HomeMy WebLinkAbout042-1020-40-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and fiuilding Division
INSPECTION REPORT Sanitary Permit No:
515255 0
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:
Sikorski, Dan & Cheryl Warren, Town of 042-102040-100
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
g7.gS IT Er -Iejg v7( *"A-' I ma4~ 8.29.18.1140
TANK INFORMATION r t/ L/ ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Benchmark
Sep is ~ `260
Dosi n k / All, BM
Aeratio Lor Bldg. Sewer
Holdi St/Ht Inlet i/1 t S71 N(~
TANK SETBACK INFORMATION t/Ht Outlet' /AD•a 6p 3 3 Z
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD net A
k1t
Ve, 95 P-
Septic Dt ottom
i
Dosing 35- 3 5 Z Header/ 9. 4T 5-1
Aeration Dist. Pipe 1-5
•0~
Holding Bot. Sys
03 S K. 0Z -7
Final Grade yo
PUMP/SIPHON INFORMATION f `~l L s.1) 2.
Manufacturer Demand t
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to well S
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L DG WELL LAKE/STREAM LEACHIN Manufacturer,~: `
INFORMATION CHAMBE OR %1 ~1~/1 Cl OV
Typ Of System: ► / T Model Number:
• L~~2/~%J ~e 7 l _ ~ 1,15' IBUTION SYSTEM CI•C (fhor! S'C/f
Head @ nifoQld vQ Distribution / x Hole Size x Hole Spacing Vent Air Intake
Length (i/}(J Dia Length Dia Spacing_ / y
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Thw
Depth Over I / Depth Over xx Depth of ]77~odded xx Mulched
Bed/Trench Center
-3 - 5 Bed/Trench Edges Topsoil
Y/es, Efl No Yes :RNo]
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 11 -7 ! t 0 Inspection #2: ! !
Location: 1049 110th Avenue Roberts, WI 54023 (NW 1/4 NE 1/4 8 T29N R1 8W) NA Lot 2 Parcel No: 8.29.18.1140
1.) Alt BM Description =
2.) Bldg sewer length = (~/ti fI rl
- amount of cover = l
Plan revision Required? Yes No
I
Use other side for additional information. _ ~ -~~~~l/j'✓1^' -
SBD-6710 (R.3/97) Date Insepctor's Si nature Cert. No.
#24 (i4o pis o
commerce.wl.gov Safety and Buildings Division County a 201 W. Washington Ave., P.O. Box 7162 St. Croix
i sco n s i n Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.)
Department of Commerce Z S -f
in 5-
State Transaction Number
Sanitary Permit ApplicatiS A
Project Address (if different thdii mailing address)
In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the a}popriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are
submitted to the Department of Commerce. Personal information you provide may be used for secondary Same
purposes in accordance with the Privacy Law, s. 15.04 1 m , Slats.
1. Application Information - Please Print All Information
Property Owner's Name RECEIVED Parcel #
Daniel J. & Cheryl L. Sikorski 042-1020-40-100
Property Owner's Mailing Address MAY 0 2010 Property Location
tti Govt. Lot
1049 110 Ave. ST. ^~!+X " NW 1/4, NE v4, Section
City, State Zip Code LA Mitt Mt hhfipr OFFICE circlione)
Roberts, WI 54023 715-749-4541 T 29 N; R 18 /q W ,
Vlor ype of Building (check all that apply) Lot #
2 Family Dwelling -Number of Bedrooms 4 2 Subdivision Name
Block # CSM Vol. 13, Pg. 3749
❑ Public/Commercial - Describe Use Na
❑ City of
❑ State Owned - Describe Use CSM Number Village of
R /T. of Warren
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A. ❑ New System Re lacement System
p ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain)
AJ J - h,",l v ^ e FFiut,*,t ~l{e rt
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner -3 7
IV. a of POWTS System/Component/Device: Check all that apply)
7 (r f ti
Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil "
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) O /~C IM ~i-S -e1-Cl(I
V. Dispersal/Treat ent Area Information: 100 Infiltrator "Q4" standard chambers & 8 endca s, w/ Pol Lok PL-525 effluent filter installed into existing ST
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
600 gpd 0.40 gpd/sq. ft. 1,500 sq. ft. 2,023.20 sq. ft. 89.00' J/
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units %k, 2 $
I~~r Iii y
New Tanks Existing Tanks o Y
Septic or Holding Tank Na 1,200 1,200 1 Midwestern Precast X
Dosing Chamber Na Na Na
VII. Responsibility Statement- I, the un rsigned, ass a responsibility f Ration of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumbe s Sign I MP/MPRS Number Business Phone Number
James K. Thompson z--- MPRS 30021 (715) 248-7767
Plumber's Address (Street, City, State, Zip Cod
340 Paulson Lake Lane, Osceola, WI 54020
VII . Coun epartment Use Only
Approved 11 Disapproved Permit Fee , Date I sued suing Agent Si ure ` 994
❑ Owner Given Reason for Denial
$ "J ~J~• t
IX. Sqsi!"sval/Reasons for Disapproval 5t C
1 Septic tank, effluent filter and
dispersal cell must all be serviced / maintained ? fCi'~-% rt 1( 'G n ir
as per management plan provided by plumber.
2. All setback requirements must be maintained
ttach to complete plans for the system and submit to the County only on paper not less than 81n x 11 inches in size
SBD-6398 (R. 02/09) Valid thru 02/11
Ave -
~ws>5n~ ~rade e%~ Proposed cl,s,Oer/Ce/% %'o~r C~
• Ex~"s~~ /oaf r /ocatcd ~iencles a~ 3'X1,r6 'w/.2- 5"
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Conventional POWTS Index & Tilte Sheet
Project Name: Sikorski 4 bedroom Replacement Conventional POWTS
Owners Name: Daniel J. & Cheryl L. Sikorski
Owner's adress: 1049 110th Ave., Roberts, WI. 54023
Site address: Same
Project Location:
Subdivision: Lot 2, CSM Vol. 13, Pg. 3749
Legal Description: NW1/4 NE1/4, Sec. 8, T.29N., R. 18W., Town of Warren, St. Croix Co., WI.
Parcel ID 042-1020-40-100
Page 1 Index and Title Sheet
Page 2 Site Plan
Page 3 Dispersal Cell Sizing Calcualtions
Page 4 System Cross Section
Page 5 System Management Plan
Page 6 Filter Specifications
Page 7 Treatment &/or Filter Tank Cross Section
Page 8 Parcel map
Page 9 Septic Tank Maintenance Agreement
Page 10 Certification for Utilization of existing septic tank
Page 11 Waranty Deed
Attachments: Soil Evaluaiton Report
Mater PI ber Restr' ted Service: James K. Thompson, Dep't. of Comm. Credential #30021
5------- Date: /O
Signa
CAO
Page1Of11
Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) V
rsc
//O - Ave .
~ So,% a da/lia fion
~ EXis~'n~ ~rade elev Proposed ~,'s/~ei~a,/C~1/. ~y~
• Ex,sv~ %e~/0c~e,tcd fiancltt3 aE 3 X/u)'w/.z s
SEe e/ ~'u/cc/oasE ca /at/,i1e Cl.R„~, 6usP~~r"~ .
.e/~ ~ be = 89.c~.'
U V ~ef' ZZo~f Cedai-b~ccs
O g bru5~
L7a ~ ~ ~teryL Si~'ors~;' ~;~cfrees
/o,19 //c A~ e .
~o(,cr~S ti/. 51/023 Cxis~%~c/ ds/acrSa/Ce//a~
3 r /d Tom{ /fra 6~~e Surface S
L.otZ,CJSNc /3/3719, nws~rn~yy, erev~= 90./0'.` , i
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ct 6 ou f/t-~. ~n v.r b oF'oc.~lc•£= 93. io' P~~ e f..'ees
~a.dc a~ o~~ = 97.77'
EX/S 6i 1
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da.cK
p E--EX/3~inq Gvt
DISPERSAL CELL SIZING CALCULATIONS
1. (4 bedrooms)(] 00 gallons estimated flow)(1.5 design factor) = 600.00 Gpd design flow
2. Infiltrative capacity of native soil = 0.4 gpd/sq. ft.
3. Absorption area required: 1,500.00 sq. ft.
4. Absorption area as proposed: 2,023.20 sq. ft. 000 chambers total)
Infiltrator "Quick 4" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4" end cap (pair) = 5.80 sq.ft, EISA
1,500.00 sq. ft. - (4 pair endcaps)(5.80) = 1,476.80 sq. ft.
1,476.80 sq. ft./20.00 = 73.84 chambers required
Number of trenches: 4 @ 25 chambers per trench
Trench width: 2.83'
Trench length: 102.00'
Trench spacing: 8.00' on center
Total system area w/ 5' trench spacing: 27.00'x 102.00'
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Conventional Septic System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained
in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system
maintenance and maintenance reporting shall be complied with.
Septic Tank
Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with
bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be
assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in
the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR
113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are
not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be
needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank
that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be
serviced if the alarm is activated. Septic tank manholes 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 individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank
abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS
component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If
such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings
Division.
Soil Absorption Cell
Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should
be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for
vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface
within and above the system and will promote frost penetration during cold weather months. Cold weather installations
(October-March) dictate that the system be heavily mulched for frost protection.
Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not
exceed maximum design flow specified in the permit for the installation.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the
owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring.
Effluent flow shall be alternated between dispersal cells on a two-year/1-year schedule by use of diversion valve.
Effluent to be diverted from new dispersal cell to old cell at 4 year anniversary of new system installation. Old cell to be
utilized for a 1 year period. Afterwards, effluent dispersal to be alternated between cells on schedule to allow use of new cell
for two years and old cell for 1 year.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil
absorption cell to bring the system into proper operating condition.
Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715)
248-7767 or the St Croix County Zoning Department at (715) 386-4680.
00. 5_0_rOf
ST. CROIX COUNTY
SEPTIC"TANK MAfN'1'1,,'NANC'E AGREEMENT
AND
OWNERS.1111' C:E.R1'Ih'IC:ATION F01ZM
Mailing Address
Property Address
(Verification required from Planning & Zoning Department for new cnn-structiun.)
City/Stave -jee r' 5 ?I 55/6 3 Parcel Identificatiois Number
LEGAL DESCRiT T1*0N ~
Property Location ~ '/.r , 116,'/d Sec,
N R 9 W Town of Subdivision Plat:^ , Lot #
Certified Survey Map # , Volume , page # 7171(
Warranty Deed # _ (before 2007)Volume Page #
Spec !louse : yesx/no Lot lines identifiable • yes : no
SYSTEM MAINTENANCE AND OWNER CER1'IFIC'ATiON
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists oi'pumping out the septic tank every three years or soancr, 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. Owner maintenance
responsibilities are specified in §Comm. 83,52(1) and in Chapter 12 - St. Croix COUnty Sanitary Ordinance.
The property owner agrees to submit to St. Croix C:uunty Planning & Zoning Department a ccrtitication form, signed by the
owner and by a master plumber.,journcyman plumber, restricted plumber or a licensed pumper verifying that ( I ) the on-site
wastewater disposal system is in pr'oper opertiting condition and/or (2) ;itlcr inspection and pumping 61'nccessarv). the seprie rank is
less than 113 full ul'sludg,e.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements an this form are true to the best of my/our knowledge. Vwe am/are the owner(,) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Nj
~ber of bedr o s
r -
SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department,
Y 8 Include with this application a recorded warranty decd from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty decd.
(REV. 08/05)
T00O 'IVA3 3,LIS V MOS 3 D V r9LL 8bZ 9TL XVd 9T:60 OTOZ/TT/50
2010 Use Value Guidelines For Agricultural Land Assessment
(dollars per acre)
County Code TVC c -name Grade Grade Grade 3 PASTURE
Iowa 25111 Village Cobb $278 $235 $171 $68
(cont) 25136 Village Highland $287 $243 $177 $71
25137 Village Hollandale $287 $242 $177 $71
25146 Village Linden $279 $236 $172 $69
25147 Villa a Livingston $275 $232 $170 $68
25151 Village Montfort $284 $240 $175 $70
25153 Village Muscoda $265 $224 $164 $65
25176 Village Rewe $280 $236 $172 $69
25177 Village Ridgeway $275 $233 $170 $68
25216 City Dodgeville $273 $231 $168 $67
25251 city Mineral Point $273 $231 $169 $67
Iron 26002 Town Anderson $190 $167 $129 $48
26004 Town Care $189 $166 $128 $48
26006 Town Gurney $188 $165 $128 $48
26008 Town Kimball $184 $162 $125 $47
26010 Town Kni ht $190 $167 $129 $49
26012 Town Mercer $192 $168 $130 $49
26014 Town Oma $187 $164 $127 $48
26016 Town Pence $191 $168 $129 $49
26018 Town Saxon $184 $161 $125 $47
26020 Town Sherman $197 $173 $133 $50
26236 city Hurley $170 $150 $116 $44
26251 city Montreal $182 $160 $124 $47
Jackson 27002 Town Adams $214 $175 $131 $52
27004 Town Albion $216 $177 $132 $52
27006 Town Alma $213 $174 $131 $52
27008 Town Bear Bluff $218 $178 $134 $53
27010 Town Brockway $212 $174 $130 $52
27012 Town City Point $217 $178 $133 $53
27014 Town Cleveland $209 $171 $128 $51
27016 Town Curran $210 $172 $129 $51
27018 Town Franklin $210 $172 $129 $51
27020 Town Garden Valle $208 $170 $128 $51
27022 Town Garrield $207 $169 $127 $50
27024 Town Hixton $211 $173 $129 $51
27026 Town Irvin $208 $170 $128 $51
27028 Town Knapp $218 $178 $134 $53
27030 Town Komensk $219 $179 $134 $53
27032 Town Manchester $217 $178 $133 $53
27034 Town Melrose $205 $168 $126 $50
27036 Town Millston $217 $178 $133 $53
27038 Town North Bend $209 $171 $128 $51
27040 Town Northfield $211 $173 $129 $51
27042 Town Springfield $211 $173 $130 $51
27101 Village Alma Center $212 $174 $130 $52
27136 Villa a Hixton $215 $176 $132 $52
27151 Villa a Melrose $207 $169 $127 $50
27152 Village Merrillan $212 $174 $130 $52
27186 Village Taylor $208 $170 $128 $51
27206 city Black River Falls $202 $166 $124 $49
Jefferson 28002 Town Aztalan $298 $252 $184 $73
28004 Town Cold Spring $303 $256 $187 $75
28006 Town Concord $308 $260 $190 $76
28008 Town Farmington $306 $258 $189 $75
28010 Town Hebron $303 $255 $186 $74
28012 Town Ixonia $300 $254 $185 $74
28014 Town Jefferson $304 $257 $188 $75
28016 Town Koshkonon $307 $259 $189 $76
Page 13
EFFLUENT
FILTERS POLYAOX
"The PL-525 has 525 linear feet of 1/16"
slots. It has an automatic shut off ball. When
accessibility
the filter is removed for cleaning, the ball will Alarm ,~1; Accepts PVC
g7 extension handle
float up and temporarily shut off the system
so the effluent won't leave the tank. No other
525 linear feet
1 16,
filter on the market can make that claim!" P1
fHtrabon lot
sluts - Rated for over
---e 10,000 GPO
Accepts & 6"
SCHD. 40 Pipe
fI Gas deflector
` _a Automatic shut-oft
ball when filter
I9 rrt»oved
"The PL-122 has over 122 linear feet of 1/16"
slots. Rated for 1500 gallons per day, and < Handles 1/2" PVC
can be manifolded together with other PL-_ Alerm
! Switch
122's to double or triple the GPD. It has an
122 Linear it,
automatic shut off ball that stops flow when oft/16inch
Filter Slots
the filter cartridge is removed for cleaning.
Comes complete with it's own housing, no
Filter Housing
of tee or and no extra arts to with 3°&°
gluing pipe parts fC Pipe Adapter
buy.
1.
I
I
- ~ rI~ Gas Deflector
Automatic
Shut-OH
Ball When
Filter is
Removetl
From Tank
Order # Model # Description List Price
PK-525 PL-525 Effluent Filter System 203.50
PK-122 PL-122 Effluent Filter System 62.50
6-10
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to certify that I have inspected the existing septic and/or dose tank
presently serving the following residence:
(Street address) p v~. S 23 located
at: d(,j '/4, 41- '/4, Section j own ,--9 N, Range W,
Town of 14~r&,j , St. Croix County Wisconsin.
Upon inspection, I certify that I have found the tank(s), to the best of my
knowledge, will conform to the requirements of Comm. 84.25, and it (they)
appear(s) to be functioning properly.
Most recent date of inspection or service 6/04//0
Did flow back occur from absorption system? Yes No
(if no, skip next line.)
Approximate volume or length of time: gallons minutes
Tank Capacity: / .4.40 y'812-- -y! r~~l
Construction: refab oncret
e Steel Other
Manufacturer (if known): &,~(westl rn 01-eca S&
f.,Tank (if known): 9 eA
;1censed mit umber (if known) 53
Plumber Signature) (Print Name)
(Title) (License Number)(N+P~MPRS
~/l7
(Dat
Form to be completed by licensed plumber (Dept of Commerce Chapter 5
and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin
Administrative Code)
Rev. 9/2008
61
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2204
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings in accordance with Comm 85 AIIDT& Code A.C.E. Soil & Site Evaluations
County
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan IS St. Croix
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 r arcel I.D.
Please print all information. ---_042,-l 020-40-100
Reviewed By Date
Personal information you provide may be us ~acy L ft 15.04 (1) (m)). j 1
Property Owner Property Location
Daniel J. & Cheryl L. Sikorski Govt. Lot NW 1/4 NE 1/4 S 8 T 29 N R 18 W
Property Owner's Mailing Address ot # Block # Subd. Name or CSM#
1049 110th Ave. 2 Vol. 13, Pg. 3749
City State ip CodieT ~pFFIC City J Village 0 Town Nearest Road
Roberts I Wl NING 49-45411 Warren 110Th Ave.
New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
V1 Replacement I Public or commercial - Describe:
Parent material Glacial Outwash Flood plain elevation, if applicable Na
General comments
and recommendations: Site suitable for repl. in-ground dispersal cell. Recommend increasing cell size to maximize use of
available area and to compensate for early failure of existing cell.
sys
Boring # J Boring y-
✓_f Pit Ground Surface elev. 94.92 ft. Depth to limiting factor >112" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2
1 0-16 1Oyr3/3 none sl 2fgr mvfr cs 2f,lm 0.6 1.0
2 16-24 1Oyr3/4 none sl 2fsbk mvfr cw 1fm 0.6 1.0
3 24-36 1Oyr4/4 none Is Osg mi cW lvf,f 0.7 1.6
4 36-54 1 Oyr4/6 none fs Osg ml aw 1 vf,f 0.5 1.0
5 54-70 1Oyr4/6 none ifs; Osg ml cW 1vf 0.5 1.0
6 70-112 1Oyr5/4 0.4 0.6
Ur Horizon #5 contains 1/16" - 1/8" bands of 7.5yr4/6 Ifs.
Boring # Boring
01 Pit Ground Surface elev. 91.98 ft. Depth to limiting factor >82" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2
1 0-13 1Oyr3/3 none sl 2fgr mvfr cs 2fm 0.6 1.0
2 13-20 1Oyr3/4 none sl 2fsbk mvfr gs 21m 0.6 1.0
3 20-32 1Oyr4/6 none Is Osg ml cW lfm 0.7 1.6
4 32-40 1Oyr4/6 none fs Osg ml cW lfm 0.5 1.0
5 -66 7.5yr4/4 none sl 2fsbk mfi gw lfm 0.6 1.0
6 66((-""82 7.5yr4/4 none sl 1 csbk mvfi - - 0.4 0.7
Effluent #1 = BOD5> 30 < 220 mg/L a d TSS >30 < 15 mg/L ' Effluent #2 = BOD5 < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Signetur • CST Number
James K. Thompson S-- 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osce ola, WI 54020 4/13/2010 715-248-7767
Property Owner Daniel I & Cheryl L. Sikorski Parcel ID # 042-1020-40-100 Page 2 of 3
F3 ] Boring # Boring
Wf Pit Ground Surface elev. 93.52 ft. Depth to limiting factor >103" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0-21 1Oyr3/3 none sl 2fgr mvfr CS 2f,1m 0.6 1.0
2 21-36 1Oyr4/4 none sl 2fsbk mvfr gs 2vf,fm 0.6 1.0
3 36-51 7.5yr4/4&4/6 none sl/sil 2fsbk/1 msbk mf/mvfr ci 1 fm 0.4 0.6
4 51-86 1Oyr4/6 none fs Osg ml cw - 0.5, 1 1.0
5 86-103 1Oyr5/4 none vfs Osg mf - - 0.4 0.6
~unsorted H#3 contains an mixture of 7.5yr4/4 sl & 10yr5/4 sit. H#5 contains 1/16" - 1/8" bands of 10yr4/4 Ifs at 3" - 6" intervals.
❑ Boring # - I Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
F-1 Boring # I Boring
_j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef11#1 *Eff#2
* Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 < 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 alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R.07/00) A.C.E. Soil & Site Evaluations
s ,
Ave .
• Soy%eda/uaCTo„~,'~
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9 //C y Avg .
3 x id z~ ~'/fra b'~e .sw~ace ~ S
Lot z,CSM /3/37q /Jwl nE7'y erev` = 90.16"
I 1 ~ §
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ot--EX~'s~iaq &'-)t it
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owne,q
Mailing Address sy&22-3
Property Address
(Verification required from Planning & Zoning Department for new construction.)
City/State zO/. 5316Z3 Parcel Identification Number (!525Q - /D~ O-~/ O -lam
_ ieol I _
LEGAL DESCRIPTION
Property Location M) '/4 , 6 `/4 , Sec. 8 , T A-~ N R /9 W, Town of (,~~rl~Y1
Subdivision Plat: d.,4- , Lot # -
Certified Survey Map # , Volume / , Page # 3 7q9
Warranty Deed # (before 2007)Volume Page #
Spec house'-'. yes)no Lot lines identifiable },f yes no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that ( I ) the on-site
wastewater disposal 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.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we arn/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
N ber of bedr o s
( ~~D ~ - - 0/_o
SIGNATURE OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
83S71m6
KATHLEEN H. WALSH
REGISTER OF DEEDS
State Bar of Wisconsin Form 1-2003 ST. CROIX Co., WI
WARRANTY DEED RECEIVED FOR RECORD
10/02/2006 10:00AX
Document Number Document Name
WARRANTY DEED
EXEMPT #
THIS DEED, made between David A. Smith and Barbara J. Smith, husband and REC FEE: 12.00
wife TRANS FEE: 2jtj7.6-0
("Grantor," whether one or more), COPY FEE
and Daniel J. Sikorski and Cheryl L. Sikorski, husband and wife CC FEE:
PAGES: 1
("Grantee," whether one or more).
Grantor, for a valuable consideration, conveys to Grantee the following described real Recording Area
estate, together with the rents, profits, fixtures and other appurtenant interests, in
St. Croix County, State of Wisconsin ("Property") (if more space is Name and Return Address
needed, please attach addendum):
River Valley Abstract & Title, Inc.
Part of NW of NE of Section 8, Township 29 North, Range 18 West, St. Croix 1200 Hosford Street, Suite 201
County, Wisconsin described as follows: Lot 2 of Certified Survey Map filed Hudson, WI 54016
October 15, 1999 in Volume 13, Page 3749 as Document No. 612107. File ~y, ll1
042-102040-1.00
Parcel Identification Number (PIN)
Tbia is homestead property.
(is) (is not)
Grantor wan-ants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except:
Easements, restrictions and rights-of-way of record, if any.
Dated September 29, 2006
r
(SEAL) jc-~Jl a===- (SEAL)
* * David A. Smith
r
(SEAL) /-I - (SEAL)
* * Barbara J. Smith
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
STATE OF WISCONSIN )
authenticated on T2 ) ss.
;`Grp St. Croix COUNTY )
Jt•~000,
* rJa~~~6 { Personally came before me on September 29, 2006 ,
TITLE: MEMBER STATE BAR OF WISCONSIN the above-named David A. Smith and Barbara J. Smith,
(If not, husband and wife
authorized by Wis. Stat. § 706.06) o me known t b e person(s) who executed the foregoing
t d w g msa e•
THIS INSTRUMENT DRAFTED BY: M.r
*
Attorney
Doug Berg Not Pu 'c, State of Wisconsin
1200 Hosford Street, Suite 201 Hudson, WI 54016 My Commission (is permanent) (expires: Z )
(Signal u s maybe authenticated or ackDowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 1-2003
* Type name below signatures.
1Of 1
3 Cr
VLSI) ® 9
OCj 5 1999
RIA•wNA,
~ Kt+TM~ IO
CO°w
ti
CERTIFIED SURVEY MAP
James and Jane ismann
Being all of that Certified Survey Map recorded in V ume 4 of St. Croix C ty Certified Survey Maps,
page 999, located in the Norf. 114 of the Northeast 114 of c 'on 8,
T 29 N, R 18 W, Town ofiT'arren, St. Croix C unty, Wisconsin.
A1 IEJ
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3
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NORTHEAST CORNER
0 SEC.829N,RI8W
DETAIL ^ O
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•JI a; CONTAINS ` NO y
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h 2 OR 3.6/8AC. (/45, /43N FT. c CONTAINS 174,934 SO. FT. OR
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3
' 4bo"and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches i Ian must include, buts C-0' X
not limited to vertical and horizontal reference point (BM), dir Sq~ /u(` 'r\ scale or PARCEL I.D. If
dimensioned, north arrow, and location and distance to ne t Q d1 0 Y'
REVI W D Y
APPLICANT INFORMATION-PLEASE PRINT A I OR Tf~N
PROPERTY OWNER: -TIROPERMqCATION
~ ' 1// y t 1/4 E 1/4,S g T Z 9 N.R ) W
`S(M TAPe WC-AS N
PROPERTY OWNER':$hhll-ING ADDRESS c } ST CRp # Bt CK # SUBCD.. NAME ORRCSM # t ~G
10 f~ v E tV U~~
CITY, STATE ZIP CODE PHON E NINGO Cl ILLAGE OWN NEAREST
Ra Q2Q t76) 2$] , X ~leE1J ; ~io+ v
Addition to existin buildin
~(J New Construction Use. Residential I Number of bedroo ) 9 9
j ] Replacement [ J Public or commercial describe
Code derived daily flow y50 gpd Recommended design loading rate 0, bed, gpd/ft2 ~•g trench, gpd/ft2
✓ 2 fo trench
, gpdl
Absorption area required (043 bed, h2 3 trench, ft2 Maximum design loading rate a -7 bed, gpd/ft 2
Recommended infiltration surface elevation(s)'70 li - (as reletred to site plan benchmg
Additional design / site considerations C2 7 tR1~~ s L- ` Z`%,~> -
-a-r
Parent material 5, A Nn&3j0A?E- Flood plain elevation, if applicable I\1~Kit ~ -
SYSTEM IN 7FILL, HOLDING TANK
0NAL MOUND IN GROUND PRESSURE AT- BADE
_ Suitable for system 0 VENTI
S -
U= Unsuitable tors stem S O U 0S ❑ U S❑ U Sr- ❑ S U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Bed Trench
k<>: 0- 10\( 12 2 S : m CS -
z 14-2 IOV2~j3 s as o 0
Ground 3 ' 2- OVR"-f <S' 3r'h.S a..s 0, 0
elev.
tpy,yZit. 12,-I 75YR 15 ~tS a, 0,
Depth to Jr 1q,32 5'
limiting
tac, tg~i~ 2-42 -,l S s ~cS D d
7.5YrZ_y L) S OS m~ -7: 0,
Remarks:
Boring # -
t D 0 c2 2 z S I a5 0,~' E7rlo
Z g Zed - IS 1 rn 1 0,7 to /24 aGround
-7 0,1
elev. L-I 5-97 7 5 y m5 C~~ o,~ a,g
torte tt.
Depth to
limiting
tact
Remarks: aM_Gf?-AiTE-1 Zg-q7 ~f
CSj a-Please Qrin w T Phune: I
Wy 2 _
Sign Date: CST Number:
(,WG A\03761-1
4xd y Ig, Zoob
8. gust
,ROPERTY OWNER wr-I -A)YiN/V b U I L ULbl:HIV i i U N hLF'Uh I Fage
PARCEi;.I.D. ar
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bw-day Rcots GP`''
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ~TrF.rvlh
ll \
Ground ~3 12--Z Z 10 jLK 3 3 Sr z ynebK m
elev. I
66, Zft. Z2 -3~- DY23)`I sll 3m3b r11 C Or5"'Or~O
Depth to S 32 X12 3 S~ YY1S
limiting
facto , (p L/Z- 7.5 K3 - 5 (7 loi-I g
Remarks:
Boring #
4 Z b
0 sl Ds m J 0,5
3 2- 3jLj s rY1 _
Ground
elev.
q`t- rt. -9l~ v 3 rn m I - D r7 0,~
Depth to
limiting
factor V - - -1.
Remarks:
Boring #
: C A\ p = 7 10 (L?{z I~ If y- ab O, b
rrx aye
Ground ;
elev.
jA ft. y 7- 3 71 ---7,5 3 - IS- 1 1 a, \;3 4,-7 n {
5 3~- T) -7,5 \IR rn1 - 0,7 0,8
Depth to
limiting
fact
7
7
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
Page_ of 3
PLOT PLAN
Property Owner W'F1SMAVj1J IQj^ Legend:/ fL V6 l r- XCePT- W j164~F
A MD
Legal Descript ion:8PAg«LL_pC,--j-rI6b BM &WL,,RflLGA5COVW,
i
1►J TI{E NW~& OF -TtiF M04 . SEC. R. oz-TOP 0E Tl2 ~O,X
T2~iN (~'1$VJ'1i)kW OF WAK EM 109. qZ'
= soil oe
st. CRoIX Coutirty_ wU5CWSjAI. Vp
N V'VI t" / I I T 6 1 N C-I:-A--,S
FeoPOSED ZACfE 511
1 -1tt P~VE/UVl E ~-PST NUT Su,TA6L;;; -VW c cyUUENTIC -VA
SYSTEM
r
7 13M
239,
v
~ CIt3~ deli
Irt 102. y Z ~ El_ 9^j.33 i' .
r a .
Q. ~L 9` 9_9Z - 7
I! O~z 4a (kA -
~ SGitAQ~E
EL (02.67' PIT fi),D
J -
/ F: Krim
55
D65 PIT 16
EL X19.
P l_
~
~T
SITE LpCAT1~iU
110-th MA
x
Signed CST
A103707
r Date --'TUmj Iy 1999
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3
Labo&And Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
' ' . COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches i Ian must include, but not limited to vertical and horizontal reference point (BM), dir 9 d scale or
PARCEL I.D. #
dimensioned, north arrow, and location and distance to ne e, t, ~
i
AT10N-PLEASE PRINT A I OR T#N REVIEWED BY DATE
APPLICANT INFO RM ~
PROPERTY OWNER: ROPER CATION
JIM ~A~E WC-lsnn~l~l - W 1/4NE1/4,S2 T 2- N.R W
PROPERTY OWNER': ILING ADDRESS ST ~Roj ,:t # BL CK # SUED. NAME OR CSM #
CITY, STATE ZIP CODE PHON E NING O jCl ILLAGE aTOWN NEAREST RQAD r
New Construction Use N Residential I Number of bedroo [ J Addition to existing building
[ ] Replacement [ j Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate 0, 1 bed, gpd/ft2 M, trench, gpd/ft2
Absorption area required GL43 bed, q2 5(0 '/trench, ft2 Maximum design loading rate D l bed, gpd/ft2_0,gtrench, gpolft2
Recommended infiltration surface elevation(s) 70 ~J~ D~ t2MW~D $Y .DC-t.It (as referred to site plan benchmark)
N
Additional design / site considerations -
Parent material x,37(1 Flood plain elevation, if applicable N)8 It
S = Suitable for system VENTIONAL MOUND IN-GROUND PRESSURE ALRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for s stem S D U ,~S ❑ U T S❑ U S❑ U D S U D S U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. Bed Trench
0- 10 2 r- 2 rn 0_5
n,5 Q-to
I Vs QS 0 0A
Ground 3 - 2 o v e- 3 rn.S q,S 0 ,S
elev.
IoLqz
ft- 'f 12--1 75 YR I S GS 0 0'
-9 h
Depth to S 19-32 7:5 \1a L S I ~
limiting
fact g~ 2-42 'NYC' ' S S f tit 5 67 Oie
7-5 yy y 5 lJS m ~ J 7
Remarks: -)pME Gr2AdE) 1 Z-9-s` ~r
Boring # I 0-'B 10 (Z 2 2 - S 0 Q S 0~~' E7~lo
2- $ Zed l0 ~4 1S m5bK _M) c,5 0.- a
Ground
elev. 9 SA7 7 5 4 m5 0 O,g
4oLdg it.
Depth to
limiting
fact
Remarks: lint` G9~8ttEL Zg 17
CdSdj~~N e -PleasaSrin Pl1Jf 1tl I y 2
A/WYt Z2 -l"' AVE. MhER F u.-s Z OZZ
Sign Date: CST Number:
uAC- M0370
~ROPERTYOWNER wcI--07,AJyj,,j SUIL UtbUHIPIIU14 HLPUHI Faye ~P-
PARCE: I.D.
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Wrtbry Rcots GP Z~~
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ~€s t` l -7 0 Z I 3 rr, 9Y jM9 -Fr - ' p
fa3 o,s I
i.,r h•
Ground -3 12- 2 Z l0 K3-5 2 m
elev.
gILZft. 22-32- 10Y23)LI 3msb r _ C
Depth to 5 32-Ll2 10 3 - sl ms C G,
limiting
facttor (P cfZ- 7•5 r:3 - 5 (7S on: 0. g
F-T
Remarks:
Boring #
w< 2 _ Z o ~f s) Ds ran 0,5
-3 2 7 -3s rYt i Q b
Ground
elev. Li
-9(o Y 3 rhs ,m l
9 ft.
Depth to
limiting
facer.
Remarks:
Boring #
- .b i
. 0-"I 10 221z I r *fr- ab Q
Z 7-15r 10 y 2141,q wF CS I m ,50 •b
\av\:\k:~ii::v
3 IS- 0 3 mJ' s J O,y v
Ground
elev. y Z- q-,3 7 -7.5 \f K 3 - 1 s 1 1 G ) -7 ' n
qEd ft.
.5 7s 6,'7 0,8
Depth to
limiting
factor
76'7
Remarks:
Boring #
ti
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
-,BD-8330( R.05/92)
l
Page of 3
PLOT PLAN
r
Property Owner k7FIS/ 1N1~.~IM Legend: 961FXC-Wr
A)
Legal Description-nPflg_CEL LricA 16b BM =®#l-kW"ALrcASCOVEI~
W TO E MIAU4 OF -THE KIT-- I4 . SEC. R~ ,45 /Op.O~
~ Hz- - ro TOP OF ELEGT121C J30X
ftj, RI8VJ) '1`)l W/Wl pF WAKr?'EM, ►p9,9Z'
= soil boring w/backhoe
sc. CP0IX CoUkTtY wtSCOTSI4. SITE IAl CAS
ffmpo, EM ZAC,9E,511'S
1 I 0 -ttt P-V'GA)\kE PiT Nta swi-rmuc- Tn2 cc)Qv0JTIdl AL
sYSrFM
o#1 239,
v
V-M
LIZ ~t2
o>31 Z~ FEL 9^733 '
Ivt 102. y L)
4 U(a 5~ 0 Pc
yp
~ ~L 99.9z
-fib (kA -
I ~ O$Z SartR(ilE
~I_ 102.67'
PIT Im r1D
J
/ F2oN\
7~ 55
II PIT -M
EL 99 09' 6-r p L
SITE LOCAT1OAJ
lit)-th fl
X
SEC.g
G~~V
Signed C,ST4//IAW
A103707
Date --,yUA1e It4_ 1999
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County:
Safety and Buildings Division
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353324
Permit Holder's Name: ❑ City ❑ Village ❑ T n of: State Plan ID No.:
Smith, David Warren Township
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
v o o i f 042-1020-40-100
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic t&,, JA/ f. F ZO p Benchmark/a/0
Alt. BM qy. O CA
QQ5!n
Aeration Bldg. Sewer s 7-1r.G 7-
Hol g / Ht Inlet' 3,
TANK SETBACK INFORMATION St/ Ht Outlet wov~y~ io' ` 3-S~
Verit
TANK TO P/ L WELL BLDG. Air Ito ntake ROAD D4 4nie4
Air
Septic NA
in NA Header/ Man.
Aeration N Dist. Pipe R-0 q'(
ding Bot. System ' - I
D b, l
PUMP/ SIPHON INFORMATION Final Grade 11 1 /0 9 _ Z
anufacturer errand St cover
_M _R y 1
_jZ
Model Num e M 3, 3 -3
G o
TDH Lift Friction S stem TDH F
oss ad Fo emain Length Dia. ist. To wen
SOIL ORPTION SYSTEM
BED / REN Width Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIME a0 Z- DIMENSIONS
SETBACK SYSTEM TO P/L BLDG WELL LAKE STREAM LE M~uf tut r: Dr
INFORMATION Type o t HA E Mo el Number:
System: T r
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
N 14 7r
Length (Z' Dia. Length AW Dia. Spacing if- b
lA-
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 discrepancies ersons resent tc. Ins ection #1: ns ection #2: 3 (v
Location: 1049 110th Avenue, Roberts, 5402 (NW 1%4I E 1/4 8 T29N_R18W) - $ 29.18 114C _-Lot-Z
1.) Alt BM Description = -j -r o f e ( 16 ~s ~kr- ' S-~ ~ a~erv..5 W 2r~ 9/Uc11 K
2.) Bldg sewer length = -q5-1 It U
-amount of cover
W W 11 :G,j r
3~ s~/ ~/o o j wsi~ Gv~c s ~yryo%TC ( a o~ d«` ta*" yora~~~
~uM1w r Seed -l'W 4 s✓ t~ t3 b r OT kG~SC `o,. C~ ~o~ f 7 ~ fit Gh!`a~P~
or
^ Cl~
Planrevisronregaired? ❑ Yes No
Use other side for additional information. G r!i
SBD-6710 (R.3/97) Dat Inspector's Sig ture Cert. No.
f
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
n q s s
3
£ ~ 1
i
~ $ 3
a
x °
e
fl
e
a
s
i
Safety and Buildings Division
lVisconsin SANITARY PERMIT APPLICATION 2 1 B Wa30 ington Avenue
Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707-7302
• Attach complete plans (to the county copy only) for the system, o a`b u ty
than 81/2 x 11 inches in size. eo I"
a See reverse side for instructions for completing this applicatiof5 d State Sa Mary Permit Number
. 3S
Personal information you provide may be used for secondary purposes f * • ❑ Cheek-M p vision to previous application
[Privacy Law, s. 15.04 (1) (m)]. I
c'4 ate Plan ►.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL IN MATT '
Property Owner Name Pa'(W
1f i i~ &k0_(0, rl t~'3T a N, R g E (or)9)
Property Owner's Mailing Addr L \ v Block Number
3 I i n r
Ci y, State Zip Code Phone Number Subdivision Name or CSM umber
11 a mu-id I,v~ 5q0I~ 1('7)5 )9 ?4,495-9 vol-13 . 1'49
II. PE BUILDING: (check one) ❑ State Owned City Nearest Rgad
Public 1 or 2 Family Dwelling - No. of bedrooms ° Towan OF Wou r c i 1 I51 Ave,
.
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 18.. 1/ 4 L
1 ❑ Apartment/ Condo 0q2_161110- ~b - h
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1. C, New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an
SystemSystem Tank Only______________ Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System-In-Fill 3 2 5
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7 Final Grade
f~ Required (sq_ ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Eieev t'on
l~7® WC) Feet 7,"W Feet
VII. TANK Capacity
in gallons Total # of Prefab. Site Fiber- INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App-
New
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank / ~b i'C to e,,-, terA ® ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installa 'on of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plum er's Signatur ( o tam s) MP/MPRSW No.: Business Phone Number:
ape- /-0 - J3U75 `~/S- -SQ L
Plumber's Address (S r t, City, State, Zip Code):
56(a I~IUI,t~ Dr i lr c V ooc)g III e-1 5 q 6) 0 ~l
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved itary Permit Fee (includes Groundwater ate ssue Issuing Agent Signature (No Stamps)
Approved E] Owner Given Initial S Surcharge Fee)
Adverse Determination Qa
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROV L:
wk~ai 19
SBD-63 8 (R. 4199) 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 vvheneveF "
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:
V
1. 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.
VL Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only. -
X. County / Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump 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.
1 i4crp,c/_ )3 4 r ~ ci r R ~"f G Gi i(~
t 14,o 47'" 0 fl d
66
i ter
NSula~e ; S MP .ref
a" b
p W
61 A 1 00 } I
95r
n s
3' 3'
e1
31
i 1 o c ~ ~ c.~
Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division of Safety and Buildings ^ . Page of
Bureau of Integrated Services in accordance with ,83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in si Plan mustCounty
include, but not limited to: vertical and horizontal reference point (BM)rection and Lziz
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel LD. #
Z-/020 - Yo
APPLICANT INFORMATION - Please print all information. R viewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).:. 3 - - 2D
Property Owner Property Location
Govt. Lot 1/4 1/4,S T&? N,R E (Q6 W , 11 1- Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
23 v KI , ',v ~3 7~
City State Zip Code Phone Number !
❑ City ❑ Village arest Road
Town a
ew Construction Use: sidential / Number of bedrooms _ Addition to existing building
❑ Replacement Public or commercial - Describe:
Code derived daily flowl<10-ogpd Recommended design loading rate J bed, gpd/ft2 6 trench, gpd/ft2
Absorption area required /0200 bed, ft2 la00 trench, ft2 Maximum design loading rate sbed, gpd/fl2-::~trench, gpd/ft2
Recommended infiltration surface elevation(s) ~0~. C~l ft (as referred to site plan benchmark)
Additional design/site considerations rJ
Parent material Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In-Gro d Pressure AT-Grade System in Fill Holding ank
U = Unsuitable for system "K-11 11 U -NJ:,-s- El U El U ❑ U ❑ S ❑ 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. Bed , Trench
Ground pEr $ i 5 h
Depth to
limiting Q
factor
-Z~ °3-7-
y &
n. Remarks:
Boring # -3 Y2 /
Ground
lev.
y3 '
Depth to
limiting
factor
;dn. Remarks:
CST Name (Please Print) Sig~lat Telephone No.
Address Date CST Number
-S17 /6-99 tZ~722 -6 /200
PROPERTY OWNER SOIL DESCRIPTION REPORT Page of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color M4nt. es Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Color Gr. Sz. Sh. Bed , Trench
/ 4 2
,4 - s
Ground r
elev
Depth to
limiting 1. Z~Z
f ctor O
Remarks:
Boring #
/ e~)/31 C 3-
,.5s ,02 r3
Ground
97 le%4. ,
ft.
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # lq U 3~Z S i . S
lie
Y <j S s _S~/1~ i S,
Ground
elev.
Depth to
limiting
factor
- 'n. Remarks:
Boring #
Ground
elev.
ft. '
Depth to
limiting
factor
'n' Remarks:
SBD-8330 (R.9/98)
,PROPERTY OWNER SOIL DESCRIPTION REPORT
Page of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Structure 2
Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
VIYAO
Ground
elev
Depth to
limiting f. Z~Z
ctor u
in.
Remarks:
Boring #
Ground
ft.
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench
Boring #
s a9-
Ground
elev.
Depth to
limiting
factor
~7/_4zin' Remarks:
Boring #
Ground
elev.
Depth to
limiting
factor
in.
Remarks:
SBD-8330 (R.9/98)
r
Soil Test Plot Plan
Project Name Barbara Hawkins Shaun d
Address 1235 Men Drive
Hammond Wi 54015 CSTM #226900
Lot 2 Subdivision Date 12/16/99
NW 1 /4 NE 1/4S 8 T 29 N/R 18 W Township Warren
❑ Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Nail in Basswood Tree
System Elevation 90.0 *HRP
Alt. BM Top of 1 1/2" Pipe at Base of Basswood Tree @ 98.8
Pro 4 Bedroom
House
a,
a 40'
CB.M.
30' $1 90' 100'
Rep A Pri A
B-3
7% Slope
0'
25' 15' 15'
B"4 ~ -B-2
110'
11 0th Ave
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CERTIFIED SURVEY MAP
James and Jane Weisman
Being all of that Certified Survey Map recorded in Volume 4 of St. Croix County Certified Survey Maps,
page 999, located in the Northwest 114 of the Northeast 114 of Section 8,
T 29 N, R 18 W, Town of Warren, St. Croix County, Wisconsin.
/ M/ 9• ~ rC-n / „~~/nom
• 33 (R= S 88 °32' 2/ "EJ ~ Oh _A.Yf VF
• 8 ~I
NORTH 114 CORNER rR=se7•clz ~ry~_ B•~2' E
SEC. 8, T 29 N, R 18 W ` - -387.03 03"E 33l,40'---- 63_01 /939.58'
' NORTHEAST CORNER
(Found 1 `iron Pipe) $EE ' /y c x72.82'- -
DETAIL ~ -933 4 53" a SEC. 8 , ~T 29 N, R 18 W
• r ' NOO,k2~g2~a . / , sej3p o /00' . (Found 1 Iron Pipe)
`0i..-; % 03'03"E- JOINT
- - - - 91.03Zj -DR/VEWAY~
06 6 I
, C ~ 00116.15 (SEE SHEET 2 PIOR C rA) ~O
V11 7.
d, M a M °
.o '
N LOT /
hi VM• N I LOT 2 p N
h o
It rI Z' ODRIVEWAY rn ROAD SETBACK LINE
w ; vv 112) CONTA/NS !o O y
Z Q 157,, 591$0. FT. . ✓ a q
OR 3.6/BAC. (145 143 SD fT. c CONTAINS 174,934 S0. FT. OR y
W ` OR 3.332 AC. EXEUD/NG 4.0/6 AC. (153, 21750. fT.OR
TOWN R0. RIGHT OF WAYJ
o w ,r Z 3.517AC. EXCLUDING R/W)
309.84/ 327.06'
o S 89° 22'38" W 636 90~
z i rR= S89°2309W 636.959 rl ' ova
eJI
W $
.I
M o Dated: July 9, 1999 =;t
a I Revised: July 13, 1999 r OWNERS' ADDRESS-
o° I c Revised: Aug. 12, 1999 J 1047 IlothAvrNUE
z
SOUTH.04 CORNER ROBERTS, W/ 54023
? t
SEC 8, TT 28 N, R 18W
Z w
(Found County Mon.) ° Z04
SCALE IN FEET
• WAN
• • • DETAIL ? o
a 7 0 50 100 150 300
W W z APPROVEu
3 03 ST. CROIX COUNTY
• Q tS Plan Zoning and Parke ^ _.,i..
T 15 1999 `~p+++++iu~~r~~,
r 4% \ CON
WoH ~
o m Q If t corded withinst) co; >r 4L
0 (SEE SHEET 2 FOR
' p CURVE DATA/ Oppr ill date approval shall 4a . ~ LAU ;NCE
• Z null and void S m • W URPHY = cc
• • ' L EGEiV 0 Z a)
1713 _ i
. • • O SET I "X24IRON P/PE(M/N. WT. 4/3 L$/L. F) : •:,RIVER FALLS, ,i A;
• ~ ' WISC. Q► •
SOIL BORING 9~. ''SJ ♦'b,•
• FOUND 314 "IRON BAR 8.••
N
LA
GOVERNMENT CORNER AS NOTED
0 FOUND /"IRON PIPE
R 1 /0.0') INDICATES PREVIOUSLY RECORDED DATA.
THIS INSTRUMENT DRAFTED BY MARK W. PEAVEY SHEET / OF 2
Vol. 1 3 Page 3749
02/03/00 THU 08:44 FAX 715 386 4686 ST CRX CO ZONING Q001
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
owner/Buyer J) Ail d RG rk g roc / a w IS H S
Mailing Address 2 S~ I? I' Ll e- 1-/4 &0-4--d
Property Address O I O i~ K-
(Verification required from Planning Department for new construction)._ _
Parcel Identification Number 6 t/ O y - V
City/State
LEGAL DESCRIPTION
~f
Property Location - °/4, ~ %4, Sec. T~N-R 11 W, Town of L✓4 r r d h
Subdivision Lot #
Certified Survey Map # ~ j 07 . Volume, Page # q•
Warranty Deed # 1 '-L- , Volume j Page # S 3
Spec house ❑ yes 21-no Lot lines identifiable lYes ❑ no
SXST M MAINTENANCE
Improper use and mainteaanceof your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, 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 septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year exp' lion da .
Z I LI~/ v0
SIGNATURE OF O PLICANT DATE
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described above, by vi a of a warranty deed recorded in Register of Deeds Office.
~ SIGNATURE O , PLICANT DATE
4<*ss**
Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department
Include with this application: a stamped
the ce fed surveeyy map if reference is made in the warranty deed
• STATE BAR OF WISCONSIN FORM 1 - 1998 ES 13622
WARRANTY DEED KATHLEEN H. WALSH
REGISTER OF DEEDS
Document Number ST. CROIX CO., WI
K[]
-....'.'i tIJt3.PAa-533-
_ RECEIVED FOR RECORD
James F. Weismann and
Thi Deed,, made betwee _ 11-14-1999 9:30 AN
Jane C. Weismann, ius and-ate e,
in3iv-r ua y, an ea-chi in i eiT own rig-- E, WRRAN # DEED
EXEMPT Grantor, is CERT COPY FEE:
and David A. Smith and Barbara Hawkins, COPY FEE:
as tenants in common, TRANSFER FEE: 177.00
RECORDING FEE: 10.00
PAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the following ;1
described real estate in St. Croix County, State of Wisconsin
(the "Property"): i; r;eC.owa•c Argo
. - .
-
Name and Return Address
Parcel 2 of that Certified Survey Map dated ^ ~=n„^ '►st VA_ 4;,k^( K~ tI``
Oct. 15, 1999 and recorded on that date in Vol. C4l5- oh~is 13, at page 3749, as doc. no. 61 2107 being ~i.- Mo mod, 5`f~
located in the NWI of the NE} of Section 8,
T29N, R18W, Town of Warren, St. Croix County,
Wisconsin.
Together with, and subject to, an easement for 0829181144 B -
driveway access, including utilities, over Parcel identification Number (PIN)
that described as "Joint Driveway Easement" This is homestead properly.
on said CSM. (is) (is not)
ii
ii
I
I
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Property is good. Indefeasible in fee simple and free and clear of encumbrances except none
Dated this S~ day of November 1999
(SEAL) (SEAL)
AMES F. WEI/S'MIANN
(SEAL) (SEAL)
A E C. WEISMMAANN
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) James F. Weismann &
State of Wisconsin,
Jane C. Weismann ss.
Count.
authenticated this day of November 1999 Personally came before me this 1 day of
dy t4's~'a / 5 cJ, the above named
It C - GvL I $ rrf c
Alex S. Kosa tNNrq
TITLE: MEMBER STATE BAR OF WISCONSIN 5~,e1~• • • Ny~~,4,~ _ to
(If not. 4ye known to be the person who executed the foregoing
authorized by §706.06, Wis. Stats.) w Cry •,Kir)%ttument and acknowledge the same.
- ~suu• Z is
THIS INSTRUMENT WAS DRAFTED BY • p~`.G ' ^ .A -
Alex S. Kosa • (,1 TF ~LI~t.C11 _
I.D. NO. 1007467it ttt,,`~w Notary Public, State of Wisconsin
My commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are riot =Lti1 Ch /to _ 3003
necessary.)
' Names of persoru signing in any capacity must be typed nr printed below their slgnatu-
STATE BAR OF WISCONSIN wsconsn Legal Blank Co.. Inc.
WARRANTY DEED FORM No. I - 1998 Mil-kee. Wis.
CERTIFIED SURVEY MAP
James and Jane Weismann
Being all of that Certified Survey Map recorded in Volume 4 of St. Croix County Certified Survey Maps,
page 999, located in the Northwest 114 of the Northeast 114 of Section 8,
T 29 N, R 18 W, Town of Warren, St. Croix County, Wisconsin.
CURVE DATA: Joint Driveway Easement Line Segments
Radius = 138.00'
Arc Length = 111.95' A = N 00° 42'53" E 40.03'
Chord Length = 108.90' B = N 00°42' 53" E 52.41'
Chord Bearing = S 63 °48' 43" E C = S 88°32 S2" E 33.00'
(recorded as S 63 ° 48' 12" E' D = S 88 ° 32' S2" E 33.00'
Central Angle = 46' 28'40" E = S 00°42' S3" W 54.14'
1 st Tangent Bearing In = S 40° 34' 23" E F = S 00042'53" W 40.03'
2nd Tangent Bearing Out = S 87°03' 03" E G = S 87°03' 03" E 33.02'
(recorded as S 87°02 32" E) H = S 87'03'03" E 33.02'
I = N 00°42' S3" E 40.03'
J = N 00°42 S3" E 53.27'
DESCRIPTION:
That certain parcel of land being all of that Certified Survey Map recorded in Volume 4 of St. Croix County
Certified Survey Maps, page 999, located in the Northwest 1/4 of the Northeast 1/4 of Section 8, Township
29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, more fully described as follows:
Beginning at the North quarter corner of said Section 8, also being the Northwest corner of said Certified
Survey Map; thence along the North line of said Certified Survey Map, S 88' 32' 52" E, (assumed bearing on
the North line of the Northeast 1/4 of said Section 8, recorded as S 88° 32' 21" E), 651.14' to the Northeast
corner of said Certified Survey Map; thence, along the East line of said Certified Survey Map,
S 02°20' 37" W (recorded as S 02° 21'08" W), 505,03' to the Southeast corner of said Certified Survey Map;
thence, along the South line of said Certified Survey Map S 89° 22' 38" W, 636.90' (recorded as
S 81'23' 09" W, 636.95') to the Southwest corner of said Certified Survey Map and a point on the North-
South 1/4 section line of said Section 8; thence, along the West line of said Certified Survey Map and said
North-South 1/4 section line, N 00°42' S3" E(recorded as N 00°43' 42" E), 528.08' to the Point of Beginning,
containing 7.634 acres or 332,525 square feet, being subject to an easement for 110th Avenue over Northerly
portions of this parcel and to a joint driveway easement, as shown on this map and any other easements of
record.
NOTE: Each parcel shown on this map is subject to State, County, and Township laws, rules and regulations
(i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact
the St. Croix County Zoning Office and appropriate Town Board for advice.
State of Wisconsin)
County of Pierce)
I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, James
and Jane Weismann, I have surveyed and divided the lands shown hereon in accordance with official records,
Chapter 236.34 of Wisconsin Statutes and the Ordinances of St. Croix County and that this map and
description are a true and correct representation thereof. ~y'
~~.~~~gC O NS's iii
:'LAUR N Z
r cc
This Instrument Drafted by Mark W. Peavey V
713 = i
Dated : July 9, 1999 FALLS,' a~
Revised: Jul 13 1999 CREVISED: Au G. /2, /99
9 ND SHEET 2 OF2
Vol.13 Page 3749