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HomeMy WebLinkAbout040-1262-10-000 r x Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitarKS n 331vo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. S 2255 Permit Holder's Name: ❑ City ❑ Village Q Town o : State P lan ID No.: Miller, Sam Troy Township CST BM Elev.: Insp. BM Elev.: BM Description: 1J Parcel Tax N9 c D 0 ` D ' "-9-¢ _ SST l� ��tF-.�- pending TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ( ` Dosing r A t. BM 3.38 )0 '3- 19 r Aeration Bldg. Sewer Holding St /Ht Inlet q /y� `3 •y3 TANK SE BACK INFORMATION St/ Ht Outlet 91, y � q7. I I' TANK TO P/ L WELL BLDG. Air ir I to ntake ROAD Dt Inlet A Septic CD 14- ' .3 NA Dt Bottom - Dosing NA Header /Man. foss' �'6•`�Z Aeration NA Dist. Pipe a Z `l6.3r Holding Bot. System C I «• ' qr, , oS PUMP/ SIPHON INFORMATION Final Grade �„� 6 •<o' ' Manufacturer St cover 1 Model Number GPM TDH Lift Fr' ' n em TDH Ft oss ea Forcema� - Length Dia. Dist. To I SOIL A_B RPTION SYSTEM 'r BENCH Width r Length No f re aches PIT No. Of Pits Inside Dia. Liquid Depth DIME �S oZ DIMENSION Ma f��,,tturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING r(t- CHAMBER INFORMATION TypeO r i y R OR UNIT Model umber: System: v , (pi oc� DISTRIBUTION SYSTEM � � -+- a9 Header / Manifold � , Distribution Pipe(s) x Ho e x Hole Spacin Vent To Air Intake Length te=a° Dia. -1 Len Dia. Spacing 13� r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: ( Include code discrep nc es, p r ons re e t . nspectlon :_ vs /oz�oo spec ion luc�s Location: 547 Cambronne Street on �V 54�1 ��4 SW 1/4 5 T28N R19W) - 5.28.19. Frontier -Lot 1 1.) Alt BM Description = 1 � � �s,� . 2.) Bldg sewer length= 3 D r N ` p C�,C/ - amount of cover = *7 `l2 50 " Plan revision required Yes E] No m • ` Z- Use other side for addi tional information. 0 oZ M I ,j( ,; _` SBD -6710 (R.3/97) Date Inspector's Signature Cert No. r �K ADDITIONAL COMMENTS AND SKETCH ` SANITARY PERMIT NUMBER: a , f , r F. i e fl, z m ' s, a E t s 4 � t t § 7 L i a , »... ,- .m 3 t t x t 3 3 b s a ° t t � , e � a P� t a t = t , � 3 a a t i a e a s � ¢ d 1 s x ... e _ t E f , t � 1 s � 4 a c 5 C� g _ a � a t .�.�v. `x _ , »� s 1 Safety and Buildingsgirision SANITARY PERMIT APPLICATION 2 01 W. Washington• Avenue Visconsin - P O Box 7162 Department of Commerce In accord with Comm 83. �1 Adm -!6de �' Madison, WI 53707 -7162 A _ • Attach complete plans (to the county copy only) for the ^ `: � ; on pier not less County than 81/2 x 11 inches in size. r p t 6v s_1.; Cro / I \Ect, • See reverse side for instructions for completing this a i4, ation 1`� State Sanitary Permit Number P a r,, rt e.l� 3 -7 3 ( / � Personal information you provide may be used for secondary purposes y� Check it revisio to previous application (Privacy Law, s. 15.04 (1) (m)]. p,� TCOiJROYk to Plan Review Transaction Number r I. APPLICATION INFORMATION -PLEASE PRINT 1, ') F OBI Propertygw � r Name L ' ;_. Property tdcat n 4 .. , /4 ,S T z� ,N,Rt E(o Property Owner's Mailing Address Block Number Z 2 Cit , State le-C 0de Phone Number Subdivision Name or CSM Number t1 D soN Lul Y'49 f >F k oo ty 7 l II. TYPE O F B ILDIN : (check one) ❑ State Owned it .� (,� Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms c] Tow OF I Ko To LVEk AW, 111. BUILDING USE (If building type is public, check all that apply) Parcel Ta f Number(s) l � ` f� 1 ❑ Apartment/ Condo ` . I ,0 ? l 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV TYPE OF PERMIT (Check one box on line A. Check box on line B, if applicable) A) 1 _ New 2. [] Replacement 3. E] Replacementof 4. E] Reconnection of 5. ❑ Repair of an System _____- __System --- ------- __ Tank Only Existing System ________ Existinq System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 []Holding Tank 12 Seepage Trench LE 1kIG H 22 ❑ In- Ground Pressure ! 1 42 [] Pit Privy 13 ] Seepage Pit ICI /A/F/ L7XA -� k 3 X 7 S 43 ❑ Vault Privy 14 ❑ System -In -Fill 3 t ,'S SM f:7 v W W1 At 0 6 k C # - S Z y- 161 G VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 17 . Final Grade Required (sq. ft.) Proposed (sq. ft.) Gals/day /sq. ft.) Min. /inch) Elevation join d . 7 Sd " 7 4 ,,, '� � . `Feet 1 Qd. 00 Feet VII Capacit TANK in g allons Total # Of Prefab. Site Fiber- Exper. INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete st carted Steel glass Plastic App Tanks Tanks eptic Tan rkUoicU � 12SQ WX /r>RQ, - ❑ ❑ ❑ ❑ ❑ L I er ❑ I ❑ 1 ❑ 1 ❑ ❑ ❑ V111. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No S ps) MP /MPRSW No.: Business Phone Number: InI ig m-!DoNca !�R& , Ix 3 r-46 I 1 ?%0- ?<:6 P lumber's Address (Street, City, State, Zip Code): A 070 R II 12.10 P — f4UVV 50 ff 4A-" S ,946. IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit fee (includes Groundwater a e slue Issuing Agent Signature (No Stam ) A roved Surcharge Fee) pp ❑ Owner Given Initial (�/�( Adverse Determination a Z _ 5 00 J � "� X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: go Q ,., = T) C_ SBD -6398 (R.1 2199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1 _ A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a SanitaryperrMt Transfer / Rc!lr,ewal`Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to oe installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county,. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; pump pr siphon tanks; distribution boxes; soil absorption systems; replacement system areas,; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information_ ----------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these are used for monitoring groundwater contamination investigations and establishment of standards. �I I Z F� 7, / f Z6T CA n'l 8 kr A/ Al C- T& C- ' E, 7 c 4 .7 Ar - TAX t'o i V ) F- koe m z S A L, <LT I lo /e- , - 7 y- L 4 1 5 7 F. L OT S-f,4 X N ,. � Z IS r — O p C N c 75 T - N o 2, i ... x = o CL m g. L E a N C O N = N F- w -/ w O N 0 0 7 (� j .y C p 'O O � d > d D) T y Y A4 co x CO 0 ) yocc ,� � (D R1 N_ > CD CL o N Q J N LL E O= U S ` � �� -- "10 %J�� vu zo ic �--- i v f- o © -D Pi 1i 3 LL a W . 1 e r a a �+ �, ►� o a W OCIO� :. Wisoonsin Department ofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code A.C.E. Sod 8t Site Evaluations Attach complete site plan on paper not less than 8'/2 x t 1 inches in size. Plan must F-ParcolEDS inducts, but not limited to. vertical and horizorttal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow �distanos to nearest road. f 040 - 10 22 -10 & 040- 1021 -90 APPLICANT INFORMATION - �a 1ppr►nt aR ir�or9l�ation Date Personal information you provide may be u secondary, uses (Privacy s. 15.04 ( (m))• at Z sv Properly Owner �� L _ v Property Location oil Miller Sam _ Govt Lot NW 1!4 SW 1/4 S 5 T 28 N,R 19 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 151 ST CRC, X 1 Plat Of Frontier City S e ..'Zip � od • � , �lnblrTdNumber E] City E] Village ® Town Nearest Road Hudson 4($ � 76 Troy Tower Road ® New Construction Use: ' ` �(W edrooms 4 ❑Additio n to existing building ❑ Replacement ❑Public cribe Code Derived daily slow 600 bpd Recommended design loading rate .7 - ed, gpolft 8 �> 9P Absorption area required 857 -t5ed, W 750 Y fench, ft Maximum design loading rate •7 bed, gpd/R •8 trench, gpdff Recommended infiltration surface elevatim(s) 95.0' ft (as referred to site plan benchmark) Additional design 1 site considerations htstaH trenches using high capacity infiltrators. Parent material Glacial outwash Flood Main elevation, ff ap ! NA ft S- for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system l ® S❑ U ® S❑ u M S❑ U ® S❑ U ❑ S ®U ❑ S® U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -6 10yr3/2 None sl 2fsbk mvfr cs 2f 0.5 i 0.6 2 6 -25 10yr4/4 None sl 2msbk mfr aw if 0.5 i 0.6 Ground 3 25 -34 7.5yr4/6 None is Osg dl gw - 0.7 0.8 elev 100.80 It 4 34 -55 1Oyr4 /6 None s Osg dl gs - 0.7 0.8 Depth to 5 55 -82 10yr5/4 None s &gr. Osg dl gs - 0.7 0.8 limiti 82 -118 10yr6/4 None s Osg dl - - 0.7 0.8 factor r 6 e� Remarks: 2 1 0 -12 10yr3/2 None sl 2fsbk mvfr cs 2f 0.5 0.6 2 12 -27 10yr4/4 None sl 2msbk mfr aw if 0.5 0.6 Ground 3 27 -31 7.5yr4/6 None is Osg dl gw - 0.7 0.8 elev 99.56'ft 4 31 -50 1Oyr4/6 None s Osg dl gs - 0.7 0.8 Depth to 5 50 -85 1 Oyr5 /4 None s &gr. Osg dl gs - 0.7 0.8 limiting _ _ 0.7 0.8 factor 6 85 -115 10yr6/4 None s Osg dl Remarks: CST Name (Please Print) Signor e: Telephone No. James K. Thompson 715- 248 -7767 Adder A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 1229/1999 3602 1149 PROPER7VOWNER: Miller, Sam SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LDS Prt of040- 1022 -10 & 040- 1021 -90 A.C.E. Soil & Site Evaluations [ Horizon Depth Dominant Color Mottles S6ruchlre sistenoe Boundary Roots in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Bed Trench 3 1 0 -8 10yr3/2 None sl 2msbk mvfr as 2f 0.5 0.6 QQtir' 2 8 -20 10yr4 /4 None sl 2msbk mfr aw if 0.5 0.6 Grdund elev 3 20 -24 10yr5 /4 None s Osg ml gs - 0.7 0.8 99.79 It 4 24 -116 10yr6 /4 None s Osg ml - - 0.7 0.8 Depth to limiting b factor ' ' �( �• >116' Q Remarks: 4 1 0 -40 10yr4 /2 None sl fill NA NA AS - NA NA 2 40 -62 10yr5 /4 None s Osg dl gs - 0.7 0.8 Ground elev 3 62 -110 10yr6/4 None strat. s Osg dl - - 0.7 0.8 98.86 ft Depth to limiting factor >110' Remarks: 5 0 -12 10yr3 /2 None sl 2fsbk mvfr cs 2f 0.5 0.6 2 12 -24 10yr4/4 None Sl 2msbk mfr aw if 0.5 i 0.6 Ground 1 F elev 3 24 -30 7.5yr4/6 None Is Osg dl gw - 0.7 0.8 10028 ft 4 30 -56 10yr4 /6 None s Osg dl gs - 0.7 i 0.8 Depth to 5 56 -91 10yr5 /4 None s &gr. Osg dl gs - 0.7 0.8 iactor limiting >119' 6 91 -119 10yr6/4 None s Osg dl - - 0.7 0.8 Remarks: Ground elev Depth to limiting factor Remarks: 3 z Sa r" h'l; //Cr ■ Se' /Oyu bn Tw¢r r P 6. N&C7 isi p,•{ ,�Qd s�o /G i 8z ■ Ar; ma,- y b� 63 SIM. _ 11.SSt,�.rNed 2let ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer S 4i i A Mailing Address '' Property Address -sy ra ir- (Verification required from Planning Department for new construction) City /State D f /f./ / Parcel Identification Number y� l o'er &4,de LEGAL DESCRIPTION Property Location '/4, S W '/4, Sec. '7- . T I N -R 9 —W, Town of 'tit n t 1` l � Subdivision it c : NM Lot # 9 �' �� � , Certified Survey Map # ( e , Volume Pa ge # Warranty Deed # 4P L) b g `"� . Volume I y Z- Page # Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM B AINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastorplumber, journeymanplumber, restrictedplumber or a 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 1/3 full of sludge. Uwe, 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 Zoning Office within 30 days of the three yiar exp' lion date. % /Z)!/ � p TORE APPLICANT DATE OWNER CERTIFICATION 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 perty described abo a by virtue of a warranty deed recorded in Register of Deeds Office. I A PLICANT DATE sa•s «* s « «sss Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Departm ent. '�• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed i _ Yoi.1442PAGE 42 SPATE BAR OF WISCONSIN FORM 2 • 1998 C,p6841 ARRANW DRIED KATHLEEN H. WALSH REGISTER OF DEEDS This Deed, made between Kathryn B, Tulgren, and Ferris — ST. CROI X CO., WI R 1)11 gran wi fa AMA 1,,.011• .t RECEIVED FOR RECORD Grantor, conveys and warrants to 07-14 -1999 11:00 RM Sam E Miller, a s' gle person Y{NRRRNTY DEED EMT If Grantee. CERT COPY FEE: COPY FEE- Grantor, for a valuable consideration, conveys and warrants to Grantee TRANSFER FEE: 2228,10 the following described real estate in St, Croix County, State of RECORDING FEE: X2.00 Wisconsin (The "Property "): Recording Area Name and Return Address I 040. 1022 - 10;040. 1022 -30: 040- 1021.90; o4o- 1o29 -20; 040. 1028 -70 • Parcel ldertifiation Number (PIN) This is not homestead Property. (See Attached Exhibit "A ") Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any Dated this 13th day of July, 1999- atluyn B. ulgren Ferris R. Tulgren AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss, authenticated this,_ day of St. Croix County ) Personally came befQre me this ],3 day of July, 1999, the above named Kathryn 8, Tularett, and Ferris R. Tttlgren, wife mul to TITLE: MEMBER STATE BAR OF WISCONSIN (if not, me sown the pe s) who executed the foregoing authorized by 1706.06. Wis. Stats.) instri and ackno ge the same. THIS INSTRUMENT WAS DRAFTED BY W_ , Attorney Kristina Ogland ' Hudson, WI 54016 NOtpkblic, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commissio is nent. If not, state expiration date: necessary.) / ! r r d0 Bresdx Poulin Notary Public State of Wisconsin `Names of persons signing in any aptuity should be typed or printed below their signahud WARRAN,y DUD VATR RAR OF WISCOMM FORM Ns. S • tars 1NF~TIONP9OFE1&$*tAt8 COMPANY FOIWDV --- am.eaaamt ' • vii.1442 43 EXHIBIT "A" That certain parcel of land located in the NE /. of SE % of Section 6 and in the NW' /. of SW % and the NE % of SW 1 /4 of Section 5, ALL in Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin more fully described as follows: Beginning at the West quarter comer of said Section 5; thence N87 0 51'08 "E (recorded bearing on the East -West quarter line of said Section 5) a distance of 2342.24 feet; thence S00 3'24"E, 854.00 feet; thence N87 0 51'08 "E, 288.00 feet to a point on the East line of said NE �/, of SW' /.; thence along said East line, S0001 3'24"E, 466.08 feet to the SE corner of said NE % of SW 1 /4; thence along the South line of said NE % of SW �/4 and the South line of said NW % of SW %, S87 0 54'54 "W, 2372.41 feet; thence N00 0 30'28 "E, 170.48 feet; thence 987 273.91 feet to the monumented West line of said NW % of SW A thence along said West line, N00 0 30'28 "E (recorded as N01 0 32'36 "E), 941.26 feet; thence N64 0 57'47 "W (recorded as N63 0 54 1 50 "W), 458.40 feet to the North line of said NE 'A of SE 1 /4 of Section 6; thence along said North line, N88 0 20'13 "E (recorded as S88 9"E and N89 0 24'42 "E), 416.69 feet (recorded as 26 % rods) to the Point of Beginning. and the Northeast 114 of the Southwest 114 t' roast 114 of Section 8, all In T 28 N, R 19 W, -' 'ounty, Wisconsin. S PARK_ DIX BUSINESS _ ; 133 33 { I 11 1 1 10T 14 i 101 15 I I OUTLOT 3 Be"c�cnn Wh Line NE ale 1/4- 1 1 OAD i Ek = " uY S I/4 Sec. 5 I East - " Cluorler Section Li b I _ IN Public I UyofW - j — ' L. N 51'WE 2iltSf � ------ -- - - - - - -- East 0"Ier Coma _ 81 3919 E.149.29'-- I Section 5.1 28K R 191 =— 1 (Berdsen i1MMrrurwnn Ya+umenl) 33 33' ;:,.S 02' •�- I Caner _ - --- -- - ^-- � Nor'hccst — — —� c.+. rr I NE 1 /4 - 114 Sec 5 { Las _ I CERTIFIED SURVEY MAPS No p* or buiri"e cases we to be 0oced such 1ra1 lne installation MA asnrb anal 1!? 95Q/t Volume 13 �0� X6421 � stak. a otxhuct vision *4 and 1o11ne or street line. The &Raba d o surrey sbk D} awrone K o r aldion d Section 236.32 of Wisconsin Stdukt UlAtt /t � 1 n senrenls as l+evew set IatA ore for the use of public bodies and p "fe public 5 88'51'30' E 1 161.76' Wimies h" o F4 to sent Me orm � 1 GEWRAL NDKE STATEIlE141 7 �,, Each parcel show on His map (pkl) is subject to Stole. County and Toenship fours. rules and regulations; (11. eellonds• minimum fd skirl xcess 10 parcel. ek.). Before 1 50• 2 518dC7!'S � _, purchasing or �opNq dry pacd of koA �ontoct top! SL Croix Coonl Zoning Office 4 / nM.) 10�S6iSsq R ?� `, and the apprapriAeai towr Board to adricc. 1836 aaff 11()9187 r = SuRVE yoR•3 NOTE / c o ' The Rest ke of the" 1/4 - 1/4 of Section 5 os shown is o Nstorkol moro�ne+ded S 81 . 54'02• E fine. The Rest line of the Se 1/4 of Section 5 as per the emsting Goverment section 512.08• , corners hies appronmdery 3-1/2'[W of tk Southwest caner of Ifis pid and is lest Vr' / AT DMIA, fASErt ( than 0.1' Eosl of the NE caner of Lot 10. NORDIC HIOTS KAITION. Is. Detoo 1 Lag l !' H 10m 1 �� f 9 T S 81' Tfi 1 ' R j l IRMIGN ER'S OFFIM 189AT { ; W ( 9 4ta m QIaM A d� Renew" I N Reoad ai /3 Ndiode l to tl'e 9 2518aaes 8 La 10 1140L9sgR 2.507aaps N 47'51'08" E I ! b ti vw � r ' 109204sgit . 288.00' ml IF ` 5 pl Lot 11 = Z1 >:eo.wedT ..��' - • + c i s 1501aa�s �. O 'far. , E IM935Sq It � Y �l .c •• t � ee 4 'Q\ �\ W � Lot 13 316Saaes; m io \ o < pf 3785SsgR pp 4 4 % p: rrm r ILW gory Cut -de -Six fa s t 12Msgf olicdl vocdted up9p 5+215075 _ �t1�'.,�' 614.99 rood extension.. S 0 3 . 08'39" 33' E ,. - 416 --- 7i0.90:_... 35.x0 Imo vE; 4 -5W1 1 )ec. 5 Easemen Town Rood for Future T Rood ord — 1321,11'— — — for Ingress ad Egress to Loh I I ti 12 �� � 20' wide Drainage Eosem nl UNPLAMD LANDS OWNED BY OTHERS _ & lk sc 6 A0 A 4�0 A — — i &uimp an rdfe wwW to the Bat -Walt Quarter Scetioe time / of Secdom 3. T 28 N. R 19 W. ams.m W bearim= N tr 31' 00" L p Found Soo Owner Como Section 5.128 X. R 19 tiara Caner• JOINT DRIVEWAY EASEMENT DETAIL (l er'"seA Allumm "" 11onu rve (NO SCALE) S j ed s Riqhl -of -Way line of �• , Roadway Easement Line (Id 11) lbs - • Utihly Easement ��� 50 (T ss LAURENCA w Lot line ti ffI4 40, ft" f s f 31 fl rat Driveway Easement » 1� , r 1 .. f r0 Y`t - T , 7 U-s4,o 4D-7