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HomeMy WebLinkAbout042-1087-40-000 ) / 0 I c ( o / } � _ 2 � , 76 F � ) ƒ t ## = o =$ % J °£ S= Cl) » � � / t 0 � Q / \ IL c § ) B 2 \ U) k k k { } \ & § r . { CL 0 y/ i � § f § m § Q k / z . ) & � / cc \ 2 & _j % S Q o a r I � \ a a a a a 2 0 � 2 -1 0 ) § § ƒ � ID co § / E � C0 ® ® ` _ � « 4 > / ) � ■ . % § � � � § / \ I § 2 E LL 6 g K . S 2 §LO § { 7 ® b 5 ) 7 k - CD 17 0 2 f f , / 4 m o w o R 2@ o . 2 : / 2 \ B 4i 2 k kA a a , • - I — , _ _ ! " a \ E & k a § � � Q v v � Parcel #: 042-1087-40-000 10/03/2005 09:00 AM PAGE 1 OF 1 Alt.Parcel M 31.29.18.485F 042-TOWN OF WARREN Current ,_X_'; ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner LINDA M LAKOSKY O-LAKOSKY, LINDA M 626 91 ST ST HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description *626 91ST ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.332 Plat: N/A-NOT AVAILABLE SEC 31 T29N R18W 3.332A IN W 1/2 SW1/4 Block/Condo Bldg: LOT 1 CSM 6/1553 FORMERLY KNOWN AS PART OF LOT 2 CSM 3/723 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 31-29N-18W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1123/439 QC 07/23/1997 795/397 07/23/1997 786/79 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/14/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.332 43,400 147,800 191,200 NO Totals for 2005: General Property 3.332 43,400 147,800 191,200 Woodland 0.000 0 0 Totals for 2004: General Property 3.332 43,400 147,800 191,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 105 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST.CROIX COUNTY §URVEY2R'§RECORD i�Jc- 7 7 CERT SURVEY`MAP, FL 0 I CO�,BETH Part of the Northwest 1/4 f ((gyp -f-�( and part of the Southwest 1/4 of the Southwest 1/4 of Sec , ship 29 North, Range 18 West, Town of Warren, St. Croix County, isconsin. 43'i5'E- 4= 00 m W °4_ �� FILED o 0 Moves 47 ao�ve�c 0 IhvM�w of DMd� O 8► � �u0 lQ Z07-/=-746Z AC. N OT ro V 0 a (0 N o nrni>> W V) 4gv ••'' JAMES L. ''• \� 0 eve-7° s/37"w 3-75 ,6�' 0 � MURPHY ��S 0 in I0 c ?, S - 1042 O ( RIVER FALLS, WIS 0 qlAa A I 0) ivy � 2N d GUT z=6:59'AC. m� %4 P 0 b I SCAL / = 200 . k o Indicates 1" x 24" iron pipe weighing �6.>. �j 1.13 lbs./ft. set. /82.60 2 i g�,•�4 M 3-at5 60, tea•. , flO6.00Q r;; J� F (� L C.7, 0' 000 O00 N wCO.4 W s pV1 sFC.3;r�9w, 0 h James L. Murphy .Q/B w tivlON) Registered Land Surveyor Vol. 3': Page. 723 N Certified Survey Maps (Description on reverse) , ^ St. Croix County, Wisconsin v✓ 00 s Y 403 .8 CERTIFY, SURVEY MAP Donald K. Kalani and Beverly F. Kalani Part of the Northwest. 1/4 of the Southwest 1/4 and the Southwest 1/4 of the Southwest 1/4 of Section 31, Township 29 North, Range 18 West, Town of Warren, St. Croix County, t ' J Wisconsin.;. LOT / C.S.M. VOL. 3 W 114 COR. S£C• 3 I, r29 N,R/&W, PA G E 723 _ _ /COUNTY SURVEYORSMON.) R1129.91 I S87.5/'37"E 375.00' •' I Z N O M W y LOT !_ LU� ? o 3.332 ACRES „ V 0 O q ` /45, /35 S0.FT, q O Amu as 1985 W &SMW M O y Cb N I O�' J Z ` Q W QIW C i i O Q M Ci N B7°40 /2 ii"W 375.03' ku W O O a �� J o LOT 2 _ - N 3.257 ACRES ti N W I V QI H W ZI N 14 1,873 SO.FT. \0 �` IX Z, h NET a 3.000 AC. , I y 2 O O M M 130, 697 SO.FT. P ry 6 I 4. Q(1 �O ,I W a O a m O I 4' (` Se7.40'/2"E 342.34' y M I VAR/ABLE W IDTH 33.03' ° ff-//// Dated: June 5, 1985 "_B' 4_ / �' 335.00 — -1 C.r. H. "N" 66' 0 SCALE /"r 200' SW COR. SEC.3/, r29 IV, R/8W, vNj 0' 50' 100'150'2010' 300' 400' 500' (COUNTYSURVEYOR'S MON.) UNPLA TT_ED APPROVED LANDS 0 Indicates 1" iron pipe found. WL O Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft. set. 0 - �� State of Wisconsin) COWROWUA tt P"N IA County of St. Croix) .. I, Laurence W. Murphy, Registered Land Surveyor, do hereby `1ttt1,11„�j�� certify that by direction of the Owners, Donald K. Kalani , �SCON and Beverly .F. Kalani, I have surveyed and divided the above described lands according to official records, Chapter 236 of Wisconsin Statutes and the Ordinances of St. Croix ? r LAU County; and that the above map and description are a rn W PH •: true and correct representation thereof. � 13 . e` N IVER ALLS, 4 i / / F . WISC. ••���Q`J L A NO Vol. 6 Page 1553 Certified Survey Maps Laurence W. Murphy St. Croix County, Wisconsin Registered Land Surveyor SNEE r / Ole'2 4 ! P 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). .V SOIL ABSORPTION SYSTEM Bed: Trench: Width: .�� Lengjth: Number of Lines: C IL� Area Built Fill depth to top of pipe: JaE r Number of feet from nearest property line: Front, O Side, O Rear, Ft . Number of feet from well: �7�5- Number of feet from building: -7 (Include distances on plot plan). SE GE 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). HOL G TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector. f©'1�1 Dated: ZU Plumber on job: 1l Ly! 1 crS' License Number: 3/84:mj Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ��-s p �u���-Lr/(,} TOWNSHIP t,�C tl7j � SEC. I � _ ADDRESS TrST. CROIX COUNTY, WISCONSIN r 71 �) - A�e'3 r ) { SUBDIVISION (, LOT k A LOT SIZE A l /f,C PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N13J 'r Q offici /L �✓�v GS \ IBS,/• `V ,3•'v'' ?-3 Y3 3 r / �zt"z .7a INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used j Elevation of vertical reference point: ` no Proposed slope at site: SEPTIC TANK: Manufacturer: /11,bt) �c'� r Liquid Capacity: 1606 y7 Number of rings used: e)iLj L Tank manhole cover elevation: 1,61.Q 6.5 c7 6'4s c 79 Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front 10 Side, Rear, O feet From nearest property line Front 10 Side,0Rear,0 feet Number of feet from: well , building: L '/ r-E (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 D.ISON,�WI 53707 SE4� SW4, S31,T29N—R18W CONVENTIONAL ❑ALTERNATIVE SltatePlanI.D.Number: of Warren ❑Holding Tank ❑ In-Ground Pressure ❑Mound Hi hway "N" NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER:. INSPECTION DATE: Calvin Burton 314 Pleasant Street, Roberts, WI 54023 g-316- 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: le J. Myers I6219 St. Croix 99036 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: y l ► ( �.G ` "�^,� 3 , a J ` 11YYES ❑N O ❑YES Lie N O BEDDING: FEN DIA.: VENT MATL.: HIGH WATER NU MBE OF ROAD: PROPERTY WELL BUILDING: JVENTTOFRESH ALARM. / LINE. AIR ITT: �( FEET FROM //`,, ( c 1:1 YES �NO l C ❑YES NO NEAREST V ll 1 b J O DOSING CHAMBER: MANUFACTURER: BEDDING'. LIQUID CAPACITY 111-11,11 MODE L. PUMP/SIPHON MANUFACTURER ACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO I DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER'DF PROPERTY WELL BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) ❑YES 1:1 NO NEAREST .SOIL ABSORPTION.SYSTEM.Check the soil moisture at the depth of plowing LENGTH. DIAMETER. MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH. LENGTH: NO.OF DISTR.PIPE SPACING. COV R JINSIDI DIA.: #PITS. LIQUID BED/TRENCH O TRENC�S M T RIAL: PIT DEPTH DIMens 0 GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR NUMBER''.OF PROPE RTV WELL BUILDING: VENT TO FRESH BELOW PIPES`r ABOVE COV ER. ELEV.INLET ELEV.END: PIPES LINE' AIR INLET: /V FEET FROM 3 / 4 u u V-1 Z $ D d Z "7 Z �? NEAREST to ` 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 ❑NO SOIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS : Y ES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED: MU LCHED CENTER. EDGES. ❑YES ❑NO ❑YES : NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE TRENCHES: FILL DEPTH ABOVE COVER MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.: ELEV.. CIA.. ELEV.: PIPES: ELEVATION°ANt BTIUTN i HOLE SIZE HOLE SPACING. DRILLED CORRECTLY COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED INtATION PLANS: 1:1 YES 0 N ❑YES NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF L NE ERTV WELL: BUILDING: n O ET FROM El YES El NO ]YES ❑NO AiEST 1 0 o t 11� 60 415 Sketch System on Rptain in county file for audit. Reverse Side. sIGNAru TITLE: Zoning Administrator DILHR SBD 6710(R.01/82) '° INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2)'years; . 2. Your sanitary permit may be renewed before the, expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage 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 War included the creation of surcharges (fees) for a number of regulated practices which Wisco 2r1 5 ° can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried tea re is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) SANITARY PERMIT APPLICATION COUNTY /► E:�L DILHR In accord with ILHR 83.05,Wis.Adm.Code I / r Cfloj)( a S TATE SANITARY PERMIT# 99eafv —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. �N —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMLPROPER�Y FOR VARIANCE YES NO PROP TY OWNER LOCATION S'0/4, S T .Z N, R E PROPERTY OWNER' MAILING ADDRESS MBER BLOCK NUMBER dUBDIVISION NAME CITY,STATE ZIP CODE PHONE NUMBER CITY NE EST ROAD,LAKE OR LANDMARK _ ED )FO: J II. TYPE OF BUILDING OR USE SERVED: N Number of Bedrooms if 1 or 2 Family �f�i�k��s OR ❑ Public(Specify): 111. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a.ANew 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 INFORMA�N: (Check one) 1. a. ❑ seepage 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 Feet): S et Private ❑Joint El Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strr cted Steel glass Plastic App Tanks Tanks Septic Tank or Holding Tank CJd O d.0 E Lift Pump Tank/Siphon Chamber ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system oW on the attached plans. Plu ber's Name(Print): Plumber's ignatu e:(No Stamps) MP PRSW No.: Business Phone Number: �� / 3-2 6:2-0 Plu er's ddress(Street,City,State,Zip Cod Name of esigner: Sr CJ Vlll. SOIL TEST INFORfAATION Certified Soil Tester(CST)N me CST# C T's ADpRRESS(Street City,State,Zip Code) 7 Phone Number: 6 IX. COUNTY/DEPARTISAENT USE ONLY �( ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) L31 Approved ❑ Owner Given Initial f rcharge Fee Adverse Determination " a S �� 3—' v X. CqMMENTS/JJEASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber ti i APPLICATION FOR SANITARY PERMIT STC - 100 rhis 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 i l� �✓1 Location of Property =�_L._ .L1..X.k. . Section I , 1Z 9 N-R�_ W Township - LA�)(�.Y+(',P- n Mailing Address Address of Site yl Subdivision Name Lot Number 1 Previous Owner of Property Y'\ Total Size of Parcel J Date Parcel was Created l.J Are all corners and .lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? v ' Yes No Volume :Z and Page Number ?9 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 (we) ceAti.6y that att atatementA on this onm ace true to the beet o6 my (our) know.tedg e; that I (we) am (ace) the owner(e) o6 the pnopen ty ded cA i,bed in thin .in6armat.ion 6onm, by vi tue o6 a wavcanty deed recorded in the 066ice o6 the Co Re .ih ten o Ueeda a� 'Document Na. d I w �/ an that ( e red ente u+�! 9 6 g ) p y own the no 06 ed b.ite oh the sewage e ew a d� a.6 a a em on I we have obtained an P p 6 g p y ( ( ) easement, to nun with the above deic ibed pnopehty, bon the eon.6t,%ucti.on o6 .6aid dybtem, and the same has en duty recorded in the 066ice o6 the County Reg"ten o6 seeds, as Document No. Y4 3 c gq) . n R SIGNATURE OIL OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED i DOCUMENT NO. WARRANTY DEED TH13 SPACE RE$ERyFD FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 I`"ICI"6?AGE-:_- -==_—__ REGISTERS OFFICE l Donald K. Kalani and Beverly F. Kalani , Husband and RecdIe�d.thW 3rd .Wi-fe,---indi-vi-dual-1-y--and--as--joint--tenants---------------------------- ---- day of July A.D. 19'87 conveys and warrants t- "_-Calvin Burton -- • 9:45 ...A: �M., ---------•- -–------------,-------- --------"------"----------------------------- I' ------------------------------------------------------------------=------------------- -------------- ---- ---- RETURN TO --------------'---------------------------------------------------------------...---------------------------------- the following described real estate in -----------S:C_..-CroAX...................County, 1=---- -------------------.._-_= State of Wisconsin: it Tax Parcel No- ------------------------------ Part of the Southwest 4 of the Southwest 4 of Section 31 , Township 29 North, Range 18 West, Town of Warren, described as follows: Lot 1 of Certified Survey Map filed in the office of the Register of Deeds for St. Croix County, Wisconsin on July 15, 1985 in Volume "6" of C.S.M. , Page 1553, Document Number 403487. f TOGETHER with private roadway easement as -described in that certain Certified Survey Map filed in the St. Croix County Register of Deeds office in Volume "3" of C.S.M. , Page 723, Document Number 352773. Is s- SaV This __ i S not homestead property. (is) (is not) I Exception to warranties: Easements and restrictions of record, if any. i Dated this --- ------ ------------------------------------- day of --------------------------- - -----------------__ 19--- 7_. I I - (SEAL) ------------- ------------------------------------------------- * -Donal d.-K..--Kalani-------------------------------- ----------- - --------"------------------------- (SEAL) t�CZ - �JY�L (SEAL) * Bev( l F. Ka Y lani �I * ---------------------------------- ------­-------------- --- -- I AUTHENTICATION AIIT�{�IKI,EDGMENT II W 1l�lvvttaa II UU�V I I Signature(s) ------------------------------------------------------------ STATE OF tilfKT -------------------------------------------------- -----------------------_ ss. .....County. 'iV r,L! ,!rr(a y came authenticated this ________day of___________________________ 19...... /,.1. -- �'p�sopa y.�came before'i j��'s the above named I Donald �K1i LK"alani and__Beverly-_F•,.--Ka1_arni_,_ -------------------------------- Husband and Wife. --- - -------------------- - - --------------"-. I� ITLE: MEMBER STATE BAR OF WISCONSIN ------------------------------ -------------------------------------------•---- �I (If not, ----------- S authorized by § 706.06, Wis. Stats.) ------------------- -------I---------- -------- ••-------:------------- to me known to be the person ...:......... who executed the foregoing instrument and,acknowledge the sane. l it -THIS INSTRUMENT WAS DRAFTED BY -------------------------------- William J. Rados ;vich Attorne at L { — --------------------------------------------------- y -----------_--- 502 Second Street Hudson_, WI 5401 G-___-_ " •-----------------------------••--t--- .y Public __ s? ---------------County, W5X �e.§:, (Signatures may be authenticated or acknowledged. Both Commissio 1s permanent.(If not, state expiration are not necessary.) o �7 date: --- L 1 r� Ll *Names of persons signing in any capacity should be typed or printed below their signatures. li WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Cu: Inv. _-, FORM No. 2— 1982 Alilwaukec Nis STATE OF CALLOS A IA SS 4�Gi ` spAGE (Individual) COUNTY OF os ngel es, so On this 15th day of July , 19 87 , before me, the undersigned, a Notary Public in and for said state, personally appeared Donald K. Kal an-i personally known to me(or proved to me on the basis of satisfactory evidence)to be the person XX whose name 1 S is/are subscribe to the within instrument and acknowledged OFFICIAL SEAL that a executed the same. CASSAUNDRA GRAYSON NOTARY PUBLIC-CALIFORNIA WITNESS my hand and official seal. PRINCIPAL OFFICE IN LOS ANGELES COUNTY My Commission Expires February 19, 1991 Signature of Notary U (This area for official notarial seal) SAV 7024/662 H ' • f!1 H a • ST C - 105 r a y SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d a OWNER/BUYERL.Q,`U(lV'\ 21.x,(_4-,0 11 y 1 r� ROUTE/BOX NUMBER n 3 ` � !-'� FQSCLV1+ �, Fire Number C CITY/STATE ��� �1 ZIP ✓402-3 PROPERTY LOCATION SW 14, SV\1 t4, Section 3l T2-9 N , R W, Town of L J c, rr -e 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 li 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 to maintain the private sewage disposal system in accordance with x H the standards set forth , herein , as set by the Wisconsin Depart- b ment of Natural Resources . Certification form must be completed and returned to the St . Croix County Zoning Office within 30 days of the three year expiration date . n S I G N E D G41-� 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 F O COMPLETING FORM 116 - SBD -6595 , To be a complete and accurate soii test,your rer)Ort must include: 1. Complete description; The rase section rtrcast r.h_,af ly ira�i€a c wiaether phis is a r�.stcsct�ee t r comt� -ercial project; 3. MAXIMUM number of bedrooms or commercial use planned; . Is this a new or replacement system; S. Complete the suitability tatinrg boxes. A SITE 1S SUITABLE FOR A HOLDING TANK ONLY !F ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; B. PLEASE LtSe the abbreviations shown here`or writing profile descriptions and completing the plot Mart; 7, MAKE A LEGIBLE diagrarn accurately locating your test locations, Drawing to scale Is preferred. A stptarate sheet may be used if desired; B. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; B Complete all appropriate boxes as to dates,narnes,addresses,flood plaint data,percolation test exemp- .tion if appropriate; 1€1. it the information (such as flood plaits,elevation)does not apply, place N,A.in the appropriate box; 11. Sign the form and place your current address and your certification number,' 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 GAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone kk"wer 10") BR Bedrock cot) Cobble (3- 10") SS - Sandstone gr - Gravel (under 3") LS Limestone *S Sand HGW Hirsh Groundwater cs --- Coarse Sand Perc -... Percolation Rate med s --- Medium Sand W Well fs Fine Sand Bldg Building Is Loamy Sand > ..._ Greater Than 'sl Sandy Loann < Le=ss Than Loarn fan -_ Brown sil Sih Loan,, Bl Black si — Silt Cry Gray �rl -. Clay Loam y ....- `a`ellov'r scl Sandy Clay Loan) R — Iced sic! --- S:!w Clay Loam nnot Mottles sc Sandy Clay w;' v"ith sic Silty Clay fff few, fine,faint Ac Clay cc; conim0n, coarse pt Prat rrant - Many, medium m lklucic d _ distinct � l:r -- ;arsr��inc=nt HWL — High water level, Six ci,ar?{ ra; :snail t.x card surface water `or liquid v""aste dis"posal BM Bench Matk VRP - Vortical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit.The sanitary permit must be obtained and posted prior to the start of any construction. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, 1 1 C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUW'AN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: *W "'P ATUBDIV I MrAME: /T N/R _jLOT '/S a UNT : OWNE 'S BU R'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE NO. [V.s-clere RMS.: COMMERCIA L Q CRI ew 1:1 Replace PROFIL DES RIPTIONS: PER OL TIO T STS: vJ ES RATING: =Site suitable for sy0m U=Site unsuitable for system r ONV TIONAL: MOUN IN-GROU PRESSURE: SYSTEM-1 HOLDING TAN . RECOMMENDED SYST M:(optional) jj ES au ❑u ❑u ❑s o s DE f� If Percolation Tests are NOT required SIGN RATE � If any portion of the tested area is in the ndicate: I under s. ILHR 83.09(5)(b),i Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE, AND DEPTH NUMBER IDEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- / q` , 3 amc > J 3a 13 nC s e q5, 33 aMLLe' oNA.-SL io 6 n G t A 1q,1 C's 83 L g5 .33 > Ao A � 34 B '� ` s t3 L e- �to . 3 > �l G,s qaBn C PERCOLATION TEST TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTE.,RSSWELLING INTERVAL-MIN. PERIOD 1 PER1,90 2 P OD 3 PER INCH P- P_ / P NO P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable Ail areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the pl t plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 3,G �, i h q0 ® P-3 p Z3-3®�.� a . i3 ryx A 40 A _ y° roe, TN �4 1z.-Q %b i,the undersigned, hereby certify't at the soil tests reported o� is Fests re made y me in actor with the procedures and methods specified in the Wis onsin Administrative Code,and that the data recorded and the��t�n hre corr ect to the best of^y knowledge and belief. F-i NAME(print): TESTS 7R COM LETED ON: ic ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): CST ATU E: 1 DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. QILHR-SBD 6395 (R. 10/83) —OVER — A/ UJ AJ � cv i s y 14 rs? y s 7Z Z O P2o?os� S�72s" 2DOnn L ,v 6 Poi D T- � hC-az c s 7-2 Ex3 C-g S x ICS ' O M r qTx �aI44�vr q y`