HomeMy WebLinkAbout042-1004-50-600 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM v
Safety<and Buildings Division Count Croix
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary,P„gir, op o.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 3 /4yy 1
Permit Holder's Name: ❑ City ❑ Villa e E] T wn of: State Plan ID No.:
Durand, Chris Warren 'township _
CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.:
p M 0' � l" c „� CS'[ #1 042 - 1004 -50 -600
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic M3�0 410D Benchmark S.pS 10� (cn,o'
Dosing u Alt. BM • q7- I
Aeration Bldg. Sewer (�,2 - g:90
Holding St/ Ht Inlet 6.3 �' -1
TANK SETBACK INFORMATION St/ Ht Outlet ----
TANK TO P/ L WELL BLDG. Air I to ntake ROAD Dt Inlet
Air
Septic > (5'' C > p ' -- NA Dt Bottom ao. S 9q-
Dosing > [ 5 ' « " 2,0' NA Header / Man. S ZS- C M .8D
r o
Aeration NA Dist. Pipe
N s zo y9 Ss'
Holding Bot. System 6' `
rf PUMP/ SIPHON INFORMATION Final Grade
Manufacturer '� Demand St cover
Model Number d GPM
1 � TDH Lift ? Lriction System , TDH 1 -1. Ft Head
oss Forcemain Length Dia. .� `� Dist. To Well
SOIL ABSORPTION SYSTEM � ss)
BED/TRENCH Width Length / No a O Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ��' DIMENSION
SETBACK
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Ma u a ur r: R n_
CHAMBER
INFORMATION Type Of y IZp M elNum N
Sys Cam > S OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold ,L�� Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
- f �
Length` Dia. gth Dia. Spacing � (Lv
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of T x Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil E] Yes [] No [I Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #l: 11 /03 /oo Inspection #2• - 11 '
Location: 1223 County Ro d E Robe �, 1 540 3 1/4 ) 1/4 3 T29N R18W - 03291837A60 -Lot 6
1. p Alt BM Description= =°i""� "/'
2.) Bldg sewer length = l o t ��
- amount of cover = > 42 " fe � (
3� '�i"'k 14, `'lW � �/� .- �1s1+ (,l �-� w c�•�+.��st�/ -d�-t�
Plan revision required? at No
Use other side for additions mation.
SBD -6710 (R.3/97) I Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
s
SANITARY PERMIT NUMBER:
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1101 Carmichael Road
Hudson, WI 54016
Phone: (715) 386 -4680 Cr oix Co unty
Fax: (715) 386 -4686 Zoning Depa rtment
Fc3x
From:
To: {-{ 1 \ 1 Iv G r !7 bA
Fax: s 1 - y - sa,� Date: '
Phone: P
Re: (� C ( i i C I i d r� Leffcp CC:
❑ Urgent x For Review ❑ Please Comment ❑ Please RePly ❑ Please Recycle
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
:i"< I I N N N N oon ...r ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
_ (715) 386 -4680 Fax (715) 386 -4686
I
Janua ry 8, 2001
Chris Durand
1223 Cty. Rd. E
Roberts, WI 54023
RE: Septic inspection for Chris Durand located at 1223 City. Rd. E
Warren Township, St. Croix County, Wisconsin
Dear Beth:
A septic inspection of the above referenced property was conducted on November
3, 2000. This property is located in the NW '/ NW '/ of Section 3, T29N R18W,
Warren Township, St. Croix County, Wisconsin. At the time of the inspection, this
septic system was found to be code compliant for a three (3) bedroom home.
If ou have an questions regarding this lease contact our office at (715) 386 -
Y any 9 9 �p
4680.
Sincerely,
w
Kevin Grabau
Zoning Technician
/gm
cc: file
nyi21 /00 M' 09 :06 FAX 715 386 4686 5T CRY CO ZONING
} 2 Sanitary Permit Ap,p OA Safety & Buildings Division
in accord with Comm 83.21. V+`is. Adm Code 201 W. Washington Ave.
n
14sc in • � See rcversc side for instructions for campicting this application PO $o 7302
Personal information you Provi,z may bn used for secondary purposes Madison W133707.730`
Depa-trroem of Commerce [privacy Law. 5, 15 J4(1)trnll (Submit completed form to cowity If r
state ownct
Attach com lets lens (to the county copy only) for the sy stem. an psEer not less than 8 -112 x I . inches in size.
County /� State switary Permit Number 17 Cheek if revision t.) previous application State Phn 1. D. Number i
Ci li r �j i
1. Application Informatio - Please Print all Information Location:
Propatty Owner N proper ,I t ocdtion �/
� z Z _ !4 t 4. SJ 2 N, R/9 er W
prapoty - 3 - per's Mttttryl dr.s LotNum�er Bfoct;Nu
u r
City. Late Zip Code Phone Number tdivision Namc or CSM Number
(,vt -5 { J — `�O�! 006� U8 09.
11 'Type of Building: (check one) O city
I or 2 Family Dwelling- No. of Bedrooms ✓ at rr✓ p tb. S D Village
• PubliclUmmarclal (deacribo use)- Town of , J
• State-owned `"' u-A
III Type of Permit: (Check only one box on line A, Check box on line B :! applicable) Nes t Road
A) 1, R New System 2. ❑ Replacement l 3, D Replacemcni of 4. C Addition to Pa ds) WX Numbers) 3 . L '37A
System Tank Onlh Exist'sn S stem S6 `'60o
B) Permit Number Date In
0 A Sanitary Permit was previoutly issued
IV. Type of POWT System: (Check all that apply)
on�ressurized In- ground D Mound 0 Sand Filter C Constructed Wetland
17 Pressurised lo-ground 0 Holding Tank 13 Single Pass C3 Drip Line
❑ At -grade ❑ Aerobic Treatment Unit 0 Recirculating d Other:
V Dis ri )/Treatment Area Information: ! S
1. Desip Flow (gpd) Z ispetsalAtea 3, persal Area 4. Soil Apo icitipn 5. Pereol Rate d. cyst Elevation . Final Grade
Required Proposed (Gals. �sq. !L) (MiaJincn) P. Al Elevation
{
Tank Capacity in Tom! # of Manufacturer Prefab Site Steel Fibcr- Plastic
Information owns Gallons Tanks Con- Con- glass
New Existing crate structtd
Tanks Tanks
❑ ❑ ❑
' 6GG 0 C3 v ❑
VII Responsibility Statement
the undersi ume rxa onsibil' for install 'on the P0WT5 shown o'n the attached phians,
PittatWtN (print) Plumbels Si %MP No. �) Bltsincss tine Nttrnbet
tuttber s Addma (SVest, City re, Zip
VIII County/Department Use Only
❑ Disapproved Santtray ermit Fee (lnelutia Grot_ndwater Date Issued lssuin Agent Sipsture (No amps)
Approved 13 Owner Given initial Adverse Surcharge Fee) a ---�
R ination t(' Z Z' , d l d LOV c7
I OL Conditions of Approv /Reasons for // Disappr wgh
2- covee
�, �•\tIp O� GGl.�lisn.J'Pi 6ku.Sl' hr, , rtts t�a.! ' ��a� �(`W O�r9r.�st( �/'ad� �WR �QJC GC.6 �26151
2 � `}��ter �0 6 c rr„rt.v.`�s�taed Sfr�lcec� c� (tr.ahu�G cf krcr tr
SOD -6398 (R. 07100)
PLOT PLAN
PROJECT Chris Durand DDRESS 111 Burr St. Roberts Wi 54082
NW 1/4 NW 1/4s 3 /T 29 R 18 W TOWN Warren COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 9 BEDROOM 3
CONVENTIONAL IN -G D PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE 600 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30
ARK V.R.P. TO of 1" Conduit °
P ASSUME ELEVATION iW Filter u
❑ BOREHOLE WELL
H.R.P. Same as Benchmark
SYSTEM ELEVATION 99.95
County Rd E
Vent
> 12" Sidewinder High
of Cover Capacity Leaching
Chamber
6' Long 16" Pro 3
Grade at System Elevation Bedroom
.514 House
10'
or bo
an
45'
lZo
320'
20' B -4 90, 1�B51 --� OF
Vents 115 5'
ents
2 -3' X 94' Cells 2% 45
with >3' Spacing Slope B -3
a
B -5 90, B -2
Wi'sconsin'Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings Page of
Bureau of Integrated Services in accordance with 83 1, Vs. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches i `e -Plan mu County
include, but not limited to: vertical and horizontal reference point ( Nirecti� r �kf J
percent slope, scale or dimensions, north arrow, and location and i'; nce to ! 1020. p n I I.D. #
> _
r'F P '
APPLICANT INFORMATION - Please print all info�rnation. Revi w y Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 b
Property Owner
?1�� iQYC� S� Ot) } Govt. Lot ` r' 1/4(�1/4,` 3 TZ Y ,N,R 1g E (or)(!/
Property Owner's Mailing Address Lot#, _BipeO Subd. Name
or ##
/
City State Zip Code Phone Number ty ❑ Village ® Town Nerest Road
❑ city a _
cs�Scl✓� li.I cr C2 (7/ 73
® New Construction Use: Residential / Number of bedrooms 3 `y Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow &CC gpd Recommended design loading rate bed, gpd /fi .6p trench, gpd /ft
Absorption area required OCIO bed, ft2 /eQrj trench, It Maximum design loading rate gi bed, gpd/ft 6 trench, gpd /W
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design /site considerations`` �
Parent material Q C.JTw S /�� Flood plain elevation, if applicable It
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system �C] S ❑ U PIS ❑ U Os ❑ U [�a S ❑ U ❑ S ®U ❑ S ,® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
E r
r 312 Sit 2m mfr c
ham.:
y r`!N S' t 2Ynabk, mfr
Ground -7
elev�
Depth to
limiting V
factor
Remarks:
Boring #
2 2 ✓
... 2 N l0 rYfl 5 2mc� m fr c 5
3 mv-Pr c5 — _7 ✓
Ground
elev.
Depth to
limiting
factor ,
ZZ ` in. Remarks:
CST Name (Please Print) Signature Telephone No.
Address Date CST Number
3� -5 -c� v zs'3 3e q
�� f — PROPERTY OWNER SOIL DESCRIPTION REPORT
Page of
PARCEL LD.#
Boring Horizon Depth Dominant Color Mottles Structure 2
9 Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Tr
5; 2 rnabl mF,^ 5 — 5
Ground 3 _ 7d ' / r `f f (o L5 n-7 I Y) v �l C S - 7 •% .
etev.
Depth to
limiting q 9 13- z ,,
factor
70 in.
Remarks:
Boring #
/p r'3/Z Si 2- M-'r CS V9 5 ��
y Z /Z 30 ' i0 r Y��l -� Si 2rr b ✓' C S 5
'40 V r'-1 (v Lg lm '4 CS 1
Ground
elev.
Depth to
limiting
factor
7( in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Peid' , IW
Boring , # ) - - 7 - /Q r 312 Si ! C5 (v 5'
Z 7 -2..1 /0 v r`!N 5; m V- C �jr'
24 - - 74 10 y `tllo LS 1 m m V -F CS — ✓ . $�
Ground
elev.
Depth to
limiting
factor
- 6 in, Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R.9/98)
PAGE_3_OF
NAME <SJ)c3'{ LOT# '' LEGAL DESCRIPTIONA/W ' /4oa /4,S 1STZcf,N,R($ E (or&
SCALE: F'= `
BM 1 ELEVATION /aQ.O
BM 1 DESCRIPTION - �*4 1 "Codd f• (c^Fk WJ Cta.a
BM 2 ELEVATION 0 o • CvS
BM 2 DESCRIPTION +op ox 1 'Co yujo� 4- lK rl� ut( p o
SYSTEM ELEVATION 'q ff . S
ALTERNATE ELEVATION 4 9S
CONTOUR ELEVATION
C 9 A E
2
PA
I I
f83
• AZ
4
SIGNATURE DATE l/iC OCR
Page Of
SEPTIC TANK & PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
4" CI VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF
:-*25 FROM DOOR, WINDOW OR JUNCTION BOX APPROVED
FRESH AIR INTAKE V WITH CONDUIT MANHOLE COVER
W/ PADLOCK E
FINISHED GRADE WARNING LABEL
T
4" MIN.
ZY "
I N 4 "C • Z. p:E0.ynTia�t s. A.
18 . i'I PE '
INLET
WATER TIGHT SEALS GAS-
TIGHT : '� \/APPROVED
FILTER - A JOINTS WITH
APPROVED —�— ALM APPROVED PIPE
PIPE 3' _. _ ' ON 3' ONTO
ONTO SOLID C SOLID SOIL
SOIL PUMP OFF ELEV . FT. OFF
D
3 APPROVED BEDDING UNDER TANK
CONCRETE PAD
SPECIFICATIONS /J
SEPTIC / DOSE
TANK MANUFACTURER: /
NUMBER DOSES PER DAY:
TANK SIZES SEPTIC IOQfJ GAL. DOSE VOLUME INCLUDING FLOWBACK: 1 Z- 0 GAL.3�
DOSE � GAL.
ALARM MANUFACTURER: CAPACITIES: A = �lJ INCHESAL.
MODEL NUMBER:
SWITCH TYPE: B = 2 INCHES = 30, L/ GAL.
PUMP MANUFACTURER: a, / S C = % / INCHES = —GAL.
MODEL NUMBER: D = b INCHES =SAL•
SWITCH TYPE: n - --
REQUIRED DISCHARGE RATE c GPM PUMP E ALARM WIRING AS PER ILHR 15.23 WAC
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET
+ MINIMUM NETWORK SUPPLY PRE,�SURE . . . . . . . . . . . . . r. FEET
+ S U FEET FORCEMAIN X FT /100 FT. FRICTION FACTOR /0 _ FEET
TOTAL DYNAMIC HEAD = ' Z1 _ 6 6 FEET
INTERNAL DIMENSIONS F PUMP TANK: LENGTH ? WIDTH 4, DIAMETER
LIQUID 5ITTE yZ`
SIGNED: LICENSE NUMBER
dV DATE:
r `O �
1 -
Engineering Details SHEF40
P Data
r
Pump Chiaractwistics
Msnor Wsb 3nisrler1we I t 20
Now M" strrwai�t
o- A .... _
A�osw M JOS SillllCAi SW4QA7
44 1 0 ;
FUN tart ! Z b.;
#A* a hk)
OL
LFA 1BS0 14 20 30 0 So 60 7D
Pbwe Yal (>a Gp
— „B t 1 S
ti«ri 4I total t0wai (fop) 1 X10,. ' 14 17 91 23 28 30 33
afyn Fit6° F Am flow im &0 f 6.1 7.6 �.�
Am Do llo p A orm (US O PM) 70 � 60 SO r 40 40 2
see) 4.4 •_r 3.
llNwlotiax a/Ita A
ONchst St :e 111r m” Dlmer#sle l Dais
ssllds _"" s r
I wow 311u, r a4W 06647) -- 1. All dtllrei *f In inches, (Mork for
PowrK cord Itl /! SJ -r { sm- -� inhtaotional usel.
(3 7 2. Catnpmo dim m iens may
Materia of Constructlan vary * 1/8 Inch
3. Not for Man purpose
unless t
` atOA1 Swl'iCN 4. DImonsiom and w**1S ore
�. lama Gasiaa
approx,nmte,
j moodosal Seel %*a cabo /t o"* --r- -- S. We Merv* the rio to Mko
I stein s i seal iS bw specifkatiars wilha�rto ne and tkeir
WWI 111d
NOW
bglu kw an loft
SONN plats bkm k" USA
Asupyrs
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i !
t�Q1 �zSti.se
u9 ir�Mowoad tesraaFfeatic
Ash rd, Mto. All Ri % R awfvat'I
HYDROMATIC
+ our Aqtnpi' red Loral fliiKil >uNN
r01 1611d, Ohio 44MS b,; 4) 9.289.90 2 Fm 419. 291.4097
'Rob Sire www.pentollW.imp.rom ,a+u` s'r'ed N lrL� ` l\
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09/20/00 WED 07:52 FAX 715 386 4686 ST CRX CO ZONING 0 002
~ ST CROIX COUNTY
SEPTIC TANK MAINTENANCH AGR13EMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer Total Home Maintenance & Mecha is c _ Durands
Mailing Address _ 55 Eas Roselawn, Ave # Maplewood, MN 55117
Property Address XXXX (Lot 6 County Road E Warren Townshi p WI
(Verification required from Planning Deparmment for new construct l
City /State Sj rrP n , WT Parcel Identification Number
19 AL DESCRIPTION and part of the NE 1/4 of the NW 1/4 of
Property Location NW ' /s, NW ' / Sec. 3 . 'I` 29 N -R 18 W, Town of kJarren
Subdivision Lot # 6
CertWed Survey Map # � �e G Volume 1 a . Page #
Warranty Deed # 2 �1 Volume Page #
Spec house ❑ yes 13 no Lot lines identifiable ❑ yes ❑ no
PIM MAH-CM -LANCE
Ymproper use and mainteamceof your septic system could result in its premature failure to handle wast es' nlaiittcnance
consists of pumping out the septic tank every ftu 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.
'Me property owner agrees to submit to St. Croix Zoning Departmmf a ccrtification form, signed by the owner and by a
ma.sterplumnber, journeymauplumbey restsictedplumber or a licmedpumper verifying that (1) the arrsite wastewaterdnposal 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 andersigned have read the above requirements and agree to waintaiii 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
stafm tbat your septic systmn has been maintain must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
sIGNATURE OF APPLICANT DATE
O'V4l`iER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) rile ownar(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE QF APPLICANT DATE
0s00fs Any information that is mis. represented may result in the sanitary permit being revoked by the Zoning Departma
nt. �M�rss
so Include r'ith this application: H stamped warranty deed from the Register of Deeds office
a copy of the ecttifred survey map if reference is made in the watrauty deed
/ —the N. line of NW 1/4 Sec. 3
C. E � N 88'24'51 "E 200.01— —
10� 6 ��Od
_ .—._.. gg_. BO - - - -- —� 9 6 —
_ . �1
'� 6 •� y N 88 'E 200.01 —�—
Existing utility right —of way I
described In Vol. 1 161. Page 1
Existing steel power polo--- m
I ; I }p
_1 0 I
I^
I 42.5 12 20�
95.01 c I _ °j 45.00 rmoo
9 I�
g 20.5 r� ' o a I
I I Proposed Haug G
O A O ^
a camp 1 story frame N
— A 7.80 �� 79.50 45,71
25
w V i 25 0 /
N
\� C0 m Lot 6 / /
Z C.S.M. Vol. 14, P age 3839
�Z ^ two
Z 01 N N odd I
.,- N .0
O O to 3
V
N O
O> 0 0 0 0
2 L�./ W j»>
0 C7
move
• / ►. LY.0
000 m 7 O O O
/ C m m m o o
/ O g
o a ' E
25 o E
25 �
y 0`v n s 88'24'51 "W 200.01
Description of Parcel
Lot 6, Certified Survey Map, Vol. 14, Page 3839, St. Croix County, Wisconsin.
x 900.0 Denotes Existing Elevation Job/
00. / Denotes Proposed Elevation (Provided by Owner /Developer) /
Denotes Drainage Flow Direction Bench Mark : Top 1 inch Iron Pipe Found
Denotes Drainage and Utility Easement at the NE car. of Lot 6. C.S.M. Vol. 14, Page 3839
Denotes 1 inch x 2 inch Wood Stake Set. assumed elevation = 100.00 feet
Note: The owner /developer or contractor are responsible for verifying setback and zoning requirements.
This map is for verifying elevations at the proposed locations of improvements. Obtain approval from
appropriate agencies prior to construction. No underground utilities have been located in this survey.
Contractor/ Owner must verify all dimensions and driveway design.
C ert ificate of Suryty Date : 8 -26 -00 Allan L Everson, L.S. S -1871
Client :Christine Durand Pro'. No-00600 715 - 425 -8942
Location : Lot 6 Certified Survey Map, Vol. 14 Page 3839. 41 40
Sec. 3, T.29N., R.18W. , St. Croix County, Wisconsin
Scale : 1 inch = 60 feet ALLAN 4
e Denotes 1 inch iron pipe monument found, unless shown otherwise. * •
o Denotes 1 inch by 24 inch iron pipe monument set.
1 hereby certify that this survey was prepared by me s RIVIRFAUS
or under my direct supervision, and that this survey is
correct a best f knowledge and belief. ♦ '�j�"ee•••�e ���
Z do
Date
Sheet 1 of 1 Sheets
vo 154 1PACE J110 rl]�
STATE BAR OF WISCONSIN FORM 2 - 1998 629659
WARRANTY DEED KATHLEEN H. WALSH
REGISTER OF DEEDS
Document Number ST. CROIX CO., WI
_ -
This Deed, made between RICHARD a emnrrm RECEIVED FOR RECORQ
.TANFT P _ RTnf7T I , hnahand anr9 ri fe 09-11-2000 10:45 AM
WARRANTY DEED
Grantor, EXEMPT N
and r , C r CERT COPY FEE:
COPY FEE:
TRANSFER FEE: 129.00
RECORDING FEE: 10.00
- - -- __ Grantee. PAGES: 1
Grantor, for a valuable consideration, conveys and warrants to Grantee the following
described real estate in St. Croix County, State of Wisconsin:
Located in part of the NW 1/4 of the NW 1
and part of the NE 1/4 of the NW 1/4 of Name and Retwn Address
Section 3, T29N, R18W, Town of Warren, U�r7Th10tCWCQInI �� -�t�
St. Croix County, Wisconsin: �� Sb1ey s�r��
more fully described as Lot 6 of CSM filed
April 28, 2000 in Vol. 14, page 3839 as 255
f� %i t $4a-Lare CoUf�
Document No. 622068. 55101
D42- 1009 -5 --
Parcel Identification Number (PIN)
Thi not homestead property.
(is) (is not)
Exceptions to warranties: easements, restrictions, rights -of -way and covenants
of record.
Dated this 8t day of September . 2000
(SEAL) `-< ---< � (SEAL)
' haYrLO Stout
Janet P Stou
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
State of Wisconsin,
ss.
i St. Croix County
authenticated this day of Personally came before me this Sth day of
cept°mbez . 9Q00_ the above named
Richard O Stout and Janet P
Stout
TITLE: MEMBER STATE BAR OF WISCONSIN to
([f not, me known to be th Y f' U' LIQcuted the foregoing
authorized by §706.06, Wis. Stars.) instrument and iFd40feWASCONSIN
ON J. BAST
THIS INSTRUMENT WAS DRAFTED BY -
Janet P. Stout
1353 Awatuk mr
Hudson, WI 54016 Notary ublic, St%sc My mmissionf o state expiration date:
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
Pe sighing Y pK Y i -. YPcd or primed below their signature,
Names of Persons st nln in an ca it must bet
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
FORM No. 2 - 1998 ktawaukee, Wis.
r e
v ME abed dL'I °n
¢ I
J Z m E $�
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1101 Carmichael Road
Hudson, WI 54016 St. Croix County
Phone: (715) 3864M
Fax: (715) 3864686 Zoning Depa rtment
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Phones $ Z`? y Pages: 2
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PROJECT Chris Durand ADDRESS 111 Burr St. Roberts Wi 54082
NW 1/4 NW 1 /4S 3 /T 29 !R 18 WTOWN Warren COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 9/20/00 BEDROOM 3
CONVENTIONAL IN-G9&D PRESSURE CONVENTIONAL LIFT )00( HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE 600 DOSE TANK SIZE I�
HOLDING TANK SIZE LOAD RATE .9 ABSORPTION AREA 514 # of chambers 30
BENCHMARK V.R.P. Top of 1" Conduit ASSUME ELEVATION 100' Filter Zabel A -100
❑ BOREHOLE WELL r
Q H.R.P. Same as Benchmark
SYSTEM ELEVATION 99.95
i S
i
County Rd E
r
Vent ,
> 12" Sidewinder High
of Cover Capacity Leaching
Chamber
16"
6' Long Pro 3 a
Grade at System Elevation Bedroom
34 House
G J
10'.
ombo ;
Alt. ank ,n
B.M. 45' B.M. T �,
l20 320' J4
20'
B -4 90'
n
Vents 15' 4-
4
Vents
2 -3' X 94' Cells 2% 5'
with >3' Spacing Slope B -3
>
15'
90' B -2
B -5
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