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HomeMy WebLinkAbout032-2044-30-100 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count Croix I INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitj� Srolvo.: P information you provice may be used for secondary purposes [Privacy Law .15.04 (1)(m)]. Permit Holder's Name: 1:1 City El illa e T n of: State Plan ID No.: almgren, Eric §orr�ert township CST BM Elev.: Insp. BM Elev.: BM Description: P a 4 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic s i �(� z 0 Benchmark b Alt. 19M Aeratija - " Bldg. Sewer Z �- Holding t /Ht Inlet 9 3 TANK SETBACK INFORMATION Ht Outlet ' TANK TO P/ L WELL BLDG. Air I to ROAD net Air Intake Septic > (00 f 3 3 NA NA Header / Man. 93 /d. i Aera ' N Dist. Pipe Holding Bot. System 9Z PUMP / SIPHON INFORMATION Final Grade 4; M r ---- nd St cover Model Num GP TDH lft Friction m TDH Ft Forcemain Length Dia. Dist. To we SOIL ABSORPTION SYSTEM BED/TRENCH Width Length , No. O Trenches PIT No. Of Pits Inside Dia. th DIMENSIONS 1Z' s Z DIMEN I SYSTEM TO P / L BLDG WELL LAKE / STREAM L G airt- ufacturer: SETBACK CHAMB INFORMATION Type Of Mo r: System: ( /(�� (Z 3 �-� OR U T DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) // x Hole Size x Hole Spacing Vent To Air Intake Length � Dia- Length Z � pia. Spacing IP Z -tj Z 2 - 7 >-I SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, ersons rese Inspection d L O/ Inspection Location: 1671 85th Street, So erset, WI 4025 ( 1? 'I� �A 12 T30N R19W) - 12.30.19.648B -Lot 1 1. ) Alt BM Description — ® Walk r<f 2.) Bldg sewer length = { S�' - amount of cover = '> ,d' " 1 v�5 �ksfallt�j Ityf' .�(�' 3 )PY , well t; �� ( Plan revision required? ❑ Yes ® No i / Use other side for additional information. z b SBD -6710 (R.3/97) � Da4 Inspector's Si ature Cert. No. e -� Safety and Buildings Division SANITARY PERMIT APQ..UCATI N 2 01 W. Washington Avenue Asconsin ° ' P O Box 7302 Department of Commerce In accord with Attach complete p ( e county Cof _ Ac�m Code Madison, WI 53707 -7302 • A I I ans to th co n f r I p t o I) o tho a not ess Count Y Y pY Y than 8 112 x 11 inches in size. C� U L ED • See reverse side for instructions for completing this ap s.T Sanitary Permit Number Personal information Y p Y ry pur ou rovide ma be used for seconds p oses Gheck i c f revision to p (Privacy Law, s. 15.04 (1) (m)). ST GROIX COUNTY ate Plan I.D. Number I. APPLI ATION INFORMATI N - PLEASE PRINT I Property Ow ner Name Propert aclit n /4, 5 T , N, R ,k(ora Property Owner's Mai ling. Add re Block Number City, State Zip Code Phone Number Subdivision Name or CSM urribier II. TYPE OF IL IN : (check one) ❑ State Owned " It N crest Road v Public 1 or 2 Family Dwelling - No. of bedrooms _ O Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) I � 7� ` 1 C] Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. a New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5 ❑ Repair of an System System Tank ____ - ___ y____ ________ _y Existing System Existing System -------------- g y - -------- - B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 [X Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure r 42 [] Pit Privy 13 E] 2 Seepage Pit f X? 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: Y16 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Ara 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.j (Gals/day /sq. ft.) (Min. /i ch) Elevation !9 9 Feet 9Z Feet Cap VII TANK in g llo s Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank ❑ I ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ 1 ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the dersigned, assume responsibility for instaj4ation of the onsite sewage system shown on the attached plans. Plum er's me: Prints) Plumber' i wifi. No ) MP /MPRSW No.: Business Phone Number: S' = S Plumber's ddress (Street,�ty, S te, Zip Cod C " IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater 71 Issuing nt Si ature (No Stamps) roved surchar fee) pp ❑Owner Given Initial �j� -sd .ay Adver se Determination ♦ � X. CO OF APPROVAL / REASONS F DISAPPROVAL: (ileo -GA C (u s S lz S S �nf — • Qt s • 133'F�►�t ��rt /ice lea � , moo � ..o.. c�J . SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Adi-niNswtive will be applicable. A , ... ..... -. 3. All revisions to this permit must be approved by the permit issuing authority. 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. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a R6nsed'puniper whenever necessary, usually every 2 to 3 years. 6. If yowhave questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings- Division 608- 266 -8151. - To be complete and accurate.this sanitary permit application must include: I. Property owner's, name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to b4'iristalletl` II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Number sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2x 11 inches must be submitted to the county. The plans must iriclOcle 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; pump or siphon tanks; 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 manufacturers .D)...cross5. - -clion of the soil absorption system if required by the county; E) soil test data on'a T15 form; and f) all sizing informa`tion:° ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. , • r ' Class 0 �. �/� lZoo� �► / _ Xao' 6 1NC 1, k �f I Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of -Bureau or Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. Reviewe by Date / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location U Govt. Lot 1/4 1/4,S T ,N,R E (or(W,/ Prope� Owner's Mailing Address Lot # Block# Subd. Name or CS l# ?, 6 City Stat Zip Code Phone Number ❑ City El Village © Town Nearest Road New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd /ft --, trench, gpd /fie Absorption area required bed, ft TZ trench, ft 2 d /fi bed, Maxim � m design loading rate _�� gp _ trench, gpd /ft Recommended infiltration surface elevation(s) � ( 3 i` j � � ft (as referred to site plan benchmark) Additional design /site considerations Parent material au {` AS2Z Flood plain elevation, if applicable e2 ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holdinni;u U = Unsuitable for system [� S U 10 S El 0 S El 0 S ❑ U El ® U El SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench l ' - Ground elev Depth to limiting factor Remarks: Boring # S 'j Ground'` �\ elev. Depth to limiting factor iffy >�in. Remarks: CST Name leas Print Signat eehptlon� Address Date CST Number PROPERTY ow NER '7e .�.A�tn� SOIL DESCRIPTION REPORT . Page of PARCEL I.D. # ��- .- �i��,/ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench _ Al ej Ground _ elev. Depth to limiting factor Remarks: Boring # Ground elev. Depth to limiting factor Kin. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # S" .T / s Ground elev. ��ft• � 0 Depth to limiting factor � - Remarks: Boring # ; Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) i 14 3 17 /�Say� � df �o� o o P of r 5S. Q ' � 4 CERTIFIED SURVEY MAP t -cited in part of the Southwest Quarter of the Northeast Quarter of Section 12, Township 30 North, f -1ge 19 West, Town of Somerset, St, Croix County, Wisconsin. I tared for and at the request of: t ;ER: (; Ala M. Fiandrick ' Ds r-I 85th n tr e et 54017 A PPROVED ad by. Krlstl A. Eytandt o� r4 DF 27 ST '-RUIX uUUNTY Comprehensive Planning NORTH 1/4 CORNER Zoning and SEC. 12- .3 -19 Parka Committaa (AL UM, CO. MOM! ) Q If not recorded �( within 30 days of approval date approval shall be null and void t `n - - -�- g UNPLATTED LANDS - -- I I h N NORTr1 LINE OF . h T H E I I sw 1333 33.00' 114 OF THE NE 1/4 la - I� --------- - I�3:y � N 89'37'57" E 660.07' 627.07' F-J � LOT IM :� 1 3 TOTAL AREA WI 217,823 SQ. FT. Zt Iri 2 3 IN ° '� 5.00 ACRES' F - I J o I �J ;c� AREA_,LESS R 0 W, : M a Ir N �- 206,932 SO. FT. �' o$ g 1 m 4.75 ACRES H Z Z 627.07' ~ i i I ' o S 89'3757' W 660.07' 101 I I I►,� 001 i I i I "'33.00' UNPLATTED LANDS OF OWNER c 1 ;`X\'O j 3 Nat1NNp ON — LOT / // 97 SOUTH 14 CORNER RONALD F. .30 SEC. 1; -19 ; JOHNSON (ALUM. _'O. MON.) s-t 1 e6 i AMERY.� < NOTE: The parcel(s) shown on this map is /ore subject to S, .;e, County and •#a, SUR`1Ea,�� - Township laws, rules and regulations ( i.e. wetlands, minimuri, jot size, access a,I to parcel, etc.). Before purchasing or developing any parcel, contact the ce Croix County Zoning Office and the appropriate Town Board for advice. LEGEND County Sec `.:n Corner Monument of Record • Set 1" x 24" Iron Pipe weighing o minimum of 1.13 pounds per N TH "A linear foot. JOB #97108 200 0 Prepared by. quo A & E 1 LAND SURVEYING do CIVIL ENGINEERING SCALE IN FEET I inch LE Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE NORTH-SOUTH 1/4 �9 East Third Street, P.O. Sox 325 LINE OF SECTION 12 TOWNSHIP 30 N., RANGE 19 W. Richmond, WI 54017 of 2 WHICH IS ASSUMED TO BEAR S 00'2820" W. j. Vol. 12 Page! 3388 ' Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labol and Human Relations Division of Safety, &buildings in accord with ILHR 83.05, Wis. Adm. Code • - FPAREL Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal referenc direction and % of slope, scale or dimensioned, north arrow, and location d' c �e st road. 032- 2044 -30 APPLICANT INFORMATION -P PRINT AL IN, MATION REVIEWED BY 1 /. 5 PROPERTY OWNER: ,,� PROPERTY LOCATION Cyrella Flandrick GOVT. LOT SW 1/4 NE 1/4,S 12 T 30 N,R 19 k (or) W PROPERTY OWNER':S MAILING AVDfI SS iI ,+ LOT # BLOCK # I SUBD. NAME OR CSM # 1914 Raleigh Rd. ' :'. i�OIX ST CITY, STATF zip CO NUMB ^ ❑CITY ❑VILLAGE [MOWN NEAREST ROAD New Richmond, WI. -340 Ni� 85th. St. [x] New Construction Use ] Re n��aVl J rooms 4 [ ]Addition to existing building (] Replacement [ ] Public or com rclal describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate • 7 bed, gpd /ft2 . 8 trench, gpd /ft Recommended infiltration surface elevation(s) 95.05 ft (as referred to site plan benchmark) Additional design I site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S ❑U R]S ❑U KiS b ®S ❑U ®S ❑U 0 ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxiary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh 1 0 -10 10yr3 /3 none sil 2otsbk mfr gW if .5 .6 .1....:..; 2 10 -22 10yr4/4 none sicl lcsbk mfr gw if .2 .3 ............... Ground 3 22 -31 7.5yr4/4 none Sl 2mgr mvfr gW na .5 .6 elev. 4 31 -84 7.5yr4/6 none ms 0Sg ml na na .7 :.8 9 Depth to limiting factor +84" Remarks: Boring # 1 1 0-13 10yr3 /3 none sil 2msbk mfr gW if .5 .6 €.......2. 2 13 -25 10yr4 /4 none sici lcsbk mfr gw if .2 ' .3 .................. 3 1 25-35 7.5yr4/4 none sl 2mgr mvfr gW na .5 .6 Ground elev. 4 35 -84 7.5yr4/6 none MS osg mvfr na na .7 `.8 98 .75 ft. Depth to limiting factor Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Av . ew RichmovO, WI 540 Signature: Date: 10 - 31 - 97 CST Number: m02298 a— U_��'v" 01 I PROPERTY OWNER C. Flandrick SOIL DESCRIPTION REPORT Page 2 '' of 3 PARCEL I.D. # 032- 2044 - 30 Depth Dominant Color Mottles Structure GPD /ft � Boring # Horizon Texture Consistence Bax>dary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends `�'< 3 1 0 -11 10yr3 /3 none sil 2msbk mfr gw if .5 .6 ''` "`' "``" 2 11 -24 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 vv4i :i$:<::ii Ground 3 24 -35 7.5yr4/4 none sl 2mgr mvfr gw na .5 .6 9 4 35 -84 7.5yr4/6 none ms Osg mvfr na na .7 :.8 Depth to limiting factor +84" Remarks: Boring # 1 0 -14 10yr3 /3 none sil 2msbk mfr gw If .5 .6 4 2 14 -25 10yr4 /4 none sici lcsbk mfr gw if .2 .3 3 25 -33 7.5yr4/4 none s1 2mgr mvfr gw na .5 �.6 Ground elev. 4 33 -84 7.5yr4/6 none ms Osg mvfr na na .7 .8 9 Depth to limiting factor +84 Remarks: Boring # 1 0 -10 10yr3 /3 none sil 2msbk mfr 9w if .5 ` .6 2 10 - 10yr4 /4 none sicl lcsbk mfr 9w if .2 1 3 22 -30 10yr4 /4 none sl 2mgr mvfr gw na .5 .6 Ground elev. 4 30 -80 7.5yr4/6 none ms Osg mvfr na na .7 .8 9 Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Cyrella Flandrick 1554 200th Ave. CSTM2298 1 1 New Rich � 4� 4 s12 T 3oN - R 19w o d, VIf154017 MPRSW 3254 town of Somerset (715) 246 -6200 lot #1 -csm N 1 =40' BM.= top of NW lot stake C el. 100' Alt. BM.= top of SW lot stake C el. 96.35' This soil evaluation was conducted to satisfy a zoning requirement. It may or may not be suitable for your use. 1 a� or c Q Gary L. Steel 10 -31 -97 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnefBuyer c _ -'s' • tnn 'n'- "v\ v rz 0 r Mailing Address t ca S It._'41 s Propetiy Address lb - 7/ S5�q �t f�Y✓t1� � (Verification required from Planning Department for new construction) City/ l Ae S~` 1 u✓.�r Parcel Identification Number b 3 2 - 2 - 0 44q— 3 0 i LEG f , DESCRIPTION Prope< Location SW ' /,, N � '/4, Sec. � , T 3y N -R 4 W, Town of SCM6PS Subdi ..pion , Lot 910 Volume , Page # 3.91 Certified Survey a # g Y � Warranty Deed # 5'_72-�� 3 , Volume ,Page # Spec house ❑ yes X no Lot lines identifiable X yes ❑ no SYSTE) I MAINTENANCE 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. The propert,. owner agrees to submit to ;-A- Croix Zoning Department a certification form, signed by the owner and by a master plumber, jounieyman 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 undersign A have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, w, set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your )tic system ha s completed een maintained must be and returned to the St. Croix County Zoning Office within 30 . , p days of the t e year expiration date. _ V / 3 to— SIGNATUWOF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the propei ty d cribed above, by virtue of a warranty deed recorded in Register of Deeds Office. 3 SIGNA]" F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ssss•• •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I � , ., VOL 12 -94 PAU 76S 57.6'73 STATE BAR OF WISCONSIN: FORM 2 - 1982 a� WARRANTY DEED DOCUMENT NO. REGItTQ1 OFFICE fella M t nc rick- a - -r ole n, ST. CR 1X CO.. WI RN"d tot flNad r FES 0 9 1998 conveys and warrants ,) Eric J. Ma1Mgr en.__a& 9 Q=a 9 j, I 4 f�, TN1S SPACE RESF_RVED FOR necoRoiNG DATA '¢ NAME AND RETURN ADDRESS the following described real estate in St Croix County, State of Wisconsin: K RISTINA OGLAND Zilz E StTCCn & Ogland P-0- Box 359 L: Iiudson, WI 54016 032- 2044 -30 PARCEL IDENTIFICATION NUMBER I_ I - Part of the SW 1/4 of NE 1/4 of Section 12 -30-19 described as follows: Lot 1 of Certified Survey Me filed November 26, 1997 in Vol. "12". page 88, No. 569104. St. Croix County, Wisconsin. TR ANSFER K � This i s not homestead property- (is not) Exception to warranties: easements, restrictions and rights- of -vay of record, if any. . Dated this '3 0 day of January A.D., 19 98 . /� (SEAL) 1-1 (SEAL) "rella M. Flandrick (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signamre(s) Cyrella M. Flandriek, State of Wisconsin, ss. `l a County authenticated this day of January '19 - 2 - 8 -L Personally came before me this day of 19 , the above named Kristina Oa and TITLE: MEMBER STATE BAR OF Vc1SCONSIN (1f not, authorized by x106.06, Wis. Stars.) to me known to be the person who executed the foregoing ins:rument and acknowledge the same. R THIS INSTRUMENT WAS DRAFTED BY ' f Attorney Kristin Ogland NnrlSnn WT 54016 Notary Public, County, Wis. (Signatures may be authenticated or acknowledged. Bah are noa Nly commission cs permanent. (lf not, state expiration date: nece:.nary.) - - --- 19 ) • Names of perx. signing fn •ny capacity should by typed or printed be'a i�- . '+ STATt 94A OF WISCONSIN W " `"� rural CA WARRANTY GEED Ew Nu_ 2 — t9a2 Mhvarkae. W w• _ 4A P� SC9104 CERTIFIED SURVEY MAP Located in part of the Southwest Quarter of the Northeast Quarter of Section 12, Township 30 North, Range 19 West, Town of Somerset, St, Croix County, Wisconsin. Prepared for and at the request of: OWNER: Cyrolla M. Flandrick 1914 85th Street APPROVE New Richmond, WI 54017 Drafted by. Kristl A. Eylandt NOY 2 I , 1 6 � ST CRUIX i.UU14TY Comprenunsrve Planning f, NORTH 114 CORNER Zoning and r _ SEC. 12 -30 -19 Parka Committee niUV 2 `�© 2 (ALUM. CO. MON.) If not recorded KAIH(EEN H WqL 19M v within 30 d of • SFf approval date Regisferal Deeds approval shall be L St Cr oix Co., Wl i � null and void Cn 1 ti h co UNPLATTED LANDS N UNPLATTED LANDS 1 I I 1 NORTH LINE OF THE SW c� 3, �; , ,33.00' 114 OF THE NE 114 — — _ _ — _ _ _ N 89'37'57" E 660.07' �N. N 1 :t :t 627.07' W M ° 0 1 LOT 1 N W I 'o i M M Q TOTAL AREA 3 UJI O w J3, 217,823 SQ. FT. �� �� N 1 tU 3 �Q 5.00 ACRES bo H� 4 o ; c� AREA LESS R.O.W.: T 1 !+ ' 00 00 :m 206,932 SO. FT. N co �$ $ 1 �. 4.75 ACRES z z 627.07' S 89'37'57' W 660.07' LO i -` cot I * UNPLATIE LANDS OF OWNER 4_1 C' ;. C RNA S OUTH 1/4 CORNER F. SEC. 12 -30 -19 N (ALUM. CO. MON,) . io F NOTE: The parcel(s) shown on this map Is /are subject to State, County and 040,4 is, Township laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. LEGEND County Section Corner Monument of Record +! Set 1" x 24" Iron Pipe weighing a minimum of 1.13 pounds per N TH linear foot. JOB #97108 200 0 200 Prepared b)r A & E GRAPHIC SCALE LAND SURVEMG do CIVIL ENGINEERING SCALE IN FEET: 1 inch = 200 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO THE NORTH —SOUTH 1/4 109 East Third Street, P.O. Box 325 LINE OF SECTION 12 TOWNSHIP 30 N., RANGE 19 W. New Richmond, WI 54017 WHICH IS ASSUMED TO BEAR S 00'28'20" W. Sheet 1 of 2 Vol. 12 Page 3388,