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038-1124-20-000
> 4) c 0 04 C3) x 4) 2 N 0 4) —0 > 4) V) 7£7 4) )d$ U) tm 2 o c E c, 0 a - 0 CD z Co—2 0 r U. 0 (D -2 CD �D r C o Z -a co Cf (D ' u) z 4) co w E U) 4; 0 z C, w IL m R U) E 0 z :!t 4) z U P c ) (D E 4) 'a 0 CV) M 4) 4) CO CL 4�) 0 0 z F- z c) cl ce) 00 E C\l -j m (L CL -6 0 S I r- MO) > 0 IL 0 0 E 4) E U) U) 4) .2 EL cn '6 R o o 0 z IL IL IL Z 0) co cc 4)0) %ftftil p co 0 p4) a (D E 4) c CN cc o a :1 cc LO 0 E 04 9 0 0 1 C� 0 r m c,4 c6 r A? E2 A2 U-) 4) a. I t 'A =3 z C 4) 6 V! Cco4 E m 0 0 co U) LL z cut) ■ CL EL i� CL Z, cc CL 4, 144 Za E E 5 v o u 0 U—) Parcel #: 038-1124-20-000 01/04/2006 03:34 PM PAGE 7 OF 2 Alt. Parcel#: 30.31.18.514D 038-TOWN OF STAR PRAIRIE Current X j 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 GREGORY FORREST O-FORREST,GREGORY 1912 RALEIGH RD NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1912 RALEIGH RD SC 5432 SCH D OF SOMERSET SP 1700 WITC it Legal Description: Acres: 1.200 Plat: N/A-NOT AVAILABLE SEC 30 T31 R1 8W S 850 FT OF SE SE WHICH Block/Condo Bldg: LIES WEST OF THE EAST 660 FT OF SE SE EXC CSM VOL II P354&EXC CSM MAPS IN VOL Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 11 P 500, P 501, P 502 ALSO KNOW AS-LOT 30-31 N-1 8W 1 CSM VOL VII PAGE 18 Notes: Parcel History: Date Doc# Vol/Page Type 08/22/2003 737014 2385/591 WD 08/22/2003 07/23/1997 1189/151 QC 07/23/1997 803/52 more 2005 SUMMARY Bill M Fair Market Value: Assessed with: 119736 238,900 Valuations: Last Changed: 10/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.200 77,300 157,500 234,800 NO Totals for 2005: General Property 1.200 77,300 157,500 234,800 Woodland 0.000 0 0 Totals for 2004: General Property 1.200 77,300 157,500 234,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 216 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1 PUMP CHAMBER Manufacturer: Liquid .Capacity: Pump Model: Pump/Sipho nufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevat Gallons per cycle: Alarm Manufactur Alarm Switch Type: Number of f t 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: /2,44idth: Length:SO Number of Lines: Area Built: .-S2P0 a, S� Fill depth to top of pipe: �. Number of feet from nearest property line: Front, O Side, Rear,0 Pt .0d Number of feet from well: LL/r LLB Number of feet from building: 7ZJ (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: I Number of feet from nearest road: Alarm Manufacturer: I Inspector• Dated: ��`` C� 87 Plumber on job: License Number: 3/84:mj J i Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER „��✓j dt.�G J+i�l TOWNSHIP 1: _ _ SEC. So T !�L _N-Rje W ADDRESS '44 ST. CROIX COUNTY, WISCONSIN SUBDIVISION T LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM �6 30` D� 1 � 1 3� H' INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertica.. reference point: a Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: Number of rings used: D Tank manhole cover elevation: yy�L Tank Inlet Elevat Lon:�y �n� Tank Outlet Elevation: 54 Number of feet from nearest Road: Front,0-�ide,O Rear, O feet From nearest.: property line Front 10 SIde,0 Rear,O feet Number of feet frcm: well building: (Include this information of the above plot plan)( ; reference dimensions to seprir rank) qrT, Pr'! a l DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOA 7969 ' BUREAU OF PLUMBING MADISON,WI 53707 SE14, SE'-,, S30,T31N—R18W ONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number: Town of Star Prairie ❑Holding Tank ❑In-Ground Pressure ❑Mound Lot 1 Raleigh Road NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Richard Flandrick Route 4, New Richmond, WI 54017 BENCH MARK(Permanent reference pointl DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: ICSTREF.PT.ELEV. Name of Plumber: MP/MPRSW No.: I County: Sanitary Permit Number: Gary L. Steel I3254 St. Croix 102805 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV. TANK OUTLET E LEV.. WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. (�Ub QL"p PSYES ONO ❑YES &NO BEDDING: VENT CIA I VENT MATL.: HIGH WATER NUMBER OF IROAD, PROPERTY WELL. BUILDING. (VENT TO FRESH AIR INLET ALARM FEET FROM LINE. a OYES >rNO CZ OYES 9NO NEAREST �� Q _ DOSING CHAMBER: MANUFACTURER BEDDING: ILIOUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. ❑YES ❑NO OYES ONO EYES ON GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH IDIAMETEH 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$PA ING COVER INSIDE CIA SPITS LIQUID BED/TRENCH /� rHEN�+ES .� MAT IAL: PIT DEPTH DIMENSIONS J GRAVEL DEPTH FIL PTH UISTH PIPE DISTR.PIPE DISTR.PIPE MATERIAL. NO.DIST NUMBER OF PR OPERTV WELL BUILDING. VENT TO FRESH BE LrOW PIPES UVE LET INLET ELEV.END. PIPES FEET FROM LINE �J AIR INLET �D\I� ��oil QS,q G*1 •1 NEAREST-� 3© !I� AO } MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES 1:1 NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS OYES El NO 1:1 YES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. ❑YES El NO ❑YES 1-1 NO ❑YES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVEN BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTHIBUTION PIPE MATE HIAt.&MAHK IN(, ELEV.. ELEV.. CIA.. ELEV.. PIPES D A. ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL PLAN$CAL LIFT CORRESPONDS TO APPROVED OYES ONO El YES NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. FE A R E,UMBER OF PROPERTY WELL: BUILDING. EET FROM LINE. aL? DYES ❑ O ❑YE ❑NO T Sketch System on Retain in county file for audit. Reverse Side. IGNATURE. TITLE Zoning Administrator DILHR SBD 6710(R.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 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 lsystems 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; 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 tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'h x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. ------------------------------------------------------------------------------------------------------------------------------------------------------------ GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more II commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground Ater— included the creation of surcharges (fees) for a number of regulated practices which Wisco iClr+a e 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 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 adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) - SANITARY PERMIT APPLICATION COUNTY DILHR In accord with ILHR 83.05,Wis.Adm.Code St. Croix STATE SANITARY PERMIT# 0 —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8'h x 11 inches in size. —See reverse side for instructions for completing this application. [FORIVARIANCE TION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. ❑YES � NO PROPERTY OWNER PROPERTY LOCATION Richard Flandrick SE '14SE Y4,S30 T31 , N, R 18 (or) W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME R.R.#4 1 n/a n/a CITY,STATE ZIP CODE PHONE NUMBER 77 CITY NEAREST ROAD,LAKE OR LANDMARK New Richm,Ond 54017 715 246-5385 Ba Ba VILLAGE. Prarie RaleiRh Rd. II. TYPE OF BUILDING OR USE SERVED: C 1 s Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): 23 2-- Ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) -71106 L 1. a. J New b.El 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. ❑ 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(Square Feet): PROPOSED(Square Feet): y'S( f_8 <3 495 500 Feet ®Private —]Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank x 1000 1 Weeks Concrete Lift Pump Tank/Siphon Chamber --- ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installatio of the private se age system shown on the attached plans. Plumber's Name(Print): Plumber's tune:(No St ps) 3W/MPRSW No.: Business Phone Number: Gary L. Steel 1 3254 715 246-6200 Plumber's Address(Street,City,State,Zip C Name of Designer: 988 N. Shore Dr. , New Richmond, Wi. 54017 VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Gary L. Steel 2298 CST's ADDRESS(Street,City,State,Zip Code) Phone Number: 988 N. Shore Dr. New Richmond, Wi. 54017 715 246-6200 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial S rchargce'+Fee'` Adverse Determination 06 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 lnadequaoies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractpr., ("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 kl CH A2b --FLA,.102l C x, Location of Property f_k S t-k, Section -30 , T � N - R L8 W Township 5—ri2 91 1124 G7 Mailing Address R a Maud RI C,4gA40 Nll.-.� Subdivision Name Lot Number / Previous Owner of PropertyL�c4.T"' tGK ( a.. Total Size of Parcel �•�f-'CS Date Parcel was Created 4-2,o -8-7 Are all corners and lot lines identifiable? � Yes No Is this property being developed for resale (spec house) ? Yes X No Volume �' and Page Number as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: Warranty De 2. Land Contract 3. • Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to. avoid delays of the reviewing process. If the deed description references to a Certified Survey" Map, the the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTy OWNER CERTIFICATION I (We) eeAti6y that a t atatementa on .this 6onm ane t ve to the beat o6 my (ouM knowledge; that I (we) am (cute) the ownehlal o6 the pnopewty deaehibed in this ,i,n6oAmati.on 6onm, by v Atue o6 a wcvvtanty deed neeoa.ded in the 066.iee o6 the County Regid,ten o 6 Deedb ab Document No. 3 o y and that I (We) puAently own the ptopoaed A to 6oh the sewage di6 poa ayatem (on 1 (we) have obtained an easement, to hun with the above deaenibed pnopenty, bon the constAuaion o6 said system, and the name has been duty %eco&ded in the 066ice o6 the County Re9,i.eten 'o6 Deeds, as Document No. 2-7 a-]y oo,, ) . SIGNATURE OF OGER SIGNATURE OF CO-OWNER (IF APPLICABLE) Zo-3a 3-7 DATE SIGNED DATE SIGNED 337404 : i F el TUS MUD. __.-Aluou UtSXboofer i Bernice,_,. � Kieck. . fe ra k .` '_ _h4 qj f ST. ► RUC1 f _ d , r; .•t ,•+n•w..we trarram"to Richard Flandrick i Cyrell ,.• Flandrick, husband i wife !« a II&WO le CMatderaww one Dollar and other valuable *Two consideration ' REMSTRA i VAtq : �' tArr followme des"'bed real estate in ST. CROIX I'O l- 201 south Knori p nun(\ date o(�I f( IIt14 -- ��. All of that part of the SE 1/4 of the SE 1/4 of Naar e Section 30, Township 31 , Range 18, described as •` Rev ' Az. ` follows: The South 850 feet of the SE 1/4 of the T"'• '• SE 1/4 which lies West of the Fast 660 feet of the Sr 1/4 of SE 1 l 4 all that part of the SW 1/4 of the SF. 1/4 of Section 3n, Township3l,= ' 3 'm ii 6 Range 18 lving Fast of the Apple River, FXCF.PT cotnnencing at the Southeast corner of Section Thirty (30) , Township 31 North, Range West; thence on an assumed bearing of North 89. 49' 25" We alo the South line of said Section 30, 1318.839 feet to a one inch ' iron pipe for the print of beginning of the parcel herein described? thence North 000 10' 35" East, 43. 35 feet to a one inch (1) iron i Y thence Norta 89. 49' 25" West, 43. 35 feet from and parallel with the South line of said Section Thirty (30) , 298.40 feet to the Easterly► shore line c•f the Apple River; thence Southerly along said Easterly ;3„ 'J shore to the South line of said Section Thirty (30) ; thence South 89• ;'. 49' 25" East, along sai j South line, 31n F lus or mints feet to the point of beginning, AND EXCEPT wart of the Southeast One Quarter 1/4) of the Southeast One Quarter (SE 1 '4) and part c,f the Southwest.. ' r= One Quarter (SW 1/4) of the Southeast Ore Quarter (SE 1/4) of Section t Thirty (30) , Township Thirty-one ( 11 ) Nor^h, Range Eighteen (18) West described as follows: Commencing at the Southeast corner of Section (see reversf. side) New Richmond, WI th „ 4 Exe•rutr' st '17th - 4wY ul December _ r. 11G%FD AM) SF.ALED 1N PRF.sFV(-F' uF -• r .� #, # Albert Kieckho!:fer � IBernice KiecYhoefer. ' 05tAi. ; .E *r_as. Vi 41Kna•..rrr. %° r,..Arntl •trd •hr' , , - � U� 1•, rY . ,. T,!1.-. fl•--:rw.r Stttr F1Yr d fin. mwtw.w (11h.-r Pwtt.- '. via. s STATE OF WMCC)"S[N ' ST. CROIX Per�„nY;!. Ymr trlore rzw•. th, 27th - -t nay .,1 December the*b Albert Kieckhoefer Bernice Kieckhoefer, his wife K . irr•' end kn"WI.AM-.1 'hr ♦amr. ' 4• � r �-i 'Z'h,c ,n4!t-r.,rn• _w.,v 4ra1••-.! t.v r Yvonne Kuhn r REINSTRA & VA': DYY., At'orr.eys > ` New kichmond, WI 541)1 7 � ,t.r, 1•:1,!„ ST. CROIX MV low .ri• _ :1)y ypr: ,. ..h • tr t"•l ;. „y,',' • ¢ 'v{".f .r prrnt.4 ow the❑ .,vnYlur.�� •-f p r,a: INA, y ya 4 ' V Thirty (30) , Township Thirty-one (31) N rth, flange Eighteen (14) thence .on an assumed bearing f North hl-° " T 9 49 25 West, along 'the , South line of said Section Thirty (30) , 1318.84 feet to a one inch 'iron pipe; thence North 000 10' 35" East, 43.35 feet to a one ind iron pipe for the point of beginning of the parcel being descr_'ibed, ` thence North 89° 49' 25" West, 247.40 feet to an iron r Pipe rtieadear corner; thence continuing North 890 44 ' 25" West, 51 plus or Minus- I, Y --I feet to the Easterly shoreline of the At,i 1e River; thence South 8i' r. 49' 25" East, 51 plus or minus feet to the iron pipe ineander rn-ne_rt � t thence North 16.04' 52" East, along a meorider Zinc-, 197. 56 feet. tO ash + iron pipe meander corner; thence North 89° 49' 25" Wf!st, 53 phis or °.-V M. � minus feet to the Easterly shoreline of the Apple Aiver; ther.ce S out h - 89° 49' 25" East, 53 plus or minus feet to laic iron pipe me-ande_r f corner; thence continuing South 890 49 ' 25 Fast, 193.26 feet to a one ���kri inch iron pipe; thence South 000 10 ' 3�" West, 190.0C feet to tt,c ` point of beginning. including all lar,?s lying between the r.r_ander line herein described and the Easterly shoreline of he i.2>ple Qivc,r which lies between true extensions of the Northerly and South-rly boundary lines of the parcel herein described. OF Ile 5 t} .e ;. r �Y N t y 5 42082 ' STS. CROIX COUNTY- CERTIFIED SURVEY MAP NO l3ECORDED IN VOLUME OF CERTIFIED SURVEY MAPS MAP BEARINGS ON PAGE . LOCATED IN THE SOUTHEAST QUARTER REFERENCED TO THE OF THE SOUTHEAST QUARTER OF SECTION THIRTY, SOUTH LINE OF THE TOWNSHIP THIRTY-ONE NORTH, RANGE EIGHTEEN WEST, S.E.* OF SECTION TOWN OF STAR PRAIRIE ,ROIX CO Y , WISCONSIN . 30, T-31-N, R-18-W PREPARED FORS surd FL. ndrick ASSU�E4 T02BEAW • R.R. 49 New Richmond , 54017 N-89 5' 5"- PREPARED AY + SCALE IN FEET-1"9120' .. R.R. 6, Box, 150, �� Menomonie, Wt . 54751 120 0 60' 120' L E G E N D P.O.P . a POINT OF BEGINNING ' = 1;" IRON PIPE FOUND `� 5.�••• S� p = 1" IRON ROD FOUND pr = In IRON PIPE FOUND _ 1 EUVE • = 5/8" IRON ROD FOUND 5.0984 � REVISED ON 4-2_0-87 �` MEND SoNiE. � APPROVED 11 I U N PLLAANTDT E D ,��� f$U JUN 12 IA7 �, , ,�s*' — EAs r I St. CROIX C!-OU!`ily / .'by�ro� p�' 1 '/ U N P L A T T E D 80bIpaweNuva Ppxo rt.m,C Hm0 ^Y , 4��. N - - - - - - Sao LOWNC r_Ommil(H v �ti 2, 20 SQUARE FELT - a 4 20 ACRES)gyp L A N.31.2 -_ ,2 0 , , _. -51 004'35' ---� ti /� 45t 159.0T' J� , l N•T60 1 6.90 3 01•W N-8 49'25"-W 2 C.S. 5_ _ � e0.8. _ C U'R V E A LOT 1 .6 8_. to , n �► to DELTA 3_00'F4_9 34 126 33 2 FI+ RADIUS 80 .00' 80 .00' C .S.M . `••, . 4 ARC 420 -030 176.71 _ PAGOl I m JUN a21 CHORD 79 .00 142 .92 LOT 1 3e 38 uap CHORD E- _ BEARING S-77024143"-W N-09°43' � o f0 _ Y E CURVE 2_ t o DELTA 25'54156" 148020' 56" o RADIUS 80 .00' 80 .00' H ARC 36.18' 207 .13' - CHORD 35-88' 153 .94 LOT 1 ,CSM I LOT 1 , VOL. 7 -CHORD OL. 2 BEARING N-66°31 'o6"F. S-26°20' 58"-E PG. 50 - Va OF C.S.M.ON .•�' �GON �'4 PAGE 182 t LEE F. W 0 i in E. `t m r ° M in SOUTH ; CORNER �, •. !� ° �a °' SOUTHEAST OF SECTION 309 °�i �. 'JF!,��� _ 3e'I 3e' '► CORNER OF V T-31-N, R-18-W ��i����ii��N��� SECTION 30, PERNTSEN MONUMENT RALEIGH ROAD ,6.11 TR_18_W INPLACE. BERNTSEN MONU- SOUTH LINE•S.E. 1/4-SECTION 30, _110 9 19 T-31-N, R-18-W -1636.37 k0 'N•89°4925 -W_ 838.09- PAGE 1 OF 2 SHEETS Volume 7 Page 1830 CA a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT 0 St . Croix County z a a OWNER/BUYER IPIC.11i49,0 FI-ANOlt.IcK rn ROUTE/BOX NUMBER 4'0(4-'E 1+ Fire Number CITY/STATE NEYV &&,gmyNo, Wt ZIP Cj- 401.1 PROPERTY LOCATION: 5E k, SC k, Section 3© T 31 N , R W, Town of _571!k2 1 "Jai15 St . Croix County , Subdivision G�5/u p 1825 Lot number I 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 , 1 if needed , by a licensed septic tank pumper. What you put into f 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 I/WE, the undersigned , have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x i-+ the standards set forth, herein , as set by the Wisconsin Depart- ru 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 /O —3o - 8-7 St . Croix County Zoning Office P.O. Box 96 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign , date and return to above address . l a INSTRUCTIONS FOR COMPLETING FORM 115 - SB® - 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'~Waiting 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; S. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 6, 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 GrOUrhdWater cs Coarse Sand Perc - Percolation Rate abed s Medium Sand W -- Well fs Fine Sand Bldg - Building Is - Loamy Sand > - Greater Than "sl Sandy Loam < - Less Than 1 Loarn Bn - Brown %1 Silt Loarn BI Black s - Silt G - Gray *cl - Clay Loam Y -- YeIIovv so Sandy Clay Loam R Red sicl - Silty Clay Loarn mot Mottles sc - Sandy Clay w/ with sic - Silty Clay fff few, 'fine, faint xc Clay c€, - common, coarse pt .. Peat oirn - Many, medium in -- 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 Pont TO THE OWNER: This soil test report is the first step in sectreing 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 eww't system and a permit application must be submitted to the appropriate local authority in order to obtain<a raernait. The sanitary permit must be obtained and posted (error to the start of any construction. J � Y DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, CC DIVISION HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON Wt 53707 (H63.090)& Chapter 145.045) LOCATION: SECTION: TOWNS HIP/ i[TY: OT NO.:BLK.NO.: SUBDIVISION NAME: SE 1/4SE1/4 30 /T 31 N/R18 FX(or)w Star Prarie 1 n/a n/a COUNTY: OWNER'S BL {NAME: MAILING ADDRESS: St. Croix Richard Flandrick R.R.#4, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO.BEDRMS.:1COMMERCIAL DESCRIPTION: I PROFILE DESC IPTIO71-3-87 PERCOLATION TESTS: 6O Residence 3 n/a o New ❑Replace 11-3-87 RATING:S=Site suitable for system U=Site unsuitable for system ONVENTIONAL: MOUNccDT�: ,, IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) EM ❑U ❑-SC ®S ❑U ❑S EA I ❑S EJU I conventional If Percolation Tests are NOT required DESIGN RATE: Q (If any portion of the tested area is in the under s.H63.09(5)(b),indicate: n/a Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 19 BrB BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER IDEPTHXX ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 7.50 98.98 none >7.50 .75bl.1. 6.75bn.c.s.&gr. B- 2 7.25 99.08 none >7.25 1.00bn.c.s.&gr. 6.25 bn.c.s. B_ 3 7.50 99.06 none >7.50 2.67bn.c.s.&gr. 4.83bn.c.s. B_ 4 7.00 99.24 none >7.00 3.00bn.c .s.&gr. 4.00bn.c.s. B- 5 7.09 99.07 none >7.09 2.92bn.c.s.&gr. 4.17bn.c.s. B_ PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P- 4.0 none P_ 2 4.10 none 3 6 6 6 <3 P- 3 4.08 none 3 6 6 6 <3 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 94.98 d P74- - ` E E , F � � 3 E _ n i"4�d�'`�`' ,. r°c-�.5�G�k- ....,__.. F � _ _...........:.. , L._ f�..JL,.L , �� = F ( ' r i t tN i -----__ . moo j I E i i 3 1 ` E * ( f r 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 (print): TESTS WERE COMPLETED ON: Gary L. Steel 11-3-87 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr. New Richmond, Wi. 54017 2 98 15- 6-6200 CST SIG T RE: DISTRIBUTION: Original and one copy to Local Authority Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — L 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 It k, Section , T N-R W Township Nailing Address Address of Site Subdivision Base Lot Humber Previous Owner of Property Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Voluse 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 Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (wel CULU6y that att Atatement�s on this onm cute fihue to the best o6 my (oun) hnowtedge; that I (we) am (ane) the ownoh(�5� 06 the pnope&ty de,scAi.bed in th,i,a in4olmat.ion 6onm, by v.ihtue 06 a wa Aanty deed neconded in the 066.ice 06 the Co�ut.tyy RegiA teh o6 Deeds ah Voeument No. ; and that I (We) phea ent.ty aun ! e pnoposed wets bon the sewage di-spoa bya em (on I (we) have obtained an easement, to nun with the above deAc i..bed ptopenty, bon the eonatnuction o6 said system, and the same haA been duty neco)tded in the 066.tee o6 the County Re9iAteA o6 Deeds, ab Doemen.t No. ) . SIGNATURE 01► OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED Richard Flandrick SEkSE4 S30 T31N R18W Star Prarie, township ovyl `kk , a � \ 3� ov \� 5 tea Cd-O Ell VOL C rVOC K 20 c i Gary L. Steel 988 N. shore Dr. New Richmond, Wi. 54017 MPRSW 3254