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HomeMy WebLinkAbout026-1050-10-100 00'0 00•0 00'0 I03o1 se6Jeya;uenbuilea se6Jey3 leloodS s;uewssessy le!oadS ;unowy tio6a;e3 epoO Ie!aadS Jasn :slepeds 0£6 :#1.13;e8 :e;ea uo!;ea!;!paa I, :;unoa w!ela :;1peJ3 Lie;;o- 0 0 000'0 puelpooM 00b`iOZ 001.'9b1. 00£189 Z90'9 Apedoid leieueo :900Z.101 sle;ol 0 0 000'0 puelpooM 00b`iOZ 001.'9171. 00£'88 no's Apedoid Ieieueo :900Z Jo;sle;ol ON 0017 tOZ 001.'9P1. 00£`89 Z90'9 1.0 1VIIN341S321 uoseaa a;e;s le;ol eAoJdwl puei seiay ssel3 uo!;dposea EOOZ/1Z/L0 :pe6ue40;se-i :suo fenleA 0 :y;!M pessessy :enleA;aveV11 J!e3 :#1118 A2IVININns 900Z 9617/0617 L661./EZ/L0 1.9E/Ef 1.1. L661./CZ/LO &VI abed/10A #aoa 0304 :tio;s!H lamed :se;oN M61.-N 1.E-EE .6E 3 dO.9 M OX3 (b/1. 091. V/1. Ob 6uH-unnl-ooS) :(s)peal 8Od 01 N HI,9L9 3 HI,OEE S',9L9 M Hi.80d 01.099 AlN HI EE 03S N30 WOO :6p18 opuo3plaol8 MN 3S Z/1. 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I ) a 6 a o c 3 m c 0 a o I m co 1 a • • 0 rt a 1 I 52 I $ 1 Cr.ro 1 • 1 N 0 °a Elk• 1 Iv '"• .• ro C o w 1 c � w o °o Parcel #: 026-1050-10-100 11/21/2006 11:40 AM PAGE 1 OF 1 Alt. Parcel#: 17.30.18.256B 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 O-ERDMAN, RICHARD D&RICHARD M RICHARD D&RICHARD M ERDMAN 1537 100TH ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1537 100TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.120 Plat: N/A-NOT AVAILABLE SEC 17 T3ON R18W NW SW 2.12 AC LOT 1 CSM Block/Condo Bldg: 7/1802 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 17-30N-18W Notes: Parcel History: Date Doc# Vol/Page Type 11/16/2000 633870 1560/224 WD 07/23/1997 776/325 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/19/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.120 41,000 130,400 171,400 NO Totals for 2006: General Property 2.120 41,000 130,400 171,400 Woodland 0.000 0 0 Totals for 2005: General Property 2.120 41,000 130,400 171,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 133 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 9Mr A8 a31d121:10 6TTZ �OUd R 31(1110A . 9991 -68t' r - b/IMN 3H1 dO 3N11 1S3M M„£Z,10 000 S di -IN : W ,00'99 w 1,1 123 2 Z °o \ $ 1�106T �ZA • _M�£Z 0 000 S -. 0 tr4,z, m M —_ 0 '99 -- c W_n Z 0h 72 a, o • N N co 41$1111/fp, --! o 1■74.j * X N O ' NOSC7f114 r • o r- m 68et—$ • N m �' ?')-no m }� NOSNHOI = co up •1 ' -I- I m i .0 ABAkIVH Y: N O I . 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OQ 9CnV • • I i ,‘ \„,,,,,,,, it #4.......___ FILED I `'O - � (0 100 4 ip ReoWir Gt Dead) 4 CERTIFIED SURVEY MAP N LOCATED IN THE NW 1/4 OF THE SWI/4 OF SECTION IT, T3ON , R18W, TOWN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN. OWNED 8Y: SHIRLEY FRANK **SEE SHEET 2 OF 2 FOR DESCRIPTION' RT. 4 � � � DESCRIPTION** NEW R ICHMOND, WI 54017 N NOTE: BEARINGS ARE REFERENCED WI/4 CORNER OF SECTION IT, TO THE WEST LINE OF THE SWI/4 . t0 T3ON, RUM.(COUNTY SURVEY (ASSUMED NORTH). o MONUMENT FOUND). r0 I = I UNPLATTED LANDS z 0 C noi1 o EAST 277. 001 0 • 136.00' 241. 00 ' Q: • H33 4-33 '-1 N, right-of-woy line Z. - 0 1 z: Q• 0 ° 0 0 Q• J, 0 M L 0T I M Jr c ltJ. _ 2 . 1 2 ACRES Z W: S (92,518 SO. FEET) I- 1,.., • • C: - 1.84 AC. ExCLUDING R.O.W. �.: Q: N ( 80, 327 S0. FEET) 0 <• J• J: I J: a• J: a• Z. z: • Z: APPERYED 2: APR 2 1 '37 Po11.37.00'1 240. 00 ' o ST. CROiC C U.•I1 o WE S T 2 7 7.00 1 D0,MNg1:F IV )'ARKS PLAN,.;,NC. AP.IU ZONING COMMlitEi "_' UNPLATTED LANDS o,'°�`etotGO �t"0pi co 0, pa ....A_1 ,.. I SCALE I ": 60 ' w JAMES M. 7i' a +° WEBER " 14-33 '�E 3 3 :'}i � e• S 7804 A' 0' 30 60' 120 + SPRING VALLEY WIS. r�, a o_SET 1"X 24"IRON PIPE WEIGHING 0 ,I 04; I = 1,13 LBS. PER LINEAR FOOT. ♦�9� ',�•r•+•►••..•'^4* !per Cr 14181.$94014-1. I 2 I �orwo.cM.��-� JAMES M. WEBER S- 1804 SW CORNER OF SECTION IT, WEGERER,WEBER AND ASSOC. 5kL� T30N,Rt8W.(COUNTYSURVEY DATED JA�•-1 \° \ MONUMENT FrIUNDI. SHEET I OF 2 . 8Y-01 THIS INSTRUMENT DRAFTED BY J -- "-> Vol. 7 Page 1802 , 7111 PUMP CHAMBER c r 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�OFt. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: � Length: S Number of Lines: Area Built: C./5 -J' Fill depth to top of pipe: (D Number of feet from nearest property line: Front, Side, O s/6' Number of feet from well: Number of feet from building: .57 (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, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: 7e' Plumber on job: d/44.L!S _�,� License Number: 3/84:mj ,.....,,,... F , • , , . Form - S T C - 104 't ' AS BUILT SANITARY SYSTEM REPORT OWNER (X1 f ,Q,de TOWNSHIP 447,4 SEC. /7 T,.:7( N-R a W ADDRESS - (/'- -// ST. CROIX COUNTY, WISCONSIN /4 /11),04.1>0 Aill,r6r/2 SUBDIVISION /(/ LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM -- L' - ..L.__ / moo giri _ st I v 1 i)./ s\ i ,,/43 jir�1'4"- 31- 5- : ,mss e9,/-1,- is„=, , S'S”, I INDICATE NORTH ARROW j //4 ,S(',,AZ . BENCFMARK: Describe the vertical reference point used 441 /4 77r4 Elevation of vertical reference point: /0,65 Proposed slope at site: SEPTIC TANK: Manufacturer:),Z/4:4,,,g,,,), aLiquid Capacity: /X0 / Number of rings used: 0,9 Tank manhole cover elevation: /9„j,/,(:. Tank Inlet Elevation: 2494 -7 Tank Outlet Elevation: Y( Number of feet from nearest Road: Front,O Side,O Rear, 0 JS/9 feet From nearest property line : Front,O Side,O Rear,® ;14/ feet Number of feet from: well fi/�J, , building: / `2 (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE EEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION ,P.O.SOI 7969 BUREAU OF PLUMBING MADISON WI 53707 NW%,SWi4,S17,T30N—R18W L(CONVENTIONAL II ALTERNATIVE cPIar,I.0.Nnbewn o f• Richmond assigned) ❑Holding Tank ❑ In-Ground Pressure ❑Mound /}�}I} NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER. INSPEC IT ON DAT Gary Frank Route 4, New Richmond, WI 54017 — � � ( BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN REF.PT.ELEV.' CST REF.PT.ELEV.. ■ Name of Plumber: MP/MPRSW No County Sanitary Permit Number Calvin Powers Jr. 1563 St. Croix 96022 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELEV TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED PROVIDED ❑YES LINO DYES LINO BEDDING. VENT DIA.: VENT MAT L.s, ', HIGH WATER NUMBER OF ROAD PROPERTY WELL BUILDING: VENT TO FRESH ALARM: ..FRQM LINE AIR INLET ❑YES LINO LIVES LINO NEAREST. ), DOSING CHAMBER: MANUFACTURER. BEDDING LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED PROVIDED: OYES 0 N DYES ONO DYES ONO ' GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PLINE ROPERTY WELL. BUILDING.I VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM AIR INLET: PUMP ON AND OFF) DYES ONO 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: Ys "WIDTH: LENGTH. NO.OF DISTR.PIPE SPACING COVER INSIDE DIA.-. #PITS. LIQUID /TRENCH TRENCHES MATERIAL: PIT DEPTH DI N I0!=4 " GRAVEL DEPTH FILL DEPTH DISTR.PIPE IDISTR.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-----10., 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. OYES ❑NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO LIVES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED: MULCHED'. CENTER EDGES. El YES ONO OYES ONO OYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: °WIDTH. LENGTH. ENO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. " O/ H TRENCHES (MEN S w t 'i MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO.DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV DIA ELEV. PIPES. DIA.: ELEVATION AID INFO T�ION . HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED T11N PLANS DYES LINO DYES ONO COMMENTS: PERMANENT MARKERS OBSERVATION WELLS. NUMBER or, ,., PRNE:ERTY WELL: BUILDING /► FEE 'IFRtOM" :. . i f5 J OYES ❑NO LIVES ❑NO il NEAR lJ " n' V / 3,SS J l ,�4/50 Li ' 0--,------- 8.. . ll / J = .\ 7, ti,s5 z ) 1 - Sketch System on )1'` � Retain in county file for audit. Reverse Side. V� TITLE SIGNATURE. 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 beta- : - 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; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 81/2 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 • cater included the creation of surcharges (fees) for a number of regulated practices which Wisco .tn$ • can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure 4 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- °rte® '�*wow 9 9 9 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) P. ILH1i SANITARY PERMIT APPLICATION COUNTY Cl�O/ V In accord with ILHR 83.05,Wis.Adm.Code STAT ANITARY PERMIT# Wooaa —Attach cqmplete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES X NO PROPERTY OWNER PROPERTY LOCATION ff 1J Y c ) Y4, S/7 T , N, R E (or� PWNER'S MAILING ADDRESS LOT N MBER BLO K UMBER SUBDI ION NAME C�� TE I ZIP CODE PHONE NUMBER��j�,.� CITY : NE RE T ROAD,}�4KE OR LANDMARK AlSa) �fA'4/7 ,s- /7 (//S1 AS -it. f� WAS: // L) slat /•l[L2! ,� ) 11. TYPE OF BUILDING OR USE SERVED: _ AO ' &— l�t`k/!��d Number of Bedrooms if 1 or 2 Family ,2 OR ❑ Public(Specify): .41' III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. XI New b. _ Replacement c. I I 1 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. NI 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. Z 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(S i/Feet): f e lS".2 11.E 8 Feet Z Private El Joint ❑ Public VI. TANK CAPACITY Site in gallons Total #of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App. Tanks Tanks structed Septic Tank or Holding Tank Ale.7 " f / Ai 11 5 ;lV44042C4' lki ❑ ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's ame(Pr' t): PI ••ber's Sig pp o Stamps) MP/MPRSW No.: Business Phone Number: (,),51 y ���5 �,1 . ,�� (7AS- b75 r-7_5 er's Address�(�S eet,City,S e,Zip Code): Name of D3 ,YA) City, /11 S76/7 Designer: VI I. SOIL TEST INFORMATION Certifi Soil Tester CS Name CST Certifi (CS Name ale .5n"--,s---S/ / CST's D RESS(Str City,Stat Zip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) rgiApproved ❑ Owner Given Initial '1 S charge Fee I I g7 Adverse Determination l d�' d v �• t�d a `;�"A L v►l hf /s i• L�C1)...0 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 APPLICATION FOR SANITARY PERMIT • • ST 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 the property house") , then a second 'form should be retained and completed.when th p p Y is sold and submitted to this office with the appropriate deed recording. r Owner of Property 6 at /40.,Ak • f N - R ) P W. Location of Property • Section fb'wnship Yea 1n G Mailing Address I Subdivision Name fA a ✓11 Lot Number Previous Owner of Property k i r 1 •-e— 'Er-a.is Total Size of Parcel q Date Parcel was Created CA jay // Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes )0c No Volume 7024, and Page Number "�- as recorded with the Register of Deeds • INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING,: 1. Warranty Deed 2. Land Contract 3. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would references helpful tosa Certified avoid Surveydelays of the reviewing process. If the deed description Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) cettiby that ate statement's on this bonm ane time to the best ob my (aun) knowledge; that I (we) am lane) the. owners(s) ob the pxopekty desekibed in this .inbonmati.on bonm, by v.chtue ob a wavcanty deed neconded in the Obb.i.ce ob the County Regis.ten ob Deeds as Document No. ; and that I (we) pnesent:ey own the proposed site bon the sewage sposa2 system (on I (we) have obtained an easement, .to nun with the above des&n.ibed pnopehty, bon the constAucti.on oL said system, and the dame has been,u,ey neconded in the 066ice i ob thg Couwty Regsten ob Deeds, as Document No. 5Q,',? ? ? )tlet-hk> SIGNAT OF OWNER SIGNA E CO-OWNER (IF APPLICABLE) /!&'7 WV - ll�� ''7 DA . SIGNED DA IGNED . • -. • DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA i 1 STATE BAR OF WISCONSIN FORM 2-1982 ' . II 434977 1 1 ,, • ,_ v tit 776pAu 3245 , i REGISTERS OFFICE Shirley Ann Frank ST. C .IX CO., %NI& Rec'd. i ,.ecord this 27th il day of.... ../.\..431....- 1 A.D. 1987 conveys and warrants to ....Gary A, Frank and Kelly J. ___Frank,..husband_and_wife,_as_maritai_pr.QPQX1tY.,. with_sights_of _survivorship, ■• i&-, e .wi...--2:00 i mi ., -7""r lot of Deed /. 1 1 , 1 i ---- i RETURN TO ! I • _____ , ) the following described real estate io St.* .C.r0..i.X County, il 1 State of Wisconsin: Tax Parcel No: • ! l . Part of the Northwest Quarter of the Southwest Quarter ( ¼ of SW1/4) , I Section Seventeen (17) , Township Thirty (30) North, Range Eighteen i 1 (18) West, further described as follows : Lot One (1) of Certified . Survey Map filed April 23, 1987, in Volume " 7" of Certified Survey Maps, page 1802, as Document No. 424828. I Ek , ... ,-- 1.7. XENIPT , 1 I I i i ( This ...IS...r10.t (is) (is not) homestead property. Exception to warranties: 1 11 Dated this 24th day of April , 19....13.7. •i [ 4t11 . .,1,0"71-k...,(SEAL) (SEAL) I r iri * Shirlt/ Ann Frank * ! 11 il (SEAL) (SEAL) II , * * 11 I! AUTHENTICATION ACKNOWLEDGMENT ;,• Signature(s) ii STATE OF WISCONSIN , 11 SS. I: 11 St. Croix County. authenticated this day of , 19 Personally came before me this 24th day of 1, i• April , 19 87 the above named . i Shirley Ann prank * TITLE: MEMBER STATE BAR OF WISCONSIN , - •"' (If not, authorized by § 706.06, Wis. Stats.) to me known to be the person ,./w1tueeiecuted the I 1' foreg g instrument nd cknowledge0Aapp.e. 1 ,, THIS INSTRUMENT WAS DRAFTED BY , ' .etge■Cillit:r.;r, 1. : Reinstra, Van Dyk & Needham, S. C.!! Kenngtid7§-a-e-rat4 * T a L. Glaser Notary Public St. Croix .". ./. .; . 4..Pounty,%"is. , !I (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, statr6 'expiration are not necessary.) date: 3-31-87 , 19 ) -I tl q *Names of persons signing in any capacity should be typed or printed below their signatures. . Ir STATE BAR OF WISCONSIN H.C.MinerCceniarrf I"JUI FORM No. 2— 1982 Stock No. 13002 I. DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA 1% ' ( STATE BAR OF WISCONSIN FORM 2—1982 !.__-_ 49' '7 '776pA��325 REGISTERS OFFICE { I ST. C ',X CO., WIS: I, Shirley Ann Frank Reed. f ..eoord this 27th 1 day of . .April q.Dk 1987 ■. 2:00 P�N& conveys and warrants to -._.G.ary A. Frank and Kelly J. %1 V— i t , .___Fr:ank,.._husband.__and_-sa ife�___as___marita_1..prgperty,- "_' -^"'with. .rights_-af.__survivoxship, ' N Dude � I Ij .___— I RETURN TO il L.------_ the following described real estate in St.._._Cxo.i.x County, {, HState of Wisconsin: I Tax Parcel No: ' ; I I Part of the Northwest Quarter of the Southwest Quarter (NWT of SW14) , ii Section Seventeen (17) , Township Thirty (30) North, Range Eighteen (18) West, further described as follows : Lot One (1) of Certified M . Survey Map filed April 23, 1987, in Volume " 7" of Certified Survey 11 Maps, page 1802, as Document No. 424828. 1' l; a' ;j I I II* y i I T!1r EM,I 1 , it i 11 1rit This ___ s.. 0- homestead property. I (is) (is not) 11 1 Exception to warranties: j i Ij ■ Dated this 24th day of .April , 19 87 I I; h (SEAL) (SEAL) Shirl-'y Ann Frank * I I (SEAL) (SEAL) �' ri !, ii H * 11 I: AUTHENTICATION ACKNOWLEDGMENT ' Signature(s) STATE OF WISCONSIN I( ■ ss. St. Croix County. authenticated this day of , 19 Personally came before me this 2 4th day of I' April r i 1 , 19 8 7 the above named Shirley Ann Frank TITLE: MEMBER STATE BAR OF WISCONSIN (If not, !.•''ER authorized by § 706.06, Wis. Stats.) S to me known to be the person I wllbeecuted the foreg g instrument nd cknowledg/thsafte. THIS INSTRUMENT WAS DRAFTED BY �G ttt'lr 4 Q■Reinstra, Van Dyk & Needham, S. C. V:4- ; .- ii j Stfij3 "T ) T a L. Glaser d� . . Naw._.Richmond.,.__Wjacsanz.jn 54Q17-0127 Notary Public St. Croix 'rl;'Q unty, vis. ' (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, stat'� 'expiration are not necessary.) date: 3-31-87 !' , 19 ) 11 *Names of persons signing in any capacity should be typed or printed below their signatures. H.C.MillerCornpanyll STATE BAR OF WISCONSIN FORM No. 2— 1982 Stock No. 13002 Alrx....«.w..«a. - H L U) H T SC - 105 a • ry SEPTIC TANK MAINTENANCE AGREEMENT 1-4 St . Croix County z a OWNER/BUYER �+L� ROUTE/BOX NUMBER Fire Number CITY/STATE A1Lt � /d�. 0 ZIP 59P/7 PROPERTY LOCATION : rj , , Section 1 7 , T 30 N , R � W, Town of ki,celaywr.,40 , 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 i 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 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 . H • z I/WE, the undersigned , have read the above requirements and agree ~czn to maintain the private sewage disposal system in accordance with 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 . SICNED 4' DATE (/ i,x a - /6? 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 . ' DEPARTMENT REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS DIVISION INDUS-T R•Y, P.O.BOX 79$9 LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 HUMAN RELATIONS (H63.09(1) &Chapter 145.045) • • ION: TOWN IIP/ A LQT No.:BLK.,Np. SUBAINI ION NAME: /T30N/Rls it(or1W is , 1 ,c . 1�// IV//? �(/ COUNTY: •f`NER'S BUYER'S NAME: MAILING ADDRESS: 1 I USE OBSERVATIONS MADE `NO.BEDRMS.: COMMERCIAL DESCRIPTION: l PROFILE DESCRIPTIONS: PERCOLATIONN,TESTS: Residence 3 h p r;;l -Pmt New Li Replace I I / _ j t 1 RATING:S=Site suitable for system Us Site unsuitable for system {�i`l J .f ( (I /l C-2.__ L.)"(-4.0 T'�1 d I'd-I- CON ENTIONAL: MOUND: IN•GROUND4'RFSSURE: SYSTEM-IN-F LL HOLDING TANK:RECOMMENDED SYSTEM:(opti'nal)' S ❑U S CCU _ E "S EU ES EAU 1S '2U f 1, - 7-1 Gti ex 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:7V ,4_ c /��/ 5 cl I Floodplain,indicate Floodplain elevation: /1//g. / ' PROFIJ._DESCRIPTIONS c • 0 c:-r-' :ORING • AL. DEPTH TO GROUNDWATER-FNetES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH A tN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED{SEE ABBRV.ON BACK.) �; 0 �'' 7 V l�l ,/ •, `•' / 0 - 9 , ' a.1.—�.ZV/) r/ ' �y • , I ,, Mil f + ` C i �' � 0 q2. ? 0rie-, % 6.0 0 - LS $ 11' - - ,7 ► s Mil ,Sg / ry 'l ci ti I 0 - I ,Z13i J I! , 2- - I ',i c/ B- ( / `l�, i 7 c� i . U /, c- -2.:-D 6,) /.a ±) :r . 0 - 'F, v /411 54-7 r I ` � rf} ,Q �.'� . C , � . t , ( � cdr . r=�'J „ , i B. . PERCOLATION TESTS . - D PTH j WATER IN HOLE TEST TIME DROP IN WATER LEVEL-NICHES. RATE MINUTES,- 3C•1 �_�_14:1_'1'-x` PERT H '�':ER AFTER SWELUNG INTERVAL-MIN. - •. ��' �� • ' _ lP PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe whet are the hors 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 ty. of larld slope. SYSTEM ELEVATION ` '� ' / _ ,_ _ _ L ti , 1 �)_ rr�4t^k ' Io f 1 Z V l , �r�sa "f r trrt t-� S `� i a ,.1 / !Ic�. ' 1 t m , 5,4, fi E fro h 1 1 / p jy, _ _.. �. , • , J ' i N • 1-- ,,_ t.....__.. ..Z._.-_.,..._...- -4-----1 . __ t,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 Wii$Consin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. "•4 "NA,ME(pr,n I. *"^"'� TESTS WERE COMPLETED ON: ) � _ � , S 01��t ©l.`��"�* `� (\ CERTIFICATION NUMBER: PHONE NUMBERCop ygnaQ: j. CST NA UR ' i DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. 3,0 x d ',DILHR-SB0-6395(R.02/82) —OVER — ' * 3 � -e��T II /e �psw/�;.,Ec/; r.�O, �/ w /,..i ,r6,7,-,,,d6 a.),t /7 .2 2,5%,7e p te .ii-?,‘- v 1= vX-S- a ` s4-�77 Z/, - ,2/°& ��/ 73,9/,) w s /I/ I// /-—i..J i 9 .3C., /y�, --4 I I' 3 J N -,..? ;_____ t ---7 -i1i 7 . \i:v,,.1 11\1 , ,i \\, . 1 1 1 • 4. . -, " PAGE OF • y Cr e_e_ o � /� � tI� Syster~--1 to -,74).)i__ i -,74).)i__-,74).)i__ / Fresh Air Inlets And Observation Pipe / • � 1i" Approved Vent Cop /� Minimum 12"Above Tr- Final Grad• i 20-42"Above Pipe — _4"Cost iron To Flnol Grad• Vint Pipe Marsh Hoy Or Synthetic Covering Min. 2"Aggregate Over Pips Dletrlbullon jC —Tee - Pipe —'l 0 0 0 0 0 6"Aggregate 0 Perforated Pipe Below Beneath Pipe o —Coupling Terminating At Bottom Of System • , Propose D situ.' grkch �. .ItJ A 1 or1 O / 410 1 SOIL FILL DISTRIBUTION PIPE . APPROVED $S1NTHETIC COVER `•`'••;' ow.,-; MATERIAL- OR 9'' OF STRAW 2"OF AGGREGATE. -�� 111.411 •M OR MARSH HAy 't . . (o'OF12-212 AGGREGATE• og'- ' .„....)\.,,,tLEV of � F E6T I � i� ` . z' E--3'. i • DIS-T"R,BUTIOIJ PIPE TO BE AT LEAST X20 INCHES BELOW ORIGINAL GRADE AMC) AT LEAST 20 INCHES BUT MO MORE THAN 42 IAICHES 'BELOW FINAL GRADE MAXIMUM DEPTH OF EXtAVATI00 FXoM ORIGINAL bRADg WILL BE s`"7 INCHES ruN1MUN! ®Erni Of E'XCAVATICIJ Mom os if iNAL GR4V€ WILL BE L�Q INCHES I SIGNED: ( _ S*J ?A.,....._3�� LICE►JSC AIUMBER: �2 4 DATE • l>, 1- 2 110 i.