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038-1141-30-020
/ \ / } y , 2 i i 12® o / �k\� �C) cam ; 2 � /) » � . # ) » �0 ¢ .5)0 CL \ E §§ E o7n / �_ o0 � , c /{ ME k222 & � �. z »2u/ LL C: z 3j\oo0 , \ ƒ\\}/ . / z z / z f § a g § ƒ m S ) z 2 \ \ k k c z / E \ .N & B .� » ° E _ § o � •� mm \ / 7 ' ? § ) ] z = z � .. ) � 04 § ƒ / � \ k 2 E � § k 2 a £ S Z n \ k k \ - m / 2 2 a ) \ § / \ } o } \ \ 2 \ E o £ \ \ ƒ f E k E : LO \ ¥ c S E 9 2 Q) S k ; $ e c \ ) z a / 5 5 c — \ r : o = z z a 2 - \ \ j \ o z \ / / \ O ® 40� k CL CL § $ E : k / 0 a 0 3 v . Parcel #: 038-1141-30-020 02/14/2006 03:58 PM PAGE 1 OF 1 Alt. Parcel#: 35.31.18.576E20 038-TOWN OF STAR PRAIRIE Current I X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner MICHAEL ROBERT&SUSAN M KASTENS O-KASTENS, MICHAEL ROBERT&SUSAN M 1870 WALL ST NEW RICHMOND WI 54017 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 1.014 Plat: N/A-NOT AVAILABLE SEC 35 T31 N R1 8W PT SE NE LOT 3 CSM Block/Condo Bldg: 8/2267 1.014AC ANNEXED CITY NR#480541 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 35-31N-18W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 880/590 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/07/1993 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 k 7 f x ••WI CERTIFIED SURVEY MAP REPLAT OF LOT 3, OF ORIGINAL CSM, RECORDED IN VOL. 5, P 1434 .` PART OF THE SE 1/4 NE 1/4, SECTION 35, T31 N- R IBW N STAR PRAIRIE TOWNSHIP ST. CROIX COUNTY WI. OWNER: DAVID ERICKSON NEW RICHMOND WI. SHERRY FELDHATKER NEW RICHMOND W1. APPROVED APPROVALS: AUG 2 8 1990 -- __ St.CROIX COUNTY C:t1MP(IEH!IVCIN PARkt Al+k)�Oiy1P1G CC51M NORTHEAST CORNER 1 BEARINGS ARE ASSUMED AND SECTION 35 T31 N REFERENCED TO THE EAST LINE OF NE I/ R 18W Icy OF SECTION 35, N OOOOO-00"E M V . W 5� 0 200' 400' to UNPLATTED LAND w a ♦P SCALE: 1" a 200" OWNER; ST. CROI X COUNTY? z ;+PO's O J c �.� �.��♦a; - LEGEND - N. 89°32'38"W ° •3Z rn ° ° z b4 a .♦'� •--- 3/4"X 24" IRON BAR,SET 1984 NE NE (Rec.N 89 29 12 W) Z w o ----._� .ti WT. 1.50 LB. PER L.F. is SE NE 'W .2 la NNo. I� Iti O- - - 1„X 24„ IRON PIPE, SET 1989 ,gyp 2� HOUSE Q N 89*9 12'w WT. 1.65 LB. PER L.F. �' n 101.001 -V 41.25' .ti �”- - COUNTY SURVEY MONUMENT, EXIST. I LOT b9 3- C U E --- UTILITY EASEMENT 293.09' N 89° I~N DATE: 8/13/90' " I\I Sri c _o �: IQ !w Rev. 8/21/90 o ;yry z 2 0) N LOT-2_ Ix w, u, ' ° p �I 1 SL CiC I•N O° a . I =WNO .oP r, 1 0 301.34 r r 0 x 1 0 " SEE DETAIL A . ° .d° W J1 N 89°29'12 W \ z q0 ~I� �1 ° LOT 1 J 33' N 90°0000"•W J V °° C 75'. ZI,j O N SHED owm - 0 a T ch LLJ I? 90�„�Oa;n.57G•L==' L_1 I N 0 , I oft ��00.0 O�f� 2b N 3 301.34 t- 3-&o8i ,p p p I y m `► I ��O � l j z1 I - 0 S 89°29'12"E a l , W ab 0 ' bd 0 89°29 12E al 1 o I ° N ° N I ~ `u zi ° = 20' UTIL. Z I Q Q a a I LOT 2 aI o .°p c�) �-- ESUT.--*. .s V — a N O ° �* I 1u) CD I I 3 I ° 3 a , of aI I z ?1 DETAIL A” 1 U. al I of SCALE: I" = U. 1 tn° N U) ti e1 1� �I � SCo s�'S,�o�e V 1 ,,,1 ♦r �b'` m ~ f y I OI O I I 33' N Or,V' d v c►1cilol 1�Y MA TINE. 0 m v 1 a HALVORSEN N S-1302 a I r .� 3 �_ :; HUDSON, a N M a 2"X 30"IRON PIPE cc i �, 1J.: ~~ _ 1 " ✓ •�►rO4 WIS.SET 1984 d p p O o b v C.TH. K •.«n+••.� -1O o J 'of 'V0 S;EAST 1/4 CORNER .� o s SECTION 35 T 3i N R 18 W Vol . 8 Page 2267 W , i 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: /a Length: ��� �. Number of Lines:—r,_ Area Built: � Fill depth to top of pipe: 2i Number of feet from nearest property line: Front, O Side, Rear,O Pt .� Number of feet from well: �1� ' Number of feet from building:; ICU (Include distances on plot plan). SEEPAGE PIT tfv2-,SAS` Gj�7_ 9` �5 i Size: Number of pits: Diameter: Liquid depth: k' 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, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• Dated: / _ — Plumber on job: 7^ License Number: 3/84:mj s y Forst — S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER I^iL/i�P/ TOWNSHIP '� ,-Dist ►/'i SEC.3f T&N-R,&(-W ADDRESS f-.S0��3 ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT 3 LOT SIZE PLAN VIEW ate- 4,,,-�,�� � �— � Distances and dimensions to meet requirements of IL. HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Y £' c. / s 3 yy n k t 1 r i INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: � Proposed slope at site: �- SEPTIC TANK: Manufacturer: 4e1_1e 'e Liquid Capacity: /� y Number of rings used: fir► Tank manhole cover elevation: 7, Tank Inlet Elevation: �- _ Tank Outlet Elevation: v� Number of feet from nearest Road.: Front 10 Side,O Rear, O Va feet . . From nearest- property line Front,O Side,t*%?%Rear,0 cJ/ feet Number of feet from: well ��r , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LA6OR&HUMAN RELATIONS DIVISION P.O.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: SE%,NV4,S35,T31N-R18W ® CONVENTIONAL El ALTERATIVE (If assigned) Town 04 S� P&ai&ie ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Dave E&iclvson �jpj,lt end BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROMI PLAN: , R T.ELEV.: CST REF.PT.ELEV: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: non Bi)d Jn. 3318 St. Ctoix T-99110 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YES ❑NO NEAREST--- DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑YES ❑NO I [__1 YES ❑NO ❑YES ❑NO 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 E:1 YES E]NO NEAREST—� SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: I MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLET: NEAREST----10- MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑YES ❑NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER I TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED I DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEVATION AND ELEV.: ELEV: DIA.: ELEV: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑YES ❑NO I ❑YES ❑NO COMMENTS: �1 PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: �V FEET FROM LINE: ❑YES ❑NO ❑ ES ❑NO NEAREST—► 0, or Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: SBD-6710(R.06/88) Zoning AdminZ6t atop b� D Q s�' U J GfJ �lDj�l (n� It SANITARY PERMIT 671 CPO/ )( COUNTY �'DIL�-IR TRANSFER/RENEWAL UNIFUM PERMIT # (PLB 67-1� `/9//6 PERMIT RENEWAL DATE: PERMIT TRANSFER DATE: ORIGINAL PERMIT ISSUANCE DATE: STATE PLAN I.D.NUMBER: is— (o-9? A -5-97 PROPERTY LOCATION: CITY: �n1�, 11 sj�r '/4 N� '/4,Q6,Tc3/ N,R /$' E (or W owN o �TUP YrQt�'I�- LOT NUMBER: BLOCK NUMBER: SUBDIVISION NAME: NEAREST RO LAKE OR LANDMARK: awl C. PREVIOUS SANITARY PERMIT HOLDER (IF CHANGED): SANITARY PERMIT TRANSFERRED TO: NAME: SIGNATURE: NAME: PHONE NUMBER: ADDRESS: PHONE NUMBER: ADDRESS: I, the undersigned, hereby assume responsibility for installation of the private sewage system that has previously been approved for this property. PLUMB=' IGNAT�URE: PREVIOUS PLUMBER'S NAME (IF CHANGED): 11 r o r. '11 rd S ADDR SS: EVI US PLUMBER'S ADDRES PL +. I !iP2( 0 )Ao8-93/`7 NUMBER: NE NUMBER: MP/MPR W NUMBER: NUMBER: MP/MPRS I�c� NATURE OF ISSUING AGENT: DATE APPROVED: DISTRIBUTION: Original-County CI—4— pr Copy-Bureau of Plumbing O Copy-Owner DI I HR-SBD-6399 (R.5/82) Copy-Plumber PPPP- DEPARTMtNT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION BOX 796 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) T10 : OW_NSH MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: 10-. /"�, p/,fElo c. COUNTY: OWNE 'S UYER'S AME: MAILING AD - / ✓ S f I!r� �et,t., e +/-� 1` / ..- r : 3 Ile, x, SE DATES OBSERVATIONS MADE NO.BEDRMS.: CO 7:11 TSR I L DESCRIPTION: P F � N w ❑Re lace �[ RATING:S=Site suitable for system U=Site unsuitable for system ONVENT ONAL: MOUND: IN-GROUND•1'RESSUR SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:loptional S ❑U S ❑U S DU S U EIS 6 a ]DESIGN RATE: /If Percotation Teats are NOT required � If any portion of the tested area is in the R 9 5 b indicate: Floodplain,indicate Flondp!aia elevation: G. under s. I LH 83.0 ( 11 1, - I J PROFILE DESCRIPTIONS BORING AL P T R N ATE -INCH A AC R SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSE V_D TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) n ` /.z-- 7O �Si� 30 -- B- 91y,75 v g O -/V o.X/0 o -60 •z t 7 B- .� B- ��� PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER 1 AFTER SWELLING INTERVAL-MIN. p n t tzRl PER INCH P. P. .Z r P. e L P- P- P. PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SY TEM ELEVATION e/ A, t H Av jo L �rnGr do'l-""l/h SuJ V i 8� sx 13—y GOrr ee p -5- 6-4.5 41�il 6 for, e Lehr f crnc'll 1,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. All (prill TESTS WERE COMPLETED ON: /ll ADDRESS: , CERTIFICATION NUMBER: PHONE NUMBER(optional): CST SIGNAT RE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for 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'% 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 AtBt included the creation of surcharges (fees) for a number of regulated practices which Wisco iCTtS can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried TiBIIC@ is used in your building is returned to the groundwater through your soil absorption e 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- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) SANITARY PERMIT APPLICATION COUNTYx 7DLLHR In accord with ILHR 83.05,Wis.Adm.Code �.��.o�.......�- STATE SWITARPERMIT## L?9116 -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 PROPERTY NER �i PROPERTY LOCATION G •:/ G`13 S ,j T , N, R E ( PROP RTY OWNER'S WIRI I N G ADDRESS o / LOT NUMBER B SUBDIVISION NAME CITY,STATE ZIP CODE PHONE-NUMBER CITY e ARE A AKE OR LANDMARK VILLAGE: II. TYPE OF BUILDING OR USE SERVED: rAtl 02y--11111-36-01d 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.li�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.Xconventional 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: (Minute , er inch): REQUIRED(Square Feet): PROPOSED(Square Feet), Feet .Private ❑Joint ❑ Public VI. TANK CAPACITY Site Mriks n allons Total ##of Prefab. Fiber- Exper. INFORMATION ew xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks structed Septic Tank or Holding Tank �i@ Lift Pump Tank/Siphon Chamber_ - 4�_ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Si nature:(No Stamps) MP/MPRSW No.: Business Phone Number: � i r PlumbKs Address(Street,City,State,Zip Code): Name of Designer: Vlll. SOI TEST INFORMATION Certified Soil Tester(CST)Name CST# e5p;A�_� / CST's XD D SS(Street,City,State,Zip Code) Phone Number: IX. COUN /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate I ing Agent Signature(No Sta ps) Approved F-1 Owner Given Initial A Surcharge Fee ^ in Adverse Determination �'C� lo! Q�rl X. COMMENTS/REASONS FOR DISAPPROVAL: ULW SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION -P.O.BO*7969 BUREAU OF PLUMBING 'MADISON,WI 53707 SEk, NE' —R18W $SCONVENTIONAL ❑ALTERNATIVE State Plan l.D.Number : Town of Star Prairie 1:1 Holding Tank ❑ In-Ground Pressure ❑Mound Ilf assigned) CTY Road c NAME OF PERMIT HOLDER: JADDRFSS OF PERMIT HOLDER: INSPECTION DATE: David Erickson Route 5, Box 23, New Richmond, WI 54017 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT,ELEV.: Name of Plumber: MP/MPRSW No County Sanitary Permit Number: Byron Bird 1309 St. Croix 99110 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO OYES 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 ❑YES ❑NO NEAREST' DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES No ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: INUM13ER OF PROPERTY WELL. BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORGE LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BEfl/TRENCI'I WIDTH: LENGTH. TR TRENCHES ES. DISTR.PIPE SPACING. MATERIAL• '.INSIDE DIA.-. #PITS. LIQUID DIMENSIONS COVER PIT DEPTH. GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE I DISTR.PIPE MATERIAL. NO Of STR INUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET ELEV,END. PIPES FEET FROM LINE: AIR INLET: NEAREST-- --r► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES NO meets the criteria for medium sand. TIONS MEASURED. ❑ SOIL COVER ITEXTURE IPERMANENT MARKERS OBSERVATION WELLS : Y ES ONO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED. MULCHED. CENTER. EDGES. DYES ONO 1 ❑YES ONO 1:1 YES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: TRENCHES: LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. DIMENSIONS MANIFOLD PUMP MANIFOLD Of PIPE MANIFOLD MATERIAL: NO.DISTR. JDISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEVATION AND ELEV.: ELEV CIA_ ELEV. PIPES DIA.: DISTR IBUTI ON INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: 1-1 YES ONO E]YES 1-1 NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: OYES 1:1 NO ❑YES 1:1 NO INEAREST- Sketch System on Retain in county file for audit. Reverse Side. DILHR SBD 6710(R.01/82) SIGNATURE: TITLE: Zoning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION / TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for 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% 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 raater , included the creation of surcharges (fees) for a number of regulated practices which Wiscor4n'S can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried aSIlrB is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. c 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- f water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) SANITARY PERMIT APPLICATION COUNTY :EDiLHR In St. Croix accord with ILHR 83.05,Wis.Adm.Code STA ISANITARY PERMIT## 9�r —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 El YES NO PROPERTY OWNER PROPERTY LOCATION David Erickson SE %N E %, S 35 T31 N, R 18 E (or)[M PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER IBLOCKNUMBER SUBDIVISION NAME Rt. 5 — Box 23 3 CITY,STATE Z PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK New Richmond, WI 54017 715 246-43 VILLAGE tar Prairi Co. Rd. "C"TOWN OF 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 2 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. 9 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 rOF SYSTEM: (Check only one in##1 and only one in#2) 1. a. U 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 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minute per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 410 24 91.6 Feet ®Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xistin Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank X 170 0 1 Weeks Conc. Pr. Lift Pump Tank/Siphon Chamber ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plu er's Signature:(No St ps) MP/MPRSW No.: Business Phone Number: Byron R. Bird el 1309 715 268-8317 Plumber's Address(Street,City,Ste,Zip Code): Nam of Des' n Rt. 1 — Box G itii .Pme y, WI 54001 �yror� ef�. Bird VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Byron Bird, Jr. 3479 CST's ADDRESS(Street,City,State,Zip Code) Phone Number: Rt. 4 — Box 6 — Amery, WI 54001 715 68-7616 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S71)0'00 ary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) qq Approved ❑ OwnerGiveninitial Sucharge,Feeee Adverse Determination T 1 W X. C MENTS/REASONS FOR DISAPPROVAL: !a h Gov�r �y fY7a y 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 Location of Property Z::7 k _N `1%, Section , T 3 N-R W Township '4 Mailing Address 'oX � Address of Site Subdivision Name L 6704-- iC✓!j�! �, /� Lot Number Z_ o , Previous Owner of Property Total Size of Parcel /S a Date Parcel was Created Are all corners and lot lines identifiable? a No Is this property being developed for resale (spec house) ? Yes Volume 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 cut.ti.6y that as etatemente on this bohm ahe tAue to the but 06 my (ouh) hnowtedge; that I (we) am (she) the cwneh(e) 06 the phopehty dehehibed in th,i,e .in6olmation 604m, by vifLtue 06 a waAAanty deed kecokded in the 066ice o6 the CoImty sun -RegiAten o6 Deeds ae Voeument No. ; and that I (We) pheeentty phopobed zi-te 6oh. the -sewage dizposat bye em (oh. 1 (we) have obtained an eaa emen-t, to nun with the above dens c&ibed ph.opeh ty, Kok the eon4tAuc Leon o6 6a.id eystemp and the name hae been duty n.ecohded .tn the 066.tce 06 the County Reg.i,e.teA o6 Vttdd, ad Docwntnt No. ) . SIGNATURE Op OWNER SIGNATURE OF -OWNER (IF APPLICABLE) S� Af -F 7 DATE SIGNED DATE SIGNED •saanpauals alag3 molaq ---------61 '---•-•-------•-••----•--- 'eliP palulad ao pad6i aq pinogs Alcaadsa Aug ul ealuDls suouad jo samstls (•Aagssaoau Sou ass notleatdxa 0013013 'lou ;j) ;uaugwaad st uotsstwwoD AN gloa •pa2pajmou3lam ao paJeailuagane aq A9w saanleu2lS) . st 'S uno •• otltind Aagoil ..............•---....... ---- r iIZ511f 5'C M2 m 1 0-------------------------•- ZTO��" THl p •5 ��u ipaal� ,� Rd aIYA .-V siatia ke Q3azIVHa SVM LN3wnHISNI SIHI auras aql a2pajmou3ias pus luawnalsut 2uto2aao; ay} palnoaxe oqm uosaad aql aq of umou3l au, of ---.......-•----....�-�B�S--st.........................90.90E § A.. Paztaoy3ns --------------------.-------_..------- ----------------------------------------- 'Jolt 3I) --------•.........................•---•--•-•--...--•---.....••---- ------------- NISNODSIm 30 2itlH RZVZS 'fiagN1aNT :517111 X�Q ......................................H ............... -----• -•----... ----- pautsu aeoge aql ----'---6T --------- ;o �Ssp---------------- stgl aut aao;aq autsa A1leuosaad 'F8-61 `- r o Aep ��s. 1 P tluagan9 Aluno� ---~--•----•...... 0SS[0T-7a PTli1?Q •ss pup .z9x0aupTa,3 A.zxat.(g put?' 'punTdsV x1SHOOSIm do Hsdss W td�n2i Puy PT LLIOQ (s)aan;auBtS yxzPgoaffriA%oXx0V xo11vo ii,mmH,Lav ------------------------------uasx-0i:zg--pYnuQ--- * pizriTd1W �W u ri (ZVas) ---- (,Ivas)-------- ---------- ------- .........iw - - ---- -------- p auoQ --------------- ---- --------- ------------- ('IVES) I -- 6i '•----••---•------••-•--------------------• ................ ;o ,Sep ------------------------LI4LZ- • -------------- st g a s (•;oaaaq luawljj;[n; ut apsui eq of Peep aql ;o uo1lnoaxe agl ut uto f o3 saaaes pus Alaadoad loafgns eql ul sag2ta paavawoq asmajea of utaaaq sutof uo►;saaplsuoa a[gsnise s .to; aopuaA ;o asnods aq3 Claadoad agl ;o aaumo us Sou ;j) •aassgaand pus aopuaA ;o suetsss Pus saossaaons 'saetJsJuasaadaa js2al 'sataq aql ;o sJgauaq aql of aanut pus uodn 2utputq aq ljegs lasaluop stgl ;o sutaa; llv aassgaand ;0 11nB;ap aotad ao Juanbasgns aaglo Au 2LLIAIBM lnogatm line;ap Aule antBM Asw aopuaA -Jasaluoa stgl uo apBw sluatuABd paaaptsuoo aq Ijugs aassgaand Aq apuut os sluatuAmd jig pus os op of 13118; aopuaA R aaSu21aoylj aql o; Ajlaaup sluawAgd qans Aug anBUt A8w aassgaand •lamalu oa stgl aapun anp uagl slunows aqJ;o luautAsd A[awil sa3lsw aassgaand paptnoad 'Agaaagl paanoas alou Aug aapun ao (aassgaand Aq paluea2 82924aow Aug ao; adaaxa) lasaluop stgl ;o algp aql uo Alaadoad aql lsui82s 2utpu8aslno a2g2laow wv aapun anp uagM sluautABd III aijBw jjggs aopuaA •aatlou JnogltM uoildo s,aopuaA 18 `lln; ut algsAud pus anp Ajoletpawwi awoaaq jjggs lamaluop stgl aapun algsSsd aaueleq 2utpusaslno a.nlua aqJ'luasuoo ual;tam s,aopu0A Inoq;tm Doug A8nuo3 ao ales 'aa;susal qans Sus ;o Juana aql ul •.tasegoand ;o ssaupalgaput us ao; Alunaas sm Aajos lasaluoD sigl aapun lsaaalut s,aasugoand ;o Juawu21139e ao a2pajd s st paAaeuoa lsaaalut aql ao jin; ut pled Jsat; st la8aluoa stgl aapun ajgBAled aousjsq 2uipusls;no aqJ aagata ssalun aopuaA ;o luasuoo ualata,i� aotad aql JnogIpA (AgM aaglo Aug ut ao asual Waal-2uol 'uoildo Aq ao 1o9aluoD stgl aapun slg21a s,aassgaand ;o Aug ;o luawtt2tss9 Aq) AJaadoad aql ut lsaaalut ajgsatnba ao 19201 Sus Aaeuoa ao Ijas 'aa;su8al lou jj8g9 aassgoand -laaatp jjBgs lanoa aql se patjddu pus play aq jjsys poloai1oa os uagM slgoad pus 'sansst 'sluaa qans pus 'uotla9 qans ;o Aouapu0d aql 2utanp Alaadoad aql ;o 91goad pus 'sansst 'sluaa aql 1301103 01'lsaaalut pue4sautoq 2utpnjam 'Alaadoad 9qJ ;o aantaaaa a ;o luautlutodd8 egl of sluasuoo aassgaand 'laualuoa stgl ;o aansojoaao; ;o uotlol Aug ;o Aouapuad aql 2utanp ao luawaauawwoa aql uodn •Juaut2pnf Aug ut papnlaut aq jjsgs pus 'paaano -ut se 'aassgaand Aq ptud pus I9diamad of pappu aq jjBgs 0ouaptna alltl ;o sasuadxa pus mml Aq paliglgoad lou Jualxa a;;J of (lou ao palegm aaglagm) aapunaaaq Apawaa Aug aoao;ua of paaanaut aopuaA ;o saa; sAauao;48 algmuossaa 2uipnlaut sasuadxa pus slsoa 119 pus uotlatlij ui pansand uagM pus it aopuaA uodn �utputq aq Ajuo llggs satpawaa 2uio2aao;'aql ;o Aug ;o uotlaaja us 'aopuaA ;o sumo-6 ao sluawalels ualliam ao j9a0 Aug 2utpuBa94l1MloH•0nogl (At) ao (u) '(t) aapun not;aB Aug ;o Aouapuad aql 2uianp slt;oad ao sansst 'sluaa Aug 1301103 of paJuiodd9 aantaaaa g aney pus Aliadoad aql ;o uoissassod woa; palaafa aassgaand ansq ABw aopuaA (n) pug :lugat;iu2isui st aassgaand ;o Jsaaalui algsltnba aql ;t uotlam allp-lamb I ut ajltl uo pnojasselamaluoD stgl anowaa pus pug us is logaluo3 stgl aasjoap Agw aopuaA (nt) ao :;oaaagl uotJaod Aug ao aotad asmgaand ptmdun aatlua aql ao; MBl is ans ABU1 aopuaA (tit) ao :Aauawt;ap Aug ao; ajgmti aq t1jap aassgaand pus a1BS jetatpnf is pauoiJ3ng aq t1mgs Alaadoad aql Juana gatgm ut 'aapunaaaq anp slunows aaglo pug Jjnl;ap ;o alup aqJ uo Joa;;a ui alga aql is uoaaagl Jsaaalui gJim `aaus[sq 2uipuulslno aatlua aqJ;o Juam&vd[[n; pus aquipawwt ladwoa of lasaluoD styJ ;o aouswao;aad at;taads ao; ans Amu aopuaA (tt) ao !(waapaa of slte; aassgaand ;t Alaadoad aql ao; leluaa se pus JomaJuo� s1g1 II131n3 of aanitg; ao; sa2ewup palspinbil su pa;ta;ao;: aq jj8gs aassgaand Aq pled Alsnotnaad slunows i1m Juana gatgM ut)aapunaaaq anp slunowe aaglo pule alup gans uo Jaa;;a ut alga ayl Is Jln9;ap ;o aJlp ayJ woa;uoaaagl lsaaalut gatm 'aaumluq 2utpuBas;no aatlua aql ;o 4uatuA9d 11n; s,aasugaand uodn pauotlipuoo aq of uotadwapaa ;o Altnba Aug g11M aansoloaao; latals g2noagl 31aeq Alaadoad aql aanoaaI pus Alaadoad aql ut lsaaalut pus alltl 'slq$ta s,aasegoand pug 3osaluoa sigl al8utwaal `uoildo stg 18 'Agw aopuaA (t) :Altnba ui ao MeI Aq paptnoad asogl of uotliPPg ut (Mel Aq paptnoad suoilsltwtl Aug of Jaafgns) satpawaa pus sly2ta 2utmoljo; aql ansq osje jjegs aopuaA pug '00AIUM Agaaaq aassyoand gatgM) aatlou lnogltm pus uogdo s,aopu0A lg `I[nT ui ajgsAled pus anp A[aJltpawwi awoaaq j[sys la9aluoo siyJ aapun aous[sq 2utpumaslno aatlua aljJ uay I,(Iteut pat;tlaaa Aq paputu ao AI[suosaad paaantlap) JO 11 Aq;oaaagJ aatlou ualltam 2utmoljo; SA9p • �£ -;o po�aad I ao; sanutluoo gatgM aassgaand ;o uotJB2tjgo aaglo Aug ;o aauswao;aad ut llne;ap a ;o Juana agl ut (q) ao alep anp pat;taeds aql 2uimojjo; BAsp-••-6£-- ;o pouad I so; sanutluoa yotgM lsaaalut ao jsdioutad Aug ;o luatuAsd aql ut ling;ap a ;o Juana aql ut (e) pus aauassa aql ;o st amil lsgl saaa2s aassgaand --- -------------..................................-.................... •--••----•--- ----•------------•--•------•------------•----------------- -----••-----•---------•----•---•---••••------•------••-•--••-•-----------------------•--•--------•-•------•----•••-•------•-•-------- •----------•---•-••---•--------------------•----•--•------ --•---........---•----.......-•••-------•---•--......----•-............------ ---------------------------------------------------Tsx-aaa z•-x(y---�txo' a'f � ---put--- ��uaaias�a T's'a�u�iz pzo ---------•-- :adaoxa pus 'aassgaand ;0 11ns;ap ao log aql Aq pelsaao saougaquinaua ao suatt Aug 6utu6z pup Tpdio zunys Jdaaxa 'seaueagwnoue pule suail lie ;o aialo Pus aaa; 'Alaadoad eql ;o 'ajdtuts aa; ut 'pea(I Alugaasm s 'aassgaand aql of aaetj8P pus elnoexa 'Puswap uo jjtm aopuaA 'pagtoads aeogs aauumn agl u[ pus sawtl aql is pauuo;sad A[In; aq jjsge suocJlPuoa Ijs pus pled Ajjn; aq j[sgs sAauow aaglo pus lsaaalut gltm aotad assgoand agl as8o ut ImgJ saates aopuaA •Alaadoad aql 2urpegs suotlelneaa pus saousuipao 'sms[ Ile gltm Ajdtuoa of Pug 1J3eaJuo[) stgJ ;o uatl ayl of aotaadns suatl woa; aaa; Alaadoad aql daa3j of 'atsdaa pus uotlipuoo ajgsluguaJ pool ut Alaadoad aql daa3l of 'Alaadoad aql uo palJtwwoo aq of alsgm Mojjs aou alsgm atwwo3 014 lou 9Ju9uano3 aassgaand a191sga; Allsatwouo3a aq of atsdaa ao uotlgaolsaa aql swaaP aopuaA aql paptnoad 'passump Alaadoad aql ;o atsdaa ao uotieaolsaa of patjdds aq llsgs spaaaoad aaulansui 'Butliam ut 9912e astmaaglo aopuaA pus aassgaand ssalun aopuaA pug saiuedwoo aaulansut of ssol ;o aa w gl?m Paltsodap aq t19gs Alaadoad aql 2utaanoo satatlod ils ;o aan aouaA lsui2iao aql 12uiltaes ut saaa2a asteIaag1O aopuaA ssalun 'pule lsaaalut s,aopuaA aql ;o sons; ut 013111913 paspusas ayJ utsluoa jlsgs sawi[od aql anp uagm swntutaad aaulansut ayI Asd ljsgs aassgaand •lagaluoD stgl aapun pamo aauslsq aql usyl ---- -----------------------$ ;o urns aql ut 'aopuaA Aq aaout lunows us ut a2saaeoo aatn6aa lou j[sgs aopuaA Ing ifPA aTgpansuz TTn3 paeoadde saaansut g2noagJ 'aaulansut-02 InogJtm 'aatnbaa Asut aopuaA se epaszsg iaglo qans pus sjtaad a2eaaeoa papual -xa 'aaj; Aq pauotsaoao a2gumP ao ssol Jsut12g Paansut Alaadoa agl uo sluawaeoadutt alp d8831 jjeys aassgaand TTauS saxu-. a4P-4sa Taaz (8g T 'luawAid gans QM014�6 Te�aa$99tti��pl?J4 �aASR a 3► a��a �'�Jt lsaaalut s,aopuaA uodn ao Alaadoad aql o Patnaj sluawssasss Pug saxil jjs anp uagm Aid of sastwoad aassgaand ..__._ DOCUMENT t_1-98]21 NI TS SPACE RESERVED FOR RECORDING DATA NO. Ij STATE BAR OF WISCONSIN FORM I LAND CONTRACT �I Individual and Corporate j (TO BE USED FOR ALL TRANSACTIONS WHERE OVER i $25,000 IS FINANCED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) ii Contract, by and between --Donald L. Asplund and �i rn' ;I ---------- lh� v 30 !j -----k3.utYx__Rs---ASP..und.R---husb-anrl__and-_wi-fe---as---3nint------- -----tenants------------------------------------------ ("Vendor/), ! whether one or more) and__SherU--- 21C1h�G�c� I}�,,_____________________ ` -----DAYld._10X 1Ck-6.0U------------------------------------------------------------------------ J I - ("Purchaser", whether one or more Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the i rents,profits,fixtures and other appurtenant interests (all called the"Property"), - -- --- i in..............St-.-_-f r ro-ix-------------------------------- County, State of Wisconsin: RETURN TO !� Lot 3 of Certified Survey Map filed - -------- �' June 19, 1984 in Volume "5" of Certified Survey Maps, page 1434 , Tax Parcel No_ __________________________________ Document No. 394210, being a part of !j the Southeast Quarter of Northeast Quarter (SE4 of NE4) of Section Thirty- ;; five (35) , Township Thirty-one (31) North, i of Range Eighteen (18) West. I it !! This -------1S___nOt_...... homestead property. (is) (is not) (' Purchaser agrees to purchase the Property and to pay to Vendor at .SUCI'_.place_.as_..designated-, it the sum of $.-25-,.5D.00 Q---------------------------------- in the following manner: (a) $---1 0.0-Q040........................ at the execution of this Contract; and (b) the balance of $25_,_5Q.OxQ_Q................. together with interest from date �! hereof on the balance outstanding from time to time at the rate of....tH-e1,ve_...( per cent per annum i until paid in full, as follows: In monthly installments of $344 . 79, commencing August 1, 1984, and on the 1st day of each month thereafter, j until paid in full. -Provi'de+,—however,+beerrkim-octets *g ba 7 _l 7 � y ♦7 � ,^ 1;di13g+-bsla�loe-V'!l7111-AC-psd lI�-f1!lli e4I1130rArlwlT_9SRTRR1..fJ.lRdlYy r, Following an default in o M g y payment interest shall accrue at the rate of_.�.2_._. /o per annum on the entire amount j in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). ii Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due.To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of ii taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest II unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after----C19gAng---------Xw tilereZrl°ay'�1eZ1tI�Jrepaymerlt—of-prineip'a}•vvit�etrtr�es�rii'asietref-V�t�or� ....._ In the event of any prepayment, this contract shall not be treated as in default with respect to !' p payment so long � as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated I! as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been j! made as first specified above; provided that monthly payments shall be continued in the event of credit of any Proceeds Ii of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser Ij for examination except: None I� I ! Purchaser agrees to j gr pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitle to take possession of the Property on----------------rcicLsing........................lk........ i •Cross Out One. H.GMinarConlpry M STATE BAR OF WISCONSIN "°°"•'" FORM No. 11—1982 Stock No. 1 301 CERTIFIED SURVEY MAP PART OF THE SE 1/4 NE 1/4 , SECTION 35 T-31-N R-18-W STAR PRAIRIE TOWNSHIP ST. CROI X CO. WI SC. OWNERS ; DONALD L. 81 RUTH M. ASPLUND? STAR PRAIRIE, WI. NORTHEAST CORNER SECTION 35, 7-3I-N m R-18-W o a t., , t J, W W NE NC 40Z GO j. r: Lai :4 w MIQ ,. i1 1. ., i 14 W la UNPLATTED LANDS J• :6 ° -I, i W " (REC.20 ROpS)b 4� X W W FORTY LINE N 89°29'12' W Zry�gti P E .' i s ''to is .+ rv� SEC. 35 c NNoc , �v; N89.2912W -- LEGEND- �ry 100.00' 41.zn aQ 0 200' 400' p 3 p ao _J S C g L E 1"= 2Q10' -c, SE NE q ww M 3/4"4 x 24" IIRON REINF BAR, SET WT. 1.50 LB. PER FT. c� LOT 3 a w►- 0-2"d x 30" VRON PIPE j $ED - rn u14 WT. 3.65 LB.. PER FT. � O COUNTY MONUIIIENTS, FOUND bN 89°29'12"W / 41.20' --- A0 8.25 N 33' ) LOT AREAS — o 441 o LOT 1 66,730 S.F. 2.221 ACRES 0KC- R/W O h' n Ir r " " 120,697 S.F. 2.771 ACRES ►t+;1C. R/W O � []o 00. I LOT 2 90,730 S.F 2.921 ACRES 3164.RIW o h �j W ��'y O V �� « 1417,82'4 S.F. 2.484 ACRES MG. R/W z a bQa� v LOT a ISO,404 S.F. 4.140 ACRE$ 3M. 81W 'iCALL r 1"= 20' p o r " TI N a " « 201 ►886• 4.F. 4.634 ACRES 1'N&. R/W S892912E 11F 1 A I L- "A,�.-_ 6,,9• 301.3' i TOTAL 374,264 S.Ft 6.862 ACRE67tWXC. R/W w 420,866 S.F ' 6.860 ACRE6t ZINC.R/W Z NOTES 20' UT I L I TT EASEMENT A.WIN'6 f` 20' UTIL. ESMT--iI ° N 1 — EAST PROPIENTY LINE, LOTSi 18 2. M oI o LOT 2 °o o _U FUTURE "ER 6 WATER.,(CITY) zI wI ° a w ° 'PAS 89 029'12" E z Z a I ° s� 301,3x z� u_ O • p0 S a I z I .a Coro I r I 20' UTIL. ESMT-*4 `—' � I a I-- -- o LOT ( 1 4 1E a�,lsryt 0 0 a tiov�PHALVQRSEN GG 0� •� . :'4 ::lba S 89°29'12"E a3 , :.[Alt PRAIRIE o 301.34' o P.0.8. u = IUYJNSIIIP ' 334.34' ° r�_ rr►.T.H. K M- C.T.H. "K �►� QWI ST 1/4 COR. EAST I/4 COR. , .�SECTION 35 SECTION 35 � -lam s CITY OF NEW RICHMOND � ,N'a sa p,,L s t APRIL 10, 1984 DRAFTED 13Y C.J.A. ,1 • H z En H ' a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a OWNER/BUYER ROUTE/BOX NUMBER Fire Number CITY/STATE ZIP 7 PROPERTY LOCATION : Section 3S T N , R �?3 W, Town of ,d!5) St . Croix County , '-T Subdivision Lot number Improper use and maintenance of your septic system could result in 1 its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper . What you put into I` the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration . 0 E I/WE, the undersigned , have read the above requirements and agree EA to maintain the private sewage disposal system in accordance with x H the standards set forth , herein , as set by the Wisconsin Depart- FV 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 � 7-:i 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 . DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTR`:�,, DIVISION LADO.9 bND PERCOLATION TESTS, (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SE TION: 4120WNS_jj y;MUNICIPALITY: NO.:BLK.NO UBD- IVISION NAME: St 1//YZ1/ /T / N/R4E 01 COUNTY: OWNERS BUYER'S AME: MAILING ADDRESS: .S Gro IJ CI�C�r c "/ `✓ x '3 USE DATES OBSERVATIONS MADE IqNO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILEDESCRIPTIONS: LATION TESTS: Residence UNew ❑Replace I �� 7 _�/� RATING:S=Site suitable for system U=Site unsuitable for system TS ENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional ❑U S ❑U S ❑U ❑S U ❑S If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILFIR 83.09(5)(b),indicate: � Ftoodplain, indicate Floodpiain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- N,75 ' v -ice •O �� �.- >.z.- 90 m _jp �/✓�� Vii'� /O^�O ..Sr 5 �o B. '7 B- - B- ��� PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 14MM& AFTER SWELLING INTERVAL-MIN. PE OD 1 PERIOD 2 PER PERIOD3 PER INCH P- .e 3 P- P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SY TEM ELEVATION JJF 0 0 an 66 Ci V c � �1 0 �.cr► &ir t.-3 F000 p rrt e r Cv --I*- c. 4.AN Li � fcnG•v 1,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: o h '" ADDRESS: CERTIFICATION NUMBER: IPHONE NUMBER(optional): ' S! a o 3 S3e z i —�Z6g 7G CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R, 10/83) --OVER - v vv r � L54� Aft co I 5efticc _ r i �• 13, � t tiF E C � k x s 3 Y, 9116 It l q � e �h ' czn N n d M Z7 Lo in tn Ell )U a —a o (0 Tj Q O O ---- Z z 1., O i �4 H C • (D O tCID Z io v o �4 IZ a 3r 0 � d b m m Cn Tat BL2 ID 2 � m y� p oa z i b 0 C a PIP —r lips .� ru m z U3 (M-0 Z ul I ° o i .1 r c c j — � OO n 6