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HomeMy WebLinkAbout032-1032-10-025 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety al]1d Building Division INSPECTION REPORT Sanitary Permit No: 430621 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: r _ Connor, Brian I Somerset Township 0 3 Z' 10'b CST BM Elev: Insp. BM Elev: BM Description Sectionlrown /Range/Map No: n 1 61 -q5 +�E�� D1' 11.31.19.1 TANK INFORMATION ELEVATION DATA 10 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark seeiry Alt. BM S_ OtS /d / • S nC Aeration Bldg. Sewer a ,yZ y � • � 3 Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet I 31 cl5 14% TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ \ Septic Dt Bottom Dosing Header /Man. �z• 9�y Aeration Dist. Pipe Holding Bot. System 13: 17 5 . y-� c� PUMP /SIPHON INFORMATION Final Grade r 7 ( 7 7. 3 5 Manufactur GPM Demand St Cover �-� Z del Number / TDH riction Loss Sys ead 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\ uid Depth DIMENSIONS / _Z — 1f _e " SETBACK SYSTEM TO P/L JBLDG IWELL LAKEISTREAM LEACHING Manufacturer:. ('+ INFORMATION CHAMBER OR �–✓�t Type Of System: C /� � Z4 UNIT Model Number: /�� `�� �aJe D l0 1�%►3 ut DISTRIBUTION SYSTEM / 11 �. 3 Tcf- -J_ Header /Manifold �� Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Lengt J Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of T eeded /Sodded xx Mulched X_ Bed/Trench Center Bed/Trench Edges \ Topsoil as Y No I`i N I Yes o COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: (/3 �0 2 n,� Location: Somerset, WI 54025 (NW 1/4 S 1/4 T31N R19W) NA Lot 2 Parcel No: 11.31.19. 1.) Alt BM Description = 2.) Bldg sewer length = z`] i - amount of cover = ' Plan revision Required? [ Yes - A No � i n � Use other side for additional information. I� Date + �ns.p, b SBD -6710 (R.3/97) tors kinature Cart. No. Safety and Buildings Division County n w 201 W. Washington Ave., P.O. Box? 162 irsevnsin Madison, WI Sanitary Permit Number (to filled in by Co.) Dep artment of Commerce (6F 26CENED 4- 30107-'l tare Pln Y.D. Number Sanitary Permit Applica ion ••�� 8 2pp3 In accord with Comm 83.21, Wis. Adm. Code, personal infor don ya[pwide may be used for secondary purposes Privacy Law, s15 (1)(m) oject Address (if different than mailing addre�}� CRomCO UNTI( f �%L� q��� I) Or-- Or-- I. Application Information - Please Print All Ltl'ormulion ZONI ( l�Y/JJ x Property Owner's Na me Parcel Lot M Sleek +t'� . Property wner's M ailing Address Pro Lion p Ciry, rate Lip Codr Phone Number � ?/- -A ' � = -- If 1 f (circle o u) II. Type o uilding (check all that apply) �zr S A, T N; R,�S o B X 1 or 2 Family Dwelling - Number of Bedrooms � • CSM Number ❑ Public /Commercial - Describe Use ) } /P <{bog _T/ ❑State Owned - Describe Use ( 2 - 2 X &� 31 ❑Ciry_❑Villageowttship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' New System ❑ Replacement System 1 Treaunent/Holding Tank Replacement Only ❑ Other Modif don to 84sting System 1 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 apply) Non - Pressurized In- Ground U Mound > 24 in. of suitable soil CJ Mound G 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetiand ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching hamber ❑ Drip Line ❑ G vel -lass Pi ❑ Other ex lain V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpds0 Dispersal Area Required (sf) Dispersal Area P roposed (sQ ystcm Elevation V1, Tank Info Capacity in 'total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks I Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamtwr VII. Resp risibility Statement 1, the undersigned, sunte res ponsibility for Inst allation of the POWTS shown ou the attached phuls. Plum r' a me (P'j 0 Plu ber's S' e MP /MPRS Number Business Phone Number Plumber's Ad re ss (Street, City, State, Z ipc e) VIII. Co 7 11 artment Use Onl 3 ApproDisapproved Sanitary Permit Foe includes Groundwater Date Issued I suin Agent Signature (No Stamps) Surcharge Fee) Owner Given Reason for Denial 2 � ZZ IX, Cjfi j �MyaVReasons for Disapproval nr 1 Septic tank, effluent filter and 3) N dispersal cell must all be serviced / maintained as per management plan provided by plumber. Z / ( -n"" CL w � 2. All setback requirements must be maintained as per applicable code /ordinances. Allaca compbts plans (to tbs Cuuoty only) fur Un syslam on paper not tw "a 81/3 x 11 laclaw re *0 SBD -6398 (R, 01/03) i Al 7A '09w , l,e;; ooz 3 ay - >S ,Zi t� copv �,L1fA a 9w ICA �y� KSk oC ,S �y , 4� At i �s o _ PAS Wi sconsin Department of Commerce OIL EVALUATION REPORT Page of Division of Safety and Buildings ' in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County o r include, but not limited to: vertical and horizontal refefeh ce 00ftit(8M); direction. and _„ Parcel I.D. percent slope, scale or dimensions, north arrow, andilocation Add dirt to nearest road. Please print all infor$nation Re 'wed by Date Personal information you provide maybe used for secondary purposes (Privocy La* t 'A5.04 (1) (m)). 7 3 Property Owner Property Location r C /� C< id e Govt. Lot l) 1/454-'1/4 S/ I T 3 N R 1 7 5 (or)(9 Property Owner's Mailing Address Lot# - Block # Subd. Name or CSM# 6Z 6/- Z20 -- 4-4 "-, 2 City State Zip Code Phone Number ❑ City ❑ Village 2 Town Nearest Road SaY e1Jre 6 !3� syoZ3' I ( 2V7 -3/6z � , -J -ef I c g New Construction Use: Residential / Number of bedrooms C Code derived design flow rate 6 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Pi HC® d cL,0 C-eJA /f f. Z Flood Plain elevation if applicable 1 4 y A- ft. General comments and recommendations: Boring Boring # 6S pit Ground surface elev. (/• ft. Depth to limiting factor;;"' 1 -? in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ► �- /oYe�i a SL /n�f�� c am. �. y 0,6 Z 8-Zd' 7- rYX3 l S%G .^,s.6.� � c - Z C 0, 3 e3 = 7is lVk S'C, Z rrJA* (f y6 6Z 7 5 ' b /Y/A )-F ©. 7 1.2 Sa • �{ �fo • `{ F-zl Boring # ❑ Boring Q / ,® Pit Ground surface elev. / �� ft. Depth to limiting facto Z Z. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 - 7 O o , 6 yy 0 A 1 1 4 7 !•2 r ' 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 Na a (Please Prin Signature CST Number Address Date Evaluation Conducted Telephone Number A?z U---T ZS - 63 715 -0 y7- 32 0 3 SBD -8330 (R07 /00) Lbt 2 - Property Owner f �✓« E' Parcel ID # Page Z of 3 1-31 Boring # ❑Boring Pit Ground surface elev. 9S yS ft. Depth to limiting factor /� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 I 0-S /Oyu -T S� th a* r, L41- c w ) c O. y o. Z -4 7,3 3 ' /f L 2r`;r6�c ^., L 2c 0. S 0 - 8 /VA AS 6s r� � � �, 2 �►, vo 7 !, 2 F] 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 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/8 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 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.07 100) OWNER' Page 3 of 3 Namt'" r �O u I'd e Brian Parnell Address Z Z ZO -, 4 a ,, e- CST 231314 S o.-? ell-e," 46S�- Date —+ c Benclunar% 1 /Yu./ Sn 8'��,�cTize Benchmark ? Soil Borina Suitable Area F= 40' Scale I I i 1 : : I I I I - - - - - -- !- - f 2 - — — — - - -- ; ' ce, Or I � —� — r-- r _ i s I I i i I : : t 1 I i i 1 � ' ' - - F -- r -- i - -- 1 -- 'Y -- - GpfCO /4 er — - — -- Y - - i -- ----j' — 4' --- 1 --- -- i T i 1 1 _ ! I - — — it ��`� if Y•iy�i►�r�r •L ' � • \ ���,, ,�, � � e r r ,. SEW F A A r „ � ire Fla FEN pw �� ' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page __L of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity a l ❑ NA Permit # 3 p b2— Septic Tank Manufacturer - S ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units CIA Pump Tank Capacity a l J2�NA Estimated flow (average) al/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) g al /day Pump Manufacturer S NA Soil Application Rate 7 gal/day/ft' Pump Model . - "A Standard Influent /Effluent Quality Monthly average" Pretreatment Unit eTNA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter O Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (.TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L P�ln- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510' cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: months) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y3) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) El NA ear(sl Clean effluent filter At least once every: C3 month(s). ❑ NA ear(s) Inspect pump, pump controls & alarm At least once every: ❑ month C3 eaar(s) r(s) ) �.(JA Flush laterals and pressure test At least once every: ❑ month(s) B-NA ❑ year(s) Other: At least once every: ❑ month(s) ,� NA ❑ year(s) Other: ❑ 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 (Y 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 chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, 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. GMW (4/01) Pa9e;z--2 of 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 may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) 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 may 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 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 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. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall tie taken to insure that the system is properly 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. 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 that 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 POWTS 1 11111 14 TAL POWTS MAINTAINER Name Name Phone �- _ s — Phone s' SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name E Phone — This document was drafted in compliance with chapter Comm 83.220(b)IUM &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 4 Mailing <d�Li 734 ropeny ,dd: (ti'eri fication required from Planning Department for new construction) ' City/State �>.;,z,Krs.F� / �/ Parcel Identification Number LE GAL. DESCRIPTION Property Location A/E /,, 5"kl ' /a, Sec. ^ , T S/ N- RnWTown of -5 _n ­�'4c'A Subdivision _ , Lot # z Certifir a Survey itilap # Volume _Lz Page # Warrant } De d , Volume ,Page # Spec house ❑ yes C no Lot lines identifiable yes O no SYSTEIIIIV'I'LNANCE Oper use and maintenanceor your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumpin4 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. 1'hc property owner agrees to submit to St. Croix 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 undcrsi ;neci have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as sct 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, ria�l � "a✓ �' ll .� 03 SIGNATUI:.E Of APPLICANT DATE OWNER t ERT IhICATION 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 property de / sc // ru ed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICA3 JT 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 U' 2993 P 902 744872 II STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. WALSH Document Number WARRANTY DEED ST. CROIX WI RECEIVED FOR RECORD This Deed, made between Richard Plourde. a /k/a Richard L. Plourde. Grantor, 10/27/ 2003 i l s 30AM and Brian W. Connor, WARRANTY DEED Grantee. EXEMPT 11 Grantor, for a valuable consideration, conveys and warrants to Grantee REC FEE: 11.00 the following described real estate in tS Croix County, State of Wisconsin TRANS FEE: 108.90 (if more space is needed, please attach addendum): COPY FEE Part of the NE 1 /4of SW ' /4and Part of the NW 1 /4of SW 1 /4of Section 11, CC FEE: Township 31 North,,1j&ange 19 West, St. Croix County, Wisconsin PAGES: 1 described as follows: Certified Survey Map filed September 11, 2003 in Vol. 17 , Page 4608 Doc. No. 739719. Together With Joint Driveway Easement as shown in Vol. 2398, Page 532, Doc. No. 738643. Recording Area Name and Return Address 032- 1031 -95. 0324032 -10 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. tom-- Dated this day of October , 2003 * * Richard Plourde,a/k/a Richard L. Plourde AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF jj! ) ss. County ) authenticated this day of Personally came before me y of ab _ October , 2003 the ove named TLim Richard Plourde, a.Wa Richard L. Plourde, TITLE: MEMBER STATE SDL. _ (If not, ca„ +o of W isca to me known to be the person(s) who executed the foregoing authorized by § 70 . is. Stats.) e t and ackao ed the same. THIS INSTRUMENT WAS DRAFTED BY. _ Attorney Kristina Ogland t,t Hudson, W I 5 4016 Notary Publi , to of My Commissi is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co.. Fond du Lac, Wl STATE BAR OF WISCONSIN 800655 -2021 WARRANTY DEED FORM No. 2.1994 i CERTIFIED SURVEY MAP Located in part of the Northeast Quarter of the Southwest Quarter and part of the Northwest Quarter of the Southwest Quarter In Section 11, Township 31 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin. Prepared for and at the request of: RICHARD PLOURDE ND 0 / 824 — 220TH AVE, /- SOMERSET, WI 54025 Section Comer Monument p� i Drafted by, Michael H. Lynakey of Record rd Set 1" x 18" Iron Pipe weighing +j 1,13 pounds per linear foot 6. �•► .cfo 3 M � 150 0 150 G c�o lb. f JJ' GRAPHI C SCALE i'Vh �// V) � m I JJ' SCALE IN FEET: 1 inch - 150 feet C ��/ ?�b ' n elm I r ry� i h , �/ C o� UNPLA TCD_LANDS �Q O aD Q 2 a X Woo I OF OWNER X ?� (� .off `N. N Cl N W D co I (Nearest �v`�0 Q .N v 0 v v OD - m i driveway is 2 ` �a�' $ $ $ $ y m I I opprox, 11 a U h �, O Gj, . u , i y to the north, 6 �/ w w 616' M v-), $ S' ' w 882411 "E 255 62' �Q/ / '. � N .. ri D rn N86 2711 "w N0 11 (No other driveways to C7 I south. 220th A venue JOB �� SD25 N = is opprox. 800 If P-0 Lo k4 Phone No. (715) 246 -4319 D SURVEYOR'S CERTIFICATE: Fox No. (715) 246 -3830 z O W P.O. Box 325 New Richmond, WI 54017 c $ v 1, Ty R. Dodge, a Registered Wisconsin Land Surveyor, do hereby eortify that by the direction of Richard ! W Plourde I have surveyed, divided and mapped a arcel of land located in part of the Northwest oP 5 1 y the Southwest Quarter and part of the Northeast Quarter of the Southwest X7 Township 31 North, Range 19 West, Town of Somerset St. Croix County, in +Wisconsin, described 1 d as s Z follows: Commencing at the West Quarter comer of said Section 11; thence, on an assumed bearing along the z �n east/west Quarter line of said Section 11, South 88 degrees 33 minutes 59 seconds last a distance of 1158.21 feet to the point of beginning of the, parcel to be described; thence continuing along said east/west Z Quarter line, South 88 degrees 33 minutes 59 seconds East a distance of269.36 fact; thence South 00 degrees 24 minutes 45 seconds West a distance of 332 feat; thence South 2$ degrees 30 minutes 33 m seconds East a distance of 234,45 feet; thence, along the a ofa curve, conoave to the southoeat, a disoAgg >: � rc of 183.46 feet, said curve has a radius of 233.00 feet and a chard that ban South 41 degree 56 mints n W 03.5 seconds West a distance of 178,76 feet; thence south 19 degroa 22 minutes 40 seconds West a z distance of 172.03 feet; thence, along the arc of a curve, concave to the northwest, a distance of 109.49. fact, said curve has a radius of 167.00 feet and a chord that bears South 38 degroes 09 minutes 36.5 seconds West a distance of 107.54 feet; thence South 56 degrees 56 minutes 33 seconds Wet a distance of w 86.23 feet; thence North 33 degrees 03 minutes 27 seconds West a distance of 580.75 feat; thence South 81 m r*i N degrees 24 minutes 11 seconds East a distance of 260.70 feet; thence North 00 degrees 24 minutes 45 seconds East a distance of 498.29 feet to the point of beginning. Containing 301,323 square feet (6.92 acres). Subject to all easements, restrictions and covenants ofrocord. 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 Statutos VW the Subdivision Ordinance of the County of St. Croix and the Town of Somerset in surveying and mapping the same. nnw lu��ir������� / � J =Dodge- , stered Wisconsin Land Surveyor No, 2484 Date ' *'• TY R. % oup, Inc, { Dom P.O. Box 325 = 8.2484 New Richmond, Wl 54017 ., CLEAR LAKB, WI L•` s '•• .• Sheet 2 of 2 h'' /� •'•••wN••j1 Vol. 17 Page 4608 # TY R. ;' . '2 DODGE '• � 6-'43 S- 2464 9 � 2 -03 739719 CLEAR LAKE.,. VOL T PAGE 4608 KATHMN H. WALSH - - -- %,�'�Np REGISTER OF DEEDS ��• SUt3� �� ST. CROIX CO., MI rrr prrrrnn nunn���� CERTIFIED SURVEY MAP RECEIVED FOR RECORD 09/11/2003 01:00Pi!1 Located in port of the Northeast Quarter of the Southwest Quarter and part of th�NO SURVEY MAP Quarter of the Southwest Quarter in Section 11, Township 31 North, Range 19 Wes 13.00 Somerset, St. Croix County, Wisconsin. COPY FEE: Prepared for and at the request of: A special exception use permit is required ?AGF& dia3urbance of slopes RICHARD PLOURDE 20% or greater not Identified on the approved plot or CSM. This permit 624 - 220TH AVE. is applied for through the zoning office and is reviewed through a public SOMERSET, WI 54025 hearing process by the St. Croix County Board of Adjustment. Drafted by. Michael H. Lynskey U N P L A T T E D L A N DS -- 58833'59 "E 5339.80'- - East/West 114 line S88•33'59 "E 269.36' r 1 C S88'33'59" s� 1158.21' CONTIGUOUS <� BUILDABLE AREA. 3912.23' rT 1 98,472 sq. ft. \ O 2.26 acres y O n pH Z W JvW W W Dp QJ O O qct c C j ��� fv s �` �� r C ' N o o 0 Z �� `"" APP V D � � � n �-U o w w , w x ' ' \G c !, ST. CRUI,>� WN TY I I D (.W O GW N d LQ ~ %anning Zonina 4" 'arks comrndtef� L4 � 3 � R � — r v,, CD waow ri w v D � :°. � � �� S E P .� 2003 Ln i o 0 v n � CO 1 > c f° If not recorded 60 in 30 days of I ZZ En' j o •o• Oo D ,O cu 14 m \ � approval date 4W oval, shall ha 3. to 0) 0 O ° o \� null w4p aid tf1 I� -1 o. � �s 0 o :4 � � o = < 'a y_ o � S88'24'11 "E Jt7TAL AREA: � �° !J 4, - w 0 ;V M 260 169,187 sq. ft. I • �� Ws .0 3 3.86 acres w 'A 00 N ;' M �• o c S2 r6'' r '/ a 00 ° c „ o != 2 LOTS �3. N c3 C' C o rn rn S' IR U! w rn Vr c �°,, "i Cn A W A: -i 'a v'� TOTAL A RE G 1 ^i C ,i �>=g 3v) "'' J06acres G7 $ Q 3 e \0' �A CON77G000S I '� 10 a. -`-° 3 n 0 BU ILDABLE 30 535 s . AREA: . �� *, q O z N ca N t�D_ Z < N ° � S \ ' r y Im 0 v 0 v z (0 CL � � f --I � 0 cn W , rn N (A N ;V 150 0 150 Z W L4 w $ w $ N GRAPHIC SCALE 5 SCALE IN FEET: 1 Inch 150 feet / • '� NO TH eot e �52 6 /, � 5e� Po9 e� 0c OTC e , R ecofd LEGEND Y Section Corner Monument JOB # W1057SD25 � of Record . Prepared by �� Set 1' x 18" Iron Pipe weighing NW 1 4 - SW 114 1.13 pounds per linear foot Consang Group, Ina sw i 14 - sw 114 — Phone No. (715) 246 -4318 Fox No. (715) 246 -3830 P.O. Box 325 BEARINGS ARE REFERENCED TO THE EAST/WEST QUARTER New Richmond, WI 54017 LINE OF SECTION 11, TOWNSHIP 31 N., RANGE 19 W. Sheet 1 of 2 WHICH IS ASSUMED TO BEAR S8151359 "E. Vol.17 Page 4608 GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE TOWN OF SOMERSET COMPUTER NUMBER 032 - 1032 -10 -025 Parcel Number 11.31.19.153A -10 Claimed Date Re- certified / / Relate Number: OWNER NAME: First BRIAN W Last CONNOR CO -OWNER Mailing Address 736 E 2ND ST City NEW RICHMOND State WI Zip 54017 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY EZ -U 2483/ 200 750406 12/31/2003 WD 2443/ 402 744872 10/27/2003 PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name- Type SD Apartment Post Office 636 222ND AVE School District: 5432 - SCH D OF SOMERSET Special District: (1) 1700 - (2) - (3) - W ITC Plat Code: Last Changed on: 04/27/2004 Book Number: 1 SECTION 11 TOWN 31N RANGE 19W 1 /4160 1 /440 Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers: F4 -Prev, F5 -Next, F6- Legal, F7- Value, F8- History, F10 -Exit, F12 -More