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HomeMy WebLinkAbout040-1159-10-100 0 M ° �' $ m 7 z ° +# U 2 7 E ± ± ) @ §' \ U \ - \ a g , _ @ . ■ 0 @ ° i i § § § 2 (D c c ¥ a > \ E §' 0 8 E o k� 2. © m @ > e , (D (n e..C. C E ,: $c = - o0 2 k § CD 7 "*Zvi @� / 8 8 f§ E c rT -n EI s i z 0 0 o- \ / ) 2 7 ° § § 0 k m v v\ C.0 � @� o� �E)§.2 � C CD l) / � / o > J $ / / (c ƒ }K g ¥ \ % o \ 2 2 § a _ @ a E a ; g 0 § / z E CL o0 0 ■ T M § Q E (D z § i 2 m D ® C ( kJf ± N) 2 _ _ CL �a a\$/ x 7 �EEz % q ° / ( z -4 ° } -4 {/ Cc S CD $ �% 3 C) CD � /# «' 2 /D q < § § _ o § : � f Parcel #: 040 - 1159 -10 -100 10/20/2006 01:51 PM PA 1 OF 1 Alt. Parcel #: 25.28.20.621A -10 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner MAY J TR AARTHUN O - AARTHUN, MAY J TR 188 DELANDER DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description " 188 DELANDER DR SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.380 Plat: 3636 -CSM 13/3636 SEC 25 T28N R20W NE NE BEING LOT 5 CSM Block/Condo Bldg: LOT 5 13/3636 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 28N -20W Notes: Parcel History: Date Doc # Vol /Page Type 09/16/2005 806643 2890/116 QC 04/19/2005 792675 2786/528 WD 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.380 57,200 176,200 233,400 NO Totals for 2006: General Property 3.380 57,200 176,200 233,400 Woodland 0.000 0 0 Totals for 2005: General Property 3.380 57,200 176,200 233,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner U l U1 Property Addres Q !; City /State `�! S D Legal Description: Lot Block Subdivision/CSM # 3 36 36 Af ' /4 '/4, Sec. 3'� , TDtN -R own of Aoq PIN # W S- 11 2 1 b 2 L7° SEPTIC TANK DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer Ex �► A4 Size ST/PC / A7P / Setback from: House Well P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM 3F Type of system: C ()11, , X 1 4 Width 3 Length Number of Trenches Setback from: House ;;'Set Well d ` P/L /� ` Vent to fresh air intake ?`� ELEVATIONS Description of benchmark U lr11 e V C ttve -n 3 Elevation /0 6 Description of alternate benchmark b 6 `h Elevation r��` Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) ( ) ( ) Bottom of System ( ) ( ) ( ) Final Grade ( ) ( ) ( ) Date of installation /9// Permit number 3�3�3 State plan number Plumbers signature License number Date / /dl) Inspector E•1 dy 67e A Complete plot plan Q -.AA NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW orz yXit CIO �u l l ��, ►� 1aa,1U� 0 v 0 i `D an ti INDICATE NORTH ARROW Vdisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT S Croix GENERAL INFORMATION (ATTACH TO PERMIT) SanitgPermi No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)l. Permit Holder's Name: ❑ City ❑ Village ❑ A own of: State Plan ID No.: arthun, Roy Troy Township — CST BM Elev.:. Insp. BM Elev.: UBM Description: Parcel Tax No.: 00 f _ �� g 040- 1159 -10 -000 TANK INFORMATION C 5 ) ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI F5 ELEV. Septic t X 000 Benchmark 2.0 102,01 cc .0 Dosing Alt. BM Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet Air I Septic y Lo f > 1 2 NA Dt Bottom Dosing NA Header / Man. Io. S� �l •So Aeration NA Dist. Pipe �a, 9(•�s Holding Bot. System I I�yo �A• /o r PUMP/ SIPHON INFORMATION Final Grade 0 Manufactu and St cover ; .,J Model Number GPM _ nn ID . 3J TDH Lift L ction em TDH Ft i f, Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM r « BED/TRENCH Widtf L No. f T nches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION S DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING manu INFORMATION Type O CHAMBER r ` � J r r Mo el Num System: OR UNIT qt DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) ole Size I x Hole Spacing Vent To Air Intake u >90• Length Dia t ' Len Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of i x Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: OS /f / Do Inspection Location: 188 Delander Drive, River Falls, WI 54022 (NE 1/4 NE 1/4 25 T28N R20W) - 25.28.20.621 -Lot 4 i�1, 1.) Alt BM Description= 2.) Bldg sewer length= �— - amount of cover = x Plan revision required? ❑ Yes [5 No Use other side for additional information. o "S 2 " 0 3 1 1 SBD -6710 (R.3/97) jDafe,11 Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ...:..� ,. „. m v �. ,m m, � .ease ,; . . _ .m. _... q � . , e. .. w � �. �m.m �.._.. �. s..e.. ...� . �� _ � . 3 T i S ! 3 j e e e aee e .. .�.�„. ,e,. _. ee € t , e._.w,e. . , >'...... ... „i. ., e_ �..�. .... � .,._ „ „m,- _. ,.... ,. a w. .,....may... m a ..... _ ,,.. _.r..p F,,.,..,. .a ,_< ...._.,. .. ..... , ,_ , , .... ....,. ._. , .. , 2 ..,o,e.,. „ �.�: � e, ,..., ,..a m %m As , qa. «....� m .m A .. _. e e .a d.. „ , � .-a i a F �. „ � a mp. r i s i ; S . a��,.,.. .,, , - ., ....... -. m .r ,a , , __ .., 3 _ . . -.F� e.e e�me. . „..e. Wiese .a.F .,.,, . mat �.....,,T . m ee ,. -, ,,r ,.:.. 3 � e is 3 i �€ s e : 3 t <, r o t £ f i fi ., p. -».... _ of m ,e, e . e, e�.,�a _,e�vom,� _ m. A. F 8 mmm m. t t a<�_� m t.. t w { � e mm m fi i ? 3 a � s a . € E x e m.A�e ..AG �, m�. 3- E e � 6 E n ... r f c ...-M e j 3 I 3 € w.e__ _ a ...., ,._ ... t, .... .--7., _.�.....__ __ ,., .,.._. M. , y ea- _ ,.... , . <. .. ... r t r c i . . 3., R ., ....s..,,..r . m e ®� y _....,,® e e k mtt , « e , Rm >. .._ _ }e.,�,e -vi .--�. 3 i r . c E ' # s e F 3 i .;. t e � a a ,a -S- e t ..e ®a. a .. _. �® .a .�.,,.. -..e,E Ate,.. a.., � _ ,m, ,.. _ ... ... ', m. ...__....$. 1 i S t F { & E .a ems. '."'.4 c =gym. ,_v ,.... ..... ._.y e r . ._ ,. -.v .. _ eem ..., __ f .®sad P . _. ®, m , .� .eve E, - - . a, F ;. � .�,., ,_. ve a mm m ` Q 3 F e E w. ¢ memo .. 5 ti .. ,�. g em . e 7 z � el R f g ��ma s a P.� s fi i s e { v,e �.� _.�e ._, n. �. ®m. �. € 4 „ mow.. , ... 3 w.ew..»<.F e.eee� �ameeP . ».,mm_ „a ememmme r ee.� d.... eve.e�.- P ,. ee. m .< ; it @� t s g r o t 4 ...T i t s 3 a 3 r K 4 } E gym.„ «. , M_ ,., m, e . i F �. -... t . a E i •,- 4 Vi sconshi Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue In accord with ILHR $3-05, Wis. Adm. P O Box 7302 Department of Commerce - Madison, WI 53707 -7302 �� • Attach complete plans (to the county copy only) for �yStem, o aper not. s County than 81/2 x 11 inches in size. • See reverse side for instructions for completing th' implication State sanitary Permit Number r_. , pert .. L - 3 3 �3 Personal information you provide may be used for secondary pure ❑Check if revision to previous application OOt1NTY [Privacy Law, s. 15.04 (1) (m)]. �� ST State Plan I.D. Number � ,,: 1. APPLICATION IN RMATION - PLEASE PRI nFi Maki N; Propert Owner Na a Prop y ` cation n �+ 13 o / 4, 1/4,S ar T a� , N, E (or� Property Own 's ling ddre s L'o . ber Block Number I City e 5tate L Zip e P one u be Subdivisio N SM m e ll. TYPE BUILDING: (check one) E] State Owned ❑ Lit I Ne rest oad [3 Village �( Public 1 or 2 Family Dwellin I - No. of bedrooms Town OF �VA1 CV III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)/ 7,4, ` A I c 11 - 10 ^ood 1 ❑ Apartment/ Condo 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: c ly one box n line A. Check box on line B, if applicable) A) 1 ❑ New 2 §j Replacement 3. ❑ Replacement of 4 E] Reconnection of 5_ E] Repair of an ______System System Tank Only__ _____ _ ______ Existing System ________ Exlstin 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 pe 41 ❑ Holding T k 12W Seepage Trench 22 ❑ In- Ground Pres re ��'ec�4T Wa 13 ❑ Seepage Pit y '. — 75 f _ Z iv J A - 14 ❑ System -In -Fill y S °� �� tt I°1i C' e S 4 S � VI. ABSOR PTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Prop ed (sq. ft.) (Galstday/ q. ft.) (Min. /i h) �/ Elevation j 15d 9011 � ! . J Feet ,6 Feet Cap acit y VII. TANK in Ga allo g Total # of Prefab. Site Fiber- Exper INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in structed Tank Tanks Septic Tank or Holding Tank 10 ❑ ❑ ❑ 1 ❑ El Lift Pump Tank /Siphon Chamber ❑ 1 ❑ ❑ I ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se shown on the attached plans. Plumb is Name: (Print) Plum ignature: (No amps) M PRSW Business Phon m r: 0 14 0 S It 7 � � Plumber's AddressAStreet City, Stalte,jij je): f �� r c IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved tary Permit Fee (Includes Groundwater ate I ssued Issui g Agent Signature (No Stamps) ,Approved ❑ Owner Given Initial S Surcharge Fee) Adverse Determination 6 V c X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: _ 6PWe4D_1__ vie . SBD- 6398 (R.11/97) 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 Sanitary Permit Transfer / Renewal 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 be 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 mainstwater service; streams and lakes; pump or 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 surcharges are used for monitoring groundwater contamination investigations and establishment of standards. i � A , 7z/ bk, Q d Q i s'k'i n �i � �+� j ►� �T'� N ��( r Bull Ptal Uduc le r% x t �sf; vI, 4— l744 ' IV Wisconsin Department of Industry SOIL AND SITE E V A L U A Labor and Human Relations i T Page of Division of Safety & Buildings in ' in accord with ILHR 83. �N, t Adm. Code .", :COUNTY Attach complete site plan on paper not less than a 112 x 11 inches in si a Plan must nctude;'bui not limited to vertical and horizontal reference point (BM), direction and% of slo^scale or PAR EL I.D. # dimensioned, north arrow, and location and distance to nearest road. °' Q 4 _ X415 - APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R DBY DATE PROPERTY OWNER: c� PROPER f � i LT1}UN T ► 1A4, llll ¢ 1 14,S ZST Z9 ,N,R ZO E(on)�W PROPERTY OWNER':S MAILING ADDRESS. LO 9L D. NAME OR CSM # LBE) �Z » ��'�ue Lj - C Uol. 13 1> 363 CITY, STATE _ ZIP CODE PHONE NUMBER []CITY ❑VILLAGE [MOWN ' NEAREST ROAD 14 )t Z S1tot-t (IL S) 4 ZE -bI 2vy I �F_LPojpLz Off_ [ ] New Construction Use Residential / Number of bedrooms [ J AdditiQn to existing building [ Replacement (] Public or commercial describe Code derived daily flow L\S 0 gpd Recommended design loading rate bed, gpd/ft - 8 trench, gpd/ft Absorption area required 6 y._�' bed, ft 56Z-5 trench, ft Maximum design loading rate - 1 _bed, gpd /ft • c6 trench, gpd1ft Recommended infiltration surface elevation(s) d4 - ft (as referred to site plan benchmark) Additional design / site considerations S `ti1u1 `t0 }!N sTP«_ �Pti 3 Parent material \ -6RS a out Spa oUrs Flood plain elevation, if applicable � A It S = Suitable for system I CONVENTIONAL MOUND [] AT -GRADE SYSTEM IN FILL HOLDWG TANK = Unsuitable for stem 0S ❑U ®S ❑U 0S IN- GROUND ❑U R I 0S ❑U ❑S CCU ❑S ®U U SOIL DESCRIPTION REPORT Depth Dominant Color I Mottles I I Structure I GPD /ft Boring # Horizon Texture Consistence Bcuxlxy Roots rer>d� in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed r <. _ Ground 3 18 -Q\S LD `t Ii 31 _ St L Z wI sblZ �-�- c S _ . S elev. o S ft ' 43 - 10g .�•S`•t23Jy _ S d 6� v S9 ltit\ - •Z _$ Depth to limiting factor 71O bm� Remarks: Boring # 1.S4Q 3lSr Sd U Sg VA \ - . •g Ground elev. ft Depth to limiting factor 7 70 / 1 Remarks: CST Name: — Please Print Phone: Arthur L. Wegerer 715 - 425 -0165 egerer Soi Testing & Design Service -P.O. Box 74 River Falls,WI 54022 ' Signature: Date: CST Number.. UO -8� Lf- Z' -(X7 2 20254 0 . PROPERTY OWNER SOIL DESCRIPTION REPORT Page Lof 3� PARCEL W. q dy,Q - L lSq — JQ r Boring Horizon Depth Dominant Color Mottles Texture GPD /ft i g Texture Consistence n. Munsell Qu. Sz. Cont. Color Boundary Roots Gr. Sz. Sh. Bed ITirench -10 stl Z`� sbk MTV- CS t�' •s .6 Z t _38 d6 v - 5/b Ground - ) -S `1e Vv elev. •� $ 9 b.s ft. r Depth to 3 limiting _� ��tl1Z gY f2o zu a,a_ - Remarks: Boring # Ground elev. ft. Depth to — limiting factor ) I Remarks: Boring # i Ground { elev. It. i Depth to limiting factor Remarks: 3oring # around �! ;lev. It. )epth to imiting actor Remarks: _ PLOT PLAN Page I of 3 SCALE 1 "= �Q ' z PST 56 - W/ 9 wjIT5 ?eL T�eJcd¢ , I i U N X J O } J w t 11Z '0 . ! D 4S •S 100 =CO OXJ CONtRIei-' OFF CGXJ c.\MJ- - rkZ- , %vi - LT-L wtp -S' Afi' OF- S161&G 00-8y ./ zzoZSy ; �C Y— Z%-00 ( 715 ) 429'-0165 CST Signature Date Signed Telephone No. CST # r ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the p �` n JCL' res located at: %, l %, Sec . a T N, R PC) W, Town of �� St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced Q Did flow back occur from absorption system? Yes No (if no, skip next line. Approximate volume or length of time: gallons minutes Capacity: /' /d0 Construction. Prefab Concrete, Steel Other Manufacturer (if known) Age of Tank (if known): rr a L " (Signature) (Name) Please Print "? -� x1� (Title) u (License Nmber) � J (Da ) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet b .ffle) . L Name Sig e M AMP 7� ST CROIX COUNTY • SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buycr Q Mailing ddress ' g P Property Address t" b(k �S 1L� e (Ycrificatioa rcquired from Planning Dcpar mcnt for new construction) C�ity/Statc ! �4� �C S' Pamd Ideatificatioa Num _ - 1J ADe ba C� � LEGAL DM. CItlP•J TON Property Location %, /. Sec. T 62 N -R W. Town of 7r' Subdivision �a a Cerfif Stuvep Map # 0 2 Volutnc . Page arranty Deed # �� Volume . Page it Spec house ❑ yes (H no Lot lines identifiable JR yes ❑. no SYS'I'E14 4LAINTEMAN( �Ia Operusetad �y ltmitrg sat=fai[ netohandlewad=Proper e P out dc =Ptie tank cVmy throe y= oc sooner; if needed by a Yiccnscdpampcz: - Wbat you pat.ido the syst= cam affcd a ,f mica= .c 4ibe septic taak ftabneatstWim ibe wastedisposal- cysGcm. P ttY owner au= to subroifto St. Croix Zug Dcpartau:at iL , ion form, signed by �e _owners and by a u�P 7 �yn=Plu�cr. t�ictodplumbcror - ,Ho zdprmspavcnifYi tut (1)&Coaai wastcwatcr Isydcm proper operating coafitioa aced /or (2) aftcr impoctioa sad pa q=& elf neoasary), uptictank is less than u3 ru of slud . ( he =AcO igned bavic.trad the abm rcquk=Xnft and agtnc to nom the pdvatc sewage disposal gstcm wi t . 9 W 6 undatds &A hmin las cd by the Dq=bmkcnt and the Dot of Natural Rcsouccs, State of Wises sin.. Ccrt cafiun Your =Pfic system has bocce maintained mast be eompketcd and tad to the St. Q oix.County Zoning Office wiffiin 30 -of 1hc e'4=tiou date. 'of SI OF APPIJ DATE 0WNE12. CER"WCA.TXON Y (We) octtify that all statements on this form ate hue to the bcsi of my (our) knowtedge. I (wc) am (arc) the owacr(s) of ProP�y above. by virtw of a wumq dcod recorded in Rcgistcr of Decds Office. OF DATE « «« «s« AW information that is mis_rcprescntcdmzy gulf in the tanituy pec ut being revoked by the Zoning Department. ***too «s Indudc Wi(h this apptica((on: a clamped warranty dcod from the Register of Dcods ofticc a Copy of the cmatod survey map if mf=aoc is trade in the warranty dcod fAQCUMttYT No. • HAIL 0! AI$CONSIN "IM 1 — ills r af" NUMV416 P" aslOOMO a BATA k �i WARRANTY DEED 4 2 100c 770 PAvE 71 r ASTERS OWN This Deal, insda between Vir it E Delander and J ST. CROIX Coke W1& ... ............................... WA far Fleiw 0* 26th +I ................................................................ ............................... ...... clay of � Q If 8 + I ... ................. $ )►arthuri and . ... ... ...... Grantor. 2:10 P asld---- .... X.... a.... ....• ............... ...... X.... Aarth ..husbar....(!i}5�..4iiH.. i as survivor$hii: marina •�••gxADeyty ............... ..................................................... ............... ........ . ....... Grantee. j� Witn"seth, That the said Grantor, for a valuable consideration...... conveys to Grantee the following described real estate in ...... St Croix ' To County, State of Wisconsin: ;. TaxPared No:. .. .....................»....... Lot 2 of Certified Survey ;dap filed in Volume 6, Page 1777 as Document Number + 421950 located in the NE} of the NE} of Section 25, T28N, R20W, Town of 4 ' Troy, St. Croix County, Wisconsin. !II� it �i S I I �I This ..........i$ .............. homestead property. (is) (is not) Together with all and singular the hereditament& and appurtenances thereunto belonging; And.. warrants that the title is good e -- •_..._.... d free ncu , indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights of way of record. I and will warrant and defend the same. ebruar Dated this ............... 281:)1 ....................... day of _...._.... . F..__........-.X ............................. ........................ ......................... . ..... ..............(SEAL) (. .._ .........(SEAL) 4 i --• ..................._._.......... ............................... . Virgil__ . ... E._.D . elander ....................... (SEAL) .. �C.1!�:4 � ✓. . ._... (SEAL) !) --------------------------------------- --------------------- -� :... a • Patricia ._ l'1,..De1xDdSrJC i AUTHENTICATION ACSNOWLEDGMBNT Signature(s) -- ---- ------ ------- STATE OF WISCONSIN ............... ..................•-- -..._ - --•- AVM .it• � _. ..__.. - - - - -- County. . � • _ authenticated this ._....._day ot ........................•- 19 ..... Personally came before me ihiis dayf�,o� Februar a Virgil E. Delander and Pa •� ... _ -- •----- ••.... __ -- r t TITLE: MEMBER STATE BAR OF WISCONSIN ............. _ _ _ _•- 4 T .. ; (If not . ......... ...?. 06.� authorized by � ...•.• f �, ..- 0_ 6, °- Wis -- . •- - • Stat - • ....s...) . ............. ... ........ for ... ................... . .. .•-• --- -•-- -- .- ..._ -- , -- - ._...- •--_.r•. I to me kno to a person ...... _••... who, eaeouted the THIS INSTRUMENT WAS DRAFTED BY go g instr e-a acknowledge the same. Joseph D Boles Attornev at Law G 219 - N ' o' orth Main Stree t, Box 138 •.Da.y. U- .,I__. s. t. re_ en ........ ................._..- ...- - -.... River Fa11s WI 54022 ._.....! ........................ ....................•...._..... Nota Public ....... 5-1 •A. Croix... gnaiures may be authenticated or acknowled ed. Both My Commission s Count tre not necesaury.) S ; ermanent. (If not, state aspiration date: .--•---.......-•---....... -- •- -- .. ...................... 1 9 ......... •Naas" of Persons signing in any eaPUAY Should be t;'P or Printed below their Sianawre�.. I MP ZrATV OAR we WrarA esw FILED MAY 0 3 1999 a► 1p KATHLEEN H. WALgH 602421. Register otDeeds SL Croix ti C ER T -T E I ED SURVEY MAP Located in the NE1 /4 of the NE1 /4 of Section 25, Township 28 North, Range 20 West, Town of Troy, St. Croix County, Wisconsin.(Lot 2 of that CSM in V.6,p.1777.) North line of the NE 1 /4 Owned by: Roy Aarthun 188 Delander O.U,TL4TT 9'; TtRK —; VI River Falls,Wi. 1728. •O' er z . -moo-- a '•• -° _ ..s•• ^.s..v m - a — .— S@7 - _ — - -- — M S 87.07.46 " E 379 .01' PLAINVIEW DRIVE N114 CORNER N87 °07 46 "W 549.0/' SEC. 25 -28 -20 S 87 ' — — — _ !M. _ + '07'46 "E,378797' I I PROPOSED I — NE CORNER /00' DRIVEWAY I SEC. 25 -28 -20 33` 133 (NOTE: proposed (L QD7T 4 (drive is 202 feet !44.:.- sgreper lfrom the centerline N 143,408 square feet (3.29 ac) pf Delander Drive including r -o -w. : and 401 feet from 130,900 square feet (3.01 ac) [he centerline of the I 6rivewa to the west. vi excluding r -o -w .. ro 0 y m v I This map is a sub - m 1 division of Lot 2 of ti 1 that CSM recorded - � - /oo' —►- AREA ACCEPTABLE• in Vol. 6, page 1777. t,. I FOR DRIVEWAY CU O `! LOCATION i 1 I 1, � � o 00 1 1 � tu p LU I i I w a4 °1 a S 87'07'46 "E ? (01 n o 37 8.50' • in 1 11 I 147,213 square feet (3.38 ac) v I N1 Z 1 I Legend 0 1 JI 1 (D c I I I � I 1 O1 1 ,I 0 Qf I� �j - indicates 1" J I I I iron pipe fnd, ' O ; EXIST /N6 W1 1 t o indicates 1 "X HOUSE DRIVEWAYS p, I I 24" Iron .pipe weighing 1.68 "' � 6A m I 1 lbs /lin ft. set. N rz/V m: 33' 33' I IA 1L ® 7T 5 I A Iq V - : • DFyN 0 Q• i'.� �° I I g S 7 9N 1 iv r r' l % I SUR\lE-4 1 87'07'46 "W 377.97': L IM9, C. S. M_ _ VOL. 6 , PG. 1777 I I Bearings referenced to the North line of the NE1 /4 of Section 25, previous.ly'recorded as N87 0 07 1 46 "W . SCALE IN FEET l'=100' O /00 200 AIN This instrument drafted b . y 4982617 Vol.13 Page 3636 L L._. ; i L