HomeMy WebLinkAbout030-1015-60-000 t0sconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
515056 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Radle, William I St. Joseph, Town of 030 - 1015 -60 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
�'/ / E t ..� , • 04.29.19.656
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
-�:� `� �• , ,� _ . �c ��,.� �,. /�.. �: �"r" ` f Cry 1 G C.� ��
Alt. BM
Aeration �� Bldg. Sewer �•� �
Holding Y ' SUHt Inlet 1, 7
1.4A j
St/Ht outlet ;k TANK SETBACK INFORMATION A • , ' 2.2—
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic .� ; ; r Dt Bottom
Dosing „ h: _L ,. Header /Man. .(1P 8 �
Aeration Dist. Pipe
Holding Bot. System FS 7•`�7 n�
d 7,
PUMP /SIPHON INFORMATION Final Grade �- • �-> 111') `
Manufacturer Demand St Cover 7
GPM E =� 1►an, r ..fr1e / `7
Model Number
l
TDH Lift Friction Loss System Head -- TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width : Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS -2 - *
SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION Type Of System: CHAMBER OR
1 UNIT
Model Number:
{/ .1 � 1 j 1 „ r.
DISTRIBUTION SYSTEM
Header /Manifold a A I Distribution x Hole Size x HoJe Spacing Vent to r Inge
Length Dia Length A Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over -- F — Depth of xx Seeded /Sodded r Mulched
Bed/Trench Center IL { Bed/Trench Edges ~ 'a Topsoil
-.. , q �'.YeS E] No [�}�(es F] No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / 1 Inspection #2: / /
Location: 536 River Rd Hudson, WI 54016 (SE 1/4 NW 1/4 4 T29N R19W) NA Lot Parcel No: 04.29.19.65B
4
1. ) Descrip Alt BM Dri - !'. %. , '... f 4 �.,� �s L'
J i 1 � - ' a`'. e4��T',i �. � �a_t:�� ". -� -'! ti§ j ( � - �(.,., Y ✓J�+•i0 • �``'�
2.) Bldg sewer length
- amount of cover f ,- a � �_ c k�. �•,,, �;,,,�,`,�. ���
Plan revision Required? El Yes 'No t J J
Use other side for additional information.
Date t ' Inseotor's Signa$Are' Cert. No.
SBD -6710 (R.3/97) j
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o.r
s 75•60
itx. C OWNER:
J. Septic tank, effluent filter and Q�
dispersal cen must all be services / maintained
as per management plan provided by plumber.
2 All slilbackLis 0 ..+ a wltbe•cw.a•+rrrM� 11i � •srasu+.drt � + �
W Pw ate°
SBD639>< (R CVn Wlid We'll"
s
PL PLAN
PROJECT William Radle DRESS 536 River Road HudsonWi 54016
SE 1/4 NW 1 /4S 4
/T 29 19
TOWN St. Joseph
COUNTY ST. CROIX
5/5/09 5
MPRS Shaun Bird 226900 DATE BEDROOM
CONVENTIONAL )00( IN -GROUN P ESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1091 # of chambers 54
,BENCHMARK V.R.P. Bottom of ara e '
g g s ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
Well is to meet all
setbacks required b SYSTEM ELEVATION 87.3/86.6 5' below qrade
9 y Plans Designed Using
WDNR Conventional Powts
Property Line Manual Version 2.0 250'
Vent
D W > 6» Quick4 Standard -W
Old System is to be pumped and buried of Cover Leaching Chamber
with 20.0 ft2 of Area
D W 12 „ 5.8ft ^2 /pair of end caps
4' Long
34" Grade at System Elevation
Scale is 1" = 40'
unless otherwise
noted ST
250' Huffcutt Combo Septic tank
20' 2 '
Existing 3 bedroom 30'
house being 35'
Well 80' remodeled into a 5
bedroom house 60' > � 1 45' 9% Slope
2 -3' X 110' cells 0 '
with >3' spacing 60'
B.M. B -3
{
Garage 5 '
VTover Road B -2 3
Vents Property Line
rc c op y
i
jj PLAN
PROJECT William Radle DRESS 536 River Road HudsonWi 54016
SE 1/a NW 1/4S 4 /T 2 TOWN St. Joseph COUNTY ST.CROIX
MPRS Shaun Bird 226900 DATE5/5/09 BEDROOM 5
CONVENTIONAL )00C IN -GROUN P ESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000/630 LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1091 # of chambers 54
IL BENCHMARK V.R.P. Bottom of garage siding ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
Well is to meet all SYSTEM ELEVATION 87.3/86.6 5' below qrade
setbacks required by Plans Designed Using
WDNR Conventional Powts
Property Line Manual Version 2.0 250'
Vent
DW >6 » Quick4 Standard -W
Old System is to be pumped and buried ?4'Long r Leaching Chamber
with 20.0 ft2 of Area
D W 1299 5.8ft ^2 /pair of end caps
34" Grade at System Elevation
Scale is 1" = 40'
unless otherwise
noted ST
250' Huffcutt Combo Septic tank
20' 2 '
Existing 3 bedroom 30'
house being 35'
Well 80' remodeled into a 5 B -1 % Sloe 9 e
bedroom house 60' 45 p
2 -3' X 110' cells 0'
with >3' spacing 60'
B.M. B -3
Garage 5 ,
VTover Road B _ 2 3
Vents Property Line
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County , fi e
Attach complete site plan on paper not less than 8 1/2 x 11 inches ' ze�n must
include, but riot limited to: vertical and horizontal reference int d' o d �f / /�
percent slope, scale or dimensions, north arrow, and locatio andnce Parcel 1 D (/ 'JO_ O W
Please print all information Z y Date
Pomona[ information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). S ip
Property Owner, g C Ce erty Location
t it of -. �, G Govt. Lot j/ io 1 /4A4t)1 /4 S T N R E( r) W
Property Owner's Mailing Address M A v O 6 Block # Subd. Name or CSM#
5 �
City State Zip Code Phone Number 6T c go ZO t C ❑ Village Town Nearest Road
I v ( ) po"011NG , :5T+ Jos
❑ New Construction Use Residential / Number of bedrooms Code derived design flow rate 2- GPD
eplacement ❑ Pubi' or commercial - Describe: __—
Parent material Flood Plain elevation if applicable
General 15 10, � w )
and reoorrrnendatio
System Type System Elevation +
F—/ Boring # p Bo ring
I Pit Ground surface elev. I ft. Depth to limiting factor �/� in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
A
�7, t
ld�
Bing # Boring /J)
Pit Ground surface elev. 9) Depth to limiting facto/t�- in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
Y,2 Q1 l 2
,l
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 m0V Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54 J 715- 246 -4516
Property Owner _ Parcel ID #. Page of
Boring #
Boring
Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
is U -v S L o D
1(
if
F-1 Boring # Boring
pit Ground surface elev. ft. Depth to limiting factor in. - go — flApplication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
pit Soil lication Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD, > 30 < 720 mg/L and TSS >30 < 150 mgrL ' Effluent #2 = BOD, < 30 mg/_ and TSS < 30 nVL
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
SBD -8330 (8.6/00)
Property Owner _ Parcel ID #. Page of
Boring # Borin g
Pit Ground surface elev. �� `�' ft. Depth to limiting factor in. Soil Applicati on Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 'Eff#2
-(o --- L��-- t7
1r
tf
3
a Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/M
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2
F-1 Boring # ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application - Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
Effluent #1 = BOD 220 and TSS >30 150 • Effluent #2 = BOD < 30 and TSS 30
s > 30 < — �t < — mg2 s _ m9ti < _ mg1L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
SOD -8330 (8.6/00)
Soil Test Plot Pla
Project Name William Radle S ' i d
Address 536 River Road
Hudson Wi 54016 ,.
#226900
Lot ---- -- Subdivision ---- - - -- Date 5/5/09
SE 1/4 NW 1/4S 4 T 29 N /R19 W Township St. Joseph
❑ Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Bottom of garage siding
System Elevation 87.3/96.6 *HRpSameasBenchmark
Property Line 250'
DW
DW Scale is 1" = 40'
unless otherwise
noted
ST
250'
20'
Existing 3 bedroom
90'
house being 35' 92'
Well 80' remodeled into a 5 B -1
bedroom house 60' 45' 9% Slope
0 '
60'
B.M. IF B -3
Garage 459
VTover Road B -2 30'
Property Line
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address X iOf-i� get"
Property Address
(Verification required from Planning & Zoning Department for new construction.) „,,,,�
City /State Parcel Identification Number 030 ��� ^�' Uf O
LEGAL DESCRIPTION ��
Property Location 1 /4 , 1 /4 , Sec. , T �N R W, Town of I �(�S
Subdivision , Lot #
Certified Survey Map # (7 , Volume , Page #-
Warranty Deed # l ` S Volume D Page #
Spec house yes no Lot lines identifiable yes no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the
property ', described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of b drooms
SIGN TURF F APPLICANTS) DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/057
Maintenance and Contingency Plan for a Septic SYstem
Maintenance Plan once every 3 years.
1. Septic Tank is to be pumped
2. Effluentfiiter is to be deaned once a year. Please note: a larger filter is being installed In
order toex the maintenance interval
of the
filter. Of 3. once every 3 years, cells are to be inspected via the Inspec Wns P"s at the ends
the cells. IM the system.
4. Owner agrees to limit greases, garbage, and water cond'rtloner d'lscthar9e
save this Plan.
e
5. The owner agrees to P .
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
cy Plan area and Mall new
O fl systemfails, determine cause of failure, use alternate
system in tested replacement area. removing biomat,
option #2. Install system at a lower elevation, by removing chambers.
and install new system.
option#3. No adequate area is suitable for replacement area, and Wswn elevat<on
cannont be lowered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715- 246 -4516
St. Croix County Zoning 715- 386468
Pumper Tom Mondor 715- 246 -5148
Shaun Bird #226900
ArcIMS Viewer Page 1 of 1
i. .
http: / /www.landinfo.co. saint - croix. wi. us / website /LRPortal /ARCIMS /MapFrame.asp ?PIN= 5/6/2009
J 2070 P `!83
, STATE BAR OF WISCONSIN FORM 3 - 1999
KATHLEEN H. WALSH
QUIT CLAIM DEED REGIST xOF DEED
D Document Number I
This Deed, made between Vicky L. Rad1e RECEIVED FOR RECORD
12/06/2002 08:30AN
EXERT # 8M
Grantor, and William M. Radle REC FEE: 13.00
TRANS FEE:
COPY FEE:
CERT COPY FEE:
PAGES: 2
Grantee.
Grantor quit claims to Grantee the following described real estate in
St. Croix County, State of Wisconsin (if more space is
needed, please attach addendum):
Recording Area
See Attached Exhibit "A ". Name and Return Address
The First National Bank of Hudson
P.O. Box 187
This Deed is given pursuant to the Judgment of Divorce between the Grantor and Hudson, WI 54016
Grantee hereto, which Judgment was granted on 08/02/02 as Case
Number 02FA190
030 - 1015 -60
Parcel Identification Number (PIN)
This is homestead property.
(is) =00
Together with all appurtenant rights, title and interests.
Ddted this 26th day of November 2002
p n -a'u
* * Vicky L. Radle
* *
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN )
) ss.
CR 0 C County )
authenticated this day of ,
Personally came before me this day of
1JpV 2042 the abpve'
Vicky L. Radle ; , A S' nE NI
TITLE: MEMBER STATE BAR OF WISCONSIN ' &
to me known to be the person(s) who exedu eQ t f4 oz C9=�
(If not, instru t and acknowledged the same. \V,�, 3 '
authorized by § 706.06, Wis. Stats:) Q
THIS INSTRUMENT WAS DRAFTED BY * r, `�, la
' �4 to 01
Attorney Kristina Ogland Notary Mb c, State of Wisconsin
Hudson, WI 54016 _ My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) /0 , 011007- •)
* Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals company, Fond du Lac, con
STATE BAR OF WISCONSIN 800- 655 -2021
QUIT CLAIM DEED FORM No. 3 -1999
J 2070P 9 84
EXHIBIT "A"
That certain parcel of land located in the SE V of NW Y4 of Section 4, Township 29 North, .Range
19 West, Town of St. Joseph, St. Croix County, Wisconsin more fully described as facllows:
Certified Survey Map in Vol. 1, Page 198, Doc. No. 330374, together with an easement for roadway
purposes 66 feet In width from the above described parcel to the Town Road to the South of the
above described parcel, said roadway as now laid out and traveled.
ALSO, a parcel of land located in part of the SE % of NW Y4 of Section 4, Township 29 North,
Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin; being part of Lot 2 of Certified
Survey Map in Vol. 9, Page 2445 further described as follows: Commencing at the W Y4 corner of
said Section 4; thence S89' 329"E along the East -West Y line of said Section, 2016.6.2- feet;
thence N05'10'01 "E along the Ely line of said Certified Survey Map In Vol. 9, Page 2445, 884.99
feet to the South line of Lot I of Certified Survey Map In Vol. 1, Page 198; thence N89
along the South line of said Lot 1, 5.S0 feet to the point of beginning; thence N00'00'00 "E along
the West line of said Lot 1, 438.42 feet to the North line of the SE Y4 of NW Y4 of said Section;
thence N89'1 4'06"W along said North line 752.70 feet; thence S00'54'52"W along the West ,line of
said SE Y of NW Y4, 438.38 feet; thence 589'14'06 "E, 759.70 feet to the point of beginning..
i .
..r1
i
4'79010
CERTIFIED SURVEY MAP
Located in part of the SE} of the NW} of Section 4, T29N, R19W, ap
Town of St. Joseph, St. Croix County, Wisconsin. a
OWNER
Kenneth Bauer AREA OF LOT
530 River Road 101,689 sq. ft. (2.33 ac.) EXCLUDING ROAD R/W
Hudson, Wi. 54016 106,684 sq. ft. (2.45 ac.) INCLUDING ROAD R/W
�.1AES 0%De�
a moo ` C
SL
unplatted lands owned by others
north line of the SEI of the NW
33'= N89 752.70' 32'=
IW
Ic
I h IC I�
K 1W C(7 j� jH
I I= rt � • Ip IC
IG It
• IS = (ll N Im Im
LOT 2
653,201 sq. ft. (15.00 ac.)
m rn ro
N o rn _
_- _ ---
ul N89o22 I.c im
z° 5.50' I + c a
9 m s ® IT
Rec. as 7.0 j I rcO im
= I is i.• "" Iv
c rt IN i� ;m ` ICA
is
d I i=" i S89 "E I ii
m m I 1 4 w—
z -d I z 330.09' gate: rn k.n
Any additional lot arounc�
exIstI ng house must be a;. a ; -
o rt to �m '� I CERTIFIED_SURVEY_MAP 1 ,, minimum of 3.67 acres
,� I yolume_2z_eage_534 cn m In size.
- o IA I o to Ix
• "o I r I ° o � I N o im I� is i.�-:
I s`" existing house
i +� r I I. i
N I U
= d 1�
S_,IN E F E T I — S89o05' 08 e j io is
390.33' ' is
200 100 0 200
1n �
Drainage I
1
N N Area
m
N LOT 1�, I
_ I
0 1 1 N8 8 0 59 1 03 11 W 37
east E west one - quarter section line rn S89o13'29'IE 369.49' 3216.09'
W} corner - E} corner
Section 4 -29 -19 115th Avenue
Section 4 -29 -19
LEGEND
Found Aluminum Cap in concrete. ! _
• Found 1" Iron Pipe.
o Set 1f x 24 Iron Pipe weighing 1.68 LBS /linear foot.
%---+— existing fenceline
Vol. 9 Page 2445
Drainage Course
this instrument was drafted by Douglas Zahler job no. 89 -39 -� ,
330374
CERTIFIED
Part of the SE 1/4 of the NW 1 /4of ect SURVEY
4,Township 29 North, Ra# /p 19 West,
Town of ST. Joseph, St. Croix County, Wis. /��t Oorna.-
Kenneth Bauer 54, T29N, f?IgW
5 84° 17',2,2 ",E 550.00 500 00 "E 12'68.90
330374 p
e
1
Lid 1�
FILED 1 /Y/-5
� O
d 00 NOV 251975 N
O JAIRES O' CONNELL Q
leohla of Deeds Q
14 Crol. C—ny, Co �' m
w►
5.05 Acrds
Q
W0
V1
0 o h
0 o Q
0
0
h
,22" yy SSO. OD
Scale: 1" = 100'
� E'as¢mccr�t
o Indicates 24" long iron pipe stake weighing 1'13 Oft.
Description:
That certain parcel of land located in the SE 1/4 of the NW 1/4 of Section 4, T 29 N,
R 19 W, Town of St. Joseph, St. Croix County, Wisconsin, more fully described as
f011owss Commencing at the North 1/4 corner of said Section 4, thence go S 00 00' 00" E
(assumed bearing) along the North /South 1/4 line of said Section 4 a distance of
1288.90 feet to the Point of Beginning of the parcel to be herein described; thence
continue S OOo 00' 00" E a distance of 400.00 feet; thence N 89 22" W a distance
of 550.00 feet; thence N 00 00" E a distance of 400000 feet; thence S 89 17, 22" E
a distance of 550.00 feet to the Point of Beginning, together with an easement for
roadway purposes 66 feet in width from the above described parcel to the Town Road
to the South of the above described parcel, said roadway as now laid out and traveled.
State of Wisconsin)
County of Pierce )
Is James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of
the Owner, Kenneth Bauer, I have surveyed and divided the lands as shown hereon and
that the map and description shown hereon are a true and correct representation and
description of the lands as divided; and that I have complied with all the provisions
of Chapter 236.34 of the Wisconsin Statutes and all Provisions of the St. Croix
County Sub- division Ordinance in survey6ng, dividin�g ing and describing said
Dated: 3 November 1975
l<
Jas igphy
st'e;i ed c�, Ivey tv
Vol. 1 Page 19 8 1 0 4. 2
Certified Survey Maps ; ='_ F'N-TR rA.LLS, '4
St. Croix County, Wisconsin ,`�r; •. WISC.
<<,;,;;r,,�,��, ►���,.� ASP, P.O
S7 r t _ .,. , �Ty
PL
Volume 1 Page 198 11-19-75