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HomeMy WebLinkAbout038-1197-20-100 o : E r 0 / M (kk » 7 � fT / ƒ \ ƒ E o m F 1 \ _§ § e / \ \ \ E w / \ E ' r §§ 2 §ƒ k \* o Q 2 ; 0 0 0ƒ 2 J a 0 m\ p m 3 o \ § > Cl t g�� a © �. / // - C § g CD , / }E/ a &2q CL « § § 0 n r ■ $ e e \ U) % t 0 0 0 �- co X opt 7 o CA CA cn =r o v 2 \ > : i m U) 2 I § e k \ \ j > } 0 0 2 0 g ' / \ \ CD Oft g 0 \ k 2 § / CA 0 @m z E CD C M \ 2) » CL a iq k rr z 2 7 z k W % / � R&8 o=r «k §§22$E acy 3 � §7&%�E -n 0m M Z % . _§ 20 =, =22ƒ ! FA C). \ // CL / ( f m aaa� \ a 3 (DZn § G # 0 { $iii Cn „ m + C u T \ ' 0 0 / < § , o � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Buildixg Division INSPECTION REPORT Sanitary Permit No: 399415 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: Schmitt, Art I Star Prairie Township 038 - 1197 -20 -100 CST BM Elev: Insp, BM Elev: IBM Description: ov v TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic q Benchmark 3.2.0 (0 3. i4 v Dosi Alt. BM zSr Aeration Bldg. Sewer Holding S t Inlet TANK SETBACK INFORMATION S t Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / 3 / Dt Bottom Dosing Header /Man. I. t 9 ' Aeration Dist. Pipe ar � � , Holding Bot. System L 3 p 4 3. 1, 'P• � PUMP /SIPHON INFORMATION Final Grade . 7, cturer Demand St Cover GPM Model Number TDH Lift F' on Loss em Head T t Forcemai Length Dia. Dist. to SOIL ABSORPTION SYSTEM BED/TRENCH Width Length N o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / 2- SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM Manufac rer• INFORMATION HAM ER R P Type Of System: S i �z? `✓ Mod I umber: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length f Dia_ Length b 3s , 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 #1: J ( / (3 / / / Inspection #2: Location: 2167 County Road C Star Prairie WI 54026 (SW 1/4 NW 1/4 13 T31 RI 8W) / Pine Acres Parcel No: 13.31.18.1036A 1.) Alt BM Description = 4 r s T \ ��t7-rrn..- y � s f �''^�` /is6 2.) Bldg sewer length =2 Z - amount of cover = y 'y aPP �rC4tx `M �sD • d 0 Plan revision Required? }, Yes [*No / Use other side for additional n "formation. Z v Dee Insepctor's ture Cert. N . SBD -6710 (R.3/97) A vex- r i I 1 , 3a Z13 � 1, �- P f.s o AO - A l , dot COrhe�, s S�f 5 6riy;r�al�y �ws�a�l *e� owe Cowv,e -r LvaS (/WH.J ,r PV GQcvo� • /�intieawv.�✓ A Y�a.T ►�/✓ `J�b�,v� ji1. l (TJ %w 5 dl Co-p fe l0a 2 Safety tudd Buildings Division bounty ( a 01 W. W Ave., P.O. Box 7162 t �nsin Madison, WI 53707 - 7162 Site ,m Qs r mbnt of Commerce L %WtaU Permit Appiic 1 ! ' N r m acoosd wilt Comm 113.21, Wig. Adm. com palml ova 3 Pri LA i m �P � if RevWm I. Infaann�fem - plaaen i<rint Ali Information �� TNWPbn LD. Number Property owmes Name ti , 7efi - 4 Parcel Nuenba y r, 3F -If T 2 /oo Properly Owm es Man Addreao P.ropertq Loatiom City, Stae bl J f.IC S �` T ✓ N p Cads Nflgwe, Nmmbar ; >' 1.9t Numbar Btocit Number Subdivisfoa Name CSM Number II. '17" of 36daq (tdhawk an that up*) ae* - Ntmtber ai - - - DwslW� Bedrooms Clvwase 0 PnbliolcommunW - Describe use SUN oaeped Nit Road W � M. Type of Peemitt (t,;hwh onif =w box on ltne A ntm� -t om A. t baring schema for internal use). Cornptate B ft applicable) 2 0 �emw *MM 3 © For use _M I Replacement of 6 Add#tiom do Count) T� System H • 0 C.haok is Sat"fY PlUWt Pw Lurid Pan* Number viaualr Dare lanmd IV. Type of lwnsaits (chadr aU tisat ap*)(ausatberinI schema is for internal use) "Z14aR-praaaurlsad b aroamd 210 Mound 47 11 Salad FUter so ❑ camauc"d VNetland n6 Preuur&M 410 Noldias Tank 48 0 S4W Pus" 510 Drip Lime 45 ❑ 6 Q Aerobic Treatment unit 49 ❑ 30 Cl sstber Z Deaipn !!ew (SryQ Area � Arms L Psrodatioa Rase Syarsm Sisvatfom Pinai Grade t.) (Mim,/) Bievatdan d � � DO �� , �m Num ber Pttitab Si Steel 'Der p f Tt nka Coaenete Conrterteesd Gk" lasac �i 8apd° (M' iioYfa:'hak X r , 4 . vII. SUM I the r for '! 8 drams on the attached Phndwr's Narna Number' MPJMFRS Number Busbwu Plyona N Pblmber's Add (SonMt� CklL 8aae, zip VOL COMO Vio Approved 0 DWpproyad Swum Eris (Wdludes Ciroimdaiaeer Dar. rsa„ed tawinY Agent Slpal ue (No 0 ow e#wah8W1 Adverse. S 00 I z DC. Coaldkiona of ( ,(or t�eV'(el 011 UdS Su!o ed �O re -�f�e� � (��p rc� 5Y 5��c,- toco,�� �k6 - cA an Comrq wW) ear eu Vitm rot lea+ mia s 1'L SMI 0 SM SBD4398 (R.,.05l01) PLOT PLAN PROJECT Art Schmidt ADDRESS P.O. Box 871 St. Croix Falls Wi 54024 1/4 NW 1 /4S 13 /T% 1 N/ 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11/12/01 BEDROOM 3 CONVENTIONAL XXX IN OUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 BENCHMARK V.R.P. Top of Septic tank cover ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 93.9 Property Line 20' 6% Slope 1 cell has 5 chambers, 1 40' has 6 chambers, and 1 has 11 chambers, 22 total 1 , chambers B.M. S - 20' 20' B -4 20' - -3 Pro 3 B -2 Bedroom 0 , House 10' -3 0 ' 30' B -5 25 B -1 Plans Designed Using Conventional Powts Vent Manual Version 2.0 240' > 12" Sidewinder High of Cover Capacity Leaching Chamber 6' Long 16" 34" Grade at System Elevation County Road C r Wiscoftn Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code County r Attach comptete arils 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. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 12 Z Property Owner Property Location J 1 Govt, Lot 114 S T _3) N R / E {o W Property is Mailing Address (/ Lot # Block # Subd. Nam or SM# � 0 City State Zip Code Phone Number [)City Village Town Nest Road I Z ( ) a r 1' �, Goy /1 VW New Construction UseZj Residential / Number of bedrooms Code derived design flow rate Af S GPD Replacement 0 Public r commercial - Describe: Parent material �G1�;`i� - �c�� Flood Plain elevation if applicable General comments and recommendations: F-1-1 Boring #B °ring 2� ✓ t�'� Ground surface e1ev.�� - ft. Depth to limiting factor ,� � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In, Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 Z Z o ✓ ✓ J 6 3 N Boring # Boring R1 ❑ Pit Ground surface ele Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munseil Qu. Sz. Cont, Color Gr. Sz. Sh. •Eff#1 `Eff#2 11_ 1 4 1 2 J `v s i/'� /T �� + i- ✓i ✓ b� Z" ` Effluent #1 = BOD > 30 <.220 mg/L and TSS >30 150 mg /L • Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L CST Npme (Please Print) ignature CST Number Address D to Evaluation Conducted Telephone Number Z t S / r =zf/� '4Rn -Q1'1n rAMlM1 Property Owner Parcel ID # Page or Boring # —Boring Pit Ground surface elev ODD ft. Depth to limiting factor In. Soil Application Race Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. S *Efr#1 *Eff#2 10 51L, / L'� S✓ G's / . Z 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 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 GPDM 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 m ` – , _ g/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. SOD -9330 (807100) Safoty end Buildings Division County S ` 201 W. Waddogton Ave.. P.O. Box 7162 � �onsi» Madison, WI 53707 - 7162 3aA . C Dep artment of Commerce v Sanitary Permit Application � i? '' Permit Number In sword with Comm $3.21, Wis. Adm. Code, parsons! ledbnud ot� Check if Rsvis m T� J UW be UM Law sis. L Appliceden hdannation » Rem Print All Wormatlon , .; / Plan I.D. Number Property Owner's Name j C � 1yi^L•C;X�� ' ! Number Propatty Owner's bad ft Addroas 4 I,epdpn A Co, yC7Pr� // �� 1 .L3 b u Wu •3 3 T - N City, Stsks Zip Code iF47w Number ✓ .. ) A, Number 81 N=*K s 3 i r Sc Name CSM Nn+nber - : II. Type at Bubdbg (cbeck ail that apps ), 13CIW or 2 Family Dweglstg - Number of Bedrooms 0 OV MW- Pui>liclCommiasraw - Dube use .Sf ❑,State Own _ N Ppatl M. Typo of ?ft=Ih (Check oily in* box line A f internal use). Comphite line B it. Iii able) A. , 2 Q System 3 Atp1+cCtnatd of 6 ❑ on'to For Couatgr taw 7 .. 7o O Teak Syste l D B. (3 00* if sAWAry Pennie Previously Issued Number I of P+etmk: (C,hWIC 1111 that atpply)(n uberi", is r ante alai use) Mao 210 Mound 4 Seal Filter So ❑ Coraenected Wedaad `22.0 P�d to -Qeoom 410 IiOW4 Tanti 13 Singh Pass 31 CID* Lante (' ;�. G r ' 45 46 0 Ae vbic Treatment Unit 49 30 0 Otter "ih4 U' V. Area Infarntttt t: Design Flow ($pd) Dispersal Area Dispersal Arai SofAnficadonN Syaant Pros! grade �P /Day (Mut•llttach); 8levatian 3 ? VI. Took bb, Cop• , m Toni C/ Number Mamfactunr 8ita Steel Fiber Plssdo Gallons Ganous of Tanks � Obsa. . New E TWJM 9sPtla or Holdigj T,mk ... _ Dais; ° C7aurr6er ' VII- fit* s s_ ibe bAdk ti6n.ot tM,P0W7$ abawn =�U*&#sdwd . Ptwnber'a »'s MP Number Business Phone Number Plumber "s Address (Street; coyo 5uai. R�. Un onb A Q Samssry Pettish lie {inrledee t3tbaadrvatar Dose Pp '4d hnvhtg Apses 8ioaiusa (Ns Smmpe) 0 owerer C1Hval hV*w Aavexer . t / { 0 , J 6 Ml tglmwgwpp�mg"$ manufacturer's recommendations. 2. All setbacks must be verified by the installer prior the installation. 3., Elaodplain mapping ' Zone .,C„ 4. Property is 2aned gwresidential only one principal dwelling is allowed on property. 5. Filling or grading is'prohi' ted in the mapped drainage easement. Attaeit 1 Piss errs Coma oab') the tiia a>nO as paPar rat lass than Sill :lY tae4aa M Hal SBD- 6398 (R. 05101) F' '1 v 1 .. • PLOT P N PROJECT JC� A D ss P.O. Box 871 St. Croix Falls Wi 54024 1/ 4 NW 1/4S 13 /T 31 N/ 1 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE9 BEDROOM 3 CONVENTIONAL XXX IN- GROUND P SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 377 # of chambers 22 IL BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H. R. P. Same as Benchmark SYSTEM ELEVATION 96.8 Vent j 2" Sidewinder High over Capacity Leaching Plans Designed Using Chamber Conventional Powts B.M. Long 16 99 Manual Version 2.0 34" Grade at System Elevation 2 -3' X 69' Cells with > 3' Vents Spacing B- B -2 120' 6% Slope 30' -3 0 ' 0 3 30' Bedroom House 0 5' T B -1 240' County Road C Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 o V- /I l� _ 7i J- 3 dc/- y��v Shaun Bir #226900 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of _ Division of Safety and Buildings in accord with Comm 63.05, Wis. Adm. Code Attach complete site plan on paper not less than 8 "h cW eren n ltTwze. Plan must County 1 include, but not limited to: vertical and horizontal a �omt (13M),- ?licection and T, percent slope, scale or dimemsions, north arr and.looation and distance to nearest road. ` �� - - - -- Parcel I. D.# Pendin APPLICANT INFORMATION - P�ese pridt sit-in Wmatron." o,,;o ( B y Date 4 Personal information you provide may be used f¢ secbndary pu rc rposes ��pacy l.aw � 95.A4 (1) (m)). � R r�" Property Owner *w; p erty Location -- Lake & Hills Development , Go Lot 1/4 NW y 13 T 31 N,R 18 _ r �r Property Owner's Mailing Address �, Y L.. # Block # Subd. Name or CSM# - — — ,�� / /�0d�. >> r ;ve s 4:� ❑ Pine Acres City / State Zip e , PhoneNumbe� ` "\ City aqe Mown Nearest Road Wfl fC fdc �l County Rd. C ❑ New Construction Use: 0 Residential / Number of bedrooms 3 ❑Addition to existing building - -------- Replacement [ ] Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/fF .8 trench, gpd/ftz Absorption area required 643 bed, ft 562 trench, ftZ Maximum design loading rate .7 bed, gpd/ft .8 tr ench, gpd/ft Recommended infiltration surface elevations) 97.4 ft (as referred to site plan benchmark) Additional design / site considerations Alternate Area Elev. 96.8 titab material - - - - -- Flood plain elevation, if appli ble ---- ft ble for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank for system ❑ s ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 1 _ 1 0 -9 10YR3l3 ----------------- 1 1 msbk mvfr as if .4 .5 2 9 -27 10 YR4/3 -------- - - - - -- 1 lmsbk mvfr gw lvf .4 .5 Ground 3 27 -50 7.5YR4/4 ------- - - - - -- s OS8 m1 cw - - -- 7 8 elev ID — O3 - ft. . 4 50 -79 7.5YR4 - - - - -- s osg ml - - -- - - -- 7 8 -- - Depth to — - - -- -- — - - - - -- - - - - -- - - -- -- limiting factor - -- — - -- >79 Remarks: 1 0 -10 10YR3 /3 ----------- - - - - -- 1 lmsbk mvfr as if .4 .5 2 2 10 -20 1 - -- 1 lmsbk mvfr gw lvf .4 .5 Ground 3 20 -49 7.5YR4/4 - ------- --- - - - --- s osg ml cw - - -- 7 8 elev — - - -- - -- - — — 10 Aft. 4 49 -88 7.5YR4/6 ------------ - - - - -- s osg ml - - -- - - -- 7 8 Depth to limiting factor >88" Remarks: -- - - - -_: CST Name (Please Print) Sign ure: Telephone No. Jacque Hawkins - V 7 Z d- V Y k Address Date CST Number Ref# J f �� F t C, GtJ; ,f� 4/10/00 415 PROPERTY OWNER: La & Hills Development SOIL DESCRIPTION REPORT Page 2 of PARCEL I.D.# Pendine Depth Dominant Color Mottles Structure GPD/fF Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. onsistence Boundary Roots -- Bed Trench 3 0 -9 10YR3/3 ------------ - - - - -- 1 lmsbk mvfr as if .4 .5 1 F2 9 -19 10YR4/3 -- -- - -------- 1 Imsbk mvfr gw lvf .4 .5 Ground elev 3 19 -49 7.5Y ------------ - - - - -- s o ml gw - - -- .7 .8 101.1 4 49-92 7.5YR4/6 ---- ---- -- s osg mt — — .7 .8 Depth to limiting - - -- -- -- - factor S� , >92" - - --- - - - - -- �- -- — Remarks: 4 1 0 -10 10YR3/3 ------------ - - - - -- I lmsbk mvfr as if .4 .5 - 2 10 -23 lOYR4 /3 ------------ - - - - -- 1 lmsbk mvfr as 1vf .4 .5 Ground - - -- elev 3 23 -52 7.5YR4/4 ------------ - - - - -- s osg mt cw ---- .7 .8 — — — - 98.9 ft. 4 52 -69 7.5YR4/6 ------------ - - - - -- s osg ml - - -- - - -- .7 .8 Depth to limiting - - -- - - - — - - - , - -- - - -- - -- - factor >69" - Remarks: 5 1 0 -11 10Y ----------- - - - - -- I lmsbk mvfr as if .4 .5 2 11 -23 10YR4/3 ------------ - - - - -- 1 lmsbk m vfr Cw lvf . 4 .5 Ground- -- -- - - -- - - - - - -- - - -- — ------ - - - - -- - - -- - -- elev 3 2349 7.5YR4/4 ------ ---- -- s osg ml e --- .7 1 .8 - -- 98.9 ft. 4 49 -71 7.5YR4/6 ------------ - - - - -- s osg ml - - -- - - -- 7 8 Depth to limiting -- - factor a s >71" Remarks: GroundF - - - - - -- -------- - - - - -- elev - -- -- - - -- - - -- - - - - -- - - Depth to limiting - -- - - -- - -- factor Remarks: 1 G � C Z 2 Qj �ku�L A a ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND 71 _r- OWNERSHIP CERTIFICATION FORM Owner/Buyer Xrf S( /W �- - Mailing Address F 0, - 13 n be Y71 < 5 Properly Address a (Verification required from Planning D6partment for new construction) Parcel Identification Number Q-3 J City /State � j: ,EGAL DESCRIPTION / 0 1, .aperty Location ' /s, �L /., Sec. T / N -R- , Town of ,ibdivision ��"� ✓� . ertified Survey Map # . Volume . Page # Warranty Deed # 6 yes U Volume �! Page # � �_• Spec house ❑ yes w Lot lines identifi es ❑ 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 Zoning Department a certification form, signed by the owner and by a mastorplumber, journeymanplumber, restrictedplumber or a licensed pumper verifying that (1) the on site wastewaterdisposal 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 flu private sewage disposal system with the standards set forth, herein, as set by Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your em has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 S y iratioa date. IGNA OF APPLICANT DATE OWNER CE RTIFIC TI N 1 e) ce a tements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of prope d a e of a warranty deed recorded in Register of Deeds Office. z ATURE PLICANT DA * « * « *« A 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 is the warranty deed VOL 17MPAGE .' STATE BAR OF WISCONSIN FORM 2 - 1999 Es543SAL Yi= ITHLEEN H. WRLSH Document Number WARRANTY DEED REGISTER OF DEEDS :;'. CROIX CO., WI This Deed, made between Lakes and Hills, In c., a Minn RECEIVED FOR RECORD Corporation, ---- - -- - -- - - - - - -- - -- 08 -21- 2001 9:30 AM WARRANTY DEED Grantor, and Arthur A. Schmi EXEMPT A CERT CORY FEE: COPY FEE: - � TRANSFER FEE: 55.50 -- - RECORDING FEE: 10.00 — -- AGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 41, Pine Acres, except that part of Lot 41, Pines Acres, described as Name and Return Address follows: Beginning at the NW comer thereof; S 0 degrees 0 minutes 46 seconds West along the West line of said Lot 41 a distance of 5.75 feet; thence South 89 degrees 51 minutes 49 seconds East 101.66 feet; thence North 88 degrees 45 minutes 21 seconds East 114.54 feet to the North line of said Lot 41; thence North 89 degrees 7 minutes 4 seconds West along said North line a distance o172 15.80 feet to the point of beginning. Pt 0 38- 1054 -90 -000 Parcel Identification Number (PIN) This is not _ homestead property. 08) (is not) " - Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of A ugust 2001 Lakes and Hills, Inc. • By: Richard S. S. Nels�nt - AUTHENTICATION ACKNOWLEDGMENT Signature(s) La an Hills, Inc., by Richard S. Nelson, its STATE OF WISCONSIN ) President, ) ss. - - County ) authenticated this 1 ' day of August 2001 -- Personally came before me this day of —_ , _ . - -_ the above named + Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN - (If not, to me known to be the person(s) who executed the foregoing -- instrurnent and acknowledged the same. authorized by § 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY Attorney K ristina Ogland_ i Notary Public, State of Wisconsin Hudson, W 5401 _ _ _ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) Names ol'persons signing in any capacity must be typed or printed below their signature. Inrormaoon Prore —ona s company. Fond du Lac, wi 900-655 -2021 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 o E I OAKLAND CEMETERY C D �� -------- - - - - -- r� ASSOCIATION , Z ,�� -'- -- North line o: ------------------ , Q of Sec. .. / --North line of Oakland QQ , C , _C Cemetery Association / s po `s,2. J 0 9"" S89 0 07'04 "E pp." I 631.94 9S0 sJ r �.. " 61.92' / 50.01' 363.32 ` 218.61' i OD w , _ �_ a — 230_00' �` / - / 3 it g e r7 ( N 77,213 sq.ft. N 1 Po ding C ement\ 1.77 acres a 1 00YR Hv& 9612 � � o C- 100' O S89 ° 06'56 "E 360.07' N a0 \ S,; `\ - - -- � z 42 / i N X 38 6 °� so' 65,952 sq. ft. 1.51 acres - 4 0 �2 w 145,804 sq. ft. Q.• pD - N89`08'29 "W 3.35 acres O 100 S86 T0'28 "W 125.89' \ OO 00 " 211.84' 97.08' 28.81 /O c O Cp 70' OUTLOT1 �' C6`11 2 o (S 60A o N c 72,161 sq.ft. o N C O \ Q I 0 1.66 acres 0jo I h so'' O 70 00 --North line of o 11 Q��rO i Lot 1, C.S.M. 9/264 c N N\ �p�. i ' i > 311.66' rn o, 6 Z o0 0 , 68 „ y � 377 , 31 E�' W - -- 83 N�Q 51 .67 6 78,848 sq. ft\ 11 ° 1.81 acres N 1 �I ��Po•�� S87 0 28'43 "F \t o �; 124.46 6 � / O �/ a�°i/ W o _ __ Southerly line of rnwi w N Lot 1, C.S.M. 9/2640. �^ \ 0A p 00 (C - � N 92 66 I G�� °� / J�� O •� p Gl c °D • 2 p C'd► Z S89 °59'15 "E � \ . ::� +-- 249.13' -.— ; °� V 9 44