Loading...
HomeMy WebLinkAbout032-2185-25-000 ,Wisconsin [Department of Commerce Count Safety ana Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION REPORT Sanitary Permit No: 506179 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: P 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'. Sorenson, Myron & Jenice I Somerset, Town of 032 - 2185 -25 -000 CST BM,Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No 6 1 10 91 / 12.31.19.1572 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ^ Benchmark V lJ 111�-2Av / 6� d "� . to �j� /cam: cl Dosing / Alt. BM Aeration Bldg. Sew ' Holding SUHt Inlet SUHt Outlet p TANK SETBACK INFORMATION • 03 / 6'�7 TANK TO P/L WELD BLDG. Vent t Air Intake ROAD Dt Inlet Septic '7 f / C " i Sp • Dt Bottom Dosing P� eaderlM 1 92 Aeration Dist. Pipe �L. S i Holding Bot. System ^ ' � .� ' `�W • 7 Final Grade PUMP /SIPHON INFO MATION ww�S S r • 9 y� d Manufacturer V Demand St Cover � i 011 • G � M 1�f S� Z Model Number "" � "- / q TDH Lift Frictio ss TDH Ft D' �� Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 1 7 x 2� L/ h� X BED /TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 7 � y SETBACK SYSTEM TO P/L BLDG WELL rSTREAM HIN Manufacturer: INFORMATION CH R T > to Type System: , , V / ©� Model Number: & LI� -�' gI4%T SYSTEM DYE (Head Manifold I D istribution x Hole Size x Hole Spacin Vent to Air Intake Pipe(s) /� In J j --� /o' s� Length Dia Length Dia Spacin .VT SOIL dOVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Vj Depth Over Depth Over T Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center '[ /� Bed /Trench Edges Topsoil Yes y° No ] Yes ' No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_ i ((� /bj q� Inspection #2: / Location: 724 224th Avenue Somerset, Al 54025 (NW 114 SW 1/4 12 T31N R19W) Wild Turkey Retreat II Lott 25 Parcel No: 12.31.19.1572 1.} Alt BM Description � "" VV 6 y ` / �' 2 / 2.) Bldg sewer length = Z 7 - amount of cover 5 Ys r Plan revision Required? Yes No Use other side for additional information. Date Insepctor's ature Cart. No. SBD -6710 (R.3/97) I camnmce Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 t Madison, WI 53707 -7162 Sanitary PamitNumber (to be f illed in by Co.) on s in s�n of c 9 Sanitary Permit Application state Traosection Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this fort to the appropriate governmental I JIA unit is required prior to obtaining a sanitary permit Note: Application Project Address�(f �di an fling address) Personal information u rovi sec - a<<J(`t t of Commerce. Y submitted to the you P purposes in accordance with the Privacy Law, s. 15. 1 m , Smts. I. Application Information - Please Print All Information Property Owner's Nam Parcel # MkI y r - o FIVED 03.A— --oo 0 Owner's Mailing Address Property Location 0 go S Govt. Lot City, State Zip Code ;PholRkT'I%rnbe-r SiLL y,, S� /,, Section (circle o 7 ST. CRp1X COUNRY T�N; REor II. Type of Banding (check all that apply) # ' Subdivision Natne L _� or Family Dwelling - Number of Bedrooms - -- ( /� - oK Block # PA i O Public/Commercial - Describe Use ❑ City of CSM Number ❑ Village of ❑State Owned - Dtacribe Use `! r � [1C1'own of S t7m O(5 Lai III. ype. of Permit: (Check o o applicable) A. New System ❑ Replacement System O Trentment/flolding Tank Replacement Only O Other Modification to Existing System (explain) B. (I Permit Renewal ❑Permit Revision ❑Change of Plumber El Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration I Owner IV. Type of POWTS S tem/Com onent/Device: Check all that apVW X N—P—.-i-dln-Ground O Pressurized In -Ground O At -Grade O Mound > 24 in. of suitable soil O Mound < 24 in. of suitable 8011 Holding Tank O Other Dispersal Component (explain) & Pre t vice lain V. Dis reatment Area Information: Design Flow (gpd) Design Soil Application Ramfgpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) ten Elevation / s'b ®7 (04 D. VI. l ank Info Capacity in Total # of Manufacturer Gallons Gallons Units 2 o New Tanks Existin $ Tanks ` 3 f� U rid rs 4.0 ¢, Septi HokiingTank �D 000 i - nosing- Chamber._.__. VII. Responsibility Statement - L the undersigned, assume ty for installation of the POWTS sho n the attached plans. P tier's Name ( Plumber's Sig re lid Number Business Phone Number Phrmber's Address tree[, City, State, Zip Code) 1. (� VIII. oun , /De artment Use Onl Approved O Disapproved Permit Fee G1i Date 1 Iss g Agent guatu�e O Owner Given Reason for Denial yS '� a -7 IX Conditions of Approval/Remus for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 9 All x as per applicable C68 b�Fl ff~ns for the system and submit to the County oily oo paper not lea than a i x 11 Inch" m sin SBD -6398 (R. 01/07) Valid thin 01/09 It M ra re �- � e n L p_, Sn , e n S� � � o f �i J y `'�-( I �, I - S (�1 � � LO Cr^o i000 �� (a���rSrS ©� 'C i✓l 4 31Y 5 r f A C - U i �►^ ° i S -Rc-t V\ +lYl ��►� � �en � c�2. �.�� S �-�.. NuJ �I�( 1� �'`( - - A. I - N R) Cl LO N � mo��d., � - mo o! 7 L�� Y Sc>�����TCro t o S. � �/ �. �s� A i 1�k sus P; ►� - i1N �',S - > -oT b � A i3 �� =� v� � 5 u ( Q Y `, ro ,� �cJ E � Ion, loa. 3 i ©ri • 4 S O .�. j 3 L 7 C i tr i s 4 z: Wisconsin Department of Commerce =SQI ' LIVIAT ION REPORT Page of3 Division of Safety and Buildings n !~ d County Attach complete site plan on paper not I itl v?fchdsdn size. an J"1' ✓� include, but not limited to: vertical and horizontal reference pom on and Parcel I.D. p � � 06 0 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 8 Please print all information. ='wed Lby Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property �J Property Location ) E ( ONrt)Ec., C, • 1 C.t./ Govt. Lot %�< � 1145 J 114 S ' T,3/ N R o W Prope 0 C 4 Address Lot # Block # Subd. ,f - j� City State zip Code Phone Number ❑city ❑ Village Nearest Roa r /lr'� -� New Construction u Residentiat / Number of bedrooms Code derived design flow rate GPO ❑ Replacement ❑ Public or meraal - Describe: --- - - - - -- - Parent material L1t�zt Flood Plain elevation if applicable General mm com ments � >� �./ ��-�C J3'� -� 9 2 and recommendations: � l � � 1 �] Boring Boring # Pit Ground surface elev. _�GL_ —vft. Depth to limiting factor / '� in. Soil Application Rate Horizon Depth Dominant color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 TIM 7 Y� 6 ® Borim # Boring Pit Ground surface el, ft. Depth to limiting factor in. App P Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GD/f In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •EfF #1 Eff#2 C r w n � a a, ` _ ' Effluent #2 = BOD 30 mg/L and TSS <_ 30 mg/L Effluent #1 =SOD > 30 < 220 ntgll TSS >30 < 150 CST Name (Please Print) S re CST Number 226900 Bird Plumbing, Inc. Shaun Bird Date Evaluation Conducted Telephone Number Address 715 - 246 -4516 1008 192nd Ave, New Richmond, WI 5401 _ f Property Owner _ Parcel ID # Page of F pit Boring # Boring Ground surface elev. ft. Depth to limiting factor -f F-=— in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 tj rTrd '(-" r �J J 1-5 �� / Cd ° j 3.6 ,D a C] Boling # ° Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil ication Rate . Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = BOD < 30 mgA. and TSS _< 30 mglL 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. s8D•8330 (1.6/00) Soil Test Plot Plan ,Project Name P.C. Collova Blyds. Inc. Shau it Address P.O. Box 489 Somerset Wi 54025 CSf4 #226900 Lot 25 Subdivision Wild Turkey Retreat II Date 11/18/04 NW 1/4 S W 1/4S 12 T 31 N /R W Township Somerset F1 Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron g M �1 System Elevation 94.2/94.1 *HRPSameasBenchmark It ate Benchmar Top of 1/2" pipe CC 100.3' B. 319' Property Line Scale is 1" = 40' unless otherwise 60' noted B -2 10' 30' 45' 1% Slope B -3 90' 0' ' -1 lease note: Lot lines were not 474 Property Line adequately staked at the time of testing. Installer must verify all lot lines and setbacks before installation! � f M Y 7 EZ1203H �seoe '�' �`•i -r sic :.� TTTOVVO 4PVP ♦fV _ �' h� of TPPT e9 VVVVWTV Tes ...�': " �. .t•; 'x``.'PPVVevv 12 ,t ewe v 2't vev iy vve Tvf 4. 25 �- ROT ' PO V o v e e ►r 1/2 Circ. = 18.84" v GPs OT7► P.V e Vf♦ f ►f P e V T f V V V v R V T f O. 0 9 V - R P'OPVVVV eVTvvPvvVVTT TRTV OVe RfPTTVP- T4ev VTTVT TTTVV TRf TPPT T Ve VVVVT VIw"" vTOOtT e 24" g I�it�nt 36 it 12 -1/2" DIA, CtYP•) Vo&I Volame Soill to Area 52.E1 Void Coefficient in Aggmpw given at 57.4%. • Sidewall(2 Sitia►valls) 2+ 18.84in O.D. of 4" pipe - 4.625 bushes 12in 3.1 a V ft. Void Volume per linear - 3.14 • ( ` 1in / -2j; f ft r - Ift - 0. 117 ft Bottom IR 2.00 ,, O.D. ofcer►wcYlinderalZ.5 inches Tote! Soil Interface Area 5.14 SQ.FT Void volume inaggr egauof Center cylinder =(3.la•( ft ��- 3.14'f � Mj � I ., 1 l 374 = .422 tY O.D. of outside cylinders - 12 inches ( Projected Trench Area Void volume in outside cylinders - 2.3.141 6°4 l +,570 - Sidewalt Height - 12 in. •2 = 2.00 Sq.Ft. 112.1 ft 90 t fN Bottom = 36 in. = 3.00 Sq.Ft. Void volume at bottom between cylinders [( - • 6in � 4 � bin 12 i 12in fr t 3'1 0215 R' Pro ected rtYUCh Area (12irr / fr '� a 1 5.00 Sq.Ft. Void volume at outside bottom corners (1/2 of void volume between cylinders) 0.215 ! 2 - 0.108 fe Total void volume - 0.117 + 0. 422 + 0 .901 + 0115 t 0.1 D8 = 1.763 cubic f, ft Gallons per ft ¢ 1.763 X 7.48 - 13.2 a p per tistar t. 31o =So EPS Aggregate Trench System EZ1203H Z ow R1ng' Group _ 65 Industrial Park Rd. Oakland, TN 2J8060 SGI E FILE MWb EZ1203H -vat SHEET: / of 1 11 -27 -01 i POWTS OWNER'S A M NUAL &MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner ro ^ -+ v �S r� Septic Tank Capacity /00() al 13 NA Permit # Septic Tank Manufacturer Li " As DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity al NA Estimated flow (average) D gal/day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) S al /day Pump Manufacturer ❑ NA Soil Application Rate al /day /ft' Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD <220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 51 mg /L ❑ Disinfection ❑ Other: Pretreated_Eff)uent Quality- - -_ - - -- - spereal- C-- el1(s)- -- (v - - fir` Biochemical Oxygen Demand (SOD 530 mg /L in- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA At -Grade ❑Mound Fecal Coliform (geometric mean) fu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y to di ❑ 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 ❑ month(s) s) At least once every: 3 ear(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA year(s) Inspect pump, pump controls &alarm At {east once every: ❑ month(s) ❑ year(s) ❑ NA Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other. At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA I 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 _s12 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. I d START UP AND OPERATION Page t ;L ' 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 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 be 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 s 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 'INSTA LER POWTS MAINTAINER L me Name rL one fs Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name �_pn j Y-) Phone Phone This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Sep 09 05 01:57p CRLVIN POWERS 715 -246 -5135 p.1 ST. CROIX COUNTY SEPTIC TANK MAMMNANCE AGREEMENT AND OWNERSIiIP CERTIFICATION FORM Owner/Buyer t 1^O a Mailing Address Property Address �` �� Aw Z (Verifica tion required from Planning & Zoning Department fonstruction.} City /State nlCY10 J Parcel Identification Number 03 ' 4 - 2 ' D ©O LEGAL DESCRIPTION property Location Ro %, %a , Sec_ _LZ__, T N RaW, Town of f]I' 3W 5ft Subdivision Lot #' Certified Survey Map # , Volume , Page # Warranty Deed # �)4:1 Z nn 9 - 1 , Volume . Page # Spec house yes Lot lines identifiable a no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature faihue to handle wastes. Proper ntaintenam consists of pumping out the septic tank every duce years or sooner, if needed, by a licensed pumper. What you put into the system can affect the fnnetion of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St_ Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification forma, signed by the owner and by a master plumber, jow neyman 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 teary), the septic tank is less than 113 full of sludge. Uwe, 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 anintained must be eongnleted and returned to the St Croix County Planning & Zoning Department within 30 days of the three year expiration date. }/we certify that all statement% on this form are tme to the best of my /our knowledge. 1/we audare the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms y � h4x----7 -4/2&- SIGNATURE Or APPLICANT(S) DATE ** *Any information that is mid may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed (REV. 08/05) State Bar of Wisconsin Form 2 -2003 8 4 ;� 2 9 9 WARRANTY DEED 8 47 29 9 KATHLEEN H. WALSH Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between P. C. Collova Builders, Inc.. a Minnesota Corporation 03/28/2007 02: OOpN WARRANTY DEED EMT t ( "Grantor," whether one or more), REC FEE. 11.00 and Myron W. Sorenson and Jenice D. Sorenson, husband and wife TRANS FEE: 448 ,20 ( "Grantee," PAGES: 1 whether one or more). Recording Arcs Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space E3"M & 091Wd U-)l is needed, please attach addendum): I .u_ 304 W s ulgo (Oq Ifl Lots 2 nd 28, Wild Turkey Retreat II in the Town of Somerset, St. Croix County, Hudson, M 540 Isconsin 032 - 2185 -28- 000:032- 2185- 25-000 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Easements, restrictions and rights -of -way ofrecord, if any. (is) (is not) Dated P. C. Collova Builders, Inc. (SEAL) (SEAL) * *B Patric C. Collova, President * (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) P. C. Collova Builders. Inc. By: Patrick C. C llova Presi nt STATE OF ) authenticated on U ) ss. COUNTY ) *Kristi a Wand Personally came before me on TITLE: MEMBER TATE BAR OF WISCONSIN the above -named ' (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Kristina Ogland. Estreen & Oeland Notary Public, State of 394 Locust Street. Hudson WI 54016 My Commission (is permanent) (expires: ) (Signatures may be NOTE: THIS IS A STANDARD authenticated O RD FORM. ANYMODIFICATIONS TO THIS Both ORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ® 2003 STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. INFO -PRO* Legal Forms 800 - 655 -2021 www.in toproforms.corr UNPLATTED LANDS NPLATTED LA B.M. TOP OF 3/4' 80' RADIUS IRON PIN ELEVATION MPORARY 987.24' CVL -DE -SAC EASEMENT, TO BE W 1/4 CORNER OF SECTION 12, REMOVED UPON r NORTH LINE OF THE NORTHWEST 1/4 OF THE SOUTHWEST 1/4 Non THERLY FOUND 3" ALUMINUM MONUMENT F %TENSION OF S 89'0644" E 1339.17' ROADNAY 367.86 — — / 360.26' 1 66 -0 I 551.05 — - 722.12• i / / i�51. CENTER - :V CENTER i0 OF T �f / I EASEMENT LOT 30 I j l / ,,,.� LOT 28 1>�/ 80 - D' - ' 131362 S0. F i. EAS TEMPORARY n I Iwo • aea.au 131058 S0. FT. EASEMEN Eof T 3.Ot AC. T / / ! T, TO BE V w 3.00 AC. REMOVED UPON O ) I ersTERSY n LOT 29 l i EXTENSION OF RonOtvAY 131754 50. FT. / N 0 3.02 AC. / C>J� 89'21'04" W 599.0 _ Z 279.20' 319.84' 567 TO CENTER OF —� I / J (� / / B.M. TOP EL 3 / p EASEMENT j ` + IRON PIN ELEVATON I J f 1\ l / 998.04' O 193.98' 224Tjj ° 193.98' I n ��ENUE �- � m� ` / LOT 27 OT 25 b \N 89'57'58" E}� - - - - - \ 0 6 y` �0`L dry 134502 SQ FT 'O- t 7068 50. FT. 3.08 AC. 1 / 2 B.M. TOP OF 3/4' I O S' w IRON PIN ELEVATION m y Z JJ• 3 C 6S•22F, N 83 '20'23" W 5 35.03' o 2 { I m cs nM 1l1 o N o LOT 31 ec.aa :.o4' /' I \ ( $ A � 137273 SO. FT. L.. \ LOT 26 / ° c = m f m f / o - IrO N g 3.15 AC. / S��AE�S I I \ 131230 Q AC. FL / / - - - - N 89'33'57 W LA1 B.M. TOP OF 3/4' E� N \ \ \ i 108.33 - D = O N IN ELEVATION j TT 9G TJ / / i' "� _cJ m - 41 h c ZO rn N 94] 9q o f h j As / C 2 a y \ \ L\� / 08.90' ° o AVE C � a 40 \ \ \� \ \ �� C8 _ _ - _S 89'33'57" E T 3 . 2 N1 Op o IfTI rTj m r LOT 32 / o• / 140495 SO. FT. \ Z 3.22 AC. o � LOT 36 d � LOT 35 N I e o. 130965 S0. FT. 130921 SO. FT, I 11 LOT 33 w, 3.00 AC. w 3.00 AC. " 130918 So. FT. ti LOT 34 3.00 AC. m 'o 130834 S0. FT- Tp BLE = 3.00 AC. g 428.03' 455.!2' 220.69' 236.06' g N 89'06'44" W 1339.95' �r N UNPLATTED LANDS I N W IO vdum r p a S 1l�Larotari 1NPLA L 80' RADIUS TEMPORARY CUL —DE —SAC EASEMENT, TO BE I REMOVED UPON THE NORTHWEST 1/4 OF THE SOUTHWEST 1,/4 NORTHERLY EXTENSION OF a 89 E 1339.17 ROADWAY I f 66 S25 "W r J 91.47' TO CENTER OF EASEMENT I r+wE - saz.00• LOT 28 ^' Sao = 9e4.0o• 131058 SO. FT. o / 3.00 AC. / l / N 89 W 599.04' 279.20' 319.84' �� / IRON PI ELEV ATION o jay ! 998.04' -• �' / LOT 27 0 � LOT 25 �, __v____._� 134502 SQ. FT. `� 1 8 Q. FT. Lp cn 3.08 AC. 3.00 C. _ 70P OF 3/4" IRON PIN ELEVATION 997.77' / w N 83 20' � 23' W 535.03' f r\ LOT 26 � 131230 SQ. FT. / �' _ r 1 — -N 89 w 3.01 AC. / �- 108.33'