HomeMy WebLinkAbout038-1200-10-020 0 1 3 v n
o 0 co�
C
CD
T
m
X
Q! -wt
Cp - 0 z z CD N �
0 w 0 0 0)
C: 0 �o g
:3- 3 a 9
CD CD 0 w 7 j8
CD j w • (D (n
CL
C:) (D
r_ (D CD a
cn
3 CL 0 0 rn to cn CD :3
O
z
00
m
CD (a > CL
=r
c CD
CL cn O r« 3
CD o)
Z i�5 F3 z
0 0 CD (A
0
C) C
cr
M
V
0
0 0 0 0
3
cn 'D
0
PL < A z
3 CO) CO) ch >
V a 0
3 0- 3 a ii .
CD -4
_0
(D 0
3 A)
CD
:3
CL 735'
Z 3
z z
> 0
CD (A 0 CO Z 0 m lv
C CD CD
C-1
C 0 CD CD
CA
CD
0 (A 0 �n tri
N i
CD 0 CD
W 0 0. CL
CL 3
Z CD C6 ca
E
0 (4
0 z 0
0 U) C
CL CL
0 CL 0 CD
0
0 o o co -i
3 c co
a' m CD
0 ", 0 CL Z
0 ;o
:3 a
o FF (n —
00
z
0 a) CL
W (D
3 a) a
tn .,< cD 3
to
to CL cn
0=0 M U)
- n
x0 z
@ E� 3
a C: � CD CD
c
Er a) (n :.4 0
=r c
Ll R'
< 'D
I S D
25 —a) o a)
c, 2
3
cp 0 c a
3
0 — 3
0 0—
4z
WA - 0)
o
0
3
O CD 2
CD p CL
0 0)
0
CD
<
cn
C) 0
CD CL
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
' { INSPECTION REPORT sanitary Permit No:
420535 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:
Stout, Richard I Star Prairie Township 038- 1200 -10 -000
CST BM Elev: Insp. BM Elev: BM Description:
/0 b c7 / vo�v 4- d_111 �
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic r Benchmark
a L{- � /aU. L) Dosing Alt. BM V 644 C6
Aeration f Bldg. Sewer 0 • �
Is 83. Z
Holding St/Ht Inle t
TANK SETBACK INFORMATION SveatteT
TANK TO /L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic,--- � t �
IQ Dt Bottom .3
Dosing —'-F a r /Man. �,, � G _ S q I . tG
Aeration Dist. Pipe L 7 ,p o wn, to SJ
Holding Bot. System �• b
Final Grade iso
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
11LI_bS p GPM ( 1 -p� -9s �b / Z.
Model Number
0 �
l TDH Lift f riction Loss Systerp dad rDH Ft
Forcemai Lent Dia. j ' 't y Al
f�J
SOIL ABSORPTION SYSTEM Q = 1D Z 4A.o,�(ti
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 7 - - ' n�
SETBACK SYSTEM TO w P/W BLDG WELL LAKE /STREAM LEACHING Manufa tur
INFORMATION AMBER J
Ty e Of System: ,nj Model Number:
h' > 12- �
DISTRIBUTION SYSTEM
Header /Manifold Distribution f x e Size x Hole Spacing Vent o Air Intake
Pipe(
Dia 1 1-engi�h ) t11- 5 Dia Spacing_ -�
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over epth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed/Trench Center I ZjBed/Trench Edges Topsoil -
�, Yes A No � ]Yes !] No
BOO
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / �� b - Y Inspection #2:
Location: 2109 80th Street New Ric ond, WI 54017 (SW 1/4 SW 1/4 18 T31N R18W) Rolling Oaks Lot 4` Parcel No: 18.31.18.1055
1.) Alt BM Description = �yU-O/ — 3 ` �J, Yq-v _ -4-k
2.) Bldg sewer length =251 � ��,�( X ,� 9' ' �'u,N, yua►-(� `�� 64
- amount of cover � �r'"'t
A- I S) P _
Plan revision Required? es
No
Use other side for additional information.
SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No.
jC ST.r
L
Y'
G
1
a
d
_
i
a
n:kHt l;epartment of commerce SOIL AND ITE EVALUATION
i c. *fe page of
:� and Buildings
o f Integrated services in accordance wi Co -6;9 Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz /1t(a ust 1 uptY ,
include, but not limited to: vertical and horizontal reference point (BM), n and � a t
percent slope, scale or dimensions, north arrow, and location and dis 06 nearest roar' !/r Parcpl.I . #
l- 1
APPLICANT INFORMATION - Please print all information. ^. Rev' : ed by Date
r t _
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) ): `'0 -YA.-
Property Owner Pr ' on
Go vt. (/ (�j . Lot 5 �� M,S I T ?� ,N,R ' E (or'
Property Owner's Mailing Address Lot - # + B1og ubd. Name or CSM#
City State Zip Code Phone Number Near Road est
❑ City ❑Village � To
Q&Soi(1 I W t I S11016- (� �>S` f 73 I Sfct Qrrt� r,'.rc A .S/ I
New Construction Use: Residential / Number of bedrooms Addition to existing building
Replacement N Public or commercial - Describe:
Code derived daily flow �9200 gpd Recommended design loading rate r bed, gpd/fl trench, gpd/ft
Absorption area required Sly bed, ft DSO trench, it Maximum design loading rate e 7 bed, gpd/ft _L trench, gpd/ft
i
t Recommended infiltration surface elevation(s) C O. U ft (as referred to site plan benchmark)
Additional design /site considerations 14L4. c (c Q . v
Parent material - T I I Flood plain elevation, if applicable 'tl it
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system [A S ❑ U 59S ❑ U S❑ U &§S ❑ U CIS ®U ❑ S ® U
SOIL DESCRIPTION REPORT cij— ----'�
B # Horizon Depth Dominant C31ur Mottles Structure _ GPD /ft
9 Consistence 3oundary • Roc;a
in. biunsell Q u. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
- g I o 1 f3 l Z S ] I mubk vn �'r C S 14
OQ
Ground
elev.
n
Depth to
limiting
factor
qj)_in.
Remarks:
Boring #
13
Ground
elev.
n4fi_
Depth to
limiting
factor in. Remarks: 1ho-N-�e GQ S t �+ (S i A 4-iftl
CST Name (Please Print) Si Telephone No.
,, V.\ a - 71-5 Z -/ 2-7G0k
Address
Date ' - —0 4 CST Number
o �Z S� vi 3 -,76 ES2 0-5 3 a
f
' PROP.tF %TY OWNER f �-f — SOIL DESCRIPTION REPORT
�
Page ofd
PARCEL 1:0.11
Boring # Horizon Depth Dominant Color Mottles Structure 2
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed ,Trench
W Z 3 .i
Z X31 0 —
Ground
Depth to
limiting
factor
Remarks:
Boring #
Z I o v r —
Ground
elev.
Depth to
limiting
fa ctor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # VKQ
13
e5 d� t
2 -B -
Ground
elev.
Depth to
limiting ;
factor
$ P-- in. Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBD -8330 (R.9/98)
l
/ f PAGE�OF�
NAME S fav-�- LOT# 7 LEGAL DESCRIPTIONSw ' /460 /< S ig T3 1,N.R 18 E (or&
SCALE: 1
BM I ELEVATION bDQ,_o
BM I DESCRIPTION -{pp 0t I M A, , -f - �
BM 2 ELEVATION 16. tO
BM 2 DESCRIPTION I " Oondu:+ 1044, - /
SYSTEM ELEVATION cf �• /U
ALTERNATE ELEVATION �Lr Z U IC
CONTOUR ELEVATION /(A4
as
� VN , 1
VP •
SIGNATURE DATE
- afety and Buildings L'ivis'son County
201 W, Washington Ave., P.O. Box 7167
5 Madison, WI 53"!07 - 7162 ice Address
j
lsconsin , -f '4- 4 z peozyf # 21 D `i
Department of Commerce Sadtsry permit Number
Sanitary Permit Application
In word wilt C=W 53,21, Wis. Alm, Coda, Personal ittformatioa you provide ❑heck if Revision
my be wed MWEM pdv BOY taw 1115-2gl I Sialt Man I.D. Number
i. Applia►#Ion IalorneatioA - Please Prat AD Idort mUm
e
� Ptropetty Oa►ver ": Now P7 A �w� ,�k z.to —►o — � propsm Owner's Mttiliog A4"I r ocation
,s� s >�
son Code Lot Number Block Number
Subdiv
city, S ision Name CSM Number
7/, U.
II. Type of 5W Ed►eck alt that apply) O �,5 r- e7 ",.a � o r, 13Ci�
1 or 2 Famliy Dwelling - Number of Bodracraa J ❑vi114ga
11 PubliclCaumerow - Describe Use ; S'TowWW
❑ SptbQ Owned Nearest Road Ze�r � IL2 S Ai�
M. Type of Permit: (Check only one box on It= A (numbauls scheme for h=tomw use). Complete line Bit applicable)
I New 2 0 AaP]sasment System 3 ❑ Repiacemerte of 6 ❑ Additian to
Foe Coin use
Tack oai m
B. 0 ( tf Su un parmu Previously lasuod
Permit Number Date Isnud j
IV. Type d Fermin (Cheek All that apply)(numbering scheme is for late=l rise) -
44)Non pmn irad Jo4round 21❑ Mound 47 ❑ Sued Filter 50 ❑ Conmucted Wetland
22 0 Presiurixed In- Ground 41 ❑ Holding Tank 48 0 Sin=!e pass 111 Q U14P Line
4110 Ap -Orade 46 Q Aerobic 7 mimea Unit 44 Q RecLr-W=nj 3a Q O# r
V. Area Iaformatlon: Percolaaom Rw S1mm Blevadoa Final Grade
Demp Plow (00 �� Am p D}apareal Ara Sell Applicatiaa Stevadon
proposal(. 00 Rdte(Qals.lDayslS4'Fr -) (Min.Axh)
l r 7 �r/� � rD 9 `t G
VI. Tack Into Cdpsci<yy is Tani Number Waaut"wer Prefab Site Steel Fiber Plastic
{bus odious of Tanks Concrete Can:zntctad old11s
Nsvr 8ziatlna AW isle
s� or
ne.;as t
assume ras ftiiy for of the Mrs ebowu ore t1u attached
YM bill s tstement- I, she n Number pulleib1111 Pbo7N=berr
plumber "s Name (Pant) pitymbar'a 5igaa°u° dill
31.21
Plumber 's A44M (Street, City, State, UP Code)
VIII. Catmt /De Rldmw Use 01d
Permit Fee (includes Groundwater Daos Usaved
kApptrned Q Disspprovcd S u biri Agent Signa CNo Smtnps)
❑ owner ON= Initial Adverse �•�-- I O Z
Da _
CC. of ApprovaURaasott11 tpr Diaaa`'ay
be PA IAA
g,�r`CCs
e�AS
AaaeL oaaaplete plans (to the COW oeiy) for the lymm oa Paper' vet tear tlua ail bschee !m d:e
SBD -6398 (R. 05/01)
`c� li, trU S,�d � � � c>�� �a o /� <'.vc� /� � �-S �iy.� o � S'7`.r :� `✓�c^�. ,'/' �' z
s
wP -4 ,,L�' 4 e-
AOIA
a� �G
a
Q
z .A
�Y
0
OCId
Tn-)epartment of Comm'arce' � S OIL AND ITE EVALUATION - 2Y ° � l � ` afety and Buildings Page of
of Integrated Services in accordance wi Co m a x:09 Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz `kian*6st � C ounty T ( 2-
include, but not limited to: vertical and horizontal reference point (BM), and
percent slope, scale or dimensions, north arrow, and location and dis 6'16 nearest'roa�ls #
APPLICANT INFORMATION - Please print all information. ey Date
Personal information you provide may be used for secondary purposes (Privacy Law, s: 15.04
Y }: �
Property Owner Prod
Govt., Lo (�� % � J1/4 S l T N,R E (orC
Property Owner's Mailing Address Lot # Btock# ubd. Name or CSM#
City State Zip Code Phone b
Numer Nearest Road
_ ❑City Village ['� To
Ea New Construction Use: Residential / Number of bedrooms '`y Addition to existing building
Replacement Public or commercial - Describe: -1
Code derived daily flow &0 0gpd Recommended design loading rate f ! bed, gpd/ft • _ trench, gpd/ft
Absorption area required bed, ft2 7_5-(D trench, ft Maximum design loading rate 1 - 7 bed, gpd /fl? gpd /ft
Recommended infiltration surface elevation(s) q7. U ft (as referred to site plan benchmark)
Additional design /site considerations Y4L4F c �t WR 2 y
t
Parent material I . I Flood plain elevation, if applicable /I✓/!q" ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system [A S U 59 S El P s El U S El El ® U El ® U
SOIL DESCRIPTION REPORT C
, 4F14
Boring Horizon Depth Dominant Color Mottles Structure GPD /ft
g Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Ground
elev.
9 •G
Depth to
limiting
factor
q_in. 3° G
Remarks:
Boring # r � 10` r �/Z """ S; , � M\ rl r
Ground
elev.
n4f Lft.
Depth to 3 (p , 7 . (o
limiting
fa in. Remarks: � V10 - E'4 �P GGC �+ i Or1
CST Name (Please Print) Si re Telephone No.
✓� Q k e - 7 /S2 e /7 — y 1 60k
Address Date CST Number
Z ► 13 0 _so Im r 4- "1 �'`/vZ S' 3 �Z � cc-) zs 3�
l lL
PROPERTY OWNER ) SOIL DESCRIPTION REPORT
Page –a r 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
2- -81
Ground
elev.
Y�ft. i
Depth to
limiting
factor
—in.
Remarks:
Boring #
Ground
elev.
g 9.3o ft. '
Depth to
limiting
factor
in.
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 J# 1 `7 a _ -S
Ground
elev.
Depth to
limiting
factor
in. Remarks:
Boring #
fl
Ground
elev.
ft. '
Depth to
limiting
factor
in. Remarks:
SBD -8330 (R.9/98)
PAGE_ ?_OF__:�)
NAME LOT# '7 LEGAL DESCRIPTIONSW ' /,W /4,S IS T.3 1,N,R !S E (004P
SCALE: I "=
BM I ELEVATION ((10,(1
BM I DESCRIPTION 0 9 1 onjo, - InA, W/ �
BM 2 ELEVATION q6 . t d
BM 2 DESCRIPTION 4, o f "�ondv: �„�{� ,,,s /gi
SYSTEM ELEVATION c( - 2• /
ALTERNATE ELEVATION q6, Z U ?C
CONTOUR ELEVATION /iA4
�fo 3
as
`� pe
SIGNATURE DATE 0 6 �
f
a
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567 -P (R.6/99).
Table 1: System Design S ecifications
Sanita Permi Nu AfZO 53
Number of Bedrooms 3
Design Flow - Pear (gpd) S_O
Estimated Flow - Average ( d O
Septic Tank Capacity (gal)
Soil Absorption Component Size (ft) re
Type of Wastewater EYornestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak ( pd) wo 2 i ,
Maximum Influent Particle Size (in) V 1/8
Maximum BOD (m /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and/or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Abso tion Component Inspect once every 3 years
Seotic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The utiet filte shall be cleaned as necessary to ensure
raper o er . n. The filter cartridge should not be removed unless provisions are macle To
reta solids in the tank that may slough off the filter when removed from its enclosure. If the
Management Flan for a Septic Ta are 56 Absorption Compar "Ont
filter Is equipped with an aiarrn,, the filter shall be serviced if the algrrn is activated continuously.
Inttrmtttent filter alarms may Indicate surge flows or an impendlMg oontinuouS alarm. The
septic tank shall have its oontenta removed when the 01016 Of re not roil In t at the
oxoe ds 413 the liquid volume of the tank. If the cont0 O f
time of an assessment, maintenance personnel shall aldvlas the owner of when the net service
needy to be perfom*d to maintain lest than maximum scum and sludge aeaarnulation in the
t ok,
Manhole risers, aacsss risers and covers should be inspected for water tightness and
Smiridnesa. Access openings used for service and a61e6ement shall be ss&*d wat" ght upon
the completion of set as. Any opening doomed unsound, defective, Or sub sct to ftlkn must
ba repia0d. , Exposed same openings t e or u ized
greater a 6401184 r digm#W shall secured by
9n effecNe Iooltlnq devlce to preven acid
No one should enter a septic or other ab"iment or holes j f*r
any reason without bang In full oomonnes with 0"
eWdrinE a confinsd apses. 0e� l and of oth
cue o! a
trwMilant of hoong► tank May MN Ea
pereoa fto 9" intwior of Me tank may be dls'WN or lMp"ble.
Tank abandonment snail be In accordance with Comm 83,33, We. Adm. Code
toner, t
tank Is no WW used as a POWTS component.
Ball U192011 At
The soli absorption camponent�! im of s�ura'Nonlof d"l to shown �n
wastewater from s residential facinity.
Table 2.
The rongev4 of a so l l absorptio oom n onant depends greatly on proper and timely
p
rrlaintenanos, and system us* within or below the lirrilte of reliable Operation, Good water
conservation practices by ail 0004ants and the insteli no o conserving plumbing
fixtures are key factors In extending the useful life o p onin
The soil absorption component ' opera must be else
ssed by InspecAion at least
ance every three years, The Inspection shah Include recording tfio levels of ponding. If any, in
the ob ervalow pipes, and a visual Inspection for any evidence of surface seepage or discharge
from the asmponent. On staoply sloping sitse, gross of eroslon Should be Identified and
raporked to the owner for repair. The Surface discharge of domestic wastewater or sewage
from the sysiern Is prohibited and consldered a human health hazard
Traffic around or over the soil absorption component should be avoided p8r11cularly
during winter months, The compaction or removal of snow cover oust the component may lead
to hydraulic fallun by freeiing. This type of failure is usually ternporary, but is difficult or
irnpo"ibie to repair un til weather conditi improve, In g e nera!, soil compacti over this
component will reduce dif elon of oxygen Into the soil and disporssl 011, which may lead to
more intense, and earlier, organic olog ng of the 5011.
2
t
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep - rooted trees and shrubs directly over of within ten feet of the component
should be avoided since root intrusion into the component may obstruct wastewater flow.
Contingency Plan
In the event of system failure, a new system could be Installed in an alternate area. With the
Installation of a diverter valve, the existing system could also be reused after a period of three to
four years.
It is the property owners responsibility to maintain the alternate area free from any planting of
trees, shrubs, etc. In case of failure of the original system, the alternate area will be needed. If
any trees, shrubs, etc. have been planted on the alternate area, they will have to be removed at
property Owners expense.
If alternate area is destroyed, there are other alternative systems that can be used, in which,
could result In added expense to the property owner,
Any tank abandonment shall be done in accordance with Wise. Code 83.33, Any questions
reg"ng this code, please contact your local Zoning Office or contact the Installing plumber.
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer L e44 �-
Mailing Address 2 i t
Property .Address a l a
{Verification required from planning Department for new construction) _._
City /State Parcel Identification Number 6 u'O r °'— °t' �• losS�
LLAL MCR
Property Location � ' /a, z %, Sec. � T N -R W, Town of Y A
o ll� �- S Lot #
Subdivision .._..
Certified Survey Map # _______ , Volume 3 ,Page; # .._._
Warranty Deed # 4'/ /S . Volume , Page #
Spec house K yes ❑ no Lot lines identifiable yes ❑ no
A7iV.E_- MAnazNANCE
improper use ad maintenance of your septic system could result in its premature failure to handle wastes. Proper mamtenan.ce
consists of pumping out the septic tank every throe years or sooner, if needed by a licensed pumper. What you put into the system.
can affect the function of the $Optic 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
masterplumber, journeyman pbamber, restrictedplumber or a licensedpumper 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 113 full of sludge.
1/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standai�
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days Af the three year oxpuation date.
X )�" M(114—
IONATURE OF APPLICANT DATE
OWNER_CER C
I (we) car* that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE OF APPL CANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the 7.oning 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 decd
C11 "3111-
STATE BAR OF WISCONSIN FORM 2 .1998
Document Number WARRANTY DEED
T
This Deed, made between Gayle K. Callahan and Rosemary K.
Callahan, husband and wife
MAC 9;4'� 01
Grantor,
conveys and Warrants to Richard O t out and Janet P, Stout. husband and
wife
0
Grantee.
Grantor, for a valuable consideration, conveys and warrants to Grantee the ;H: 11
following described real estate in St. Croix County, State of Wisconsin (The oU `E-': 6•10
"Property"):
Recording Area
Name and Return Address
P F� `t-
038-1077-70
Parcel Identification Number (PIN)
This Is homestead property.
SW 'A of SW 1 /4 of Section 18, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin which
includes Lot I of Certified Survey Map in Vol. 13, Page 3750, Doc. No. 612266.
Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any.
Dated this C4— day of February, 2000.
Gayl . Callahan
osemary s7 it
an
ACKNOWLEDGMENT
STATE OF WISCONSIN )
AUTHENTICATION ) ss.
County
si Gayle K. Callahan and Rosemary K. Callahan.
husband and wife Personally came before me this _ day of February,
2000, the above named
authenticated t hi s d o f February, to me known to be the
person(s) who executed the foregoing instrument and acknowledge
the same.
• Kristina Ogiandl
TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public, State of Wisconsin
(If not, My Commission is permanent, (If not, state expiration date:
authorized by § 706.06, Wis. Statsj
MIS INSTRUMENT WAS DRAFTED BY
Attorney Kristina 0gland
Hudson, WI 54016
(Signatures tray b or acknowledged. Both are not necessary.)
'Names of persons signing in any capacity should be t or printed below their Signatures
WARRANTY DEED STATE BAR OF WISCONSIN
FORM N.. 2 - 1993
INFORMATION PROFESSIONALS COMPANY FOND 00 LAC, W SOO-655-2021
W
w
3: 1 z 3 1.8410 AC
a 81,000 S
I ~
W L/ f411,r c�
Z S 89°33'59' E 375.44'
p 33.00' 1 .
S I.L=
w I ® �aa.f
A
z I I 4 10
ACRES 41 1 .808 ACRE
�
68,705 80 FT 78,788 80 F
A I �'
w .
3 .
41•E333 ga E3
1.508 ACRES
.- 416 80 FT
ENUE) m
N D
CL
I 2.111 ACRES
I D F - I 91,986 so F r l ` � 3.p8, 41' E 4(
wl N o I �\
Z U I Z 1.525 AC
(n 55,432 80 Fr
= I I ��'8•
88°3318' E 312.27
4•
QO �' r *A�
v W
p � 1.51
• 1.405 ACRES 415,8's
411,117 80 FT
L
arL�.fss 1 I I
SW CORNER
SECTION 18 93 N 89'38'18• W 709.78'
BENCHMARK
TOP OF MONUMENT SOUTH LINE O THE S W1 /4
70.00'
U.S.O.B. DATUM OF 1929
THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 99-179 DATE: 6-1 4-00 U N P
V
J
• _� Cv ° o
W o
N 0 � LL
7• �, � W eo X O oGl
'y c� �. o -
Lu O Z
C\j -/ I O L
Co
;lp
T• v
II � II �
z _
! l
U
CD - --
LO N
N ao
co
,.
1
c c
AA I I
N
_LO
m co
CO CO
o N
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE SOUTHWEST QUARTER OF
PREPARED FOR THE SOUTHWEST QUARTER OF SECTION 18, TOWNSHIP
RICHARD 0. STOUT 31 NORTH, RANGE 18 WEST, BEING LOT 3 OF CERTIFIED
JANET P. STOUT SURVEY MAP VOLUME 14, PAGE 3838, AND PART OF w z
1353 AWATUKEE TRAIL LOT 4 OF THE PLAT OF ROLLING OAKS, TOWN OF STAR N
HUDSON wl 54016 PRAIRIE, ST. CROIX COUNTY, WISCONSIN. o cn N
P FOR: SURVEYOR: 0 0
ADAM SCHUMACHER DOUGLAS J. ZAHLER u, g
2113 80TH STREET S & N LAND SURVEYING, INC. LL w m
SOMERSET, WI 54025 2920 ENLOE STREET ¢ z O
HUDSON, WI 54016 � LL
C)
c W1 /4 COR. SEC. 18
w w CE w
0
36 I LOT 2 C. S. M. VOL. 14, _ — 3838 j
—j - - - - -- —
N89 0 33'59 'W 431. 69'
dfi
Go
w1 ! 1
1 I 1 I ; pRAG LOT 3
1.84 ACRES
�j � t/
1 N I SANG 1 cy `�.�/
I� of ��R J� �y 80,107 SO FT �
�0
1 / I STORM WATER °� /
1 DETENTION AREA N � /
w l I I cy I H.W.L. =955.1 2 l
1 I I W N89 °33'59 "W N89 °33'59'
126.38' 127.92'
N O i I W l i se a5 aa� ' "� 22
T
cm
ci
Z 8
g 1 1 1 O -u)' y &W 22
�C6
�1 Hil N � 1 ��� ( 8 N
NI 47� 1 Z LOT 4 0)
=I
N 1.53 ACRES 0
A I 1 I �2� I 66,7511 SO FT
Z C
w l I I I � _. _
1 I 33 '1 33 '
�+ 1 6 i6
N 333.31'
I _ n183 °06'41 "E 5 1 9
1 i � N83 °06'41 "E - -
i I 1� I 33.22 ' ROLLING OAKS
SW COR. SEC. 18
BENCHMARK =970.0 LEGEND
NOTES FOUND ALUMINUM COUNTY
PROPERTY OWNER ACQUIRED THE ORIGINAL PROPERTY WITH SECTION CORNER MONUMENT
DOCUMENT #725357 AND IS ADDING ADJOINING PROPERTY FROM FOUND 1 OUTSIDE DIAMETER IRON PIPE
DOCUMENT # �2.( 14 (y �� y . THIS MAP SHOWS THE
EXCHANGE OF LAND BETWEEN ADJOINING PARCELS AND HAS SET 1" OUTSIDE DIAMETER BY 18"
BEEN COMPLETED WITH DOCUMENT #734193. NO NEW LOTS ARE LONG IRON PIPE, WEIGHING 1.13 LBS.
CREATED BY THIS INSTRUMENT. PER LINEAR FOOT
— — — — 100' ROADWAY SETBACK LINE
ALL CONDITIONS, RESTRICTIONS, NOTES, ETC. LISTED ON THE
PREVIOUS CERTIFIED SURVEY MAP OR PLAT ARE APPLICABLE • EXISTING SEPTIC VENTS
UNLESS OTHERWISE INDICATED, 0 FOUND 2" OUTSIDE DIAMETER IRON PIPE
SCALE IN FEET 1" = 100' Ow EXISTING WELL
iia H.W.L. HIGH WATER LINE ELEVATION
100 0 100 0 EXISTING SEPTIC TANK
THIS INSTRUMENT DRAFTED BY: WILLIAM KANE
JOB NO. 6052-21 DATE: 09 /15/03 SHEET 1 OF 2 SHEETS