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HomeMy WebLinkAbout040-1160-10-001 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division . - INSPECTION REPORT sanitary Permit No: 453130 0 GENERAL INFORMATION (ATTACH TO AERMIT) 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: Dodge, Julie I Troy Township 040 - 1160 -10 -001 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: IM-0 1 1 •*D �1u.� F341-t - 25.28.20.6246 TANK INFORMATION ELE TION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Zlct.O Benchmark r Dosing V Alt. BM I- IT. 4 Aeration Bldg. Sewer 9, q b .4 3 ' 1 Holding SUHt Inlet 01.70 46 1 TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet { t Septic >25 -%. :5- I l ( r ' Dt Bottom Dosing 1 Header /Man. Aeration Dist. Pipe Hold' Bot. System Final Grade r { PUMP /SIPHON INFORMATION LA L,., : C ( •�D Manufacturer Demand St C ver M Model Numb TDH Lift ! tion Loss System Head T H Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width ( Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 * �� ` - I SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manuf cturer INFORMATION CHAMBER OR v% Type O ystem: ',ve �� ' �Z♦ UNIT Ci umb Mo umber DISTRIBUTION SYSTEM Header /Manifold Distribution � e x Hole S acing Vent to Air Intake Pipes) / Length Dia Length a Spa 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 discrepencies persons present, etc.) Inspection #1 spection #2 f—�- -' Location: 170A Delander Dr Unknown (SE 1/4 NE1 /4 5 T28N R20W) NA Lot • ` rcel No: 25.28.20.62 B 1.) Alt BM Description = ly► &;0XI st�.3 CarL.� ) Q 0 7 • r r s 2.) Bldg sewer length = 28 �� , — (� 3 t - amount of cover = *2P 74. a : 89 - f -- - -y�43 Plan ks Use other for additional �orrnation. No Re SBD -6710 (R.3/97) L 44 .,o Dantte--,,�� . Insepctor's Signature Cert. No. �,. �+� Safety and Buildings Division county,, N 201 W. Washington Ave.,-P.0, Box 7162 SCQ�SI Madison, WI anitary Permit N bar (to be filled in by Co.) (608) 26 -3131 CE�V 3 0 Department o f Commerce State Plan I.D. Number Sanitary Permit Application! i Z In accord with Comm 83.21, Wis. Adm. Code, personal information )wu prove e 1 may be used for secondary purposes Privacy Law, sI5.04(1)4n) Project Address (if different than mailing address) 3i. r 1. Application Information - Please Print All Information l DA Property Owner's Name Panel # Lot # I ock # Property Owner's Mailing Address Property Location I } y,, Y.., Section City, State Zip Code Phone Number � (circle one) ' N; ..E or W I . Type of Building (check all that apply) _ >�I or 2 Family Dwelling - Number of Bedrooms CS tuber U Public /Commercial - Describe Use t 11 State Owned - Describe Use 2 X Z t, utlG� !r ❑City_OVillage 5�fownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) O „Q g A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System. B• ❑Permit Renewal C1 Permit Revision ❑ Change of C1 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner I V. Type of POWTS System: (Check all that apply) 14 Non - Pressurized In- Ground 0 Mound 2:24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter . Cl Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Nu m r Manufacturer reftb Site Steel Fiber Plastic Gallons Gallons of U its (,c L Z�, Q �ncrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank / Aerobic Treatment Unit Dosing Chamber VII, Respo sibility Statement- I, the undersigned, assu responsibility for installation of the POWTS shown on the attached plans. Plumber's 7am P rint) ( Plum s Si at MP/MPRS Number_ Business Phone Number Plu ber's Address (Street, City, State, Zip Code) VI11. Count /Dc rartment Use Only Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued 1 win gent Signatu Stamps) Surcharge Fee) �7 ❑ Owner Given Reason for Denial 1 1 2 � — 1 / rip D IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained b lumber. management plan provided as per manag p Y P 2. All setback requirements must be maintained as per applicable code /ordinances Attacts complete plans (to the County only) for the system on paper not fees than 8112 all Intba la sim-' SBD -6398 (R. 01/03) l �ul� C� .�JO.a�C st�/- /�.��/ Sic ;�S T�?si✓ -7�o u� � � 1V I i" .�A c D -� G O P I r -20 "Ode- -"E:e � T ct C� i l RECEIVED S E P 16 2603 " Wisconsin Department of Commerce s7 CRc WbI�YiALU TION REPORT Page _�— of 3 Division of Safety and Bulldings i ZONING OFFICE ( m. Code j County ST. LV1 Attach complete site plan on paper not less than 8 112 x t t Inches In size. Plan must i include, but not limltod to vertical and horizontal reference point (BM), direction and Parcel I.D. C p percent slope, scale or dimenalons, north arrow, and location and distance to nearest road. ; wed by Date Please print all information. 4 (1) (m)). orb / t Personsi Information you provide may be usod for secondary pvrposes'(Prlvacy Law, S. 15,0 (a Property Owner PropertyLocatlon Of THE (U61 y AA DUI- - %E DOt�6tE /JE tla N�114SZ 5 T z W Property Owner's Mailing Address Lo Block # Subd. Name or CSMN 5b z R \vER 1'11LL.S ���v£ City State p Code Phone Number CKy [j village M Town Nearest Road R \N) eK FALLS W7- 1 54 oP-z 1 ( ?IS 14 2 e -005 4k ME New Construction Use: ❑ Residential/ Number of bodrooms . y Code derived design Row rate O(J — -- GPD i ❑ Replacement ❑ PuUc or commercial - Describe, Parent material bVL1 W�� — Fl Plain elevation If applicabie General comments and recommendations: CON VC jjT10N#1- :.N-• (oKoll AM - W eNW'lk -S (3.1 WAtaW(21 'RAM Boring Boring # 7 � in Pi Ground surface elev. ft. Depth to li (actor _� Soil potion Rate ' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff In, Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - •E(f#1 'Eft #2 I 1 0 lo�tKZ/z —' d 3 -co .5 0, l Z Z4 -I 01K #1 — L f¢ d &5 24 s o.8 Z�t4 -n1 0. 1, Z- 3 - 2 p� 1C (� ( my L- 56K d 5 5 I i �{ 2a-% 10 `i --� S l 0.7 I - z. l- tot�Gt s Io�10 CpR. -m r 3 • l q F2-]Bodng # Boring 11 Pill Ground surface elev. �� ft. Depth to limiting factor _ 7 40 , r in. Soil (cation Rate t. Horizon Depth Dominant Color Radox Description Texture Structure Consistence Boundary Roots GPOlH' in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. - Eft#1 Etf#2 t p _4 012 j 2 L z A -io o 7- 17- T— L b K ds Qs 2 .S 4•b 3 to -2 oV1Z l5 - K s Q.5 0.7 20-32 42'�A S d5 CS 1 T 2 -38 vim'` /4 — �5 cis _ c to - o o R S o i - Z t - 1 �0 1,17-0 c& Rt i - o tk ! ' < rt1ue t N2 =BOO < 30 mglL and TSS 30 mgft NAs c •) ` f 'Effluent N1 =BOO > 30 _< 220 Land TSS >30 < t 50 mglL E Q - CST Name (Please Print) Signature CST Number f Ii J M �0 hI0 t t_ STE ZZ 9 832 - Address Date Evaluation Conducted Telephone Number .I 1 W`i815 b90 RluE TAt�s WT 59022 Oq- -0 �'1l5 y21 617,5" I Paroal10# Page CPEiuD� Z of ^� Property Owner �.��, �Ul1E __�.,�_ n Boring a ❑ Boring t 1 Pit Ground surface elev. _1QQ�Q 7 h. Depth to limiting factor jL0Q_„_ In. Soil App li c - a tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf I In. Munsall Qu. Sz. Cont, Coloi tar. Si- Sh. 'Eff#t - Eff#2 1 0-10 1 0 `1 Kq - Z L K s 6-5 0.5 Z -20 1 nj it. 3 14 — tst 1 Zf wLWA evS O.S j ZO -3 3 A4 Im -L5bK dg CS Zof- 0.1 !.z i 3L - foe 1 4 `la! i a . I l� It O N , •J ❑ Boring # ❑ Boring ❑ — pp Ground surface elev. _ H. Depth to limiting factor In. Soil ticadon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Etf#1 'EH #2 t I I I i i i a I t a l3ortng # ❑ Boring _ __— ❑ Pat Ground surface elev. H. Depth to limiting ladtx _ in. ScA Appitcadon Rate Horizon Depth Dominant Cotor Redox Descriptlon Texueue Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 1220 mgrL and TSS >30, < 150 rng1L ' Effluent 02 = 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 altemate format. please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. seD•t7)0 (8.6/00) , f pAGE_IJF�. I' PiZOf'��fY O1MJE�: Uo (,�GENl7: / s S/ � &x Pr wHeQE NC eo ' vc5r_FjplON. PC PA9cEL LaonQ IAI t3 - = TDP 0FPVCPIPe . Z' Pe or-TMeA A XID U Ttte ASY4 g bRAUND SOAP_ ACe M2D ZQ 1#Z= SPIKE W 0.S' YE El- 5OR, GORING W/ PACKfa NO COMM 85 5MACK t'ROMeM5 io. Iy A c2r s i � I J PRoPOSSf✓� � i H ( —I'm Lo cAmPJ � I L� F3 . r; n� ° 99.00 (Do Axff t ST U" � — h PpRpX . S50 a FeNCe �Ne- NOT pROPos�fl naw�w�oy d , r , VLAINV�pvJDQ _ L✓ yy I � f 1 , SEC. ZS SKr�i.�e - oa.'1` SIGNEt7 CSt U1.t�c;S � r VAtf; 01- 01-U5 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ,z, of ,—e-2 FILE INFORMATI N SYSTEM SPECIFICATIONS Owner , , Septic Tank Capacity al NA Permit # Septic Tank, Manufacturer r t . � ONA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms / O NA Effluent Filter Model O NA Number of Public Facility Units NA Pump Tank Capacity al - NA Estimated flow leverage) al/day Pump Tank Manufacturer -1�NA Design flow ►peak), (Estimated x 1.5) g al/day Pump Manufacturer 0 NA Soil Application Rate 9 al /da /ft2 Pump Model NA Standard Influent /Effluent Quality Monthly average" Pretreatment Unit _ZNA Fats, Oil &Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (SOD.) 5220. mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L O Disinfection 0 Other:, Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA Biochemical Oxygen Demand (B66, 530 mg /L jVIn- Ground (gravity) ❑ In - Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L 3dNA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line O Other: Maximum Effluent Particle Size ye in dia, O NA Other: ❑ NA Other: O NA Other. ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) " (Maximum 3 years) ❑ NA f earls),, Pump out contents of tank(s) -`' When combined sludge and scum equals one -third %) of tank volume ❑ NA Inspect dispersal cell ❑ month(s) s) At least once every: (Maximum 3 years) ❑ NA ` j l�year(s) Clean effluent filter At least once every: ❑ month(s) ❑ NA fl year(s) Inspect pump, pump controls &alarm At least once every: ❑ month(s) C3 ear(s) 1 NA Flush laterals and pressure test At least once every: ❑ ❑ )Le ar(s) mo nth l r 6 NA Other: At least once every: ❑ month(s) ❑ NA O ear(s) Other ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to Identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation. of sludge and scum in any tank equals one -third %) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Cods. .:.. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) 1; Page C�2 of START UP AND OPERATION " For rew construction, prior to use of the POWTS check treatment.tank(s) for the presence of painting products or, other ohemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(sl removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the Infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power Is restored the excess wastewater will be discharged to the dispersal cells) In one large dose, overloading the cells) and may result In•the backup or surface dischargo of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump' controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides ; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. 1BANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned In compliance with chapter Comm 83.33, Wisconsin Administrative Code; • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. :ONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank.may be Installed as a last resort to replace the failed POWTS. - Cl The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding t ank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < WARNiNG> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN, DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES, DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. , DDITIONAL COMMENTS �OWTS IN TALLEPI POWTS MAINTAINER, Name Name Phone — — Phone .PTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ' Phone ±s. Phone r . .. its document was drafted In compliance with chapter Comm 83.2212)(b)f10) &(f) and 83.54(1), 12) & (3), Wisconsin Administrative Code.' 4— 6 -04; 1:26PM; ;715 246 6092 7F 6/ 10 " & 1 f 4 41 ousts kWLIbLE tACAVA ENG 19008 ST CROrX COUNTY SEPTIC' !'ANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owners li uYej- v - Mailir,..9 Address 41 - � y & Property % (VI2RIC 1i oa required front planning Department for new eonsttuclion) City /State d Parcel Identification Number ��� - \ \b0 • �o � Q�� i ;i1 >'C'l�ll'`I;(C7N �• �zyg) Prop r.rty Loi:;tlio y;, � 1 �� Sec. Z& , T -R c Town o Subdivision , Lot # \ Certified Survey Map �} `�'��'�33 _T Volume �� , Page WA,-1-Mary Volurne l \� , Page Spec: house U yd-..Ql tlo Lot l identifiable yes ❑ no A NCE 1 mprohrr usi end rnaintenanetof your septic system could result in its premature failure to handle wastes. Proper maintonamce consists of puutFni1j�; nut tllc ,eplic r;,,� every three years or sooner, if needed by a licensed pumper, What you put into the system can afloat the lunrtit�rt of the septic Cant: as a treatment stage in tho waste disposal system, pruperty ')tvnt:t agrees to submit to St. Croix Zoning Department a cci ification form, signed by the owner and by a master plus n bcr, lJ tulleY ► tan plumber, restric led plumber Ora licensed pumper ve that (l) the on -site wastewater disposal system is in propzr ol)eraiin.t; cundiuun and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /wc, the undrrsig�ucd flavc read the above requirements and agree to rnaititain tho private sewage disposal system with the standards set fonh, herr: ,, us set by the Department of Commerce and the Departrnent of Natural Resources, State of Wisconsin. Cenificatioa stating that Yuui septic system has been maintained roust be completed and returned to the St. Croix Coun Zoning Office within 30 days of [ha thrcc y'cur expira[Mi date, C DATE oW1 v�I; c:l;,>n'rx r•ciTily shut all statrmcnts on this; form are true to the best or my (our) knowledge. I (we) am (are) the owncr(s) of tlic proper c{c: ;�ribca above, by virtue of a .varrant , deed recorded in Register of Deeds Office. sic rultil: OF APP � DATE *4t * *A.v Arty inCormation that is 'Ills- represented may result in the sanitary permit being revoked by the Zoning Doparrmcm. ' • Include Nvidl tilis ipplif- -ation: 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 II I 4— 6 -04; 1:26PM; ;715 246 6092 #t 10/ 10 y 3.34 STATE BAR OF WISCONSIN FORM 2. 1999 6 8 2 8 0 1 Pocumcnt Number WARRANTY DEED KATHLEEN H. WALSH ST. CROIX CO., yI REGISTER OF DEEDS This heed, made between Thomas P. COIIIAS and Carol A. Collins, RECEIVED FOR RECORD f/k/a Carol A. R dber , husband an wife 06 -24 -2002 12.30 PII Grantor, and Julie C. Dodge, •0 REC FEEL 13.0@ TRAMS FEE: 840,00 CERT PER Y FEE: Grantee. PAGES Grantor, for a valuable consideration, conveys to Grantee the 2 following described real estate in St. Croix P1 County, State of Wisconsin (ifmore s pace is needed, tease attach addendum): Recording Area See Attached Exhibit "A '. Name and Return Address q ,per Edina Realty Title 400 S. 2nd St., #11 Hudson, WI 54018 040 - 1204 -50 -000, 040 - 1160 -10- 001,040- 1159- 30 -00, Parcel Identification Number (PIN) This is homeatcad ro e P P nY• Exceptions to warranties: Easements, restrictions and rights - of- -way ofrecord, ifany. ('r) XX00 Dated this day of May 2002 • Thommas' P. Collins • Carol A. Coffins, Vk/a Carol A. Rydberg AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. �- authenticated this Lr� County ) . _. da)taC--- •.•�+ -.�... sY - DIANE M. BARR Personally came before me this � � day of May 2002 the above named • of Wisconsin Thomas P. Collies and Csrol A. C011ies, Uk/a Carol A dberg husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the persons) who executed the foregoing authorized by § 706.06, Wis. StatsJ instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY . (� �. Attorney Krtstina Ogland , u0son, V.. t Notary Public, State of Wisconsin My Commission is permanent. (ifnot, stote expiration date: (Signatures may be authenticated or acknowledged. Both arc not necessary.) • Names otpersons signing in any capacity in be typed or Printed below their si $nBtU[C. M+orinalbn PMItlYOnMr Ca,a,ury. Fond W La wl WARRANTY DEED STATE BAR OF WISCONSIN eoosss-IM FORM No. 2 - 1999 4- 6 -04; 1:26PM; ;715 246 6092 7X 9/ 10 a I 756433 VOL 18 PAGE4722 XATALM.N. VXESIF REGISTER OF DEEDS ST. CROIX CO. YI RECEIVED FOR kECORD 04/81/2004 91:25PH CERTIFIED SURVEY MAP Bee COPY FEE: 3.00 PAGES: 2 CERTIFIED SURVEY MAP LOCATED IN THE SE 1/4 OF THE NE 1/4 AND IN THE NE 1/4 OF THE NE 1/4 OF SECTION 25, T28N, R20W, TOWN OF TROY, ST.CROIX COUNTY, WISCONSIN. N 1/4 CORNER OF PREPARED FOR: r_ NOTE- BEARINGS ARE SECTION 2 (FOUND REFERENCED TO THE NORTH Sf.CRO1X COO UNTY JULIE DODGE LINE OF THE NE 1/4. ALUMINUM MONUMENT). (RECORD BEARING). - N8T07.46yy NORTH LINE OF THE NE 1/4 t 328.02' 1328.02' o NE CORNER OF SEC110N C -4 u 25. (FOUND ST.CROIX m c • IJJ�p),AT[QD. - COUNTY ALUMINUM MONUMENT). 46•E , m SBTOT 347.39' . 1 1 --w SW -NE SE-NE ._ -_. —._ LOT _ 7. 1 . N , p ... -7 z 1 m LOT 9 6.14 ACRES 1 LOT....... 1 ► o N 267,640 SQ.F7. DRAINAGE DITCH 1 '_Q 1 4 V Coil Q � —; ...... •. C LOT -5 I I m 66• WIDE INGRESS AND EGRESS j o EASEMENT VOL- 2513 PAGE. 265 I 1 M N 8 T0r45'W I I i 346.35' ............................... I m C -S.-m VOL. 7, PAGE 1392 f ............I.... _ NOTE- NO ADDITIONAL PLATTED LOTS I MAY TAKE ACCESS THROUGH THE 66• ,SCONS, WIDE PORTION OF LOT 5 UNLESS ALL APPROVED STRUCTURES CONFORM TO APPLICABLE ST.CROMODUNTY SETBACKS AND COUNTY ROAD STANDARDS pwm*ig Zwkq mw Peft C P-"Mft JAMES M. ARE ACHIEVED. WEBER APR 0 1 2004 a4wd VFJf0 VALLEY, FOUND 1 • IRON PIPE. ` Q I[nntr000lOeO WYhln 30 days OI 7J- ®s FOUND 2 IRON PIPE. AppraM dab appmal shaU be 'Cup SupJ� JAMES M. WEBER S -1804 0 75 150 300 SHEET 1 OF 2 LANDMARK SURVEYING, INC. DATED 2003051A THIS INSTRUMENT DRAFTED BY JIM WEBER Vol 18 Page 4722 it �• ►• � Z ��' I i 1 3Z � i � � g � c, j� !I i 1 �� i 0 k c © ° J % k k E g C/) g 7 = / \ # 0 / U 2 L ® � \ - \�� //� �� ° §� 0 §\� E CD 7�6 ■ § (D c I ■ § 0 2 @ z . E e >to A , 3 k o o + CL R § § \ Q 0 § § {; n r to n 1 A1 z 000 \_ � 0 § S § . \ mom \ ( § \ CD E 7 � . e - �0 § � / E 4 & K) 7 E z 7 £ 0 @ % E /E §f� CD Q § � k @ _ EL c h \ 11 i 5 k k\ � r k k\ } - @ k / z g R 2 . E ■ M q § § , , �z 3 k § 2 C ; CL k0 k < � ' § \ � $ � i k ' � \ � 2 0 . » m A \ � ?? U � � 8 E , � 2