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032-1008-90-000
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D°nn/de Nh./1erF `? v 6` Me/vr S of Renee Debra W N v 41 ar q F 5y O. .Pober/ Carafe/ W C v m�e� 4r a Germain c� n o m Breauff 'n 1. /qua > I:Y �v zz/ �ar7-e// /4A7.5 16 ti c57!a o > 1 "� J !�✓is.� Rs.'J 1 I Qt} 1- tl'7 h 4. 15S97 � Df e nDaais w n v 11 40 S hA p y NeI-17 o 205TH au4 J a LCROoiU,✓/�eas�.J J�rL t 5 4/0.82 E. 'rob/7 700 b n 4 / Hn yy� h x96/7• � ZW1CA e uS N 111761° .SMsi.TbRs Tj 1 r+eslsewP3 fLUV- SO a o o K�PDS.39 Lo a ¢ laT..RD �' '. 40 • �J Q 5 F P� r S. 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L::L Poss Somerre/Tiy: 0 0 c s /� q w� W� L IV S 4494 CEN ;z A� 35 T as q o c /QackfbidMOM MafJPub/s,In� 300 400 500 600 700 800 t; BANK OF SOMERSET LOHDRY Save With Us — WINDSCHPING Help Build Your Community MEMBER FDIC Black Dirt - Crushed Gravel Driveways - Landscaping SOMERSET, WISCONSIN Phone: 247-3480 Phone: 247-3348 SOMERSET Parcel #: 032-1008-90-000 1 07/03/2006 05:05 PAGE OF F 1 1 Alt.Parcel M 4.31.19.55A 032-TOWN OF SOMERSET Current X! 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-MARTIN, REUBEN C REUBEN C MARTIN 2371 40TH ST SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *2371 40TH ST SC 4165 SCH D OF OSCEOIA SP 1700 WITC Legal Description: Acres: 40.590 Plat: N/A-NOT AVAILABLE SEC 4 T31N R19W PT OF 4 40'S OF NW1/4 Block/Condo Bldg: COM 569.49'E&969.49'S OF NW COR SEC 4,TH N 3 DEG E 943.87',W 569.49', S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 1826.9', E 1412. 11 FT N 3 DEG E TO PT E 04-31 N-1 9W OF POB W TO POB EXC PT TO CSM 10/2883 Notes: Parcel History: Date Doc# Vol/Page Type 08/22/2002 687886 1955/617 QC 2006 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 129,700 177,700 NO AGRICULTURAL G4 33.590 2,000 0 2,000 NO UNDEVELOPED G5 4.000 200 0 200 NO Totals for 2006: General Property 40.590 50,200 129,700 179,9000 Woodland 0.000 0 Totals for 2005: General Property 40.590 50,200 129,700 179,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 111 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 00 Total 0.00 0.00 526297 MAR - S 1 t CROIX COUNTY SURVEYOR'S RECORD � CERTIFIED SURVEY MA Located in part of the Northwest Quarter of the Northwest Quarter of Section 4, Township 31 North, Range 19 West, 'Down of Somerset, St. Croix County, Wisconsin. Prepared for and at the request of: LEGEND Charles D. Heath As Found County Section Corner Monument Century Service Group Inc. Century Telephone Set 1" x 24" Iron Pipe weighing 1.68 2615 East Avenue South pounds per linear foot. P.O. Box 4800 LaCrosse, WI 54602-4800 UNPLATTED LANDS NW CORNER — 8 °24'56"E 2619.68' — — NI/4 CORNER SECTION 4 S9 SECTION 4 T31N, R19W NORTH LINE OF THE NW 1/4 T 3IN, R 19 W 889° 24' S6"E 133.05 rn _ _ _ n —y CENTERLINE 6) 2486.63' W SCALE 1 = 40' POLK — ST. CROIX o RD. U 40 0 40 j I z 7RIGHT5F0F-WA1° 24 00.00 o � FILED E®o � .�� ' ate 1 0 I-p ° LOT I o ;- FE t) 2 7 1995 ► ^' z I .4 o Jr- , KATHLEEN H.WALSH m -4 I = 0 17 676 Square feet) 0 1 Register ofDoeds E m -•.� i o q Total 0 � L SL Croix Co.,WI z y O N 0.406 Acres ) O ,� 9,986 Sq. Ft. ) I ` Io , n NORTH Exc. R/W o LQ , n N Bearing eferenced to the ° z North line of the NW! of Sec- v 00 ' # �' tion 4 assumed to bear ro Z 66' S89°24156"E. ro 33.05' 100.00 �o � ®N� 1 w N89 0 2456"W 133.05' UNPLATTED LANDS s° RONALD ,F. }p -- - - - -- -- --- -- 1OH^- �nr� ro s° ^' M S-- c e A fv, y 1 Wfg l A WI/4 CORNER\ ����^S.aR\I.�n�' T31N, R 19 SURVEYOR'S CERTIFICATE I, Ronald F. Johnson, Registered Wisconsin Land Surveyor, hereby certify that I have surveyed and mapped a part of the Northwest Quarter of the Northwest Quarter of Section 4, Township 31 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin; described as follows: BEGINNING at the Northwest Corner of said Section 4; thence on an assumed bearing along the north line of said Northwest Quarter, South 89 degrees 24 minutes 56 seconds East a distance of 133.05 feet; thence South 03 degrees 40 minutes 02 seconds West a distance of 133.05 feet; thence North 89 degrees 24 minutes 56 seconds West a distance of 133.05 feet to the west line of said Northwest Quarter; thence along lasf said line North 03 degrees 40 minutes 02 seconds East a distance of 133.05 feet to the point of beginning. Containing 17,676 square feet (0.406 acres) . Subject to the right-of-way of Polk-St. Croix Road and 40th Street, and subject to all other easements, restrictions and coven- ants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundaries surveyed and described; that I have complied with the provisions of Chapter 236.34 of the Wisconsin Statutes in surveying and mapping same. 99S Rdnald F. Jo son R.L.S. No. 1186 Date Ron Johnson Land Surveying P.O. Box 194 Amery, WI 54001 Tel: (715) 268-2601 VOL. 10 PAGE 2883 PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: N A-' Pump Sizel�,L!— Elevation of inlet: } A Bottom of tank elevation: 6 Pump off switch elevation: Gallons per cycle: Iv A Alarm Manufacturer: IN A Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: V Number of feet from building: Z� (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: D Width: Length: Lf of. �. Number of Lines: _ Area Built: sr H Fill depth to top of pipe: $O Number of feet from nearest property line: Front: O Side, O Rear,0 Ft . Number of feet from well: lee, �- Number of feet from building: 3&4" (Include distances on plot plan). SEEPAGE PIT Size: NL!. Number of pits: Diameter: A- Liquid depth: A7 —� 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 ^ a, Manufacturer: N Capacity: ( Number of rings used_: t�A _ Elevation aSh6ttom of. tank: " Elevation of inlet: ° 'Number of feet from nearesti 'fproperty .: Front, O Side, O Rear, OFt. X Number of feet from .' Number of rom buildin Number of fe fro earest road: -� Alarm Manufacturer: + linspector:-- Dated: � l Plumber on job;, ic OT T` License Number: PP as M 4 .. "3/84:mj Form - S T C - 104 s ' .L AS BUILT SANITARY SYSTEM REPORT OWNER @( � G(V Nat' i JV TOWNSHIP SEC. T LN-R I� W ADDRESS t (,,j?slX ►1 ST., CROIX COUNTY, WISCONSIN SUBDIVISION 1U �' LOT JU Pr LOT SIZE 30 PLAN VIEW Distances and dimensions to meet requirements of IIHR, 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Property line ' I 5 Or t I 0 I Re lace lent r p o a r e a I P H �' r 63 I t S I I - - - - t t - - - - y T l �- -50 R E - 104 - - - - - - � i E n T , 3 6 ^ - - -97- - - o I . r I ( Acdn r.., �f B L 15 r - r: A C 45 � - r K , 97 T 10 0 P t WELL INDICATE NORTH ARROW k.: BENCHMARK: Describe the vertical reference point « ed PAN r Elevation of eference point: d slope at sitq: Re-te SEPTIC TAN urer: W 1 5e-R C'� Liquid Capacity: t Cho aaa Number o Used: 4 Tank manhole cover elevation cg, 7�• Tank Inlet.Elevation: ql}, Z Tank Outlet Elevation: 94 , 3 (o Number of feet from nearest Road: FrontSide,®Rear, O 17� feet From nearest property line Front 10 Side 10 Rear,0 feet Number of feet from: well 97 4 , building: 1z 3 ,, ,lude this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MA,DISON,WI 53707 State Plan LD.Number: 1 .NWT, -NW-4, 54,T31N—R19W Ed CONVENTIONAL ❑ALTERNATIVE (If Plan 11 Town of Somerset El Holding Tank ❑ In-Ground Pressure E]Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Reuben Martin 2671 Vir inia Ave. St. Paul MN 55113 o� // � BENCH MARK(Permanent reference point)DESCRIBF IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT.ELEV.: Name of Plumber: MP IMPRSW No.: County: nnary Permit Number Rick Troff 3225 St. Croix 96056 SEPTIC TANK/HOLDING TANK: MANUFACTURER: 1_1011111 CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED ❑YES ONO ❑YES ❑NO BEDDING: VENT DIA.. VENT MATL.. HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUILDING: VENT TO FRESH A LARM. LINE. AIR INLET. FEET FROM ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING: 1_1011111 CAPACITY PUMP V0111-I- PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES 1:1 NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL ATIONAL. NUMBER OF PROPERTY WELL BUILDING. VENT TO FRESH LINE AIR INLET: (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) _AYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING P P 9 FORGE or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: ER BEI�tTRENCH WIDTH LENGTH TRENCHES DISTR PIPE SPACING MATERIAL INSIDE CIA 11 PITS DEPTH: PIT DIMENSIONS GRAVEL DEPTH FILL DEPTH UISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLE7 ELEV.END. PIPES FEET FROM ".LINE: AIR INLET: NEAREST'11� 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. El YES 1:1 NO SOIL COVER TEXTURE PERMANENT MARKERS: OBSERVATION WELLS E Y ES ❑NO ❑YES LINO DEPTH OVER TRENCH/BED DEPTH OVER TRENCHIBED DEPTH OF TOPSOIL. SODDED. 1�11DFD. MULCHED. CENTER EDGES. DYES ONO ❑YES ONO DYES [11 NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: 0 ENStONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. D DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.. ELEV.. DIA.-. ELEV: PIPES. DIA.: ELEVATIO AN0 p#STR# 3TION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INfi0 ATION PLANS. -]YES ❑NO ❑YES El NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: DYES 0 N DYES ❑ - A....- ST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: Zoning Administrator DILHR SBD 6710 IR.01/82) 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 revigions 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 Sanit2ry Permit Transfer/Renewal �orrrt I(SBD'8399) to submitted to the county prior to instatlatidn; 5. Private sewage systems must bib'prbo ray maintainet[.;'the septid tank(s)•"should be*pumped by a licer)sed 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; il. 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.tckster's name,,cerfificatign number, address,.and phone number. IX. County/Department Use Only; w, X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/2 x 11 inches must be submitted to the county. The plans must include the following: A),iDlot plan,,drgwn to.scale or with complete dimensions, location of holding tank(s), septic tank(s) or othe°r treatment fanks; f�di1'ding 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 ar4.pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil.test¢ata on a 115 form. h-. ------------------------------------_..,__ ___ ------------------------ GROUNDWATER SURCHARGE On May 4, 1994,°`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 over2.years of steady negotiation and public de�ate:The gro'undwatdr.bill (;'round $t f�- J 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 i,uried re Sure is used in your building is returned tc the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. a 7`1e ~ionres r olle-;ted through these surcharges are credited to the groundwater fund adn- nis- 'Crec by "he 'Department of Natural Resources. These funds are used for monitoring grour d- f vIater, groundwater contamination investigations and establishment of standards. Ground crater, its worth protecting. SSD-6398(R.03/86) SANITARY PERMIT APPLICATION CO1 (�t DILHR In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PE IT# –Attach complete plans(to the county copy only)for the system,on paper not less than STA E PLAN I.D.NUMBER 8%x 11 inches in size. –See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ANO PROPERTY OWNER PROPERTY LOCATION e `�" N U)'/4 PJW%, S T 3) , N, R 0(or W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVI ON NAME atal ve CITY,STATE ZIP CODE PHONE NUMBER ❑ VILLAGE: Q Art O NEAREST ROAD,LAKE OR LANDMARK TOWN ST 55'11 ey- e II. TYPE OF BUILDING OR USE SERVED: s4ic /w 0. —!QG Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) � 1. a. I� 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. RIConventional 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. ❑seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED O (Squye Feet): PROPOSES(Square Feet): d a t) I 25 JaS g.5 Q? .3 Feet X Private ❑Joint ❑ Public VI. TANK CAPACITY Site I allons Total #of Prefab. MSteel Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strructed App Tanks Tanks Se tic Tank or Holdin Tank f Lift Pum Tank/Si hon Chamber ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): PI ber's Signature:(No Stamps) W/MPRSW No.: Business Phone Number: 13 'a k TA of"r"' 3 a*15" 71 S W2 00 Plumber's Address(Street,City,State,Zip Code): U V Name of Designer: - JTAf tC� VIII. SOIL TEST INFORMATION Certified Soil TAeN ter(CST)Name CST# We d ado CST's A-QDRESS(Street,City,State,Zip Code) Phone Number: Oda IX. COUNTY/DEPARTMENT USE ON Y ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) ;4 YY1 �I �� rchar e Fee pproved ❑ Owner Given Initial Adverse Determination 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 STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property / Nd L., `J'1,Iwn. Al Location of Property ( IC , Section ' ' , T N-R W Township 5mC iT flailing Address-R- � g qax `2 lr a 0--, xr, tyis � o 9 Address of Site Subdivision Name �A Lot Number Previous Amer of Property 41Y) rly A 9-K 7-a-J Total Size of Parcel L� A`(`/ry-_r Date Parcel was Created r Are all corners and lot lines identifiable? Yes No Is this property being developed for� as e ale (spec house) ? Yes 10 Volume and Page Number 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 Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION 1 (We) cen ti.6y that ate statements on .th is oAm ane true to the beet o6 my (ouA) hnowtedge; that 1 (we) am (ane) the ownen(e 1 o6 the pnopenty dezcAi.bed in this .in6o4mati.on 6o4m, by vihtue o6 a waAAanty deed keco4ded in the 066.ice 06 the Count Regis.ten o6 Deeds as Document No. and that I (We) pneben.tf.y own the pnopoeed site bon the sewage oe bye em (oh I (we) have obtained an easement, to nun with the above deb ed pnopehty, bon the conbthuction o6 said aya.ten, and the name ha,e been du4�_t onded .in the 066tce o6 .the County Reg•ie•ten o6 Veede, ae Vocwnent No. '3`z-7 '33 ) en- SIGNATURE Op OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED is '• DOCUMENT NO. I,..�,q,q -• STATE BAR OF WISCONSIN—FORM i /h) p [ WARRANTY DEED BOOK V 25 I A"*Cl 305 THIS SPACE RESERVED FOR RECORDING DATA 32'7838 REGISTERS OFFICE This Deed, made between..... ............. ST. CROIX CO.. WIS. ....--•...........................•--...............--•---...................---------...........-••-------.........---...........................--•- Rec'd for Record this_3_Oth_ --------------------------------------------•---------------...-•-------...--------------..................--------........-----...................... -----------------------------------•-•-----•-----••---------.._......----•-•----•----------------...............--............•--.....I Grantor daY of---;1MQ-----A.D.19_15 and ....Reuben... ..... ..and -wfe...as..-joint_tenants.......................................................... ..................................................................................................................................... Grantee, - ...one dollax' Register of Deeds Witnesseth, That the said Grantor for ................. and__other.-good..and•val�zablg..considers.: iQu................................... conveys to Grantee the following described real estate in......StA...Croix.......... County, State of Wisconsin: RETURN TO Allan o. Maki Beginning at a point 569.49 feet East and 969.49 feet - Osceola, Wisonsin 54020 South 3005' West of the Northwest corner of Section 4, T31N, R19W; thence North 30051 East 943.87 feet; thence Tax Key #.............................................. West 569.49 feet; thence South 3005' West along the West This is .................. homestead property. line of said section 1826.9 feet; thence North 89032127" East 1412.11 feet; thence North 30001471' East to a point due East of thepoint of beginning; thence West to the point of beginning; subject to easements and restrictions of record. TIC SFER d F E �# FEE EX MPT Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining: And .....M.:Xy..M jz,,...gnntox....................................................................................... ......................................................... warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except.......... aasments..and........... restrictions..of...re.. Qxs�,--.ze exYang.,.-. iowvor._..to-..grantor..a..life...,estate..in..the...dwelling located.on--said..p opexty.--togethex..with..the...suxmxending..gro mds-------------------------•-------•------------ ------ and will warrant and defend the same. Executed at.......Q5.Q0Q. a.,.X i_q.c-Qlls1n.................... this...........25th..... day of...................Tulle..................... 1921------ yy � SEAL SIGNED AND SEALED IN PRESENCE OF ...L�/�-.. ..... __L�: ........... Mary Ma tin ........................................................................................................... ..............................................................................................(SEAL) ...............................(SEAL) ..................••--•---.......---.............._.._..........._......................................... ..............................(SEAL) Signaturesof .............Mary Martlll................................................................................................... ..... .................................................................................................................................................................................................................................. authenticated this................. . day of... 1D1�......_........._.................. 19.. 5 .�.. z�'. Allan 0 Maki Title: Member State liar of Wisconsin dQQC STATE OF WISCONSIN ss. .....................................•---.........................County. Personallycame before me, this........................................................ day of..........................................................................1 19........... theabove named...................................................................................................................................................................--•--.................._.......... .................................................................................................................................................................................................................................. to me known to be the person........ who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY ................................................................................................................ t...Law............ Osceola, Wisconsin 54020 The use of witnesses is optional. Notary Public. .............................................................. County, Wis. My commission (expires) (is) ............................................................ Names of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OF WISCONSIN Wisconsin Legal Blank Company WARRANTY DEED FORM No. 1-1871 Milwaukee, Wis. (Job 31860) z CA H a ' r ST C - 105 r H SEPTIC TANK MAINTENANCE AGREEMENT 0 0 St . Croix County z d yQ fir, a OWNER/BUYER J ► E U b cno, ROUTE/BOX NUMBER 7 Fire Number CITY/STATE Jd-�iF/t ,2�J' li/>S ZIP — PROPERTY LOCATION :�1-��, 1�lrA: �4, Section �, T N , R W, Town of 5e,— A , 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 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 . Ho E I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- 'v 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 . _ SIGNED DATE 71 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 . TRDEPARTMENT OF Y" 1A Q A � PERCOLATION TESTS , S.(. 0463.0941) 114 -7, SECTION: OWN MUNICI 1 + 1 ! /i3/ 1114/9 to .._, w {K 7` { " }ai { I co OWNERSIBUYER'S AN► 'f O SXRVATIONS 04 AIlE r+rRldsdane >/� IPTION: 411 Now Replace t" RATIV#G:$*Site suitable for system Um Site unsuitable for system ° V t AL: MQUN4: IN__ _ E -Fitt OLD l AI+IK NOW SYST Nt:fir0t)cxnall Cl S EIS ZU Ills , if Per¢otation Tests are NOT r DESIGN RATE,' - squired If ads t>t�A ' s under 0i63:U9t'�lttil,indicate: // f� #4 in the //f✓ "I Floo4*4ain,lost P .min 4ter+ di; PROFILE IDWRWM _ l30 P T A -INC CHA A Ht, S;COLOR,TE TUIR , I TO aw-W)CIS ELEVATION tF �AGIC.I ,ti, 4r,., da +r a!�. n � N t �•4? ' ~B" Y h all e - �. B- re, +� 2154 121.9 3 y . .w rye Grcr PERCOLATION TESTS n WATER MOLE TEST TI q , A ACMES AFTER ELt-INtr tN1'ERVAL 111V. PE i.. P. . . 30 P- PLOT PLAN: Show locations`of percolation tests, soil borings and the dimensions of suitable soli adtaai: m>l M e scale or distances. Describe who,aPr71�ttctrl aorr#al and verlti cal elevation reference points and show their location on the plot plan. Show tF Iplailp6ilt.2ieutttiddtr at ail bortri 0 and the direcilq af. tll x s'sf vend—slope.; SYTLVATON �3. 3 . r 4 a§} x t k f s: � are � ,.4-7�"'•� •.w '' . �,et i l `J'-.. .�.. ���.�... fi, 'k 110 . r ....,;.t r ^�""�^"`�^ / .,+�n+'.wrn+�—+Yr+.^tiF•r+. "�• -�' t _:fit .�._ry.,_ �.. °. , I 1 I,the undersigned, hereby certify that the soil tests reported on this form were made by me in sccc i%twitft.t66 procedures and methods specified in the Wisconsin AdrMnistrative Code,and that the data recorded and the location of the tests are correct to the best 011 me'ilneia dw and t'uetiof. AfJF (prinf COW15TIM °—^--�-- '. At3C R 5 I C T.JON hiUNf ER Py�3falE NUi4F � ► ; 0"STRlt3UTION: Original and one caPy to Loc l Authority,Property Owner and Sail Tomor. t31tMA-SOD-63" (R.02/82) C1VEF# • ��� PAGE OF n. CrC) S Sz� � I V1, G1- R � ri� Syslen� Fte$n Alt Inlal• And 0b#arvallon Pipa J -- App#ovad Vaal Cap MWmvnn 12'Above final G#oao 20-42'Above Pipe _4'Ca#1 Iron To Final Goads Veal Pip# "Men her Or SrnIM1k Coveting Nln 2'A # d OLEa Pipe ale"William, —Too PIP* " ti'Aggis Pipe o P#rlaral#d pipe Below 6aa#alli Pipe —COOIRG Twminoling Al eguao 01 616l#m i 97, do3� P�o�ose p �I� 19r � V.&J J ion /> "6 SOIL FILL DISTRIBUTIOM PIPE APPROVED $40PETIC COVER ° "�-IhATER1A1- OR 4" OF STRAW r OF AGb.IEWE ../r OR MAKSN NAy ° V OF%-21/i AGGREGATE �P LEV. O 3i3 FEET, • LY' • �r 3 OISTRI15UTIOW PIPE To 5E AT LEAST Qq IAICHES BELOW ORIGIUAL GRADE ARIL AT LCAST ZC friCIfgS BUT NO MURL TIMN 42 IAICHES nLI IDW riu*L. r.KAOE MAXIMUM DEPTH OF F-XEAVATIOM'FlZoM oKit viA . bKAK WILL BE S-� INCHES /NNIMUM VIEF" OF EXCAVATIOM FROM CkOWAL C3RAPE WILL gE _L_ INCHES SIGUE0: Ra LICEUSE UUMBER: GATE : �a4 � �7 PLOT PLAN SCALE . 14. '5 , 083 N -B O R I N G = B M PERC. = • P. WELL = © I I Replacement B2 • I area P OB4 1 *5 % 62.5 S I a p I 2 I S I q sl 0 i S5 0 1000 Gal. I , P Ihieser 35 {� septic tank 0 ° Bench .;F °d Mark • 10 I OWNER Garage� B Reuben Martin Th 2671 Virginia Ave. No St. Paul M inn. 55 113 S.T. 1-612-4 8 4-60 7 2 NW NW 4 S,4 T3IN R19W �4, Y , .,, ,, � r Proposed- 3 bedroom PLUMBER home Rick Troff MPRS 3225 cen+fieR R* 2 Box �170 A '-I toe D e r o n d a WI 54008 1 7/20/ 87 ��... __ ....._ log �� w 4�� 1 • r -AAr V t � CN Gr- 1 I ti cl r A i 7-1 i f