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HomeMy WebLinkAbout038-1087-30-030 f Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. C roix Safet Vlding Division INSPECTION REPORT Sanitary Permit No: ATTACH TO PER $ 5' 0 GENERAL INFORMATION T) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.16.04 (1)(m)]. A)A- Perm oldees Name: City Village X ownship Parcel Tax No: CST BM Elev: Insp. BM Elev: A 21. 1�. 35 — 36 BM Description: Section/Town /Range/Map No: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 'n 1 Ben mark I (r 't �-tn 7• to y < - r I d Dosing Alt. BM Go cc, / Aeration Bldg. Sewer Holding St/Ht Inlet o � /oo • - 2� TANK SETBACK INFORMATION St/Ht outlet TANK TO P/�„ WELL BLDG. Vent to Air Intake ROAD Dt Inlet a � Septic J Z � Dt Bottom Dosing - Header /Man. �• Aeration Dist. Pipe ,$ c�� Z Holding 3 '7 OPT I Bot. System 7, Col 7•Z �.3 . b PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover y ' �� (► i 4%0 A 3.1 Model Nu er GPM TDH Lift Friction Loss System DH Ft Forcemain L ength Dia. Dist. to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS :3 1 6:5 rj SETBACK SYSTEM TO P/L BBL WELL LAKE /STREAM LEACHING INFORMATION Typ Manufacturer: r CHAMBER OR �V rX e f System:, I A p N { f� y _ UNIT Model Number: Co daup� 7 V Art, 3(p DISTRIBUTION SYSTEM AJC /3 fo Header /Manifold �/ Diserisution x Hole Size x Hole Spacing Vent t Intake P()\ ` Length_ Dia_ Length Dia Spacing \ e �_ 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 BedlTrench Center Bed/Trench Edges Topsoil \` Yes Fft� No Yes ® No COMMENTS: (Include code discrepencie persons present, etc.) Inspection # #1: / f / In ection #2: / / Location: f (✓�o�e.J�,/ 61 � T�,N+K.. GbcL�Q,� 4 arcel No: 1.) Alt BM Description = 2.) Bldg sewer length = le, - amount of cover = %I Plan revision Required? Fiq� Yes No Fib 1 he I M 4 Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Si ature Cert. No. JA commerce .wl.gov Safety and Buildings Division County E 201 W. Washington Ave., P.O. Box 7162 St. Croix i sco n s i n Madison. WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce Sanitary Permit Applieat State Transa tion Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the apprepriaw gwAafap4wal unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for se ndary 2066 CTH C p urposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. 1. Application Information se Print All Information Property Owner's Name / Parcel # D Mark & Julie Ball U -Ji' Property Owner's Mailing Address Property Location 359A-- 2066 CTH C ST. CROIX COUNTY �. J Govt. Lot OFFICE City, State Zip Code PLA SW l NE 21 / <, /e, Section Somerset 54025 60 -0 36 T 31 N, R 18 (circlE o W IL T e of Building (check all that apply) G/G # 1 or 2 Family Dwelling - Number of Bedroo 4 1 Subdivision Name Block # N A ❑ Public /Commercial - Describe Use a ❑ City of ❑ State f O O wned- Describe Use Q CS N/amber �/ �J, Li Village of L A.S+- G G4 S w 1 r g � (� a [fj /1/ Y h ,�� Town of Sta Prairie 111. Type of Permit: (C ecky6lyone box on line A. Complete line B if applicable) A. ❑ New System R Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. El Permit Renewal ❑Permit Revision ❑Change of Plumber ❑ List Previous Permit Number and Date Issued Permit Transfer to New � � l � ly�0 Q Be Expiration Owner S IV. T e of POWTS System/Component/Device: Check all that a pply) Vo n-Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) �6� D/ l ©L ❑ Pretreatment evice p ) V. Dispersal/Trewt mcut Area Information: / ._ Design Flow (gp Design Soil Appli ion Rate(gpdsf) Dispersal Area R uired (sf) Dispersal A (sf) System Elevation 600 .7 857 875 1 95.25 V1. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o a v New Tanks Existing Tanks m e v y se-6�- (- a v 75 H v, C7 a Septic or Holding rank 1200 1200 1 1 Wieser X Dosing Chamber VI I. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Sign a r MP /MPRS Number Business Phone Number Plumber's Rick Brown 231251 419 - 0739 Plumber's Address (Street, City, State, Zip Code) 319 Badger Rd. Rice Lake WI 54868 VIII. 'ount /De artment Use Onl pprove Disapp Permit Fee �j Date sued Issuing nt Signat e iven Reason for Dent $ ✓ 2:16 9 2 IX. ConditiSN for Disapproval ?` 01 1. Septic tank effluent filter and J`/ dispersal call must all be services / maintained I as per management plan provided by plumber. OL I X All setback t e9 uirements must be maintained eiM � �LL r as per applicable code / ordinances. pages "t(he Coun on p not less tha µ /2 x I inches in size Post -it® Fax Note 7671 Date # of � // I /v To .I "� ry� /� From / Co. /Dept. I Co. lid s Phone # Phone # Fax # Fax # STEEL'S SOIL SERVICE 3 of 3 David J. Steel Mark and Julie Ball 1699 150th St. CST- POWTSM SWl / /4,S21,T31N,R18W New Richmond, Wl 54017 Lic. #248956 Town of Star Prairie, St. Croix Co. Direct 715- 760 -0347 CSM Lot 1 Fax -715- 246 -0318 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as ermanent I 1' p of lines were not established at the time the soil test was conducted. Legend N 1 " =40' ♦ = Benchmark Ele. 100.00 ft a Top of 3/4" pvc pipe 0 14 • = Alt Benchmark El 100.25 ft Top of 3/4" pvc pipe 13 = Borings Boring Elevations 5 BI = 98.25 ft B2 = 98.25 ft B3 = 93.55 ft B4 = 0.00 ft I j,31z -� d f r 2 -7' 9 s. Z5- Chambers Cover Page Page l of 4 Project Name: Ball Owner's Name: Mark & Julie Ball Owner's Address: 2066 CTH C Somerset WI 54025 Phone Number: 715- 760 -0636 Legal Description: SW 1 /4 NE 1 /4 21 32 - 18W Township: Star Prairie County: St. Croix Subdivision: Lot Number: 1 Block: Parcel ID Number: Table of Contents Page 1 Cover Page Page 2 Calculations and Drawings Page 3 Management and Contingency Plan Page 4 Septic Tank Cross Section Page 5 Plot Map Page 6 Total Number of Pages 5 Designer Name: Rick Brown License Number: 231251 Phone Number: 715- 419 -0739 Date: Signature: 9 - 1�-� Design Methods Used "in-ground Soil Absorption component Manual for Private Onsite Wastewater Treatment Systems" (Version 1.0) SBD- 10705 -P (R -6/99) 54" 41" ; 64" z r N rn rn M 21" r I 45j" i \ 6" _0 31, t 1 m D m -6 Om n i 11 1t U u z z 7 En O D C m F D n Z C C N n n D 2 N rT1 U) = r r v rn v A Z O D A —rnlrni rn z O p O D0 2 Z a rtpN M mN � — -1- ➢ 'AAAoN� OCOV- �G�Z arz 0 vs c _ • • z -� rn — ao rn r cn m 0 rn om z cDn - V rn D I D C-0 Cc a N = 71 C) v v rn r V) o c z 0 �r i cnm �a v D Z m D D rn 0 ;0 D N p Wa z Com > � -+ 0 D a Om oM � Z m Z ° rn� O ff! C z � = sn V) r M o Z c r - I* C z M 0 M M A M rn rn WLP1000 —FDL SCALE:1 4" = 1' REV N0. DATE: ° rn MHER NICIETE o � DRAWN 9Y:SWT SEPTIC MANUAL W3716 US HWY10, MAIDEN ROCK, YA 54750 DATE: JANUARY 2008 0 ° REV. JAN. 2008 800- 325 -8456 FILE: WLP1000 -FDL i I Il i I I r Z 0 cl LLJ F- ate= Q �LUo U "LL 0 N () Q CD 00 — M Q w 0 0 0 O U) U- tL U- a ; M<000 2 v� H Iu p o Z `- U m O d mam w UL O n A �i ti 0 0 N Z O h Ww g O LL �d- W LL O to tD r � N O N r F- d F d W N Y O O 4 co co do 1 N O O m s W� s a ma • � � O of • STEEL'S SOIL SERVICE 3 of 3 David J. Steel Mark and Julie Ball 1699 150th St. CST- POWTSM SW1/4,NE1/4,S21,T31N,R18W New Richmond, WI 54017 Lic. #248956 Town of Star Prairie, St. Croix Co. Direct 715- 760 -0347 CSM Lot 1 Fax - 715- 246 -0318 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1 " =40' _ ♦ = Benchmark Ele. 100.00 ft I • Top of 3/4" pvc pipe Alt Benchmark El 100.25 ft Top of 3/4" pvc pipe E3 = Borings f Boring Elevations BI = 98.25 ft B2 = 98.25 ft 3.3 B3 = 93.55 ft --�47 B4 = 0.00 ft - A. oa f f o f x r - e",j �3 9 S S 3� rseon r,in SOIL EVALUATION REPORT #2116 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service Attach complete site plan on paper not less than 8% x 11 inches in size. Pla st County St. Croix include, but not limited to: vertical and horizontal reference poIV�dir ti d percent slope, scale or dimensions, north arrow, and Iota di c est road. Parcel I.D. Please print all informatio Revie ed B � Date Personal information yo p i e be used (Privacy Law, s. 15.04 (1) (m)). Property Owner /� II�� Property Location Mark & Julie B41 VN� JUN 012009 Govt. Lot na SW1 /4, NE1 /4, S21, T31N, R18W Property Owner's dress Lot Block # Subd. Name or CSM# 20MCty Rd C PLANNING & ZONING OFFICE 2 na CS 4pz lx i;� City State Zip Code Phone Number City Village i I Town Nearest Road Somerset WI 54025 1 715 - 760 - 0636 Star Prairie Cty Rd C New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement Public or commercial - Describe: na Parent material outwash Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 97.00ft. Trenches spaced and depth to code 3.00ft below grade. and recommendations: F- 1 Boring # Boring Pit Ground surface elev. 100.00 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Eff#2 1 0 -4 10yr3/4 none sl 2msbk dfr cs lvf 0.6 1.0 2 4 -11 10yr4 /4 none sl 2msbk dfr cs lvf 0.6 1.0 3 11 -45 7.5yr4/4 none grins osg ml cs na .7 1.6 4 45 -120 7.5yr4/6 none r cos osg ml na na .7 1.6 �` , Boring ❑ Boring # i Pit Ground surface elev. 100.00 — ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistency Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -5 10yr3/4 none sl 2ms bk dfr cs lvf 0.6 1.0 2 5 -11 10yr4 /4 none 5 2msbk dfr cs lvf 0.6 1.0 3 11 -60 7.5yr4/4 none grcos osg ml cs na .7 1.6 4 60 -120 7.5yr4/6 none cos osg ml na na .7 1.6 � it yA Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) r , Signature: _ - CST Number David J. Steel - - -! - 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 1699 150th St New Richmond, WI 54017 5/29/2009 715- 760 -0347 SBD -8330 (R.07 /00) Property Owner Mark & Julie Ball Parcel ID # Page 2 of 3 Boring Boring # 1 Pit Ground surface elev. 100.00 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 10yr3 /4 none sl 2msbk dfr cs 1vf 0.6 1.0 2 10 -19 10yr4 /4 none sl 2msbk dfr cs 1vf 0.6 1.0 3 19 -60 7.5yr4/4 none grcos osg ml cs na .7 1.6 4 60 -120 7.5yr4/6 none cos osg ml na na .7 1.6 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 I - Eff#2 F Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application R ate 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 " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Steel's Soil Service l_ STEEL'S SOIL SERVICE 3 of 3 David J. Steel Mark and Julie Ball 1699 150th St. CST - POWTSM SWl /4,NEl /4,S21,T31N,R18W New Richmond, WI 54017 Lic. #248956 Town of Star Prairie, St. Croix Co. Direct 715- 760 -0347 CSM Lot 2 Fax 715- 246 -0318 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1 " =40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark El 100.25 ft Top of 3/4" pvc pipe y 0 = Borings Boring Elevations BI = 100.00 ft B2 = 100.00 ft i (, 0 B3 = 97.00 ft_ B4= 0.00 ft (,0'r Z ems 3 V j _ �,.✓ y .� /G 1 `'V ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer ic 1R.- I � Mailing Address L Property Address ��-� ���_ (J-) f � � 2 S (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number 030 LEGAL DESCRIPTION Property Location '4, �� '/, , Sec. Z ( T 3 ( N R_J�_W, Town of ST P- P RAl21 C" Subdivision Plat: �S � , Lot # Certified Survey Map # , Volume z , Page # .� Warranty Deed # ' I/ 9� ��o (before 2007)Volume , Page # Spec house i yes ; ? no Lot lines identifiable ! yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance — responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( I ) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. t /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 been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I /we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. N U bedrooms l zz / ZO Ie,) SIGNATME OF APPLICANT(S) DATE 7 --Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) � . I lillll IIIII'' illil illl Illlli Illf IIII A *: h Country Surveying, Inc. Douglas R. Crane, P.L.S. 1 7875 Big Doctor Lake Road Siren, Wisconsin 54872 -8405 BETH PABST (715) 349 -5957 REGISTER OF DEEDS j ST. CROIX CO., WI ST. CR OIX CO UNT Y 7� RECEIVED FOR RECORD 08/03/2009 11:30AM CER SU MAP NO. CERTIFIED SURVEY MAP -- VOL: 24 PAGE: 5641 A Parcel of Land Located in the Southwest V4 of the REC FEE: 15.00 Northeast /i, Section 21, Township 31 North, COPY FEE: 4.00 Range 18 West, Town of Star Prairie, PAGES: 3 St. Croix County, Wisconsin North y Corner GRAPHIC SCALE Section 21 1" = 160' 1s P. O. C. y Northeast Corner �? DOUGLAS R. i o' too' 160' 320' Section 21 a CRANE _ N P.O.B. 3 s -1x11 N SIREN 8 NTY 1 " ° SWy —NEY Corner m Unplatted Sall Parcels ? NISC. g r 8 N ------------- - - - - -- �^ / (R. S89'44'10 - E) at N89'22'45'E 400.00' N89'22 45 E - - - - - -- 2248.29' NN ��IO (ll�t� / N Note on°Fence Sea Note on Fsnce V71 N o On Page 2 � _ hi O East Y+ Corner I tn 1 t p+ Mobue Home Sect - ion 21 r0 : !Q n£' l Pa3'£aL 4ii 4r I to g Y 570 Fence ---- Da -- -_ -_ �, IOt h I o Lot / N89'22'34 "E 332.65' 2 � �� Cb L (.589'44 10 E. 332.63 �' a C' W 130,680 sq. ft. o 0 3.00 acres p / N s I 389.85' / c (7 a S89'22'45'W 6p M m A I o fD m o v, rn 1 4 , (A / / B o p , I 1 : Lot 2 f3 i .•. I C-0 I — 1 I 256,371 sq. ft. `� . ,i , �Ri c o � N '� o n l *1 I 5.88 acres" , co 0 c • i rn I `�• ry .0 � ,� - - - -- ; I 0 I� 0 LEGEND O 1" x 24 ",1.68 lbs. /ft. Iron Pipe Set (1.315" O.D.) �� I 1 33 ' 33'I i 0 1" Iron Pipe Found (1.315" O.D.) ���� Q -Y4" Iron Pipe Found (1.050" O.D.) ® -' Rebar Found Survey Mark Nail Found County Aluminum Monument Found ® Soil Boring (R•) Recorded As 1 ' CI} Curve Identifier — See Curve Data Table CURVE DATA TABLE i Curve Lot No. Len th Radius Delta . C Bearin Chord T. Bearing T. Bearin C 1 Lot 2 7 4. 4' 4" 4 7' 75.06 4 b 'i 4 '4 '39' t 1 1. 7 4 N i' 177.49 7' - W N ni �� C I Easement 1 101,12' 1 121. 1' 1 47' 'O N24 *04 98.22 4'E I an I Note: The parcels) shown on this map are °u IN Note: Lots may be subject I� subject to State. County, and Town laws, to future special assessments rules, and regulations (i.e., wetlands, for any upgrades and minimum lot size, access to parcels, etc.). improvements to the road. Before purchasing or developing any South y Corner parcel(s), contact the St. Croix County Section 21 Planning and Zoning Department and the July 1, 2009 1 of 3 Town for advice. Page 1 of 3 Vol. 24 Page 5641 North country Surveying, Inc. Douglas R. Crane, P.L.S. 7875 Big Doctor Lake Road Siren, Wisconsin 54872 - 8405 (715)) 3 r. 4 � 9 . - 59 / 67 rD �v COU ST. CRoIX COUNTY CERTIFIED SURVEY MAP NO. COUNTY TREASURER'S CERTIFICATE: STATE OF WISCONSIN) ST. CROIX COUNTY )ss I, j— ;LQ<<p 6 - , being the qualified and acting County Treasurer of St. Croix County do hereby certify that in accordance with the records in my office, there are no unpaid taxes or unpaid special assessments as of A j A jz;t , 2009 on any of the land included nt inthis Certified Survey Map. JL-SI. p L - KD-0 Date: n �� TOWN OF STAR PRAIRIE APPROVAL Resolved, that this Certified Survey Map for Roger Olson, located in the southwest quarter of the northeast quarter, Section 21, Township 31 North, Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin, is hereby approved by the Town of Star Prairie. Town o Star Prairie Representative Date I hereby cer that the above is a true and correct co of a resolution adopted b Y fY PY P Y the Town of Star Prairie, Wisconsin. Town Clerk Date SUR VEYOR'S CERTIFICATE: I, Douglas R. Crane, a Wisconsin Registered Land Surveyor, do hereby certify that at the direction of Mark and Julie Ball, representing Roger and Nancy Olson, I have surveyed, mapped and described the parcel of land which is represented by this Certified Survey Map; that the exterior boundaries of said parcel surveyed and mapped are described as follows: A parcel of land located in the Southwest Quarter of the Northeast Quarter, Section 21, Township 31 North, Range 18 West of the Fourth Principal Meridian, Town of Star Prairie, County of St. Croix, State of Wisconsin, more specifically described as follows: Commencing at the North Quarter Corner of Section 21; thence S00° 10'42 "E, 1323.00 feet to the Point of Beginning; thence N89 °22'45 "E, 400.00 feet; thence S00 °37'41 "E, 228.97 feet; thence N89 °22'34'E, 332.65 feet; thence S42 °01'15 "W, 1014.90 feet; thence 75.08 feet along the arc of a curve that is concave to the North, with a radius of 894.98 feet, a central angle of 04 °48'24" and a chord bearing S44 °25'27 "W for 75.06 feet; thence N00 °10'42 "W, 1028.58 feet to the Point of Beginning; that to the best of my knowledge and belief this Certified Survey Map is a correct representation of the exterior boundaries of the parcel surveyed and described; that I have fully complied with the applicable provisions of Chapter 236 of the Wisconsin Statutes and t roix County Subdivision Control Ordinance in surveying and mapping the same. Doug as . Crane d�••e`�►' July 1, 2009 .11 Ft '•� '> omm ; Page 3 of 3 &MLIN ° C ' w •� 2 of 3 s p�iatmN+MM VM Vol. 24 Page 5641 . 9 ` V ' North %- ountry Surveying, Inc. Douglas R. Crane, P.L.S. 7875 Big Doctor Lake Road 4" Siren, Wisconsin 54872 -8405 (715) 349.5857 ST. CROIX COUNTY CERTIFIED SURVEY MAP NO. SUR YEYOR'S NOTES: 1) This survey is a division of that portion of the Southwest Quarter of the Northeast Quarter, Section 21, T31N -R18W, lying north of County Road C and excepting the parcel described in Volume 1188, page 570. Note that this parcel includes the vacated old County Highway C as described in Volume 541, p.292. An easement for access to other parcels exists over the old highway as shown on the face of this map. 2) County Highway C was changed in 1959 to its present location as described in Volume 360, page 222. We have used the deed, R/W plat [Project S1295(2)], and found monuments of the various surveys as shown on the face of the map to establish the Highway R/W. The monument shown at the westerly end on the north side of the highway is the southeast corner of Lot 1, CSM, V.4, p.934. 3) We have noted references on other surveys to an aluminum monument at the the Center of Section 21. This has not been used in the subdivision of the section in the previous surveys in the S W' /, -NE' /. and so we have also disregarded it for our work. I have noted the double corner at the West % Corner of the section, where an aluminum monument also has been disregarded. We used the l" iron pipe found for the West '/4 Corner according to the Monument Record Sheet for the current corner. 4) A 3/4" iron pipe monument was found S45 "53'W, 15.43' from the Northeast Comer of Lot 1. This monument lies on an old downed woven wire fence. A fence corner was found that lies S54 13.96' from the "40" corner and Point of Beginning of this map. The downed woven wire fence runs between the fence corner and the 3/4" pipe at approximately 8 to 10 feet south of the north line of this survey and continues to the east. We have noted that this does not fit the section breakdown that we have used nor does it fit with the monumented Center of Section discussed above. 5) In providing this boundary survey, no attempt has been made to obtain or show data concerning the existence, size, depth, condition, capacity, or location of any utility existing on this site or affecting this site, whether private, municipal or public owned. 6) No abstract of title, nor title commitment, or results of a title search were furnished to the surveyor. All documents of record reviewed are noted hereon. There may exist other documents of record that may affect this surveyed parcel. 7) The professional surveyor has made no investigation or independent search for easements of record, encumbrances, restrictive covenants, ownership title evidence, or any other facts that an accurate and current title search may disclose. 8) Subsurface and environmental conditions were not surveyed or examined or considered as part of this survey. No evidence or statement is made concerning the existence of underground or overhead conditions, containers or facilities that may affect the use or development of this property. 9) Copyright © North Country Surveying, Inc. All rights reserved. No part of this drawing may be reproduced by photocopying, recording or any other means, or stored, processed or transmitted in or by any computer or other systems without the prior written permission of North Country Surveying, Inc. and the surveyor responsible for this map. Copies of this map without an original signature and seal are not valid. Permission is hereby granted to the St. Croix County Register of Deeds to perform their ry business. APPROVED ST. cam cotoffy Doug a R. Crane G 0 3 2009 3 July 1, 2009 s ? * WJG AS FL "-. AU Page 2 of 3 COPA SIREN ; If not recorded within 30 days of �' •. WI 111pproval date null and void shad b8 ','Nr �M1111f1Mr►�� 3 of 3 Vol. 24 Page 5641 II (IIIIIIIIIII IIIIIIIIIIIII) STATE BAR OF WISCONSIN FORM 1- 2000 8 0 0 2 9 7 2 WARRANTY DEED Tx:4002421 Document Number II -_ 919567 This Deed, made between BETH PABST REGISTER OF DEEDS ._L �; � ! ST. CROIX CO., WI Grantor, RECEIVED FOR RECORD and �,T . _I :� ��,� 1 .1 07/26/2010 10:34 AM EXEMPT #: 8 REC FEE: 30.00 Grantee. I PAGES: 2 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in' or� _c-m t, County, State of Wisconsin (the "Property ") (if more space is needed, please attach addendum): Name and Return Address ,Q VYNI T30- 03 0 Parcel Identification Number (PIN) A This 1 !!! 5 homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Dated (� ' - day of : , I a a 4edy 1). (SEAL) `� �/ * �.._.. (SEAL) (SEAL) UTHENTICATION Ajftj�MKENT Signatures) State of Wisconsin, authenticated this day of r o t County. Personally came before me this {� L. day of a o I n , the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not, tome known to be the person 5— who executed the foregoing authorized by §706.06, Wis. Stats.) instrument and acknowledge the same. TH INSTRUMENT WAS DRAFTED BY Notary Public, ate of Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may a authenticated or acknowledged. Both are not necessary.) ) • Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. 1 Of 2 FORM No. 1 — 2000 Milwaukee. Wis. A parcel of land located in the Southwest Quarter of the Northeast Quarter, Section 21, Township 31 North, Range 18 West of the Fourth Principal Meridian, Town of Star Prairie, County of St. Croix, State of Wisconsin, more specifically deseribc d as follows: Commencing at the North Quarter Corner of Section 21; thence SW I (MME, 1323.00 feet to the Point of Beginning; thence N89"22'45"E, 400.00 kct; thence S00 "B, 228.97 feet; thence N89 332.65 feet; thence S42"01'l5 "W, 1014.90 feet; thence 75.09 feet along the arc of a curve that is concave to the North, with a radius of 894.98 feet, a central angle of 04 0 48'24" and a chord bearing S44 for 75.06 feet; d mw N00° 10'42 "W, 1028.58 feet to the Point of Bakinnim 2 of 2 I 7 \ , 1 1 i S I I f 7 1 f �f r i ( o A o t E S E N O O O I I III 1111 I E SE � 0924 d0 I'I'I1I ItIJJI, �y CIO 1 � . . . . . . . . . .. 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