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HomeMy WebLinkAbout032-2122-60-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y Safely and Buildings Division Count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar PermitNo.: 363998 Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)l. Permit Holder's Name: ❑ City ❑ Village ❑ T wn of: State Plan ID No.: M & G Inc., Somerset Township �1— CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: lop .z I W E) _f � - BV\X� J_ 032 - 2122 -60 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark T O t60 -0 Dosing Alt. BM o uI,+ Aeration Bldg. Sewer 1, 57 . 1 ge.9 Holding St /Ht Inlet 6 -� 41 -Z r TANK SETBACK INFORMATION St /Ht Outlet 6 9� 9� •a3 r TANKTO P/L WELL BLDG. Air to i ntake ROAD Dt Inlet Air Septic 5' ° �b (-7 NA Dt Bottom Dosing NA Header/ Man. Aeration NA Dist. Pipe e"Jo• S 176 9�.Czl Holding Bot. System 13-9 45-.2,0 PUMP/ SIPHON INFORMATION Final Grade 6 cn Manufa u Demand St cover Cit� I& & Model Number GPM TDH Lift n m TDH Ft Loss ll� For main Length Dia. Dist. To SOIL SYSTEM BOD LTRENCHI Width Length r N Trenches PIT No. Insi Pia. Liquid De th DIMEN I (o DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING fa INFORMATION TypeO CHAMB I Mo a Num er: System: 1 > 4S " 3 1 � > s IT DISTRIBUTION SYSTEM `" """' (7A Header /JlAanifold k Distribution Pipe(s)� LI « x Hole Size x Hole Spacing Vent To Air Intake Length V_f_ Dia. Length � Dia. T Spacing 7 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 discrepJncies, persons present, etc.) Inspection #1: to / 19 / Inspection #2: Location: 2124 2124 76th Street, Somerset, WI 5402 0"5 ( (SSW 1/4 SE 1/4 13 T31N R19W) - 1331191105 Rocky Knoll Estates -Lot 10 ` f) w:Lt 1.) Alt BM Description = N/4 2.) Bldg sewer length - amount of cover = It o-- 3- Z - 1 . Plan revision required? Y s N8 l �i Use other side for additi c; l 03 to o [ 71 SBD -6710 (R.3197) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH , SANITARY PERMIT NUMBER: i i a 9 7 . 3 e x j x m. t f � ms x - rt € ` E 4 x i j [ per R ... i � $$$ ^^' f i Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 NV isconsi n Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)Lr!i)j� (Submit completed form to county if not state owned. Attach complete plans (to the county copy only) fo tatri o,rr. A er not less than 8 -1/2 x 11 inches in size. County r State Sanitary Permit Number h revisjon to previqu§ application State Plan 1. D. Number _3163211b w /a I. Application Information - Please Print all Information .� t' C!'+ Location: Property Owner Name Property Location 7 �' ! t' i; - I/ - 1/4, S N, Re E or Property Owner's Mailing Address �1 J Lot Number Block Number lam a$ City, State Zip Code bne Number _ �, h Subdivision ion Name or CS Number II Type of Building: (check one) City )k I or 2 Family Dwelling - No. of Bedrooms: ❑ Village ❑ Public /Commercial describe use Town of L3 State-owned ( ) ® III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. fiZNew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) System Tank Only Existing System Q — L 1 Z- — 0 D $) Permit Number Bate-lssucd ❑ A Sanitary Permit was previously issued t I D S IV. Type of POWT System: (Check all that apply) Non- ressurized In-ground ❑ Sand Filt r ❑ Constructed Wetland p ❑Mound a Constru ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At - grade ❑ Ae bic Treatment Unit ❑ Recirculating ❑ Other: 3 k 53 . - K - V Dispersal/Treatment Area Information: xcw u r 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. oil Application 5. Percolation Rate 6. Syste evation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation _:�- , VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement I, the u ersi ned, assume responsibility for 'nstallat of the POWTS shown on the attached plans. [ZP16mbereYAadress ame rint Plumber' Sign a amps MP/MPRS No. Business Phone Number JAIII z s S� (Street, City, State, Zip ode) VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Su Fee) Determination '�° aaS. C D - �� —ZBch7 IX. Conditions of Ap /Reasons for Disapproval: F: r P erg cs�u 411 p �" `r`71") -t- 4Y do_ > p .9 �,,1d, 2- `` 21. IT SBD -6398 (R. 07/00) 4 9d �� aa` G 3 f r i i le,% �J I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 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 point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R viewed by A'I \�J`(� Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 13-26-6 Property Owner Property Locatiion (� C Govt. Lot S IN 1/4 S4/4 S �3 T N R A7 ✓l/(or)1) Property Owner's Mail' Address Lot # Block # Subd. Name or CSM# wa fc�.ke e 16 oc�c 16 0 // �St City State Zip Code Phone Number ❑ City (:]Village ®Tow Nearest Road /-7 J 61,7 (,� //� ( yam ) Syy s"97j Sorn -s��- 2 /d�� �e ® New Construction Use: ® Residential / Number of bedrooms _ Code derived design flow rate _ y _ GPD ❑ Replacement Public or commercial - Describe: Parent material s 62 �w � Flood Plain elevation if applicable ft. General comments and recommendations: Syvs�e� 1 E] Boring Boring # Q © pit Ground surface elev. �v ft. Depth to limiting factor /00 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 /W /� GJ Os L c C- — - 1, 75Y � l.2 a* RS 20 2-7 `. Z Q-1 Boring # ❑ Boring / c� ® pit Ground surface elev. �! _ ft. Depth to limiting factor in. S01 plication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I •Eff#1 `Eff#2 5-7 /Dy,? I Des L cG- Z /, . V .6 2 7- zo 100 > S L AS:d& c w / P - Z . Y . G 3 - 2 0 - 7 5 ­15f : �W /rid c S DS Z- cw /O-F .7 o 4 Z11 -0i 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 Name (Please 13 Print) nature CST Number �; Cn 'fal" e �l Z, 3 /-?/ Address Date Evaluation Conducted Telephone Number .� /�2��P Sa�•�,1�� G�� /� /7- Ga ors - z �� �z02 Property Owne Parcel ID # _ Page of J Boring # Boring '7 ® pit Ground surface elev. �" ' 7 ft. Depth to limiting factor / / in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff #2 2 Y l2 /orffs/ S / .SSA I c w Y ..6 12 Zr 7l�� W L S l /- Z Zcd 61 G — -- e 7 40 F -1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in Soil A plication 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 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 > _ 'Effluent #1 - BOD > 30 < _220 mg/L and TSS 30 < _ 150 mg/L 'Effluent #2 BOD < 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.6100) OWNER Page 3 of 3 Name 11�,4- 6 Brian Parnell Address I3.5,f 0 CST 231314 4 s6-1 Date 10-17-00 Benchmark I �Z, 6V6 OC, Benchmark 2 Top 0 4 Lk" (f ❑ Soil Boring 1 -1 Suitable Area 1 40' Scale FT - 7 r ey K cptmf j ....... ... -- ----- 7 ---------- UQ I r tOf y L r Op iA tT 1 -4- a;132! --------------- t-- i V a 3 V � M �J �Q fi ,� Z i ,—Wisconsin Department of Commerce SOIL AND SITE EVALUATION Divisfun of Safety and Buildings Page / of Bureau of Integrated Services in accordance with s.. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must `' 1 County include, but not limited to: vertical and horizontal reference point (BK�j direction and C. /'0 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # F 2-� / 71 APPLICANT INFORMATION - Please print all informiWon, I IQUNr, Review¢d by Date Personal information you provide may be used for secondary purposes (Privacy La%( s. 15.04�Q" i0rrui'"'L _ �j Owner �^ a- c6- ,Ztac� Prope Govv Property ot Location 1/4 S�1 /4,S 3 T J ,N,R �9 !(or)® Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# /J�/ c�a fig/ �/ I D DL lC City State Zip Code Phone Number ❑ City ❑Village 2' Town Nearest Road I&l s (71-' )rY?'- 5971 0 ^ , - 7- 1 210 , 1 , 6L " ER New Construction Use: ® Residential / Number of bedrooms r Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: / Code derived daily flow 660 gpd Recommended design loading rate • bed, gpd /fi ° trench, gpd /ft Absorption area required 1 bed, ft2 /X0 trench, ft2 Maximum design loading rate o bed, gpd /ft , O v trench, gpd /ft Recommended infiltration surface elevation(s) U • 1 ft ft (as referred to site plan benchmark) Additional design /site considerations Parent material F9, /® ex-C- Z e )YeY OLC-1 y Flood plain elevation, if applicable I V , 4 ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ® S ❑ U LO ❑ U RS ❑ U I RS [; U ❑ S ®U I EIS .B U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda ry Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Ground - J _5 / ��fi /Y4- .5� 2hlf J a • O elev. 9.�ft• Depth to limiting 3 y9 A pr Remarks: Boring # S- 2 3 1/-9'9 /or'R ll/P� ms�c� OS L — off' 08 r Ground el v 9�ft. Depth to limiting factor �ILin. Remarks: CST Name (Please Print) Signature Telephone No. Address D ate /q2u v e �O r'z -cam C � �- �� D �O — ! , / 2 j 7 Number ,�,� C SOIL DESCRIPTION REPORT PROPERTY OWNER Page of _ PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench A4 S 6 2 X z� -7, 6 ,/ /A- SSG 2r�sbk Sh �s ire 0 .r 1. 6 ,r Ground 3 R /ay/� � i rnso�, �fy 7 -1 ft. Depth to limiting rqAM&L factor /02 in. Remarks: Boring # 1oy2 /YA- sZ 1 w 2� .s" • y y 2 T z2 7 5 Y/e 6 o 4, Ground /� '7 > O ft. Depth to 9 I �G limiting 37 •Y 66 Y fac or 7� in. 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 # 9 l %/�' 3 i A s� /IZC�dk L S 2 �y3g 7si/1 IYA- s L. Z Jf G rrou > nd } / 7 ff. Depth to limiting fac or ' Tin. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) F O WNE Page 3 of 3 Name d" G ��c Brian Parnell Address Gp li.akairz 7;- CST 231314, Date Benchmark 1 �C° � • D ��� l �7'�0.� ,� S o w �h L 6 t C �.� e A Benchmark 2 0 Soil Boring 1-J Suitable Area 1" = 40' Scale I � I IS 2� r 1 J � o r P l e t s' B -- '- -- 2JS.U2' 2:SpA7 �,•' 212.01' I� c> i o ` J \ I O O. N No / �N D 0 o _ , o n _ � I 0 > u I / c Z —I (� Q r Z — T f ° o OO -�j rnI v IO IC7 _ Z` �� 00 C o. L Z li iD I1 LO R m z I q. D .00 w �d I ° 99 I TJ IC z Lo x D ° C7 �,.. I. I I m O _ o ;u m x : .. t o Oo to Z D00 I z a I . m I p a p.. 0 L _ , Z,-". Io ° 0 4 7 ()7 Ra733 TOW AD �.. ...- r NI .._._,; R 77, m ? 10 370 \ f R. 0 " f r I0 �� N12 3j�0p "E 3>p.33• CD O 9 3.24• 6 �` - 58. o - 0 1 U� R °267 S 1'14 42 m .. N 41.97' M m?� c i m O R 33 O� 0 T .T jo i • .Q Cw 513.21'- . 4 .28' \ 7p2p n r • ,j z O r rn > N D{ 1 � o... I W W N 0 .CJ1 D I � 7 O I � 0 O r O m D D cD m Q I C6 w P -� o I I� > Nom . �i / T.{ ID Z m D Im w TT !� > ' O Z� 11�'II \ o Qti '49'13 "E 240.01' 231.OQ' .,.. 1 1 1 1 1 1 21$.00' 33 OB -- 501'3319 "E_.68901' — .,F. SE 1/4, SEC 13 m ° 6 '0 CA « UNP LAN MELVIN AND FRANCES BR! -AULL — — — — — — — 4� ° ZONED AG -RES 0 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 363 Number of Bedrooms Design Flow - Peak (gpd) S Estimated Flow - Average (gpd) Septic Tank Capacity (gal) a Soil Absorption Component Size (W) z Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component *. filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a contned space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS141P CERTIFICATION FORM Owner/Buyer �a Mailing Address q-1 tQ% % Vw s Property Address aN '1� S'i9 g �_7 �--- (Verification required from Planning Department for new construction) City /State Parccl Identification Number Cns C (3.31. tq • I l � LEGAL DESCRIPTION Property Location '/,, S 11; '/ Sec. `3 , T_!IW9�4-R I W, Town of SOw.- IrSL"� Subdivision 1tie ALL EsTATf~.s , Lot # _ . Certified Survey Map # , Volume , Page # �- Q 1 Warranty Deed # , , - , Volume { , Page # — Spec house 1A yes ❑ no Lot lines identifiable yes ❑ no SYSTEM .MA.INTFNANCF - '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 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 wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF kPPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) of the property described above, by virtue of a % arranty deed recorded in Register of Deeds Office. . I i %_� - 7 /13/ SIG1 A. O J PLICANT 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 I ST. CROIX COUNTY � WISCONSIN ZONING OFFICE 4, t � ST. CROIX COUNTY GOVERNMENT CENTER � �, nuuu►nuM — " "N ^u 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 Fax (715) 381 -4686 March 20, 2001 REMAX Team 1 Realty Attn: Jo Hinz 103 Main Street Somerset, WI 54025 RE: Septic Inspection for M & G Inc. located at 2124 76th Street, Rocky Knoll Estates (Lot 10), Somerset Township, St. Croix County, Wisconsin Dear Jo: A septic inspection of the above referenced property was conducted on 10/19/00. This property is located in the SW 1/4 SE 1/4 of Section 13, T31 N R1 9W, Rocky Knoll Estates (Lot 10), Somerset Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386 -4680. Sincerely, Kevin Grabau Zoning Technician /sm cc: file t' Stale &rr oI V. i<cor, ;n Voriv 2 I9!I2 WARR A DEED DOCUMENT NO - �..-. .. +«+....rr ..,, 1, 1147 Par__ �., r � g�c�sr�,s ci�� S1 CRO(X co., W a Roed for Record Lyle P. Klink and Marie A. Klink, husband and wife, NOV 2 1995 - at 11:15 A. M conveys .And warrants to Michael 1 : Ger main and i�f,E'..,� -, C, Michelle M. Germain, husband_ and wife, AegkA!rofDvedo (rr.S •:ACE 9E¢EtitrED 4nR RECO+CNG 'A rA NAME ANC rlE , i R'. ADORE /- the following described real estate in St. Croix- County. State of Wisconsin: v " ` - S � (Parcel Identification Number) SW1 /4 of SE1 /4 of Section '3- 31 -19, St. Croix County, Wisconsin. t r SUBJECT TO a 66 foot easement for ingress and egress over the _ above described parcel, at a location to be determined and described by a surveyor within one year of the date hereof. The Grantor and Grantee hereto agree to execute an amended easement, # if necessary, upon surveyor's completion of the legal description for such easement. �Y This __ ___ ___ is homestead property.►+ (is) XXXXX Exception to warranties: Easements, restrictions and rights -c£ -way of record, if any. Dated this _ ? t- - _ _ _ day or _ - October _ . 19 95. i f 1SFAL) (SEAL) L yle P. Klink Marie A. K K - - - -- -- — �___..— -- (SEAL) - - - -- - -- - - -- -- (SEAL.) r, AUTHENTICATION ACKNOWLEDGMENT x. Signature(s) ___Ly P . Klink, — STATE OF WISCONSIN t' z M arie A. Klink ss. f County. � � ( Octobe 95 authenticated this L__.-___ day of __._ , l9___. Personally came before me this ______ -___ —_ day of the above named o Kristina Ogland W " TITLE: MEMBER STATE BAR OF WISCONSIN - - - - -- -- - - - - -- - -- - (If not, authorized by §706.06, Wis. Stats.) to me known to he the person __._ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland _. - -_ -- Attorney t Law Y Notary Public _ - _ County. Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) - 19 ) fR 'Narn—A pen, m.rYmne in am .apa. n- hould he aped or prnntcd rwh- then .mature. a .,- WARRANTY DEED STATE BAR OF WISCONSi\ %N,SCOnvn l +qal Blank Co Ir.: FORK No. 2 — 1982 Mdw.auxee. Wis 501 "L ',•1J.Jl; ..., ,'.,.'. --- 512.96' -- -- ? °,3 02' 2 t') 0 CT ww n ' RECORDED AS 501'0' 0bu "! "va ��� , � ttitt o �� '~ �• r2 o / A g U r - LOT 1 v O p Z D z Iv o O ca) C.S.M. VOLUME ] 1_ ` n L"Z ° ? u, SAGE 3088 I° j / U ' r 4 n, U) o I DD �� ".4 � y � � I x m - u X;p W r 1 d 9 00 _ C n m D U1 C II v l I m \ I b T : � N I I r N LOT 2 V m cn � 4 C .S .M . V 11 i:, ,— C/),Q P 3083 X - h.,0 o m X N, t o D D... RDED AS N01'OT50 "E I ^ O 0 - "- 512.96' -- - �5T 0 L TT6 , I � O X 1 0114 '42"1! 59.59. - � - - R.733 Q ^ I � � -0 v'G o I A • �- ..; PROPOSED TOW AD 9 pp 7 I f'i t'14'42 "E •T 0.06'- -= ._ -. .- � L >160' � NIZ JI'00•� '• Rafifi7 E J70 3J' RE RD EO AS 501'07'50 Tj� m 12• U C 7y JJ e A I 4 1. ° °> • 1yjL�..... x z � 3 e T I 10 M. VOLUME 11 C� ►° 3088 513.21'. "45.28' S00'00'1 3'E 558.49' -+- RECORDED AS S02'21'52'W O) cp W z. J CO r N C3 D,.� C) r C i c) rn lye W .. N , ) /.. ^ T , LOT 4 0 A. rn Q L4 N a m C.S.M. VO 11 PAGE 3065 OD 030 1 RECORDED AS N00'49'13 "E 501'33'19 " t: 240.01 2.f1.00�. ' 1 21; - -- 558.18' - - - °- 501 LINE OF THE SW 1/4 OF THE SE 1/4, SEC. 13 Ip UNP LANDS MELVIN AND FRANCES BR'-A,U.L