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HomeMy WebLinkAbout020-1313-70-000 0 ~ O i 3'D n d CD \ 1 II ~ O 0 JU -I 2 V1 0 ° OD N C N N • 3 0 y o c; o co o 0„0 CL A z a a v, N c N a v n o ' m n CD °o O cn 3 0 y O C U) c X Q p) F co l m CO z D a rncn m ° o a o 'o m co ' CL C' N _ CD 0 c°~n i 0 ago co ga n r N o ~i rn rn a 3 M Q 3 M CD w o EN CD -4 0 =r 5N to cn o aQ cr v e 0 CD ° 0D N Z rr a II l~ O D 0 o ~ I O I _ M CD Q 4 CD v c m rn w a a 3 z CD uj -4 to 0 a A 3 U) N N W V a z II w rn ~ v 41 m ~CC vA~,o a c m 0 « M y Ut ~ G o a a v CD Cl a) o N o`<v in 7 r Z ~a c o ~om'o yam _ = ul CaD *CD FD. ~ O a to0 (D o > j N y O N c ti CL -4 m CL CD r- 0 rl- CL co 02 o acD 3 co CD 9 m p c m , v, o naa',•Q w ~ Cl) o A~?_ v to :3 Co CD -4 I o ~ A I o ~ CD do 0 m O w °o C 1/1S. 233.00 12°40'34' 117°37'S45R -9.56' 111.55' 13B°S8'13'1 t03°12'12'1 flSIR,, 233.00' 1102645' 129144'40.SR 4.69' 75.01' 131056'13'4 120°31'21'1 1 233.00' 24013'50• 10102/'13•1 97.11' 91.51' 120031'2811 103°62'229 11-12 1 367.00' 11011'59' 105042'07.iR 'J.91' 120.43' 101012'22.1 115'0k'37'9 13.16 1 433.00' 15007'21' 107032'56.i'l 1 3.95, 134.21' 115006'3711 100°00'169 HE CORNER T SECTION 22 2 LOT I Iwu ossessor, S rect C. S. 134. shown on the - - Iii m VOL. 9, PG. 249L onstitute a PG 821 wa 336.293, Vii L. Of NORTH LINE OF THE SI/2 CF THE NEI/4 r "c " 589*42'26"W L = w w a _ _ - - a N8y 59'16'E - 1644.59' _ - - Iw N89'59'16'E 719.34 181.93 z - -364.3,• - 1 2 8 777 355.00• F ~ ' N 1 - ' a z I* IRON PIPE FO 1 UND I U I - 8 S00 16 35W . 0.75' o W 1' o + w FROM COMPUTED O s O N POSITION. 0 + - /1 68• ROADWAY EASEMENT FOR 80' RAO UPON = 0 1Vi L CyL- OE -SAC TO 8E BUILT UP0 OT THE EXPANSION OF U.S.N. "12' u y ® U) L 1 a 2.23 AC. 1 y1 to r. x w 97,304 SO. FT. 2 o'~O• 1 1 v9i 8 EI/4 CORNER CEL RECORDED F u 0011 SECTION 22 f.J z.21 AC. Exc. Es Mr. 1 3 - SO HOUSE r 9313 SOFT. I lg LOT S A 17 PG. 481 Se9'5aw"W 323.18' 1 11 1 2.91 AC. a GARAGE t g 126,914 S0. FT. Z u w e 0 4.07 ACRES ° - ,498 SO. FT. 8 OI O • 2.28 AC. EXC. ESMT. 177 n im .y g . Q~ UAItnN 1 99.243 :;Q. FT. m_ j~ 23 e.3~ o€ L'i/ 3 QN t-n ~SHED AC. a ~p i(~1 ii- 949,3") SQ.FT. _ee°°e°e ^ 11-i I~ 1 1-1 2.21 " E.C.ESMT. 1~J ? r 96.349 so. F.. ` I 1 / I-1 17 rw[F. m EGESa /1 1/ / 16n ► s . r Al '59'16'E 353.00' \ FO, r~r~ ,aE J / : r V 1~ Ee. se : wed \ Jj 7 3' / 66. WIDE ROAD 41 JJ\~7~ O / EASEMENT FOR p I`. / e o e g LOT 4 - ' P FUTURE ROAD 2.10 AC. 8 09'52'w 266.01' 1-0 Js lr 91,450 S0. FT. 3D IG7 Ib ( r. C. EXG ESMY$ 9 1 \ / - / - O3 1 t 4 SO. FT. Na'n'a4Y / Cq1 41 49`w 1 Q6 I_ e e _ 23 S ' 7 L 2 40ING EASEMENT 92 / LOT Z 1 Z N N e- 6, O 3.19 ACRES IG7 0"'0 clo 138,990 SO. FT. a -E 1 919.0 PARCEL RECCFrCLO a Erq LOT -4 1141 PG. 7 o LOrt_ 5 I tA. C-21- ~e 2.0 o AC POOL W0'~'` ?I I B GIG. It 87,166 SO. FT. 1 L-J w AC It It. 1112 2.33 M AC. EXC. ESMT 1 p I a. r.._ f I A ` l/ 41pUgE A . I O ""•'~11~LLj11~j1 w'.iiw'w 16,270 S0. FT - 1 a0 p~ 2975 u°I 0 1 W N WINDMILL 1 m N89'~30'00"-E 3.17 AC. M. ESMT .Dh• IZ 7 po,.w 138,101 SO. FT. ^ nh 292.34 SHEDS ^ry' N89'S0' 17'E rlQ ❑ 0~ 9'50'17'W 293.10' 1 I N z v ut S89'50.17'W 66.0U- g 1 8 215.93 e 2.00 Ac. 1 - W = t..OT 6 g m C'•~ . LOT _ k N.sycl, . C. S. M. r / t.oo AC. m `~1 r(, 43 S0. FT. N t VOL. II w + -4 PG. 2975 m I DO i - I 3 c 8O'RADIUS TEMPORARY CUL-DE-SAC S8'9'~G33'~W 292.50' PLAT LOCATION AS E.*WN ON CSM WL. 11, PG 2975 TO BE VACATED UPON EXTENSION OF ROAD. n w nc'• JiJPLaI Tci L ,~,Jw Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Ftt(r to TOWNSHIP lq; $Oj/1 SEC. T ~ N-R.~W ADDISS ST. CROIX COUNTY, WISCONSIN J6 ~ - Ra SUBDIVISION LOT t / LOT SIZE VI 0% PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~Nohe 1 /iS100 4 ( bD r 3 v' INDICATE NORTH ARROW /I BENCHMARK: Describe the vertical reference point used . E m c ~ jj vl Elevation of vertical reference point: /or Proposed slope at site:a SEPTIC TANK: Manufacturer: tLiquid Capacity _4110 Number of rings used:_ Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front AC/ Side,0 Rear, O CAI;)e feet r From nearest property line Front,OSide,ORear,O / feet Number of feet from: well /~s~ P , building: ~U (Include this information of the above plot plan)( 2 reference dimensions to septic tank) l SEE REVERSE SIDE 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 i Bed: 1~x ~y Trench: Width: _fe Lenth: Es ® Number of Lines: Area Built: ~'U Fill depth to top of pipe: t Number of feet from nearest property line: Front, O Side, ® Rear,O Ft. -?6 Number of feet from well: -;'/01) t t Number of feet from building: /cc (Include distances on plot plan). EPAGE PIT Size:. Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: f r Plumber on job: License Number: 12 3/84:mj Parcel 020-1313-70-000 05/23/2006 10:10 AM PAGE 1 OF 1 Alt. Parcel 22.29.19.1586 020 - TOWN OF HUDSON Current 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 O - MARLOW, ROBERT C & FRANCINE A ROBERT C & FRANCINE A MARLOW 865 ROSS RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 865 ROSS RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.190 Plat: 2301-PHEASANT RUN SEC 22 T29N R19W PT SW NE LOT 7 PHEASANT Block/Condo Bldg: LOT 7 RUN 3.19 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 08/0612002 686186 1942/297 WD 07/23/1997 1154/589 QC 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.190 79,700 139,900 219,600 NO Totals for 2006: General Property 3.190 79,700 139,900 219,600 Woodland 0.000 0 0 Totals for 2005: General Property 3.190 79,700 139,900 219,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 k ST. CROIX COUNTY ,~4r WISCONSIN ZONING OFFICE r err ~,N. ~v 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) HAMMOND, WI 54015 February 6, 1987 Thomas Wang Route 2 River Falls, WI 54022 Dear Tom: In order to complete our files, please submit the As Built for the following system(s): Federal Land Bank of St. Paul, Sect. 22, T29N-R19W Town of Hudson Until all As Builts are received by the Zoning Office, no further permits will be issued or inspections made. Should you have any questions, please contact this office. Sincerely, '-Mal S ~1 v~ k~ ~r~ cJ Mary J. Jenkins Assistant Zoning Administrator MJ:rmc 0 0 0 ~ w .4 ~ rt (IQ m V I 'I~ 0 H. H F, F ~z z d V 00 H (D O x D3 O D3 N H rt N W J O N U) t~ OQ \ o. ~ N DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. B6 7969 BUREAU OF PLUMBING `MADISON, WI 53707 CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number: D Holding Tank O In-Ground Pressure ❑ Mound Ilf assigned) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: 5-0 Federal Land Bank of St. Pau H 35 N. River Falls WI 54022 - -Q -Z- BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: 77T_7LEV,: SW NE Section 22, T29N-R19W Town of Hudson Name of Plumber: MP/MPRSW No. 77:7 Sanitary Permit NumberThomas Wan 3231 Croix 88450 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER/ P17OV ED: PROVIDED . OYES S ONO OYES NO BEDDING: VENT DIA.: VENT MATL HALARM WATER NUMBER OF ROAD: PROPERT WELL: BUILDING: VE TTO ESH FEET FROM LINE: AIR INLET OYES A J NO OYES XNO NEAREST J DOSIN CHA BER: MANUFACTURER. BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO 1 -1 OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET' PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moistureat the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: INO,OF COVER JINSIDE DIA -PITS LIQUID TRNCHES. MATERIAL: PIT DEPTH. DIMENSIONS S$ GRAVEL EPTH FILL DEPTH JDISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO DISTR. NUMBER OF PROPERTY WELL BUILDING: VENT TO FRESH BEL S. ABOVE COVER: ELEV. INLET ELEV. END: PIP FEET FROM LINE: AIR INLET: .7 7- NEAREST--► 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- O YES ONO meets the criteria for medium sand. TIONS MEASURED. OIL COVER TEXTURE: PERMANENT MARKERS JOBSERVATION WELLS OYES ONO DYES NO DEPTH OVER TRENCH/BED :E777:7T~~Is ODDEDSEEDEDULCHED CENTEROYES ONOOYES ONO OYES 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. DISTH DISTR. PIPE UISTNIBUTION PIPE MATERIAL & MARKING ELEV.: ELEV.. DIA.. ELEV.. PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS 70 APPROVED PLANS: OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF IPROPERTY WELL BUILDING: FEET FROM LINE: DYES ONO OYES NO NEAREST r. 1 g r~ Sketch System on`~, Reverse Side. Retain in county file for audit. SIGNATURE. TITLE. DILHR SBD 6710 (R. 01/82) SANITARY PERMIT APPLICATION COU ( Y DILHR In accord with ILHR 83.05, Wis. Adm. Code S ATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on not less than paper 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 I OR 4A ION. FOR VARIANCE ❑ YES ❑ NO Of! 04 P PE TY OWNER ,p PROPERTY LOCATION ~O 5&) % E'/a, S o~o? T P9, N, R 1,9 E (or W PROP RTY OWNER'S MAILIN~}ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME l0 3 IC CITY, STAT ZIP CODE PHONE NUMBER CITY NEAREST R AD, LAKE OR LANDMARK ) ❑ VILLAGE : 6 d t o~ II. TYPE OF BUILDING OR USE SERVED: 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. ❑ New beKJ 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. Q 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) r 1. a.'® See a e Bed b. E1 See a e Trench c. ❑ Seepage 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) : Feet X] Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in gallons Total of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic A Tanks Tanks 145'D ct I structed pp Septic Tank or Holding Tank RVw es? re w 4 ® ❑ ❑ ❑ Lift Pump Tank/Si hon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber' Name (Print): Plumb s gnature: (No Stamps) MP/MPRSW No.: Business Phone Number: S xILq ~ ,3a3 / 5 s'EP Plums Ad ress! (Street ity, State, ip ode): Name of D igner. (N c/L° / (/C/5 (/~LJI VIII. SOIL TEST INFORM TION Certified Soil Tester (CST) N7a/4~ CST 19 CST's A RESS (Street, City, State, Zip C) Phone Number: Q Lo IX. COUNTY/DEPARTMENT SE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuin Agent Signature (No Stamps) Approved El Owner Given Initial 10 Surcharge Fee Adverse Determination ! X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber 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: 1. Property owner's name and mailing address. Provide the legal description where the system is to be installed; It. 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; Ill. 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 Groundwater - included the creation of surcharges (fees) for a number of regulated practices which Wisconsin's 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 to the groundwater through your soil absorption U system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- by the Department of Natural Resources. These funds are used for monitoring ground- mad tered' _ate-, g-)UrJwater contamination investigations and est .,R. 0 .m..ent of standards Groundwater, ;"s worth protecting. BD-6398 I R.03%86) 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 J1j ti Location of Property S E Section , T a~ N-R in W Township Mailing Address l . v Z W1, Address of Site lso-n Subdivision Name :Lot Number Previous Owner of Property V Total Size of Parcel 3 7 Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No 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 1 (We) ceA i,by that att atatementb on this bonm aAe t1Cue to the best 06 my (oun) k.nowtedge; that I (we) am (cute) the ownerc(b) ob the ptopenty ducnibed in thiA in6o4mat.ion bonm, by viA tue o6 a wa4Aanty deed neconded in the 0 b 6ice o6 the County Reg.caten o6 Veed6 ass Document No. ~YtL f* and that I (We) pnezentey own the pnopoded 6 to bon the 6ewage diApod .dyb em (on I (we) have obtained an easement, to nun with the above de cAibed pnopenty, bon the eonathucti,on ob zai.d ayatem, and the came has bee duty neconded in the 046ice ob the County Regizten ob as Docment No. WD V OWN SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED a. /off WISCONSIN REAL ESTATE TRANSFER RETURN a Wisconsin Department of Revenue GRANTOR:. GRANTEE: f Name ,sr a ^i=!nn Name -ha 7 is: Lwnd -af LL. ?caul s Social Security Number Social Security Number j dull Address - New address if property transferred was residence Full Address St. Croix smmty Cowt ,/jail 3-73 3ec3csoa Stmt Hudsm, Wh ti 54016 St. Paul, -M 55101 Is grantor related to grantee? Relationship includes, ❑ Yes'] No Name and address to which tax bills should be sent if not the same as above marriage, blood relative, partner, lessee-lessor, co-owner, parent corporation or joint owner. i , 'If yes, explain how related Grantor is Individual ❑ Partnership ❑ Corporation ❑ Other Grantee is ❑ Individual ❑ Partnership Corporation ❑ Other Telephone: Grantor ( ) - Telephone: Grantee ( ) - PART I - PROPERTY TRANSFERRED PART II - PHYSICAL DESCRIPTION AND INTENDED USE Check proper box and enter name of municipality and county 1. Kind of Property 2. Principal IntendedUse ❑ City ❑ Village ® Town== a. ❑ Land Only a. ❑ Residential d. 0 Agricultural County 3t• croin ❑ New Construction b. ❑ Commercial e. ❑ Recreational Street address of property transferred. Include road name and /or fire number. ® Building Previously Used c. ❑ Industrial f. ❑ Other ❑ Solar Design 3. Land Area and Type Estimated ❑ Earth Sheltered Home a. Lot size x ❑ Legal Description (Fill in complete legal description in space below or if metes ❑ Condominium b. Total Acres ❑ and bounds description attach 4 copies of it as shown on the instrument of ❑ Time Share 1. Tillable Acres ❑ conveyance. If certified survey map number is used in description list town, b. Residential Units, if any 2. W.T.L. Acres ❑ range, section and acres.) Tax Parcel Number ❑ One Family 3. F.C. Acres ❑ Lot No. Blk No. Section Town Range ❑ 2 and 3 units 4. Managed F.L. ❑ Plat Name ❑ 4 or more units c. Ft. of Water Frontage ❑ PART III - FINANCE Is Agricultural property transferred? Yes No If yes complete Financial Terms (PE-500 Supplement) on last page PART IV - TRANSFER (One answer is mandatory for questions 1-4, 5a or b must be completed, questions 6, 7 & 8 as appl ) 1. [E-Sale 2. ❑ Gift 3. ❑ Exchange 4. ❑ Other transfer (Explain) .~.i • 3 3 PLC ' 101103/8 ti 5. Ownership interest transferred a. Q Full b. ❑ Other (Explain) 6. ❑ Deed in satisfaction of land contract - What was the date of the original land contract? 7. Amount of mortgage assumed by grantee? S 8. Does the grantor retain any of the following rights: ❑ Life estate ❑ Easement PART V - ENERGY Is this property subject to the Rental Weatherization Standards, ILHR 67? ❑ YES Q NO If NO, enter Exclusion Code from instructions U NOTE: If YES attach the appropriate DILHR Transfer Authorization form (Cert. of Compliance Stipulation or Waiver) to be recorded PART VI - COMPUTATION OF FEE OR STATEMENT OF EXEMPTION (See instructions) 1. Total value of REAL ESTATE transferred (purchase price, etc. rounded to next even hundred). Include real estate exempt from local property tax (Solar, wind, M&E etc.), but exclude personal property $ 230,000.30 2. Value of personal property transferred but excluded from line 1 $ 3. Value of property exempt from local property tax included on line 1 $ 4. TRANSFER EXEMPTION NUMBER if exempt for Reasons 1-16 (see instructions) Sec. 77.25. 14 1 5. Fee - thirty cents per one hundred dollars of value (line 1 times.003) Make check payable to Register of Deeds $ PART VII - CERTIFICATION The transfer must be reported regardless of the grantor's state of residence. Information on this return will be used to administer Wisconsin's Income and Fran- chise Tax Laws, Real Estate Transfer Laws, Rental Unit Energy Efficiency Laws and General Property Tax Laws. We declare under penalty of law, that this return (Including any accompanying schedule) has been examined by us and to the best of our knowledge and belief it is true, correct and complete. Signature of Grantor or Agent Date Print or Type Agent's Name SIGN 04/10/86 LuVerne J. Burke, Sheriff HERE Signature of GranteeorAgent f Dale. / 1 3 Pltirxc.. _ ot.~yge,~geQt's Name -tr a J.''1+t for federal Land lank of SL.?~aul If Signed By Agent Agent Address Phone Document No. Vol. (Reel) Page (Image) Date Recorded Date and Kind of Conveyance Conv. Code LEAVE 410802 7376 447 4/11/36 3/1F/36 Sberiff'a Dead THIS Parcel Number 19 19 Code: County Tax District Assm't Dist AREA L L BLANK I I 1 Office 2 Field 3 Use 4 Reject A B C D E F T T Ratio Consideration School District No. PE-500 (R. 11-85) PROPERTY OWNERS COPY 0802 i'j b rA 4 6 7 STATE OF WISCONSIN CIRCUIT COURT ST. CROIX COUNTY 2 Federal Land Bank of St. Paul, 3 Plaintiff, SHERIFF'S DEED 4 vs. 5 Myron L. Wolter; Pamela C. Wolter; Production Credit 6 Association of River Falls; Case No. 84-CV-318 Hammond State Bank; 7 Equity Cooperative Elevator Company; Valley Veterinary 8 Service; Northern States Power; REGISTERS GFr;C2 Ron & Primo's T.V. Clinic; ST. CROIX CO., WIS. 9 Dennis Ullom and James Kruizenga, Record this 11th dba St. Croix Firewood; 10 Gherty & Dunlap; St. Croix Valley qL April A.D:1986 Radiologic Consultants Limited; 11.30 A 11 State of Wisconsin; Lesters of Minnesota, Inc.; Robert Ulbricht, 12 dba Homesite Sewer & Septic Co., embew W DOW' 13 Defendants. .-14 t5 WHEREAS, pursuant to a judgment of foreclosure and 16 sale rendered in the Circuit Court of St. Croix County, 17 Wisconsin, on January 3, 1985, in an action between the 18 above-named parties, and, after due advertisement, the mort- 19 gaged premises hereinafter described were sold on March 11, 20 1986, to The Federal Land Bank of St. Paul, the best bidder, 21 for the sum of $230,000.00, 22 And, WHEREAS, the said Federal Land Bank of St. Paul 23 is now entitled to a conveyance according to law, 24 NOW, THEREFORE, the undersigned in consideration of 25 the payment to him of $230,000.00, receipt of which is hereby BYE, KRUEGER y & GOFF, S.C. ATTORNEYS AT LAW 710 NORTH MAIN STREET . P.O.Box167 RIVER FALLS, WISC. 56022 i (71Sj 425-6161 Case No. 84-CV-318 SHERIFF'S DEED _ 1 t PV1 acknowledged, conveys to The Federal Land Bank of St. Paul the 2 following tract of land in St. Croix County, Wisconsin: NEI lying South of railroad right-of-way, 3 except Lot 1 of Certified Survey Map as recorded, Volume 3, page 621, as Document 4 No. 349632 in the office of the Register of Deeds in and for said County; NISE$, Sec F 5 tion 22; 6 NWiSW$; 7 NWJ, except: Commencing at the Northwest corner of said Section 23; thence South 00°34' 8 50" East along the West line of the NWJ of said Section 23, 1354.51 feet to the centerline of 9 U.S. Highway 12, thence North 89127'44" East along the centerline of U.S. Highway .12, 10 1053.04 feet to the point of beginning of this description; thence North 02°10'36 W, 330.00 11 feet; thence North 89127144" East, 660.00 feet; thence South 02010136" East, 330.00 feet to the 12 centerline of U.S. Highway 12; thence South 89°27144" West along the centerline of U.S. 13 Highway 12, 660.00 feet to the point of beginning. 14 Also except: Commencing at the Southwest 15 corner of NW$, Section 23, thence East 12 rods, thence North 10 rods, 10 feet to existing fence 16 line, thence West 12 rods, thence South 10 rods, 10 feet to point of beginning; Sec- 17 tion 23; 18 All that part of SJSWJ lying South of railroad right-of-way, Section 14; 19 All in Township 29 North, Range 19 West. 20 Subject to existing highways, easements, and 21 rights-of-way of record. 22 Dated this /Y'" day of March, 1986. 23 24 (SEAL) 25 LuVerne J. B ke, Sheriff St. Croix County, Wisconsin BYE, KRUEGER & GOFF, S.C. Deed exempt : 77.25 (14) , Wis. Stats. ATTORNEYS AT LAW F10 NORTH MAIN STREET R.FAL 8'W RIVER ISC. 14031286 - 2 - L 5.022 i71S)425-8161 Case No. 84-CV-318 SHERIFF'S DEED { STATE OF WISCONSIN tic) P 4, 1 ) ss. ST. CROIX COUNTY - ) 2 On the day of March, 1986, before me came 3 LuVerne J. Burke known to be the individual and officer 4 described in, and who executed the above conveyance, and 5 acknowledged that he executed the same as such sheriff, for 6 the uses and purposes therein set forth. 7 8 9 cS9LL~/ iGy c Notary P~ib. St. Croix County, Wiscons`,~ 10 My commission expires: 12 13 This instrument was drafted bv: ST, ` BYE, KRUEGER & GOFF, S.C. 14 710 North Main Street River Falls, Wisconsin 54022 15 16 17 18 19 20 21 22 23 24 25 BYE, KRUEGER i GOFF, S.C. ATTORNEYS AT LAW TIC NORTH MAIN STREET RivER FAu$' WISC. 14031286 - 3 - W22 [715)125-6161 H x Cn _ y a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z 7 d NER/jBUYER ~CCGM ROUTE/BOX NUMBER Fire Number .CITY/STATE ~jy~ C✓ ZIP j ~dd~l PROPERTY LOCATION: Section T N, R / _W, Town of 6) , 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.Count,y 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. yo I/WE, the undersigned, have read the above requirements and agree vi to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v 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 DATEL~ zm 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. DEPARTIMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, , C DIVISION LAND PERCOLATION TESTS (115) P.O. BOX 76 HUMAN RELATIONS (H63.090) & Chapter 145.045) MADISON WI 53707 LOCATION: SECTION: D S UNICIPALITY: LOT NOT L K. NO.: SUBDIVISION NAME: sG~' /4N;~/ 9 a /T 6/9 N/R E (or so vt COUNTY- O NER~/BUYER'S NA ~ S MAILIrig ADDRESS: ~ .~e°o,x fro u ~ ~ ~ 3 V 1~~1 s s USE DATES OBSERVATIONS MADE NO. BE RMS : COMMER IAL DESCRIPTION: PROFILE DESCRIPTIONS: PER CATION TESTS: Q Residence ❑ New RReplace - RR I 1; A RATING: S= Site suitable for system U= Site unsuitable for system o' J U (C' ? G CONVENTIONAL: MOUND: -GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOM NDED SYSTEM: (optional) ~ s ❑u La s ouIN sou o s ©u o s ®u r' If Percolation Tests are NOT reque: ired .09( DESIGN RATE: [Ff an y portion of the tested area is in the under s.H635)(b1, indicat loodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) &O C ->~,ob I,op~ .b 6,60f~1 S~'~r B- q~.SO , b n ~ ~r B- B- B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P- 1,6(2 11) f P- 3,60 0 P- b 3 3 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. SYSTIQN LEVATION P14. e , i . . . 3 , ~ , 3 lle rv1 ~ I{? e5 ~ ~6~e. E ; - IN 3 uE vtf 0 En 01d ta:<k . F v f e ; I Se i , I - a 16 es C ___7-1 i 1 ; E ~ E E E 1, A 3 Administrative nk, 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 Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): A TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMB : PHONE NUMBER (optional): CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - i w .-RU TIONS FOR COMPLETING FORM 115 - BD - 6395 To ac,-at- moil test, your report Must include: 1. C :e :e or cial project; 4 A HOLDING T NLY IF ALL ,.TIONS; A S, IVI :e si y ur benchmarK a , Cc :Mt all appropriate boy A exemp- tis; sf appropriate; 1t?. information (such as flood _ 1, r X. in the appropriate box; 11. Si -n th . )rm lac 4 it z 12. Make legit _ T 3T BE FILED WITH THE LOCH PI T )N. ABBREVIATIONS FC - 7-FIEI SOIL TESTERS I Textures C 1,31 fT, an *c.. :.'.irn 'tats . `>aM s( - )am Sir' L:.irn S - st w res ft aI s TOTHE Cd' ,:)epartmc it y r' :tai f pl-11- kcal auth( s, ;rt of any ~ R 3 a3 i &V~ l / ok per Pile. otd I~ e ro®~,g Dr ~ u e ~rese fraids ~a Fa-t1; ~S~ten► 3cof,C lobe ~~andoe~ e Q 8b & ri t3 let ~olc