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DEPARTMEbW OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
I
LAB F�& DIVISON
HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING
P.O.BOX 7969
MADISON,WI 53707
NE4, SW4,S11,T31N—R18W XRCONVENTIONAL ❑ALTERNATIVE (if asslln��D.Number:
Town of Star Prairie ❑Holding Tank El In-Ground Pressure El Mound
Apple River
NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE:
Merrill Campeau 217 W. Linden Street, Stillwater, MN 5 082 `7_ /_ 1:2d
BENCH MARK(Permanent reference pom0 DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT.ELEV..
Name of Plumber MP/MPRSW No.: County: Sanitary Permn Number:
Calvin Powers Jr. 1563 St. Croix 106141
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED.
❑YES 1:1 NO ❑YES ONO
BEDDING. VENT DIA.. VENT MATL.'. HIGH WATER INUMBER OF ROAD: PROPERTY WELL BUILDING. IVENi TOFRESH
ALARM. FEET FROM LINE. AIR INLET
DYES ENO OYES ❑No NEAREST
DOSING CHAMBER:
MANUFACTURER BEDDING- LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER ACTIIRER WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED.
❑YES ONO ❑YES ONO ❑YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERA710NAL.
NUMB PROPERTY WELL BUILDING IVENTTO HIS"
(DIFFERENCE BETWEEN FEET FROM LINE AIR INLET
PUMP ON AND OFF) ❑YES El NO NEAREST
SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING
or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE
the soil is dry enough to continue.)
MAIN
CONVENTIONAL SYSTEM:
WIDTH. LIN OF DISTR.PIPE SPACING. COVER JIN:;IDE DIA nPITS LIQUID
BED/TRENCH TRENCHES ENCHES. MATERIAL: PIT DEPTH
DIMENSIONS f
GRAVEL DEPTH FILL DEPTH IDISTR.PI Pt 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
NEARI
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 ❑NO
SOIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS
❑YES ❑NO DYES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDEU MULCHED
CENTER. EDGES
El YES 1:1 NO YES ONO ❑YES NO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH. LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL IN O DISTR DISTR.PIPE DISTHIBUTION PIPE MATERIAL&MARKIN;
ELEVATION AND
ELEV.' ELEV.. DIA. ELEV. PIPES DI A..
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PVL ART(ICAL LIFT CORRESPONDS TO APPROVED
❑YES NO ❑YES NO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING.
FEET FROM LINE
6� 7,0S OYES ONO 1:1 YES ❑NO NEAREST
1 CA
D
S0
c� X1 .99
Sketch System on count c� Retain in file for audit.
.O Y
Reverse Side. 1
p� SIGNATURE. TITLE
l Zoning Administrator
DILHR SBD 6710(R.01/82) �' 1
SANITARY PERMIT APPLICATION COUNTY AT /-1 c
DI In accord with ILHR 83.05,Wis.Adm.Code STESANIT`A{RYPERMIT#
—Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NU BER
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 OWN R PROPERTY LOCATION
12 A/S '/a '/a, S T..3 , N, R
PROP RTY WNER'S MAILING ADDRESS LOT NU BER BLOC NUMBER SUB VISI NAME
CITY,STATE ZIP CODE PHONE NUMBER CITY NEARE T ROAD,LAK R LANDMARK
❑ VILLAGE: /
11. TYPE OF BUILDING OR USE SERVED:
Number of Bedrooms if 1 or 2 Family OR El Public(Specify):
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
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. 9 Conventional 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. X seepage Bed b. ❑See a e Trench c. ❑Seepage 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 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
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' Name(P ' t): Plu ber's Signat e:( Stam s) MP/MPRSSW No.: Business Phone Number:
Plumb s Ad re s(Street, ity,State,Zip Co Name of Des", er:
J
VIII. SOIL TEST INFORMATION
Certifi d Soil Tester(CST)Name CST#
CS 's AD ESS(Street,City,State,Zip Code) Phon Number:
,b
IX. COUN /DEPARTM ENT USE ONLY
❑ Disapproved anitary Permit Fee Groundwater at I ng Agent Signature(No Stamps)
1'2o, S charge Fee /�
Approved ❑ Owner Given Initial 1 d' t V /
Adverse Determination Q��
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'f 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.
r
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 In
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried resut� °
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. °
c
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
w
IN
ater, groundwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting.
SBD-6398(R.03/86)
I
APPLICATION FOR SANITARY PERMIT
STC - 100
his application form is to be completed in. full and signed by the owner(s) of the
roperty 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 _la ,Q�u
IV
Location of Property _k ) Ix, Section , T 2/ N-R W
Township ��.P �1'l;�s�°s4
Hailing Address l
Address of Site
Subdivision llama
Lot Number
Previous Owner of Property cL2 L - ot-,
Total Size of Parcel /
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume` and Page Number -�.3 as recorded with the Register of D-Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed which includes a Document number, volume and page number, and the
Seal of the Resister 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
I (noel cehtti.6y that att atatement6 on th,ih cte tlr.ue to the best o6 my (oun)
hmowtedge; that I (we) am (cute) the owne�r.(afor the pkopehty dmcAi.bed in thiA
.in601mat,i.on 6o4m, by viAtue o6 a waAAanty d ed neco)tded in the 06 fWe)ice o6 the
County RegiAteA o6 Deeds ass Document No. 14-STS-S') ; and that I pneben.tCy
ocun l e phopoaed bite bon the sewage ddf�spp-OAdt 6=y6te`mm (on I (we) have obtained an
C"amen t, to nun with the above dens ch i.bed ptopeh ty, 6oh the con6tAuc ti.on o6 aai.d
a ystvm, and the name heu bee duty kecoAded in the 066.tce 06 the County Reg-,ateA 06
V eede, Ooement No. 1 .
AXC
SIGMNATVUURE 0>�. SIGNATURE OF CO-OWNER (IF APPLICABLE)
IGNED DATE SIGNED
0oCU4Ertt 140. STATE'BAS Olrr ` e
WISCONSIN FORK I Spec a
4311 w
...F RELIT p
' X11$ Deed, made between Ralph D. Carlson and *; F
itoger J. Carlson
$T. { �
-- , as tenants in common
r
a •.
in equal shares Ret(d for .f
and Merrill J. Campeau, a single man Grantor, MAY 2 '�.� •
1:30
4
_.
Grantee,
RMitN►of Oil�i `
Witne88eth, That the said Grantor, for a valuable consideration +: -
n. dollar and other valuable consideration
x 1.0nveys to Grantee the following described real estate in S t. Croix RETURN To
' COunty, State of Wisconsin: Century 21 , Inc11 n11e.*d <* i ,
F New Richmond,'.,k1
i
Tat Parcel No: --
ry
The NW; of the SE'k lying North and West of the Apple River;
T The NEk of the SWty, lying West of the Apple River," EXCEPT'
the West 765 feet thereof; ALL in Section 11-31-18.
Subject to recorded easements , reservations , and rights of way,
This warranty deed partially satisfies that land contract
b i
etweenthese part
811es dated May 18 , 1988, recorded May 20 -,
. page 260 as Document # 437550
This warranty deed replaces that warranty deed dated July 7,
4p. 1987, recorded Jul 20 1987 in Volume 785,
Document #428236 . y Page 470, as
This is not
homestead property.
{ (is) (is not) ►�'F .
Together with all and singular the hereditaments and appurtenances thereunto belonging; ^{-----�
And Ralph D. Carlson and Roger J. Carlson
W �`
arrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
n
and will warrant and defend the same.
Dated this
d•av of May 19 88.
Ralph D. Carlson CREAl'i
Roger J. Carlson :
AUTSENTICATION
ACKNOWLEDGMENT
Signature(s) STATE OF 111dXW.V o X I L L I N I S
x .. .-
"i, authenticated this i ',nt,
day of 19 1
1'er.,�nr,J. :f rc r,• me t!• s
x
�' iay of
@� 1
staY Iv RH tre al-ove ranic..
Ralph 1) . Carlson
TITLE: MEMBER STATF, BAR f** IN*l f'')Ns!N
(if not. a 1
:.authorized by I ;nf;.rliT, Wis. St ,t;.) y
3 to m, kn Ttr. •n f I!.• i. .•i 't r "Rp`
a x.r rLex! t r C
f. n ,.in. ni tl �tl •t .I.,.I :�o{)u.�l ICr° tlir 11Nti7 =�
R THIS rJ-�TPIJ ,rNT WAS, r;f:'.c'cn N���
Erie J Lundell , Box 157
;
+Iew Richmond, 1114consin 540 17
ntttt+rs in he aathc'nti+•sated �rr a,d.nntcl�•d:r•.1 l:,,�1 �1 I ,�.*r �+ �
n .aM not!'nefes ark.)
d.at.
*NainM rit Orrrna.
a �Rn�al �rrwnv .wj,.Tc�•v •hr:'-.t !n• i.,..,1. ...I.n.; . !i �r , - ♦ �, p�^ -
k � r
�•.�....�..:... ., -_ . 4isreak1t Ut ar;cu�.�r�v "
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STC - 105 r
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SEPTIC TANK MAINTENANCE AGREEMENT 00
St . Croix County z
d
a
/� H
OWNER/BUYER,
ROUTE/BOX NUMBERa/7 ,�� Fire Number
CITY/STATE �r�/�, _ //"Y ZIP �0�
PROPERTY LOCATION : "--;4, }L, Section _, T �::=?j N , R W,
Town of , St . Croix County ,
Subdivision- , 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 rep lacement 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
g systems
owners of all new systems agree to keep their y tems ,
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 . yo
E
I/WE, the undersigned , have read the above requirements and agree C
to maintain the private sewage disposal system in accordance with x
the standards set forth , herein, as set by the Wisconsin Depart- PV
ment of Natural Resources . Certification form must be completed
and returned to the St . Croix County 7.onin 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 .
i
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& B UILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969
HUMAN RELATIONS P MEAD ON,WI 53707
(H63.0911)&Chapter 145.045)
LOCATION: N: TOWNSHI LOT NO.:BLK.NO.: SUBDIVI 1 N ME: q
� / N/ or)W StarPrarie n
COUNTY: OWNE 'S R'S NAME: MAILING ADDRESS:
St. Croix Merrill J. Campeau 217 W. Linden St. Stillwater Minn. 55082
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: R TS:
Residence 3 1 n/a I New ❑Replace l 3-23-88 3-23-88 1
RATING:S-Site suitable for system U=Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND RESSURE: S ST M-1N-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)
r_1 C xx" ❑US ❑U S ❑ ❑S �x ❑S conventional
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b),indicate: class 1 (Floodplain,indicate Floodplain elevation: n/a '
decimal' PROFILE DESCRIPTIONS page 4 AOB
BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGR-E—ST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.)
B-1 7.00 101.20 none >7.00 83bl.l.' 2.42bn.sil. .50bn.s.l. 3.25 bn.c.s.&gr.
82 7.25 101.79 none >7.25 1.00bl.1. 3.00bn.sil. 3.25bn.c.s.&gr.
83 7.25 99.89 none >7.25 .58 bl.l. 2.17bn.sil. 4.50bn.c.s.&gr.
13-4 7.09 99.30 none >7.09 .92bl.l. 2.17bn.sil. 4.00bn.c.s.&gr.
B-5 6.92 99.43 1 none >6.92 .75bl.1. 2.00bn.s.sil. 4.17bn.c.s.&gr.
B-
PERCOLATION TESTS
TEST DEPTH, WATER IN HOLE TEST TIME DROP N WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. Refiloo t PERIOD PER INCH
P-
P-
P-
P-.
P-
P- i
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 95.93
ep
1 _ t
r
s A /, _
1,the undersigned, hereby certify that the soil tests reported can this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME(print): r TESTS WERE COMPLETED ON:
Gary L. Steel 3-23 88-
ADDRESS: CERTIFICATION UMBER: PHONE NUMBER(optional):
CST
4A
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER—
ee,o
P/64 1,e,Ise
OWS, isds
oaf
moo.
` /a r
la-4 h/s 4-P�
pt�
r PAGE OF
Crc) S `r; � IU d � 4JCn SISf ts")
Z_1110;o iw Fr*6h Air InI416 And Obcervollon Pipe
Approved Vane Cap
Minimum 12"Abovo
0 e, Iii/ Final Grodo
20-42"Above Pipe _4"Cast Iron
To Final Grade Vent Plpe
Marsh May Or Syntnatic Covering
Min 2"Aggregate
Ovar Plp•
OlUrlbutlon —Too
PIQ: '� 0 0 0 0 0
Aath Pipe e
Beneath o Partoraled Pipe Below
Ba
o —Coupling Terminating At
Bollorn 01 Syslem
SOIL FILL
DISTRIBU'TIOH PIPE
APPROVED S4ItlTNETIC COVER
° !`MATERS^L OR 9" OF STRAW
Z"OF AGGR EGAIE -�� OR MARS" HAy
(er OF l2 -2t/2 AGGREGATE c°8
KIEV. OF� F E&T_�
DIST'Rigi,,)TI M PIPE TO BE AT LEAS? INCHES BELOW ORIGIUAL GRADE
AAIU AT LEASTZO INCHES BUT AIO MORE THAI) 42 IKJCHES BELOW FILIAL GRADE
MAXIMUM DEPTH OF EXeAVAT100 FROM OK16 IVAL 6KAoF. WILL BE iileQ— INCHES
MINIMUM! GISF" OF EACOAT100 fK01A OIKII;INAL GRAPE WILL BE _ INCHES
SIGNED:
LICEUSE UWABER:
�7 Ii
DATE : �� _ �/� l'
tto j
Parcel #: 038-1048-10-200 12/14/2006 10:42 AM
PAGE 1 OF 1
Alt. Parcel#: 11.31.18.202A-20 038-TOWN OF STAR PRAIRIE
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
ALAN L&MARY JO LINGEN O-LINGEN,ALAN L&MARY JO
1245 OLD MILL RD
NEW RICHMOND WI 54017
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description * 1245 OLD MILL RD
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 2.420 Plat: 3988-CSM 14/3988
SEC 11 T31 N RI 8W BEING LOT 1 CSM 14/3988 Block/Condo Bldg: LOT 1
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-31N-18W
Notes: Parcel History:
Date Doc# Vol/Page Type
03/07/2003 712442 2164/526 WD
11/06/2000 633064 1556/498 WD
07/23/1997 1226/121 PR
07/23/1997 1122/635 WD
more...
2006 SUMMARY Bill M Fair Market Value: Assessed with:
174977 379,300
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.420 82,100 253,100 335,200 NO
Totals for 2006:
General Property 2.420 82,100 253,100 335,200
Woodland 0.000 0 0
Totals for 2005:
General Property 2.420 82,100 253,100 335,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 115
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00
0.00 0.00
Parcel #: 038-1048-10-000 12/14/2006 10:41 AM,, a
PAGE 1 OF 1
Alt.Parcel#: 11.31.18.202A 038-TOWN OF STAR PRAIRIE
Current 1,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
KEVIN,JEFFREY&JOHN CAMPEAU O-CAMPEAU, KEVIN,JEFFREY&JOHN
2213 122ND ST
NEW RICHMOND WI 54017
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 1.780 Plat: N/A-NOT AVAILABLE
SEC 11 T31 R18W NE SW LESS 3 ROD W SIDE Block/Condo Bldg:
TO TN STAR PRAIRIE AS IN VOL 415 P 93
ALSO INC ALL THAT PT OF THE SE NW LYING Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
S&E OF OLD MILL RD EXC PT TO CSM 11-31N-18W
14/3988&EXC PT TO PLAT RIVER PLACE
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 1226/121 PR
07/23/1997 1122/635 WD
07/23/1997 811/260 LC
07/23/1997 811/260 LC
more...
2006 SUMMARY Bill#: Fair Market Value: Assessed with:
174976 10,100
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
PRODUCTIVE FORST LANDS G6 1.780 8,900 0 8,900 NO
Totals for 2006:
General Property 1.780 8,900 0 8,900
Woodland 0.000 0 0
Totals for 2005:
General Property 1.780 8,900 0 8,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 10/29/2004 Batch#: 579
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total
0.00 0.00 0.00
R ALD F. •� t. m
JOHNSON
NOW 1 3 20x0
Alvi ER`r• 632964
WIS. G
O� ���+ ST.CROIX C017NTY
o «��••• -1 • SURVEYOR'S RECORD
° °�SUgJ �=' E R T I F I E RVEY MAP
Located In part of the Northeast Quarter of the Southwest Quarter and part of the Northwest Quarter of the
Southeast Quarter all in Section 11, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County,
Wisconsin.
Prepared for and at the request of:
OWNERS:
Kevin, Jeffrey and John Campeau
1245 Old Mill Road
New Richmond, WI 54017
Drafted by. Ty R.Dodge
QLD M/LL f O,4D
— —SB9'51'46"W-5228.1 — —
�L I \
6 OLD 7'0AD _
�N89'51'46"E,/1. 2098.18' EAST—WE"ST 1/4 L/NE
V R—o=W y G — N8951'46"E 3064.00'
WEST 114 CORNER a ,NB9'51' 6"E
SECTION 11-31-18 c 66.004 £AST 114 CORNER
(FOUND 1-IRON PIPE) 1 SECVON 11-31-18
« c I I 1I (FOUND ALUMINUM
c
o+ � ° COUNTY MONUMENT)
m ►-
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c
:E4 0 ol
a L X •3 C N L �) I II L j ��S+v�®
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a 0 ' °r- a 1 1 W w Register of Deeds , W
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0 ° 0 7-a � E 0 y UNPLATTED LANDS OF oI
uccm 00 orn °_ -- - - -- 1
a
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v o.
a 0 o 2`�0. ( z l l
o � ,
ORDINARY H/GHWATER LINE
°'a ° Q I , PER FIELD LOCA nom PER
C M U -�1 W 1 `0� N89'51'46"E 436.08' ST, CROIX COUNTY ZON/NG
Z
10-27- *t APPROXIMATE
0 0 `oo o �I 1 h 359.33' s�,► ELEVA nON.• 885;0
CP r 1 O 1 X76.75
a m.E s�nC IfW S
`-4 0 �1 L O T 1 Loc a nav of
o o c I y Nt71 •� O0� 886�COIV7OUR
(3 ; °o �y� �h RIVER ELEVA nOW,
z tS°0, 't � / 8-31-00.•
l 882.4
O 1 p� '. �/ FLOOD ELEVA nON
d'
L O T 1 z I �- •�� �; �� a8 0 MA MAPS.
TOTAL AREA: Q 1 15.00' "� I
105,568 SO. FT.
2.42 ACRES Z
AREA TO MEANDER UNE: t,,I
91,753 SO. FT. �1 589'5146"Vy I JI
2.11 ACRES Ji � BENCHMARK ( J I LLJ
BENCHMARKS• Z 131 ( I 1
TOP OF WELL NEAR HOUSE.-
933.14 APFKOVE D ) 1 J
TOP OF IRON PIPE AT ST.CROIX COUNTY CL
SOU7HW£STERL Y LOT CORNER, Planning Zoning and Parks Committee z
941.40 r�
BASEMENr FLOOR ELEVA nay. NOV 0 3 2000
926.54
JOB # A00091 If not recorded within 30 days of 150 0 15D NO TH
Prepared by. approval date approval shall be
A & E null and void GRAPHIC SCALE
LAND SURVEYING & CIVIL ENGINEERING SCALE IN FEET: 1 inch = 150 feet '
Phone No. (715) 246-4319 BEARINGS ARE REFERENCED TO THE EAST–WEST 1/4
109 East Third Street, P.O. Box 325 LINE OF SECTION 11, TOWNSHIP 31 N., RANGE 18 W.
New Richmond, WI 54017 WHICH IS ASSUMED TO BEAR N89'S1'46"E. co
Sheet 1 'of 2
Vol.14 Page 3988