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HomeMy WebLinkAbout032-1003-10-100 r - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453438 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: Hohler, Steve & Lisa Somerset Township 032 - 1003 -10 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / (�) M C 02.31.19.17A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic , / Z 4 V Benchmark 16 `3 16 , /46 Alt. BM /01 . bS Aeration Bldg. S wer 1056 r7 I St/Ht Inlet 4.1 TANK SETBACK INFORMATION St/Ht Outlet x.35 O'S IS TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ ` Septic '7 �� Z Dt Bottom Dosing Header /Man. 9' -9g i66 - 3 Aeration Dist. Pipe 1 •9 146 - 3 Holding "— Bot. System ll 10 qq- :�s Final Grade PUMP /SIPHON INFORMATION G, (oS /o3 Manufacturer Demand St Cover GPM ,(ps /0 Model Number TDH Lift riction loss jSysteem TH 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 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR ` Type Of System: t7 / �, 165 > Al UNIT Model Number: d� ` DISTRI S _ Header /Manifold !� Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) \ \ ` `v f Length Dia Length Dia Spacing L ,, k SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only ai;u Depth Over Depth Over xx Depth of xx Seeded /Sodded F Mulched Bed/Trench Center , 3 Bed/Trench Edges \ Topsoil \es [] No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 693 Polk -St Croix Co Rd Unknown (NE 1/4 NE 1/4 2 T31 N R19W) NA Lot 4 Parcel No: 02.31.19.17A10 1.) Alt BM Description = �"' G;,'Je� 1 —I 2.) Bldg sewer length = y J �� d 5 - amount of cover Plan revision Required? Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Si ature Cert. No. l Safety and Buildings Division County l visc 20 1 W. Washington Ave., P.O. Box 7162 onsin Madison, W1 53707'— 7162 Sanitary Permit Nd6iber o be filled in by Co.) Department of Commerce. (608) 266 -3151 L[5343 F Sanitary Permit Application �PAHU State Plan I.D. Number u In accord with Comm 83.21, Wis. Adm. Code, personal information you provid may be used for secondary purposes Privacy Law, sI5.04(1)(m) roject Address (if different than mailing address) I. Application Information - Please Print All Information / 93 Property O er's Name Parcel # / Lot # $leek-0 - �S : — .l7 1 0) Property Owner's Mailing Address Property Location kk ' /a, ) V_,E _%., Section o{ City, State Zip Co& _._ Phoue Number_....- ..- � � trcleone) c " " S U T!3 N; RE or W II. Type of Building (check all that apply) / ] or 2 Family Dwelling - Number of Bedrooms ubdivision Name CSM Number El Public /Commercial - Describe Use S c ❑ State Owned - Describe Use Z ❑City_❑ V' ge ©Township of III. Type of Permit: (Check only one line A. Compidie line B if applicable) ` New System p y g p y g Y y ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl )(Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Xeaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersal/T atment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Require d (sf) Dispersal Area Proposed (sf) ystem Elevation (� eo 7 1 7 VI. Tank Info Capacity in Total Numb Manufacturer er Manufac Prefab Site Steel Fiber Plastic Gallons Gallons ofUni 41�Z p�1Q — 10-0 �) Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank S J/ Aerobic Treatment Unit Dosing Chamber VII Respo sibility S tate ent- I, the undersigned, XuTe responsi 'lity for installation of the POWTS shown on the attached plans. Plumb is ame rint Plumb s S atu MP/MPRS Number Business Phone Number 1 L 3 -57 71- - i S- JL Plumber's Address (Street, City, tate, Zip Co VIII. Coun /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issui g A nt Signature o Stamps) Surcharge Fee) 07, ZM ❑ Owner Given Reason for Denial Z J v IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be servicgd / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD- 6398.(R. 01/03) 33� 33G, I I I V Are 7owz 10- 4 �4 L.-A 7 4 1 I I__. - I 9a o2i� '`�r 4,,tE — �O.I,.c,�S,�f l� �` - 9�G�S � l"o ��- .5�• �c,;Y � ;�Jt= 7� _ 33� :331o,G6 //66U C 1 j I I K Al" ve - i f 4 Wisco:lsin Department of Commerce SOIL EVALUATION REPORT Page of Di; -icon of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Y o l Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, F- F - l - ocation and distance to nearest road. Please p f,� Rev' wed by Date Personal information you provide may be r secondary purposes (Priva Law, s. 15.04 (1) (m)). Property Owner / i :; z n Property Location / W ;� 11 ! a " � S`j �� le Govt. Lot 1/4 (� 1/4 S T N R `� a (or)® Property Owner's M7ilinq Address ,,.� , >, Lot # Block # Subd. Name or CSM# Qom} 1 f -ICE City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road /Ve2(' d1'Ch 461 5 (715 ) Z JW ZZ6 56rre/S I -0 Cio;'irL; New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 44 9 o (#- - h CDC 2 9 � &.2 Flood Plain elevation if applicable ft. General comments and recommendations: F 1-1 Boring # ❑ Boring 11 ® pit Ground surface elev. /4 � S ft. Depth to limiting factor 12- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2 1 X4 S'Z 2&)1, Cw 21;� 0. 6.9 All oS M- 0.7 1.2 ® Boring # ❑ Boring ® pit Ground surface elev. $s ft. Depth to limiting factor 7 l Zr in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O- 9 A .-/I e m-(k dnaFl- c U- 2m 0,S 6 2 q 212 XIA S, °G 2 /2sa* Cc— osS 6 &8 -7 22- 71rr�r ri IWS 0S A Z- L 0 .7 / t :� m 0' L D-7 L 2, �{ U ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg /L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L C T Name (Please Print) Sign ture CST Number n ✓�c�� IG /e Jo2����f Address Date Evaluation Conducted Telephone Number ?Fff SBD -8330 (R07 /00) i i Property Owner ou / A "' r h �" S� r/c Url Parcel ID # Page .2 of 3 F Boring # El Boring / a pit Ground surface elev. ! 09.6 ft. Depth to limiting factor �Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description FTexture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2m 6L �u�'r cu- 2m o . S o. 2 j6- l8 l� '200S A& yW64r o S b. y6 7 ?x5� M os F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. El pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /1`1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I � Effluent #1 - BOD s > 30 < 220 m /Land TSS >30 < 150 mg/L Effluent #2 - BOD s mg /L 30 /L and TSS < 30 mg/L g - - - 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 -5330 (R.07 100) i OWNER Page 3 of 3 Name Brian Parnell Address Yy r0l� J -,", Y eO CST 231314 nl-OJ 7 Date :L Benclu 1 7 o - Z, /CO. C �� Alk Benchmark 2 lee Soil Boring _j Suitable Area F = 40' Scale T 0! r — IOT9 - T — - 7 - 7 -7- 7 - r- � OV!INER Page 3 of 3 4-- .7 e �.0 i �l iu �, ,� fh,', /� y ,j�� �s Brian Parnell Address 6 8.9 CST 231314 Date Benclmaark 1 ro p ©F Lo Sra,te Z, /D , O :=" Benchmark 2 Tde p -(- 7e e has, �L, /0 y ❑ Soil Boring : - - I ' Suiiable Area 1" = 40' Scale I I I - - i 1 Bm i i i 1 o. I ! ' , U I RC u '� — --�- -- I ! i , i - - T , - - - - -i- - --T I POWTS OWNER'S MANUAL & MANAGEMENT PLAN,,,,,,,, Pag ®,,,,,[„_of FILE INFORMATION Owner " .... . SYSTEM SPECIFICATIONS Septic Tank 0epaoity Ls3 i�4 °sl' t' N O Permit # 5 3'36 Septic Tank Manufaoturor!�ip O N DESIGN PARAMETERS Effluent Filter Manufacturer ` "` O Ni Number of Bedrooms O NA Effluent Filter Model; O Ni Number of Public Facility Units ONA Pump Tank Capacity (7 N, Estimated flow (average) al/day Pump Tank Manufacturer Design flow (peak), (Estimated x 1.13) •� " ".p ' al /da Pump Manufacturer" ' .f�NA Soil Application Rate al /da /ft� Pump Model �; $ If Z Standard Influent /Effluent Quality Monthly average" Pretreatment Unit t'' rf'< O Ni- Fats, Oil & Grease (FOG) 530 mg /L O Sand /Gravel Filter ` '` ❑ Peat Filter* Biochemical Oxygen Demand (SOD,) 5220 mg /L O NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 4150 mg /L ❑ Disinfection Q Oth Pretreated Effluent Quality Monthly average Dispersal Coll(s) ❑ NF Biochemical Oxygen Demand (SOD,) 530 mg /L f In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) $30 mg /L O NA O At -Grade O Mound Fecal Coliform (geometric mean) S10' ofu /100ml O Drip -Line E3 Other, Maximum Effluent Particle Size Y in die, ❑ NA Other: f, _:,° '` ^` O NA Other: 0 NA ther; ^ :-x O NA "Values typical for domestic wastewater and septic tank effluent, O ther: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency month a Inspect condition of tank(s) At least once every: eu s >3 fl(14 �Rp,3 -") O NA Pump out contents of tank(s) When combined sludge and scum equals one - third ,%) of tank volume O NP Inspect dispersal collie) At least once every; O month(s1 y ear(s) (Maxitrwm 3 years) 13 NA Clean effluent filter At least once eve month(# >_; � yz 13 NA ever year(s) Inspect pump, pump controls & alarm At least once every; O month(s) (V NA ❑ ear(s) Flush laterals and pressure test At least once every: mont (e ) ,4 -2 NA E3 ear(s) Other: At !vast once every: O months) O NA Q earls Other: O NA MAINTENANCE INSTRUCTIONS �:45�4 ►�►;' .x Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following Wiliness or eeniflcations. Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tarr Inspections must include a visual Inspection of the tank(s) to Identify any missing or broken hardware, identify any crooks or looks measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface The dispersal coli(s) shall be visually inspected to check the effluent levels In the observation ",p►ppa and..tQ_ohogk, }pr - any pondin of effluent on the ground surface. The ponding of effluent on, the ground surface may Ind lost e's failing condition and rogyires the Immediate notification of the local regulatory authority, r.._.. ..r.... .-.,,,.:._ When the combined accumulation of sludge and scum in any tank equals one -third %)_or more of the tank volume, the entire 11 contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ,ohapter NR 113 Wisconsin Administrative Code.; All other services, Inclucift but not limited to the servicing of effluent filters, mechanical or pressurized "Tponents, pretreatmen units, and any servicing at intervals of 512 months, shall be performed by a oertifled POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of 2 any . �Qa ev t t , OMW (4/01 ) , ,TART UP AND OPERATION Page 1 of ± For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispereal cell(s). If high concentrations are detected have the contents of the tankis) removed by a septage servicing operator prior to use, System start up shall not occur when soil conditions, are frozen at the infiltrative surface. During power outages pump tanks slay fill above normal highwater levels, When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the call(s) and may result In the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following'from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications;, oil; Painting products; pesticides; sanitary napkins; tampons; and water softener brine. SANDONMENT 'Nhen the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is oroperly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another Inert solid material. :ONTINGENCY PLAN If the POWTS fails and.cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result In the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement I;ares ; is not available due to setback and /or soil limitations. Barring advances In POWTS technology a holding tank.may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed In place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at th time, < WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS .;s I�r 1 INSTAL POWTS MAINTAINER Nam Name Phone Phone - _PTAGE SERVICING OPERATOR PUMPER LOCAL REOULATO Y AUTHORITY Name Name Phone Phone s document was drafted In compliance with chapter Comm 83.22(2)(b)(i)(d) &(f) and 83.64(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerfBuyer Sfe yt i Li sQ 14(,) h I('r Mailing Address _ ��0 �i1�z sual S pp (Verification required from Planning Department for new construction) r ' b _ City /State arcel Identification Number 0-3 o? LE GAL DESCRIPTION Properry Location ry /1/t %, Sec. .2 , T 3 N -R ) W, Town of QYY)( 1 Subdivision _ A) LA , Lot # Certified Survey i1lap # ys Volume - , Page # Warrant} Dctd # ___ I� 2 �l Z:222--_ Volume 25 2 Page # Q1� Spec house ❑yes L no Lot lines identifiable l yes ❑ no SYSTEN't MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of punapin_ 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 property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, jout plumber, restricted plumber or a licensed pamper verifying that (1) the on - site wastewater disposa I 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, hercum, 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 Zoning Office within 30 days of the three year expiration date. SIGNATUR.>= OF APPI.,ICANT D 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 try a warranty deed recorded in Register of Deeds Office. .� PPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. •*s * *s ** 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 U, 2599P 156 7 6 6 3 5 2 STATE BAR OF WISCONSIN FORM l - 2998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ' ST. CROIX CO., WI Document Number RECEIVED FOR RECORD This Deed, made between William N. and Shirley M. 06/18/2004 04:30Pti Briggs, husband and wife WARRANTY DEED _ EXEMPT # 8 Grantor. REC FEE: 11.00 and _ kisa A. Hohler and Steven R. Hohler, Jr.,, TRANS FEE: husband and wife COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County. State of Wisconsin (the 'Property :- _. Name and Return Address Lisa Hohler Lot 4 od Certified Survey Map recorded in 690 215th Avenue Volume 17, page 4531, St. Croix Co. Wisconsinl' Somerset, WI 54025 032- 1003 -10 -100 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible In fee simple and free and clear of encumbrances except ! Dated this 18th day of June 2 004 ' (SEAL • (SEAL) * * William N. Briggs (SEAL) (SEAL) Shirley M. Briggs AUTHENTICATION ACKNOWLEDGMENT Signature (s) State of Wisconsin, lI } ss. St- Croix County. J authenticated this day of Personally came before me this 18th day of June 2004 the above named TITLE: MEMBER STATE BAR OF WISCONSIN i to (If not, me known to be the person who executed the foregoing authorized by §706.06. Wis. Scats.) Instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY , ' ��� �.\ �E aq Bonnie J. Schmitz /First N b �. Bonnie J. Schmitz R� � �ry Public, State of Wisconsin 3S commission is permanent. (( If not, state expiration date (Signatures may be authenticated or acknowledgCd. ah not `G Z` October 24, ! 2004 ) necessary.) ' Names of persons signing in any capacity must be typed or printed �Te WARRANTY DEED �ISCONSIN Wisconsin Legal Blank Co.. Inc now .. I - 1998 Milwaukee, Wis. i CERTIFIED SURVEY MAP Located In part of the Northeast Quarter of the Northeast Quarter of Section 2, Township 31 North, Range 19 West, Town of Somerset, being Lot 3 of a Certified Survey Map recorded in Volume 10 Page 2760 at the Register of Deeds Office, St. Croix unty, Wisconsin. V_ ALLEN SCHLiPP S_205 NEW SURVEYOR'S CERTIFICATE: RicHMONO O I, Allen C. Schlipp, a Registered Wisconsin Land direction of Steve and Lisa Hohler, I have surveyed, and ereby certify that by the located in part of the Northeast Quarter of the Northeast Quarter of Section 2 Township North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin, being Lot 3 of Certified Survey Map recorded in Volume 10 Page 2760 at the Register of Deeds Office for said County, described as follows: Commencing at the Northeast corner of said Section 2; thence, on an assumed bearing along the east line of the Northeast Quarter of said Section 2, South 00 degrees 41 minutes 18 seconds West a distance of 418.00 feet to the southeast corner of Lot 1 of a Certified Survey Map recorded in Volume 6, page 1633 at the Register of Deeds Office for said County, this being the point of beginning of the parcel to be described; thence, continuing along said east line of the Northeast Quarter, South 00 degrees 41 minutes 18 seconds West a distance of 857.77 feet to the Southeast corner of said Northeast Quarter of the Northeast Quarter; thence, along the south line of said Northeast Quarter of the Northeast Quarter, North 89 degrees 15 minutes 36 seconds West a distance of 1312.66 feet to the Southwest corner of said Northeast Quarter of the Northeast Quarter; thence, along the west line of said Northeast Quarter of the Northeast Quarter, North 00 degrees 57 minutes 27 seconds East a distance of 659.91 feet to the southwest corner of Lot 2 of a Certified Survey Map recorded in Volume 10 Page 2760 at the Register of Deeds Office for said County; thence, along the south line of last said Lot 2, South 89 degrees 59 minutes 59 seconds East a distance of 231.00 feet to the southeast corner of said Lot 2; thence, along the east line of said Lot 2, North 00 degrees 57 minutes 27 seconds East a distance of 591.60 feet to the north line of the Northeast Quarter of said Section 2; thence, along said north line, South 89 degrees 36 minutes 22 seconds East a distance of 762.99 feet to the northwest corner of Lot 1 of a Certified Survey Map recorded in Volume 6, page 1633; thence, along the west line of last said Lot 1, South 00 degrees 41 minutes 18 seconds West a distance of 418.00 feet to the southwest corner of said Lot 1; thence, along the south line of said Lot 1, North 89 degrees 36 minutes 22 seconds East a distance of 313.00 feet to the point of beginning. Containing 1,386,664 square feet (31.83 acres). Subject to the right of way of Polk / St. Croix Road ( A Town Road) along the most northerly line of the above described property. Also subject to all easements, restrictions, and covenants of record. I also certify that this map is a correct representation to scale of the exterior boundaries surveyed and described, that I have complied with the provisions of Chapter 236.34 of the Wisconsin State Statutes and the Subdivision Ordinance of the County of St. Croix and the Town of Somerset in surveying and mapping the same. Allen C. Schlipp- Registered Wisconsin Land Surveyor No Date JEO Consulting Group, Inc. P.O. Box 325 New Richmond, WI 54017 Sheet 2 of 2 Vol. 17 Page 4531 r . F 724283 VOL 17 PAGE 4531 _ KATAEEEA H. WAL REGISTER OF DEEDS ST. CROIR CO., MI RECEIVED FOR RECORD CERTIFIED SURVEY MAP 06/03/2003 10:45AM CERTIFIED SURVEY MAP Located in part of the Northeast Quarter of the Northeast Quarter of Section 2, RE6fn :31 1&MO Range 19 West, Town of Somerset, being Lot 3 of a Certified Survey Map recorde8 FEE: 3.00 Volume 10 Page 2760 at the Register of Deeds Office, St. Croix County, wsconsikAGES: 2 Prepared for and at the request of: Steve & Lisa Hohler A special exception use permit is required for the disturbance of slopes 690 215th Ave. 20% or greater not identified on the approved plat or CSM. This permit Somerset. WI 54025 is applied for through the zoning office and is reviewed through a public Drafted by. Michael H. Lynekey hearing process by the St. Croix County Board of Adjustment. UNPLATTED L ANDS Northeast Corner, _ Section 2— ,31 -19 North 114 Corner, (FOUND IRON ROD Section 2 -31 -19 IN 2" IRON PIPE) (FOUND North Line of the NE -1/4 ALUMIN MONUMENT) ' UM POL K =ST. CROIX f1OAD Centerline ENT) — S89'3622 "W 2614.04T N89 "3622 "E 762.99' 426.30' — — 336.6 36 S 89'22" - - - -zas -- - -.z -- 313.00' 589'36'22 "W 426.37' N 63 03 336.66' (n N N O O. 1538.05' P -S89 59'58 "W � 0 .'- o I I� o - • -- w .. �..D P P. I� 1, to z y w � oD � to l v, ° �' m� °D _ ° � o 00 ° o_ool I I O . s 6 V I C7 ( °_ v o o N89', N89'36'22 "E 1 - 0 1 = 336.69 313.00 1 1 649.69 I I ( ) 1 l cb S8959'59 "E N L y I I 10 13 S H�1P I I l • C.nl 0 APPROVED 0 S I" O N ST. CROIX COUNTY C/) C " � Plannino Zonino and Parks Committee p O "n o �q� ��� J UN 0 3 2003 SU 0 z C \ V If not recorded within 30 days of rn I Z O ^; LOT 5 approval date approval shall b,- fv U null end void C7) \v 1 t I — ^, _ 0 1> Cb ''� LOT AREA TABLE J 0 -k 1 � I En TOTAL AREA AIDE REO UDVNC �A v t j I m p v • 14a 713 Sa FT. 130, 718 Sa FT. 130, 718 SQ FT. 1 t � 0 LOT 4 .123 ACRES .BOO ACRES J00 AQRIES I r 1,2449512 Sa FT. 1,234 414 Sly. FT. 1,234y 414 Ra FT. I D z LOT 5 28.60 AQ?E'S 2&34 AQW5 2434 AQW5 I Z 0 I� C/) N89'15'36 "W 1312.66' -South Line of the NE -114 of the NE -114 o UNPLATTED LANDS CA F� East 114 Corner, L6 Section 2 -31 -19 (FOUND ALUMINUM GRAPHIC SCALE LEGEND: T SCALE IN FEET- 1 inch = 250 feet MONUMEN ) Section Comer Monument of Record • Set 1" x 18" Iron Pipe weighing 1.13 pounds per linear foot JOB # WI057SU97 O Found 1" Iron Pipe Prepared by. - - - - - - - - - Building Setback Line (100' from Right of Way) J6 wo Consulting Group, /M - -AXr -- Indicates driveway seperation distance Phone No. (715) 246 -4319 Fax No. (715) 246 -3830 N TH P.O. Box 325 BEARINGS ARE REFERENCED TO THE NORTH LINE OF THE New Richmond, WI 54017 NE 1/4 OF SECTION 2, TOWNSHIP 31 N., RANGE 19 W. Sheet 1 of 2 WHICH IS ASSUMED TO BEAR S89'36'22 "W.