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HomeMy WebLinkAbout038-1054-70-100 Parcel #: 038 - 1054 -70 -100 12/05/2006 10:32 AM PAGE 1 OF 1 Alt. Parcel #: 13.31.18.233C 038 - TOWN OF STAR PRAIRIE Current 'X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner STEVEN C & DEBRA LEWIS O - LEWIS, STEVEN C & DEBRA 2193 CTY RD C NEW RICHMOND WI 54017 Districts: SC = School SP = Special P perty Address( s): * = Primary Type Dist # Description 2193 CTY RD C SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.938 Plat: 3884 -CSM 14/3884 SEC 13 T31 N R1 8W NW NW LOT 1 CSM 14/3884 Block/Condo Bldg: LOT 1 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13-31N-18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 02/14/2002 671160 1836/493 WD " 05/15/2001 645523 1639/217 QC 01/09/2001 6365299 1573/5475 WD 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 175025 320,300 Valuations: Last Changed 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.938 31,600 251,500 283,100 NO Totals for 2006: General Property 1.938 31,600 251,500 283,100 Woodland 0.000 0 0 Totals for 2005: General Property 1.938 31,600 251,500 283,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 08/22/2005 Batch #: 05 -3 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: • 430137 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: Lewis, Steven Star Prairie Township 038 - 1054- 70 -i00 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /00,00 too. C) - 1a�Q AZgv i 1la - 13.31.18.233 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Z.�. k Co 16 d d /00.Oo Dosing Alt. BM Tolp bu E tar HAWJ Ahove °�' 9� Aeration Bldg. Sewer 5.83 q Holding ' h St/Ht Inlet v ��,3s 5• t 7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. FVe to Air Intake ROAD Dt Inlet , Septic �/ ,r 5 Dt Bottom Dositlg >q © Header /Man. A,+� 0-f 0-f "T —7 t E ty� `GV 7� l3 Aeration Dist. Pa e K r orf" - 7 . !v lP Sou Z Holding Bot. System t^J s,�rz3S G.�l q .o a 9 a. ss Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover 3 ,zz. qg. 33 Model ber narkl� JILL ro o 3.7 Encem Lift iction Loss System Head TDH ain Length Dig. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width A Len 2� No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO , P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR y- T I[ - GI+YA Type Of System: / / UNIT Model Number: Cax� �n►� 0 3� ° 4- s +� DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size Hole Spacing Vent to Air Intake s) , y �� ' Length YJ Dia T Length Pipe(s) Di S acing1 > �d SOIL COVER x Pressure Systems Only x Mound Or At - Grade SystemS Depth Over Depth Over Txx Depth of xx Seeded /Sodded xx Mulched Bed/Trench C Bed/Trench opsoil _. COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: Ins n Location: 2193 Cty Rd C Star Prairie, WI 54026 (NW 1/4 NW 1/4 13 T31 R1 8W) NA Lot 1 Parcel No: 13.31.18.233A 1.) Alt BM Description 2.) Bldg sewer length amount of cover = 1� �/,��/ Vwll I. S O - -� - -- Plan revision Required? _ Yes � No �� Use other side for additional information. SBD -6710 (R.3l97) Date In pctors Signature Cert. No. Cy R l r, `I £ T J /i Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 N VISconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 Af 30 r 3 Sanitary Permit Application State Plan I.D. Number �� In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing ad 1. Application Information - Please Print All Information Property Owner's Na me Parcel # Lot # Block # Property Owner's M ailing Address Property Location 'k e S cti n t 7" o i City, S Zip Code one NdRiber"" Y'"` (circle .) �&� OW fz��hz 7 TI. Type of Building (check all that apply) ay T � N; R��o , A l or 2 Family Dwelling - Number of Bedrooms � Subdivision Name CS�d Dltunber El Public /Commercial - Describe Use 5 ���— v• ��' (o .Z Sit! Z tw,a ❑ State Owned - Describe Use ( ❑City_ ❑Vill 2 geTo nship of 3� k S > III. Type of Permit: (Check only one box on line A. Complete line B if applicable A, New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) k 4,- . A• — Jco E Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) ystem Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank — Aerobic Treatment Unit Dosing Chamber VII. Respoilsibility Statement- I, the undersigned, am *e responsibility for installation of the POWTS shown on the attached plans. Plumber's Yfi 7 (Printo Plumber' Si MP /MPRS Number Business Phone Number �_�tx)J, // I 1 � - _3 s 1`1um is Addre ss (Street, City, ' S te, Zip Code) E1� VIII. County/Department Use Onl AApproved 11 Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Owner Given Rea for Denial .$ IX,,. `` Conditions of Approval/Reasons for Disapproval Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) � �� CAKE -- �� ��_D� / _./ �� / _ - __ -�_... .. �. _- - _y -1. _- '�__ -� -__. _i _-•. -.. _ - ___.� -__- -; __.. - �- ____� -. -.. -. /� � �4'll'{ - //- //4�1C¢�- ✓- IjQ-'D �r4 - J� -1� -j.l° � tZ '� - �` - --- '* - -i �_. y - i r _.. _ _�... _--4___ �__.�_ -_ CI D f i 1 , r _ c � r _ Y7, Wis %1 Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of 3 Bureau 9f Integrated Services in accordance witty "Comm 83.09, Wis. Adm. Code i x County Attach complete site plan on paper not less than 8 1/2 x 11 inches i 'slae. Plan t mus include, but not limited to: vertical and horizontal reference point irectiorft" , •, r.'l percent slope, scale or dimensions, north arrow, and location an nee to nearest read.' Parcel W. # ...; APPLICANT INFORMATION - Please print all in t tion " -: ' r ' Revi we by Date Personal information you provide may be used for secondary purposes (Pri cy L1w Property Cw r ✓ GoW_Lot °` ' 1/4 1 /4,S T ,N,R E(or iy Property Owner's Mailing Address 7 5 k Subd. Name or CSC_ City State Zip Code Phone Number ❑City ❑ Vil ge Town Nearest Road yJ ` )` JZ New Construction Use: Residential / Number of bedrooms , Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow k�,_ gpd Recommended design loading rate -, bed, gpd/ft S trench, gpd/ft Absorption area required bed, ft 2 _,7.5�'�J trench, ft Maximum design loading rate _,2' — bed, gpd/ft gpdjft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site consid rations Parent material Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system s U S ❑ U JX S ❑ U 1 14S ❑ U ❑ S [0 U ❑ s .[M U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots .. ^ z b in. Munsell Qu. Sz. Con . Color Gr. Sz. Sh. Bed ; Trench E; C" Ground _ — elev. Depth to limiting factor � i�n in. Remarks: Boring # Ald Ground elev. 2z.zft. Depth to limiting factor 7.&(Zin. Remarks: CST Name (Plea riot) `� Sign�re T elephone No. Address Date CST Number i ' . SOIL DESCRIPTION REPORT WA • PROPERTY OWNER �/�f� Page of C 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 ..:.:... Ground ct elev. Depth to limiting factor - 4 Remarks: Boring # Ze .,:.: f/ o r M , Ground elev. / � ft• y Depth to Z / limiting o factor ,>,1JZin. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Boring # AJ Ground , elev. Depth to �$ limiting factor Jn. Remarks: 3oring # F Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) �r89 cTf/ � �3n�l �sd ` i ' 3 ' �f� Certified Survey Map Steven Lewis Part of the Northwest 114 of the Northwest 114 of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol, 2, Page 465 of St. Croix County Certified Survey Maps' Owner's Address: NW CORNER OF SEC. 13, T 31 N. R 18 W 2189 C. T.H. "C" (BERNTSEN CAP POUND) New Richmond, W/ 54017 PRAIRIE RICH Q �-� LO T 9 42' LOT 2 LO T .? � ss9 °or3s^e 56T.s5' 40. TO 122.25' --- 162.95' 1 405.60' r f *� ''s ' OUTL,OT ? soo °00'23 "F 65.6; 527.21' 1 ?599' 1 V A( �``- �. �5 9 LOTS ��±± r 40.00' r l �' rG76 �� D tV ,� � • �S V1 3 9.94 4 .00 1 FNT "�I � 8 i � � N � 6 '3�° K.'�4 0 0' w s o$ I 39.51 N90'00' 00 'E 72.10 5j6 °Z6 3r ^E ?B8? W 801.,.02 2 r' 1 8 r 1 ` LOT'l ti { N � W co to ` S I 1 J N g U DWELLING w y J PA GF GAf7AGF, � L OT 2 f aRtvEWa v Q) 100' -- "1 348.47' 530.25' E+.I 60. 6' J3 7. 70 1 I, ?_ 18.48' 42' N 89' 07' 51 " W 567.95' UN PLAT TE D LANDS tr w 114 CORNER SEC. 13, T 31 N, R f8 W, (BERNTSEN CAP FOUND) Ali bearings are rviiwerwed to tine We' line of w the Northwest 114 of Section 13, T 31 N, R 18 W. assumed N 00 "E IVA L. SCALE l ":100' Q 0 50' 100' 200' 300' y Sheet 1 of 2 -'-:11 Certified Survey Asap Steven Lewis Aart offhe Northwest 1Y4offfie Northwest t14ofSection t3, Township 31 North, Range 18'West, Town of Star Prairie, St. Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol, 2, Page 465 of St. Croix County Certified Survey Raps` Legend: • indicates I" x 24" iron pipe weighing 1.13 ft. Nina. ft, set 0 Indicates I" iron pipe found. 6 indicates sail boring for proposed septic site © indicates exiting well. C)Indtcates existing septic drainfield. Lot Areas: Outlot 1 - 0.177 acres or 7,695 sq. ft. - 0.146 acres exc public roast R: 0. W or 6,339 sq, ft. Lot 1 - 1.938 acres or 84,425 sq. ft. - 1.862 acres exc. public road R. 0. W or 81,117 sq. ft. Lot 2 - 1.844 acres or 80, sq, ft. - 1.764 acres exc, public road R. O. W, or 77, 716 sq. ft Lot 3 - 2.040 acres or 88,858 sq. ff. - 1.793 acres exc. public road R. 0. W. or 78,108 sq, ft. Description: That certain parcel of land located in the Northwest 114 of the Northwest 114 of Section 13, Township 31 North, Range- 18 West, Town of Star Prairie, St. Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol. 2, Page 465 of St. Croix County Certified Survey Maps, more fully described as follows; Commencing at the West fib corner of said Section 13, thence N 00'00'00 "E (assumed bearing on the West tine of the Northwest 114 of said Section 13) a distance of 1827. to the Southwest corner of Lot 1 of that certified survey map recorded in Vol, 2l Page 465 of St Croix County Certified Survey. Maps and the POINT OF BEGINNING, of the parcel to be herein described, thence confinue N 00"00'00 "E460.16' on said fine; thence S 89 56 7.95; - thence S 00 OT — 460.14 ; thence N 89 ° 07'51 "W 567.95' to the POINT OF BEGINNING, containing 5.999 acres or 261,316 sq. ft. being subject to easement over Westerly portions of said parcel for C: T. H, "C" R. O. W. purposes as shown on this map and also being subject to easernents of record. Note: Each parcel shown on this map is subject to State County and Township 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 Zoning Office and the appropriate Town Board for advice. This instrument drafted by Laurence W. Murphy Dated.' AAprrT 13, 2000 State of Wisconsin) County of PleiVe) i, Laurence W: Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Steven Lewis, t have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and descnpirmr are a true and representation thereof. W. f X i�AW v VA r Sheet 2 of 2 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 10(.2 FILE INFORM TION SYSTEM SPECIFICATION Owner Septic Tank Capacity al o NA Permit # p Septic Tank Manufacturer o NA Effluent Filter Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Model o NA Number of bedrooms ❑ NA Pump Tank Capacity al gNA Number of Commercial Unit NA Pump Tank Manufacturer ANA Estimated flow (average) 'al /da Pum Manufacturer Nt1 Design flow (peak), Estimated x 1.5) al /da Pump Model S( NA Soil Application Rate ral /da /ft Pretreated Unit Influent /Effluent Quality Monthly Avcragc* n Sand /Gravel Filter ❑ Peat l'ilter Fats, Oils & Grease (FOG) <30 mg /L n Mechanical Aeration o Wetland Biochemical Oxygen Demand (BODs) <220 mg /L ❑ Disinfection ❑ Other: Total Suspended Solids (TSS) < 150 m /L Manufacturer Pretreated Effluent Quality ❑ NA Monthly Average ** Dispersal Cell(s) ❑ In- ground (gravity) o In- ground (pressurized) Biochemical Oxygen Demand (BODs) <30 nag /L ❑ At -grade ❑Mound Total Suspended Solids (TSS) <30 m At- g / ❑ -line ❑Other: Fecal Coliform (geometric mean) <10" cfu /I00mL Maximum Effluent Particle Size '/a inch diam eter * V alues typical for domestic (non - commercial) wastewater and septic tank effluent. ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service L.vent Service Freq uenc y Inspect condition of tanks At least once every o months ears Maximum 3 rs Pump out contents of tanks When combined sludge and scum a uals one third '/� of tank volume Inspect dispersal cells At least once every o months ears Maximum 3 rs) Clean effluent filter At least once every ❑ months ear(s Inspect Punip, p ullip controls & alarm At least once every a months ❑ year(s) x<NA Flush laterals and pressure test At least once every ❑ months o ear(s) s NA Other: At least once every ❑ months ❑ ear(s) izNA Other: At least once every ❑ months ❑ ears NA MAINTENANCE INSTRUCTIONS inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certification 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 olume 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 ('/3) 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 ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any oth • monito '� t intervals of I' rru�n h.� or less sha b performed b � certified POWTS Maintainer. maint of a � l l 5 a e perfor y a e A service report shall be provided to the loctll authority within 10 days of completion of any service event. START UP AND OPERA'T'ION For new construction, prior to use of the POW'I'S check treatment tank(s) for the presence of painting products or other chemicals that my impede the treatment process and /or damage the dispersal cell(s), If high concentrations are detected have the contents of the tanks(s) removed by a septage servicing operator prior to use, Owner: PagCZ0f., System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high water levels. When power is restored the excess wastewater will be discharged to the dispersal 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 soft absorption tire. 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. ABANDONEMENT 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 ch. 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 replac ment 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 the time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES 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 INSTAIJA POWTS MAINTAINER Name d Name Phone - �- Phone �EPTAGE SERVICING OPERATOR (PUMP R) LOCAL REGULATORY AUTH R TY Name Name Phone Phone _ ST CROIX COUNTY SEPTIC "TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer t ���/ - a /I /� ✓- LJ' S —� Mailing Address '�a 93 �i'/- ►r3/10� . Gc)L :s / Property Address I D(/h / 0.� (Verification required from Planning Department for new construction) / City /State Parccl Identification Number LEGAL DESCRIPTION Properiy Location Sec., T�N -R)_5 Town of a� �(� ✓� Sub4wiwon - -- - -- -- - __ L °t-* - f Certified Survey Map # � ��7� , Volume Z , Page # gg� Warranty Deed # `fs'Zgo-D Volume 9`fg , Page « 3 � Spec house O yes a no Lot lines identifiable 0 yes O no SYSTEM MAINTENANCE Improper use and maintenanceof 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 systel can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a - master plumberro an plum u. restricted plumber or a licensed pumper vdrify ing that(i j thhe waste 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. 1/we, the undersigned luavc read time 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 statin that your septic sy rem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 the three year rat ion date. 4O // /�� SIGNATURE OF APP ICANT DATE OWNER CERTIFICATION I (we) cert all statements on this form are true to the best of my (our) knowledge. 1 (we) anu (are) the owner(s) of operty describe bout, P virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE s « «• «, Any information 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 Ilene certified survey map if reference is made in the warranty deed OOGUMENT NO. W ARRANTY DEED THIS SPA( It RESERVED ,OR RECORDING DATA STATE BAR OF WISCONSIN FORM '1 -1989 • 482800 n .7 �� vo SPAGE 39 REGISTER'S OFFICE = _ - -- ST. C M co., vw ,Charles L. Zahnow and Corinne F. Zaiingw,. ♦ Reed kwPecord husband wife - �l!AY0119�2 _... ....... ... ......... ... ............ Cl 10:20 A. M convvys and warrants to ..Steven- C.- L.v',r _. _ ........ ..... .... .......................... ... .... Regi:� of Dw& .. .. .... ....... ........ .. ..... ...... .... PE ";I !O the following described real estate in - - - -- .St. - . Croix. _........ _.County, State of Wisconsin: Tax Parcel No: ............ ................. Part of the NW4 of NWa of Section 13, Township 31 North, Ran a 18 West, St. Croix County, Wisconsin described as follows: 1 jD of Certified Survey Map filed September. 26, 1977 in Vol. 11 Page 465, Doc. No. 343407. >t�tnrr�t 0 0 T� is not nr:e t,aa 1,rlhe:t Gi l easements, restrictions and rights -of -way of record, if any. ` April 92 ri - ,A I., Charles L. Zahnow Corinne F. Zahnow AUTHEN'CICATI0N ACXNOW LE7GRIENT Si;;zrtturc( =) .Charles L. Zahnow, OF WL4( I)N:�IN ' Corinne F. Zahnow ;ntLlvlGcated ?hi Apri 92 P,.,. q':kPv cause h..'.,;•,. n:e tL Kristina Ogland Ti'mr: MEMBER ::T VTE: P,\IZ nE' (i r not. In �. l.;n. to 1ae t; .,,, r..! �. I�I•c;tc�.l ti— Kristina Ogland Attorney at Law V0, i�.rclh :rr, ,:; }' hI� alf�r!Iti :atoll ,, n :;n�, 1. - •i. 1:., `,1• ,�,.. <i,•�, � _ I' . - „I, ,.. 7 � 0 2 Certified Survey Map Steven Lewis Part of the Northwest 114 of the Northwest 114 of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol. 2, Page 465 of St. Croix County Certified Survey Maps` Owner's Address Dated: April 13, 2000 NW CORNER Of SEC. 13,T31N,R18W 2189 C. T.H. "C" "Revised this 29th day 1 arRNrsEN ALUM. CAPF0.1 o New Richmond, WI 54017 of June, 2000." c.._ �a g w PRAIRIE RI { LO T 1 LO T 2 Lo . - r 3 . p a N M2 5 oa, Cl) S 89' 07'38'E 567.95' o -40.70 'r� 11 t 2 1 2. l 25 162.95' 405.00' A . 1 9 x`41.6 ' m OUTLOT 1 S00'00'23 "E 65.63 527.25' W 25 .89# I a I "�B•, LOT 1 o JOIN 1s�6p, t V 1 Q ,,• �� � m 60) , S AY r 39.94 40.00f 7 / t' �. 40.00 26'3,7 V QI g 39.3i' 32.39' t S76 " 26'3j W er.,g2' w $ I . N 90' 00'00 "E 72.10 _ �i� BD l � LorI z� �� y , J,�i II f I � ' W N N g LLJ U DWELLING W I GARAGE $ LOT 2 N W I e( DRIVEWAY I '� I = 530.25' k— 100' 349.47' Q � 218.48' l 60' 7 1 . 7' _ l f 42' � N89 °07'51" W 567.95' I ` UN LANDS e a f W 114 CORNER SEC. 13, T 31 N, R 18 W, 1BFRNTSEN'ALUM. rod AN bearings are referenced to the West #ne of W the Northwest 114 of section 13. T 31 N, R 18 W. assumed N 00'00'00 "E W SCALE I "= 100' O 30' I00' 200' 300' Sheet 1 of 2 Vol. 14 Page 3884 1 Parcel #: 038 - 1054 -70 -200 12/05/2006 10:33 AM PAGE 1 OF 1 Alt. Parcel #: 13.31.18.233D 038 - TOWN OF STAR PRAIRIE Current X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner GREGORY R WALLEN O - WALLEN, GREGORY R 2191 CTY RD C NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 2191 CTY RD C SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.844 Plat: 3884 -CSM 14/3884 SEC 13 T31 N R1 8W NW NW LOT 2 CSM 14/3884 Block/Condo Bldg: LOT 2 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13-31N-18W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 06/30/2003 728094 2295/309 WD 05/15/2001 645523 1639/217 QC 01/09/2001 636529 1573/547 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 175026 281,500 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.844 30,900 217,900 248,800 NO Totals for 2006: General Property 1.844 30,900 217,900 248,800 Woodland 0.000 0 0 Totals for 2005: General Property 1.844 30,900 217,900 248,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M 140 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 363960 Permit Holder's Name: ❑ City ❑ Village ❑ T n of: State Plan ID No.: Lewis, Steven Star Prairie Township CST BM Elev.: Insp. BM Elev.: BM Description: a Parcel Tax No.: 0,C8 — lose- 1-0- r VD.o 60 -C) / I' v►ti = /cro.o = 13.3 18• ofl TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 2.(o O Beni r 0, t - 11 I 1 u0 - 0 Dosing 1.3 ( Aeration Bldg. Sewer 1045— I�•o r Holding tt Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 10•g9 ` -a TANK TO P/ L WELL BLDG. Aiirintake ROAD Dt Inlet Septic 3( NA Dt Bottom Dosing NA Header / Man. (• Z- Aeration NA Dist. Pipe r Hol ' g Bot. System �`� 1 - Z PUMP/ SIPHON INFORMATION Fin_1 C�cade Manu rer Model Number g (�-f TDH Lift Fri stem TDI � e, ss Forc I n Length Dia. Dist. To we U �D SOIL ABSORPTION SYSTEM BED / " E NC" Width Length _ f No. t't No. Of Pits Inside Dia. Liquid Depth DIME 3 2• S f� IMEN I N SYSTEM TO P / L BLDG WELL LAKE/STREA M Manu a tur r: SETBACK CHAMB INFORMATION Type O r M el Num er: System: �0 O T DISTRIBUTION SYSTEM Header/Manifold Distribution Pipes Ix Hoie Size I x Hole Spacing Vent To Air Intake Lengthy 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 7 ❑ Yes ❑ No ❑ Yes ❑ No I COMMENTS: (Include code discrepancies, persons present, etc.) , Inspection #1: [ � / ° ns ection #2: -T —{ Location: , (NW 1/4 NW 1/4 13 T31N R18W) - -Lot 2 1.) Alt BM Description= C1%.1 2.) Bldg sewer length = '36.0 -am ount of cover= } S, o u 3 � Dhswvaer �� ,x Al Plan revision required? ❑ Yes Z No Use other side for additional information. 2 Zq • S 2 SBD -6710 (R.3197) Date Inspector's Signature Cert No. l ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: , E a e e ( t { d —. .R,°,.. Mm ...- ,➢�.°.a.. .»L..�.... ..mac:« a ..... w..L - _., �. b. .., ' a j 1 x 1 9 ®. . . g .,.e.«...�„., ....,,.. „µ...«..me ... n..,®.,„..#...„. 3 . a t q 8 f rc 3 i x t 9 � 3 i t1 «}. €......�. £ I m mr 8 i § gg I a t r s 2/ 4 I C 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 18 -sconsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15. (Submit completed form to county if not y state owned. Attach complete plans to the county copy only) t 4r4bf2gs than 8 -1/2 x 11 inches in size. Co' State Sanitary Permit Number h if revision ip previous app 'on State Plan 1. D. Number 3 `t (6 O 1► I. Application Information - Please Print all Informatio Location: Property Owner Name o t! I f t Property Location 1/4 1/4, S N, E or Property Owner's Mailing Address A fk Lot Number Block N ber \ xor� ui•v City, fate Zip Code Yfiby Number Subdivision Name or CSM Numb 11. Type of Building: (check one) city J9 1 or 2 Family Dwelling -No. of Bedrooms :� ❑Village - ,1� Town of • Public /Commercial (describe use):_ • State -Owned J JNe Nearest oad 3 ' )( 3 v C %� 5 Parce Tax Number(s) III. T ype of Permit: Check only one box on line A. Check box on line B if a licabl A) 1. A New 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) Jff Non - 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: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Galslday /sq. ft.) (Min. /inc) Elevation 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 ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the updersigned, assume responsibility for installat' n of the POWTS shown on the attached plans. Pam rint) Plumber' Sign re (nos s): MP/MPRS No. Business Phone Number / 1 Plumber's Address (Street, City, State, Zip Code) IX. County /Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Su rc arge Fee) Determination . M X. Conditions of Approval /Reasons for Disapproval: F7'C t �. I- i gI P -2 i �i� / off / oBSr� Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of .S Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches i ug; County include, but not limited to: vertical and horizontal reference int Sk po M), n" 40ection an percent slope, scale or dimensions, north arrow, and location a dls�ance to bare, ro parcel I.D. # k r � APPLICANT INFORMATION - Please print all information. R evi wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.041) (Mti. - Property Ow er Property Location , _ S Gout 1/4 1 /4,S 13 T N,R j < V E (or&l Property Owner's Mailing Address :jZc Subd. Name or CSM City State Zip Code Phone Number ❑ City ❑ Vill e ® Town Nearest Road CO New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow �3, gpd Recommended design loading rate bed, gpd/ft trench, gpd/ft Absorption area required &r bed, ft trench, ft Maximum design loading rate L 7 bed, gpd/ft gpd/ft Recommended infiltration surface elevation(s) ��/�7 ft (as referred to site plan benchmark) Additional design /sitee�co�ns�e rations / - - Parent material _7"". Z ��.�. �r� s i Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system f S ❑ U us ❑ U 0S ❑ U JZ S ❑ U ❑ S JZ U ❑ S R) U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots MMU in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench S — — Ground elev. Depth to limiting 0—Q . factor Remarks: Boring # - 3 Ground elev. 9 , Depth to limiting factor 2/ —m. Remarks: CST Name 7(Ple nt) Signature 1 Telephone No. ? Address Date CST Number y _ PROPERTY OWNER S F1 E�1 , SOIL DESCRIPTION REPORT ' �,.1, `S ' /0 t� Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground elev. ALLft. Depth to limiting a R -4 •W ' factor Remarks: Boring # •� Ground elev. Depth to SI.6 limiting factor )min. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ...x_< s 5 =' - — .�- Ground , elev. T — Depth to limiting ; factor ?~./�' Remarks: Boring # S' Ground elev. LN Depth to limiting factor 7 ,&Q ' Remarks: SBD -8330 (R.9/98) C- e/DO.o 97-/ .30 t l0 a 1 Certified. Survey Mafia Steven Lewis Part of the Northwest 114 of the Northwest 114 of Section 13, Township 31 North, Range 16 West, Town of Star Prairie, St. Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol. 2, Page 465 of St. Croix County Certified Survey Maps` Owner's Address: NW CORNER OF SEC. 13, T 31 N. R 18 W 2188 C. T.H. "C" (BERNTSEN CAP FOUND) New Richmond, Wl 54017 PRAIRIE RICH �i 42 LO T 1 LC)T2 LC7T3 f S 89' 07' 38" F 567.95' 122.25;62 Q5' 1 405.00' ai Q 91'6 ' OUTLOIl 1 S00 °00'23"F. 65.6: 527.25' 99� I LOT 9 a . 40.00' { N � .so 9 84 N�q Y ` ' �-/' r•'+ �" --'' 8 tq sans ,40.00' I T . A 0 N P - oil 4) ^ 8 $ $ $ { W r. 9? 0 w I $ { N 90' 00'00"E 72.10 ao �I t LOT'13 �• I N. 8 1 � DwFLLINC+ w � J a / LOT 2 W GA�iAGF. W J �V DRIVEWAY Z Cl) r. 100' �-'�; 349.47' $30.25' . 60' 7 I t 3 ! 42' � N 89' 07' S1" W 567.95' 1 �, UN PLAT TE D LANDS w w �L{ W 114 CORNER SEC. 13, T 31 N, R 18 W, (BERNTSEN CAP FOUND) AN bearings are referenced to the West fine of the Northwest 114 of Section 13. T 31 N, R 18 W. assumed N 00 ° 00'00 "E J SCALE /": 100' U J Y Jv O 50' /00' 200' _ 300' U J Sheet 1 of II Certified Surrey Map Steven Lewis Part of the Northwest f/4 ofthe Northwest fM4 of Section f3; Township 31 North, Range 18' West, Town of St&C Prairie, St. Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol. 2, Page 465 of St. Croix County Ceriffied Survey f tapr Legend: i Indicates 1" x 24" iron. pipe weighing 1.13 Jim /&7. ft. set M Indicates 1 " iron pipe found. a Indicates spit boring for proposed' septic sfte: 0 Indicates exiting well. Qlndicates existing septic drainfrekt Lot Areas: Outlot 1 - 0.177 acres or 7,695 sq. ft. - 0.146 acres exc. public road R. 0. W. or 6,339 sq. ft. Lot 1 - 1.938 acres or 84,425 sq. ft. - 1.862 acres exc. public road R. 0. W. or 81,117 sq. ft. Lot 2 - 1.844 acres or 80, sq, ft. - 1.784 acres exc. public road R. 0. W. or 77, 716 sq: ff, Lot 3 - 2.040 acres or 88, sq. ft. - 1.793 acres exc. public road R. 0. W. or 78,108 sq. ft. Description: That certain parcel of land located in the Northwest 114 of the Northwest 114 of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St, Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol. 2, Page 465 of St. Croix County Certified Survey Maps, more Puffy described as folfows: Commencing at the West f14, corner of said Section 13, thence N 00'00'00 "E (assumed bearing on the West line of the Northwest 114 of said Section 13) a distance of 1827.66' to the Southwest comer of Lot 1 of that certified survey map recorded in Vol. 2l Page 465 of St. Croix County Certified Survey Maps and the POINT OF BEGINNING, of the parcel to be herein described^ thence continue N 00'00'00 "E460.18' on said line; thence S W07 n"E' 567.95;' thence S" 00 460.14'; thence N 89 ° 07'51 "W 567.95' to the POINT OF BEGINNING, containing 5.999 acres or 261,316 sq ft. being subject to easement over Westerly portions of said parcel for C. T. H. "C" R, 0. W. purposes as shown on this map and also being subject to easements of record. Note: Each parcel shown on this map is subject to State County and Township laws, rules and regulations (i.e:, wetlands, minimum lot sue, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the appropriate Town Board for advice. This instrument drafted by Laurence W Murphy Dated April` 13, 20,00 State of Wisconsin) County of Pierge) i, Laurence W Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Steven Lewis, � have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and carrec t representation thereof. 1 IN 1 RAUS. v VA i LAND Sheet 2 of 2 ST CROIX COUNTY SEPTIC "TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM I Owner/Buyer S f N - '13 dh — CAJZ S d / c, ~L Mailing Address < � �e I - ,?-- IeI Property Address (Verification required from Planning Department for new construction) City /State /OT2LJ R Lt,vs L.g z Parcel Identification Number LE GAL, DESCRIPTION Property Location -4�t— ' /,, ,G1-- 1 /4, Sec. I_ W, Town of Subdivision , Lot # Certified Survey Map # _��s'�y , Volume , Page # Warranty Deed # Volume , Page # Spec house ❑ yes K no Lot lines identifiable 2 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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. The property owner agrees to submit to St. Croix Zonin g P g Y Department a certification form, signed b the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) (lie on -site wastewater disposal system is in proper operating condition and/or (2) alicr inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, 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 b main1;4ined must be completed and returned to the St, Croix County Zoning Office within 30 dayj of the three Nr expiration C. 13P / SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION 1 (we) certify that all statements on this form are true to the best of my (our) knowledge, I (we) am (are) the owners) of Ih perty des t ed above, by virtu 'f a' warrant decd recorded Register of Deeds Office. VGA rlI SIGNATURE OF APPLICANT - .,,,�, DATE * * * * ** Any information 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 DOCUMENT NO. WARRANTY DEED T HIS $PAC C RESERVED ,DR RECORDING DATA STATE BAR OF WISCONSIN FORM 2 _. i 4828 0 vu• 1948PAGE e9J REGISTER'S OFFICE Sr cm co., M Charles L.. ZahnOW and Corinne F. Zahnow, a teed iwRewd husband. -.and • .vi . fe „ ..... _...- MAY 011992 et 10:20 A. M conveys and warrants to ...Steverl C.. Lew $ .. ... .... _ . - Rego of Dse& ... -. . ... .... ..... ......... .. .. .- .. ... .. ... .. .... .. .. the following described real estate in ._ -.- ..St.—Croix. ..- ....... .. County, State of Wisconsin: Tax Parcel No: .............................. Part of the NW4 of NWk of Section 13, Township 31 North, Range 18 West, St. Croix County, Wisconsin described as follows: Lot 1 of Certified Survey Map filed September 26, 1977 in Vol. 11 2 ", Page 465, Doc. No. 343407. E� T! i,, is not home,tead propert- (is) (i: net) Exce!,tinu t-, warranties- easements, restrictions and rights -of -way of record, if any. lratcll [hi- ) y day „• April 92 Charles L. Zahnow Corinne F. Zahnow AUTHENTICATION ACKNOWLEDGMENT Signature(s) _ - Charles_ L Zahnow STATE OF WlSt ONSIN ' Corinne F. Zahnow authenticated this dad' of Ap ;� 92 p I'or <Im:ll! }' ;ucc hl•i : t• nu' t!:':s the above liar l i Kristina Ogland TITLE: MEMBF,R STATE BAR OF W1 )NSIN (If not, _ nuthnrized i)y I 7(11;,oG, Wj-;. to n:.> 6u,. to he t:,,. t •, - ,.,, „ cxtt- - ut,[ t1:c ."r•,.�_I:in� .n= tr °�,,.. ...,! .. .•,I Ic!I�!ce .' e >ar•�� -. Kristina OTIand Attorney at Law . �I„ [ •rhii,• (Si , nattcrr. r'.t� !Ie a tti.l . hcate l •r ..,gin „I. !. • .!. I:•. 1 a t lCi ,Ire not nl -r,•. >:u' . t .. • Nellie -9 •.[ �. r , �. .! ,rX l��t:A '' -it _ t. .t. i'.l . -.- •. .. WA11fi:NTY D1 P.n t.. co Certified Survey Map Steven Lewis Part of the Northwest 114 of the Northwest 114 of Section 13, Township 31 North, Range 18 West, Town of Star Prairie, St Croix County, Wisconsin, being Lot 1 of that certified survey map recorded in Vol. 2, Page 465 of St. Croix County Certified Survey Maps` Owner's Address Dated: April 13, 2000 NW CORNER OF SEC. 13,T31N,R18W 2189 C. T.H. "C" "Revised this 29th day m -^ I sERN7SEN AL &M FO.) o New Richmond, M 54017 of June, 2000." C-_ C m a Z 2. ,v PRAIRIE RI �,' LO CL LO T2 LO TS f p CL °—' o _. y A2. S 89'07'38"E 567.95 o p 0.70' 122.25 162.95' 1 405.00' j yam° N 4f•8 m OUTLOl S S 00° 00' 23 "E' 65.63/ 527.25' IV -6-- 1 - s N 40 00 6 °2s'3,� y �, LOT 1 co 10 1i . .' ✓O'iV 187,6p, • Q C 39.94 40.00' I r N I cv m 46 40.00' I t o I 0 e$ 39.31 , 32.88' ST8 "26'37 w � Of.92 N 90• oo' oo "E 72.10 E ,I� I LOT ,3 ° 5 8 1 • I � 1 � pp I r ^ N . 0 C y I � ^ ^ g ; Y DWELLING � w N N GAfiAGE o LOT L w 1 � DRIVEWAY z z 100, 1 349.47' 530.25' ' t 311.77' 218.48' 377 60' _ 42' N 89° 07' 51" W 567.95' f UN PLAT TE D LANDS N r � lU W 114 CORNER SEC. 13, T 31 N, R 18 W, t3E*AfrSEM'4L All bearings are referenced to the West line of w the Northwest 114 of section 13, T 31 N; R 18 W, assumed N 00'00'00 'E SCALE X /00' O 50' /00' 200' 300' Sheet 1 of 2 Vol. 14 Page 3884