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HomeMy WebLinkAbout032-1007-30-200 Wisconsin Department: of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405082 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: Crotty, Heather Somerset Township 032 - 1007 -30 -200 CST BM Elev: Insp. BM Elev: BM Description: 3/ to 0' /DD` l TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / , � / , � � Benchmark Dosing 0 a (/ Alt. BM V- as Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet r _ Septic 1 1 / 2 / / Dt Bottom ( i Dosing p( Header /Man. Aeration Dist. Pi t Holding [Tot. .System f PUMP /SIPHON INFORMATION Final Grade Manufacturer mand t over GP Mod umber T Lift Fric ' Loss System Head T Ft Force th Dia. Dist. to Weu SOIL ABSORPTION SYSTEM BEDITRENCH Width �4- Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /alt I - �L i ' - SETBACK SYSTEM TO P/L BLDG WELLwC LAKE /STREAM LEACHINIIS Ma ufacturer: INFORMATION Ty Of System: CHAMBER OR UNIT odel Number: DISTRIBUTION SYSTEM Z0 t-,VC a. C Header /Manifold [ _ Distribution y x Hole Size x Hole Spac' g Vent Air Intake fk L Pipe(s) I ' - �' -I ., �r S L Dia Length Dia /r�,Sp ing L / 33 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only pZ Ad G44"JX2- Depth Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 2 Bed/Trench Edges Topsoil Dq Yes LJ No [ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:J /�Z Inspection #2: / ! Location: 2338 County Rd I Somerset, WI 54025 (NE 1/4 SE 1/4 3 T31N R19W) NA Lot 2 Parcel No: 03.31.19.45A20 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = 2/ Plan revision Required? Yes L No F�� Use other side for additional information. SBD -6710 (R.3/97) Date Cent. No. Insepctors Signature ST CROIX COU PLANNING &. ZONING October 25, 2006 ,U Matt Young & Heather Crotty 2338 County Rd. Somerset, WI 54025 RE: Remodeling of existing house, Town of Somerset, St. Croix County Parcel # 032 - 1007 -30 -200 (3.31.19.45A20) Code Administra 715 - 386 -4680 Dear Matt & Heather: Land Information w You have requested the Zoning Office review your remodeling /addition project for Planning 715 - 386 -4674 1- compliance with the state sanitary code (COMM 83). When remodeling or adding onto a dwelling you are required to examine whether or not the planned modifications Real Pro pey } involve an increase in design wastewater flows to the Private On -site Wastewater 715 -3 X4677 Treatment System ( POWTS). Re cling I have reviewed your remodeling plans for the above residence. The project involves -386 -4675 remodeling the garage into two additional bedrooms within the existing structure. The septic system was designed and installed based on wastewater flow for four (4) ., bedrooms with a maximum occupancy of eight (8) persons. This project will create three finished bedrooms in the residence. The plans include a future family recreation room in the lower level. The original system was installed August 2002 by Kim O'Connell and was inspected by zoning staff at the time of installation. The system was found to be code compliant at that time. Inspection report, as- built, and sanitary permit documents are on file with the zoning department. To prolong the life of the POWTS, remember to have the septic tank pumped at least z once every three years or when the tank becomes 1/3 full of sludge and scum. Other .; efforts to extend the lifespan of the system include water conservation measures such as repair or replacement of leaking plumbing fixtures, reducing shower time, running �yy the dish washer only when it's full, avoid using a garbage disposal, using a wash machine with a suds saver feature, etc. The projected lifespan of your POWTS is dependent upon proper maintenance of the system. ., If this POWTS should fail at any time in the future, the system will be need to be inspected by a licensed plumber or POWTS maintainer to determine if it must be replaced according to state code requirements in effect at that time. ` The proposed � p posed remodeling and room addition project must comply with all applicable building codes. Please contact the ator for the town of . oseph to obtain a building permit ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMIcHAEL ROAD, HUDSON Wi 54016 715 - 386 -4686 FAx PZOCO. SAINT- CROIX. W1. US W W W .CO. SAI NT- CROIX. W I . US Should you Have any questions, please contacf this office. Si , Pamela Quinn Zoning Sp -"ala Cc: 'a nert, Somerset Building Inspector ST. CRO1X COUNTY C7OVERNMENT CENTER 110 1 CARMIC14AEL ROAD, HUDSON, W1 54016 715- 386 -4686 FAX PZOCO. SAINT- CROIX. W1, US WWW, CO. SA 1 NT-C ROIX. W I. US Safety and Buildings Division County 2o1 W. Washington Ave., P.O. Box 7162 N visconsin Madison, WI 53707 - 7162 ice Address De artment of Commerce 5/ 15 - / 0 - — O Sanitary Permit Application Sanitary perm'` N r so8 in accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check � � -. if Revision may be used for secondary purposes Privacy Law, s15. 1 n1 I. Application Information - Please Print All Information State Plan I.D. Number Property is Name Parcel Number 3.31. N. o - - —2� property Owner's Mailing Address perty Location 3 O ST. CROIX COUNTY l rJ Si � 5i ; S T N, R City, State Zip C Ph; Lot Num r Block Number Subdivision Name CSM Number S ,5 -- II. Type of Building (check all that apply) �s - "' a iry 0 1 or 2 Family Dwelling - Number of Bedrooms "- �°""�' - ❑Village ❑ Public/Commercial - Describe Use OTownship ❑ State Owned Nearest Road x 12 `f • � t,� �.QS M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if alp 'cable) A For County use A New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to stem Tank Only j& fm stem B. ❑Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of permit: (Check all that apply)(numbering scheme is for internal use) 44 �4 Non - Pressurized In- Ground 2111 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ting 30 r V. ' tment Area Information: 3 Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Ga1s./Days/Sq.Ft) (Min./Inch) Elevation S VI. Tank Info g ft in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons of Tanks Concrete Constructed Glass is nks Sq)dc or Holding T S Dosing Chamber / VII. Responsibility Statement - I, the undersigned, ttsibllity for installation of the POWTS shown on the attached plans. Plumber' ame (PrintX umber's Si r MP1WRS Number Business Phone Number -��- Plumber's Address (Street, City, Sta , Z ' �c VIII. Count /De artment Use onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse _ Determination ZS . ' I IX. Conditions of Approval/Reasons for Disapproval Attach complete plans (to the C—Ay Daly) for the system w papa' not less than Sin x 11 Inches to size SBD -6398 (R. 05/01) l a c ,J4 V �t WE o � T o � m� o A.� � I 8 IV) ` Wisconsin Department of Commerce SOIL EVALUATION REPORT Page � of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 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 int (BM), direction and Parcel I.D percent slope, scale or dimensions, north arrow, tance to nearest road. 0 - L - i m7:i o -Zee rZ Please print a 1 Re 'e Wed by Date Personal Information you provide may be use �c ndary urpo*(Priva any 15.04 (1) (m)). M Property Owner rty LocOon R b ,e,i- Lot / g 1_ 1145,r 114 S_7 T N R 9 i (or)© Prope Owner's Mailing Address ?� ®' L'ot Block # Subd. Name or CSKV / S ? 9-3 r'r 'J sT CROIx N cis 1 3(, f C R �412(i City State Zip Cod ,;;� h p�� � City ❑ Village I�Town Nearest R oad 56i+erj �t fv� �`� �. ZY7�3`Y SOMP-SeJ CI ® New Construction Use: ® Residential / Num - b Code derived design flow rate �O GPD ❑ Replacement /� Public or commercial - Describe: Parent material Z �1 e 0 u � Flood Plain elevation if applicable A ft• General comments ��jp, QitF � Z/�ICiI�'� t %.v^. Su�� c,� F�e�«. +lm1 V /. and recommendations: M Boring # Boring © Pit Ground surface elev. 9 /e ft. Depth to limiting facto /O in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f(` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2 9-33 /ors si �� A 2/�iJ_r A /, a s /�' ­ . 8 3 33 so � srR 6 N� /yiS �s wr L c �- — . 7 /• Y 0 - //0 /Orx % kA ® Boring # Coring q d ® Pit Ground surface elev. _! �' ft. Depth to limiting factor 7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. / M �� u nn � s e el ll, Qu. Sz. Cont. Color Gr. Sz.. S I,n 'Eff #1 'Eff#2 qq ( 2 10 -3s Xia Si ° G / F: u S �' 1-5 .0 3 3s Y9 - 7,srX ti* MS 0s / C w .7 / <a /0/-,k �y /1/, /yi f ©1 Z_ — , 7 /. Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST,.V (Please 1 Si natu CST Nurnber 1-5 r; an la ,-Ae Address Date Evaluation Conducted Telephone Number a we SO 17 5 Zr = /1- 0 7 /S- zy7_3zo3 • Property Owner 62- � Parcel ID # Page 2 of 3 3 Boring # Boring M c/ [� pit Ground surface elev. �� L ft. Depth to limiting factor 7120 in. Soil lication 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 0 -7 /pY/t * 4 M "tl' C w /M . y .� '2 7 - Z`j /01 MF of j F .S ofj '/ Y8 7 s4e 6 Aid M1 OSy M4 .f, C f Boring # Boring ? 7 ® Pit Ground surface elev. �J • _ ft. Depth to limiting factor 7 /ZZ 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 I o- 7 / or e � ,U� S' Z IMS6•C 2 7 -26 /0YR A�X / ° L n� f� a r 3 26 - y9 sr� 6 �i1 DS n2/- C .7 /, a Y y - 12 Z /Dry Borin ❑ g s Boring # ® pit Ground surface elev. _ • ft. Depth to limiting f ac t or / 7 /� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO In. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff #1 'Eff#2 C7 - e? / /f/A SL 1t i'-7 <, C w /M . �/ . 6 2 8 - � /Dr !y IVA 2 mfg Al- a s /,r . - .5 . o9 IL — — o S , y 3 -� Z Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOO, < 30 mg/L and TSS _< 30 mg/L 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 (R.6/00) OWNER Page 3 of 3 Name Brian Parnell Address CST 231314 Date. �-- /S-- 0 enclunark I lo 540 Zq enchmark2 Soil Boring -1 Suitable Area 1 40' Scale f i th ; V,4 ...... .. Soil e � t i - --- - � r -- i i t i ; I 1 I I i I ( i ! i _ �_ �_. —. 7, r ` UlPf'neted Lands 1 _ wept t � of the Soumeast 1/4 b i ^- — No2'13'30'E $o 0 1 I � i LOT N 6. AC: .� gas 4 so. FT. " � X ' SO22'w 660.53' N J3v,3i a a 330.J2 o b � R I? ; LOT 3 p I y r LA w C p �r a kn p ^' " H h h'ound 3 14" re b ar LOT 1 ' k r,oT z 77. 6,A q1 � pye 6.75 AC* x1 +828 q. �. n S H " m 66' 293e53 so. FT, � y ON 4 a Q �� Co �Q En e ni N ` �i � � 4 ' 4 LOT 4 P •- N � N ,+ I � 3" a e ise.00' roadw¢y setback , %°- _ - - -- � — Found 314" rebar � 4 :1 331,19' g Ir � NOi'2T2YE 331.ty' r �' Soutrteosf corner - 5i'J9'W _ __ 882. Sp' Section J. T 31N, Rrgft � SOr 2aso.10 Found Aluminum. AWonument Unplatted Lands Eosf 1/4 corner Section 3, T3rM, RlgW Found Aluminum Monument North is r¢ferenced to the east line of the Southeast 1 which is assumed to bear 500 "K' CEDAR CORPORATION 604, WILSON AVENt1E Mf'N0MON7E NI. 64761 PACK op F -- - POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _Luf FILE INFORMA SYSTEM SPECIFICATION Owner y - Se tic Tank Ca acit o al o NA Permit # S 0 2 Se tic Tank Manufacturer j j A ,4eS o NA Effluent Filter Manufacturer / o NA DESIGN PARAMETERS Effluent Filter Model o NA Number of bedrooms ❑ NA Pump Tank Capacity al d NA Number of Commercial Unit NA Pump Tank Manufacturer o-NA Estimated flow (average) gal/day Pump Manufacturer ANA Design flow (peak), (Estimated x 1.5 ) Z p gal/day Pump Model ANA Soil Application Rate --^ gal/day/ft' Pretreated Unit Influent /Effluent Quality Monthly Average* ❑ Sand /Gravel Filter ❑ Peat Filter Fats, Oils & Grease (FOG) <30 mg /L r) Mechanical Aeration o Wetland Biochemical Oxygen Demand (BODs) <220 mg /L ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) < 150 m L Manufacturer Pretreated Effluent Quality ❑ NA Monthly Average ** Dispersal Cell(s) <30 mg /L 0 In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BODs) ❑ At -grade o Mound Total Suspended Solids (TSS) <30 mg /L o Drip-line c3 Other: Fecal Coliform (geometric mean) <10' efu /100mL Maxilltutn Effluent Particle Size '/b inch diameter * Values typical for domestic (non- cununcrcial) wastewater and septic tank effluent. ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequenc Inspect condition of tank(s) At least once every Z o months _§' ears (Maximum 3 rs) Pump out contents of tanks When combined sludge and scum equals one third ('/3) of tank volume Inspect dispersal cells At least once eve _3 ❑ months ears Maximum 3 rs) Clean effluent filter At least once ever o months g ear(s Inspect P1.11111), pump controls & alarm At least once every ❑ months o year(s) ONA Flush laterals and pressure test At least once every ❑ months ❑ ear(s) Z NA Other: At least once every ❑ months o ear(s) NA Other: At least once every o months ❑ ears NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications; Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, 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 cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third ('/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that my impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tanks(s) removed by a septage servicing operator prior to use. Owner: x,� X� �_ �► �� / Pneaof _,2 System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal cell(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 soft absorption are. 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. ABANDONEMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ch. 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. CONTINGENCY 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 area 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 the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES 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 POWTS INSTAL POWTS MAINTAINER Name Name Phone I Phone SEPTAGE SERVICING OPERATOR PUMPER) LOCAL REGULATORY AUTHORITY Name Name l" Phonel Phone r V T t ST CROIX COUNTY _ SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Ail Address Property Address ( erification required from Planning Department for new construction) City /State Parcel Identification Number 6 - 3.31. 49. 45 —Zo) LE GAL DESCRIPTION Property Location i '/<, '/,, Sec. 3 , T 3 N -R 1 W, Town of Subdivision , Lot # �— Certified Survey Map # ` �eSl f_ , Volume l , Page # ' /aa�_ Warranty Deed # 6' Z,, ? , Volume �y� , Page # I Spec house O yes 10 no Lot lines identifiable 0"Yes 0 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenanc consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper, What you put into the systei 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal systet 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 Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standarc set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certificatic stating that your septi system has been maintained must be completed and returned to the St. Croix County Zoning Office within 3 days thre r expiration date. SIGNA . OF AP I NT 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) c the pr scribed ve, by virtue of a warranty deed recorded in Register of Deeds Office. SIG ATU APPLI T DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * ** ** 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 v STATE BAR OF WISCONSIN FORM 3 - 1998 A H 2 QUIT CLAIM DEED H . `+ Document Number KATHLEEN H, 4iALSH REGISTER OF DEEDS 7husband Deed, made between Robert A. Crotty and Mary M. Crotty ST. CROIX Co., WI wife, RECEIVED FOR RECORD 02 - 28 -2002 9:30 AN Grantor, and Heather M. Crotty, a single person, QUIT CLAIM DEED EXERT # 9 REC FEE: 11.00 TRANS FEE: COPY FEE: Grantee. CERT COPY FEE: Grantor, quit claims to Grantee the following described real estate in PAGES: 1 St. Croix County, State of Wisconsin: Recordin Area Name and Return Address Judith A. Remington REMINGTON LAW OFI~ICES P.O. Box 177 A parcel of land located in the Northeast Quarter of the Southeast Quarter New Richmond, WI 54017 (NE 1/4 of SE 1/4) of Section Three (3), To n ship Thirty -one (3 1) North, Range Nineteen (19) West described as follows t f Certified Survey Map No. 4126 recorded on July 17, 2001, in Volume 15 at Page 4126 as Document No. 651361. 032 - 1007 -30 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) TOGETHER WITH a perpetual non - exclusive easement for ingress and egress on and over the following described property: Commencing at the East 1/4 of said Section 3; thence North 89 degrees 15'47" West along the north line of the southeast Quarter a distance of 33.00 feet; thence South 01 degrees 27'22" West along the West right -of -way County Trunk Highway "I" a distance of 662.38 feet to the point of beginning; thence North 89 degrees 08'49" West a distance of 100.00 feet; thence South 00 degrees 51'11" West a distance of 66.00 feet; thence South 89 degrees 08'49" East a distance of 100.00 feet more or less to the said West right -of -way; thence North along said right -of -way to the point of beginning. Together with all appurtenant rights, title and interests. Dated this day of February 2002 * * ROBERT A . CROTTY * * 7 MARY Af CROTTY AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) )SS. ST. CROIX County. ) Personally came before me this &t day of authenticated this day of February _ , 2002 the above named Robert A. Crotty and Mary M. Crotty, husband and wife, * TITLE: MEMBER STATE BAR OF WISCONSIN „' (If not, to me known to be the person(s) who executed ht ,foregoing instrument and acknowledge the same authorized by § 706.06, Wis. Slats.) 1 THIS INSTRUMENT WAS DRAFTED BY J udith A. Remington, Remington Law Offices, * udith A. Remington P.O. Box 177, New Richmond, WI 54017 Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not MY Commission is permanent. not, stay . tr te: necessary.) ;ec'� *Names of persons signing in any capacity should be typed or printed below their signatures QUIT CLAIM DEED STATE BAR OF WISCONSIN {� FORM No. 3 - I"B L.J INFORMATIQtJ PF�]l . WI S00 -655 -2021 `` 5 > s ' FORM NO. 985•A © t Val r 3 0©0 u=i r o Stock No. 26273 C. � A •-� / fr j am' O •• �twwo A BF tttttiiiii ' 0_ou ��- rtified Survey Map No. 4126 0Yxcn �� olume 75 41 26 , Page BEING A PART OF THE NORTHEAST 114 OF THE SOUTHEAST 114 OF SECTION 3, TOWNSHIP 31 NORTH, RANGE 19 WEST, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. LEGEND 0 ....... Government Corner (as noted) I APPROVED o ........ Set 314" x 24" rebar weighing PREPARED FOR: ST. CROIX COUNTY 1.502 lbs. /lineal ft. Planning Zoning and Parke Committee Found I" iron pipe unless noted Robert A.• & Mary M. Crotty 1953 9344 Street �U 17 2001 \` ..••• Drainage arrow Somerset` WI 54025 U platted Lands If not recorded within al days of West line of the of NE 1/4 of the SE 114 I �\ apprpya�te, approval shall be null gnavo(d - " ' '— ' ' -- NO2' 13'30 "E I Co 659.93' 1 �T� — I " SCALE: 1 " =200' { $209 I p a 66.0' KNAPP I C �.� W1 I a 0 200' 400' I W w'�' LOT 3 I 3 a to 6.56 ACt 00 n 285718 SO. FT. I Z I N � N I n I sot 7'2 660.63' I .� T ►C 11 .. 330.31' 330.32' rt I1 LOT _3 to i a (iv �t l � V7 � I� V I, I m Ilc N OT 1 w ° Found 314" reba `= LOT 2 .77 Act 6.75 ACt 294 28 SO. FT. I p c e"i 66' 293871 SO. FT. � Inc uding R/W w b Including R/W . ,o m { 00 0 .° o 6 53 ACt `� n p w c b 6.53 ACt co X284 80 SO. FT., I ' b o o 1 4 s a '~>i " I 284371 SO. FT. ' r ; Exc ing R/W N I Excluding R/W c �W LOT 4 o a u I l OHp N <'] n na% ftw = 66.00 > b I I � e� A W IB OW ay se ack o $ N — — — — -- roadw — — — — t Found 314" r¢bar (g v 331.19' °o� 331.19' I �' 1987.56' '—+ • No1'27'22 "E N01'27'22 " J 31.27' 1 331.27' — Sot'57'39 "W °= S01'57'39 'W 662 C. T. H. "I" Southeast corner — — _ _ - _ Section 3, T31N, R19W S01 "W 2650.10 East 1/4 corner Found Aluminum Monument Urtp t te LC Lands Section 3, T31 N, R 19W Found Aluminum Monument Ah— North is referenced to the east line of the Southeast 114, which CEDAR CORPORATION is assumed to bear S01'57'39 "W 604. WILSON AVENUE MENOMONIE. WL 54751 PAGE -L OF 3 VOI.15 Page 4126 . y • V FORM N0. 985-A HC..1'nNlw Stock No. 26273 Certified Survey Map No. 41 Volume it; , Page 4126 . BEING A PART OF THE NORTHEAST 114 OF THE SOUTHEAST 114 OF SECTION 3, TOWNSHIP 31 NORTH, RANGE 19 WEST, TOWN OF SOMERSET, ST. CRIOX COUNTY, WISCONSIN. OWNERS CERTIFICATE. As owner, I hereby certify that I caused the land described herein to be surveyed, divided, and mapped as represented on this Certified Survey Map. I also certify that this Certified Survey Map is required to be submitted to the following for approval, Town of Somerset. 1) Town of Somerset In witness whereof, the said Town of Somerset has caused these presents to be signed by Robert A. and Mary M. Crotty and counter signed by Ed Schachtner, its Chairman on this 21 '" day of 2001. Robert A. Crotty Mary M. Crotty "aQ Y Countersigned: Ed Schachtner Town Chairman STATE OF WISCONSIN) SS COUNTY OF ST. CROIX) Personally appeared before me this day of kAa 2001 the above named Robert A. and Mary M. Crotty and Ed Schachtner respectively, of the Town of Somerset, to me know to be the persons who executed the foregoing instrument. Notary Public My Commission expires: F RI KOESTE 6iX' County, Wisconsin otary Public OWNERS CERTIFICATE of Wisconsin M . As owner, I hereby certify that I caused the land described herein to be surveyed, divided, and mapped as represented on this Certified Survey Map. I also certify that this Certified Survey Map is required to be submitted to the following for approval. Town of Somerset. 1) Town of Somerset In witness whereof, the said Town of Somerset has caused these presents to be signed by Chris to er A. Crott and counter signed by Ed Schachtner, its Chairman on this day of .2001. Christopher A. Crotty Countersigned: Ed Schachtner Town Chairman STATE OF WISCONSIN) SS COUNTY OF ST. ,CROIX) Personally appeared before me thi a�" day of R , 2001 the above named Christopher A. Crotty and Ed Schachtner respectively, of the Town of Somerset, to me know to be the persons who executed the foregoing instrument. - W,), , Notary Public My Commission expires: St. Croix County, Wisconsin CEDAR CORPORATION 604. 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Parcel #: 032 - 1007 -30 -200 10/23/2006 09:52 AM PAGE 1 OF 1 Alt. Parcel #: 3.31.19.45A -20 032 - TOWN OF SOMERSET Current IX: 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 HEATHER M CROTTY O - CROTTY, HEATHER M 2338 CTY RD I SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 2338 CTY RD I SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 6.750 Plat: 4126 -CSM 15/4126 SEC 3 T31 RI 9W NE SE BEING LOT 2 CSM Block/Condo Bldg: LOT 2 15/4126 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 03- 31N -19W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 11/13/2002 698196 2044/323 EZ 02/28/2002 672324 1845/179 QC 07/23/1997 852/12 07/23/1997 570/407 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/09/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.750 66,700 184,600 251,300 NO Totals for 2006: General Property 6.750 66,700 184,600 251,300 Woodland 0.000 0 0 Totals for 2005: General Property 6.750 66,700 184,600 251,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 554 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00