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HomeMy WebLinkAbout038-1075-90-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453396 0 GENERAL INFORMATION (ATTACW TO R�RMIT) 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: Holt, John 4 1 Star Prairie Townshi CST BM Elev: Insp. BM Elev: BM Des ptio�r , / y� Section/Town /Range /Map No: V G —__ 18.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic zv C Benchmar� � S 2 0-S � - Dosing rv' b �!d Alt. � M �� -k 7 Aeration 3 , _ J_ , fr Bldg. ewer Z` 0 Holding SUHt Inlet 7 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P� /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > I J l '� Dt Bottom rJ 12 • Dosing > r Hea er /Ol Aeration Dist. Pipe 3 / D/- Holding Bot. System / ,7 I / o. Final Grade PUMP /SIPHON INFORMATION bS 2_ (� 3 . Manufacturer DbrrTa S Cover GPM j r 6tit I l rSp_vc �T - 7. 1 q Y- Zi Model Number BUJ 3 TDH j LiD d K y riction Loss System ea TDH Ft For main Length � Dia, q Dist. to well � � � ��� 22 S IL A13SORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth Llel� DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM EACHIN Manufacturer. INFORMATION CH Type Qf System: s �� / UNIT Model Number. DISTRIBUTION SYSTEM J Header /Mgab4e — Distribution / x Hole Siz x Hole Spacing V/ettoo/lAir Intake Lengt Dia 2 % L ngth Dia /+ Spacing 2 2 ~ S / A SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only &U- Depth Over y Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center "f Bed/Trench Edges Topsoil I g p � Yes No Yes ; ",!I No COMMENTS: (Include code discrepencies, persons present, etc.) Inspe ti #1: / /y Inspection #2: / - 7 / Location: 855 220TH Unkno n (NW 1/4 N_E /4 18 T31N R18W) NA Lot 1` W I/" l e Parcel No: 18.31.18 1.) Alt BM Description = l f �1 � 2 a `V a 2.) Bldg sewer length = �O1' U ' — "` - amount of cover = ZH u� y� f C ls2.t'' &7 �. 3J Contour = -� f ui �- � {' 1 �, 0& Plan revision Required? Yes ��No L �1 Use other side for additional information. l ✓ ! �� � I —_ SBD -6710 (R.3/97) - -- Date Insepctor's Si ure Cert. No. I — — Safety and Buildings Division County c 1 Ass 201 W. Washington Ave., P.Q. Box 7162 :r x �7 Madison, WI X3707 16 2 Sanitary Permit Number (to be filled to by Co.) co�nsin (608) 266 -3151 S 3 3 ( e, De artment of Commerce Sanitary Permit Application UP AID �� Plan LD. Number In accord with Comm 83.11, Wu. Aden Code, personal information you provi DI 7 2 ' �S • I l' may be used for secondary purposes Privacy LAW, s15.04(lXm) Project Address (f different than mailing address) I. Application Information — Please Print All Informatio .° w� F,5s � MFU i p Owner's Name // '' J U L 1 2 2 `7IJ 4 Parcel # Bloom # property owner's Mailing Address / perry Location 4 M city State Zip Code Phone Number �J J clrC ! T� N; ) fi W We of Building (check West apply) a4 ''" CSM N Family Dwelling - Number of ms /v. A. PublidComrnertial - Describe Use 8 t K �s C ` 7 state owned - Describe Use City— Vr�Se `�`�'iP o r . UL Type o Permit: (Check only one box on line A. Complete line B if applicable) A ystem Replacematt System Treatment/Holding Tank Replacement Only Outer Modification to Existing System List Previous Permit Number and Date Issued B. Permit Renewal Permit Revision Grange of Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that a 1 Non - Pressurized Lt- Ground and _> 24 in. of suitable soil Mound < 24 in. of suitable soil At Glade Single Pass Sand Filter constructed Wedand Pressurized in- Ground Holding Tank Peat Filter Aerobic Treatment Unit Recirw Sand Flt Recirculating Synthetic Media Filter Leacbing Chamber Drip Line Gravel-less Pipe Odter (explain) V. Di tment Area Information: Dest (gpd) Des rf � al Are Application Ratc(gpdst) Disperss a Required (sf) Dispersal Area Proposed (sf) Yam Eleva / ti on Z VL Tank Info Capacity Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units �� 'f Crete Glass coostroctod New Existing Tanks Tanks Septiror Holding Tank ` Aerobic Treatment Unit 11 Dosing Chatnba VII. Res onsibili State - I, fire and a tasibillty for lastallatlon of the POWYS shown on the attached ns. Plu s Name (Print) Plumber' MP/MPRS Nu Business Phone Number amber's Address (Stiecat C ity. state. ) . s anitary Permit De rtmont Use Onl Si m o stamps) Fee (includes !Gw=!d:waWWr Date issued 8natu Approved roved �/ ' Surcharge Foe) 2 r Criven Reason IX. Conditions of ApprovaVReacons for Disapproval SYSTEM OWNED; 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances Attach compkk plans (to the County only) for the system on paper not Im 000 SV2 1 U inches in size r PLOT PLAN CT John Holt ADDRESS 6421 134th St. W. AnDle Vallev Mn 55124 1/4 NE 1 /4S 18 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE6 /30/04 BEDROOM 4 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none 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 100.2' 1.1' sand lift 220th Ave Scale = 1/4" = 10' 630' Property Line ,UJ� /t�.�,y`l'k o� {'�tau�/ p Pro 4 (� Bedroom Tank is to be properly House bedded and provided with ,2s B.M. 1 * B -1 lockdown covers with % Grading is to be done approved warning lab B.M. #2 to divert run -off B-2 Top of 2" pvc away from system 0 , pipe @ 105.7" Huffcutt Combo Tank 99.1' o f B -3 Area 15' below 3% 98' system is to remain Slope Well is to meet all undisturbed setbacks found in Comm. 83 Please note. contours were field verified coo before design 331' Property Line • Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isco n s i n www.commerce.state.wi . us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor C ory L. Nettles, Secretary July 09, 2004 CUST ID No.226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/09/2006 Identification Numbers Transaction ID No. 1017632 SITE: Site ID No. 686118 John Holt Please refer to both identification numbers, 220TH Ave above, in all correspondence with the agency. Town of Star Prairie St Croix County NW1 /4, NE 1/4, S18, T3 IN, RI 8W FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 967869 Maintenance required; 600 GPD Flow rate; 23 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/0 1), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, Cn11didi stats. APPRX The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT OF General Approval Requirements: { a POF IEV • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRESI "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01/01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries conceming this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 RECFIVE Cover P a e JUL - G 2004 LDGs Div Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 06/30/04 Owner: John Holt Location: NW1 /4NE 1 /4 S18 T31 N,R18W 220th Ave Gemefee� lot 1 System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section aralty 6. Pump Curve NED COMMERCE 7 -8. Maintance and Contigency plan Z au Gs 9 -11 Soil test 'ONDENCE Shaun Bird Signature License number 226900 FLU 1 FLAN PROJECT John Holt ADDRESS 6421 134th St. W. Angle Vallev Mn 55124 NW 1/4 NE 1/4S 18 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/30/04 BEDROOM 4 CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 600 # of chambers none 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 100.2' 1.1' sand lift 220th Ave Scale = 1/4" = 10' 630' Property Line Pro 4 Bedroom Tank is to be properly House bedded and provided with B.M. 1 * B - 1 lockdown covers with p Grading is to be done approved warning labels B.M. #2 to divert run -off B-2 Top of 2" pvc away from system pipe @ 10 .7' Huffcutt Combo Tank 99.1' B -3 Area 15' below 3% system is to remain Slope Well is to meet all undisturbed setbacks found in Comm. 83 Please note: contours were field verified before design 331' Property Line r Designer • Date Non - Woven Filter Fabric 4" Observation Pipe Perforated ,Distribution Pipe Below Filter Fabric ASTa C -33 S a n d --\ G 62 Topsoil j. ` � F E % Slope t r Force Moin ���Flowed Bed Of � - 2 % 2 from Pump Lcyer Drain Rock +D Cress Section Of A Mound S stem Using F J A Bed For The Absorption Area ,• A 4�, Ft. s 7 Ft. ._._ I j�2 =� Ft. Ft. K� Ft. Ft. P 4' Pipe K a- A .� _____.. -__ j Force Moin ° 5---- - - - - -- ------ - - - - -- From Pump � �. o Distribution Bed Of Pipe Drain RocK I 40bservation Pipe= - -D_Cl Permanent Morker r ipe or Rods Pion View Of Mound Uc1n A Bed For Tne Absorption Area PAGE _ OF_� Perforated Pipe DO" 1 End View ( Perforotea �. PVC Pape Mates LOLOted OA Bottom. ot` c yait .t t Y $pocee Ar /d ay t ei ' "' + Z, Q 'nY D r + PVC Force Main A S� I f IAST K*LL lli%T T6 CaAAtC tOf PVC MGM" Pipe Oiftr;eution Pipe Distribution Pipe l.eYOVt P 2- Ft. ~ a R R. s n X Inches Y Inches Hole Diameter � Signed: u Lateral '' : Inch(es) License Number: manifold Inches Date: Force Main Inches # of holes /pipe, Invert Elevation of L SPECIFIC SEPTIC TAN K £ F�3MS Ct ;AM$ CROSS SECT" jj£Ar9RPROOF APFRQV ED ,f MIN . ABOv E GRADS jU NCTIO14 $4X �J40LE CO ER 1 VENT PIPE 12 WITH CONDUIT Wf PADLOCK 6 'a rROli DOflR. k WINDOW 4� NARKING LABEL KI�1 � ! 41A INTAKE P .1 ' J� , ._... FRV - �� � � 4 +` �D GRADE (� sY� is FS�iI _ z _ ' y INLET CA 5 ED WATER TIGHT S EA � i ALM App � B sM yD 5011 • APPtIAYED C s a ,OFF p o ipt 39 £ I• ELEV - FT • 3? SOIL pt3l4F ViDER. TANY CO NCRETE PAD p pPROYE $ EDD7x ... SPECIFZCAT 14 BE 1 R DOSES ?ER f3AY = SEPTIC ! DOSE DOSE vOLuME zNcLuv3: 0 7, j GA L FACTEIRER: FL flygpCK. J.�✓GAL- TA SK I�A1�1U � � G AL.. , � 2+iCHFS TtUiK gI2£S: SEPTIC �- GA. TI£S: A ---"- GAL. DOSE GAPACi 8 = ,. _..2 .- INCHES ..•� --'�- ALA 2�tANUFAC1i3RER ;I. liSER : c , ZNCKES = C AL MODEL 8 TYPE C � SwXT c _ Y ICES = � J- 16.23 WAC ��FAC p OM A Rpq W_ A S MODEL WI:RI � � r � FEET TYP �fP g � P.I Ste12 M . - G F' PIPE f� (O ON . ZP FEET Z AT %) 7< RA � I RgQuntED DISCHARGE L2I5'IR _ FEET $ .TWE£N PV1KP fli F AN D FEET .PRESSURE 'gR ;C'TT QN FACTOR ,,, DIFFERENCE F•F/ ID Q • £T • NAriIC K j + MIHIM t1EZ'ORK Si3PPLY TI3TAL DY FEET FORC�IN X IgTH OjAmETER f�AL D1MENg103�� TANK INTER t•ZQ�ID ' L IC E NS E N MB r SIGNED= _ :f$8 PLAN pagt of ppWZ'S OWNER'S MgNUAL MA EM SPEC IFICATIONS SYST S' :.��al ❑ NA tNFORMATION Septic Tan(c t:aPa C3 NA tt.E Septic Tank Manuf actuter Owner ,✓ ❑ NA Permit. Effluent Filter Madurer .Model -� ❑ NA )ESitiN PAR Q NA Effluent F�iter all p NA Number of Oedmom Pump Tank Cal�adtY NA ercial Units Pi Tank M {sharer Number omm -' alld " NA Estimated flaw (avers") Pumi? Manufa+ „ �. ❑ flaw (P�k]� (Estimated x 1.5) Design �/; aVd PrOt pump Model nt Unit _ ANA Soo ApP�eo �`� Monthly average � Filter ❑Peat Fltter trdluent�Eftluen Qua* ❑ Mechanical Aeration j3 Wsfland S30 mg/l E Other. Fatk OR 4 Grease (FOG) �p atgJL C3 Dislnfec tlon Biochemical Oxygen Demand (B fac O Ds) m nuEurer Total Suspended sods (rss) average" tsspersal Celt {s] ❑ round (pressurized) NA monthly [In- ground (gravity) Mound Pretested Effluent Quality gODs) ,30 M91L ❑ At -grade e I Demand ( C3 Biochemical Oxyg nded Solids (TSS) 14 mg/L ❑ Drf ne Suspe 510'cfullQOml slit noaoommerdagM'a�ON1aW� Total Susp eometric mean) values typlcal for Fecal rn dort+e t sepw Y. inch diameter ty , ae stuenc Maximum Effluent particle Size .. Values typiml for Praireaw wasw"M . Se Frequency MaNTEN INCE SCHEDULE r ( s ) (Maximurn 3 yrg•) Service Event �S p months At least once every ua s on ird (Y3) of tank voiume Inspect con ation of tank(s) When combined sludge and scum e4 s) (M imam 3 yrsJ C3 months Pump out contents of tank(s) At least once every r(s) cell(s) ❑months . inspect dispersal At least once every months r(s) ❑ NA Clean e ffl ue nt fitter At least once every r(s) O NA controls 8 alarm (} months Inspect pump, Pump At least once every ❑ months ❑ year s ) ❑ NA (s) ❑ NA laterals terals and pressure test At least once every Other. A, a Ye Other. At least once every Other licenses or ,, one of the follow M SePtage �NAN� INS�uCTiONS ce lls shall be• made by an ind"rvld� g inspector: P s or broken lnspeOxis of tanks and dispersal Restricted Sews • on of the tanks) to identity any h fo r Plumber m effluent feveis and to c hec k for any took up +lions: Master Plumber most e and scu check the operator. Tank insPedi°ns must include a visual ins Sertrf " � y any packs or leaks , Measufe the volume of oombirted sludg of effluent on tha h am, The d +spersal (s) shall be v- Inspe The pong round surface. of effluent off me ground din s ulaII authority or ponding of effluent on the g for any pond f notification of the local reg in the observation pipes and to check ulres the lmmed tank vo lu me, ' indicate a failing Bondi on and req tank equals one -third (K} or more of the with C h- NR ground surface meY a and scum in any star and disposed of to accordance When the combined accumulation of sty by a Septage Servicing OP k shall be rem nt components, and any entire contents of the components, Pretreatfine • S Maintainer. 113, Wisconsin Administrative Code ressurized p0VM comp a oettlfied pOWT mechanical or p rformed by event. Th servicing of effluent fliter5• at intervals of 12 months or less. shall be Pe of cofnP1etion of any service other maintenance or monitoring ulatory authority within 10 days ded to the local reg roduc s or other A servicZe report shaft be P tae Presence of painting P START UP ANC) OPERATION JON if high cono0ntrations afie c�ion, prior to use of the POWTS and/orrdamage the d'isper cta= prior to use. For neW 00l1St1U a the treatment Pis b a septage senr►cI detected have the contents of the Opera chemicals that may Impel removed y _ - tank(s) • __ Page surface - 'frozen at the infiltrativ nditions are �(e po, W is restored the excess O r when soil, co d m result in the ' S hall no u tanks may Tilt above nom�at Iilghwate[ levels. ' the W KS) am aY gystern startup a dose. ovedoad�inof the p tank removed by a outag dlspetsal eett(s) in one larg urnp of pOWTS Maintainer to During Pr Cs pump to the id t situation have the 1 ontents ,,,fit be discbarg t. To i nl to the effluent pump at a s Pitt wastewg . �e Of eBir backup Or surface and si Operetsor P� tip re sWng ' fP o�or�e normal levels whin the pump tank e seta ng pump °D �'� not drive or patio over, or othe(ViSe disbutb or compact, assist In manually oP and dispersal cells• D pa r k vehW85 over tam mound or at -grade soil abs&rption area- � � and prolong the life th not drive n pa slops of any improve the Pe the arm ' ' 15 feet down pe m the wastewater stream may degrsawm; dental floss : Of the f011owmg �� butts; condoms; cotton swabs; �� gam;. �{ddes; meat Redurcon or elunMatIon eling� 9 r sotteri� brine. of the POWTS: andbiotks: baby , scxttA pump) water, fruit and vegetable Pe ns' vi*ate disinfedantg: fat {oundawn drain ( des: sanitary napkins: tempo_ . moons; at pafiting Pr'd�' 064W des; shat( tw token to insure that the AgANDO AMENT to - en out of service the fotlorts�ir sin Administrative Code: When the POWTS falls and/or is permanently in ocmPt's ' �' Comm 133.33, in s seaW system is ptflperlY and � n halt be disconnected and the abandon opsed o o b SOptage•SerAdrig Operator. Alt Piping to tanks an p S h a ll be removed and Prot oved and the void spade .. The oontents of all tanks and p gated and removed or their covers' umping, all tanks and Alts shat[ be exca After p mvel or another inert solid Material- filled with soil. 9� t provide a code the following S measures have been. or must be CONTINGENCY PLAN cement soil for the If the POWT fads and cannot be repaired . cement system: be utilized location of a c,•tien and should not compliant repia t ans'a h been evacuated and rote�� from disturbance and comps p A suttebis replafoerner� lamen area should be p rotected structure. tot Fries and watts. Failure to absorption System. The rep se tb a cks from existing and propo to establish a suitable upon by mq fora new soil te �evalusationt time. be infringed arm wr"11 result in the need with the rules in effect prated the ms must Comp advances in POWTS replacement area- Replacement sy lacement area is not av8itable'due to setba ck andlllar place l OWrS g O A sui table rep fled as a last resort to rep n failure of the POWTS a soil and technology a holding tank t been evaluated may be ir� tifY a suitable replacement area up no placement area is available a re � The site has no locate a suitable replacement a rea - s ite evaluation must be Peed last resort to replace the fated POVYTSCe following removal of the bior'nat at / holdling tank MW Installed as erns may be � P in eft at that tim Mound and at-g'rede soft a pf such systems must comp ►Y with the ro the infiltrXWO surface. Recon ccyypitNING'» Ei�T T/s<NKS MAY CONTAIN LETHAI:' GASSES ANDJOR INSUFFICIENT OXYGEN. SEPTIC, PUMP AND OTHER TRiF'ATM TMEtYT TANK UNDER ANY CIRCUMSTANCES• DEATH MAY DO NOT r=N TER A 8101111c, PUMP OR OTHER TRt:J4 Oty FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR [MPOSSIB RESULT.. RESCUE OF A PERS ADomONAL COMM99TS POWTS HTAINER POWTS INSTALLER Name Name Phone Phone PUMPER LOCAL REGUL /ATORY AUTHOR(fY SEPTAGE SERVICING OPERATOR Agency Name +ti,- d- Phone is doaun+snt meets Phone / J uette and Waushars County Zoning and Sanitation a Ul'i of eft ment does not of t" &"n Litre, Mac wecansta AQrntntstr Coda use of eft doer GtjW (7101) This oowmcm was dratted by dw stsff�s t see 89. ). (2) d. (3). the Mk*num t quu+emants Of Ch- COMM a3:'r- ?2C�I�x X� (� 9ygrantee ttu peAormanos of the POWTS- Wisconsin Department of Commerce SOIL EVALUATION REPORT Page /of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all infonnation. Reed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 2 Prope Owner Property Location Govt. Lot 1/4 le 1/4 S T N R (or) W Property Owner's Mai ing Addges�,- Lot # Block # Subd. Name or CSW 7�` City _ State Zip Code Phone Number 0C ity El Village Z Town Nearest Road V1 New Construction User Residential / Number of bedrooms Code derived design flow rate f> GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if 40 , 1lii . ft General comments , and recommendations: 14 uo,),o - 6rtsbo 6,) 7Y, tl n M Boring # ❑ Boring ® pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *042 Boring # ❑ Boring ® pit Ground surface elev. ft. Depth to limiting factor s in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 -3 2qp-I(A e e- r � * Efllu #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nam se P") ) Signature , CST Number ZLza Address Date Evaluation Conducted Telephone Number i Property Owner Parcel ID # Page of Boring # ❑ Boring M ® Pit Ground surface elev. , 9. 7 ft. Depth to limiting factor b in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I *Eff#1 *Eff#2 a L F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture p p Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. E - ] Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 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 - 2644777. saD -8330 (x.onoo) d a P "IVC- -44 Me. 7 ' f6o S 3` 67 rna4Jp GO' /�i?'r�l 1 07119/2004 16:27 7152473850 SMC PAGE 01/08 NJUIJI/l� 330 SMC Thive Sciand c Molding Cor oirattion, ,L�rd Satners 1) 2 5 3500 .R b' p CfX� zd7 - �sqa Thermaplastit: Design and Development Paz. (7M 247 - 36SD . FAX . Number of pages Inc uding cover sheet: Date: To: lElll.1 Copy: - Company: IOm"Mti O Pax M From: Message: I'lc7►�ti,.�� 1�-� C��' - ';'tt� SC��.�SS •¢c� „ �.�'�- K'r�li� �l.*.�.J 651 -z If you do not receive all pages of this transmission, please contact sender at 715-247 -3500 far retransmission, Thank you. Confidentiality New Ms M may Contain information that is legally ptivlloged and is intended enty ft the we'of the parties m whown it is W msed. If you.are npt the intended racipicat, you 4" hereby notified that any disclosure, copying, dist*udon or use of any it¢ormation in this fU is prohiWW- I f you have received this message in error, please notify the s®dor fmwAiateiy st the telepltm anmber notad above. 07/19/2004 16:27 7152473850 SMC PAGE 06/08 87/01/2004 07;41 PAX 1 715 247 3 038 DMISLE EXCAVATIN; 1@001 Y*conWn aparlmo rt of Corot SOIL 1= VALUATION REPORT Di+ris(on of 640Y and B UNftgs In accordartaa with Comm 85. Wbo. Adrfr. Coda Attach complete ale pion on paper cat la9gt 9w 8 la x 11 ineha8 n sits. PNdh must Inck da. but not iinrNed hm vertical and herizontal relt:rance point (B d), diredion end p l.a PWON9 ,1101M, N ab or dlnahWon north arrow, and location and d stance to nearest road. Please P*xt all warwatbn. ate Personal ietcunallon you provide my to used is secondary purposes (r* icy Lase, e. t dd (i) (m)l, � Pro 01M prop L n Gout Lot 11+4 81 T N R (or) W Prop — " 0ww Ma g Mc1M= 1.00 10 &ft, New or ) 1 !7 Stale 7]p hone;v;B r 0 Ct{y 0 Village JMTMM Realest RoaV r Nellr CanShtilelion UseJ4 Use Residential / Number of bedrooms _ Cade daliwed deign now rain GM ❑ RaPlacarnert ❑ Jawc or eommeiew - Descdba _ Parent material -- . ! _ Flood Min aeration if ap *:" tt. General co nsnanls � and recommendations: 171" .7L1 lr*x.o p..7 da4r1su k a D Bo*g a ❑ 10 Pit Ground surfaceetev. LS" 1t. peptrltolirolftfagor In- Sol n Rate Horton tatvth Dominant Color Reclax Dascrlpden Tedure Structure Cormidence Boundary Roots GPM in. Munsall Cu. 5z alt. Color Gr. a?L Sh 'EMI 'Ems 4 Borings © r9 ® Pit %ound surface olev. , ►f R. Qepth to timing farmer :6ffl— In. go 1- lorizon Depth Deminalrt color Radom Description ftiu 9 SMxgum Conatstance eou"dwy Roots GPDff In. Munwil Cu. 97_ Coat. Color t?. St. Sh. "tyAlli "EM 4 aWA 7/4 �•� 220 moil acrd ?"40 =1 SO no& Effluent 42 139q:! 30 ^y9& and TES < 30 mgOL TM L1_ Sk n CST I UMW i AddMM Date tic" Corxkpc E►J Telephang Nw dw �� 9 — /'nw 11n�n /II�M M. 07/19/2004 16:27 7152473850 SMC PAGE 07/08 7/01/2004 07 :41 PAZ 1 915 247 3638 BELISLE EXCAVATING 0 032 Ptsporly O+mx Pi rt®I ID r ; + I,• pm Pit ground suck s el". _4LZ_, I I. Depth to ImlGng factor a kL • d n Rate Horizcn Depth Dominant Color Radon Descrolon Texture structum I Conalatanm 60Nndary Raab „' f In, Mumall Qu. U. Conn Color 6r. Sm Sh. '�11 �rrraZ am IV 010 r r F evt d Pft Ground surface akw, I t Depth to Arri g faoibr Iry Horizo Depth Dominant Color Redomc DescroHm Ta t m Structure Conabiermoe Boundary Roofs GPM In. Mansell Qu, Sz. Cant. Color Gr. SL Sh. �AC7 i Boring # Q 9orirg plt Gmmfid sw1ace elev, - .�.. I . ompm to [ImIdng taelor - in. in. Sob Rate Horizon 000 Dominant Cak" Rwom Deaatption Teatur'a SttucMm Conaubrige Boundary , FM% in. Mra,aen Q m W_ Cont. Color Or ' EMMO XI = BoD � "3912W mg& and 188 �3o 15t - e - � c n191L t:Rltlant � - BOD, _ 3D tryl(, arld TS$ S 30 nta1. TI1e DepArrment otCe ermterze is an equal Oppvrl>arlty srri Ice provi4er and ertiployer. If you nego,' 5114*0vii.la �pry;we or need material in on alft"M a fom>rlt, Pieria wi tact $0 depattznmtit 9 608 266.3151 o� 77'Y 608.; 77J. y- 9ar3�7ae(rZA7i4bl , i 07/19/2004 19:27 7152473850 SMC PAGE 08108 07/01/2004 PAZ 1 715 247 3038 RELISLE EXCAVATING 14 003 A �� - u r,�f�� "( ice. 7 N l -�--- J-� ( ` �% i �o f I�r,aS I 07/1912004 16:27 7152473850 SMC PAGE 02108 Wisconsin o rttrtefrtef Cotnmr?me SOIL EVA REPORT Page �,,,! 3 _ Steel 30115erviw Dlvi,� m of SaWy and Buildings In Wordanos with COMM e s, Wis. Adm. Code Aftws mnplate sh plan on paper not le ' ss then a4Y, x 11 inrdrm In size PIA County n mast St. Croix .. Include, but notNrn1W to; vertical and hmhodhsl refee Mao trans (8141), dhtlion and _._.._.. -..... — _ -�-- -� --- -- ppm slops scale or crMwrmtonR<, north snow_ and locatlon and eRSWO 110 rtmrad road. Parcel I.O. ----- - - - - -- Pen — ..........� Pllasa print al! inlarmat ton. Rpvtawrsd By Dote . Persalml inbmtel6rn you Ptarldo roar Ao ward * amd" Wpm (M ray y LON.4 404 (l) (m)l. p owner Properly Locallon Vog Brian na NW 1/ NE 110 S 18 t 31 N R i5 W .._.. Ad dres s ._._.... tr"ot# look # �suw, l4aeee or CSru1# Property Owtler's MaNing Address 1 705 Victoria Rd, S o, t I rta CSM P ending •- � , . ,_..._.—.— _ ..._.___State Zip Code Phone Nu;6 ;_J village A Town Nasrast Road Sekit PaUI 1 MIN S ar Prairie 220Th Avg p Now ConstruAtan J Reskleniial / Number• of bedrooms 4 ,.bode derived Aestgrt flaw rate _ 600 GPD ReplactmeM Ir6 er erehs�t rJeStCrf if '.°""'"'M , ---- Parent rnatorial Ground and end moraines,_ pitted 0 0ical drift _ - _ ^ Flood ptein elevation, if sp0 General comments snd recommendations; Mound Design. system elevation 99.93tt based on contour lines elevation 90,30R. Boring # - Soft PR Ground Sutfaes elay. 99.20 ft. oepth to limiling tailor F Sor'i Apprr Ww Rate Horizon D"I t Dominwi Color Redox DegGrtpllon Texture Structure rdary Rants -- . In. MUMN OIL SL Conn_ Color Gr. Sx Sh 1 0 -5 10yr312 none sil 2msbk mfr cc 2f ,5 2 5 r 1oyr4/4 none SI 2r%bk dfr gw i if Is .9 3 9.21 4/4 none scl 2msbk dfr gw not .4 .6 4 21 -72 "Syr4 /4 none scl ern _ mfi na na .0 ,0 .................. E i Boring e l .' - J A Pit Geound surface clew. 99.20 R. Depth to ItmlRng faetof .. 66... . in. sal Apok tinn Rats Harbor, DqM D aemon! Cora odor Descriobn Texture s wonna consmarmw SoL40" GP v. .. kr. Marrselt 4 &. a. . cord, 001W Gf. Sz. SIN, -c � ` 1 0 -8 1 Qyr3/2 none ell 2msbk mfr 04 2f 5 S 2.. -- 8-18 10yr414 none _ u 81 2msbk mfr � 9w 1vf .4 .6 3 18-30 7.Syr414 Mont, scl 2msbk Or 9w na .4 .6 4 30-43 5yr414 none II Gvs osg Or Cs na , 1.s _,..... 1.__. ..,..,....,.............�.____� .,_.....,... ...._ -- r 43 Y 5yr4 /4 ��..__ �_...,..... sci _ 2msbk _ _f^fT. na r4 .._._ .. B 56 -72 *4/4 none skit om m9 na no .0 0 " Effluent #1 1300 30 a 220 mg/l, and 7'53 >313 _ 150 rnglL •Effluent +� B4D gat? nrg/L �tld 7SS M30 rrsgll T Name (Please Prints •- £Jgnature� f Numleir David J. Steel • ^w,� -_ � � 248956 Addmsa Steel So service _...._.._..... -- - -_ _._....,.... , -- bie'iveluaHon C onducted — TeJepione Number __.... 1564 CIS GG, New Richmond WI 9A017 10 t112p03 715 - 246 -MB'S WIN J 8F9q 11 M8069 199 Rd T£ :IZ Q� �OOZl 50l�U 07/19/2004 16:27 7152473850 SMC PAGE 03/08 property Owra yago, 3 t Boring Boling m SWUM slew - 94.E __ 4, math to Willing factor � 2 'n. Solt appfalpn Ret� 1 Nar�u • Depth Conl"WIC N R9d0x0"W on Te lre SW�iue lm+� BfludatY RontB � ' k1, Min ®ell qu. Sz- Cara. Color Gr. at. �. ��� 1 D-8 10yr312 n one sit mshk mfr Cs if 5 8 2 8 - 10yr414 clone 2ntsb dfr few �� .5 .9 ,..... _ _............, _____ .,. ,.. .., 3 20-72 ... _ 6yr41d rwe ad ., — om — -- -I..._ ne _ nO .0 . 0 _ swingl :J Boring ....� A pit Ground SuReCS also. it. UeDth to 11011149 NOW in. BOMB AppNcatton Rate Wadxon Depth Qwkwt Color Redort Omri*n UA 8lruo m Conobtenae � jwfwy Roola �'pfF#k2 M. Mulnell 4u. f. Co Color Sr. Sx. eh. J Boring J PR C3r0ued Surface 9W. Depth to Am,71119 {attar fn. San AppllcaGoe1 Rafe Harixan NO Dominant Color Rad baeotilmillan Te*ue *M4900 ConsielernP ®pund0ry Ra01e In. Mormon Gu- Sz. Cont. Color or. ^S. sh, Effluent 21 4 1900? 30 ` 2213 mg/L aryl TSS >30 60 MA ' Effluent 02 = SODS) 130 mg/L and 7`55 < 30 mg/L The DepurUntnt orC:omincrw N an cyual oppurtunity wJICtl prnyider sties emplaycr. rryou m ews a mb u nce to IICLV45 services or n« d material in an nitnrnntr forrnut, nleimc cxmtact tltc dovardnr w at 608- 2b6-,3 151 or'i N 608 -264 -8777. £I0 /TIOR jaunq jeWq 11 It58069 I59 jVj ZE :IZ a �OOZl50 /50 07/19/2004 16:27 7152473850 SMC PAGE 04/08 rage J QL SOIL STEIEL' S S 'VIE C. David I Steel � 1 564 Cty Rd GO CS "F. -PO WTSM Blur! Vogel New p uhmond,Wl 54017 Lic. #248956 NWI /4,70-1 14,S18,T3 aus.(715) 246 »6200 Town of S40 P(airle, St Croix Co. Fax,(715) 245 -9372 Lot 1 This suit ev>#luation wo conducted to satisfy a *otlin$ rccpireTTmmt, it m,ay or may not be suitable for your use. Lcgcad 1,r ='w A = Bgnchmmtk Ele, I KOM Top of I&* pvc pipe 0 = Alt BencbgWk 010, 100.70Ft Top of 112" pvc pipe !� = Borings Boring Elcvations 131 = 99.20Ft K 99.2oFt Ell 94.90Ft 134 = 00.00Ft r SA 00 Q� . 17� I - / A . r✓ r 4 0001 £TO /ZT01 1aQ= 10 MOM I.H M0 TQQ M IN T7. lieu �f1071Gfl lCn CERTI SURVEY MAP LOCATED IN PART OFTHE NW114OF NE1 OF SECTION 18, T31 R1BW. TOWN OF STAIR PRAIRIE, ST. CAM ODUNTY, WWWNSIN. INCLUDING LOT 4, LOT 3. AND PART OF Lot' E OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 1, PAGE 187, AT THE gT. CROIX OoUNTI' REGISTER OF DEEDS OFFICE, SURI/BYORP MmmAng© & D � PREPARED FOR: DOUMM J. ZAHLER - — _ GRIAN VOOEL 3 8 N LAND I ANp, INC. 88a'9p�0e'E 2839.53' 1706 VICT1Dgy► RD. 80. HUD 8OK W 5 IS �i � , 4�411 ki NO RM 1 JNE OF THE NE114 MENDOTA HERIM,1MM 55113 UDW 019 _ III N114COTt _ 18314TH as O " NS GOFi 13 °1 Et Sil9'ge08'E ` 480 SR � /I ..E is T 88. 89 -58 1778.7t? 49 PRO 49p,w �'� tl ' IRON PIPE FOUND ..............I.. 813'OS'69'VPS.S5' . FROM SET 1' IRON PIPE E,08TiM9i DRIVEWAY OWNER: LOT 1 / OMN I0Mv°°a- aZTHAVE, 5.m8 Arm � j wEU � Ni SOMERSET, N 6400 (Sts me Kw Fr.) �g4 u°EPIIG 4.78IACgE$ hi �QT i Li�" FSwma P8 .1518 1M. RIW�) ye ro 0.879 ACRES AApAQE p, 1"I rp we. RW (28%730 AFT.) y i m oi ,LA J. 998'17'3q E 331 46' 114 9m 360.06 N I © m & 800°48'38'W ` N00'42'29'B 1738'E 486.01' id I ► WWUU SWIMN LOT 4 &0o9 ACPIFA y (W AIM 90. Fr.) % INC. RIW • " AC LOT 3 k m,617 so. FT.) EXC. R/W 8.1 W ACRES ® INC. R1W� ® ® $ 9.064 ACRES (362,193 80. F'Ta wETLAN EX C. R/W M88 °4214 "1111 � `` 8b"1.�6' SOUTH LINE tlFTHE NW114OFTHE NE1t4 a FOUND ALUMINUM COUNTY SECTION CORNER MONUMENT • FOUND 1' OUTSIDE DIAMETER IRON PIPE 0 SET 1 DIAMEM RY I IV LONG IRON PIPE, WEIGHING 1.18 LBS. PER UNEAR FOOT • • .......... ROADWAY SETBACK LINE (AS WfOWMI ( ) RECORDED SS~ AND(OIq DISTANCE SCALE IN FEET 1' },k°tef' , , �• "''•T AA' WIDE JOKT DRIVEWAY EASEMENT FOR 1.0" a nND A 200 D 2110 .Ic EX I &T1NG FENCE THIS INSTRUMENT DRAFTED BY: VRWAN KA14E II9 aDIL BORING .ICe NO. 9881.01 DATE ; 10125/2009 SHEET 1 OF 2 SHEETS ST CROM COUN'T' a gNANcE AGREEMENT` SEPTIC AND OyEg,SI;IIP CERTIFICATION FORM 1 owner/Buyer Mailing Address Property Address (Verification required from Planauig Department for new construction) parcel Identification Number City /State ' LEGAL DESCRIP'T'ION T N -R Z W, Town of Location eZ92 ! —�= i�`' Sec. /_�L I Property / � Lot # / Subdivision i Page # # -}G 2- . Volume � Page # Certified Survey Map 9p —7-6( 3 Volume Warranty Deed # 6 � = L lines idenfi l e fiabs D no Spec house � Yom SYSTE �� M tic system could result is its prer t e failure to handle wastes. Proper maintenance of our septic a licensed pumper• What You put into the system improper use and maintenanc- y three years or sooner, if needed by stem. stage consists of pumping out the septic tank every oral sy stem- can affect the function .of the septic tank as a treatment in the waste &V IDS agrees the owner and by a at a certification form. signed by t to St. Croix Zoning Departure th (1) the on -site W e astwaterdisposalyyste .fie Property to submit of sludg lumber, restrictedplumber or slicensed u pniP erverifying the septic tank is less than 113 full e. masterplumber journeYP ction and pump (if necessary), is in proper operating condition and/or (2) after inspe sal system with the standards have read the above re quirements and agree to maintain the P Resources, rivate sewage dim State of Wisconsin- lea 30 I the undersigned Commerce and the Department of Natural Zoning set forth, herein, as set by the Department of ed must be completed and returned to the St. Croix County stating that your septic system has been maintain Sys the three r expiration date. z 41V-1 DATE F APPLICANT O _ TIFIC ATION ) knowledge. I (we) am (ar the owner(s) of t rue to the b es t o f my (0 . I (We) certify that all state ments oa t ae recorded in Register of Deeds Office, the pr descri above, by virtue of DA E NATURE F APPLICANT ent. A information that is mis - rep resented may result in the sanitary permit being revoked by the Zoning Departs► d warranty decd from the Register of Deeds office e deed «« W ith this application: a stamp a sna if reference is made in the warranty i nclude wi ce r tified sure y P I s copy of the ce rti U 2 G O 1 P 1 9 0 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 1 — 1998 ST. CROIK CO.. WI REGISTER OF DEEDS DEED WARRANTY DEE RECEIVED FOR RECORD Docu Number 06/22/2004 12:00PN This Deed, mad . V el sin le ,Grantor, and WARRANTY DEED John Holt and Steohanie Ho husband and wife EXEMPT Grantee. REC FEE: 11.00 Grantor, for a valuable consideration conveys to Grantee the following TRANS FEE: 186.00 described real estate in St. Croix County State of COPY FEE: Wisconsin (the "Property "): CC FEE: PAGES: i Recordina Area Name and Return Address � �� ray , Hudson. VA 54016 Parcel Identification Number (PIN) 038- jo75- 90 -O0o This is not homestead property. (is) (is not) Lot 1 ertified Survey M a p In Volume t 8, P Age 474% filed May 12, 2004 as Doc nt No. 76sco2286 located in part e NW % of the NE '/. of Section 18, T31N, R18W, Town of Star Prairie, St. Croix Coun y, nsin, including Lot 4, Lot 3, and part of Lot 2 of a Certified Survey Map recorded in Volume 1, Page 197, at the St. Croix County Register of Deeds Office. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this day of 2004 (SEAL) (SEAL) * C - Keith C. Vogel (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, } ss. authenticated th' 1 - St. Croix County 1�18�A FW OP' t_LPi Lsa STATE OF W I SC ONSI N Personally came before me this day of 2004 the above named K ith . V el in le to me known to be the person who executed the foregoing Instrument and TITLE: MEMBER STATE BAR OF WISCONSIN acknow ge the same. (If not, authorized by §706.06, Wis. Stats) THIS INSTRUMENT WAS DRAFTED BY Notary Public, State ollwisconsin Coldwell Banker Burnet 1301 Coulee Road My commission is pe ane (If not, state expiration date: Hudson, WI 54016 �`I c 4 -34047 1 " l ) (Signatures may be authenticated or acknowledged. Both are not necessary.) * Names of Persons signing in any capacity must be typed or printed below their si nature. o"tj' '762286 P � VOL 18 PAGE 4746 KATHLEEN! H. ALSH REGISTER OF DEEDS wI ST. C O RECEIVEDxFOR'kECORD CERTIFIED SURVEY MAP 0 09 :25AN LOCATED IN PART OF THE NWi /4 OF THE NE1 /4 OF SECTION 18, T31 N, R18W, CERTIFIED SURVEY MAP TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN, INCLUDING LOT 4, LOT REC FEE: 13.00 3, AND PART OF LOT 2 OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 1, COPY FEE: 3.00 PAGE 197, AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. PAGES: 2 SURVEYOR: PREPARED FOR: M m [00 BRIAN VOGEL DOUGLAS J. ZAHLER _ _ _ _ _ _ _ 1705 VICTORIA RD. SO. S & N LAND SURVEYING, INC. S88 °39'08 "E 2633.53' 2920 ENLOE STREET MENDOTA HEIGHTS, MN 55118 HUDSON, WI 54016 220th AV. NORTH LINE OF THE NE1 14 o (EAST) NE COR. N1/4 CDR. S 88 39 08 E 857.8 SEC. 18 SEC. 18 F$ 331.47 i 460.36' °' 13 S88 °39 08 "E 8 58.07 °' 1775.70' 331 4T X 33.00' t t 33.00' 361.587 99.02PPOSE $ t 1' IRON PIPE FOUND 0 ..... ......!'' FROM SET 1 3.35' ° FROM SET 1 •IRON PIPE 1 EXISTING S0' : DRIVEWAY OWNER: / EXISTING KEITH VOGEL HOUSE OT 1 861220THAVE, n WELL )' SOMERSET, WI 54025 O 5.038 S °D : `�� c� �2 (2 456 SO. FT.) SEPTIC Q w INC. R/W VENT - � 70 4.787 ACRES _ i LOT 2 EXISTING GARAGE (208,518 SO. FT.) w °D p 1 33 Cz Z C R/W ; 6.978 ACRES n m y S ��� /� (303,946 SO. FT.) (/� 1 � O m INC. R/W � � m m ° ° 6.629 ACRES a m O & (288,750 SO. FT.) + O T IJ m EXC. R/W V w M _ N fib g! o m > f S89 °1 732'E 331.45' 114.95' 350.06' t 99 � O R �1 Z 66,00 66.00 S89 °17'32 "E 465.01' 2�i I Z5 m S00 °42 "W NO 1_ ` �O "E fq'+ Qo O N 33.00' -C �- 33.00' W -16 I m (� O 89*17'32"E CQ LOT 4 of Wes s.006 Acaes o j m ® �' L'p (261,606 SO. FT.) INC. R/W $ y DOUGLAS J. SZ 5.980 ACRES LOT 3 ZAHLER (260,517 SO. FT.) 8.109 ACRES 5-2145 EXC. R/W _ ® g (353,242 T.) I I S INC. NC. R/W 75' 8.084 ACRES (SETBACK (352,153 SO. FT.) NAVIGABLE 42 \ EXC. R/W WETL.�XND 11.7'± 364.47 502.79 _ N88 °42'42 "W \ 867.26' SOUTH LINE OF THE NW1 /4 OF THE NE1 /4 0 M nMG°�dG144L�DD d oD� LEGEND FOUND ALUMINUM COUNTY SECTION APPROVED � CORNER MONUMENT ST. CROIX COUNTY 0 FOUND 1" OUTSIDE DIAMETER IRON PIPE Pla wko ZonW4 and Pwrks Cormm!",C O SET 1 OUTSIDE DIAMETER BY 18" LONG IRON MAY 1 2 2004 PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT BUILDING SETBACK LINE (AS SHOWN) H not recorded vAd 30 days of ( ) RECORDED BEARING AND /OR DISTANCE SCALE IN Ta1UYa� a aha" be 66' WIDE JOINT DRIVEWAY EASEMENT iia FOR LOTS 3 AND 4 200 0 200 EXISTING FENCE THIS INSTRUMENT DRAFTED BY: WILLIAM KANE ® SOIL BORING JOB NO. 6351 -01 DATE: 10/28/2003 REVISED: 05/11104 SHEET 1 OF 2 SHEETS Vol 18 Page 4746