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HomeMy WebLinkAbout038-1161-70-000 Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM St. Croix ' Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453140 0 GENERAL INFORMATION (ATTACH TO PERMyT) 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: Magoon, Charles Star Prairie Township 038 - 1161 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: n ♦ Section /Town /Range /Map No: ho .a r Z ' W4U - .`^ " S i 12.31.18.761 TANK IN ORMATION I ELEVATbh DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM ( /1 Aeration Bldg. Sewer Holding St /Ht Inlet -I / ' q2. � TANK SETBACK INFORMATION St/Hl Outlet • 3& TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic < < Dt Bottom Dosing Header /Man. p I OO '• Aeration Dist. Pipe /- 33' Holding Bot. System .b O. %1 PUMP /SIPHON INFORMATION Final Grade Manufacturer Nmand St Cover GP `� 9 . �o Model Number � 5. as TDH Lift Prrction Loss System Head TD Ft Forcema' Length Dia. Dist. to Well SOILAS§ORPTION SYSTEM() 11110 Width I Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM NS 3 $� 4. 2 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufac rer: INFORMATION CHAMBER OR o a rr -r�-u s 61C�- Type Of System: UNIT Model Number: I I• L0 /( DISTRIBUTION SYSTEM v IO Header /Ma Distribution x Hole Size x Hole Spacing Vent to Air Intake ,° u Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1Y�!- O /� ?� Inspection # / Location: 2208 135th St Unknown (SW - o 1 / /44 , T R1 8W) Johnson & Assoc. Lot 7 111 Parcel No: 12.31.18.761 1.) Alt BM Description= 5• ~ u�+�'�'�`�'� W°� 2.) Bldg sewer length = t - amount of cover = N revision Required? f Yes I No y� 'v Use other side for additional inform ion._ Date Insepcto*Signure Cert. No. SBD -6710 (R.3/97) i 2z6$ 1 ' S. 1 Sanitary Permit Application Safety & Buildings Division 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 14 sconsin Personal information you provide may be used for'secondary purposes Madison, WI 53707 -7302 Department of Commerce p (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x I 1 inches in size. County State S onita ry Pe it Number ❑ Check if revision to previous application State Plan I. D. Number _` l - ;" 1 4 / 5 - 3 / O I. Application Information - Please Print all Information R E I V E t Location: Property Owner Name Property Location � I e 5 ` c (i(,1 14 1l4, S jaT . Vf o Property Owner's Mailing Address / Lot Number Block Number City, State j Zip Code Phc ie Num _C Subdivision Name or CC/SM N mber II. Type of Building: (check one) ❑ City • 1 or 2 Family Dwelling - No. of Bedrooms : / ❑ Village • Public /Commercial (describe use) :_ 41e Wown of�� ❑ State -Owned J Nearest Road / J J r p`� ! l Parcel Tax Number(s) III. Ty of Per it: (Check only one box on line A. Check box on line B if applicable) A) 1. 'New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) eNon- 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. Dispersal/Treatment Area Information: dtk Yo 1. Design Flow (gpd) 2. Dispersal Area 3. Dispe ea 4. Soil Application 5. Percolation Rate J6. System Elevation 7. Final de Required Propose. g Rate (Gals. /day /sq. ft.) (Min. /inch) �� O _j Elevation � t VII. Tank Capacity in To al # of Manufacturer Tccr Site Steel Fiber- Plastic Information Gallons Gallons Tanks c,,� �^ ! m Con- glass New Existing �; � strutted Tank s Tanks ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's ature (no stam MP/MPRS No. Business Phone Number Plumbe ' Address (Street, City, State, Zip Code) �A / e, IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued I sum Agent Signature (No stamps) `Approved ❑ Owner Given Initial Adverse Surcharge Fee) Oc f c Determination 4 25 - 0 — 1 2 X. Conditions o pprova e- Bisruval: _ SYSTEM 0 3) °�` ` 0`�4 , cA ` �' Cam► 1 Septic tank, effluent filter and Q �-� dispersal cell must all be serviced / maintained k as per management plan provided by plumber. 2. All setback requirements must be maintained as ner annl code/ordinances l vsa1S" ! SBD -6398 (R. 07/00) 1 a C�u PLOT PLAN PROJECT CZ y,p®h ADDRESS 2202 135t st NewRichmond Wi. 54017 SW 1/4 SE 1/4S 12 /T 31 N/R 18 W TOWN S'ta+ Prairie COUNTY ST. CROIX DATE 4 -20 -04 BEDROOM 4 MPRS Byron Bird Jr. 2205 CONVENTIONAL XXXX -Grade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28 BENCHMARK V.R.P. Base of siding of Pole shed = ASSUME ELEVATION 100' = $ �M ❑ BOREHOLE (DWELL *H.R.P. Same as BM A Vent SYSTEM ELEVATION T -1 =90.03 T -2 =88.95 Bio Diffuser with 31.1 ft ^2 per chamber Long 34" Elevation �T�PL sot g ig drive y 3 st 4 bed House B3 4,1; ---a O ob pipe 135th s � 100' BM Pole She co Chu ��'S ® PLOT PLAN PROJECT C( ADDRESS 2202 135th st NewRichmond Wi. 54017 SW 1/4 SE 1 /4S 12 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Byron Bird Jr. 2205 DATE 4 -20 -04 BEDROOM 4 CONVENTIONAL XXXX t -Grade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28 ./ BENCHMARK V.A.P. Base of siding of Pole shed = ASSUME ELEVATION 100' g ❑ BOREHOLE O WELL IH.R.P Same as BM Vent SYSTEM ELEVATION 7 -1 = 90.03 T -2 =88.95 > 12" Of Bio Diffuser with Cov 3 1. 1 ft^2 per chamber Long 34" Elevation 1 20' � PL 40' 30' g drive y 3 Q 4 bed House B3 O ob pipe 135th s 100' - 5D � s BM Pole She 1639 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations -- County Attach complete site plan on paper not less than 8%x 11 inches 44W St. Croix include, but not limited to: vertical and horizontal reference nt (B�t, / Parcel I. D. percent slope, scale or dimemsions, north arrow, and locate and c nearest road. 038 - 1161 -70 -000 Please print all informatio ��/ � yI Revi B Dat Personal information you provide may be used for secondary pu (Privw"9 , s.`f5.Q4 (1�(� 0 p AAA Property Owner S "f . ti, p u'6ddation G Chuck & Nancy Magoon ZONI '-FuE�tl�F SW 1/4 SE 1/4 S 12 T 31 N R 18 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2202 135th St. 7 Johnson Assoc.'s 1St. Addition City State Zip Code Phone Number J City Village 1/ Town Nearest Road New Richmond WI 54017 7115 - 248 -7341 Star Prairie 135Th St. � . 4 New Construction Use: le Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement J Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Install two trenches at elev. = 89.00' using 28 leaching chambers. Boring # I Boring ✓J Pit Ground Surface elev. 92.95 ft. Depth to limiting factor >112" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/11 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -9 10yr3/3 none silflll 2fsbk mvfr as 2f,1m 0.0 0.0 2 9 -19 10yr4/4 none scl 2fsbk mfr as 1f 0.4 0.6 3 19 -30 7.5yr4/6 none Is & gr ml ml cs if 0.7 1.2 4 30 -48 10yr6/5 none s ml ml gs - 0.7 1.2 5 48 -112 10yr6/4 none s & gr ml ml - - 0.7 1.2 Boring # I Boring II' Pit Ground Surface elev. 92.91 ft. Depth to limiting factor >109" 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 1 0 -8 10yr3/2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 8 -18 7.5yr4/6 none Icos & gr 0 sg ml as if 0.7 1.4 3 18 -32 10yr5/6 none s & gr ml ml cs 1f 0.7 1.2 4 32-69 10yr5/4 none s ml ml gs - 0.7 1.2 5 69 -109 10yr6/4 none _ J s ml ml - - 0.7 1.2 Effluent #1 = BOD ? 30 < 220 mg/L and SS >30 < 150 g/L E ent #2 = BOD S mg/L and TSS <.30 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson c 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/16/2003 715 - 248 -7767 Property Owner Chuck & Nancy Magoon Parcel ID # 038 - 1161 -70 -000 Page 2 of 3 3 ] F _j Boring Boring # Pit Ground Surface elev. 94.03 ft. Depth to limiting factor >115" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GED in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -15 10yr3/2 none sl fill 2med. pl mvfr as 20m 0.0 0.0 2 15 -26 7.5yr4/6 none Icos & gr 0 sg ml as if 0.7 1.4 3 26 -50 10yr5/6 none s & gr ml ml cs 1f 0.7 1.2 4 50 -78 10yr514 none s ml ml gs - 0.7 1.2 5 78 -115 10yr6/4 none s ml ml - - 0.7 1.2 / F—I 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 D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F—I 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 / 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 <_30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. -�- Z Scaler ■ Soy/ ¢ ✓a /kat�ion pig Appro�c. gradeaE b u ; /Gc,✓KJ site = 9�v.ss IN B� . 9.X3 8� ,¢SS cc�ned e legy = 00. Cc l/ ■ B3 8� Po le �o Sh ed ■ 8 2 q� so 9 �{.Sn Conn - ou•/ 3013 AP-1- 0 /G 39 r - / POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ( of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner r e© Septic Tank Capacity o Z (9 45� al ❑ NA Permit # 53 O Septic Tank Manufacturer G 1( ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units PJIA Pump Tank Capacity al bAA Estimated flow (averagel_ ®® gal /day Pump Tank Manufacturer WNA Design flow (peak), Estimated x 1.5) al /day Pump Manufacturer kAA Soil Application Rate g al/day/ft' Pump Model 4rNA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ; p"A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L �Kln- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510° cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ 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(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) 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) E3 NA year(s) Clean effluent filter At least once every: month(s) ❑ NA year(s) month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA 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 512 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. GMW (4/01) Page Z bf START UP AND OPERATION 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 systems 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 INSTALLER POWTS MAINTAINER Name /^, Name c� Phone - Phone / — 0 2 ,7 3 SEPTAGE SERVICING OPERATOR (PUMPER) LO REGULATOR AUTHORITY Name Name /` G ro Phone c f Phone This document was drafted in compliance with chapter Comm 83.220(b)(1)(d)&(f) and 83.5401, (2) & (3), Wisconsin Administrative Code. r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERRSHIP CERTIFICATION FORM Owner/Buyer Mailing Address o� � ��✓ �� � � Property Address 1-3:S (Verification required from Planning Department for new construction.) City /State Parcel Identification Number �r /l ' �`,' -O � C•� 6 LEGAL DESCRIPTION �� � �� n Property Location ,�LCJ `/4 , a�� ^ 1 / , Sec. / oZ T 31 R �� W, Town of Subdivision ' 4 ' --7 z Lot #. Certified Survey Map # �- , Volume , Page # Warranty Deed # 2 -/ Volume `b ' Page # Spec house yes Lot lines identifiable es 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 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 Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 maintained must be completed and returned to the St. Croix County Zoning Department within 30 d Ays of the three year expiration date. / SIGNATURE OF KPISLIQOT DATE OWNER CERTIFICATION Uwe certify giat all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property descriWAove, b irtue o deed recorded in Register of Deeds Office /_� SG NATURE OF AP CANT DATE * * * * ** Any information that is misrepresented 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 and a copy of the certified survey map if reference is made in the warranty deed. AM R�OCLMICNT NO. wM Y _ THIS W%cs swnwas F en sscesoote IM STATR DAR OF WISCONSIN FORM 11-3!f': IVERS Ma V. CM C04 Wa yynn e h. Ber and Malva L. Ber husband and✓d Ow Rewa t+3 fal :'as mairita� Props "rtX Wi . "rights' :of : ............ su..... h �e ..... ............._ . ................. APR 22 1988 �. ee. warranis to .. ...... oo and Naiiicy 8 ., Dt 8 130 AM 909- QQAOL --- W Ali. A(I..�l O..WUR A...�1F. -��l�C �.i�..P.rQE4rtYA.. > x�..# �bt�►.. s�.. aux�. xo�ab�i, e� ............... ............................... ----« ................ _. ... ................................................................................... 4 ............ ....... ................................ _.................................................... RtTYAm To .................. . ........................................................................................... Va following described seal estate In ... . St.« .CrGix ......................County State of Wisconsin: >.,• Tax Parcel Not .............................. . I Lot Seven (7), Johnson & Associates First Addition to the Town of Star Prairi . cR ff s aw N q s w q 0 I This .... iA..AQt.......... homestead property. (ice) (is not) Exception to warranties: f Dated this .... 7t? ..... ... ............................ day of ............ AjX1 1 ........................................... , 19...88.. 1 i' .............(SEAL) ...............-- •-- --(S£ if a i . Wavn ...M.... Bercl........ - ....... . Malva L. Berg ..................... . j( - - -- t ................................... .... .. •-- ---- ................._ ...(SEAL) ... ............................... ............(SEAL) • .................................. .... •--- •----- .. ............... • AUTRZKTICATIION ACENOW LZDGMBNT Signatore(s) .»..««....»........«... ... ........................... STATE OF WISCONSIN _.«.._._ .............. ......... _ .... . .... .... «.................. --- Croix ............. 546 authenticated this .«...._day of .... .. ............. .... 19..... Personally came before me this .Zth .. ..... day of �F «__ ««.... «_......... �I�j .a ..................._._._ ».... 19 --- the shove named - i «..... ...__.... « ............... .• - - -- -..... Mayne . &-- .aexs..�ud_.M�).xa..L. TITLlR: l[EYBEB aTATE BA$ OF WISCONSIN ........ ..... ..... .. .................... .................. ..' 7 �r R A,- (if bl . 90A......Wie. Statr ....................... ..................................................... f to me known to be the person `9... .. ,who uteri the- „ foreq# instrument nd wled Zhe THIS DR ni� J rie iNSTRUH9W WAS A*T[D BY j { r �i 1 j Heinstra, Van Dyk & Needham, S. C. -.. .. , ,�_- ; - �•- ••••J• -•. -- . »... . » ............................. .... dlf.�►sex. ... ............... ''•.yy1� -_ �V Ile .. ,�hat�Qns3�._.y�T .a gnu r� - - -- 54417 -Q127 Notary Public ..... 51:' . ..- cr.Ql�S ...............County, Wis. (matures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are sot wry.) daft . .......... 3m3l 9l .............................. 19.........) Munn a[ taws siealee is W a•D•eitr eboulA be bed or Drintea blow their eleeatueee. � XTw FORM I s ui ss Stock No. 13002 ~11% vgww1Rgl:. N1. VIlV1A VVVlIIT, Twom. 6A Vogl 1. NGINV lLLL %jr LVIJ V a / \/f THE PLAT OF JOHNSON & ASSOCIATE'S RRSf AMMON . BEARINGS REFERENCED TO THE WEST LINE /MOLE OF THE PLAT OF JOHNSON & ASSOCIATE'S NO NEW LOTS HAVE BEEN CREATED. THE PUR FIRST ADDITION . ASSUMED SOO 41'56W. OF THIS CERTIEI90 SURVEY MAP IS TO REVISE THE PREVIOUSLY RECORDED AS NOO 41'56 "W. LOT LINE"BtTWEEW LOTS 6 & 7 OF THE PLAT OF OWNERS_ JOHNSON & ASSOCIATE'S FIRST ADDITION. BECAUSE CHARLES & NANCY MAGOON CHARLES & NANCY MAGOON OWN BOTH LOTS AND 2202 135TH STREET THESE LOTS ARE ADJOINING NO TOWN, COUNTY OR NEW RICHMOND, WI. 54017 STATE APPROVALS ARE REQUIRED UNDER WI. _N_ STATUTE 236.45 (2) (3). LOT S OF W JOHNSON & ASSOCIATE'S FIRST /�D MON a- H ( R S89 07'38 "E ) �- o 6d N89 07'38 "W 460.38' cn _ . OQ~ _ _ _ _ _ LL cn ppH I Z cn ui core wi ¢ ti SEE NOTE BELDW 37) U REGARDING UTILITY SQUARE N EASEMENT S ) / ® // LOT 3 15 N88 14'38": y212.B3 LuQ m m h , Q / ' ° v LOT LINE PRIOR TO ADJUSTMENT / ` 07'06 "E 1i5.00 z(:5 to DWELLING H i v SHED Z^ a �0 0o z"� F3aHw _u) (D WELL / cnH LOT6 ► LOT ff O R o 33 33 F- w ° SEPTIC 77,487 SQUAB FEET 12 w 0 " Z cr x m AREA ( 1.779 ACRES ) - ;° . m o � 0 in I SE CORNER. SECTION 12 o v ( ESTABLISHED FROM �N m I TIES OF RECORD ) cn N CI A 15' L - -- cn VA m S89 07'38 'E 2654.19' 2MA VENUE m sour LIME OF THE sEi /4 LEG&%V --------------------------- - INDICATES SECTION CORNER ( AS NOTED ) INDICA CP F 2� ( OUTSIDE DIAMETER) CURVE 1 ( TOTAL) CURVE 2 - INDICATES 1.25" ( OUTSIDE DIAMETER) RADIUS- 263.00' RADIUS- 182.00' IRON PIPE FOUND_ CENTRAL ANGLE- 39 30'00" CENTRAL ANGLE- 28 03'28" - INDICATES 1" X 18" ( OUTSIDE DIAMETER) CH =_ 177.74' _ CHORD - 5B 24 IRON PIPE" WEIGHING 1.13 LBS. / LINEAR _ N20 26'56 'E N26 10'127E FOOT SET. ARC LENGTH - 181.31' ARC LENGTH - 89.13' - INDICATES EASEMENT BOUNDARIES TANGENTS IN- NOO 41'56": TANGENTS IN- N40 i1 '56'E ( 6' EITHER SIDE OF LOT LINE UNLESS OUT- N40 li56 "E OUT- N12 0828"W OTHERWISE NOTED ) - INDICATES 100' BUILDING SETBACK LINE FROM RIGHT -OF -WAY. CURVE 1, LOT 5 ( R } - INDICATES PREVIOUSLY RECORDED RADIUS- 263.00 INFORMATION. CENTRAL AWLE- 27 53'08' RD— GRAPHIC SCALE 1"=100' N 1144 38'30'E 126.74 ARC LENGTH - 128.00' TANGENTS IN- NOO 4156"E OUT- N28 35'04"E 0 100 200 300 CURVE 1, LOT 7 HO7E RADIUS- 263.00' THE UTILITY EASEMENT AS SHOWN ON THE PLAT CENTRAL ANGLE- 11 36'52" PREPARED BY., OF JOHNSON & ASSOCIATE'S FIRST ADDITION WAS CHORD- 53.22' GRANBERG SURVMIYG MOVE TO THE LOCATION AS SHOWN HEREON. N34 23'30"E ALL THE UTILITY COM'ANIES THAT SERVICE THIS ARC LENGTH- 53.31' 1IH. F _ AREA WERE CONTACTED AND THE ONLY TANGENTS IN- N28 35'04"E NE1N RKC(MOND. W .'64(}17 UTILITY THAT WAS IN THIS EASMENT WAS OUT- N40 11'56"E ( 715)246-7E29' , FRONTIER COMMUNICATION TELEPHONE LINE AND THAT WAS A PERSONAL RESIDENCE I T� FTED BY: LINE FOR THE MAGOONS. SHEET 1 OF 2 JOSEPH W. GRANBERG L I �. ., I �� .�� � `� / �� D