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HomeMy WebLinkAbout042-1056-70-100 � o I -0 ° I m o h o � 01 l0 O a 4. 8 3E O —' NN I N co N co N CD O O «+ O L y Z ' ) C N I LL C N C I M °4 a m N H 0 o O Z co � r � w w O Z O cm N N E V N of N � O C N ►� y H4) U) o .� a ' p m O Z m Z N z co .. m N I E c O ' d — d O a. p w O c M. H 2 � m O 0 o a - b�p ZN >° Z �. m o • 2 CL CL IL CL ►� ' o N y CO co 0000 9� M J U a rn rn a N N .-. 0 N 7 0 0 E C r O ^ > 0=0 c y d y0 i � m cu I coo H o o y c D E d to r n v o LO M ~ � O t y.w c Y � W ,� N aMO w N m r O Z C .. a I C tj a \ CL r� E 3 3 r A Ua � Ov) v Parcel #: 042-1056-70-100 06/20/2005 11:22 AM PAGE 1 OF 1 Alt. Parcel#: 20.29.18.315B 042-TOWN OF WARREN Current X' ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner *BUCK, KEVIN H&KELLY R KEVIN H&KELLY R BUCK 1002 80TH AVE ROBERTS WI 54023 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1002 80TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC I Legal Description: Acres: 2.500 Plat: N/A-NOT AVAILABLE SEC 20 T29N R1 8W PT SW SW FORMERLY PT OF Block/Condo Bldg: LOT 1 CSM 7/2031 LOCATED IN SW SW N/K/A PT OF LOT 2 CSM 10/2946 ASSM'T INC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 042-1079-30 100 20-29N-18W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 934/485 07/23/1997 825/237 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/22/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.500 40,000 130,100 170,100 NO Totals for 2005: General Property 2.500 40,000 130,100 170,100 Woodland 0.000 0 0 Totals for 2004: General Property 2.500 40,000 130,100 170,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FILED JUN 3 w�sk � .9 r 1 Z 1 JUL J I 995 Register of Deeds St.Croix Co.,Wi 530686 SL CROIX COUNTY r SURVEYOR'S RECORD C ER T I F-I EC S (UR V E Y MA R Located in the SW 1/4 of the SW 1/4 of Section 20, and the NW 1/4 of the NW 1/4 of SectEom29, T29N, R18W, Town of Warren, St.Croix County, Wisconsin, being a subdivision of Lot 1 of that Certified Survey Map recorded in Vol.7, pg 2031 iri the St.Croix County Register of Deeds. Owned by: Kevin H. & Kelly R.Buck W 1/4 Corner 1002 80th Avenue Section 20 Roberts,- Wi. 54023 West line•of the w SCALE IN FEET I" loo SW 1 4 - / vo 25' 50' 100' 200' 300' o%PPROVED N M N o UNP_LATTED LANDS N S 89'58'38"E 416.00' JUN 2 0 '95; , 211. 10'• i 204.90' , S . CROiX COUNT! C prehemive plamit Zoning am ml or Committee ZI LOT 2v L #not recorded -'i 108, 902 Square Ft. 108,902 Square Ft. tthin 30 days of w°I o (2.500 Ac.) ;(2.500 Ac.) �-I in Including R.0.W. Including R.0.W. approval date < 101, 800 Square Ft. . ipprovaf shaRbo �� 102,140 Square :Ft. , rn 1X void d1 v . (2.337 Ac.) 0 2.345 Ac.) � �I Di w Excluding R.0.W. ° In Excluding R.O.W. _ a z°i to Bearings referenced? w °• fO 01 to the South line of c°n �, rn rn a �I the SW 1/4 of Sec. o 20, recorded as ° O -I o N89058138"W. z OQ� o \(�� M z1 o o 0 House Z N *NOTE; curve information is X100' setback line located on the reverse side of map. South line of the. W1/4 S1/4 Cor. Sec. 20 2603.95' N89°58'38"W SW Cor. - Sec. 20 (� _ J _ _ _ N1/4 Cor. � -� _ 181 .43' _ _ ' ' �'< o N 89'20'07"1 Sec. 29 O M w�__� 80_TH C0 N 89'20'08"W v I U)o AVENUE 181 .53' (0 V-, °� LEGEND a 0 z Section corner monument Berntsen cap. W cor O 1"X24" Iron pipe weighing 1.68 Sec. � '95 r lbs per lin, foot set. _ 20 __� �S1/ cor. 1" Iron piggy . NW c r = Sec 20 O�*�tt GO Z� Sec. 29 MO S DE not not to, scale Q,''�`� NS i � VIP i z Centerline ��` HARVEY G. ' JOHNSON S-189 15, HUDS S LI W 1�4 Cor. /ItNOII�,J(SE Sec., 29 This instrument instrument drafted by: J51 494-2394 >f VOL. 10 PAGE 2946 UV cv 441838 t CERTIFIED SURVEY . MAR Located in the SW 1/4 of the SW 1/4 of Section 20, and the NW 1/4 of the NW 1/4 N of Section 29, T29N, R 18W , Town of Warren, St. Croix County, Wisconsin. Surveyed for: Kevin Buck Rt. 2, Box 170A W1/4 Corner Roberts, Wi 54023 r Section 20 s�P 3 o198a" APPROW .J Q UNPLATTED _LANDS 07EP 3© - sr.CROD(COL" I / 3 a S 89'58'38"E 416.00' PAIMPLAN W. W f j • 1i f ° t 1 Z LOT 1 a W 217, 800 Sq. Ft. (5.00 Ac) Including Right-of-way Z,03,940 Sq. Fl. (4.68 Ac) Excluding Right-of-way ZI WI n JI Q a z � � �I � Iq L= 18° 25' 46 " I ° 01 gatings w R = 742. 29 ' (O N W M a 10 _ L= 238.76 ' Az 17° 36' 38 " 1D R a-rence J' ....c o U) <.' C.B.= N 800 07' 15"W 23 .73' R = 77 5 .29' pl 3 j to the south line o TAN. = N 70° 5 4' 22"Wi L= 238. 29 ' Z I IL of the SW 1/4 of m C.B. = N 8 0° 31 49"W ° Section 20, o I CH. = 237.36 ' ° m Asstimed .N89°581• ° TAN. = NTO°43'30"W 0 3811W . Z ° � . . N House El SOUTH LINE OF THE SWI/4 \� 2603 .95' _ — N89°58'38"W — S1/4 Cor.. _ 181.4_4' Sec. 20 N 89°20 08• ` BADLANDS N 89 181.53'8 M W ROAD_m m LEGEND to * County Section Corner, DETAIL- NOT TO Berntsen Cap SCALE O 1"x24" Round iron pipe / SW Corner weighing 1.68 lbs/lin. to il Sec. 20 F ft. set. X--PE-- Fenceline \ S1/4 Corner ~ Section 20 0 M SCALE IN FEET 1'= too' 100 O too 200 488 - 1443 VOLUME 7 PAGE 2031 '.'THIS INSTRUMENT DRAFTED BY R.S.I. Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP . �:-t.y'v•c r'1 SEC. Tom'="' N-R�W —T 7� ADDRESS '' / _ � ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IMR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM All - ,6r4- r n i I 9 ✓�� �;j V t / n ti I � I is f tk v.� /I ( -; INDICATE NORTH ARROW "lam fk BENCHMARK: Describe the vertical reference point used Elevation of vertical reference oint: p Proposed slope at site: SEPTIC TANK: Manufacturer: /, r k- Liquid Capacity: ? iz Number of rings used: g ,j,�� ;��- Tank manhole cover elevation: Tank Inlet Elevation: T ' -,-'`Tank Outlet Elevation: Number of feet from nearest Road.: Front,0 Side,O Rear, O % feet From nearest- property line Front, ` Side,ORear,O feet Number of feet from: well building: Vie- (Include this information of the above plot plan)( 2 reference dimensions to septic tank) 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,© Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: J,:! f Length: Number of Lines: Area Built:L, 7 Fill depth to top of pipe: Number of feet from nearest property line: Front, G Side, O Rear,DO& -= Number of feet from well: Number of feet from building: (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, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: i Inspector• Dated: '�r" ;''-i - ` Plumber on job: orb •..4 ,. License Number: 3/84:mj 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 SLU%,SM4,S20,T29N-R18W CONVENTIONAL 1:1 ALTERNATIVE Sl ate Plan I.D.Number: Town o Wwften El Holding Tank El In-Ground Pressure El Mound Bad&nds Road NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTIC14 DATE Kevin Buck 784 McKnight Road, Maptewood, MN 55119 /Q -JIS-- g-k BENCH MARK(Permanent reference pomp DESCRIBE IF DIFFERENT FROM PLAN REF.PT.ELEV.: CST REF.PT.ELEV Name of Plumher IMP/MPRSW No County Sanitary Permit Number: B non Bivd Jn. 3318 St. Cnoix 112837 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TAN N $ V.. JTA OUT T LEV.: WARNING LABEL LOCKING COVER 0 P OVIDED PROVIDED V OYES ❑NO DYES &NO BEDDING I VENT DIA.. VENT MATL 111113H WATER NUMBER OF ROAD: PROPERTY WELL BUILDING ALARM FEET FROM Lln> / ) JVENTTOFRESH AIR LET ❑YES NO ❑YES NO NEAREST " DOSING CHAMBER: MANUFACTURER BE 7YES LIQUID CAPACITY PUMPMODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CON TROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT LE FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYE S ❑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 ILENGTH STR O PIPE SPACING COVER INSIDE )IA #PITS LIQUID BED/TRENCH RFNNCHES M RIAL PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DE H UIST Ii PIPE UISTR PIPE DISTR.PIPE MATERIAL. NO. ISTR. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPE ABOVE COVER E EV INLF 1 ELEV E ) PIPES FEET FROM LINE.! .�y AIR INLE f/ 07 } , NEAREST 6 G 77 MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM 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 MARKIFIS OBSERVATION WELLS ❑YES EN ❑YES ❑NO DEPTH OVER 7RFNCFI_9ED DEPTH OVER TRENCH BED DEPTH OFTOPSOIL SODDED SEEDELY E S MULCHED CENTER EDGES DYES ENO ❑NO ❑YES 1-1 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 DISTIFL-PIPE M . IND DISTR. IfyfsfWPIPE DISTHIBUTION PIPE MATERIAL&MARKING ELEV. ELEV. DIA ELEV. PIPES AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS 1:1 YES 1:1 NO 1:1 YES NO COMMENTS: PERMANENT MARKERS. OBSERVATION WELLS. NUMBER OF PROPERTY WELL. BUILDING: FEET FROM LINE: ❑YES ❑NO El YES ❑NO NEAREST ,o-7a Sketch System on Rejain in county file for audit. Reverse Side. SIGNATURE T TLE. ,,.�, ^' Zovu ng Admi n vsicct tot DILHR SBD 6710(R.01/82) """ •a-- al! HR SANITARY PERMIT APPLICATION COUNTY h In accord with ILHR 83.05,Wis.Adm.Code !....�,.o. STATE SANITARY PERMIT## /a 0?a 7 —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. FFORI TION ��n 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. VARI ANCE ❑YES L�51 No PROPERTY OWNER PROPERTY LOCATION i1i X— lc1a Lt1 a, Sold T,;? , N, R E (o PROPERTY OWNER'S MAILING DDRES LOT NUMBER BLOCK NUMBER SUBDIVISION NAME CITY, A ZIP CODE P ONE NUMBER CITY EA ROAD L E OR LAND RK Aj VILLAGE: ���-p E�j LA� 1 II. TYPE OF BUILDING OR USE SERVED: 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. X 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. %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. See a e Bed b. ❑Seepage Trench c. ❑ See page 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 Site in allons Total ##of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Lt✓ Lift Pump Tank/Siphon Chamber ❑ ❑ I ❑ VII. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's qame(Print): ! Plumber's nature:(No Stamps) MP/MPRSW No.: Business Phone Number: Plum er ddress(Street,City,State-,Zip Code): Name of Desi ner: d.. O �7 VIII. S(RL TEST INFORMA ION Certified Soil T r(CST)Name CST## / . z CST's ADDRE S reet,City,State,Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Iss ing Agent Signature(No Stamps) Approved ❑ Owner Given Initial S arge Fee Adverse Determination b 126 c As 1a ° 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 Forni (SBD 6399) to be - ti submitted to the county prior to,installation; 5. Private sewage systems must be properly maintained.�The septictank(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. Prcperty owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: ff 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 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 Ater included the creation of surcharges (fees) for a number of regulated practices which WISCO iCt' can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure' is used in your building is returned to the groundwater through your soil absorption o 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) APPLICATION FOR SANITARY PERMIT S T C - 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. ------------------------------------------------------------------------------- 7 Owner of property C y P P Location of property 1/4 X1/4, Section , T _N-R W Township ir'2 L".- Mailing address D x .17a A `0 2 Address of site " S Subdivision name Lot number Previous owner of property D 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 ° 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. ---------------------------------------------------------7--------------------- 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 warrant �eed recorded in the Office of the County Register of Deeds as Document No. D ; 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 be ul recorded in the Office of a County Register of Deeds, as D cument No. Vs���- ) •�/ - Signature of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature DOCUMENT NO i STATE BAR OF WISCONSIN—FORM 1 +' WARRANTY DEED j r^` f THIS SPACE RESERVED FOR RECORDING DATA I 4�23�0 BOOK 825 PAi:n E237 C This Deed made between David D. coyer and carol REGISTERS OFFICE i -----------••-------•----- J�..CoY?-rf.his._wife...................... ......................-•-..................... ST. CROIX CO., WI ------------------------------------- ---_------------_---- Recd for Record - -------- Q �p j and K/rVln_H:..$41C�C ... ..................................Grantor OCT i 1 V 900 of 11 :15 A.M ---------------------------------------------------------------------------------------------- ------•--- -----•--•--- --------------................ ....•----•------- -- ----•...-• --- ---------••••....Grantee, Rpigl/pf i. ji Witnesseth, That the said Grantor, for a valuable consideration...__. of._fifteen..thousand..do�1s --------•----•--•----•- _ __..-------- -- - - - ; conveys to Grantee the following described real estate in -----St._._C mix........... RETURN TO I:. County, State of Wisconsin: I i' TaxKey No. .................•. --------•----•---- 1 Part of SW-1, of SW's of Section 20 and part of NW-1, of NW; of Section 29, all in Township 29 North, .Range 18 West, Town of Warren, described as follows: Lot 1 of a Certified Survey Map filed September 30, 1988 in Volume 7, page 2031, Document 441838 in the Register of Deeds office for said County. ii i� II i j SFER FEFi it II I� j This -------1.S-_nOt--------- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; l And..the..Grantors -------------------------------•-----•--- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except l and will warrant and defend the same. /_�1� Dated this --•-• -----••-- day of .............Q9 ._.- --- _- -------_-----------•-- it ---•---•------------•---------(SEAL) _... ------ --------- -- .......................................(SEAL) * + vid D. Co r (SEAL) - •---•-6-•--- ....... -- �-•------•---•••...(SEAL) i I i * + CarOl.. r I ..... _•. ...... ......... .. . ..._.. .. AUTHENTICATION/ ACKNOWLEDGMENT i Signatures authenticated this __..... . _.... day of STATE OF WISCONSIN ss. I County. j ------------ -- ....... --•----------------------------- Personally came before me, this ..................day of Huh F. Gain .............................. the above named ........................ ..... ...... ----•-......---•------•-. TITLE: MEMBER STATE BAR OF WISCONSIN ---- •--•-------• ............................................ ................ (If not, ----•---•---- - --.. _ ------.._..--•---•--------•--- ......-..................................... authorized by § 706.06, Wis. Stats.) N A .._... --...----•-............................ --------------- THIS INSTRUMENT WAS DRAFTED BY to me known to be the person ......._ ... who executed the foregoing instrument and acknowledge the same. ' i . ............ I ..................... ................................................. s i 430..?-rxi_.St eet,--Hudson,_MT._.54.01.6---------- (Signatures may be authenticated or acknowledged. Both Notary Public -------------------- -------- County, Wis. are not necessary.) My Commission is permanent. (If not, state expiration i date. .--•-•-. . ........................ ......... I9.-- -- •) i I *Names of persons signing in any capacity should be tvred or printed below their signatures. j WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Cn. Ins, __ FORM No.1—1977 Alilwanllee, Wis. (doh 10 _ — STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX NUMBER FIRE NO. ��/1� CITY/STATE t �C.- ZIP �� T� -2- PROPERTY LOCATION: 1/4 1/4, Section � � , T_62g_N, R__/(? W, Town of W , St. Croix County, Subdivision , 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. 114 L-t-_ 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 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS DIVISION INWl STRY, LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) . :170TNO.:BLK. -VISION NAME: LOCATION: SE N. H /MUNICIPALITY: �1/ / o/ N/R/4E (o 1 - COUNTY: // OWNER'S BUYER'S NAME: MAILING ADDRESS: / L 744 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMM R AL DESCRIPTION: PR I D T NS: AT ON TESTS, [Residence 3 L� New ❑Replace �r _ .r �_�j --gs RATING:S-Site suitable for system U-Site unsuitable for system ONVENTI NAL: MOUND: IN-GROUND ESSURE: S STEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM: S ou s ❑u s au a s u 1:1 s Zu . DESIGN RATE: If Percolation Tests are NOT required If any portion of the tested area is in the // Q under s. ILHR 83.09(5)(b),indicate: /� Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION pgSERVED ES GHEST TO BEDROCK IF OBSERVED (SE ABBRV.ON BACK.) p B-eZ d /7/ a - 7 An<- jig B- PERCOLATION TESTS TEST EPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INSMIS AFTERSWELLING INTERVAL-MIN. PERT D 1 PERIOD 2 PERIOD 3 PER INCH P- / a- 0 � ©rc P- o i P- 7 .2 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. ,�L� G7�? SYSTEM ELEVATION 1 � 0 ♦ A0 , 4/x Uf1 goo-, v ,, ed 11, 6 �o% ► T N 4- Pr 64 tff �' 38 ti 50 �.�o.- Sys �r4 j I 5 � _ . join � S ah I,the undersigned,hereby certify that the soil tests reported this orm were made by me i-n a ord with the procedures and methods specified'Sn 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): TESTS WERE COMPLETED ON: DDR ,�."/� CERTIFICATION NUMBER: PHONE NUMBER(optional): zfe Cr '46// 5 voeq/ CST SIGNA URE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHRSBD-6395(R. 10/83) -OVER- FLU I FLAN PROJECT 4 A. :k ADDRESS �Al; 1/4. -r 1/4/S�za/Taf N/R/ TOWN ►~ COUNTY MPRS Byron Bird Jr. 3318 DATE BEDROOM CLASS PERC�—CONVENTIONAL, IN-GROUND SSURE CONVENTIONAL LIFT MOUND—HOLDI G TANK SEPTIC TANK SIZE !re-' j LIFT TANK SIZE DOSE TANK SIZE f HOLDING TANK SIZE ABSORPTION AREA PERC RATE BED SIZE Benchmark V.R.P. Assume Elevation 100' Location of Benchmark 4u-O�c 0f- �et,;�,,, „�°4e * H.R.P. cr—je- ��- = — ----- O Borehole Q Well Scale Feet 0 Perc Hole System Elevation Uent 12" firnde TYPAR COVERING "A 2" 12" 3' 4 6' O 3, I 6' Sewer Rock 12' i -f ®- � r �lopes � P 5a � q -5 a / r