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Home My WebLink About261-1211-29-000 0 cod o m n o C7 L/1 f C 0 C vm `°-c CD m ' CD 3 lot I y Cn -i 2 N Z ° w o n 6 rn `C • N) N) y O N N O S O CD D B C: N N ((n i p W> ? Z w, O ^ SU N rti a- 4~ O-0 n 7 Q N cc W co p C (D ((D n a) O cn 3 S CD co y go 0 O ~ lV N (D . t~ (n D a n 0) W 3 m ° V O ° W N co CD 0 co O O C N A N .r Z N * M • o w (D' o z ooox E Z m C c _ ° -1 y N ~ o D O N p o' y m A m n ° (1 ry ri n w Z m D N O m 'm = c. H O N. y (n Z O rt O t7 r 3 N :3 (D 00 y H a 9 z -4 W 9 w z o t' ON V t=i D W o t-j ( V d N O a H O =7 Cn !~1 • _ (D (D N l~~yl H CD N N (D 4) r) 0 11 . W C CD N W m a (D ~ I fD N Z CD 00 O Z Z lCD1 O W ( I H H Cn N c s z Cb O w CsJ v a A z v> >i o z W m C;~ 1 I U) N •D ~ (D C 00 cn C') r* n m H N rd O b Z (D j d 3 N N 7 a „ In X cn I-j CD -n N. C m ° z Z 0 (n 4 ~..i 4 \ 4 0 O~ O 0 b ti dQ Op o O N as O (D V y 'Parcel 261-1211-29-000 05/11/2006 04:18 PM PAGE 1 OF 1 Alt. Parcel 925-004-010 261 - CITY OF NEW RICHMOND 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 BRIAN A & PAMELA S COX O - COX, BRIAN A & PAMELA S 1400 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1400 HWY 64 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 7.880 Plat: N/A-NOT AVAILABLE PT OF THE SE SE SEC 25 T31 N R1 8W DESC AS Block/Condo Bldg: LOTS 1 & 2 CSM 5/1283 ALSO COM SW COR SD LOT 2; TH S ALG E ROW STH 65 TO ITS Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) INTERSECTION WITH N LN STH 64; TH E ALG 25-31N-18W N ROW LN STH 64 TO THE SW COR OF SD LOT 1;THN01 DEG E 113.17'; TH N 82 DEG W more... Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1151 /191 WD 07/23/1997 1113/060 WD 07/23/1997 939/410 07/23/1997 787/513 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/17/2002 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 7.880 275,000 1,253,000 1,528,000 NO Totals for 2006: General Property 7.880 275,000 1,253,000 1,528,000 Woodland 0.000 0 0 Totals for 2005: General Property 7.880 275,000 1,253,000 1,528,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1103-60-000 05/11/2006 05:01 PM PAGE 1 OF 1 Alt. Parcel 25.31.18.4368 038 - TOWN OF STAR PRAIRIE 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 - COX, BRIAN A & PAMELA S BRIAN A & PAMELA S COX 1400 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 430 S KNOWLES AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 6.344 Plat: N/A-NOT AVAILABLE SEC 25 T31 N R1 8W 6.344AC SE SE LOT 1 OF Block/Condo Bldg: CSM 5/1283 ANNEXED TO CITY OF NEW RICHMOND(1246/344-#561171) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1234/156 WD 07/23/1997 1148/45 07/23/1997 835/164 07/23/1997 615/542 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 02/27/1998 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1104-30-000 05/11/2006 04:58 PM PAGE I OF 1 Alt. Parcel 25.31.18.4361 038 - TOWN OF STAR PRAIRIE 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 BRIAN A & PAMELA S COX O - COX, BRIAN A & PAMELA S 1400 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 430 S KNOWLES AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.596 Plat: N/A-NOT AVAILABLE SEC 25 T31 N R18W .596AC SE SE LOT 2 OF Block/Condo Bldg: CSM 5/1283 ANNEXED TO CITY OF NEW - RICHMOND (1246/344-#561171) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 25-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1234/156 WD 07/23/1997 1148/45 LC 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 02/27/1998 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 AS BUILT SANITARY SYSTEM REPORT I OWNER TOWNSHIP rl~ci~ SEC TN-RW ADDRESS r ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE r PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM d z, Y S r4 09 I di at N r h rr w BENCHMARK: (Permanent reference Point) Describe: i_ Elevation of vertical reference point: Slope at site: 1 i SEPTIC TANK: Manufacturer: 1:, Liquid Capacity: Number of rings on cover -Tank manhole cover elevatio Tank Inlet Elevation: < Tank Outlet Elevation: PUMP CHAMBER Manufacturer: _ -Number of gallons Number of gal. pump set for a cycle gallons; Total capacity of distribution lines gallon: size of pump head; gallon per minute horsepower ;brand name of pump and model number ; Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device _ _ SEEPAGE PIT SIZE; Number of pits _ feet diameter feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. SEEPAGE ICED SIZE: number of lines _ width_,Z_lengtt,r the depth r SEEPAGE 'FRENCH: width _ length- PERCOLAT._ON RATE AREA REQUIRAREA AS BUILT INSPECTOR I llATED~~ PLUMBER ON JOB LICENSE NUMBER /S~s UEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR &,HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOA 7969 BUREAU OF PLUMBING ^AADISON, WI 53707 ®CONVENTIONAL ❑ALTERNATIVE state Plan LD. Number: (If assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER. INSPECTION DATE: n l G~ Duane Johnson RR# 3, New Richmond, WI 9-3o-F-3 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. T. ELEV. SE SE, Section 25, T31N-R18W, Town of Star Prairie Name nt Plumber. IMP/MPRSW No_. County Sanitary Permit Number Cal Powers 1563 St. Croix 43672 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV WARNING LABEL LOCKI COV Y . ~Ol~~/t / r • P ED PROV ED YES ❑ NO NO BEDDING: VENT DI VENT M L. HIGH WATER NUMBER OF ROAD: PROPERTY WELL BUIL NG. VENT TO FRESH _I ~ I - ALARM. FEET FROM LINE731 ~3 AIR INLET'. ❑YES LINO ❑YES LINO NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED'. ❑YES LINO ❑YES LINO ❑YES LINO GALLONS PER CYCLE: JPUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING (VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES NO NEAREST 30 SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing It FN ,I H 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: WIDTH LENGTH NO. OF DISTR. PIPE SPACING. COyFS- INSIDE DIA. LIQUID BED/TRENCH ^ TRENC`ES MAT~hIAL PIT D DIMENSIONS / of L ' (;RAVEL DEPTH FILL DEPTH I PIPE pIST R. PIPE DISTR. PIPE MATERIAL. NO UI NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH BE LOW PIES AB VE C:f.~V IN - E EV ND03 PI LI 5 1 AIR INLET. ~G) FEET FROM • NEAREST 7 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 ake certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria f r m dium sand. T tG1 S MEASURED. ❑YES - LINO SOIL COVER TEXTURE PERMANENT MARKERS;' % OBSERVATION WELLS ❑YES N ❑YES NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH: BED DEPTH OF TOPSOIL S DDED SEE)Eb IMU,CHED CENTER EDGES ❑YES ENO YES LINO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO. OF 7 ER L SPACING. G AVEL DEPTH BE I~ W PIPE FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DI R. PIPE rNI FOLD 71AL. NO. DISTR. IDIqR. PIPE DI "TRIBUT~IPE ATERIL & MARKIN ELEV.. ELEV. DIA.. EeEV.' PIPES DI ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED RR CTLY COVER MATERIAL; VERTICAL LIFT CORRESPONDS TO APPROV PLANS Y.4S ❑ ❑YES DNO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: % NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE' 3 • I ❑ YES ❑ NO ❑ YES ❑ NO INEAREST- 31, Wta 7` Sketch System on -R_q in county file for audit. Reverse Side. SIGNATURE. TITLE. DILHR SBD 6710 (R. 01/82) ~ onsin APPLICATION FOR SANITARY PERMIT , ~ COUNTY IMT0 (PCB 67) UNIFORM SANITARY PERMIT # TR V,LR60R6NlJmgn gELRTlOnS -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches/Fin size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER I MAILING ADDRESS I PROPERTY LOCATION CITY: f_ 1/4- 1/4, S-/ N, R (or) W TOWN OFD LOT Nl MBER BLOCK (NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED ❑ 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ New System ~Z Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: fir,, IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): ❑ Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installa on f the private sewage system shown on the attached plans. Name of Plumber (Print): Sig t re: MP/MPRSW No.: Phone Number.: e~ 4-4 Plumber's Address: Name of Designer: r i I l COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved Approved Owner Given Initial Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber 1 INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. le3 ter-- ~/off. e I I /62 44 / 1 i 4LE kk',41 'rl 1 DUS DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, cc DIVISION LABOR AND BOX ,HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON WI 53707 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNI,QIPALITY: LOT NO.: BLK. NO. SUBDIVISION NAME: /4 N/R;~lar,W C9UNTY: OWNER'S/BU ER' NAME: MAILING ADDRESS: A± 1Z USE DATES OBSERVATIONS MADE NO. BERMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence f' ❑ N ew Replace _ RATING: S= Site suitable for system U= Site unsuitable for system /L CONVENTIONAL: S ❑NAL: MOUND: IN GROS P❑U RE: SYSTEM-IN` ILL ❑LDIfJG TANK: RECOMMENDED SYSTE(optional) LIU If Percolation Tests are NOT requirey DESIGN RATE: If an 1 y portion of the tested area is in the ; under s.H63.09(5)(b), indicate: j 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.) B w> B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PE RIO 2 PERI D3 E INCH s P P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION ~ a , _ cull 3 ~ I ^V I J ~ E ~kLL I lc1 a s 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): TESTS WERE COMPLETED ON: ADORE S: CERTIFICATION NUMBER: PHONE NUfIBER(optional): CS G R E t t :;',`RIBL!-n0N: Original and nne,.opy to Local A, _t, _rity, Piope.,y Owne doh Soil Te r a _h is,. 3., a€t,.. m r x tai a2€'7~+.. .e£.tI tli i.a:t „oei?i w('J2fl r c ?£;t: A 7_,+ ,er.~~~'.: rv''•v ..{LE . .._1 ,a .;%o .t dy tint,"o o",to your !at lE;f,;'i lhs to wd€d rtP"et C1. h"k and now! a tt, E snumna! t .ait l ihovon, old aiu pet M_.,(o t u' s: yot" .,et x t~_ . . . b„s.'- .t r°- "i~ w1~a~~t_~ i 81t e € . ?,"C'S C. S to £t 0 et l oo , ad t„rE ..s£-:., '4 ,<,t1 to in d MC p w JnI_7C.,[t ;£=°:i 0 7;i'3,Yi)~ w , e ` d plarn e ~ , ducs no ~i A n £t.C,w PT& in K c Jpowflrit,t e box: r' ,r, t~ t z mmy ,r tprm € f ha s i'.Rta. PIN I'llimu* I. S 6',o `'2) LS Wwomac PoW 4 A UP V! YJ to , 3. F€StY F'!: FEt fit. 3: B2 [£t it't,_ a 3 F ~ :a to _'1 + .W Y d i Want .ht r £ i, Pty 06 Wan Gn Lomn it tin i R a G iA',3;t tc v b i w-t ERta. 1300 1 .W : a _ Tit OWN R i4 the ,o;.. `n Al .za , o y Pam b. t`,_ two Hi n} t, the . t owtotta, may uucs: -E . 0. n., 101 v o .i, 10 S_ Ali o E--t,E'. .s W1 .a,[ of 3 O=. f 'o WJcPzri .i P;y~. to °7t •,i~ i. o , t_, aY€. .r ~:7rF5, E.> c. tir city r Es iii. a.o a.. .~tst <i., _ " oo ~ .mot . oa n tet ~ ."a, . ` „ ' :.F now by , „to "t n t no Wertof to i t4.Ct =a `£a'?. F U f I i i S 1' C IUU Owner of Property ~a- AA-Y-1- Locutio" of PropertyS--'>;_~ S~CCiun~ ,1'_.3LN lt_1W Township Mailing Address f~ D l ~i --J 61: j_ Subdivleion Nawc 61 .-~9 Lot Nuwber~y Y Previous Owner of Property lO~ h NJO-rCA- POc U Total Size of Parcel__ (p 2 C c rr S - Data Parcel was Created .7 U -3 Ara all corners identifiable? Ye Nu Include with Chia aypl.iCation one of the followlILL: .Certified Survey Map .Deed .Land Contract, or .Uther legal DoCU0.lCnL which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all s-tatemunts on this form are true to the best of my (our) knowledge; that I (we) am (are) the owndr(s) of the property described in this information form, by virtue of a warranty deed ecotded in the Office of the County Register of Deeds as Document No. S ~ 1 !7- ; and that I (we) presently own the proposed site for the sawaye disposal system (or I (we) have obtained an gasement, to run with the above described property, for the construction of mid system, and the lame has been duly recorded in the Office of County Hollister of Dads, as Document No. -kl ~1~41 l SIQNATUNE OF OWNEN 51GN TUNE OF C -OWNS 'IF APPLICABLE) DATE SIQNEO DATE SIGNED i w r ~ (7 ST. CROIX COUNTY CERTIFIED SURVEY MAP LOCATED IN PART OF THE S 1/2 OF THE SE 1/4 OF THE SE 1/4 OF SECTION 25, T 31 N, R 18 W, TOWN OF STAR PRAIRIE, ST CROIX 4Y 114 CORNER COUNTY, WISCONSIN, r SECTION 25-31-19 COUNTY MONU/YWEN LEGEND N -il O I"X 24" IRON PIPE SET DUANE a MARY JOHNSON (AUDSON, LL C, WEIGHING 1.68 LBS./LIN. FT ° ROUTE 3 3/4" IRON PIPE FOUND NEW RICHMOND, WISCONSIN YtiACEN • 1" IRON PIPE FOUND 9. -+r--+r--rt-CHAIN -LINK FENCE 54017 S-1407 c N. 900 00'E.) DATA OF RECORD i S THE EAST LINE OF THE SE v"iS. R. 1/4 OF SECTION 25-31-18 IS ~',r F•,, V 1.l \ ASSUMED TO BEAR N. 0o 18' 44 W. 6 . S u; 0 N W E Z O $ _UNP_LATT~FU LANOS_ OWNED 8), OTHERS THE NOR TN L/NE OF THE S //2 - SE 1/4 - SE 1/4 OF SECT/ON 25 W N. 890 38' 54" W. 520.76' "v O I 0 Ili 1/ ~l/ N NE CORNER OF W TH,- S 1/2 - SE //4 Q~ SE 1! L I/ 0 \ 1 U of W c\j N S. 840 44 ro W 5 2 O / 120 ~ ; E. ti .20 I~ Lw U NOTE; M - Q - 1 11~ _ LOT 3 IS SHOWN ONLY TD / ct ~ REPRESENT A DESCRIPTION m o _ tt Q CORRECTION AND NOT TO CREATE a / vz A NEW PARCEL- S. 89o 16' 4 31 i 12 7.3 8' -rn ct) LOT f z ~i I h 65 LOT 2 ti 276,351 SQ. FT. Off' 25,973 SQ FT (6.344 ACRES) ~I h (0.596 ACRES) W EXCLUDING RIGHT-OF-WAY! nI z ~ 292, 555 SQ. FT N N ! (D - m (6.716 ACRES) t~ v1 N (V .1 60' " W.) 0) INCLUDING RIGHT-OF-WAY o eo 5. ~ i i N_ 79048'54 W 1 b 62.5p 36.00' 35 6q= 6' ) 6 2. (+1 6 42 84 ~ ?1.64. 18 S. 880 S, 44 11" E. I I E. _ (N 880 42' W,) J' (N. 020 16' W 714') ti 41 v fn _ 1J Q U) i ~ G V I'coo), U-) t3 '44.68'_ R/W L /N35' )1" 1-ro 8 q., 35' 51" E. X03' Tf1c' SOUTH L//VL Or- I-HE Sc //4 OF SECTION L7 SE CORNER ~7qT~ TKUNK_hIGNWAY, °"H°°_ ,;ECT/O/V 25-3l-/B RAILROAD SPIKE SCALE ON LS NINETY FEET SEE COUNTY SURVE 4 --1rr wsr r OR FOR TIES. loo, 50' _~E O INCH EQUALS 100' 2001 300' VuLUME , PAGE CFRTIFIFD SURVEY MAPS . ~ CURV LOT RADIUS NQ NQ LENGTH CENTRALANGLE CHORD BEARING CHORD CURVE TANGENT LENGTH LENGTH BEARINGS • 1-2 259-98' 380 22' 30" S. 15o 51' 40" W. 170.69' 174.13' 1S' 3° 19' 35" E. 02, V, 9' 46_2-4" S. 30" 0'J' 43" Vh' 4,(.29' ti4.353 280 36' 06" S. 170 37' 38" W 128.44' 129.78' - - 3-4 1 2720.29 50 31' 20 N. 860 41' 03" E. 262.09' 262.19' N. 830 55' 23" E. N. 890 26' 43" E SURVEYORS CERTIFICATE I, Allen C. Nykiagen, a registered band Surveyor, hereby certify that by the direction of Duane & Mary Johnson, I have surveyed, described and mapped the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed"and mapped.is described as follows: A parcel of land located in part of the S 112 of the SE 1/4 of the SE 1/4 of Section 25, T 31 N, 'R 18 W, Town of Star Prairie, St. Crc.i% Co"~'ri yp Wisconsin, further described as follows: Commencing at the SE corner of Section 25, said SE corner is also the point of beginnin of this description; thence N 00-18'-44" W along the East line of the SE 1~4 of Section 25, 659.37 feet; thence N 890-38'-54" W along the North line of the S 1/2 of the SE 1/4 of the SE 1/4 of Section 25, 520.76 feet to the easterly R/W line of S.T.H. "65"; thence S 30-19'-35" E, along said easterly R/W line 204.04 feet to a point of curvature of a curve which is concaved westerly, having a central angle of 380-22'-30" and a radius of 259,98 feet; thence southwesterly, 174.13 feet along the arc of the curve, the long chord of which bears S 150-51'-40" W, 170,89 feet to the point of tangency thereof, said are also being +he aforesaid easterly R/W line of S.t.H. "65"; thence S 350-02'-55" W along said R/W line 24.34 feet; thence S 20-501-250" W, 126.22 feet along said S.T.H. "65" R/W line; thence S 880-44'-11" E, 42.84 feet; thence N 790-48'-54" E 62.50 feet; thence S 820-18'-11"' E, 71.64 feet; thence S 10-15'-49" W ' 146.17 feet to the South line of the SE 1/4 of Section 25; thence S 890-35'-51" E, 407.33 feet to the SE corner of Section 25, and the _ i, t of begInning. That this Certified Survey Map is a correct representation of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 Wisconsin Revised Statutes, and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. q 3a ^crr64 C IV J• 4 7LE C. `i° N N • 407 /~,Y• HUDSON, f~. vr1S. P Parcel 038-1103-95-000 01/31/2007 02:07 PM PAGE 1 OF 1 Alt. Parcel 25.31.18.436F 038 - TOWN OF STAR PRAIRIE 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 - COX, BRIAN A & PAMELA S BRIAN A & PAMELA S COX ANNEXED Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 430 S KNOWLES AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.210 Plat: N/A-NOT AVAILABLE SEC 25 T31 N R1 8W PT SE SE COM 534.7 FT W' Block/Condo Bldg: & 10.44 FT N OF SE COR SEC 25 ON CEN LN TN RD: TH N 99 FT, W 95 FT, S 99 FT, E Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 95 FT TO POB ANNEXED TO CITY OF NEW 25-31N-18W RICHMOND (1246/344-#561171) Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1234/157 WD 07/23/1997 1151/189 WD 07/23/1997 1125/319 WD 07/23/1997 708/302 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 02/27/1998 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 wisconssn APPLICATION FOR SANITARY PERMIT o 3L~- / l ~ 3 -0O/ Y3~,i~ ~ DILHR, (PLB 67) St' C10iX COUNTY oEVaaTrnenroF UNIFORM NITARY PERMIT # mouslav,Laaoaerium~ M3 43672 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER ~1 . t MA LING ADDRESS , Al ,j PROPERTY LOCATION CITY: j` 1/4 5f"1/4, S T31, N, R VILLAGE: /8 OI) VII TOWN OF: 7 .L = LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LAND ARK STATE PLAN I.D. NUMBER TYPE OF BUILDING OR USE SERVED / 1 or 2 Family Number of Bedrooms. c~ ❑ Public (Specify): THIS PERMIT IS FOR A: New System Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. 'n Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Ci' Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installati?ffo f the private sewage system shown on the attached plans. Name of Plumber (Pri Si ur MP/MPRSW No.: Phone Number: Ca/ 1 )'1 -PC ~.j~rS / (56 (;;,/s') y,4 s/ Plumber's Address: Name of Designer: COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved C7 f~ ~~r I ❑ Owner Given Initial Approved Adverse Determination Reason for Disapproval: This is a two-houlse on a one septic system. PeAynit #43672 was obtained by Duane Johnson on 9-29-83. Wisconsin Fund app., mailed 2-15-84. (Copies enctolsed) Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.) ; 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. R APPL ICA`!' ION FOR SANITARY PERMIT S T C - 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 C I (~1\,n,-&a Location of Property4 t4, Section T N - R W Township Matting Address 3 Subdivision Name Lot Number Previous Owner of Property -t~\~ 'Ma-Y\ ac) 4\5 6N- Total Size of Parcel Date Parcel was Created - 17 7 Are all corners and lot tines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes y No Volume and Page Number- as recorded with the Register of Deeds NCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: anc~ o 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. - - - - - - - - - - - - - - - - - - - - - - PROPERTV OWNER CERTIFICATION I (We-) ee.nt4'{y that a.Qt statements on this foam ate Me to the, best of my (out) tlu h.nowke.dge; that I (we.) am (ate) the ownetV oA the pnopenty desct-ibed in i.nAon-mation foam, by viatue of a watlanty deed neeo ed in the Office of the County Re.QM of Deeds as Document No. 3.35T7Q-K ; and that I (we) pnescntky own the pnopoAed site. {ion the towage ~T.6po~a~. ~y6tem WA I (we) have obtained an eab ument, to nun- with the above deb en,i.be.d pnopetty, Kot the e_onoth-uction of said system, and the tame_ has been duty neeonded jn the Office o{ .tile. County Regi6ten & Deeds, aA Doe(une_nt No. ) . SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) LATE SIGNED DATE. SIGNED I H r-J y ~ r ST C- 105 r y ti SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d y ti OWNER/BUYER ROUTE/BOX NUMBER1 Fire Number ' C-I'TY / STATE L I I - PROPER'T'Y LOCATION:, Section o~ T 3~N, R_ l-k_W> Town of St. Croix County, Subdivision Lot number Improper use-arid 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), tTre septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to H three year expiration. E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with r+ the standards set forth, herein, as set by the Wisconsin Depart- 'd ment of Natural Resources. Certification form must be completed acrd returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. X SIGNED 'DATE /'C 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.