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HomeMy WebLinkAbout040-1067-95-000 § j 2 % g o 0 i I . f � � E � k � ƒ � 2 2 4) z ƒ c E 7 � � ■ e R 2 ] I # � � j z - i .. o z � e \ ( 2 / I a ■ § � t z 0 e 2 / E \ 2 . ) � � (D { U) •W*A § (D k q \ ) k \ CNI $ _ La .. k k CL ` / 2 ) \ § § : 2 , 0 •� # / a a 2 « � � � ■ � k � � � IL 2 j § 2 § § k m § o g _ E CO § § 0 2 m , ) £ k / k J ƒ f (D ■ : k U) U); « . � \ k © � � k . ® @ 8 S 3 » o : e � c g o 0 o 7 § \ § S § 7 _ �o \ z z a g CO f _ f i § k co 3 j w s m/ z . . . ■ � 2 ) 2 — � _ E ) ' k a § � & J v , tt 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,0 Ft. Number of feet from well: Number of feet from building: (Include distances_o� plot plan). HpptV, - �5.7 3 -8-'> 73 SOIL ABSORPTION SYSTEM '�� �Nb �S• S7 &S .5 7 95-13 o a� Bed: V Trench: Width: I � Length: Number of Lines: _ Area Built:�� Fill depth to top of pipe: I �`1 Number of feet from nearest property line: Front t ©Side, O Rear,O ht . Number of feet from well: ( Do? 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, Q Rear, OFt. Number of feet from well: Number of feet from building: I Number of feet from nearest road: Alarm Manufacturer: 0 Inspector* - Dated: /l�0-8 7 Plumber on job: -U(2�1 (3-0 License Number: 3/84:mj Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER t�V TOWNSHIP SEC. T QN-R q..nW ADDRESS IJ S !Q ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i ii 0 Q IaA I, 9 Pk Sa a ; 8' l Flom� INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: .V� Proposed slope at site: SEPTIC TANK: Manufacturer: -a S Liquid Capacity: WU C }4 Number of rings used: �_ Tank manhole cover elevation: T Tank Inlet Elevation: 947 b Tank Outlet Elevation: 9 V.5cA Number of feet from nearest Road: Front,0 Side 0 Rear, O Q S d feet From nearest property line Front,0 Side,®Rear,O 55' feet Number of feet from: well 7f ' , building: IT (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING IMADISOW,WI 53707 y''�� State Plan I.D.Number: I If NE14, NEhj S17,T28N-R19W IEN CONVENTIONAL ❑ALTERNATIVE Sate Plan I. Town of Troy ❑Holding Tank ❑ In-Ground Pressure ❑Mounds TownsValley Road NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: -.- INSPECTION A E: Mr. & Mrs. Steve Rinta 1440 Hazel Ct. 464, Hudson, WI 54016 �� _ �� : r? BE NCH,MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV. CST REF,PT.ELEV.. I Name of PIU er. MP/MPRSW No.: County: Sanitary Permit Number: Richard Hopkins 1059 St. Croix 99049 SEPTIC TANK/HOLDING TANK: MAN0FCTUjRER LIQ UID CAPACITY TANK INLET ELEV. T K OUTLET ELEV.: WARNING LABEL LOCKING COVER O �• . �L. PROVIDED: PROVIDE D: YES ONO DYES NO BEDDING: VENT DIA.. VENT L.: HIGH WAT R NUMBE OF ROAD: PROPERTY WELL: BUILDING: VENT FRESH AIR INLET ALARM. FEET FROM "C \ / LINE�� 75 I ^ � _'- YES ONO �'� : YES NO NEAREST Jv 5 �I(/ aj DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAP CITY PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ONO ❑YES ONO OYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING.IVENTTOFRE5H (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) EYES ONO NEAREST SOIL ABSORPTION SYSTEM.Chec tM soil f1coisture at the depth of plowing FORCE 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: WIDTH. LE NGTH. NO.OF DISTR.PIPE SPACING. INSIUE DIA.. #PITS. LIQUID BED/TRENCH ( TRENCHES r IVER TEAS PIT -_ DEPT- DIMENSIONS ' C if y{ V GRAVEL DEPTH FILL DEPTH ISTR.PIPE DISTR.PIPE IDISTR.PIPE MATE IAL N STR NUMBER-OF PROPERTY WELL: BUILDING: VENT TO FRESH BE LO PI ES ABOV OV ELEV.INLET ELEV.END PI FEET FROM LINE: / AIR INLET. I � �� NEAREST-----}• (� O O/ 5 S + 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 ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED =1 TOPSOIL. SODDED. SEEDED. MULCHED: CENTER. EDGES. ❑YES 1:1 NO ❑YES ONO 1-1 YES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER: OED/TRENCH' TRENCHES: ONMENSIQNS '' MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. JDISTFL PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.: ELEV.. DIA.. ELEV.: PIPES: DIA.. ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION! HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL / PLANS. / 1 DYES ❑NO ❑YES ENO A ) COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM PINE- COMMENTS: Or- NO ❑YES N NE) ST ` r,7 r ) .V �, f Sketch System on �: .�; Retain in county file for audit. Reverse Side. > SI T E _ TITL Zoning Admii. DILHR SBD 6710(R.01/82) �'2kl 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, usual-ly 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: 1. Property owners 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; V1. 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; Vill. 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 vyith 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 G61ind# ter included the creation of surcharges (fees) for a number of regulated practices which Wisco can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried fei 5l1Cf3 is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- 1 water, groundwater contamination investigations and establishment of standards Groundwater, s worth protecting. 5�31D-&398(R.02/86) DILHF� SANITARY PERMIT APPLICATION COUNTY , In accord with ILHR 83.05,Wis.Adm.Code �. STAT SANITARY PER IT# . 9v —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 ([�� I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES L�IGNO PROPERTY OWNER � VR" N� PROPERTY RTY LOCATION RR '/4'nVt '/a, S T_�V , N, R 19 E (or) P OPERTY OWNS 'S MAILI GAD R SS ,.} LOT NUMBER BLOC N MBER SUBD VI I N NAME q K1 4140 AZ•� tom' CITY STATE Z lgyo CODE PHONE NUMBER CITY REST R K OR LAND u so (. I'SC k VILLAGE 1 OF:' Ow N II. TYPE OF BUILDING OR USE SERVED: ' 0'y0 Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): NU'e/V N I Bed III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. X 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. 1_1 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. KConventional 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. See a e Bed b. ❑seepage Trench c. ❑seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRErrD((�Square Feet): PROPOSED Square Feet): �] C 5 l ) Feet .Private ❑Joint ❑ Public VI. TANK CAPACITY Site in gallons Total ##of Prefab. Fiber- Exper. INFORMATION New sting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank — 1000 ❑ 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): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: �h H017 �N 0 715 3 K-90�o Plumber's dress( treet,Ci fate, ip Code): Name of Desi er: e � v d W o ' Add 80C kiNj VIII. SOIL TEST INFORMATION Certified Soil Tester(CST),a m e CST# CST's AD RESS(Street,City,S atQ, Code Phone Number: � d' uasoN isc. y0 j ! )38(o S IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuin gent Signature(No Stamps) Approved ❑ Owner Given Initial r�, Seumharge Fee �j 1"%A I Adverse Determination (� �`-' W ^/�^�� Wh� X. COMMENTS/REASONS FOR DISAPPROVAL: ��av, CL&- c bk4 M �-e►.�c SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber . a 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 Sfutp N. 't C-4r A. E111 A. Location of Property A)C k (V, Section /j , T_2;. -N-R W Township Nailing Address �c;,, {r 3 Nk dJ��•1, W.Z s`f U/6 Address of Site Su. .,b-vim Subdivision Name . Lot Number Previous Owner of Property (�c�r rc�{��;,��� /fir-MKr Total Size of Parcel 2, 3 0 A cry Date Parcel was Created $ //,:;� A-2 Are all corner• and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes X_ No Volume 7fY 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 ya&e number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION 1 (We) CeAt-ZSy that atP, statement6 on thi.6 0 nm aAe t4ue to .the best o6 my (ouh) knowledge; that I (we) am (ane) the ownen(si 0 6 the pnopehty deschi.bed in .thiA ingo4mat.ion 6ohm, by viAtue o6 a waAAanty deed neconded in the 06 .cce o6 the Count RegiAte�. o6 Deedsass Document No. y�h' 3` Yz9 � ; and that I (We) pnebentty own the proposed kite bon the sewage divpos sy -t—em (oh I (we) have obtained an eaeement, to nun with the above deAchi.bed pnopehty, bon the constnuCti.on o6 said aydtem, and the eame hae been duty aecohded -in the 066,Lce o6 the County RegiAteA o6 Deed&, as Document No. y5_q.ogy1gJ4Jbfl . SIGNATURE Olt OWNER SIGNAT OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 429084 114';. 788PAGE RE"G1S?ERS OFFICE This Deed,made between ST. CROIX 00.E WI& riwe-relse-n ' and Wadi Need. for Record jj* - ' I day of _August A.Di 1987 Grantor, 12:0 ands P h01�for of BNda Grantee, Witnesseth That the said Grantor,for a valuable consideration__E Q, O nd 'Vtov b�)I fn.rs __- ( RETURN TO conveys to Grantee the following described real estate inT �OI County,State of Wisconsin: Tax Parcel No: kr t" of NIL c� Ne-y o-F Section 0:5 TollbWG: 0.emmen0-ir\9 c+ W/14 Czrnex- of sa.ick Sec�ir n 1.7 ; thence S 52°35' F-_ L9 -4 -Feet; +hence_ NCI °3g I E 32 0. 0 - e& +hMee. 1i&062-' E 550.0 fee.+; -FhencL S4,0571 E 2-S0.6) -Peet -i-D Pl0_ce_ n-F Q eg i n n►n 9; +henCam, 5/o°5.71 F_ 4tP2,O - ge_t ; thence, S79°40 W 34q. 08 -Po-efi- thence, N 6. 30' t�,l )464,0 - ,eet' +hen Cep N 9I.°OSI E $0,77 -Pee-t; thPnc-e- N 2(051o'E 260.0 -Feel' +b PI acs op Cie inn I n TOGFTH�P` w1TR 0-nd SUg GT a 1010.0 Ant- road tray aa5e ment , Ae (>-e-rite.r 1,1n..- desc r beds cts -P01(6 w s Cc�rn f n er,a1 n�j a-+ NE corner- 6-C- a v e, desc-- i 6pJ pa r� -fh211� S4�1"��� VJ 2 0.0 -Fee-f-; `01P ce- 5WOV W 30.7-7 Peet ��lenrr� s gt o� w 2217,0 Peed ; -thence, 8190191R 2433.v -Pep--I -o T e --ro w n gc-\cO , em 30-09) This 11 homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And warrants that the title is good,indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this day of 19fJ T . (SEAL) (SEAL) (SEAL) (SEAL) • �o1�d A . euereisern . AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN SS. Q. County. authenticated this day of 19 Personally came before me this )I day of 19_�the above named v , TITLE:MEMBER STATE BAR OF WISCONSIN (If not, to me known to.be the person who excuted the authorized by§706.06,Wis.Stalls.) foregoing instrument and acknowledge the same. THISLI ISTRUM ENT WAS gRAFTED BY �p Notary Public County,Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: � O. , 19°`"– .) 'Names of persons signing in any capacity should be typed or printed below their signatures. NF 3573 WARRANTY DEED STATE BAR OF WISCONSIN Nelco Forms,P.O.Box 10208,Green Bay,WI 54307-0208 FORM No.1-1982 • S Ek N LAND SURVEYING • HUDSON , WISCONSIN 54016 ( 715) 366-2007 Name Steve Rinta Address 1440 Hazel Court Hudson, Wi . 54016 Description See Sheet 2 of 2 sheets N} Corner of r NW Corner of Nggol '48"E Section 17 *' Z Section 17 da �— ss?o�S. .N81°38'E R.%81 517EE c rn 90 sg F R '28"E N81 t co 696'4�'9i %8103 54 .33' °+<�n z 319.84' 8.550.0 n> cn O `o R=320.0' o o C N NW 41 0 1� c '^1058, 39"W S8 15-00 15 a A c 0 A v r� W � N J ° Existing Parcel - discribed in 0 Uj m z Vol. 515, Pg. 441 St. Croix N County Register of Deeds. ,P .. o N ~ o � �N F L" O O pD CCP (MCI 00 'A Co At- Area ,P CD ao ^' Area Including R/W: 34,089 SQ. FT. � 0.78 Acres• Area Excluding R/W: 31,608 SQ. FT. 0.73 Acres g o46'E 344.81 90531 J51 E, R.N79 nE 346.47 N %19 State of Wisconsin ) 0 IRON STAKES DRIVEN County of St. Croix ) ss. SCALE OF MAP - I INCH = 100 _Feet 0 IRON STAKES FOUND Is _ _ Allen C Nvhagen , registered Wisconsin Land Surveyorsdo hereby certify that on 7/x/87 19 , 1 surveyed the above described and mapped property according to the official records and that the accompanying map is a correctly dimensioned representation to scale of the boundaries,that all buildings and improvements lie wholly within the ,�Qyp�dafy lines, and that no encroachments by adjoining owners appear from said survey. 't° 4 ` "�'�bj,. Map No. 85-18-187 } ' l Ey C.` s,ts Sheet 1 of 2 Sheets Drawn By ,, ,, , 3-1407 x i HUDSON a' ' r «I en �Allen C. N ha 67 tee, VVIS. •,••o� �; Y 9 tZg / l *► �re,y 10 SUftJ �id Y ` f, • S a N LAND SURVEYING * HUDSON , WISCONSIN 54016 ( 715) 386-2007 Name Steve Rinta Address 1440 Hazel Court Hudson, Wi . 54016 Description A parcel of land located in part of the Nh of the NE4 of Section 17 , T28N, R19W, Town of Troy, St. Croix County, Wisconsin; further described as follows: Commencing at the N4 corner of said Section 17; thence S52 351E 696.19 feet (recorded as 696.4 feet ) ; thence N81 0 361281113 319.84 feet (recorded as N810381E 320.0 feet) ; thence N81 053117"E 549.33 feet (recorded as N810521E 550.0 feet) ; thence S06 054' 21"E (recorded as S060571E) 280.00 feet to the NE corner of that parcel described on a deed recorded in volume 515, page 441 of the St . Croix County Register of Deeds, said corner also being the point of beginning of this description; thence continuing S06054121"E 441 .65 feet along the east line of said parcel ( recorded as S06 057 11E 442 .0 feet ) ; thence N79053151"E 80.00 feet; thence N07032140"W 438.68 feet to the south line of that parcel described on a deed recorded in volume 581 , page 19 of the St. Croix County Register of Deeds; thence S81 058139"W along said line, 75 .00 feet to the point of beginning . Above described parcel contains 34,089 sq. ft. (0.78 acres) and is subject to a Private Road Easement over the northerly 33 feet and all other easements of record. The above described parcel is to be deeded to an adjoining owner. Sheet 2 of 2 Sheets State of Wisconsin ) 0 IRON STAKES DRIVEN County of St. Croix ) ss. SCALE OF MAP - 1 INCH = 100 Feet 0 IRON STAKES FOUND I, Allen C. Nyhagen , registered Wisconsin Land Surveyor,do hereby certify that 'n—July a 19 87 , 1 surveyed the above described and mapped property according to the official records and that the accompanying map is a correctly dimensioned representation to scale of the boundaries,thot III buildings and improvements lie wholly within the boyaqot- V,Jlnos, and that no encroachments by adjoining owners appear from said survey. ,•,tu' .,� + s�;" Map No. 85-18-187 +,► f} _. , Drawn 8y F.B. e- x iiu-n c,it^1, L F Allen C. Nyhagen v/Z�/Z'7 `ire'- SU ,: DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 429085 This Deed,m adebween_p r'� ', Nit�no�aS Feyf - s 3EUSTERS OFHCE ST. CROIX Me WtS,a nel '/ a IVY) momma ( e Rec'd. for Record this_ 12th Grantor, dQy Of AUgUi A.D. 19_87 and CfAirLC Aua /?,.,)M 12:05 P Grantee, M Witnesseth,That the said Grantor,for a valuable consideration RETURN TO conveys to Grantee the following described real estate it, County,State of Wisconsin: I Tax Parcel No: A fjrL;_/ Cj 1r,,%cf 10c4,Aqf t/Lx, N `/l �f f/u NF `/� cr .Sct%'o.� 17 7 -2 S Ni /Z /W1 'TovVn or Tr./ � S1, Cro,'1c Cou:lf�_ , Wiscoa1,'., J >Cur�/icr c/r,cr,'6t� ua 'ru1/OWE_ x'0•'1?flnc,n' ihc. A/ `!y co�nt� S� `c/ Src�,'u� /7 y qrz S SZ c 3S ,E )V lil�Ct N 9/ ' 34 a8 CrtCdro(«/ ola� /►/S/ 3 3 .U, 0 (f t,4� 14/1ce., N 81 " S3 ' / ` 8 "E 7'E 5"y 9. °E ,s S 33 us N8 `s. 2 'E .zso 0 4c, -jam wr cord r or 4X'd ar. -lt.;� ,n. VJINm.c. P '� drscr;6t d on, 1 u�y A ,�rrerD Du rvr o{ d"tf,P/,o,L • yc �y �e/i,.Sa,d car�lI y/do bl�no� flu /,',tt or Su; �Nirl ( E S"y �i l `E /�Q/'CJ-� �L0 S C G `5 �, y3X,bg J /.4u,,r Cuun/3 tQfJ c;d�r uF ti PG�c-tE C j cYley�?•c_ro.3'�.,!c��"/ l� o,.�� 'Ylq CL /No79IZ" S3 ' S1"E c.vf� J o hIu 4/0 7"3z Dtco : flnCc ,, l`�i( S S ,y v✓ W 4/an• sct,'c �nc 7j- '!TS l,P9� /`I � j-Go Aeq F0,illc 0f This I'S it 0 homestead property- (is) �� (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And FIN warrants that the title is good,indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this 11 � day of EAL) (SEAL) ZZ • ���r� ��Y�.��/sue c- (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ;L' .vC County. SS. authenticated this day of ,19 Personally came before me this 1 r day of 19'kLthe above named TITLE:MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person who excuted the authorized by§706.06,Wis.Stats.) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ? Notary Pub.c 1 i e-v County,Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: �Yl a.ti .11`_ , 19 9%,—.) 'Names of persons signing in any capacity should be typed or printed below their signatures. NF 3573 WARRANTY DEED STATE BAR OF WISCONSIN Nelco Forms,P.O.Box 10208,Green Bay,WI 54307-0208 FORM No.1-1982 H Cfl Y STC - 105 r SEPT LC TANK MAINTENANCE A(.1;L.EPLIAT o St . CrU:ix CUUnLy d UWNI?1;/liUYI.l; _ e��/1 n IMUTE/ BOX NUM111.R +Cow(e .3 Fire Number CI 'T'Y/ STAT1'; r��, dso/1 +--w-L--- G1.1 /0�(y PIM11E.RTY LUCA'1'1UtJ SILL iI n [ f < j N , K 1% W , Town UI St . Croix C'ouIILy , Subdivision Lot number -_ _— ] ml> roper ore .naiad tit iutunit iice of your (>el,L i ,' system could rt•ru1L in iLs prulliaLtire I ail ure to ii.iudle waster . Piopu.r Ilia ill tetaancu con- f si:; tr Ul pumpiu?; out Lhe sl,!PtiC tank every three years or sooner , j 11eu(led , by it Liceiised st-pl- .ic t_aiik liunil)L• r . What you {gut into � Lhu sytiLeui call al l L-cL L110 I nnCt 1011 of L bu :-C1)U iC tank ar a treat- lilenL sLap.e Ill Like waste disposal system . St . Croix County residents 111dy be eligible L0 receive a granL fur a MUXI Ill ULit o J7 60Z of the CosL of replaceulu11L of a faiIiulr, 5y5teuk, which was in Operation prior to July 1 , 19 713 . St . Croix County accepted Luis program iii August of L980 wiLh the ru(IUirement tIlat owners of all new sysLuMs ,l�,rue to keep th.' ir systems properly nut Lit Lit inud -- - The prupc rey owner tg['eus Lo sublilit Lo L . CrOiX County Zunin} a Certification form , s.i}',11 0(1 by Lit e owuur a11d by a piaster plumber , journeymiait plumber , re_:trirLed I, lumI)ur or i IiCeltsed punkpur vuri - fying that ( 1 ) I: lie uu-site wa:;LewaLur disk,osaL system i5 in proper uperatlug coudiLion and ( 2 ) ufLur insper. Lion and puuipillg if nec- essary) , the septic tank is lr-s:; than 1 / '3 l u.11 of sludge and scum. Certification tUrill will be �-;eut appruxiuratcly 30 days prior to three year expiration . 0 1/W L , the undersigned , have read the above requirements and agree` N to maintain the private sewage disposaL system in accordance with x H the standards set forth , herein , as set by tike Wisconsin Depart- w went of Natural Resources . Certification Dorm must be , ompleLed and returned to the St . Croix County Zorti.11g Office within 30 days of the three year expiration date . S 1 c N I.D. St , t roix County 'Zoning Of f Lee P . O . Box 5fi llammc kid , W L 54015 715-� 96-2239 or 715-425-8363 Sign , date and return to above address . DEPARTMENT OF REPORT ON SO S AND SAt't(Y dt ISUILU ON INDUSTRY, DIVISION P.O.BOX LABOR AND PERCOLATION TESTS (115) 3707 HUMAN RELATIONS MADISON,WI 53707 (H63.090)&Chapter 145.045) �,�o r row SSE•✓ lO~A-41. LOCH 1 N T NO.:BLK.NQ SUBDIVI I E N: TOWNSHIP/ Y: -7 /T o west AtiltT/NE e COUNTY: WNER•S S NAME: MA : sr.C Rofx A0e. '*j,es. SfCvE- k/ #4 O 11w 2o/ c �`• # r�v�fo� 4//s USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMM ER VAL DESCRIPTION: eSTS: KResidence ? �� RNew ❑Replace `��. j1, ' S` 6 7 RATING:S-Site suitable for system U-Site unsuitable for system ONVENT AL: MOUND: INN-GROUN S -IN-FILL OLDING TANK:RECOMMENDED SY EM:(optional) K.s ou ❑s EA ©sou [Is 2111 as ou 710 -�s VAL 1.2'x s-i. &Apt If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: G//!s S _'�_ Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS t BORING TOTAL DEPTH TO GR UNDWATER-1 HES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH O NUMBER D��ETfPTH IN. ELEVATION BS RVED I TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) B-2 4s 9, �'G 9. S • C ..3 r D.D /•o ' ilk Si 133 '100. 5� i 2.3-1 T,4a Si , S.2 B. 9• I lam. h�x. ° I ? e- /04 D.Di >/d• Jr a v cs w b r 72 � 9.0 � l•S <o��•wrc� �, • 3 v-s � , v B-✓ Z 7*V �$• , w!�'l- S/ r 0 Gam!'7LS B- PERCOLATION TESTS EST DEPTH WATER IN HOLE TEST TIME D R LEVEL-INCHES RAP IINCH ES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. ER ✓_► P < ,` P- P- 2 Z = f- 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 tro of land slope. / s'j jt RE (0 CC 4 CAJT Aft* �7. 7Z d" � q�iRE l �: °a �°cK r��. 11 SYSTEM ELEVATION � FT -� --�- f r — i .._I_ �- -r—I - -- -t• H -r.T-� -� • I I , I — z i jo T- } _ -- — I i Rp I is --� -- __ - --- — - TN }y, Sys ., -- '�S" s• �' a PRO T.l tiff�tei�JL'site ._� r.�r Pt ��1•s �-' t �;I art I T � i ! I m ste I 1 o� a conv.antional set tG Y --, _._�._. ` I . .r ^ . __� _.�_ _ ^ - _...- .. _ i � i I � PA' S ; 1 � I - � / � Soo 4r.. Wad UE.IQT�Pe •/Ors Fou.+ tuR� oR Sc�� ROw d �._._.. ._.. _ . f E/E F000 l s/00.Q • 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. au X TESTS WERE COMPLETED ON: NAME(print): RT. 3 VNEIL RD.,WUDSON,VAS 51011 c ADDRESS: MS.MASTER PERT ULIG.HU. CERTIFICq N NUMBER: PHONE NUMBER(optional): tLis '+(INN.INSTALLER&DESIGNER Ur.No.QM Zy V Z 13P& Q/P S CST S NATURE: DISTRIBUTION: Original and one copy to Local Authority.Property Owner and Soil Tester. I` DILHR•SBD-6395 (R.02/82) -OVER - R B. I. 67 PLOTA H I' OSS SECT. I �� (�l _ PROJECT L UMR E I NAME R + M ff,� S+,-R,V e it jq NA M E R'iUREA OD I L 0 C AT 10 N 10 1 C E NJ S E :-/t- 1059 I) ATE S P,L 0 1 k/1 AT 3 -B,,Ji?oo rn Horn F, 2 0 :to 0 last -is "0' # ay q P1 B-31 3Y lost sBAc-�hoC NRU pe 5E Q" F RP SAE5 ORE -thA10 504t �ROM Not-F-= WO 15 rr' t'I D9A)0�'l t 5C- VeR+ . e Pt F'ou&)D.SURVeqORS i10 T900. F sokAk )ot l'INF- 4ACA -kVT 100-01 FRESH AIP THIL E "PS AND OBSERVATION PIPE, C P10 S SECTION Approved Vent Cap Minimum 12" Above Final GradQ 4" Cast Iron Above Pipe Vent Pipe To Final Gradc-----, Marsh Hay Or Synthetic Cov("I-,)' rig Min. *2" Aggrog 1l Over Pipe Distributi I/ Tee Pipe —----- ------ l ..r" Aggregate Perforated Pipe Below Beneath Pipe —Coupling Terminating At 60ttoe) lea Bottom of System L.