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HomeMy WebLinkAbout042-1011-90-000 h 0 ` � I 00 0. o n o > z o � c oN^ —°y c N O Y a (M C` O_ CL N rn w 0 O N O<� I W U C Z O w!n c Z c V y a LL c U) CO Zfl 0 3 x o- '00 U) N m I Z Li ° E 0 rn N d m FN- fA d m LO o O Z C .0 c -o M N t N C N N 0 � O Z m Z N d z N y E > N .. t6 a t�0 w o C: I n H d N O ° o o a a " o I Z •►mil m a m N IL 0 0 0 } (n -1 V a rn rn O N = N d L m C .� N d >- CO ca N y N Ai O O y C E O Q C C d 0 CD LO 0 LO 3 CD c w 0- ° °p n O o c a N c N ° y co w a) Z d o o l t C t d C N ~ N N f0 N O p (n E • y?,� 00 0 U- 0) O Z C H 2 (n (4j coo T 4) a € a t A IL w pG C V a C o a 0 0i0 Parcel #: 042-1011-90-000 09/29/2005 08:06 AM PAGE 1 OF 1 Alt. Parcel#: 05.29.18.75A 042-TOWN OF WARREN Current 1X'; 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 PATRICIA C CAPONI O-CAPONI, PATRICIA C 1024 110TH AVE ROBERTS WI 54023 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1024 110TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.427 Plat: N/A-NOT AVAILABLE SEC 5 T29N R18W PT S 1/2 SW SW LOT 1 Block/Condo Bldg: C.S.M. 7/2073 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-18W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 852/634 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.427 43,700 112,200 155,900 NO Totals for 2005: General Property 3.427 43,700 112,200 155,900 Woodland 0.000 0 0 Totals for 2004: General Property 3.427 43,700 112,200 155,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 215 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 446104 1 N CERTIFIED SURVEY MAP Located in the SW 1/4 of the SW 1/4 of Section 5, T29N,R 18W, Town of Warren , I St. Croix County, Wisconsin. Surveyed for: Glen Francis Rt. 4 New Richmon b�1y1 54017 �o HARVEY �. BAR D JOHNSON S S-.1B$8 UNPLATTED_ LANDS I Junes 244,, ` H W$N } NORTH LINE OF THE SI/2 ( 1ra""11E(j i�i , OF THE SW 1/4 OF THE SWI/4 I ` sxQq��° ''�Itv� SURV y�s�e— S 89'58'23"E 229.47' �. FENCE LINE ` O J 8.09� 7.3 SCALE IN FEET I" = 100' UNPLATTED LANDS O 25' 50 100 200' EAST LINE OF THE SW I/4 LEGEND LOT I OF THE SWI/4 149,266 SQ. FT. SECTION CORNER MONUMENT . (3.427 AC. ) INCLUDING RIGHT-OF-WAY 1" IRON PIPE FOUND 139,684 SO. FT . O I"X24" IRON PIPE WEIGHING EXCLUDING RIGHT-OF-WAY 1 .68 LBS./LIN. FT. SET. E B 2 •7 1989 ( NOO°OdE) PREVIOUSLY RECORDED .. 5.C:W.)IX CUUN'De INFORMATION ON .�**JW�TWVEr Pf.*t41W--- rn ;►jL%!(')i a4c;(Y 1tdG1dt1'�f3: a.Idp N W I/4 COR . M�~i 3(D o (D , SEC. 5 Oj 3 T 29N R18W w(Di On ' >< Oh (D COD w o <n =LL W w Dlal o° ~O 2 = N� o O T4 ��U)) )- 00 LL Cr w_ta o G:l \ W l 1 o --Z N zN 3 z ww CO as- ._1 wl wF'rY U.U. cn -- Womb 3 0 �JHo z o - wwWOO o to m 3 cn cn o 0 DRIVEWAY O N O z oa FENCE IS 2.1 EAST N 89'40'10"E 228.26' OF' 40 LINE SW COR. — - — — — SEC. 5. 0.. II1067.22 _ ran CENTER-LINE--OE. IIOTH_QVE. 1295 S 89° 56'03��E N 89'56'03"W 228.17' —— ' SI /4 COR . SEC. 5 SOUTH LINE OF THE SWI/4 a) Oi VOLUME 7 PAGE 2073 488-1517 DRAFTED 8Y JWG 4 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 on plot plan). SOIL ABSORPTION SYSTEM Bed: tip Trench: Width:. /2 Length: _7S Number of Lines: 2. Area Built: ,YAO Fill depth to top of pipe: 2 h Number of feet from nearest property line: Front, O Side, O Rear,O Ft . P5,0 Number of feet from well: 7 7S Number of feet from building: yp (Include distances on plot plan). Iletle+' SEEPAGE PIT P40 F7.6 y 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, 0 Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: -Le 4.4c:faeZ License Number: ,�� If 3/84:mj Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT 1� TOWNSHIP SEC. S T .�N-R W OWNER l9-(.�t,� 7 yY,�j r,, ADDRESS A71 V ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances End dimensions/to meet requirements of I•ZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM fi xr5�l i+9 r 3� 7D /,Oaa Say r �D � r (e INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used w• �i.,.✓ i Elevation of vertical reference point: /440IV Proposed slope at site:1 �a SEPTIC TANK: Manufacturer: S Liquid Capacity: AW Number of rings used: �_ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: 29. 95/ Number of feet from nearest Road: Front 10 Side,O Rear, O > ZS_ feet i Frcn nearest property line Front 10 Side 10 Rear,O 7 7) feet /1871 lkpS //<�h? 1 Number of feet from: well > SD building: 30 (Include this information of the above plot plan)( 2 reference dimensions to septic tank)' SEE FEVERSE SIPY DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABORA-H�UMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION �?0 601"7969 BUREAU OF PLUMBING MADISON,VVI 53707 yq� SW%,SW4,, S5,T29N-R18W 4J CONVENTIONAL ❑ALTERNATIVE (ItfassPian I D.Number: Town of Warren ❑Holding Tank ❑ In-Ground Pressure ❑Mound I J 110th Avenue NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Glen Francis Route 4, NEw Richmond, WI 54017 f0 _T7 S'06 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: ICSTREF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County Sanitary Permit Number: Dave Fogerty i 32 89 St. Croix 96043 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITYiE: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: �2�i /ODv f qt � ES ❑NO ❑YES �NO BEDDING: VENT DIA.. VEN T MATL.. HIGH WATER OAD: PR OPERTV WELL: BUILDING: VENT TO FRESH LINE: AIR I ILET.ALARM �� r+ 0 �O YES 15"0 9 ❑YES O V DOSING CHAMBER: MANUFACTURER. BEDDING: 11-111111D CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES 1:1 NO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER:OF PROPERTY WE BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) 1 ❑YES NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of lowin LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORGE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. NO:OF 77�PE SPACING COVER INSIDE DIA.. Ot PITS. LIQUID TRENCHES M TERIAL' PIT DEPTH: ` GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL NO. STR NUMBER OF PROPE RTV WELL BUILDING: VENT TO FRESH FEET FROM LINE: AIR INLET BELOW PIPES/ ABOVE COV R. ELEV.INLET.E/LLEV.END �^y� PIPES�1 t� L ( D Z, gk.jl �7�,a4 J r��c 7 d NEARESC `�� is o T MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES 0 N SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS. DYES ONO DYES I 0 N DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED-. MULCHED CENTER. EDGES. i EYES ENO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. TRENCHES: MANS:. MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO,DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV. . ELEV. DIA.. ELEV: PIPES. P1111(''AY A,TI ON Aly IR bIT�{ItfT}ON` t HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED iN t o ION PLANS. DYES ❑NO El YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF LINE PROPERTY WELL: BUILDING: / INEARE�A"❑YES ❑NO ❑YES ❑NO 'C /J.1 q I 1. z on Retain in co y file for audit. GNATURE: TITLE: 0 (R.01/82) C ��ning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT Y 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.i 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'/2 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. ------ .----------------------------------------------------------------------•------------------------------------------------------------------------------- F 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 ff result of ove, 2 years of steady negotiation and public debate. The groundwater bill Ground�tater — included the creation of surcharges (fees) for a number of regulated practices which Wiscor dn.7s can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried treasure is used in your building is returned tc the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. c The :nomes coilecteo through these surcharges are credited to the groundwater fund aJminis- te ec? by 'he Department of Natural Resources. These funds are used for monitoring grou�nd- v_rte- groundwater contamination investigations and establishment of standards. °arounc?w.ate-, s vv c;rth protecting. fs3D 6398:k.03/86) SANITARY PERMIT APPLICATION COUNTY 7 ILHR In accord with ILHR 83.05,Wis.Adm.Code �T.. Rd l STATES NITARY PERMIT# 17�6)44? —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 OWNER PROPERTY PROPERTY LOCATION /V '/4 1/4, S T , N, R 1p E (or& PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME �1 CITY,STATr ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK 3 O VILLAGE : :=[ C II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family C OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. LrJ 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. L/Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSOR—P,TTIION SYSTEM INFORMATION: (Check one) 1. a. [1 See a e Bed b. ❑See a e 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): —7 401j IWO Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks I Tanks structed Septic Tank or Holding Tank ---- � � ❑ Lift Pum Tank/Si hon Chamber ❑ ❑ ❑ F-1 ❑ V11. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plu ber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: IC >_ .ZSr 356 Plumber's Ad ress(Street,C y,State,Zip Code): Name of Dq igner: VIII. OIL T INF ION CAdified S me CST## C DRES (Sire ,City,State,Zip Code) Phone Number: off. 6S� IX. CO TY/DE TM N SE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved Owner Given Initial / S charge Fee` �y Adverse Determination / ©�• �� t�le.7' X. CONIlMENTS/REA #ONS FOR DISAPPROVAL: , rd[fie/ b3 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/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 IV At !`�.l.lL�� Location of Property S.141 It 5*/f/ It. Section , T dL N - R /9 W Township 4LA R R Mailing Address 1340 X /V Z7 A/. / S� Subdivision Name -PA /3 T- 67 fi Lot Number Previous Owner of Property J1 Ef 4'� Total Size of Parcel �3 _ a 3,o Date Parcel was Created S a Are all corners and lot lines identifiable? - $ Yes No Is this property being developed for resale (spec house) ? Yes No Volume -3sg-, and Page Number 3 as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 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) ee&U6y that att atatementa on thiA 6onm ane true to the beat o6 my (oun) knowledge; that I (we) am (ane) the owneA(a) o6 the pkopenty des cA i.bed in thiA in6onmati.on 6onm, by viAtue o6 a wcvrvcanty deed neeonded in the 066ice o6 the County Reg.i,ateh. o6 Deeds as Document No. 6 '7-3 ; and that I (we) pneA entty own the pnopoa ed a.i to bon the a ewage poa a ya tem (on 1 (we) have obtained an easement, to Aun with the above deaen.i.bed ptopehty, bon the conatnucti.on o6 said ayatem, and the same has been duty tecokded in the 066iee o6 the County Reg.iateA o6 Deeds, as Document No, nl yCL7 3) SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED No. !BP (Reviled 1960) FINAL JUDGMENT. � •^ M.C.MILLCR CO. M"W USt[ , DIM -. 2700'73 STATE OF WISCONSIN St Croix COUNTY COURT IN PROBATE IN THE MATTER OF THE ESTATE OF Sylvia Francis Deceased. File No._ PETITION for,final settlement (if this estate having been presented and heard, and the petitioner having; appeared in pbrson and by attorney and Lawrence P. Gherty —.. having appeared as Public Administrator, And On all the evidence, records and proceedings herein, the Court now finds: I. That the petition came on for hearing upon notice or waiver thereof as provided by law to all persons I interested; 2. That notice has been given for determination of who are the heirs of said deceased; 3. That the expenses of administration, funeral, last sickness, and the debts of the deceased have been paid; that the certificate of the Assessor of Incomes shows that there is no unpaid income tax; that said estate is subject i to inheritance tax which has been paid (or) is not subject to inheritance tax; 4. That then: remains personal property for distribution as follows: To Glenn E. Francis, pursuant to the terms of the Will . I i 5. That the deceased died seized of the following real property: The West half of the Southwest quarter (WISW4) of Section Number Five (5) , and the North Half of the North Half (N�N�) ' of Section Number Seven ( 7) and the West Half of the North- ' west Quarter (WJ--NWJ) of Section Eight ( 8) all in Township Twenty-nine ( 29) North of Range Eighteen ( 18) West , St . Croix County, Wisconsin. I I (Hey.19601 No.3SP—FINAL JUDGMENT. •� •• (OVER) 6. 'chat the deceased died seized of the following real property in joint tenancy with • Glenn-E. Fra ne i s who survived deceased; The Southeast Quarter of the Northwest Ouarter ( SE-LNW4) and tht j Southwest Quarter of the Northeast Quarter (SW*NEJ) of Section Number Seven ( 7) , Township Twenty-nine ( 29) North of Range Eighteen ( 18) West , St . Croix County, Wisconsin. � I I 7. That the deceased at the time of his death owned certain personal property in joint tenancy as forth in the Inventory on file. 8. That the deceased at the time of his death had a life estate in the following property: NOW, THEREFORE, IT 1S DETERMINED, ADJUDGED AND DECREED That- Sylvia Francis died_ _testate I, on the 24 day of_ Ap r i 1 19 fi l and that the following were the only heirs-at-law of the deceased: Deceased disposed of all of her property by the terms of her Will. 1 I. �I IT IS FURTHER ADJUDGED AND DECREED That all accounts of the Executor on file herein are allowed. l l That the personal property be distributed as follows: According to the terms of the Will . � !, II ii II That the real property described at Finding 5 is hereby assigned and transferred as of the date of the death of the deceased, as follows: To Glenn E. Francis, according to the terms of the Will of the deceased) 388 PA01 P395 •y r I' 'VOL 388 PAGF396 -; That the interest of the deceased as joint tenant in real and personal property terminated at death. That the life estate of the deceased in the real and personal property terminated at death. Dated SAMAM 0s 1962 . By the Court, o s. J. r-1 ch County judge. Recorded in Vol. Page State of Wisconsin,.County Court, St. Croix County STATE OF WISCONSIN St. Croix County } �' Georgine Holmes I, I�ifft,•Register in Probate of St. Croix County, Wisconsin, do hereby certify that I have compared the above and foregoing ......................................................... ..............................................Final Judgment................•...-••.... .... .....................................................•....... with the original thereof, and that same is a correct copy thereof, and of the whole thereof, as same remains of record in my office. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of the County Court at Hudson, in said.county, i >>......... day of ..September..................•• •, 1962-••...... % 2' ��73. REGISTERS OFFICE ST, CROIX CO., WIS. Recd for Record this 11th = r, .. ..... ... ......•......�••.•.... day of$e a ber 62 Re ter in Probate i-09s i f ads j i i " H ' z . cn H ST C - 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT H St . Croix County z d i H OWNER/BUYER 44 �/V /V1 ROUTE/BOX NUMBER KT-q ? Fire Number CITY/STATE NAIT-09V 5 ZIP S 4 0 1 7 PROPERTY LOCATION: 5k/ 3z, SAV k, Section , T N , R W, Town of 41108 , St . Croix County, Subdivision , Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1 , 1978 . St . Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 I/WE, the undersigned , have read the above requirements and agree En to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- �u 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 /_", ' r DATE St . Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . INSTRUCTIONS FOR OMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial proiect; 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; B. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desire(]; 8. Make s€are your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9, Complete all appropriate boxes as to dates,names,addresses,flood plain data, percolation test exemp- tion, if appropriate, 10, If$l'e intotmat:ican (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; 13. 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 Saparates and Textures Other Symbols s - Stone (over 10") BR Bedrock cob -- Cobble (3- 10") SS - Sandstone gr -- Gravel (under 3") LS Limestone �s _ Sand HGW — High Groundwater cs - Coarse Sand Perc Percolation Rate. rned s MediUrn Sand W — (Nall f Fine Sand Bldq — Building Is Loarny Sand — Greater Than sl Sandy Loam — Less Than .I Loam Brr - Brown *sil Silt Loarn B; - Black si _. Silt G'y --- r i rav Cl — Clay Loam Y Yellow sc l Sandy Clay Loam R — Red sicl - Silty Clay Loarrr mot — Bottles sr; Sandy Clay wi - v"itra C, — Silty Clay fff -- few, fin,faint C Clay cc _ common,coa,re Peat nrn — Many, rnediurn r r Mock d — distinct. p -- prorninent HWL — High water level, Six general :roil lextrar(es surface vvater for hrjuid waste disposal BM -- Bench Mark VRP - ]Vertical Reference Point TO THE OWNER. test report is tfr€'= first step rn securing a sannary perra"rit. The county or the Crepartmem rr;ay request c"t this snii test in the fioid prior to nf3i wt issuencf� . A €5orTplete set off plen,,iS for the piiva3,e see a,"W Cy,,ierfi and a ?.rE','i-Mil. must rye s(IbUllitted $(��:��'4E:'s'��1�€���ICi•�.71.r�I��l.�& jt?"_�'?'i l,�`;�i.�f-f.� " 3 cf ac<rr o ? " r t pS .31 3€' ) h°.start }} G t4t Ctrt roe 1. t. ~ . { DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, G DIVISION LABOR HUMAN ,NpAT10NS PERCOLATION TESTS (115) MADISON WI 969 (H63.09(1)&Chapter 145.045) LOCATION: SECTION: OWNSHIP/fftI It rP1ZtF_1'Y: LOT NO.:BILK.NO.: SUBDIVISION NAME: /Tz N/R/8 E COUNTY: OWNER'S 8W*ERL604A#E: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: ©Residence Z L lew ❑Replace /,/> -7 RATING:S=Site suitable for system U=Site unsuitable for system rZS ONTIOQNAL: MOUIyD:�� IN-GROUND Q URE:1,0S STEM-IN-FILLHO�ING TANK: ECOMMEND D SYSTEM:(optional) UU �LJ s L�_�JS U 2uj S U a 3S 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: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) > 172 /3 / ,j',� /w 9 �'c/ S a r.!o% 3 /795 ,d'i S ✓ o B- F2 �L S 3/C S/ ,S i3n B 71? 79s 6 w L 6 B- / /o z,2 > Ax 51 � '� s/ % hs) !fin/S /%?ar'csr �o6 ? 9 'S' B 9/ I / fS l S/ / 7' S C3ii s w B_ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD I PERIOD 2 PERIOD 3 PER INCH P- — C 3 s ii�� /l0 2 P- P_ N i P P- 3 3 P- PLOT T 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 fZ S ' _ _ �._ _. t i /l0'. vt - --_ _... _ _. 3 i [ __ ......__ _-- ,_,_ .._ a = _-----------.. ._._. ..,.-1„ -..4­_4.__ F S _ E 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): DAVE FOGERTY PLUMBING TESTS WERE COMPLETED ON: Licensed Perk Tester & Plumber , r I7 ADDRESS: #3M #3289 CERTIFI ATI N NUMBER: PHONE NUMBER(optional): F arty He is Road 3 Phone 749-3656 STS I GN RE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — i 7 u C1 �IR�r N 1 h T I w o `n i 0 i ir i � r y ' f�f C � I C r LIN i 1 1 , i x i L ck � i 'S� 1 o n. 0 Lot - c.. 3 ® or n M ^ yNC•�1:D en 4 rt� Vl� t