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HomeMy WebLinkAbout032-2120-00-000 o Wisconsin Department of Commerce r PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Buildirrg Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 420519 0 GENERAL INFORMATION 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: Gamble, Lon Springfield Townshi 032 - 2120 -00 -000 CST BM Elev: Insp. BM Elev: BM Descdp' L D D V Q IV TANK INFORMATION ELEV N DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic L� &4D Benchmark 6 /00,- y Dosing Alt. BM W 3. r Aeration Bldg. Sewt:r 1 In Holding St/Ht Inlet b p ' TANK SETBACK INFORMATION St/ t Outlet C /D /' TANK TO P/L , WELL BLDG. Vent to Air Intake ROAD Dt Inlet -/ Septic r Y i 11� Dt Bottom AN Dosing put er /M I LZ Aeration Dist. Pipe q9 Holding Bot. System PUMP /SIPHON INFORMATION Final Grad Manufacturer Demand St Cover Model Number TDH Lift \ . Frictipwfoss System Head TDH Ft Forcemain ngth Dia. - Dist. to Well SO L ABSORPTION SYST q- Ir.S BED /TRENCH Width 1 Length No. Of Tren hes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 1 SETBACK SYSTEM TO P/L e JBLDG WELL ILAKE /STREAM LEACHING an rer: t INFORMATION CHAMBER Type Df System: 610 y Model Nu r. G DISTRIBUTION SYSTE 1l a Header /Manifold Distribution / x Hole Size x Hole Spacing Ven it Intake"! Pipe( s) (� / r Length Dia /i Lengt 0� � Sp cing�_ ��— SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only — �'" d Depth Over / Q Depth Over xx Depth of xx Seeded /Sodded Bed/Trench Edges Topsoil �x M Bed/Trench Center n 2 Yes L No Yes `J No COMMENTS: I e code dis� crepe cles, persons present, etc.) Inspection #1: / I / a� Inspection #2: Location: 1955 2nd StreeTS rrfetset W1 025 (SE 1/4 NW 1/4 26 T31 N R19W) Pinecliff ist n. Lot 30 Parcel No: 26.31.19.1092 1.) Alt BM Description =T of (easy) 2.) Bldg sewer length = (7 ' �m 2 d - amount of cover 2! = 1nsep .t.r' s 4b Yes 1 Plan revision Required? - No Use other side for additional in formation. , SBD - 6710 (R.3/97) Date � Cert. No. t� r a PLj PLAN �k PROJECT Lon Gamble Cad Karen Sanbera ADDRESS 7190 Finch Park Farmington Mn 55024 f SE 1/4 NW 1/4S 26 /?31/R W TOWN Somerset COUNTY POLK MPRS Shaun Bird 226900 DATE11 /15/02 BEDROOM 3 CONVENTIONAL )00( IN -G '� D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 IL BENCHMARK V.R.P. Top of NE Lot Stake ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE WELL « H.R.P. Same as Benchmark Ven SYSTEM ELEVATION Set Co 2 Below Grade ALo Standard Infiltrator Leaching Chamber Plans Designed Using B.M. #1 with 31.1 ft2 of Area Conventional Powts Manual Version 2.0 2" 34" Grade a t System Elevation Property Line 100' I System Elevation set @ 2-3'X 120' 2' Below Cells with >3' Grade spacing Vents 45' 10' 143' Pro 4 T Bedroom B -4 House 45' 70' 9% Slope B- 46' 35' B -5 62nd St B -2 Vents AL 17' B.M. #2 Safety and Buildings Division —Y 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Site N*iscons i W-. R -�� :;i R Department of Commerce S, Permit Number Sanitary Permit Applicati �}ZO5-i 9 In accord with Comm 83.21, Wis. Adm. Cacti. persa>�ls. m 0 if Revision may be used for Plan I.D N ttmba I. Application Information - Please Print AN Information (E r ' ;j ;' l z _ Part el Number Property Owner's Name ✓1l �� / j r' 03 r Location •'p a /�� 2 - 21 - CD prgrerty Owner's MauimB�ddress � � - � � f T3 N R /. Zip Code Phone Number Lot N Block Number �- �. Stai CSM N vision N -"/ -2 - �P) t� /s/. II. Type of (check all that apply) o i per 5 OCay or 2 Family Dwelling - Number of Bedrooms 0 Public/Commetcial - Describe Use N R o ft Road ad ❑ sate owned � 3 �' x � . 2� rekc.0� e.A.�. � �e line B if applicable) III. Type of Permit: (Check only one boa on line A (numbering scheme for Internal nee)• Compl aPP A 3 Repisuxment of 6 Addition m For Cotmiy me ew 2 ❑ Replacement System stem Tank Date Issued B. ❑ Check if Sanitary Penult Previously Issued Permit Number Ip, hype of Permit: {Check an that apply) {numbering scheme is for internal . -Y A& 0 Mound 47 Saud Fritts 5o 0 Construct d Wetland 4�Non Pressurized 111-Grw 21 td 510 Drip 22 0 Pressurized hn-Cmmnd 410 Holding Tank 48 0 Single Pass 450 At -Grade 46 0 Aerobic Ttramxnt Unit 490 Rec 300 r Q,4- Z V. Area OlO Percolation Rate Design Flow tip Dispe Arta Dispersal Area sod Application 3 Proposed Rate(Gals./Days/Sc1.Ft.) 04m./lnch) j� , j� 3. Elevation 26 1 2 -13- -+ /oa l� y Total Number tuna Prefab site Steel Fiber Plastic VL Tank Info Galloonns in of Tasks Concrete Coastcttcttd Glass Near Existing Tadcs Tasks septic or Holding Talc Dosies tsar for installatim of the POWTS shown on the attached pleas. VIL I' assuM Number Business Phone umer. 's Ntu� s MP/lviPltS Number / (Print) Plumber's Address (street, City, state. VIII. /De Use Only Date Issued Issuing Agent Signature (No Stamps) Sanitary Permit Fee C»i (,,toundwater K Approved 0 Disapproved yurchuge Fee) 0 owner Given bulbul Adverse Determination I%. Conditions of pVprov for Disappr IAPW S allR� Attach onssiplde F� ruse ty mly) tde >a'atem as P "w I tt m an z 11 Wdm k she SBD -6398 (R. 05101) Safety and Buildings DivWott `'""`•' 201 W. Washington Ave., P.O. Box 7162 lV iscom6sin Madison, wl 53707 - 7162 - f� � Site R �. Department of Commerce . Saaiary Permit Number Sanitary Permit Apphcati �e ` t �� '42 In accord with Comm 83.21, Was. Adm. Code, P w s15. m >� ❑ if gevisien ma be used for Plan I.D Number L Apron EUf"=atI= — Pl Print An InfaMuNtia° OCT 2 3 2002 Numbs property owner's Nam 1 � _ �� = �,:� : _ 032 - 2-1.7 � � • n. o, Location PI Owners Ma>>h���dess T 3 IN R / � r Block Number - city. stwa zip Code Phone N CSM um S OQ 7 _�I -� s. Jz EL 'Type of (check an that apply) °'c � S � ❑City 2 Family Dwelling - Number of Bedrooms ❑v ❑ pnbWComme tW - Describe Use N earpt o RJ 0 s owned 3 for Lrternal age). Complete line B ff applicable) III. Type of Permit: (Check o* one box on line A (numberurg scheme For Coamq use A. 2 ❑ get System 3 ❑ Repiacxment of 6 ❑ Addition to Tank Dace Issued B. ❑ Check if SsaiarY Permit Previm* Issued Permu Number IV. Type of Permit: ((wreck an that apply)( scheme is for 1ernal . — !d ° ,�( 21❑ Maand 47 ❑sand Flory So ❑ ConsamKad wetland 4�X.i Nan i1 ❑ Drip 22 0 Premnized is Ground 41 ❑ Hollins Tank 48 ❑ single Pass 46 ❑ Aerobic Tresmtem Unit 49 ❑ ❑ 45 ❑ At-Graft / • V. Area information: p gat = 0 . Disperud Area son Appliation Elevation RaTitired proposed g 04kjlnab) 2 3 ,� to i. is Total Number Prefab mice Steel Flux Plastic VL Tank Info C G of Tasks COn � New �� [A) sep&of Hobft - Da CbmnW sesu� for of the POWTS shown on the attached plans- VM s Mp/1viPRS Number �) Businew Phone Number� J Plumber's Address (Strut. City. Staoe. ) J I 1� / Z� ) VIM ent Use Od Dar Issttod Tasting Agent Signature (No Sumps) K SaniarY Permit Fee (includes Gcoumw� K APPS ❑ �pp� Surcharge Fee) ❑ owner Givcn land Adverse � �S .2q ?,CD De lertuWatim M conditions of y�l�P>co� ; for P � f Atfarls a ,,k$e pbm ** me Ceaeb *) for me sYztM era pWw wen iw mss sus a U tadea fa she SBD -6398 (R- 05/01) t PLOT PLAN PROJECT Lon Gample 0 Karen Sanbera ADD ESS 17190 Finch Park Farminaton Mn 55024 SE 1/4 NW 1 /4 S 26 /T 31 N/R W TOWN Somerset COUNTY POLK MPRS Shaun Bird 226900 DATE 10/22/02 BEDROOM 3 CONVENTIONAL )00C IN -GROU ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 IL BENCHMARK V.R.P. Top of NE Lot Stake ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE • WELL *H.R.P. Same as Benchmark Vend' SYSTEM ELEVATION 103.7,103.3,102.9 >6 „ Standard Infiltrator Leaching Chamber Plans Designed Using B.M. #1 Of Cover with Leaching h of Area Conventional Powts Manual Version 2.0 6' Long 12" Grade at System Elevation 34" Property Line 100' System Elevation set @ 2' Below 3 -3' X 82' Cells Grade with >3' spacing Vents 20' S 30' 143' Pro 4 B -1 Bedroom -4 House 45' 70 , 9% Slope \ 4 " A 30' B -3 46' 3 B 62nd St B -2 Vents --- 17' 1 C /y V Y I . l i PLOT PLAN PROJECT Lon Gamble Cad Karen Sanbero ADD ESS 17190 Finch Park Farminaton Mn 55024 SE 1/4 NW 1/4S 26 /T 31 N/R W,TOWN Somerset COUNTY POLK MPRS Shaun Bird 226900 f' DATE 10/22/02 BEDROOM 3 CONVENTIONAL )OOC IN- GROUIYW1 ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of NE Lot Stake ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE WELL - H.R.P. Same as Benchmark Ven. SYSTEM ELEVATION 103.7,103.3,102.9 >6„ Standard Infiltrator of Cover Leaching Chamber Plans Designed Using B.M. #1 with 31.1 ft2 of Area Conventional Powts Manual Version 2.0 6' Long 12" 34" Grade at System Elevation Property Line 100' System Elevation set @ 2' Below 3-3'X 82' Cells Grade Vents with >3' spacing 20' S 30' 143' Pro 4 B -1 Bedroom -4 House 45' 70' 9% Slope 30' B-3. 46' 3 62nd St B -2 Vents 17' B.M. #2 Wisconsin Department of Industry SOIL AND SITE E V A L U ATM,,N;"f�if P O R T Page L of 3 Labor end Human Relations Di Division of Safety & Buildings in accord with ILHR 834ff'r IOtt!>kdm Code COU Al i C , " 0 Attach complete site plan on paper not less than 8 1/2 x 11 inches in si,k'Plan mus6n(.1i4);Rit not limited to vertical and horizontal reference point (BM), direction anti %-of sli pp, scale or RiARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. Ca 1999 1 R V WE BY DATE APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION? �� • r ,, PRO ERTY OWNER: P ON / / ! r ,� C / ,� �ti� GOVT. LO_T S %4� 1/4,S 2 b T / N,R E (or)( PRC�P,E TY,Q M ADDRESS L' #,' LO _ # BJJAME // R # CI STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NE ROAD >o�►ersE wZ SYoZS (71S 2/7 -S33 Some.-s',et- 62ND S7`'reet A New Construction Use Residential / Number of bedrooms [ ] Addition to existing building L ] Replacement / [ ] Public or commercial describe Code derived daily flow 00 gpd Recommended design loading rate ' bed, gpd /ft 6 trench, gpd /ft Absorption area required 1-�6 bed, ft / 600 trench, ft Maximum design loading rate s S bed, gpd /ft 6 trench, gpd/ft Recommended infiltration surface elevation(s) /O ft (as referred to site plan benchmark) Additional design / site considerations Parent material Ft #4 0c4 t6U&r S /u;,,J /9 O 02,6 Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND / IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable fors stem ® S ❑ U OS ❑ U ®S ❑ U ® S ❑ U ® S ❑ U ❑ S Flu SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ry:itii 4tii; %M1 0- b 2 I 4:,............ Z 6 - 17 7, / s ue /V4 LS 2m s�k > In S .6 Ground 17- 7 ,Z 757/f A / /'# G r cis m L C u' - F .7 .9 L.v/ ft. y Z� 7S ,-e c D /0/'/ the iC, OS� L 0 S — Nf N� Depth to S 76 ' �� YM 2 7 s Y�% limiting factor 79 a o Remarks: y Boring # 3 4 1 si/( yj?u�' c w 2 {'!! . ' • S 20- 6 -7 �yf 6 1Z z ms�k Ground � eley . y &'o 7,s�� • c 21) X09 SL Depth to limiting fac r a l Remarks: CST Name:— Please Print 1-3r) r .�- A� j !/ Phone: Address: G ^ /��G ,S ®/yiP1 e?' �/ J/ _2 3/3/5' Signature: — Date: / H_ t? CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page Of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench © l0 D� L ,CIS - 777 — G - , s 32 ,,yT /Y S� 2inf�� m v�� w /h? Ground 3 32 Y 8 7 - 1 4 1 1 A F SL 2rIS� i'Y1�✓ C [,� F e 6 / v y ft. Y M2 / 6 /V fJ Depth to limiting act r Remarks: Boring # J �� O � ✓l � /f'� S� � /��fd� ��✓� C w � . 7 o .� U::. Ground S�-6r OSq P7 L 72 joY 6 Depth to limiting factor , Remarks: Boring # S ' k,�v ' C ✓ C w zm e y a r .:....:.:: 30)7 rye,¢ ZS Qs m4/- Ground 6'r Depth to limiting �acto� Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) PROPERTY OWNER SOIL DESCRIPTION REPORT Page ' 1 1 of S PARCEL t.D.# LO'� 30 — Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistonce Bourifty Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trent o �o o 7 �4 ` /�s m c w z m. . S Li 2 I ( 32 7 M 5 .6 Ground 3 32 1 �y,¢ S� 2mf, � mFf c w . 6 YAP /LOY,e 6 IV ms�6� os �� — - .7 4 5 Depth to limiting r Remarks: Boring # Ef Ground y Depth to limiting Remarks: Boring # 3 SL S` 8 �o -7 � M5 osy A) G as /h2 .7 : 4 ,6 30 J7/ X4 L S osf / cw -- „7 1. 9 Ground ?7- I Depth to limiting 7 c /r Remarks: Boring # C Ground elev. ft. Depth to limiting factor Remarks: S8D- 8330(R.0M2) i ! - 6 x 3 6 1 S l V VS ai J , i o r f D ll oe o e !!QC, oe le 'e4 a / ? I D I j i\ ( i Ll � r 3 ! I I j P x� 6 S /I{wS16iN19 +- , i i nch' I �� eL /�D coo S Y ' , yQce Moe 1 I ! t C. ! l i 1 I I i f i , T- --f-- t _ i t ! A f V' --r -- , , d ip - , 4 I 4-1 T-1— — f — T----T _. : , e ; , { : i I i s ' t l � !s l 1 . T , � 1 PINE CLIFF FIRST ADDITI13N N ECT1 iN PART Or THE NV!/4 OF TIE m /4, 01 PART OF• TI[ 2V1/4 or THE MA 14 me IN PART O' M W/4 OF THE NVI /4 IRE T31K Rl9V, TOVN OF SOERSET, ST. Cm= COUNTY. VISCONSDl. IF R "m I PL Or __ SERENITY 1m..m m.rw I JET j , LOT 1 _ sss•!0'Cr'E 1337.4 HA3RTN LIN( Or THE NV1.4 P.OQ.T1�Aa.N fN•!o'Ot't SECTION ri " � .� - - - - - — S89 "E 508.31' — _ Tsoo�o3�.r• �' - I »7.40• I I r ER•.n.M � � _� � � r — 1 I' DION PVE 1 1 I 1 USOS & WL N7*! ` 1 I r -• 1 I CU NLJR' L S 1 1 1 21 ON (U 5.011 ACRES b H 44 1 Z ( 13L143 so FY. 1 37*, sr , (t.x AC) 10T 1. t.> 1 va. a Pa 30319 j d I H H 3 174'•/- _ ' im v 4 H� I I 22 q ' ' 0 �i + a'n �_____________ wvL loll I VN ERS fE[ MT[S;A t 19 � 13L130 SO, f0. rT. �, MICHAEL J. HARTMAN DsA i .�� , PINE CLIrr PARTNERSHIP PLAT OF PINE CLIFF I ro '�� cr.4s K) C/O HARTMAN MIMES INC. _....— ....— .... —....— py 1 103 MAIN STREET r' 1 SOMERSET, VI 340ZS ' 1ar•i- L 1 OUT�OT 1 1 � ____________ I LEG€N� A L UMINUM I I 23 !� B MONUMENT � SECTION CRHSR 1 3011 ACRES M , 13L14r so n r new PIPE routs � c10 Aa 'E ■ 3r 1RON PIPE SE VEMMING € 45 LOS. PER LINEAR rWT / N r IRON PIPE r"s / ® NOM ALL OTHER LOT CRHERf Ns w 37 MONU ENTED VITH r 19 r �� %• . »1.7 I190A0' Ia0'• /- IRON E v IN lDS PER LPIIM rOOT CAR FOOT .............. for MMVVAV SI TSACR LINE v1 RE UTILITY EASEMENT / , /•' Q I _ _ _ - _ PROPOSED DRIVE 24 W: 3.33 ACRES �- -1F -41- E.ISTINO rENCLINC 144ARE so. TV. c2.x A •n� NiGM vATCR u HE ELEVATION - 1RGs 1 A NOTE A OR WHO THAT V OULD v ALTER T ATV R KT[NT HE AREA CAPA CIT Y 1 / 41 . 1' a THE sTORATC: ION AREA � 1 „ fs nlwlnm MOTE D r STORM VAT[�nENTION AR 26 NS2.ONSi ACRES r. c3.01 AC) NET DUnaflc MCA PER rOVM V' is (3." AC) SOMERSET ORDINANCE. (Ve ACRE MINIMUM) \ ` 32193 ACRES 1000 So. rt. an AC) \ `N-; ' '•• .......... ..................... ITN LDS Or THE SEW or THE WI/4 ` �� I � S8 OS 58 E 4 0.00 r naN PIPE + 2a4•./- •• 13303 DATUM 1x0 �''� - -- tt• tUi2I• � r[)KCIIHE IS ai'• /- SOUTH OHTHEE LOT CORMER 583'00 1.1W .00' /�� • / ` T -y , 1 `\ 3.297 ACRES I A. 141534 $ rT. ) <: ssr l� Z 1 1 ``� i \ ' 3044 ACRES ' r4 % PLAT OF PINE CLIFF i \ 1 { 131005 $o. r7*. LOT 9 o• �� — ....— ....— ....— .... —._ I 0.77 AC) j' � 1 LOT 7 1 i ' - - 1 �\ 1 I'w 1 `. 1 EASTERLY UNITS Or N DRSIP AREA ° -- ------ -= - T -- i___------ b PER T Or saSOMERSE T oroIN.MCE ( � v uoPE) 4AT TIE INSTALLATION WOULD 1 1 I 1336730 SO I'T. I G ANY LOT LINE R STREET LINE. I I VIOL ION Or SECTION 2311.31! I I , \ f1.36 K) SET rRTH ARE FOR THE USE Or \ THE RIGHT TO SERVE THE AREA D STATE. COUNTY. We Told"" H LOT 10 LOT SIM ACCESS TO PARCEL ETC.). H ... 49 CONTACT THE ST. CROts COUNTY i '~ ICE. ; ' i' \ - ,. T T 30 3.x6 ACRES J 13LO13 So. try. N ` l •D (1.13 AC) REARING CHORD LENGTH ARC LENSTN TANGENTS r3asw 10533' 1704a s33-44vr'V 213ro1- ivr'V 107.Ir tiara S33'44'4r'V SO 3'Q7'8 •v Door rr2sw N4a 206'30'4206'30'44"V ••44•v sl3rortr•t - ro75 E 210.13' r1I.30' 111314719"t sx 3234 v ' LOT 11 ; r »5'v 317.71' 331.+7* M4 N39ro1'3r'•v ,i ; \ \ . ; 977.9'V 131945• 142.17 N »rol'x'•V N10'01'37*'C %' ' `` ... '1 sn4243 MIO'01'WE stroom"V , ' ' . a• 02 9ro a"v 1134r IK.Tr "10 NI19 ,' \ \' ` I 4'Ir v 17 ps44' HIr3r 4V'V N4r5n4' V \ \` 14• . N4 "V Mr3V3#'V l `` c ` Iry m7<' a a7* 17*40'•V 7544• n3D• Ma»'32 $93 _ y Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 Shaun Bird #226900\ FROM PC COLLOUA BLDR &BROTHERS EKC FAX NO. 7152943632 Oct. 15 2002 02:24PM P1 f..h.r't,• a9':!::' ' � 1 1 r ST IOXX c'+< u SM17EC MA0 ENANC9 AGMMMEN T AND OWNERSHIP CE14,TIFIC u ltm Ow A Io Po I � �1 it laerll3uyrr. , ( Mailiug ALddrlfaa ') Plapwty Addreaa , ! , ,: -° ' `.� it-' _ vl�+.�..r� C.a r•7�c: ( 'fi ( ; / �DG ,F, s y, {Vrxi�iCiltiCareq t1n1111 pjwws 0tvamm --- •••••••�•..,W.�..�...r. C Ci�+lStato POOL Ift iff"U'oa .rumba ali:��sc>!u 1 -S 032. — Zlzo- on —cao ftpe* Lueldon r.�..... �• ..._..... ' /r, Sir.. , T.--N-k---.w, Town o 34 »'t S ltbdt�rsal I I �I w.. ` ' {� 17'► cllr't1w svmy Maki 0 w Page, 4 _...�..�.�..,. VVSM%tY Dee 4 y....,,C� 1■w 111111111 1 1 111111111 1 1 11 . � ... kill '. II I 1 m aleba tba l9 =kiz, cr &S mom a* m a t1a u;mp � dGt1'•Iaasa � 4/d 16 f1�1111L1 � -- r— -„ '11m i rlpO Am lellllwlt M NF I'mtr 7*01&6 t"'tNrl r • n.W'i ■rYrr riwul, .I40.A .p ab m ., w1 N1w a lip , moon piwoi6pic,Jd111ra11t'>>arllpbaib*+4v u towJ¢SlwAftieA v &a Ct) watwdupwtl:,rram L N.. IdlI a0 'I,IMI■1.1 l wNwiillY " ° " (21 &ROA 4wlml ilr l "1 Aw picU am of 11Cw%g4vATN.1�Itl t� Yd 1Sla m1e1 I!S dYlll aiC nemsvl 1*i' b� n 1 kIT 1?ti Th1l'/MaY`aa�s+,t nCr"IatkkdbiS*,rr � � C►rrla�o�ralt TAw�G'kiiLll Iallnwrl. L11sM at' WI■aQauYl� t "wltl[�hmn�tlmt I � 1 y I I I 1 1 1 1 II , I I b a l I■■ I 1 ti i ,,, al�ll 111 r� f r � 1111 °�--- 7'C7Ri! Ca �:PNl1i_ rIIMI' t, un t a ,..., .....wy..t.., .,1! .,.1.._..,.,.r .., +t.1. +{.,..,, �...,. 1. LL, L—I f+ "' k6-, . I (lout ILE [us) vu 04 m 1 TI lIM OV Ai"1`tw�rMM CJ DATE IINII 111 .I .IJI� Jw. ll.r F 'IlA■mammmik.mop mmfi1 In A w Mmillfllp llmali lNol•Imi'lim IIIk oil till 16 f l i l " im ' .6 r11a 'l • • v.. Imo_ . :114 Y.i. _&4XAJLulwl II wlmll11d1 INS=llflll IffAbi 1 VIA Its W ll[if ff At T'Wl% nftt ' N U 1967 187 C=> C3 STATE BAR OF WISCONSIN FORM 2.1999 HA a C9 1 THLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS RE Co., WI This Deed, made between Mark A. Christensen and Mary A. RECEIVED FOR RECORD Christensen, husband and wife, 9:30 AN WARRANTY DEED EXEMPT # Grantor, and Lon Gamble and Karen L. Sandberg REC FEE: 11.00 TRANS FEE; 171.00 COPY FEE: — ------ — CERT COPY FEE: Grantee. PAGES: I Grantor, for a valuable consideration, conveys to Grantee the following described real estate in _ St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 30 me Cliff I st Addition in the Town of Somerset, St. Croix County, Name and Prjf§-"fjA OGLAND KR ATTORNEY AT LAW P.O. BOX 359 CL� HUDSON, W1 54016 032-21 20 -000 0 -- 21Z0 CM 7� lml�illdemii cm N ber(PIN) This is no homestead property. N) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of August 2002 MA A. Christensen *Mar A– _4 AlfTHFNTICATION ACKNOWLEDGMENT Si Mark A. Christensen and Mary A. Christensen, STATE OF WISCONSIN husband and wife, ss. ------ County authenticated this3� day of August _. 2002 Personally came before me this day of the above named TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the perscin(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary PUNIC, State ot'Wisconsin ffu_&mn, NU 54016 M C L)jjju n ss i� )jj j.� pelinallei (if nut.statt; cxpitation 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. Informauon Professionau; Company, Fond du Lae.7 800-655.2021 STATE BAR OF WISCONSIN WARRANTY USED FORM No. 2 - 1999 a �.� ; N A 28 I LtJ 3,044 ACRES /f rl 132605 SO. FT, ro J (1.77 AC) ° :'' Q b _ ZZ � W 5 � '7 .p '2 1 Al � o � Ld CD % '1 EASTERLY LIMITS OF BUILDABLE AREA I Of : PER TOWN OF SOMERSET ORDINANCE ---- - - - - -� p 1 (TOP SLOPE) C.5 I 29 1 Z • 1 3.070 ACRES i i 133,738 SQ. FT, (1.36 AC) C4 ♦' ` �� S�2 3 30 W � v 3.026 ACRES v Od- \ • • ` 131,813 SQ. FT. (1.13 AC) LOT 11 \ ' LOT 12 ' \ \ \ •'�! . It LOT 13 I OF 2 SHEETS ---- - - - --- _ _-. Si. c qx C