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HomeMy WebLinkAbout038-1150-60-000 N N O Q d04 E09 CD 0 0) hC N y ti a ° O tl I b O O N p °w O °.. N a o.0 Z o o.0z o " CD cd a " a) cC U) m v y d 0) m0 m 0) N O m ti it � u' EE;> � � 2E;> 0 0,o o o 0)o o E m "'a E E m �'� E h F°- a>i yam ° I° a�i c.0 o It m y 3 v` Q) Y 30`0 mod mm (D to �� >.cdLL (n w� ,p.C�LL ti ° �o ° `0 00 ° �o o f0 00 O� a� 8E8 °9 a� o LL C° N N `r fyn p y 0 O`tE N 3 Q 0 C � C� r- (D U U D - C U C V C C U Cl) N zt Z y co W E U) !: c Z a m O O O Z :!t U V r C O O .y-. - w - d Z III U) F r N Z ° Z C E -o E '0 Cl) N 0) > C m N N H d •N ' t °- t O 0 Q z omO Z 0 N N z z ItsN C C N C C N C. c U U c °n o a d ° Ira CD U co 3 a° a° - a a° a° t�1 z° z •N � aaa �1 a N ►i ° ° N o 0 o O U) J U l o rn rn z z z z M M Cl CD c a O O \1 O O N r r :I d ml C C a N co C C a N to z cA m Q } fn Z w m ° U) l� O M .r O � ii M N C +.+ O �7 N O E N o D O 0 0 ° 0 ° o o rn •�O S O C a. , p 0 � dN a.^. N N C N _C d 0 j -0 p y z � z Lj Lo CD ry m O M � ° f f I FE O Z p 1 r Z a U) E m CL ... _ - a • e� a m .o I m as c v c c ,. 3 rw O m .. O `�1 A 0a. 0 to0 } r Parcel #: 038-1150-60-000 10/06/2005 07:43 AM PAGE 1 OF 1 Alt. Parcel#: 30.31.18.679 038-TOWN OF STAR PRAIRIE Current [XI 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 DENNIS O&SUSAN J NYBAKKEN O-NYBAKKEN, DENNIS O&SUSAN J 1933 SICARD LA SOMERSET WI 54025 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1933 SICARD LA SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0145-CARRIE'S APPLE RIVER ADD SEC 30 T31 N R1 8W LOT 8 CARRIE'S APPLE Block/Condo Bldg: LOT 08 RIVER ADD Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31 N-1 8W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 978/202 WD 07/23/1997 776/338 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 83,300 175,300 258,600 NO Totals for 2005: General Property 0.000 83,300 175,300 258,600 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 83,300 175,300 258,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 209 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY WISCONSIN ZONING OFFICE —�--1� ST. CROIX COUNTY GOVERNMENT CENTER rrrrrnrrr "'"" 1101 Carmichael Road Hudson, WI 54016-7710 -� (715) 386-4680 May 19, 1998 Dennis O. Nybakken 1933 Co. Rd. C Somerset, WI 54025 RE: TOWNSHIP BUILDING PERMIT Dear Mr. Nybakken: As we have discussed, Wis.Admin. Code Chapter 83 requires an evaluation of the septic system serving a structure which is being added onto if additional bedrooms are added or if the habitable portion of the house is increased by more that 25%. 1 have reviewed the plans for your proposed addition. They show that you are planning to add a dinning room and new bedroom to the house while converting an existing bedroom into a living area. The addition will not result in an increase in the number of bedrooms in the house and will constitute an increase of 25% in the square footage of habitable area. Accordingly, you are not required to have your system evaluated. Please feel free to submit a copy of this letter to the Town so that they are aware of this determination. I have also reviewed our sanitary permit file for the septic system that serves your home. The septic was designed to treat and dispose of the waste generated from a 3 bedroom home. It was installed by Cal Powers on December 4, 1987. 1 have enclosed the"As - Built" plot plan which shows the location of the system in reference to your house. Any new construction must be kept at least 5' from the edge of the septic tank and 25' from the nearest edge of the drainfield. You should make sure that your contractor is aware of the system location, that he is familiar with the required setbacks and that system is not driven over during construction. The County Shoreland Zoning Ordinance requires a 75' setback between any structure and the ordinary high water mark of a body of water. I have visited your property and determined that the proposed construction will not encroach upon the setback. Should you have any questions or concerns regarding this matter please feel free to contact me at his office between the hours of 8:00 am - 5:00 pm, Monday- Friday. Sincere , e. 7t/ S es K. Thompson Assistant Zoning Administrator cc: file 41 1 2'-4' '- �.` o +? RELOCATED Iii ROUND WDW. A 71.• _ _ I � 6 E _ A `t.... .- _ T , _i_ 0 m r ri m. ul U 1� V G I\�,` N� \ o mE m 8'-10' p EEr 0 n p Z D �� Ig I m r I Crc R d i m m ATTIC LO rn m % access ti in \ a T o E D ``ABOVE J a, / A `TJ « cp A 0 _ I ROOF TRUSS r 3 6 � �,` 24' O.G. � � '-\�'� � D(m1 �o 6'-p• 6•.`VANIfiT - 0�' LINEN ��AIEW HDR 1 SH_< 1 RD.— —25H. t 2 RD_ Dm �z E m?i D zr e t m :............ m �_ m D� p O E 0 tpf I j::::::::..........II._....................._.......... .... d r�- z� � ii m 93 F r D N o o _ s�. z r- o D�In 4 ,- r r NEW BASE CABINETS — — — — — — — — W/COUNTERTOP Dz n E z m 11 DN zr 3 03 m O T O Z ® n m f m , to to o io b Qu _ NEW ARCHWAY E DD m m Q pQ JQ m m ul m = D v N A N RI N L AT O p D m p m O m < D T ul ul � AADg � mz cmimpg -4 < o D N r m O D m m m p A m + 0 r A Z vi z N N m m Nybakken FLOOR PLAN p � Addition � DAM•end Ow NybsW°n I � f PAGE OF �rUSS ., ec � 1Ur, O4- A Zito S sS en-) Fresh Air Inlets And Observation Pipe Sr,/�*7s✓ 11-- Approved Vent Cap ,Y, Minimum 12"Abow Final Grade 20-42"Above Pipe _4"Cast Iron To Final Grade Vent Pips Mash May Or Synthetic Covering win 2"Aggregate Over Plpe Oierrlbution —Tee Pipe o 0 0 0 0 6"Aggregate a Perloroled Pipe Below Beneath Pipe o —Couplino Terminating Al Bottom Of System PUle i lnc_I 9re,(I ru(� / rL�tJr.� toil SOIL FILL DISTRIBUT101.1 PIPE APPROVED S4WT}1ETIC COVER '"--/4ATF-KIA1,OP, 9" OF STRAW Z~OFg6GRI:GATE c OR MARS" ~3 � -2 ¢ F !e C�F12 - 2 A GGRE G A tLEV. OF TE ZIP-" EF-T_.,.. 3 ' 3`— DISTRIgi,JTIr-)U PIPE TO BE AT LEAST ,,.-119e? IIJCHES BELOW ORIGIIUAL GRADE AUL AT LEAST20 INCHES BUT 1.10 MORE THAtJ 42 IAICNES BELOW FILIAL GP.ADE MAXIMUM DEPTH OF EXCAVATI00 FROM 0KI&I AL 6RAoE WILL BE IUC14ES MINIMUM ®EPrN of EXCAvATiom FROM. olktt;lagL GRAPE WILL BE � INCHES SiG1.JED: LIC-FUSE DUMBER: DATE : 110 J 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: Width: Len$th:_,� ! Number of Lines: Area Built: Fill depth to top of pipe: i Number of feet from nearest property line: Front, O Side, V Rear, Pt .�_ Number of feet from well: y Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector Dated: Plumber on job: .4) License Number: 7 3/84:mj —9 Form - ST C - 104 \AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T �N-R I1S W ADDRESS A ST. CROIX COUNTY, WISCONSIN SUBDIVISION ! - LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM J 9-1 J INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used �L¢,/�� Elevation of vertical reference point: � -_� p ,ry Proposed slope at site: SEPTIC TANK: Manufacturer: #^k Liquid Capacity: 1&96 A Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Fr-)nt,O Side, Rear, O �f1D � feet From nearest property line Fr)nt10 Side,O Rear, r feet Number of feet from: well -� � bu (Include this information of the above plo 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 MADISON,WI 53707 SW4, SE4, S30,T31N-R18W, UCONVENTIONAL El ALTERNATIVE IS,,,,Plan I-D.Number: Town of Star Prairie ❑Holding Tank ❑In-Ground Pressure El Mound jIf Lot 8 Carries Apple River . NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE Robert Thell RR Somerset- BENCH MARK(Permanent reference pomt)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: 7EF PT,ELEV.. Name of Plumber: MP/MPRSW No.. County: Sanitary Permit Number: Calvin Powers Jr. I1563 St. Croix 102809 SEPTIC TANK/HOLDING TANK: SEPTIC MANUFACTURER TAN LIQUID CAPACITY. TANK INLET ELEV.=TANK LET ELEV_ WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. DYES ONO ❑YES ONO BEDDING. VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD' PROPERTY WELL BUILDING. VENT TO FRESH ALARM. FEET FROM LINE. AIR INLET ❑YES ❑NO DYES ONO NEAREST DOSING CHAMBER: MANUFACTURER JBEDDING LIQUID CAPACITY PUMP MODE L. PUMP/SIPHON MANUFACTEIRER WARNING LABEL LOCK(NG COVER PROVIDED'. PROVIDED. ❑YES ❑NO ❑YES ❑NO DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH LINE AIR INLET (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (if soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH'. LENGTH. NO OF DISTR.PIPE SPACING COVER IN':IUE DIA -PITS LIOU ID ' BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTR PIPF DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PR OPERTV WELL BUILDING. VENT TO FHES/1 BELOW PIPES ABOVE COVER ELEV INLET ELEV.END'. PIPES FEET FROM LINE AIR INLET NEAREST-� 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. ❑YES NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WE LL ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED =PSOL SODDED SEEDED MULCHED CENTER EDGES. OYES ONO ❑YES 11 NO OYES 1:1 NO-] PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO.OF LATERAL SPACING JGRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE JMANIIOLDMATIRIAL NO DISTR DISTR.PIPE DISTHIBUTION PIPE MATEHIAL&MARKING ELEV.. ELEV.. DIA.. ELEV.. PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATEHIAL PLANSCAL LIFT CORRESPONDS TO APPROVED ❑YES ONO El YES ONO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS'. NUMBER OF PROPERTY WELL: BUILDING'. FEET FROM LINE �O ❑YES 0 N ❑YES ]NO NEAREST I ,I 0 Y Sketch System on Jount, au dit. Reverse Side. SIGNATURE. TITLE. Zoning Administrator DILHR SBD 6710(R.01/82) t r 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; I!. 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 8'/z 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 ter — included the creation of surcharges (fees) for a number of regulated practices which Wiscclr 11'S can effect groundwater. The surchargFt took effect on July 1, 1984. All of the water that buried reaSUre is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. a The monies collected through these surcharges are credited to the groundwater fund adrninis- terec by the Department of Natural Resources. These funds are used for monitoring ground- T v..,aAt.�, groundwater contamination investigations and establishment of standards. Groundwat€-r, i?:'s wcrth protecting. TfflLHFi SANITARY PERMIT APPLICATION COUNTY Q In accord with ILHR 83.05,Wis.Adm.Code , C^ Of STATE SANITARY PERMIT# 26Q W91 —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES NO PR ERTY OWNER / PROPERTY LOCATION ci S OT ), N, R 0(or) W Pr' Y OWNER'S MAILING ADDRESS LOT NUMBER BLOC NUMBER SUBDIVISION NAM - CITY,STATE ZIP CODE PHONE NUMBER CITY NEAR T RO L K R LANDMARK Ej VILLAGE: 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. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. ®Conventional b. ❑Alternative c. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. M 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: (M inu s per inch): REQUIRED(Square Feet): PROPOSED(Sq are Feet):: f l Feet ®Private ❑Joint ❑ Public VI. TANK CAPACITY Site in gallons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xisting Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank ❑ Lift Pump Tank/Siphon Chamber ❑ VII. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signa e: o St ps) MP/MPRSW No.: Business Phone Number: Plum is A dress( treet,C'y,State,Zip Code: Name of Designer: VIII. SOIL TEST INF RMATION Certif' d it Tester(CST)Name CST# CST's DRESS(Street City, tate, Code) Phone Number: 3S' IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S Mary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) rkApproved ❑ Owner Given Initial %Urcharrge Fee j/_ Adverse Determination ,t a ^,� hj ,[,O X. COMMENTS/REASONS FOR DIS PPROVAL: 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 his application form is to be completed in full and signed by the owner(s) of the roperty being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property Location of Property �QF �C _fit, Section �Q , T,3/ N-R1Z W Township ?L_� Nailing Address Address of Sitea� Subdivision Name Lot Number ' Previous Owner of Property L,q Total Slue of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number —2js-- as recorded with the Register of Deeds. `INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed vhit h includes a Document number, volume and page number, and the _ReAiel�er of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (Wel eeLtl.6y that acct sta.tementA on .thi-6 ohm cute tAue to the but o6 my (oun) hmowtedge; that I (wel am (ane) .the ownerc(e o6 the phopehty ducAibed in .th,i,e .in6onma.t,ion 6oAm, by viAtue o6 a wwvcanty des neeonded in the 06 .ice o6 the Corut,ty Reg.us.ten o6 Deeds" Document No. ; and that I �We) pheeentty aun the pnopoeed Aite bon the -sewage di,6poe eye em (on 1 (we) have obtained an ea.aement, to nun with the above deg cA bed pnopeAty, bon the eon6tAuction o6 ea.id bye•tem, and the same has been duty neeohded to the 066.ice o6 the County Reg.id.ten o6 Deeda. a4 ent No. ) . SIGNATURE OI► OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED i DOCUMENT No. STATE BAR OF WISCONSIN FORM 1-1902 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 49499n �1 11 This Deed, made between ..Carl REGISTERS OFFICE I Carl A. Olson and Jo ST. CROIX Co.,, ,� Olson husband and wife � WIS+ c_._... c..... --.•--• Reed. for Record ......................................... ..............—...... ......_.......... -1�7.>�L ---•........................... do ..............•----.........-.... _ ., Grantor, y OfARZU A.D. I�Z Robert 'L*-,. 611"aiicl••Sharon o '1'helY as point and-........tents..::'-•................................................t........ :45 P.f ..............t..•-•••-•_..................••......--••--•• - .................., Grantee, WitneS �eth That the said Grantor for a valuable consideration_..... of one dol�ar and other valuable consideration ------- _ ::.:. . conveys to Grantee the following described real estate in ___?t'__�l?�..._....... RETURN ro County, State of Wisconsin: Tax Parcel No Lot 8, Carrie's Apple River Addition ................................... of Star Prairie. , 'Ibwnship I i EED This .....iS nOt....._.-__. homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And----- arl A. Olson and Joyoe Olson warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except recorded easements, restrictions and covenants of record, if any, and will warrant and defe^n�d the same. Dated this ...--••---••-• .--(._ day of ---- _ ...... --••--••-•-•--- 19 .�.. ----------- ---------------------------------------------------------(SEAL) tle (SEAL) . .......... -- * •-•-••-•---••--••-• --••----- * Car A. Olson ;�. .................... ............................................... .....................(SEAL) ----- -_.---(SEAL) * ........................... ...................................... * . ...._Yce Olson AUTHENTICATION ACKNOWLEDGMENT Si ature(s) ....Q?`:,pl,----- _;__�t L jc7 STATE OF WISCONSIN QC. -----�.4 S_C? ..._._.._ St. Croix ss. ��pp -•------•---------------"---..........County. authe t I 7 ay of----- . I.� , 19A Personally came before me this . .....•.....day of ........................................... 19_ the above named " -' -----"----- Carl A. Olson and Joyce Olson .""-"-""----------•-•----••-•............ ..........•--------••-----••-••...... • ��.� ...__ u.t%f....... . ............................................................ TITLE: MEMBER STATE BAR OF WISCONSIN ...."""'"......"""` .............................................................. (If not, ----•-----••-•---•------------•-----•----•-----------------" authorized b -•---•---•---•---•--••-••-•-•---•----•-------------------------------•-......•-- y § 706.06, Wis. Stets.) to me known to be the person S.... who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Robert F. Wall -RIGiAiW••-1dAF1L--&--CIS-------------------------------- 522 Second Street, P.O. Box 151 -Hudson,--WI----5 4016..-"------"............................................ Notary Public .St.._CSOiX County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are not necessary.) date .... ................................................. 19.........) *Names of persona signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATF. nAR OF WISCONSIN Wi.ron�in Lernl 131:rnk Co. Inc. FORNI No. 1— H z H a ST C - 105 r r H SEPTIC TANK MAINTENANCE AGREEMENT Ho St . Croix County z d 9 OWNER/BUYERS -} ROUTE/BOX NUMBER j� Fire Number CITY/STATE � sc,� (rt/r ZIP sw PROPERTY LOCATION : SE 14, S g/ �, Sections, T &/ N , R _W, Town of ,s�� /mil 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 . H 0 E 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- b ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Q,ffice within 30 days of the three year expiration date . ,r AICNE Y DATE St . Croix County Zoning Office P. O. Box 98- Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . 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. Coniplete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; S. 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; 8, Mahe sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; B. Complete all appropriate boxes as to dates,names,addresses, flood plain data, percolation test exemp- tion. if appropriate; 10 h t;hc 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 leclible copies arad distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LC?C;AL AUTHORITY kNI THIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and "Textures Other Symbols- st =tones (over 10") FAR — Bedrock cob Cobble (3- 10") SS — Sandstone gr Gravel (under 3") LS — Limestone �s — Sand HGVV — Nigh ( mmidwatei cs Coarse Sand Perc; -- Percolation Rare rya ed s — rvlediunr Sand W ail Finn; Sand Bldg - Buildinq Is -_ L oarlav Sand ; Greater Than sI -- Sarldt, L«arm C — Lass Thaia Loana Bn — Brovvi"i sil -_ Silt Loam BI _ £31„ck si ,^gilt Gy — Gray cl — Clay Loarn Y — Yel#I"�'v s ( ___ Sandy Glzay L,caanI R - Red sic`s Silt; CIa3y L_raam aot - Motties Sandy Clay n,' tv -.. it+l si€W Silty flay fff few,fine, faint ;�.0 _. Clay cc -._ coninlon,4:t'3ar:iE' pt ... Peat rraIII Many, medium raa — ,Muck d — distinct p -- prominent H W L — High water level, Six general soil textures surface wat er for liquid waste disposal BM — Bench Mark VRP Vertical Reference Point TO THE OWNER: This soil test report is the first step in sec!rring a sanitary permit. The county or the Department rnay request verification of this soil test In the field prior to permit issuance. A complete set of plans for the private sevvige system and a permit application must be submitted to the appropriate local authority in order to obtains a perrnit. The sanitary permit most be obtained and posted prior to the start of any construction. i DEPARTMENT,OF - REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION • LABOR ANb PERCOLATION TESTS (115) P.O.MADISON WI 53707 HUMAN RELATIONS (H63.09(1)& Chapter 145.045) LOCATION: SECTION: TOWNSHIP/Mk3iV+fi?,4L�Y: LOT : SUB 4VIS ON ME:?'�sue '/a �� /T� I N/RI9A (or)W �-r. 'o'�}r 1 c COUNTY: OWN 'S BUYER'S NAME: 7Z ADDRE : USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCI L DESCRIPTION: ('q ZjLES R IONS: R ION TE S:ENNew ❑Replace ,� ^,�1� l �_1 RATING:S=Site suitable for system U=Site unsuitable for system ' ! C INS NVENTIO❑NAL: M :❑� IN-G OUNDP�URE: SYSTEM-IN-FILLHOaLDING TA�:RECCOMMENDED SYSTEM:i pion 1 If Percolation Tests are NOT re uired DESIGN ATE: Q If any portion of the tested area is in the under s.H63.09(5)(b),indicate: 4 �S Floodplain,indicate Floodplain elevation: Al ROF DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATERdilt8- CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH Of, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- LJ C t31 { - z , 7 ;r (3n B- 7'L IU 6 H <a- Cj U © - .3 Ul., t.3 --;'I�S hIs f--p-_ 0 B- `� �2 IV C° Y B- 1.- —2L, (fin S c " c B- �� PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER Ii� AFTERSWELLING INTERVAL-MIN. PERIODA PERIOD P P R INCH P- J L P- 2- P t 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 3 w - I L� yQ r t I • - `i�' i nn< r � C IL �_ Li t a - i- I 4— I,the undersigned, hefeby 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(print): TESTS WERE COMPLETED ON: cil v t a ` AD ,ESS: C RTIFICATION NUMBER: PHONE NUMBER(optional): (' 'tit'' (0 Gj ( ( / — 15- Z — CST GNAT E: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — Yy 7 1 IV K 1,33 -1 5- -1-ck rx,v-, Q G ��U 17 Ws C-