HomeMy WebLinkAbout040-1285-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Sanitary Permit No
INSPECTION REPORT 399410
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:
Miller, Sam I Troy Township 040- 1285 -10 -000
CST BM Elev: r Insp. BM Elev: BM Description:
&D .0 f M 'l1r,.., r -
TANK INFORMATION U ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark t h -1 �
� e,�se� 2t7O 1 �e 3.30 ya 3,3a
Dosing Alt. BM e -� r
Aeration Bldg. Sewer Holding St/Ht Inlet �3• S} 1
TANK SETBACK INFORMATION St/Ht Outlet 0 . 3 7 Q Z. Qe.
TANK TO P/L WELL /LDP Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header /Man. • l t'
Aeration Dist. Pipe • Ca. (O r
Holding got. System Z •�� t ' O
Z. �•91b
Final Grade f�. p � 30f
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover S,
GPM
Model Num
Z ;em System Head H Ft
Length Dia. Dist. to well
SOIL SORPTION SYSTEM() S
Width Length No. O Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS -5 r 13, �' P.�► Z
SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING M ufact er, c
INFORMATION Type Of Sy tey m: ( �S `- CHA UN OR Model N mber: 7
DISTRIBUTION SYSTEM 40 " �-
Header /Manifold) it Dist ' ution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s �J 1
Length Dia 1 + Length Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over xx Depth of T77e�odded x Mulched
Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ NIT ❑ Yes ❑ No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection Inspection #2: /
Location: 499 Bauer Road Hudson, WI 54 (NE 1/4 NW 1/4 9 T28N R19W) The Orchard Lot 27 Par I No: 001.2 1615
1. Alt BM Description =/+ �'�^ _" _ � i � , ' ` 6 C
2.) Bldg sewer length
- amount of cover = a
3 � e1v12 A •
(� w
P n revision Required? M Yes
Use other side for additional information.
Date Insepctor's Signature Cert. N
SBD -6710 (R.3/97)
Sanitary Permit Application Safety & Buildings Division
In accord with Comm ^ - Wis,.Adm. Code 201 W. Washington Ave.
Nvisconsin See reverse side for ins ops o cornplegrrg. his application
PO Box 7302
Madison, WI 53707 -7302
Personal information you W;; {ide,tfray'bd usedrfor sec dary purposes
Department of Commerce p ',v w, s. I5. 1 m (Submit completed forth to county if not
6' O )) state owned.
Attach complete fans to the coun /c onl stem, on a ¢r n t less than 8 -I /2 x 11 inches in size.
Count Star i ermit um r \ k if rc previous ppllcation State Plan 1. D. Number
� l
I. Application Information - Please Print all Info ma ion r Location:
Property Owner Name � / Property Location
/�7 / LL l—✓�— ` If .ti - /ILI /4/t'w1 /4,S T��N,It o W
Property pwnees Mailing Address Lot Number Block Number
City, State Zip Code r Subdivision Name or CSM Number
b Z r. 9 T HF, O2 H AIe
❑ City
II. Type of Building: (check one) Z<► A "� a g ❑ Village
X 1 or 2 Family Dwelling - No. of Bedrooms: 7, 7 (T s Q N Town of 1 T
QQ y
❑ Public/Commercial (describe use ):_ , S
❑ State -Owned - T s Nearest I>ioaa e - p
RA
1�0�
Parcel Tax Number(s) 41 /
III. T e of Permit: (Checkpnly one box on line A. Check box on line B if applicable) 5 °� ' I 6. ❑Addition to
A) 1. ew 2. Replacement 3. ❑ Replacement of 4. Existing System
S stem S stem Tank Only Date Issued
Permit Number
B)
❑ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply) 3d �'1 a t �� ❑ Sand Filter ❑ Constructed Wetland
Non- pressurized In- ground 4 XAe_ ❑ Mound ❑Sin le Pass ❑ Drip Line
❑ Pressurized In- ground ❑ l Iolding Tank g
❑ At- rade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other:
V. Dispersal/Treatment Area Information:
1. Design Flow (gpd) L. Dispersal Area TF a 4. Soil Application 5. Percolation }tale 6. System Elevation Elevation G rade
Required ��� Rate (Gals! /sq. fiJ (MinJinch) t i
0 S b a . /.2 q /. Dd 9 G
VII. T ank Capacity in Total # of Manufacturer Pre! ,b Site Steel Fiber- Plastic
Gallons Gallons Tanks Con- Con- gl
Information crete strutted
New Existing
Tanks Tanks ❑ ❑ ❑ ❑
ff I �
VIII. Responsibility Statement
1, the undersi� res onsibility for installation of the POWTS shown on the attached pla pusinc Phone Number
1'lumbcr's Si nature no s M11P/hiPRS No + �� ' 961F Plumtxr's Na {print) ( ) f. � r — 3
B A L rt�l ( � �� t7 Z S � cp
Plumhcrs Address (Street, City, State, Zip Code) � D
b 7 a T
1X. County /Department Use Only
Santa Permit Fee (Includes Groundwater Date Issued ng Agent Si t (No stamps)
Approved
❑ Disapproved n' _
❑ Owncr Given Initial Adverse Sur rarge , n
Determination LL'�' L�
X. Conditions of Approval /Reasons for Disapproval:
I appro; al:
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1399
Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3
Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations
Aktach complete site plat on paper not less than 8% x 11 inches in size. Plan must County St. Crobc
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
040- 1039- 60 -000,1D#9.28.19.132
p /ease pfigt eN infotmatfon. D
Personal nformadon You provideinycbq used for (Privecy L.dw, s. 15.04 (1) M). . 2 I
Property Owner Y Property Location
Miller, Sam , � G ovt. Lot NE 1M NW 19 S 9 T 28 N R 1 W
Property Owner's Mailing Add re s �� h ip !Lot # 1 Bkx lc # Subd. Name or CSW
P.O. Box 151 ���� N� 21 I Plat Of Miller's Orchard
City 6*,,Zp Code umreer , , f J City Village ✓ Town Nearest Road
Hudson Wf , -; 40afi (71 Troy Bauer Road
t
New Construction Use Res of bedrooms 4 Code derived design flow rate 600 GPD
Replarernent _j Public or commercial - Describe.
Parent material Glacial outwash Flood plain elevation, if applicable na
General comments
and recornirneind0tions: Recommend installing 2 trenches at Tx 90.625', using 29 high capacity BioDiffuser infiltrator chambers at
system elev. = 91.00'.
Boring #
II' Pit Ground surface elev. 97.18 ft. Depth to iimfing factor >129" in. Soli Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure I Consistence Boundary Roots PD
Eff#1
1 0-8 1Oyr2/1 none sl 2fsbk mvfr gs 21' 0.5 0.9
1 2 8 -16 1Oyr3/3 none - sl -- - 2fs bk mvfr cs 1f 0.5 0.9
a� -
3 16 -25 1Oyr4 /3 none sl 2msbk mfr cs 0.5 0.9
4 25 -34 7.5yr4/6 none Is O ml gs - 0.7 1.2
5 34 -76 10yr5/6 none s _Osg ml cs - 0.7 _ 1.2
6 76 -100 10yr5/4 none s Osg ml gs - 0.7 1.2
7 100 -129 1Oyr6 /4 none s - Osg ml - - 0.7 0.8
o Boring # I Boring
01 Pit Ground surface elev. 96.69 it Depth to limiting factor > 132" in. Soil Application Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPM
-Eff#1
1 0 -12 1Oyr2 /1 none sl 2fsbk mvfr gs 2f 0.5 0.9
2 12 -20 1Oyr3/2 none sl 2fsbk mvfr Cs 1f 0.5 0.9
(� 3 20 -36 1Oyr413 none sl 2msbk mfr Cs - 0.5 0.9
(� 4 36-41 1Oyr4/6 none Is Osg ml g s - 0.7 1.2
5 41-83 10yr5/6 none s Osg ml cs - 0.7 1.2
6 83 -132 1Oyr5 /4 none s Osg m - - 0.7 1.2
' Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 1450 mg1L -PVSgt#2 = BOD <30 mg/L and TSS <,,30 mg/L
CST Name (Please Print) Signal CST Number
James K. Thompson �---_ 3602
Address A.C.E. Sal & Site Evaluations ate Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceola, WI 54020 4/23/01 715- 248 -7767
/399
Properly p,,,,nar MIW, Sam Parcel ID # x-1 60-000, ID #9.28. 19.132 Page 2 of 3
D BWng# Boring V' Pit Ground Surface elev. 95.26 ft. Depth to luniting factor > 126" in. Soil Appkation Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPDIr
" Eff#1 'Eff#2
1 0 -19 1Oyr2 /1 none SO 2fsbk m vfr as 2f 0.5 0.8
2 19 -27 1Oyr312 none sil 2fsbk mfr cs 1f,vf 0.5 0.8
3 27 -36 1Oyr4 /4 none sl 2msbk mfr as 1vf 0.5 0.9
4 36-47 1Oyr4/4 none Is Osg ml cs - 0.7 1.2
1ZI 5 47-87 1Oyr5/6 none s Osg ml gs = 0.7 1.2
6 87 -126 1Oyr5 /4 none s Osg ml 0.7 1.2
4 ] F Boring # Boring
Y' Pit Ground Surface elev. 95.28 ft. Depth to limiting factor >121'-- in. Sod Application Rate
Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots
'Eff#1 'Eff#2
1 0 -23 1Oyr2 /1 none I 2fs mvfr as 2f 0.5 0.8
2 23 -31 1Oyr3/2 none so 2%bk mfr cs 1f,vf 0.5 0.8
3 31 -37 1Oyr4/3 none sl 2msbk mfr as 1vf 0.5 0.9
4 37-48 1Oyr5 /4 none Is O ml cs - 0.7 1.2
5 48-85 1Oyr5/6 none s Osg ml gs - 0.7 1.2
6 85 -121 1Oyr5/4 none s Osg ml - - 0.7 1.2
F - sI Bori # _j Boring
JIM Pit Ground Surface slay 96.18 ft. Depth to limiting factor > 120" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
"Eff#1 "Eff#2
1 0 -11 1Oy /2 no ne sl 2fsbk mvfr gs 2f 0.5 0.9
2 11 -17 1Oyr4/3 none sl 2%bk mvfr cs 1f 0.5 0.9
3 17 -25 1Oyr4 /4 n one sl 2msbk mfr cs - 0.5 0.9
4 25 -31 7.5yr4/6 none Is Osg ml gs - 0.7 1.2
5 31 -52 1Oyr5 /6 none s Osg ml cs - 0.7 1.2
6 52 -120 1Oyr5/4 no s Osg ml - - 0.7 1.2
EfftueM #1= SM ? 30 < 220 mg& and TSS >30 < 150 mg& ' Effluent #2 = SM <30 mg& and TSS <-0 mg&
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.
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97.0'
Joint dri�ewq� easement
5 417 p t c H Ape Y) a�-N � ST
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Bi oDiffuser• - • •
76"
OD OO �f� OO OD DO DD OO OD
OD OO OD OO
�0 OO OD OO OD DO OD OO OD Chamber
00 0o OD DO OD DO OD DO DO Height
00 00 0[ 00 00 00 00 I 00
I ( 0 00 00 00 0o Qo o ao 00
A rse BioMuser sizes can -
WMISland M -10 k" when
(nslaled Wdh KOWY Wa Chamber
OFW 496dod SOW Amu* Height
req M*.140 k T119 End View
1 �
at #o► H r 20 loads•'
A of 18' of cover is 34°
i r *quit ,%kr- M•29 toads.
4" Knockout
4
Universal End Cap
Avcdlable Sizes ' 1191 14 High 16 High
Length 76" 76" 76"
Width 34" 34" 34"
Height 11" 14" 16" v
Invert 6.5 9 11.3
10
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 Specifications
Sanitary Permit Number
Number of Bedrooms
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd) cD CY
Septic Tank Capacity (gal) R z S�
Soil Absorption Component Size (ft 5
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak (gpd) (" C <'
Maximum Influent Particle Size (in) 5 0_) 1/8
Maximum BOD (mg /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 Absorption Component Inspect once every 3 years
Septic 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 se and outlet filter shall be assessed at least
once every 3 years by inspection. Tkfe outlet filte shall be cleaned as necessary to ensure �"
proper operation. The filter cartridge should not be removed i.anless provisions are made to -
retain solids in the tank that rnay slough off the filter when removed from its enclosure. If the
I _
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
ins Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health! hazard.
m
Traffic around or over the soil absorption component should be avoided particularly
Y
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
conditions improve. In general, soil compaction impossible to repair until weather p g action over this p
ad to
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead
more intense, and earlier, organic clogging of the soil.
2
• Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow. p
41 - L� C' -����� � �✓D [J S � .
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3
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION 0ORM
OwnerBuyer
Mailing Address 4Sax r
Propetty Adams .4vC,2._
(Verification japired from Planning Department for new construction)
City/Stt .H y 0 S C— w V Parcel Identification Number
i t rr _ w_L DFSC=ON I /�
Property Location '/•, GL / /•, Sec ._, T Z�? N -R Town of IZ D
PAY ,
abdividon _�/'� �'
D c h A ILA . Lot # �
Cerdtled Survey Map # �$ 3 too , Volume Page # -5 _.�
Warranty Dad # �� 3 7 �° . Volume S. Page #
Spot house yes 0 no Lot lines identifiable yes 0 no
Iun wqW use and maintenaaoeof "W septic system could result in its premature failure haadl was�o .. puProper system
consists of pumping out the septic tank every three years or sooner, if needed b a licensed pumper.
can aifg� 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
ma:terPlum1w• journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the sep tic tank is less than 1/3 fttll 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
statin 8 that your septic system has been maintained must be completed and returned to St. Croix County Zoning Office within 30
da f the three year ex irctio
ICy�/
DATE
TURE O#APPLICANT
t
knowledge. I we am are the �dwner(s) of
.i ;•(we) certify that alt tements on this form are true to the best of my (our) B • ( ) (are)
de bona rtue of a warranty deed recorded in Register of Deeds Office. i
DATE
W(M ATURS 6MPPLICANT
0.400• Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Deputment.
0000•• nty deed ftom the •• Include with this application: a cpy the cert fied survey map R made in the warranty deed
.p
STATE BAR OF WISCONSIN FORM 7 - 1998 632796
TRUSTEE'S DEED KATHLEEN H. WALSH
REGISTER OF DEEDS
vui 1555PAGE323
ST. CROIX CO., WI
_.....
DANIEL S. SOLBERG AND KARLA J. SOLBERG RECEIOEI FOR IECORI
11-01-2000 8130 AN
TRUSTEES 10
as Trusteed EXEII•T 1
SOL BERG DANIEL S. KARLA J. SOLBERG REVOCABLE CERT COPY FEE:
CORY FEES
_ TRANSFER FEES 2110.30
RECORIII6 FEES 10.01
for a valuable considerstlon conveys without warranty to PAGES' 1
SV E. MILLER, A SINGLE PERSON
Racpoep Area
the following described real estate In County. ; eltd ReItrIl Address
State of Wisconsin: SAM MILLER
P.O. BOX 151
PART OF.THE NWk OF THE NWk AND THE SWk OF THE NWk AND THE HUDSON. WI 54016
NEk OF THE N* AND THE NWk OF THE NE AND THE NWk OF THE
SWk OF SECTION 9, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN
OF TROY, ST. CROIX COUNTY, WISCONSIN AND MORE PARTICULARLY.-
DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF 040 - 1038 -60 040 - 1039 -60 -000
SAID SECTION 9, THENCE 500 "E ALONG THE WEST LINE OF 040 - 1039- 70 -finn
SAIDNA 2626.30 FEET TO THE WEST QUARTER CORNER OF SAID Prod Iatlueation NI,nIDM (tea
SECTION 9; THENCE S00'45 "E ALONG THE WEST LINE SWk OF
SAID SECTION 9 150.31 FEET: THENCE S56'24'38 "E 70.00 FEET: THENCE N59 11 E 850.85 FEET
THENCE ON AN ARC OF A CURVE TO THE RIGHT 102.10 FEET AND WHOSE RADIUS IS 403.00 FEET AND
CHORD BEARS N07 "W 101.78 'FEET; THENCE NOO'21'49 "E 569.05 FEET; THENCE S88'45'38 "W
250.00 FEET; THENCE N00'SO'54 "W 350.92FEET; THENCE S88'57'07 "W 512.29 FEET; THENCE
NOO'50'54" 100.00 FEET; THENCE N88 "E 250.31 FEET; THENCE NO3'10'51 "E 202.31 FEET;
THENCE N32'19'49 "W 95.25 FEET; THENCE NO2'24'54 "E 136.96 FEET; THENCE S87'34'25 "E 198.63
FEET; THENCE SO1'54'33 "W 149.41 FEET; THENCE N89'46'50 "E 148.76 FEET; THENCE S2'27'16 "W
256.95 FEET; THENCE N88'37'07 "E 1065.55 FEET; THENCE N89'12'30 "E 325.61 FEET; THENCE
S00'47'30 "E 10.00 FEET; THENCE N89'12'30 "E 554.46 FEET; THENCE NO1'23'32 "E 587.22 FEET;
THENCE N55 "E 651.90 FEET; THENCE N38 "W 413.25 FEET; THENCE S89'31'02 "W 142.03
FEET TO THE NORTH QUARTER CORNER OF SAID SECTION 9; THENCE 589'12'35 "W ALONG THE NORTH
LINE OF THE NWk OF SAID SECTION 9, 2666.45 FEET TO THE POINT OF BEGINNING, SAID PARCEL
CONTAINS 96.52 ACRES AND IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD.
:I
I
Dated this ay of OCT OBER 2000
L�z &o.
I
DANIEL S. SOLBER KARLA J. SOLBERG
yow Than
- i
AUTHENTICATION ACKNOWLEDGM1 NT
SwraW Q State of Wisconsin,
C01 u
�P�tpt>Ally nmt brae n,e tau: ay of is
authenticated this day o f the above named
TITLE: MEMBER STATE BAR OF WISCONSIN V to .
(If riot. me known to be the person L who executed the foregoing
authorind by $708.06. WIS. SUM) trument and acknowledge the THIS INSTRUMENT WAS DRAFTED BY
1
H EYWOOD& CARL S.C. 204 LOCUST STREET i _ S"am. of WISCOA
HUDSON, WI 54016 Notary Public. State of Wisconsin
My commisslon Is rm I
peanent. (If I. state expiration ate:
dp
(Signatures may be authenticated or acknowled. Both era not �-- ( � )
necessary)
• tl,mr of pa m ,IO "m ry cwKAy mum be typoe or prw4od b* m ,Iry ei#,Au . .
STATR BAR OF WISCONSIN w"mrn atom ow* ce . tm
TRUSTEE'S 06E0 FORM No. 7 - Im ra.e.Ar. we
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FOUND 3" ALIMINUM I
I PAL MONUMENT NORTH 1/41 NORTH LINE NE 1/4 SECTION 9
CORNER SECTION 9 I
I 142.03'
NORTH LINE NW 1/4 SECTION 9 2666.45' 589'12'35 "W S89'31'02 "W
3 01 i 430.26' -- 485.46' --
i �
— LO-T -2-1 �s
� � � — —LOT 20
22 I Q 1 I 141097 Sq. ft. u 122403 Sq. Ft. t
8 w I 3.24 Ac. ' u t 2.81 Ac.
I ~ I N.B. 2.61 AC.
F t.
sq. al y W I. I N.B. 113810 sq. (l. ^'• N.B. 2.71 AC./ v`
C. rl I i N w N.B. 11810j
� sq. ft.
i O I y
OC L < j ,n
Uj 63.34'
I�tYip it 5 3931'3 "E
1O ,� JOINT DRIVEWAY
V 00 I i 33.00' u n.sr s s ...... E
1T W ` / w 66' EA
2 .� �\ v _ -- - --��33. S 6 '04'25" W // / / / / // // 44f
't
33.00 t � • I / 1 `, /tip' S 6 QQ %/ / / "LOT 19 / y 3
139 238119 Sq. Ft.
\ 3.20 Ac Ft. . A �\ \ �\ 5.47 Ac.
r F ' a �r \ N.B. 1.75 AC.
\ \ t TEMPORARY CUL-DE-SAC N.B. 76420 sq. ft.
\\ V1 EASEMENT (REMOVE UPON
NORTHERI EXTENSION OF
Lr J� 1 NIP ROAD)
N.B. 2�ia Avg \ o = 908.00 0 ,
a G \ N.B. 1 104219 sq, ft. 4� _
S
E9'43'28 W Q it. J > N 67.
46 .''1 7'
24 w " \� ° ,15586 '= LOT 17 \\ \ L. Tv`ei
Ft. 13
_ 6 \ t 2.65 c. f
} �1 Sq. Ft. A a 5 N.B. 11111.23 AC. IE DRAINAGE -49
AC.
2.62 AC. O N.B. 53r89 sq. ft.
}3R I II E '°
x11 914 sq. ft. o�) p I —� of �J- B� f • - ' '
m e
oeauTEO TO I 1$ lu 517.28' N 8703'12' E DETAIL A •. ' "
THE Kftx N+oa O 2u.65' NOT TO SCALE
414_66' J N xxzeY u
- -- - I LOT 16
- - — - — - — - — - - —J rn f 111953 Sq. F to.0o'
o 2.57 A�./ w
292.00' 33
N.B. ".44 AC. ELEVATON " 33' I N.B. '09 AC 11 .
46 a I IJOIN -� N.B. 47 87 s . it.l iD
H M
a' L T14 Sts.7B• HIGHWAYSETEIACK
N Z I MIN. FILL S 7917
>t 109006 Sq. Ft. I ELEVATION - J 34• E Z AS PER WISCONSIN ADMINISTRATIVE CODE TRANS 233 NO IMPROVEMENTS OR
t. 2.50 AC. ° °- Ow a =�' / STRUCTURES ARE ALLOWED BETWEEN THE RIGHT -OF -WAY AND THE SETBACK
V 1 1 1 VIN. FINISHED N
w I ♦ I + FLOOR ( N LINE IMPROVEMENTS INCLUDE BUT ARE NOT LIMITED TO SIGNS, PARKING LOTS,
' wi i N
DRAINAGE
•N � I N N w � � PARALLEL DRIVEWAYS. WELLS, SEPTIC SYSTEMS, DRAINAGE FACILITIES. ETC.. IT
y N.B. 106220 sq. ft. I m I I a 910.00 LOT 15 00 BEING EXPRESSLY INTENDED THAT THESE RESTRICTIONS SHALL CONSTITUTE A
j y L I I N 1,o I ; L0 RESTRICTION FOR THE BENEFIT OF THE PUBLIC ACCORDING TO SEC. 236.293
WISCONSIN STATUTES AND SHALL BE ENFORCEABLE BY THE DEPARTMENT OF
i 3 N TRANSPORTATION. CONTACT THE WISCONSIN DEPARTMENT OF TRANSPORTATION
+ e 137900 Sq. Ft. /
a. 1 3.17 AC. / / / DISTRICT OFFICE FOR INFORMATION. THE PHONE NUMBER MAYBE OBTAINED BY
SEE DETAIL A I i / CONTACTING YOUR COUNTY HIGHWAY DEPARTMENT.
N.B. 1.01 AC.
292..0' I I I N.B. 43901 sq, ft.
-- - - - - - - - -
-
- - --
493.90' N 8912'30" E
o
r -
325.61' N89'12'30 "E _ — — — _ — — — — — — —
a
554.46' N89'12 30 E 0
COUNTY HIGHWAY FF m
----------- ----- - - - - --
P 10.00 S00'47'30 "E �
I I
I I
I I
DRAFTED BY. JASON PALWNER SHEET 1 OF 3