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HomeMy WebLinkAbout026-1021-90-100 n b Z Lo V OW0 3l:10 d col co n V� r)CD E a • O a r■ 0 n ~ a w O d o o _ p N o o • O co • C o o N o S co . • N m 3 rn � U o p co C z - O o�' 7 OD IQ 01 ` 1 N O. O O O 0 f0 0 n O W O S I O �J,y Q CT 3 O 1 O 0 ^r•I—. 0 - 1 3 -9 5 y o 0 c I• 0 J N c O rt (n < D a y N 00 I ( CD C co a cn C. al N by E P I i 0 QOD � ', 1 id (n o (n I z co co CD - Q 0 0 m 3 M I CO 0 n n Z O O O ? 'I rt a m o gg gg 1 I a a O H 1 =� c y u) N a 1 0 D t , J `C1 O O j 3 Ui z M N I l\\1 .. Daj O a O m co C • `n !v 1 y C N m 1 wag I w co a 1 J z p Z <D a in xi :r. I v a AC) 2 z -I a)W M I m c4 a z 9 3 a` 73 1 0 r: I (n .. z • I 0 a N ci 1 N C Q C 0_ o' - o= y v c • o� v a I • Z�'<m o a • • I -7 o. m I v o CD I x o a m a fi I -0m fl-I • N N V? N I a d N O sa a I CD I a ti I CD op A • En O l. O I 0 a ~' 4 Parcel #: 026-1021-90-100 03/01/2006 05:12 PM PAGE 1OF1 Alt. Parcel#: 06.30.18.79C 026-TOWN OF RICHMOND Current IX ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner 0-KENNEY, MARK S&KELLY J MARK S&KELLY J KENNEY 1746 95TH ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1746 95TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST rod ` `,7 SP 1700 WITC / ) y LA V‘9 0 7 Legal Description: Acres: 26.500 Plat: N/A-NOT AVAILABLE SEC 6 T3ON R18W PT NE SW BEING LOT 1 CSM Block/Condo Bldg: 11/3229 25.420AC&PT DESC AS COM NW COR SD CSM;TH S 88'W BEING 66FT SLY&=TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) N LN;48.65FT TH S 01'E 970.45FT TO NLY 06-30N-18W LN RR ROW;TH N 81' E 49.05FT TH NLY TO t(C1c POB /)S ' Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1231/610 WD 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 95460 240,300 Valuations: Last Changed: 06/30/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 63,000 119,400 182,400 NO UNDEVELOPED G5 22.500 23,700 0 23,700 NO Totals for 2005: General Property 26.500 86,700 119,400 206,100 Woodland 0.000 0 0 Totals for 2004: General Property 26.500 86,700 119,400 206,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 (:::) 0 / . APR 1 1 1997 .. ' ;AILED '. I,. MAR 2 7 1997 P. -3 ST.CROIX COUNTY KATHLEEN ii.w "., SURVEYOR'S RECORD Register needs ASH 557218 , Quw ;' tiJ 7 This instrument drafted by Ed Flanum 79' UNPLATTED LANDS IV s Y + N01°15 ' 30"W 963 .96 ' K O,x x Fcno w -r,.< N cn ,... w ,• O„ 50 �: rr toCk• p li Imo r t4 )it M ►+ 0 y o a 0 It tZ �� !fit x.1415 0 II i. rt rt• co o ` 1-ti N -�N -+N zw IC ° p• r:n o0 IZ �� rt N aoao or, — I� N .7 ~ w o' - ; Ir A (D In ►� - m ID o Z 1-t1 -+ 01 C) N A N I-"i 0 M V7 02 tiJ o m — °'—i w trJ ItJ • Z N o, I-, j Ir 0 N a a w N la HI cm o o �� (x' IZ C”) m 4.0 CO o I t= rt r rl IZ rn re` ICl� N VI E S 1-0 _ En -T1 Ir- \1--+ Im 66' 4- d t7:1 c o c tr" Itr� cop < Id 50' N p IC/) S ct 3 a x N- O '0 \ 14 - Q1 N_ - l• I S00°44'07"E 456.15' 0 S00°20'1 " 8' i H 1764 68' _ ,�0 282 .70'" t,� . D No1°1 '30"W S01°15 '30"E 796 .26 ' + _ "E Z Z S01°15'30"E 0- z 0 North-south,l'/4 1`ine `of'Section:.6 waves t 0 -.. w . 1-., 2 - , 95TH STREET . . co CI 7 \\50, 50, UNPLATTED ROVED o. 0 ® y APPROVED 0 tt y MAR 11-4 MAR ' 2 7 97 m o e = e d t-0 o . �c�; _ m c T1 h1,n 1�10 ST.CROiX CO 1)rlTy +, o 3- 61%{ Comprehensive Planning „tip a ST.CROIX COUNTY z I... t o id Comprehensive Planning Zoning and 2 - o° 2 cn A \\ Zoning and Parks Committee °t * `+*co,0 . 3,tt I...4 Parks Committee N ' n m p N If not recorded CD o, m 0 U41 00 ►� If not recorded within 30 days of a H °c ' ¢, O •within 30 days of approval date o• 0 0.0 H approval date approval shall be r, • approval shall be null and void cr 1 . \ null and void `° Bearings are.rgferenced to the north-south 06 °o ti a:'�1 1/4 1 i ne`1 ti on 6, assumed to bear T. N01°15'30"W. VOLUME 11 PAGE 3229 _ 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: Trench: If Width: Length: A4 Number of Lines: Jr Area Built: /07.0-40*- ir Fill depth to top of pipe: ,34 Number of feet from nearest property line: Front, O Side,O Rear,O FtJew Number of feet from well: Vf r6 Number of feet from building: / 0 (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() 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, Q Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: rn� !� Inspector: Dated: o�` U Plumber on job License Number: 3l 3/84:mj Form - ST C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER (/ 5rCC?Y $oWNsHIP ":(1712/7,2/ SEC. 4✓ T70 N-R/( W ADDRESS If7474( 46,27 4,249- ST. CROIX COUNTY, WISCONSIN ,� ... £ c #,''1'J C(J( 3 SF- oI7 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM XI\ I Wel( ( zi 1/4,z 04 0,6/7 5� 0 �O1 i• l®° ey G e 120 / v)( /so `mad' j1a r' c20 , (left( ►+ .>02.0 518�✓t >d20d/3 . INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used /14.41 (0 ‘..,plQ/! 41°.C- / Elevation of vertical reference point: /c Proposed slope at site: /�0--+-4 SEPTIC TANK: Manufacturer: �� - Liquid Capacity: �p2 da Number of rings used: 4 /(,.C.Tank manhole cover elevation: 96 . P Tank Inlet Elevation: :,2Tank Outlet Elevation: r Number of feet from nearest Road: Front,O Side,Rear, O 9‘0 feet From nearest property line : Front,O Side,O Rear,O t O feet Number of feet e t from. well `d` building: ,ge (Include this information of the above plot plan)( 2 reference dimensions to septic ta• SEE REVERSE SIDE ■ -7 ,..*k------ 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 NE%, SW%, S6,T30N-R18W CONVENTIONAL 1:11 ALTERNATIVE Ofaassigned)D.Number:te Plan Town of Richmond ❑Holding Tank ❑In-Ground Pressure ❑Mound 95th Street NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:, _ Charles Donnelly 333 Odanah Avenue. New Richmond, WI 5417 4/- BENCH MARK(Permanent reference poor)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: `CST REF.PT.ELEV.. Name of Plumber: MP/MPRSW No.: County Sanitary Permit Number: Byron Bird Jr. 3318 St. Croix _ 102847 SEPTIC TANK/HOLDING TANK: MANUFACTURER. 61.101 LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER /2 0 12 PROVIDED. PROVIDED. KYES ONO DYES ENO BEDDING. VENT DI VENT MT.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING. VENT TO RESH ( ALARM. FEET FROM LINE. AIR INLET / ❑YES ❑N�?/c ❑YES``❑NO NEAREST > DOSING CHAMBER: MANUFACTURER BEDDING: LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. E1 YES ONO DYES ONO _❑YES ONO PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH GALLONS PER CYCLE: LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) DYES ONO NEAREST—* 4 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: LENGTH NO.OF DISTR.PIPE SPACING COVER INSIDE DIA x PITS LIOUID BED/TRENCH I o a ` TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIP IDI STR.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 NEAREST—i 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- meets the criteria for medium sand. TIONS MEASURED. DYES ONO SOIL COVER(TEXTURE PERMANENT MARKERS OBSERVATION WE LL ❑YES CI NO OYES LINO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER. EDGES. DYES ONO DYES ONO EVES ONO 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 NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV.. DIA. ELEV. PIPES DIA. ELEVATION AND DISTRIBUTION - INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS El ONO El YES 0 N COMMENTS: PERMANENT MARKERS'. OBSERVATION WELLS- NUMBER OF PROPERTY WELL BUILDING. FEET FROM LINE OYES ENO DYES ONO NEAREST G 51 L'il C3 C3 7, c3 7' c, ° ) Sketch System on Retain in county file for audit. Reverse Side. t SIGNATURE. TITLE 1 DILHR SBD 6710(R.01/82) Zoning Administrator 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 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 8Y 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 • aver— • included the creation of surcharges (fees) for a number of regulated practices which Wisco ,ifl'5 can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried re sure • 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. . ' a The monies collected through these surcharges are credited to the groundwater fund adminis- °� ® ' ow tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) ■ • SANITARY PERMIT APPLICATION COUNTY DILHR In accord with ILHR 83.05,Wis.Adm.Code 57-6ro i\X ;,�,,.....-,,,, —.4 STATE AVARY PERMIT# ` // -Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN ID.NUM ER 81/s 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 ITYNO PROPERTY OWNER / PROPERTY LOCATION CCah/�- y �oni2e.�� 4/ 1/44S41'/4,s L3D , N, R /IE (or N PROPERTY OWNER'S AILING ADDR SS / LOT NUMBER BLOCK NUMBER SUBDIVISION NAME —r. ,-- ..-----.... CITY,STATE IP CODES PHONE NUMBER pE CITY : ,�r L mot► -EST ROA' LAKE OR LANDMARK rif)/~�G "��� TOWN OF:!�l rtefi2L/7. / S%�I S7 II. TYPE OF BUILDING OR USE SERVED: . Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. New b.54Replacement 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.121Conventional 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. L .Seepage Bed b. ❑Seepage 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): / 01, 162-6 o /.2 4 t) 9/• V-65---Feet ,'Private ❑Joint ❑ Public VI. TANK CAPACITY Site in gallons Total #of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete strCucted Steel glass Plastic App Tanks Tanks _ n Septic Tank or Holding Tank X J,2ct -/ 4.t- -/�T� ❑� I }� I ❑ Lift Pump Tank/Siphon Chamber U VII. 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 Staamps) MP/MPRSW No.: Business Phone Number: /LS�' ���'t-L� 3 3/' (7/5" )2c8' X6 re Plumb4rrii ddress(Street,City,State,Zip Code): ,4 Name of Designer: iYM?e )274-41 .eaX/ al/✓ 5z643/ dj ' fro ir VIII. SOIL TEST INFORMATION Certified S4yry ter(CST)Name�/ CST# /1 001 r r/f r-- Cj a,3 5/ 7, CST's ADDRESS(Street,City State,Zip Code) Phone Number: i 6ex 6 , e /v�- o, / G IX. CO TY/DEPARTMENT USE ONLY �( ❑ Disapproved itary Permit Fee Groundwater ate Issuing gent Signature(No Stamps) l Approved ❑ Owner Given Initial ,Suur`charge Fee Adverse Determination �� `61� CN `�-/e-2� ahki �) 6 �'0 X. COMMENTS/REASONS FOR DISAPPROVAL: /ai, Ci92,1--,wed iPt6 ` O106- C .111- SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber . 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. Owner of Property Ct-V11.(1-.`. t S ( ,5.0.„111 y Gatis1 t!J, Location of °petty 1• ^-�‘1k `� 1=, Section 1p , T �� N-R l� H Township L11�� Mailing Address \L--c- Qi t. ) CZ\.C-0 ,(am. ,��c . L-)3- s Lf( \ -2 • Address of Site "-S-2....\ - \ -YZ\-J.3 Z..Lt6 o% 42) Q-,--0- --- \ --) Subdivision Name • . Lot Humber . Previous Owner of Property O L .__ Z J C V Total Sine of Parcel V c Date Parcel was Created . . r()-c-- \ '1") ' • Are all corners and lot lines identifiable? > Yes No Is this property being developed for resale (spec house) ? Yes ______AL. No Volume 7 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 refer- ences to a Certified Survey Hap, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) cetJ 6y that cat ata.tementA on .th.i.A 6on.m ahe time to the but o6 my (owm.) hncwtedge; that 1 (we) am (ahe) the owneh(b) o6 the pn.opentty de. chibed .in tlu.e .in6o►►maUon 6onm, by vVLtue 06 a wahha deed heohded .in the 066.iee o6 the County RegiAteh o6 Veeds a4 Document No. o �T2; and that I (We) pneaenLty awn the pkopoded .s•e.te 6on. .the Aewage duSpo4 ey�stem� (oh I (we) have ob.ta,tned an easement, to 'tun with the above deisch.ibed pn.opehty, bok the conAtAuc.Uon o4 ea.id eyetem, and the came hae been duty heeohded Jn the 066.iee o6 the County Reg.c.ath o6 Dtede, ae Ooccnnent No. ) (1/K- 3 L /) SIGNATURE or OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED . . DOCUMENT NO. WAIIIR ANTI( DEED STATE OF WISCONSIN—FORM I 3 0 7 1. 5 S THIS SPACE HESI-RVEO FOR RECORDING DATA TIM INDENTURE, Made this day of (1111'' t nir'''')'''',"A. D. 19 171 , ,',"`-: between 1-1''''''' n• 01 '1""h"T" ' ''''l 'Ix'nr'-i "Th'n" 1::• ,• • • ni ri onl.•-nr--, ,, h 1 n •-•-; V!, ••,•• J(s-i nt, toniir t-,- !Al d tl!-Ii'M "ilr'l r . )11,1•I , t',11P-i r rv,m "1 -,H-, I , .,oi) -! part .1. (-..n''' of the first part, and rl',...,,,,,•1 f---, ,, lins-r,,,,1 1 ,r T, --,n,l .Thici i -1-H ,,-,-, .1,1"11,‘, 11 Vr in:(...,' l'... I in,ni,n1,--1.....,-,-■ (‘CI ',•■. ,T,-; 1 ,r,,,,,,,,i !--,,,, •tri i•i•-• Y --ti I",- n r /7"._ // ni•rrit•-•1-17-r-,•••.,--Thi i'n . l'iln•••:, il-i n I 1"tn.,ri • 'Ili t---yi'NY-,ni,--i i(Zd'I-•"L Li•-••'•(••••••///". ?-1"-'4.---"----- part ' ' of the second part, Witnesseth, That the said part ' "fl of the first part, for and in consideration of the sum of - - - "Yin On 1 1 ' -t'' '1'n d nt ,-,r. v•, 1 i', o I (, HU TOP N TO ..C.,-)r•-•-••i rif.,,-; Li on. - - -- - -- — to -1;',"("t" in hand paid by the said part...11.....1...1 1__ of the second part, the receipt whereof is hereby confessed and acknowledged, ha ''' given„gramed, bargained, sold, remi.,:...i, ide:,.:ed, ,ilomii, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remisc, rcl,...,‘A., .,M1-1, ,(mycy, .tnii confirm unto the said part ' of the second part, heirs and L,sigi;'- 1/n,.‘',•.-, t1v• ladi,,,s'ing , • . described real estate, situated in the County of I ' tad State of Wioa am,I,1, i.,'••,:::',.: "f"r" i■C ' '' :1'. 1 • .,' i ,,., • ,.; . ' •' 'I'r '1 r't.' ( ' . . 1 , 4-si. 0 0 III NI:(71',:;:,1I;V, 1,1TINI•1 IHItIPTII,..; ,■N ItrxElc I: , !;,.., .I.`;Thl. • ' :;',. ..11 and ,h, ,t1i.,r- ilt•• herest:t.iim•nt!, ;old apporl(min■r!, 111,I1 II, ,, ... .. ..1 'it, . ! 1., ...../ Vv., ti'. t•,I,d,,•, ,1$•11i, tltil, I/licit.:,i k1,1111) or di_111,t1.1 Wil■■!,,I',. ■ ,,; !','. ,,., i .... nr 4 : !,, , •: .,I I,I 1, ,', ,i l■!,111.V. iii C.I. HI r,,,1'.,I ii Ii r (.•\pi,Lei,y u), III ..i..i f.!, ,!i. :1 . r ;r .......! 1., ...:..1:: .1.. '1.: ,..,. .,‘ .ill. 1.........!`. I ii III ' .: . .— Ii it ,, I \Ccill...r... and adini!ii•ela'o,o, ,i0 . .,,s,, ,,r t. l' – .. t.... ..;I:i i',11 L. .. :. (I i tilt' •,,,!iit] l',!1t, .. . ,;.•--', 1■,1.•. II ■.l11%, ; , IlliR. r)(•,,t1A,., P., ,.' ,iiiH, , I( I •I'M H. ii,,Wiiht Wi is "Slit ,vs1-•, ansi (11,1t• thy ,iio,s, 1,,, ; ,,11,, pe, M:,,,-, in thC 1,110 ;Mil 1,e',1a( it ie 'ci,',s,..-.•slini ol. thi Ai,' !,,:11 1.,":" ' •Ii. Jill .:-..a,"f ,, ar.,illii,t Al .hilt 1 .1 I) r,,,,,, „, p,,,),,,, Lwiully ,.i,, ,:: ; ., :. ,,, ,,, ,:tii, ,,•,,:ir tie.'cot'. ,,‘,.ill i,o, i,et WARRANT ANI) IATRNI). In Wo.1-,es•• 'Cs i .i.,:i•i, tie.. •.,■Iii i•,:it. .... ....... oi tio lilt 1,,o t ill ., teieento •i_: . . • :,•,1 . . till:, ' '. •Liv o: . ..H.:'...r . :. .: . - _ , A. 1)., <.,. ... *dalt" 0■ gew.e.e-sr,4-(---, :.', ,: , ietb....1. . . ,7,12 • 6e...4.14.4.44/4...7. ,,:!,A I ) 1 ___ __ cr)& •,}',)1.) T,,I4p,.py61, . 01.:,7 on _ / State of Wisconsin 41! ( P• ' thy ' ' 1 '1 ' this,o.t x (' ow,ty. ct-,ona y ,dith. A....on._ MC, 1 ............... ay ot ,._ , .., ,,, ,0,1... ,„1,91 ,,,,,., the above named i':!..::.'':"- '' ''' '','' '''''' ' ' ' ' -" ' '''''"r-r-' . ()1 (-1 Mn1' .'""2,' , 11 0 '---,'• .T mi in I ,,n r•-‘' ,'• '- 1'I r.' . i ,';.7 1-• ' ,'i 1,,,I.;""'," 1-,,- 17,,-. to Inc known to he the insson...., who:‘,..1i6;cliied the iti,94, in. eiin et tfri. i no edged the 4. , ..s. • H.-- . . ..,,,,..... „ _ . . : .... 1,,, 1,1(-tn k,r THIS INSTRUMENT WAS DRAFTED DV . „, - ar, •-• / ' n i :.-. Oin 'Notary Public, County, Wis. Paul 0. Sweribv 1?nr!"I 1-,or • , My commission (expires) fi,i) nrIT•r,h1'r 21 `,.:,I- 107)) • (Section 59.51 (I) of the Wisconsin Statutes provides'that all instruments to be recorded shall have plainly printed or typewritten thereon the names of the grantors, grantees, witnesses and notary. l'T pc.,.,.,t3 sontlaarlyzpluares,t.tt.ati,the ,i4:1 dice,p,er‘on,wnlri,co, or Lovett, mental agency which, drafted such instrument, shalnak,g, m ,,,,,t1s,,,clitsi-,,....,3,„,..te i thereon o a legible M. r.) • Wl000nsin Legal Bionic CompanY WARRANTY DEED FORM No. 1 Milwaukee, Wis. (Job 29522) • ,..' .. . . . ...- . . . ,. _ . • ' •••• • ' . . • . , • • •: - _ • • - • ' ' • ' • 4 A • • . . • • , •, . . .. . - , 1 fn i 9 ST C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St . Croix County z � 1 � a OWNER/BUYER � �� ,` � ROUTE/BOX NUMBER Fire Number CITY/STATE C?•--\• ( w ZIP � VI -7) PROPERTY LOCATION: N4, S"-- 14, Section `Q , T ,7‘" N , R W, Town of C.. �1 v` , 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 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 Zonin g 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 I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth , herein, as set by the Wisconsin Depart- ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . SICNE ---�-- DATE t (d7 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 . r 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; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. 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; 6. 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; 99. 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 and 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 GS - 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 — Loam Bn Brown "sil _.- Silt Loam BI — Black si — Silt Gy ---• Gray "cl -- Clay Loam Y — Yellow scl — Sandy Clay Loam R ••-- Red sic! — Silty Clay Loam mot — Mottles sc Sandy Clay w/ with sic — Silty Clay fff — few, fine,faint *c -- Clay cc --- common, coarse pt — 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 request verification of this soil 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 appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. 1 1 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, CC DIVISION LABOR HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: 0_ SHIP NICIPALITY: 'LOT NO.:BLK`NO.: SUBDIVISION NAME: ti, _ 1/4 j4„) 1/4 4" /i1.1 N/R E (or SHj, c`,/J 4.' ,,- d COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: Cr-t./)(r i - K- -- £o/..) /X 3 , r J � v (' 1. �.).?o USE D ATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:- Residence f_L 111 New c2Replace . ., y RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(op Tonal) ,_1S ❑U L S ❑U [fS ❑U ❑SZU ❑SOU 0 � 6e-`,(2. If Percolation Tests are NOT required DESIGN RATE) If any/� y portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: // /---�--- Floodplain,indicate Floodplain elevation: fr,/o ✓ PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) Gr ' ' /// - �, c) y, 4".."-f,/.4",..,-, ;l i'"+ Lf C, .-1 G/ -' b — .- />--, -; „/-'j ,71 , / /c) _`- 4/a '-, c /4L2 --- y/ L -- x . / to t`4-? L- c. . J — _ S �"; y {j i. :2' F! -7 7— 3 " s fi 45-13 `//rB- //4; 2 w /o`►, t— >/i,-, / - ; :,)/ ./;t ,ir., c"��- � �, B- B- PERCOLATION TESTS `TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- 1 y,/5 �,i< 'c'/a 4 1) 22 A P- 2 3- TS 'r r:4-- �-) '/,-� 2 ' -//c, 6-2 /3/ / 3 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 ``/ __ _ Nk :_ , ! ,� 4o E /, i ,.. ... a� . ;. ; ,, J �.a a 1 �>_''_._. t _ ') . 4.7. b,, . ,j��// / _ J N -- _ yyy v E \E i v ita Y 3 ? i I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(pri t): TESTS WERE COMPLETED ON: / • ! — ti (/�itY) f., 0i f_/,/, `J r- // / - ADDRESS/ , CERTIFICATION NUMBER: PHONE NUMBER(optional): fr.:if ("//(Ii.LTA' 1.:7; 4 , 4:;7' Z,.!)/.e_).-:. 4----/./0 C-. / CST SIGN E: 1 DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R. 10/83) —OVER — i • PLOT /PLAN . PROJECT 1i� r /5 go/r,,e//`, ADDRESS -,Z J EVct v, .4 1..a A'....3067c-Ifme...,z4,7 4,7fr 1/4 fit) 1/4/S e /T,© N/R/ W TOWN,Xa 6h/C UNTY :57/ ,,,.., /x- eel' . MPRS Byron Bird Jr. 3318 DATE p-/4'--67 BEDROOM CLASS PERC ii__ CONVENTIONAL& IN-GR D PRESSURE CONVENTIC AL LIFT_MOUND_HOLDING TANK SEPTIC TANK SIZE /0.1(.i-P` /' LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA /1‘2 PERC RATE ,,? 3 BED SIZE /4)e 7e Benchmark V.R.P. Assume Elevation 100' Location of Benchmark a,1 :5: , c7.< o$ .4,7_ Ca, woe./ 7 '/.-5... 05-7 * H.R.P. 4,4-14----e 9,5 5' i.. 0 Borehole 0 Well Scale __ = Feet O Perc Hole Q4",� r - y System Elevation 9/. VS-- 6' // TYPAR COVERING t 4 12" 3' 0 6' 0 3' 3' © 3' I Sewer Rock 6" 12' 18' S 1 1t 3° f 6 '� VI , (( \\0 K til $-i ) Nye / / i kik it' f--Lin — — Rao- ,p.... 5t �o x ii \ ) p 7. `J/O 4 V I