Loading...
HomeMy WebLinkAbout038-1047-90-000 (D @ c 0 m ro rA ^ 3 " cn z z 0 gy O O to O O C d W (;• _ j r dlli N a tix O N N 0 0 x 0 _ 'I` CL o 0 0 o r, 3 N CD O y c F CD CL 4 o T O N 00 C. ..7 Z O �y A O O O N O C CD CD = z CD O z a 0 0 0 m. A o m a * * *= C-0 z = ° n' a N ai N 3 °_ D N O O S D a ..� CT � w Q W N V O Z ? Z O =; y O O s. y W N C . 7 CD W a O Q N 3 Z (CD N �_ 1 O N n. O A z n ;o z O v a A C 3 W M m CD z ° z o r* 0 m Z O A W � ' w Q C Q CD o a O O T N N C 7 Z C N O O - @ :E O N S N � O CD 0 a Cb 4. ql N _ hl I � o V 0 CD do cn O ., CD °CD a wscon §in Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lai!ar and Kaman Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix 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 % of slope, scale or PARCEL I.D. # / dimensioned, north arrow, and location and distance to nearest road. 03d p — / D7 / 77— APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Merill Campeau GO - OT SE 1/4 NW 1/4,S 11 T 31 N,R 18 for) W PROPERTY OWNERS MAIi -ING ADDRESS OT # BLOCK # I SUBD. NAME OR CSM # 1245 Old Mill Rd. 3 na csm ndin CITY, STATE ZIP CODE PHONE NUMBER OVILLAGE MOWN NEAREST ROAD New Richmond, WI. 54017 (715)248 -3248 1 Star Prar'e Old MIll Rd. (x] New Construction Use (x] Residential / Number of bedrooms 3 [ ] Addition to existing building I ] Replacement (] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd/ft • trench, gpd/ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft - 5 trench, gpd/ft Recommended infiltration surface elevation(s) 102.2 It (as referred to site plan benchmark) Additional design / site considerations system el. Based on contour line of el. 101.2' Parent material pitted glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem O S X11 ®S O U El S (2U 1:1 S)M U O S E] U ❑ S 91 U 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 Trendt 1 0 -9 10yr3 /3 none 1 2m sbk mfr gw 2f .5 .6 N MN o 2 9 -27 7.5yr4/6 none sil 2msbk mfr gw if .5 .6 Ground 3 27 -48 7. 5yr4/4 c2p 7.5yr5/8; sl lthsbk mfr na na .4 .5 elev. 1 Depth to limiting factor 27" Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 1.6 ><? 2 2 10 -19 7.5ry4/4 none sicl 2msbk mfr gW if .4 1.5 MEWS 3 19 -26 7.5ry4/4 none s1 lmsbk mfr gw if .4 .5 Ground elev. 4 26 -50 7.5yr4/4 c2p 7.5ry5/8 sicl lmsbk mfr na na .2 .3 1 Depth to limiting factor 26" Remarks: CST Name:— Please Print Gary L. Steel ,, Phone: 715 -246 -6200 Address: 1554 200th. Ave., New Richmond, WI. 54017 10 -4 -95 cstm 02298 Signature: Date: CST Number: PROPERTY OWNER Merill Campeau SOIL DESCRIPTION REPORT Page 2 of _3_ PARCEL I.D. # pending s �� Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. I Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistenoe Bourxi3y I Roots Bed iTrerxih 3 ! 1 —7 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 • •.K .. 2 —25 7.5ry4/6 none sl 2msbk mfr gw if .5 .6 Ground 3 5 -48 10yr5 /3 c2p 7.5yr5/8 scl lmsbk mfr na na .2 .3 ev. 1 1. Depth to limiting factor 25" Remarks: Boring # . R o om Ground elev. ft. Depth to limiting factor Remarks: Boring # - : ?:1y \�•JrJi:Y Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. I ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Merill Campeau 1554 200th Ave. CSTM2298 SE4NW4 S31- T31N - R 18W New Richmond, WI 54017 MPRSW 3254 town of Star Prarie (715) 246 -6200 lot #3 1 " =40' BM.= top of 1 steel pipe @ el. 100' Alt. BM.= top of steel fence post @ el. 103.7' i rr �� �d ✓� e L � � - r 9 "to , 4V \-6- C� � 3q Y 3 I 5 � O � G Gary L. Steel 10 -4 -95 Wisconsin De p artment of Commerce . PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 399590 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: Wurtin er, Andrew Star Prairie Township 038- 1047 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: zoo 41W A-0; r TANK INFORMATION T ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic VvP't° / `J �O Benchmark Alt. BM qoI -- Bldg. Sewer Z S Ht Inlet TANK SETBACK INFORMATION Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD D I nlet t _ Septic -� �� , Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Q• yd' (f • k t . 3% 0•� Hol ' g Bot. System 1, L IL S' L � PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover -7 GPM L l (a Model Number TDH Lift riction Loss Sys Head TDH Ft Forger6in Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 15 BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 �< S SETBACK SYSTEM TO P/L IBLDG WELL LAKE/STREAM LANG Manufacturer: INFORMATION A OR Type Of System: y 3� / Model Number. C*\j } DISTRIBUTION SYSTEM Header /Manifold Distribution le Size x Hole Spacing Vent to Air Intake 3 i Pipe(s) y Length Dia / Length q3" �S Dia Spacing x Ho 30 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 1 Bed/Trench Center BedlTrench Edges Topsoil It Yes 17N No Yes No COMMENTS (Include code discrepencies persons present, etc.) Inspection #1: I Z / 7- / L Inspection #2: Location: 1234 Old Mill Road New RI hmond WI 54017 (SE 1/4 NW 1/4 11 T31 R1 8W) NA Lot 3 Parcel No: 11.31.18.201B 1.) Alt BM Description = "� t n '�� a! ,off��,, wL /_'/ 2.) Bldg sewer length = / 5 3� S S�� [��rU e� ��� 9 UX p0 L'as f' - 3 amount of cover = 2 1jd"4�' 'J bor:�., 3.�b5e� ✓etf`�n f•ptr jtis����e� �r Plan revision Veq tw I Yes No Use other side for additional information. (Date nsepcto�Signal Cert. No. SBD -6710 (R.3197) � aver o 0 I e111, PLOT PLAN PROJECT Andrew Wurtinaer j �DDRESS 190 Sawmill Lane Ant. 10 New Richmond Wi 54017 SE 1/4 NW 1 /4S 1 1 /T 31 f R 18 TOWN Star Prairie COUNTY ST. CROIX 11/2/01 3 MPRS Shaun Bird 226900 DATE BEDROOM CONVENTIONAL XXX IN -GRO& PI&SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30 BENCHMARK V.R.P. Top of Nail in Tree ASSUME ELEVATION 100' Filter Zabel A -100 D BOREHOLE O WELL - H. R. P Same as Benchmark SYSTEM ELEVATION 87.8/86•$ Alt. BM Top of Nail in Poplar Tree @ 10 1. 1 Old Mill Road Plans Designed Using Conventional Powts Vent Manual Version 2.0 > 12" Sidewinder High of Cover Capacity Leaching Chamber g 16" 6 Lon Grade at System Elevation 30 ' -5 34" 2% B -1 Slope Vents 5% Slope 75' -3 Rep A a� 0 3 9t 55' 10, B -2 B -4 25' M.a Pro 3 Bedroom House 15' s 10' g ., ents 110' 2 -2' X 94' Cells with >3'Spacing Property Line 300' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 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. P lease print all info Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z 13 6 Property Owner Property Location Govt. Lour, 1/4 4 T N R E (oC)W t Property Owner's Mailing Add r s Lot # Block # Subd. Name or CSM# tQ IO Cit , State Zip Code hone Number ❑City ❑ Village Town Nearest ad -5111" 1 -AJ VO I 1 New Construction us Residential / Number of bedrooms Code derived design flow rate �t") GPD —� ❑ Replacement ❑ Public or c7mercial - Describe: Parent material �L� C f4 v Flood Plain elevation if applicable — 1 1 -1 7 — ft. General comments and recommendations: Boring # ❑ Boring L —Li J71 Pit Ground surface elev. i ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 MOIL * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CS a e (Please Print) Si bur CST Number ., Address Date Evaluation Conducted Telephone Number S -8330 (R07 /00) Property Owner Parcel ID # Page of 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # ❑ Pit Boring ❑ Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 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. SBD -8330 (R.07 /00) k 2 3 4 o L-6 k -- p. Sanitary Permit Application Safety & Buildings Division t In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 ®' .ScOnSin Personal information you provide may be used for secondary purposes Madison, WI 53707 - 7302 Depar" ent of commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number v O ro 7— 3 g 9 sq o I. Application Information - Please Print all Information Location: Property Owner Name Property Location 4 ,1 ag 2X � �( � c — 1/4X4404, S T Property Mailing Address Lot Number Block umber 01.1� l 0 3 City, State Zip Code Phone Number Subdivision Name or CSM Number II. Type of Building: (check one) ❑ City 1 or 2 Family Dwelling - No. of Bedrooms : ` ❑ Village Town of ❑Public /Commercial (describe use):_ ❑ State - Owned ' Nearest RgaOI ST CHCAX 3 „ D_ ;, f Parcel Tax Number(s)� 2 A 1/7 y III. Type of P mit: (Check o nly one box o n line A. C c o 1 e) , 6 A) 1 v 2. ❑ Replacement 3. ❑ Repla try t of_ 4. �� 4, 5. 6. ❑ Addition to System System Tan Only / �t Existing System $) Permit Nu Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. DispersaYrreatment Area Information: p . 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area oil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation � - =E 1 f1 / , 3 D VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks bo I , L 61-11" 1 0 0 0 0 0 VIII. Responsibility Statement I, the undersigned, assume responsibility for installa 'on of the POWTS shown on the attached plans. Plumber's Name (print) ] Plumber's gn e o stamps): MP/MPRS No. Business Phone Number Plumber's Address (Street, City, State, ip Cbdej ­ZJAt�� IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination i 2 s. I2 & /fl X. Conditions of Approval /Reasons for Disapproval: R teas r ,�►w I�� , n �.n 4� IM41 ' a� `� I& 1 40 SBD -6398 (R. 07/00) 431/R T PLAN PR0,LECT 'Andrew Wurtinaer DDRESS 190 Sawmill Lane Aot. 10 New Richmond Wi 54017 SE - 1/4 NW 1/4S 11 / 18 TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11/2/01 BEDROOM 3 CONVENTIONAL XXX IN -GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30 ,BENCHMARK V.R.P. Top of Nail in Tree ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 87.3 Alt. BM Top of Nail in Poplar Tree @ 10 1. 1 Old Mill Road Plans Designed Using Conventional Powts Vent Manual Version 2.0 o > 12" Sidewinder High Capacity Leaching of Cover Chamber 100' 16" Vents 6 Lon g Grade at System Elevation 0' B -5 34" 2% B -1 Slope A k h 5%S �j Pro 3 Bedroom House 75 Iri Rep A a� o 3-3'X 63' Cells 10 with >3'Spacing 55' t 10 B -2 B -4 25' Vents B.M. Alt. 10' M. 110' Property Line 300' Wisconsin Department of Commerce Division of Safety and Buildings SOIL AND SITE EVALUATION Page of Bureau of Integrated Services in accordance with Wis. _ — 4 Attach complete site plan on paper not less than S 1/2 x 11 inches i iza._Ylan must C 1� include, but not limited to: vertical and horizontal reference point ( ), direction� 4, jAr percent slope, scale or dimensions, north arrow, and location and stance to nbarestcids parcel I.D. # APPLICANT INFORMATION - Please print all inf oration. Reviewed by Date s Personal information you provide may be used for secondary purposes (Prim @6 Law, S. 15.1. ' Property Owner \eation�. J. Govt. Lot 1/4 1 /4,S T3 N,R E (or Property Owner's Mailing Address Lo # a v BI Subd. Name or CS M# �o saw o// - s 00 City State Zip Code Phone Number ❑ City ❑ Village jio Town Nearest Ro d Ott) LCX Pt 3, - l 7 1 (7/ S' 6' U 0°1 S'E` rc ;E�-New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement Public or commercial - Describe: Code derived daily flow SG gpd Recommended design loading rate - S bed, gpd /ft 2 trench, gpd/ft Absorption area required 1 0 bed, ft 5U trench, ft Maximum desi loading rate _ bed, gpd /ft — trench, gpd /ft Recommended infiltration surface elevation(s) /q 9 2 3 94 ft (as referred to site plan benchmark) Additional design /site considerations .2 Parent material Flood plain elevation, if applicable /1/ ,�419 ft S = Suitable for system Conventional Mound TGround Pressure AT Grade System in Fill Holding Tank Unsuitable for systems ❑ u S ❑ u S ❑ uS ❑ u El S U [D S -® u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 011 i i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .y Ph Ground �e v ft i Depth to limiting 6 foy factor ?N—Oin. Remarks: Boring # o f o 1:2 z .3 v o S Ground Depth to limiting fa r 7 , in. Remarks: p (Please Print) nature Telephone No. Date CST Number z / 7 2- o?W 69co i SOIL DESCRIPTION REPORT PROPERTY OWNE !L Page of PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench a Ground Depth to limiting 8�, 2 12 1.10 factor Remarks: Boring # 7 XZ Ground fb S s If /� A/ , � Iev ft. Depth to limiting factor ✓�/ in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /fie in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # S , 11 „ igg Ground el , Depth to limiting factor ' "' Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) Soil Test Plot Plan Project Name Andrew Wurtinger Shaun Address 190 Sawmill Lane Apt# 10 New Richmond Wi 54017 #226900 Lot 3 Subdivision ----- -- Date 9/26/99 SE 1/4 NW 1 /4S 11 T 31 N /1318 W Township Star Prairie Boring O Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of nail in-P oplar Tree (D M System Elevation 87.3/86.8 * HRP Same as Benchmark Alt. BM Top of Nail in Poplar Tree @ 10 1. 1 Old Mill Road r 4d— Pro 3 Bedroom Hous a a 0 100' 30' B -1 2% 75' B -3 5% Slope Slope Pri A Rep A a� a. ° 40' 55' 5 5 P25 B -4 110' Property Line 300' Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. Effluent filt r is to be cleaned once a near. 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 e - - Shaun Bird #226900 ST CROIX COUNTY k4'W4 SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer rt. 0&t'd Mailing Address Property Address (Verification required from Planning Department for new construction) City/State /y Parcel Identification Number .3 / 6 LEGAL DESCRIPTION 1 /4 '/. Se ' � / d .7 Tom. N -R ff W, Town of -9 /a �°,®" 44/ > Property Locati on , ---- , _� Subdivision Lot # _ Certified Surve y Map # _ 2 d . Volume Page # Warranty Deed # clq91l Volume ! Z b , Page #1 Spec house ❑ yo Lot lines identiflabi yes ❑ no SYSTEM MAINTENANCE 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 is the waste disposal system. p gas The owner a to submit to St. Croix Zoning Departm ent a certification form, signed by the owner and by a mastcrplumber, journeyman plumber, restricted plumber or a licensed pumper v egg the that (1 ) the on-site wastewaterdisposal system inspection is proper operating condition and/or (2) after inspection and pumping if n ecessary ), septic tank is Less than 1/3 full of sludge. Vwe, 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. ATU 'h ai r OF APPLIC DATE SIGN OWNER CERTIFICATION y ) am (are) the owne of I (we) certify that all statements on this form are true to the best of m (our ) knowled g e. I (we) the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** A Formation 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 vo1.1476PAGt 109 Document Number WARRANTY DEED 614959 KATHLEEN H. WALSH REGISTER OF DEEDS Thls Deed, made between, ST. CROIX CO., WI RAYMOND JEEROLD a single person RECEIVED FOR RECORD and, Grantor, ANDREWWURTMGER 12-06 -1,999 9: AM a single person VARRANTY DEED Witnesseth, That the said Grantor, for a valuable consideration of one do Grant and EXEMPT N other valuable consideration conveys to Grantee the below described real estate in CERT FEE: St. Croix FEE: COPY FEE: County, State of Wisconsin. TRANSFER FEE: 106.S0 RECORDING FEE: 10.00 This IS NOT homestead property, PARES: I Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Record Area easements, covenants, and restrictions of record, Name and Retum Address and will warrant and defend the same. Number) Union WEST consin Credit U (Parcel Identification 038 - 1047 -90 -000 P.O. Box 269 New Richmond, W. 54017 PART OF THE SOUTHEAST QUARTER OF THE NORTHWEST QUARTER OF SECTION 11, TOWNSHIP 31 NORTH, RANGE 18 WES WENT WISCONSIN DESCRIBED AS FOLLOWS OF OF CERTIFIED S FILE OCTOBER 23, 1995 IN V OLUME 11 , P AGE 300 3, AS DO NUMBER 535230. Dated this day of ,�p� t gg �AA UND J HE O D AUTHENTICATION Signatures) ACKNOWLEDGMENT STATE OF WISCONSIN COUNTY ST. CROIX Personally came before me thl day of authenticated this ` day of above named RAYMOND J HERUD me known to be the person(s) wh �c to QO foregoing signature Instru and adk edge the sa type or print name rr�e�..•' , v 1 •I 8 •• + Y` or print me TITLE: MEMBER STATE BAR OF WISCONSIN tary Public co unty, • ` (If not, -ST. CROIX commission i Z My on s permanent. ({f7 authorized by §706.08, Wis. Stats.) �� � date: �t11� ,,yd N� THIS INSTRUMENT WAS DRAFTED BY "'4, �• �``•, 'Names of persona signing in any capadry ahou�d"8eM)p8tf'or Robert F. Wall printed below their signatures. (Signatures may be authenticated or acknowledged. Both are not necessary.) o /4F 53 5230 '; y Q, w ,'� 9S • C'0 p -t; B CERTIFIED SURVEY MAP Located in Part of the Southeast Quarter of the Northwest Quarter Section 11, Township 31 Nor , e Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin. 01F W18 NORTH 1/4 CORNER SEC. 11 �tp �' Prepared for and at the request of p y Merrill Campeau � DOUGLAS J . N 1245 Old Mil" Road ca ZAHLER I Star Prairie, WI 53705 UNPLL S _ LAND \ \ HUD80N * Drafted by. James M. Broult �j \ \ ig \ Z is. O� I N. LINE OF THE SE 1/4 OF THE NW 1/4 SEC. 11 S 89'39'18 E -- 653.34' -- \ I I 625.00' -- N r W. LINE OF THE NE 1/4 OF THE 100' SETBACK LINE -f I I �'n o SE 1/4 OF THE NW 1/4 FROM R.O.W. I I IAN Z Z W I LOT 3 tog W I . l AREA 434, 934 I I N N M N sq. ff I ; UNPLATTED LANDS d n 9.98 acres • O AREA Z EXCLUDING R W I s I I I ► V) r� 9.49 acres I H I I p �O1 I I in w I N. LINE OF THE SW 1/4 OF THE CENTERLINE OF N n �p I � °I <y SE 1/4 OF THE NW 1/4 1 / 7} I O ;17 < OLD MILL ROAD ' ' � � � ° S 89'23'23" E ; S 89'23'23" E v A ° to x °I �I W ,.- -- 650.33 =- \ - -- 643.40' -- - �• V) N V)I al Z �� �� I I J I Zi 3 j \ - -- 810.30' -- -- I I I zl °i LOT 1 LOT 2 CENTERLINE OF J O AREA OLD MILL ROAD 1 M W sq AREA I fV I 4 9.4 cres 3 1 1 357,903 sq. ft. / M O.I • I I 8.22 acres i I to in I as AREA N AREA ' ©y I I O/ I I in O e i EXCLUDING R.O. W. a . /� N 391, 060 sq. ft t g EXCLUDING R. 0. W. / C. r , I p0 r 1 g ' n 312, 963 sq. ft. 8. �p 1 1 98 acres to 7.41 acres � FENCE 9' EAST C 0' SETBACK LINE I I CENTERLINE OF 1 10 3 I I OF PROPERTY OLD MILL ROAD FROM R.O.W. (SEE NOTE W) ' I . - - 1 33' R.0 W. I i/ D O \ �! '► "j' I I N 8844'38" W �� i9 � �N - - - �- 0- _ 647.65' N 88'44'38" W -_ $�\ 1 ,e- 280.22' -,\ ©.- % Apo r i 1 - 847.50' 927.41' N 88'44'38" W ® ` I 66' R .O.W. OLD MILL ROAD SOUTH LINE OF THE NW 1/4 SEC. 11 UNPLATTED LANDS CENTER 1/4 CORNER OF SEC. 11; ° I ALL QUARTER QUARTER LINES N W WERE ESTABLISHED PER STATE to O STATUTE 59.62. 1 i O � LOT I CURVE I RADIUS I LENGTH I CHORD I BEARING I DELTA % to LOT 3 A -B 1200.00 64.16 64.16 S03'19 30.5 W 03'03'49 - A -C 1200.00 398.85 397.02 S 11'18 55 W 19'02 38 LOT 2 B -C 1200.00 334.69 333.61 S12'50 49.5 W 1558'49 LOT 2 D -E 250.00 307.26 288.28 S 56'02 48 W 70'25 08 LOT 2 F -G 217.00 266.70 250.23 N 56'0248 E 70'25 08 SOUTH 1/4 CORNER SEC. 11 LOT 2 I -H 1167.00 323.04 322.01 S 12'5426" W 15'51 36 J -H 1167.00 387.89 386.10 S 1178 55 W 19'02 38 LOT 3 J -1 1167.00 64.85 64.84 S 03"23'07" W 03'11 02 LEGEND SURVEYORS REPORT: Section 11 -31 -18 was divided County Sec Comer Monument In govt. 40 ocre parcels per state statute 59.62. y Allen C. Nyhogen, a Registered Land Surveyor, had of Record set or found the Southwest Comer of Section 2- 31 -18, shown on a Certified Survey Map recorded in Vol. 8 Pg. 2141 0 Set 1" x 24" Iron Pipe weighing In 1989. This comer was used in the division of said a minimum of 1.13 pounds per Section 11. linear foot. BEARINGS ARE REFERENCED TO THE NORTH -SOUTH 1/4 O Found 1" Iron Pipe LINE OF SECTION 11 TOWNSHIP 31 N., RANGE 18 W. WHICH IS ASSUMED TO BEAR S 00'56'53 "W o Found 3/4" Iron Pipe GRAPHIC SCALE NO TM -sc- Denotes Fence Line 0 150 300 450 600 NOTE 'A" The area between west line of lot 1 and the fence is an area that -I may be possessed by others. The adjoining land owner to the west should be ( IN FEET ) contacted before removing fence or contact an attorney. 1 Inch - 300 ft. NOTE: The parcels shown on this map are subject to State, County and Township A &ELAND SURVEYING laws, rules and regulations ( i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County PHONE # (715) 246 -4319 Zoning Office and the appropriate Town Board for advice. P.O. BOX 325, NEW RICHMOND WI 54017 Sheet 1 of 2 ;�� G Vol 11 Page 3003