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HomeMy WebLinkAbout034-1069-20-050 o / � J % m i2 , § % / § 0ƒ 7$ 0 Aƒ Cl) e �. § i / f 0 E ] 0) = )_ : § C D �\ � -4 @ § 0 / ■ -4 E o E § E 0 © CL ƒ / > £ t \ CL m § § \I o r ■ 2 2 0 a �, � { 0 0 0 / \ j 3 CO) k / E f § ( / \ 7 �� / § § e § 9 © m § E / \ w z ! , o $ \ D ƒ / J § § $� 2& 3 E } m (J) ( w cn i & o $ CD / ] CL z E � \ CD �� Z ¥ � \ k (D § / m § fT y . 0 q 2 § CD % ! og=�> n�� ° �mm& ■ C ECD \ n =�,� � C 7 \o — ® ^E E7q(n )_0 ! .3 § � F[� � 3_C W EE( $ / §7 $ m3E §�k � ] . 0 N < \ _o \§ � 0 k � �\ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463100 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: Malean, Adam I Springfield, Town of 034 - 1069 -20 -050 CST SM Elev: Insp. BM Elev:� BM Description: Section/Town /Range/Map No: on •1b / Qo .0 Qw. I 31.29.15.4676 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark I 3 - -lo j 03. �0 0z • a Dosing � Cy r �,� Alt. BM lap ,,.,e+�.�+v+� 'w+ 2 -� ob • Z �' � Aeration Bldg. Sewer Cad + `f9s 1 0 3-99 Holding St/Ht Inlet Al + St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > � t � \ ' too Dt Bottom Q) 91. Dosing 0 Header /Man. 1;1 p %AA 1 Aeration Dist. Pipe It Igo . / o •zS • S Holding Bot. System S • .Op •LO Final Grade PUMP /SIPHON INFORMATION bw4 ` Manufacturer Dem St Cover µ �Q� 5 -& ELL&& n�o o X93 • Model Number N 53 Jt2 ` �•4 fag 9 � • D H Lift Friction Loss System Head T i Ft - 1'O /• / .1D Forcemain Length t Dia. +t Dist. to Well ( 7 TJ SOIL ABSORPTION SYSTEM ENCH Width t Length + No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DI 9 3 es� Z SETBACK SYSTEM TO P/L BL G WELL LAKE /STREAM LEACHING Manufacturer: pp Cor INFORMATION CHAMBER OR BZ OOi ,, Type Of System: i f UNIT Model Numb i a W n � DISTRIBUTION SYSTEM J Nn�C Header / agifold Distribution x Ho x Hole Spacing Vent to Air Intake Pi + Lengt Dia Length Dia Spacing SOIL VIER 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 9 p [] Yes [ No [] Yes r] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 12 Z/ l Inspection #2: Location: 2753 Highway 12 Wilson, WI 54027 (NW 1/4 NE 1/4 31 T29N R15W) NA Lot 1 Parcel No: 31.29.15.4678 1.) Alt BM Description 2.) Bldg sewer length = (� / ab A 0 .4 c� } '}2 " + S++X GSA c� \ s ,, — 9D - amount of cover = n dpi S -�,,,`� J Sl2i- • U "'I -{ 'wte . U (" 5 p6--1� JQ -- -b I•�� Plan revision equired? ❑ es /�� Use other side for additional informati SBD -6710 (R.3/97) rGCe pTr a �re� Insepcto n. rs Signa i re Cert. No. RECEIVED OT P AN PROJECT Adam.Malean ADD ESS 2771 Hwv 12 Wilson Wi 54027 npr 2 7 2004 NW 1/4 NE 1 /4s 31 /T 29 N/ 5 W TOWN Springfield COUNTY ST. CR ffl000NTY 12/21/04 ZONINGQFFI MPRS Shaun Bird 226900 DATE BEDRGOM CONVENTIONAL IN fK D PRESSURE CONVENTIONAL LIFT )00( HOLDING TANK MOUND SEPTIC T E 100 0 gallons LIFT TANK SIZE 630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter 7-abelA -100 ❑BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 97.5/97.1 3.5' belo qrade lternate Benchmark Top of 1/2 ' Pipe @ 99.6' US Highway 12 Plans Designed Using Conventional Powts Manual Version 2.0 Well is to meet all setbacks required by WDNR Pro 3 10' Bedroom House Scale is 1" = 40' unless otherwise noted 80' Cleanout Please note: Shift system as far east as possible! to avoid B -4 70' 50' 30' Vents 10% Combo Tank Slope B -3 50' B.M. 40' 0 9 B -2 Alt. 99' 85' .M. 20' B -1 40' B-4 (not suitable for conventional 1 septic system!) 2 -3' X 94' Cells with >3' Spacing Property Line ALo Standard Biodiffuser Leaching Chamber with 3 1. 1 ft2 of Area I F I 1" ^ „ jo Grade at System Elevation PUM CjjAMBER CROSS SECT:fl AND SEPTIC TANK w f.AMRPRWF APPROVED , HIN. ASOVE GRADE ►JUNCTION BOX MANHOLE COV y,s G VENT PIPE I 4dINI OW OR WITH CONDU W1 PADLOCK s FROM D4flR. y,tAIMING LABEL FRESI� .A IR Z�tT'AK£ W" taK - FIi� D GRADE �(o zYp r. 13. tg MtN I9" INLET GAS VAPFf�1E0 wATER TIGHT SEALS TIGHT* A SEAL. ; JOINTS WITH AppROM PIPE B ' 4 ON SOLID SOIL APPROVED PIPE 3` / C t OFF ONTO SO LIfl T.— SOIL PU"p OFF ELEV •� D BEDDING UNDER TANK 3- APPROV ED ` CQNCRETE PAD SPECIFICATIONS I ! �'> % cl" SEPTIC f DOSE IILIi'! B£S DOSES PER DAY = --- TC LUflIN TANK HANUrACTUR VOLUME Z , - 7 , ��GAL- GAL . 13fl5 E F LOWBAC K : SIZES, SEPTIC � -�-�" GAL. = 5 6 Tp►NK DOSE A ' J Z3yCHE5 �..- CAPACITIE "' GAL. .2 INCHES ALA I XppJFACTUitER, B = ,......- MODEL NUMBER' ���- = b . j IN = � AL- SWITCH TYPE: �L. C z�� ' - � TIICHES = �� C'AL R - PUMP MAWJrACWRE - D MODEL NUMBER: � Z y�g 16.23 WAC SWITCH TYPE � � ' - pUMp £ ALARM W'RZNG AS PER � �- =�-- FEET Et,W ;R£D DISCHARGE.; RATE � IBUTI014 PIPE - F . fi r EET EEN PUtIP OFF AND BZSTR . _ _ - - _ FEET ,ERT T,CAL DIFFERENCE $ETA' rTl1QQ FT. FRICTIt3N FACTOR MINII'I3t! NETWORK SI3PPLY PRESSU E ' FEE? } FEET FORCEMA;N X �=-��- TOTAL DYNAMIC HEAD /" � DIANETM --- ;uTW 6 PUMP TANK: LENGTH T J INTERNAL DIMENSIONS LIQUID �� - -`'• DAT LICENSE NUMBE": cn TOTAL DYNAMIC HEAD /CAPACITY w HEAD CAPACITY CURVE PER MINUTE L MODELS 53/55/57/59 EFFLUENT AND DEWA.TERING i 25 Model 53/55/57/59 6 20 o Ft. Meters Gal. Ltrs. w 5 1.5 43 163 15 1 C 3 ' 34 29 mi z 4 5 4.6 19 72 10 � — Sllt - cff Hecd 19.25 ft. (5.9m)' o ~ 2 5 -- S 15/16 6 5/32 I "1/2 —1 "/2 NPT 0 � U.S. GALLONS 10 20 30 40 50 LITERS 3 15/16 0 80 160 � FLOW PER MINUTE 009e97 4 1/16 Variable level float switches available. Variable level long cycle systems available. Available with special cord lengths of 15', 25', 35' and 50'. u Alarm systems available. 10 x '/16 Duplex systems available. II 1 3 3/32 I, 11TV SK858 Single Seal Control selection Listings Model volts Phase Mode Amps Simplex Duplex CSA UL 1 1. Integral float operated mechanical switch no external control required. M53/55 & M57/59 115 1 Auto 9.7 1 Y Y 2, Single piggyback variable level float switch or double piggyback variable level N53/55 & N57159 115 1 Non 9.7 2 3 or a & 5 Y Y float switch. Refer to FM0477. BN53 1 115 1 Auto 9.7 Y Y 3. Mechanical alternator °M -Pak" 10 -0072 or 10 -0075. BN57 I 115 1 Auto 9.7 N Y BE53/57 230 1 Auto 4.8 Y y 4. See FMO712 for correct model of Electrical Alternator. D53/55 & D57/59 230 1 Auto 4.8 1 - Y Y 5. Variable level control switch 10 - 0225 used as a control activato with Electrical E53155 & E57/59 230 1 Non 4.8 2 3 or 4 & 5 Y Y Alternator (3) or (4) float system. Single piggyback switch included. a caunoe For information on additional Zoeller products refer to catalog on Piggyback Variable Level Float Switches, FM0477; Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Sump /Sewage Basins, FM0487; and Single Phase -- Simplex Pump Control /Alarm Systems, FM0732. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. — - - -- - -- -- - - -- - - - - -- - - - -- - - -- - —- MAIL TO: P.O. BOX F ? Louisville, KY 40250 Manufacturers of. . � SHIP T0: 3649 Cane Run Road ® - ® Louisville, KY 40211- rUelrY 4 SINCE 1,9SISI (502) http: //www.zoeller. corn P UMP ! FAX (502) 774-3624 8•PMP © Copyright 2002 Zoeller Co. All rights reserved. PL PLAN rROJECT _ Malean DRESS 2771 Hwv 12 Wilson W 54027 NW '1/4 NE 1/4S 31 /T 29 / 15 W TOWN Springfield COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 7/24/04 BEDROOM 3 CONVENTIONAL XXX IN- GROUND SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30✓ BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION loo' Filter ZabelA -100 F BOREHOLE O WELL - H.R.P. Same as Benchmark SYSTEM ELEVATION 97.5/97.1 3.5' below qrade Alternate Benchmark Top of 1/2" Pipe C& 99.6' US Highway 12 Plans Designed Using Well is to meet all Conventional Powts Vent setbacks required by Manual Version 2.0 WDNR > 6„ Standard Biodiffuser of Cover Leaching Chamber with 3 1. 1 ft2 of Area Scale is 1" = 40' 6, Long 11" unless otherwise 34 „ Grade at System Elevation noted Pro 3 Bedroom House Please note: Shift system as far east as 50' possible! to avoid B-4 30' 10% Vents ST Slope * B -3 40' B.M. 40' 0' 85' B -2 Alt. 99' .M. 20' B -1 40 ' B-4 (not suitable for conventional septic syste 2 -3' X 94' Cells with >3' Spacing Property Line r � s � , Division County I Safety and Buildings 201 W. Washington Ave., P.O. Box 7162 ' I N V I sconsi ow n .Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) (608) 266-3151 6-3 Department of Commerce PIanLD. State umber Sanitary Permit Application A In accord with Comm 83.21. Wis. Adm. Code, Winformation i you provide Project Address (f dilfetent than mailing address) may be used for secondary purposes / LLAppli cad ormation — Please Print Info . a _ o�� S 3 ,t.e d �. ,. w� 1y �inxAdL Parcel Lot r Brock r - / Property owner': ss ` ° ► /� � pe`ty Ilion City, State p /� v �"^r /- J 1 53 / 6) R S � / T � orW II, 7o r of Blilsiing (check all th apply) Qi�'Yl 1'h�' //vn Subdivision Name CSM Number Fam ily Dwelling - Number of Bedrooms b U I 2 '7� AL Public/Cotniaertaal- DescribeUse City _ Y e State owned - Describe use III. Type of Permit: (Check only one boz on line A. Complete line B if applicable) A. ;-. stem Replacement System Treatment/Holding Tads Replacement Only Other Modification to Existing System B. permt Renewal Permit Revision Change of Permit Transfer to New List previous Permit Number and Date Issued Befote xpirat Plumber Ova nee IV. Type of POW 1S system: (Chedr aII that a 1 ) o - Prasurizd fa�tlouod Mound _> 24 is of suitable soil Mound c 24 in. of suitable soil At -Grade Single Pass Sand Filter - ter Constructed Wedand Pressurized hi -Ground Holding Tank Peat Filter Aerobic Treatment Unit ' !� Recirculating Synthetic Media Filter Drip Line Gravel -less Pi PC lain) /L V. Di treat Area Information: D -S Z S Soil Plow (g Area (sf) Dispead Area Proposed (sf) El D / ea t pd) Design Rate(g[ f1 Dispersal Requrtod �- Capaci Total Nu Mannfitctursr Prefab Site Steel Fiber Plastic VL Tank Info Concrete Constnicted ohm � Csalions Gallons of Units New F k i ting Tanks Tanks &qp6c or Hording Tank Aerobic Treatment Unit DosingLbarnba 1ti VIL Res oasibili Statement- L ffie trod assume osibill for installation of the POWTS dunm on the attaehed PI MP/MPRS �Nunter Business Phone Nu Plumber's Address (Street, City, State. ( )<} VUL nt Use Onl Date re (No ) Sanitary Permit Fee (includes Groundwater l Appro Disapproved Surcharge Foe) ll d owner Given Reason for Denial J IX. Cotttlitions of Approval/Reasons for Disapproval �d GC Gfir>1t SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced I maintained Y� l as per management plan provided by p umber y 2. All setback requirements must be maintained B s/ as per applicable code /ordinances. 7 Autam Phu (to the County only) for the system oa paper act less than 81lL x 11 inches is size 129/ PLAN rROJECT A Mahan DRESS 2771 Hwv 12 Wilson Wi 54027 NW '1/4 NE 1/45 31 /5 W TOWN Springfield COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE7/24/04 BEDROOM 3 CONVENTIONAL XXX IN- GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30✓ BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter Zabel A-100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 97.5/97.1 3.5' below qrade Alternate Benchmark Top of 1/2" Pipe @ 99.6' US Highway 12 AL Plans Designed Using Conventional Powts Well is to meet all Vent setbacks required by Manual Version 2.0 WDNR >6 Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area Scale is 1" = 40' 6' Long 11" unless otherwise 34" Grade at System Elevation noted Pro 3 Bedroom House Please note: Shift system as far east as 250' possible! to avoid B -4 30' Vents ST 10% Slope B -3 40' B.M. 40' 0 , B -2 Alt. 99, 85' B.M. 20' B -1 40' 5 B -4 (not suitable for conventional septic syste 2 -3' X 94' Cells with >3' Spacing Property Line Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division f Safe and Build P Safety s 9 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 r' include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 1 )1q Zr719 /j AA YWIF percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q ? — —0 Please print all information. vie Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). C�jyVy f Q Q Property Ze-;' � `� l7 � Property Location P Owner F . Govt. Lot Q',�/1/4/4 S3) T N R S E (or P roperty Owner's Mailing Address Lot # Block # Subd. Name or CSM# ._-.- City State Zip ,Phone Numtvr 1:3 city ❑ Village wn Nearest Road G� ®" rJFF 'P �,'' c New Construction Use: Residential / Number of bedrooms _ Code derive d ign flow rate ' 7�� � GPD C3 Replacement ❑ Public or commercial - Describe: Parent material 57" r -�C Flood Plain elevation if applicable General comments and recommendations: , I LI Boring # Boring '�� Pit Ground surface elev. �� ft. Depth to limiting.--- in. Soil icati ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 _ g f; Y 2- .G , (�13 �_- L 12 d_ 3 Boring # Boni � R pit n9 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 2 -4 • U 3 1 ' r Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg& CST Name (Please Print) Signa CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation CondLicted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 �0 715- 246 -4516 J c Property Owner Parcel ID # Page of Boring It Boring � /6, .. 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. Munsel Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 C — C) Q ;AI �./ /^ J L ', 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 ❑ Boring F C1 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 130 mg/L and TSS < 30 mg/L i 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. SB68330 (8.6/00) Soil Test Plot Plan Project Name Adam Malean Shau Address 2771 Hwy 12 Wilson Wi 54027 CS #226900 Lot Subdivision ------- Date 4/20/04 N W 1/4 NE 1/4S 3 T 29 N /14 W Township Springfield _ P Boring Q Well PL Property Line County ST. CROIX IL BM or VRP Assume Elevation 100 ft. Top of 1/2" pipe System Elevation 97.5/97.1 *HRpSame as Benchmark Alternate Benchmark Top of 1/2" Pipe @ 99.6' US Highway 12 Scale is 1" = 40' unless otherwise noted Please note: Shift system as far east as 50' possible! to avoid B-4 101' 10% Slope (20' B -3 40' 85' B -2 ' 35' B -1 40' of suitable for conventional septic system!) Property Line / 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 Co Plan Option #1. 1 ystem fails, determine cause of failure, use alternate area and install new sys em in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. 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 ST CROIX COUNTY A GREEMENT'` SEPTIC 'TANK MAIITENC OWNERS p CE TIFICATION FORM olh Owner/BuYe ` Mailing Address J Address °Z Department for new construction) Property (Verification Parcel $ors P Parcel Identification Number City /State 4 , DESCRn'N LEGAL... TIO �/�� "' — � � --N -R /�W, Town of � �� // 1�., �.= Property Locatioa4. Lot # �.. Subdivision g , Page # Yff- °-1-1 Volume Certified Survey Map # Page # -7 Volume - ----= Warranty Deed 11 es p no Lot lines identifiable Y Spec house D YeXg-no premature failureto haadle u put into the sys wastes. Pro maintenance vTENAN What Yo SY STEM - .�nr� your septic system could result is its b a licensed p�P er use ana three years or sooner, if necde Y out the septic tank every a in the waste disposal system. consists of p out a treatment stag the owner and by a can affect the function.of the septic tank a certification fo= signed by osal system s to submit to St. Croix Zoning DeP��erifying,b Lt(I)tbr-ou- sitewaste"terdisP The property owner agree lumber or a licensed pum per septic tank is less than 1/3 full of sludge. outaeymanplumber,restrictedp ri necessary), rnasterplu r operating j con&tion and/r (2) after o inspec and pumping (` or operating private sewage disposal syst em with the standards is in prop d eats and ague to m aintain the P un d er s igned have read the above requiem a gent of Natural Resources, State t Wisconsin- n ��� 3 0 Uwe, the undcrs of Commerce and the p Dep artment to the St. ix Cro County set forth, herein, as set sy stem the Department must be completed and returned stating that Your septic system has been ma i n taine d oa date. �/� ".�, D days a three year exp _--- DATE OF LICANT 4, �6z , !k p y V NER r�FTt ICATI N the best of my t °m'i �o'"'led o. I (we) am (arc) the °wrser(s) of I (we) certify 'at virtue of a warranty all s e menrS on this f °rmd d recorded in Register of Deeds Office. cribed a, the property � DATE OF ievoked by the Zoning Department. ortnation that is misrepresented may result in the sanitary Permit being •: Any tnf d warranty deed from the Register of Deeds office e certified survey map if reference is made in the warranty deed Include with this application: a stampe a copy of th U 2672P 9 22 `3 '7 � STATE BAR OF WISCONSIN FORM 2 - 2000 - — KATHLEEN H.- WA1SH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROI X Co., W I This Deed, made between Donald W. Malean and Karla Malean, RECEIVED FOR RECORD a/k/a Karla K. Malean, husband and wife 10/11/20®4 08:15AM WARRANTY DEED Grantor, and Adam W. Malean, a single person EMW # 8 REC FEE: 13.00 TRANS FEE: COPY FEE: 3.00 CC FEE: Grantee. PAGES: 2 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) Part of the Northwest Quarter of the Northeast Quarter (NW 1/4 of Recording Area NE 1/4) of Section Thirty -one (31), Township Twenty -nine (29) North, Name and Return Address Range Fifteen (I5) West, Town of Springfield, St. Croix County, �Id�� Wisconsin, more particularly descrtbcd as follows: �l 277( 1fw 1' I Lot One (1) of Certified Survey Map recorded August 31, 2004, in UP;( 5oA w r Sr{ oZ 7 Volume 18 of Certified Survey Maps, Page 4826, as Document No. 773045, office of the Register of Deeds for St. Croix County, Wisconsin. 034- 1069 -20 Parcel Identification Number (PIN) This is not homestead property. f (is not) Exceptions to warranties: Easements and restrictions of record. Dated this `Z�"" day of �il/ , 2 4 C_ * * Donald W. Malean * * Karla K. Malean AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. St. Croix County ) authenticated this day of - U\- Personally came before me this day of 2004 the above named Donald W. Malean- TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to imown to be the on(s) who executed the fore ' n authorized by § 706.06, Wis. Stats.) s en 1 same. ��'J S 1 M y . THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Notary Public, State of WISCONSIN z ;. Baldwin, WI 54002 My Commission is permanent. (If not, s tate e4p' tiotf ' •. , �, ' , (Signatures may be authenticated or acknowledged. Both are not necessary.) ( �+A +_ 1� 0 f' 1 * Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN PRO (800)855 2021 www.In INFO - FORM No. 2 - 2000 lbprQtans 2672P 423 ACKNOWLEDGEMENT STATE OF WISCONSIN ) )ss COUNTY OF ST. CROIX ".,R.j� ona ly came before me Ls&kmday of October, 2004, Tad .� a b�named Karla Malean, %' Ala K. Malean, to me Gk%o i (k]Ddr the person who ' he foregoing �•, i�iQ t an cknowledge th same. p.rH HN ` Notary Public St. Croix County, Wisconsin My commisssion: cA e4- A a.DOS CERTIFIED SURVEY MAP A PART OF THE NW 1/4 OF THE NE 1/4 OF SECTION 31 PLEASE SEE PAGE 2 T29N, R15W, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WI PREPARED FOR: � SURVEYOR: ADAM MaLEAN I GREGORY A. PEACOCK 2771 HWY. 12 rG-� j 1920 11TH AVE. WILSON, WI 54027 BALDWIN, WI 54002 �I a l I Q ° O w Z *� c _ MJ OWNED r EDD � Y OO �i I�ERB OWNED � Y OO 7[ [�IC�W 1nI ---- - - - - -- W uj N 3 r�l I 1 ------------------------ C u NE COR. omo n! Q U.S.H. 12 SEC. 31, T29N, N W C.4 o (66� R.O.W.) R15W, ST. CROIX 1-� &S 89° 38' 03" W 2619.56 CO., WI z� 0 °0 ►=m SEC. 31C 29N, ---- 3aG:�o - - -; -- 2319.56 ui Q�No R15W, ST. CROIX R.O.W. inn' NGcJ af �t CO., WI 150_ HWY...SETBACK. PER_. TRANS__ 233 LOT 1 (5.00 AC.) i (217,801 SQ. FT.) i EXCLUDING R.O.W. 3 z i c (207,901 AC.) FT.) c co n 0 N O 01 I ,sai� S9 Z SB I I ❑❑,n,pp 1 rJl �I N �nI ul N W I I �I �I n1 Q1 1 0 o I , a, W 300.00 N 89 38'03" E % 0 0 W y o > § 1 ° U o L o ��1111 /I N `InIIPA` TEDD S coNS� 0 ; N OWNED B Y OTHERS v`� sa�•••.....••••ti a' v t' ' •: GREGORY A. ; !. Q = = PEACOCK g S - 2334 S 1/4 COR. % BALDWIN, •,� SEC. 31, T29N, ���, I ••• .•�0 CO5W, ST. CROIX ��b�f LEGEND FOUND 1" SURVEY MARK NOTE: EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE 0 SET 1" O.D. BY 18" LONG AND COUNTY LAWS AND REGULATIONS (I.E. WETLANDS, MINIMUM IRON WEIGHING 1.13 LBS. LOT SIZE, ACCESS RULES TO PARCEL, ETC.) BEFORE PER LINEAR FOOT PURCHASING OR DEVELOPING ANY PARCEL, CONTACT THE ST. so CROIX CO. ZONING OFFICE AND THE TOWN OF SPRINGFIELD FOR SOIL BORINGS ADVICE. - ■-- -■--.- EXISTING FENCE JOB #: 040414 PROPOSED DRIVEWAY DATE: 4/21/04 SCALE IN FEET 1 =200 DRAFTED BY: V. 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CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SPRINGFIELD COMPUTER NUMBER 034 - 1069 -20 -000 Parcel Number 31.29.15.467 OWNER NAME: First DONALD W & KARLA Last MALEAN PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 2771 HWY 12 SECTION 31 TOWN 29N RANGE 15W %160 1 /440 Line Description Line Description TOTAL ACREAGE 40.000 PLAT LOT BLK 01 SEC 31 T29N R15W 40A NW NE 15 02 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit SPRINGFIELD PLAT T -29 -N • R -15 -W (Littdownem) GLENWOOD PAGE 56 See Page 112 For Additional Names. C 3000 3100 3200 3300 F 2900 -- 2 2800 DD y Brian & 20 x Johnn 1 Steven & Mona A nnie • $ w . p & 5 James Richard ! Gny F3 o & g 41 $ :8 s 40� 3 29 101 ry. r Ha n • D-let 0 999 s a 4i & Muy I Dpkhn D "o�° 169 Seim di t 4p xm n �a I 160 9 " QfRs� sawf C DaA 120 `° a R Eric A Dull! a h. Knuth 160 I y p� Eoukf O O PM. Waldo Cs°"`"° t• 23 Se 80 & Donna 3 m ^ = ori Ge I 4i a. 92 . 7homu Ali- & Rott .g p rear — (& Ma ! I 128 ]59 a j202 440 4 40 C C eg6 a Wahh - ., F+ • of as o ' $ Otto 12U r Cc 2 4 - — 8 - m ]60 & 4110th _ Ro ° 1 ^ Fahh & Sonie aa,ae m e. I 0 to Q 20 20 I y Crockett , 80 t 79 140 20 1 ir Troy BE I e CMS 37 rends& to Ric r Q w � Bru« & ) -on raa Fo"at 8a N 1 $ m- Lim &M. 's 40 80 7 r 7 4 Haines Joanne Howard 240 y N b g oo g Robert 110 M Forest Gr aham o® N 4t & r mela ai te7 40 ss m 93 ( Drew 9 $L 4E'� >a Ma a Pte& • Pamela GF (�+ 7 C EK Bch laifon eenenda0 40 Brandt b 38 40 48 x40 40 E & G Y 37 Lewis 40 8 MuHeu m bra tau I,- Farmr N r a. n $ 33 40 40 b Inc 67 f 39 0 JoKPh & san Gtda& tdac -- & Donna & 5,+..5 � L. a �� 4 Z r • — « James & I .$, 8� a s oonnee Gessler Ir WoBack dal so ' Carol 1 224 16 V man tuba &Rote McCarthy & Rebecca Ew Shawn � Chong Farms �r< t Sarah 160 Nyhus I g �k Frye Brandt Her Inc 120 etal 40 120 Da S 1 Lyon r Dune arq V Warren �� q N R� ) tea 318 S 120 on nn.r & may I d tL a FM alone R 37 Fern 73 B 40 a b AVE - 74 40 90th AVE r 40 E I D James u3vaa, Bruce isndu & Karen E as .a«a n r - f1 K mb Mahoney Sam eerson 39 �� 174 � � b 39 120 Scott &I�Nom.y so &e 85th Com an a� w.aa a 3 Q— / 4 , a •s 120 etal 4o AVE 160 100 Sodth Ba Br,mtow m D&R 20 119 wad �3 of b ' 2 C IB Ronald � Mahn °!y Is V al q� I & Duna � Michel e 1zo IJndahl g �, a b xash & Debban lie Le a m" Bob nwF° 1 Meech 159 m n S m !: — «�"ase -a. i ° ^� � 159 x McGee °d„ H 80 n_ C _ 31 80 iVE It William by b Mellon 97 v 1 ~ J rtl I ° N William lb— 2 80th AVE IM & Charles taawa Rom � a 9 Iwoa- b 60 a 4t g 40 ' 80 40 40 f 60 ° 40 3a �9 Leroy :s �° o Lavern Donald Donald e,e b - &Nola aIn r g o'! Senn rederick I Ni plemrnt W n 189 0 a o o6on E >i0 I W 3 raauaa V b w rat 12 Lenerfz '� Co 109 q Gerald a Z hme 12 a b Lou p m c+ o Johnson I g laftm 1 b d7 78 2 4 F _ _ N 8 J! s n 38 D E S ale— 40 40 • Robert 172nd L4 Dale 75 � I Robert &unm O Z41ZSN 7r ht AVE xeie / mil.E$ # 50 i,! 40 3� Kuhn , _ 36 40 z 1 Ilacm caddy Reuben 1,voa 4 Mabel ° W lnk pp 1 g H & NN °$ Thompson El or 20 a Rkhard ° etal 78 40 Trust 207 Mousel b 33 6t ib JJ 156 _ _ 120 +d� S haren Stang F n 75 6 - 9) SLICi I 19 E &Avis David lee & Kdt1t & u & M ° ° � ° as� So m I Eitland mw- Mary f- Frances " p g Erickso REEK N LE son 75teaul t 1Kmmrey ,p ama& a G 3weae 12 Mark (Alice y@ gl oo Am 3+ K r " di F Debora O a Volz Grady D -- NN &Chart API s v'ro am _45 39 ram J Q Trost 00 ~ L D 10 -r 39 ffi b T 60th AVE LADY PAGE 24 'a RB'S o9' oodville Tgxic G W arehousing WILSON, WI and Distributing, LLC Dry Vans - Reefers - Augers - Hoppers - Brokerage Dry, Refrigerated, Frozen Phone: (715) 698 -2442 and Cross Docking Fax: (715) 698 -2962 107 Hagen Drive • Woodville, WI 54028 Toll Free: 1- 800 -219 -6926 Phone: (715) 698 -2712 • Fax: (715) 698 -2714 Pam Quinn Subject: #463100 S.Bird - Mal-ean Location: Springfield, Lot 1, Sec.31 Start: Tue 12/21/2004 3:30 PM End: Tue 12/21/2004 4:30 PM Recurrence: (none) 2753 U.S. Hwy 12 1