k \ Ek k U) \ \ E § 2 2 2 a. U) \ \ \ > § § / 2 / § § _ \ E £ § 2 k a CL » Cl) 2 � Q ; ) ° Ifs ) = E cc � � . Q j 'o 8 / 2 � @ � co f 6 \ c 0 / \ § C _ \ 5 § § ® . , 0.0 a § / E § 2 \ ) { I ) } . @ m ) Co 0 z / z / ) \ , � % 2k � I M » E & 'E k a § / J a 3 v . . Parcel #: 026-1082-91-000 03/21/2006 09:08 AM PAGE 1 OF 1 Alt. Parcel#: 28.30.28.436C 026-TOWN OF RICHMOND Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner DAVID P RAYMOND O-RAYMOND, DAVID P 1344 120TH AVE NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1344 120TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 4.000 Plat: N/A-NOT AVAILABLE SEC 28 T30N R18W NE SE 4 AC LOT 1 CSM Block/Condo Bldg: 7/1932 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-30N-18W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 817/609 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 95999 167,400 Valuations: Last Changed: 04/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 41,000 102,600 143,600 NO Totals for 2005: General Property 4.000 41,000 102,600 143,600 Woodland 0.000 0 0 Totals for 2004: General Property 4.000 41,000 102,600 143,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , Q Z ( -/viz 7i ST. CROIX C911 4th Street 2 r/. f� u 6' d" Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning Office offers the service of septic and water inspection to Lending Institution, Realty Firms , and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING--------------------------------FEE:$ 25.00 (For nitrates and coliform bacteria) WATER TESTING--------------------------------FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION--------------------- :$ 25. 0. PROPERTY OWNERS NAME: a.y i o. e R e.-4 PROPERTY OWNERS ADDRESS: -g oY"r SfD B CITY: N&.v vr.pH W Z:7 5_1�0 L 7 Legal Description)(C_1/4, SF 1/4, Sec. Zz_, T 3o N-R W, Town of Z?; c.l' whoM4 ,Lot: N ._,Subdivision NA FIRE NO. L/ j CS LOC BOX NO._ U Q Color of house Brow w Realty sign? A(4 Firm: &A PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e. , COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: VA 1.•o4.r. Telephone No. REPORT TO BE SENT TO: l.� 07777 // 6 CLOSING DATE: Signature: V v 11V 1 A ST. CROIX COUNTY x� �» ri WISCONSIN s ZONING OFFICE ,. ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 Oct. 9, 1991 Veterans Office 911 4th St. Hudson, WI 54016 To Whom It May Concern: An inspection of the septic system on the property of David Raymond, located at Rt. 4 , Box 80 B, New Richmond, WI , was conducted on Oct. 2, 1991. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis . Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years . Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Sincerely, Thomas C. Nelson Zoning Administrator cj Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Q az TOWNSHIP SEC. Z T 30 N-R �8 W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 14417-4 (.*k-&�\ E.it ZyS ' + I Ne to , o N w � h >z' T 64�a5� INDICATE NORTH ARROW a 5e C BENCHMARK: Describe the vertical reference oint used P � /ntAr�/a.. /U•w. /P I' orn /' Elevation of vertical reference point: 2/00'=/00.D Proposed slope at site: Z-Z% F. SEPTIC TANK: Manufacturer: �� ,5 Liquid Capacity: /ppp Number of rings used: _ Tank manhole cover elevation: Tank Inlet Elevation: /,Tank ' � '� � r Tank Outlet Elevation: L1_70 =- Number of feet from nearest Road: Front,Q Side, Rear, O feet From nearest property line Front,OSide,®Rear,O /$"/ feet Number of feet from: well �Z , building: Z (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE u 1 1 3 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: eta �/2.r'7�'�o Trench: i 01 Width: $ Length: 3 G Number of Lines: 3 Area Built:e' 592 7, Fill depth to top of pipe: yD r Number of feet from nearest property line: Front, O Side, ®Rear,O-Ft . l'fl Number of feet from well: /.QO Number of feet from building: G i (Include distances on plot plan). SEEPAGE PIT P. /0,7.17 Size: �/ Number of pits: Diameter: J 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, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: License Nuc�.ber: 3/84:mj N FILW 433662 in it as QO JAMES dCONNELL CERTIFIED SURVEY MAP zr St.Croix Co.,W1 � Located in the NE1/4 of the SE1/4 of Section 28, T30N, R18W Town of Richmond, St. Croix County, Wisconsin USA Owned by: Theodore Orf It L 4 New Richmond, Wi EI/4 COR. N90 00" 00"W 313.54 S O°0' 0°E 280.54 33.00 33.00 POINT OF BEGINNING LEGEND SECTION CORNER MONUMENT 33'133 ' LOT 1 0 I" X 24" ROUND IRON PIPE WEIGHING 1.68 LSS. /LIN. FT. SET N I- (V t` 0 SCALE IN FEET I"= 200' W;z WN Z Z NI 0' 50' IOU' 200' 400' ~O Z' 313.54 ° ' N 90 W - o� - ~W 41 = 280.54' 33 W 4-= J1 I W t ° G' W QI Woo W w CD LOT 2 io o° z► U.y o t-� g ti ao co -Q 1 QI I- N ~ r 8 J =Z 41 O N N ° 0 wi I a4w CL o Z a1 OI _ q02 ZI o I I hI w N 90°W 313.54' N 2 M- j a I 280.54 33 1 �� NOTE; Lot 1 contains 174,239 square feet `4-- - d Z (4.00 Ac. ) Inc.R 0 W 01 LOT 3 15'5,9o2 square feet(3.5e Ac. NI Excluding R 0 W CO Lots 2 & 3 are the same, 87119 Sq.Ft. (2.Oac including ROW, and u 77:;g5'1 Sq. Ft. excluding ROW 280.54 3.5 (1 .79 Acres). N90°00'0d�E 313.54 I s UNPLA_T T ED _ _ _ LANDS 33 33 LL ,NtlNtliM�r 0 C01v 4, — — — Z HARVEY HUDSON � WIMS O Su ,� ti`1 1 V r,,�'�' , 4 SE CORNER 91111 i r {,v '� My� I} SECTION 28 T30N,R18W `/l A f This instrument was drafted by P. Gartmann Vol. 7 Pg. 1932 487-1310 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR AFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P,.O.BOX 7969 BUREAU OF PLUMBING M,(>DISON,WI 53707 N04T,SF'4,S28,T30N-R18W C�*,ONVENTIONAL 1:1 ALTERNATIVE State Plan l.D.Number: Town o Richmond El Holding Tank F-1 In-Ground Pressure El Mound (lf assigned) 120th St.eet NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE: David Raymond 1700 Aspen Sttceet 01, Hudson, W1 54016 BENCH MARK(Permanent reference pomO DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT ELEV.. Name of Plumber: JMPIMPRSW No Coumy. Sanitary Permit Number: Doug St.ohbeen 5432 St. Cnoix 112819 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED L'i : III d-" YES ❑NO ❑YES VNO BEDDING: VENT DIA.: VENT MATT HIGH WATER NUMBER OF ROAD. PROPERTY WELL BUILDING:IVENT10 FRESH ALARM AIR INLET. ❑YES NO Cr K YES LINO N 'M' v 7 �U �-- DOSING CHAMBER: MANUFACTURER. TE I NG- LI OU ID CAPACI iv PUMP M()UE I. PUMPS I PH ON M A N OF AC t E IHEH WARNING LABEL LOCKING COVER PROVIDED: PROVIDEDYES ❑NO I ❑YES ONO DYES ❑NO GALLONS PER CYCLE: 77ND CONTROLS OPERATIONAL NUMBER OF ?PROPERTY JIVE BUILDING IVENTTOFRE5H (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO INEAREST- SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing I F%(,TH JI)IAME TE H MATT HIAE AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) I MAIN' CONVENTIONAL SYSTEM: WIDTH JLINGTH NO OF ]IIISTR PIPE SPACING; C INSIDE DIA SPITS LIQUID BED/TRENCH /3 / THENCHFS / e, �OVIII HIAL PIT DEPTH DIMENSIONS ! 61 t0 GRAVEL DEPTH FILL DEPTH UISTH PIPE TR PIPE MATERIAL O 1, NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH BELOW PIPES rt ABOVE COVER EI EV.INLF f ELEV ENU .2 ^ /^ IPES FEET FROM �+ LINE,O AIR INS G G 7 3 NEAREST-=�. 7 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. DYES F-1 NO SOIL COVER TEXTURE PEHMnNI Nr nanFiKEHS OBSERVATION WELLS _ ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH BED DEPTH OVFH TRENCH BED UFP7H OF TOPSOIL SODDED SEF UFL-1 IMOYES ULCHED CENTER EDGES DYES. ❑NO YES ❑NO El NO PRESSURIZED DISTRIBUTION SYSTEM: EDfTR1 NC I WIDTH LENGTH TREONCH ES LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER DIMENSIONS' MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO UISTH DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEVATION AND ELEV.'. ELEV.. DIA. ELEV. PIPES DIA '. DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORHECT L COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS DYES L-1 NO DYES 1:1 NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS. NUMBER OF r PROPERTY WELL: BUILDING: FEET FROM LINE DYES ❑NO DYES L]NO NEAFigg ' Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE. Zoning Adm DILHR SBD 6710 1R.01/821 t:.nizt raltott SANITARY PERMIT APPLICATION COIN 4�DILHR In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# q —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 ®NO PROPERTY OW ER PROPERTY LOCATION S T p, N, R E(oa PROPERTY OWNER'S M LING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME drill CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK ` n ❑ VILLAGE 11. TYPE OF BUILDING OR USE SERVED: �/ fea 4. 007&_`q f�z-' `��-aoa Number of Bedrooms if 1 or 2 Family ,- OR ❑ Public(Specify): 111. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. ®New b.El 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. F Conventional b. El 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. N1 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): �S ICg' Feet in Private ❑Joint ❑ Public VI. TANK CAPACITY Prefab. Site Fiber- Exper. in allons Total #of Manufacturer's Name Concrete Con- Steel glass Plastic App INFORMATION New xisting Gallons Tanks structed Tanks Tanks Septic Tank or Holding Tank El Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ V11. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: - X A�' _ 4 �3y 2 3 Plumber's ddresf s(Street,City,State,Zip Code): Name of Designer: te* �o VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# CT's ADDRESS(Str et,City,�State,Zip Code) Phone Number: (p$ 3z, a so 40 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved St�;tary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) 12c). Surcharge Fee Approved ❑ Owner Given Initial � Y� ►� 10-12 L-P Adverse Determination �D !emu sC.( X. COMMENTS/REE,ASONS FOR DISAPPROVAL: - A J�21 �"L4 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,ofbed- 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 install*jan; 5. Private sewage systems must be'pr'bp� 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 a//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 8Yz 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-gears-of steady negotiation and public debate. The groundwater bill Ground t#�F included the creation of surcharges (fees) for a number of regulated practices which disco C.CI'S can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried res�lre a is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. 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) e 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/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 Do,y i J P— 'C3 k Location of property TTY 1/4 S 1/4, Section , T�N-R ) Township Mailing address �N Address of site Subdivision name C -S,d�. T4� C'�� .A ra ,P,*67Ir Lot number Af Previous owner of property l7o n r Total size of parcel Date parcel was created 7— Are all corners and lot lines identifiable? 4-- Yes No Is this property being developed for resale (spec house)? Yes No Volume 5� 17 and Page Number e� as recorded with the Register of Deeds. ------------------------------------------------------------------------------- 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. 1/3'1' 2' $`f ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. Signature of Owner �— Signature of Co-Owner (If Applicable) Date of Signature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 439884 a - - o E��E 609 REGISTER'$ OFFICE Theodore A. Ors, Jr. Vs X CC)_' W1 This Deed, made between . --- ----------- - jjI ---------------- ----------------------------..------------...------------------------......--•---...._...... -- - ---- ---- - , Grantor, and__-_-_.DaVld P_. Raymond;::;--:::----irig_T--_:_math::_::__ of 8:30 A M ------------------------------.----------------------------------- -------- -----•---------------• -------------------------------------------------------- ------------------------_ -------------------------- --------- ------------------ ----------- Grantee, Register of Deeds Witnesseth, That the said Grantor, for a valuable consideration___-_- ---------------------------------------------------------------------------------------------------- ------------ _ conveys to Grantee the following described real estate in ------- .:_._CCQ1 X------ RETURN To County, State of Wisconsin: Tag Parcel No- ----------------------------------- Lot One (1 ) of the Certified Survey Map recorded in Volume 7 of Certified Survey Maps on Page 1932 as Document No. 433662, being a part of the Northeast quarter of the Southeast quarter (NE 1/4 of SE 1/4) of Section Twenty-eight ( 28) , Township Thirty (30) North, Range Eighteen (18) West. y�,F3 O O O 4 r�L This .... not ___ homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And......Sgir_an.tQ.r---------------------•----------- --•-•---------•----------------•----.----------------- ............. -••------•-••-•--- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this --- ------------I day of July ------------------------------------ ' '�C• f........(SEAL) --•---------•---------••--••------•-•------------------•--•-------.-(SEAL) * Theodore A. Orf, 'Jr. -•-----•-----•-------------------------- •---------(SEAL) ----------•-----•---•---------••---------- ------------------.------(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. ------------------------- ------------------------....._.............. County. authenticated this ........ ay of-------J]lly- ----------- 19---88 Personally came before me this ---------__.....day of n ----------------------------------------- 19-------- the above named -------------------------------------------------------------------------------- *-------------Char r-i11._fiirzt------------------------------- -------------------------------------------------------------------------------- TITLE: $[ �'KTeAcTx�c �c�icA �c9tX (If not, --------No-tar-y---Puhli-c--------------------- -------------------------------------------------------------------------------- authorized by § 706.06, Wis. Stats.) me known to be the person ------------ who executed the CHERR1t,L Ni instrument and acknowledge the same. NOTARY PUBUGSTATE OF THIS INSTRUMENT WAS DRAFTED BY BAKKE, NORMAN & SCHUMACHER, S. C. ----------------------------------------------------------------------- -------- - 1200 Heritage l7 rive *-------------------------------- --------------------------------------------- -----Ne-w--RR3:C-hMandi----All---54Q17----•----------------- Notary Public ------------------------------------------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(if not, state expiration are not necessary.) date: --------------------------------------------------------v 19--------.1 *Names of persona signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. 1-1982 Milwaukee. Wis. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ��C_ zQ cl /1%/J Af ROUTE/BOX NUMBER / ?<0<3 g _4w� FIRE NO. CITY/STATE J d S Sasn 11 ZIP Eye /6 PROPERTY LOCATION: Nf—: 1/4 ,$,_1/4, Section , T -_-z�N, R Town of St. Croix County, SubdivisionC-S-fil �G`'jC , 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 St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address D)=PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INbUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.090)&Chapter 145.045) LOCATION: SECTION: OWNS / LOT N :BLK. O]SUBDIVIfilON NAME: VC1/j0/4 2 5 /T39 N/R � I� C04NTY: OWNER'S BUY R'S NA E: MAILING ADDRESS: si_ a;>o ad1d a Dd r . 4dsm— r,Jl.` syDlb USE DATES OBSERVATIONS MADE NO.BEDRMS.: SCOMMER IA ON: PROF DE DNS: P R TON ESCRIPTI O esidence ew ❑Replace STS: 3a Q RATING:S=Site suitable for system U=Site unsuitable for system rRS ONVENTIONAL: MOUND:❑� IN-GR❑OUNLl-�URE: SEM-IN-FI_LL HOLDING�K:RECOMMENDED)SYSTEM•(opfonal) U Ifs.}S IS U S U C/A �/��+c✓ /� If Percolation Tests are NOT required DESIGN RATE: If any y portion of the tested area is in the under s.H63.09(5)(b),indicate: I I<3 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORINGI TOTAL EPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER IDEPTH I , ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- All 1. 0 liy.ilz' Nose 9.0 ` B-Z �.3� f/h�� , 33 '7sGt�/ /,o`/Y,/ i OSi/Z`3a� /.DBns 2SOh�S�prS,SP Bits 9,33 ' .6� 8/S, z,o Bh ,y Z?s B-5 7 �/ 0 , o ell ,L *,2,4179,_5 /A0`E�_4 B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER lR�Fh�S AFTER SWELLING INTERVAL-MIN. PERIOD 1 —PERIOD 2 PE PER INCH P_ / 5 8 7- P_ 7 -f G 3 P- 3 '//-7' G 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 DS, -2, FF 1 f 4+ � 14 ' € n ak �loY i I,the undersigned, hereby certify that the soil tests reported on this form were made by me tin accord with the e s 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 afy,k "o e d belief. NAME(print : I TESTS RE COMPLETED ON: l(i�lP�e W C� 3d g ADDRESS: CER (FICA ION U BER: IPHONE NUMBER(optional): o% fi Bo37 ?<S 3s� �'�i CS N UR DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) OVER — J INSTRUCTIONS FOR COMPLETING; FORM 115- SBD - 6395 , To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; B. 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; 0. 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 may be used if desired; B. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 0. Complete all appropriate boxes as to dates,names,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain,elevation)does not apply, place N.A. in the appropriate box; 11. Sign the form arid place your current address and your certification number; 12. Make legible 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 Soil Separates and Textures Other Symbols St - Stone (over 10") BR - Bedrock cob __ Cobble (3- 10") SS - Sandstone gr - Gravel (under 3") LS - Limestone *s - Sand HGW - High Groundwater cs - Coarse Sand Perc -- Percolation Rate med s - Medium Sand W - Well fs Fine Sand Bldg Building Is - Loamy Sand > - Greater Than sl Sandy Loam < - Less Than '-I - Loarn Bn - Brown sil - Silt Loam 81 Black Si - Silt Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl -- Silty Clay Loam mot - Mottles sc, - Sandy Clay wl - with sic - Silty Clay fff few, fine, faint *c Clay cc - common, coarse of Peat mm - Many, medium m - Muck d - distinct p - prominent HWL - High water level, Six general soil textures surface water for liquid waste disposal BM - Bench Mark VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may rectuest verification of this sail test in the field prior, to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriates local authority in order to obtain a perrnit. The sani€ary permit must: be obtained and posted prior to the start of aflY construction. L t I i 280•fy i ma ft d- A pav'�d Rayvhohcl L. S.M• Taal OrF lot \ &z B.M- is tha_ vast +- Hor'%7-- Ra.F Po�Y\t z32' at 1-1na. N.W. lot 4-arv�a.r on ra o(r a C' Iofi F% y4- ass u ma-,A EIV. = 100-10 O . Bores Fko (s. c�l'a.s I X = Pa.fL Nols.6it"�S Sui+abla 4Lra..4. w /2'3 % 1 I I ac �rL� s Y"-t .El. = to 8% y Z- 1.4 so'-- a Z 4 A t. 4i So - P � i 3s� ! i' o I 0 65 Z.5 � !Fi I ryi I r 14Du V 'i�'X 3 I i 4 Dri i I i 4 � i 2 So' ! A N fto. ' *I .... . _. P� •tea l 1 i 011 • �I , P � t.� 6� ri P 5 P tr Ell Fl lu P G " i P P F 4 O •