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HomeMy WebLinkAbout042-1051-10-200 0 r 0 0 T 7! f ® I � fF �4 ■ � ƒ�{� \� \§/ r:3 2 � « , , a m , a , a 9 � w c g , - ® d & ; § o _ / \ § ƒ £ E § $ e i Ch \ 3 g @ k ( E E : \ \ / � to ■�i ƒ � 6 @ ƒ E 90 6 § _ .. n 3 \ § - § i , 9 z E �! � C). ; m o o g n r■ � c ~ 1 ! ( k T M % E �. . 2 [ z k k k ` k / 0 § ■ CO) ■ 7 § 0 k � ° \ . \ = § E 9 _E % -pt \ Z .. i § % $ §� / g £ / / 6 �- a ' ' w o \ 0 CD /§ '2z0 « § X & \ C L $ 9 � § , V m 2 k / X o .. M 00 q z 2 ^ ± C 0 % ; v y � U � ' 2 � q � ' $ \ � � \ 0 N ° t \ f ? ® k # Wisconsin Department of Commerce , PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: = 399575 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)J. Permit Holder's Name: City Village X Township Parcel Tax No: Schneider, J. Michael & Carol I Warren Township 042 - 1051 -10 -200 CST BM Elev: Insp. BM Elev: BM Description: coo o vc9•a C tkx I TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ' � Benchmar i O of D r� C3 / O / • • r Dosing Alt. BM Aeration Bldg. Sewer 4 • OQ Holding St/Ht Inlet �� 01 o3• }v�� T' TANK SETBACK INFORMATION St/Ht Outlet �• 3 L 103• yS' TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > too, *t ( e Z I Dt Bottom ing ` to Dos Header /Man. i Aeration Dist. Pipe / 1 / INie� D . 0� • �0 Holding Bot. System ��•�� Final Grade PUMP /SIPHON INFORMATION Manufac er mand St Cover OF In_ G P;;4t ss System Head TDH Ft Dia. Dis . 1�. SOIL ABSORPTION SYSTEM RENCH idth Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIME r O 1 SETBACK SYSTEM TO P/L jB0DG WELL LAKE /STREAM LEACHING Man c er: INFORMATION CHAMBER OR Type Of System: >5b / t t UNIT Mod ber: , () DISTRIBUTION SYSTEM Header /Manifold Distribution x Hale Si x Hole Spacing Vent to Air Intake Pipe(s) 1 1-ength � Dia Length Dia Spacing T 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 I Yes LJ No j Yes f No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection 03 C� / Z Inspection #2: • 0 - r ----_� Location: 999 U.S. Highway 12 Unknown (NE 114 NE 1/419 T29N R18W) NA Lot 1 Parcel No: 19.29.18.289A20 1.) Alt BM Description = �� *� �'� • 2.) Bldg sewer length - amount of cover = ��SC �"°ie rN 3}AIlLel A, *D 4 l{v Plan revision Required? c Yes 4 , F No 08 7202 r , I Use other side for additional information. Q.r SBD -6710 R.3/97 a ( Insepctors Signature Cent. No. T -- # - 0aQ Sanitary Permit Applica ion Safety & Bui dings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 N*isqqns Personal information you provide may be used for secondary oses u Madison, WI 53707 -7302 Department of commerce [Privacy Law, s. 15.04(l)(m)] p (Submit completed form to county if not state owned.) Attach co mp l ete plans ( to the county copy only) for th syste on paper n less than 8 -1/2 x 1 1 inches in size. County State Sanitary Permit Number 11 Check if revision to previous application State Plan I. D. Number s4. C 3 I. Application Information - Please Print all Information Locati - Property Owner Name Pro �. C •v-6t 1..4/�(t'� 4NF T, 1 �I3 r) W Property Owner's Mailing Address umber RtLtIVLU IT01 umber City, State V Zip Code v Phone Number ivisMiNlune V „ f SS 12 40 q35 . & II. Type of Building: (check one) 1 or 2 Family Dwelling -No. of Bedrooms ❑ Public /Commercial (describe use):_ jr C) d y2. /US/ -!D ❑ State -Owned W a ' M ' M ' �l Negress 14 t' R. Parcel Tax Number( _ tom III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) ; A) 1. PL 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System 13) 11 Permit Number Date Issued A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) K Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: a -14 ' ` rt. S'o 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area . Soil ApplfcatiorV 5. Percolation Rate 6. SysteNi Elevation 7. Final Grade / Required Proposed, Rate (Gals. /day /sq. ft.) in. /inch) Elevation I�$" �/ 13� ✓ -7 Cl• nl,I�, 99x5 j 0 VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks 1 O J 000 L0- ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigne assume resp onsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stamps): MP/MPRS No. Business Phone Number — L3, 4 a +- A/E, C I - , , 1 I cy Lz G-oo 3 1 "1 1 0 '? - — 7 q1 3 �. Plumber's Address (Street, City, State, Zip Code) IX. Coubty/Departmeni Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued 71ssuin Agent Signature (No stamps) 1 Approved ❑ Owner Given Initial Adverse Surcharge Fee) Determination X. Conditions of Approval /Reasons for Disapproval: 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. The septic system is sized for a 1 bdrm residence. A violation of the state administrative codes would be created if any modifications are made to the structure that increase the # of bdrms /design wastewater flow. The proposed structure must be for personal use only. Property owner shall contact the zoning office to ensure that any current or future plans will be in compliance with the St. Croix County Zoning ordinance. 3. The plumber stated that the system elevation was determined from a known contour and is properly located within the .7 horizon. However, dut; LU dic PLUMMET Of COS, a bulin Witt "I'd tv bC e F" to '"Ift"64ion fs *w45 ado"PAO sopara4wa di-' SBD -6398 (R. 07/00) Maiden Rock. WI 148004326 -8456 Portage, WI 14800 -362 -7220 concR Fond du lac, WI 1 -5937 Webs ite. www.wneserconcrete.com + 4 I I I /a' l a �� X _ I { ! Q � io3 ec 9'9,s QA Project dame: — ► �_ {� Computations By: Date: Location: i � • � ! � Checked By: �� Date: 10-# 0 Title /Item: Shcct:: Of: I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM er uyer Mailing Address 60 7 4 8 -vv �9.�.� R d� o e� W"" Property Address (Verification required from Planning D6aitment for new construction)- City/State Parcel Identification Number LEGAL DESCRIPTION Property Location N F_ ' /s, At C ' /., Sec. J T_L -R / 9- W, Town of Subdivision , Lot # Certified Survey Map # to /,;Z O , Volume / -5 - , Page # Warranty Deed # (0 o o , Volume / 7 ?- , Page # l B Spec house ❑ yes K no Lot lines identifiable 12r yes ❑ no SYSTEM CE 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. 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 the three year expiration date. � 1- 1 Q SIGNA APPLICANT 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 owners) of the p perry des�d bove, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: 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 ILL J Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) Septic Tank Capacity (gal) Soil Absorption Component Size (W) Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. 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 : Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 r . Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. - mil - 7 3 _ I �_ __. '— � ,� I � W�1JC u.I -� W N/�Ga3 ' -� -- —� - 1 — � - - -- ��� --- PY I I � I - -� — - � - I I � �' I � � t t - ` I i � - -- - I - � I I I - -I I I �Q.P I I '- �I S ! I N S j i Z- ;44; DRIVEWAY PERMIT Wisconsin De rtment of Transportation 2. Area e - I elepnone number 3 Highway Number 4. County 1. Applicant Name J. MICHAEL SCHNEIDER (651) 458 -0435 US 12 ST. CROIX 5. Applicant Mailing ress 6. ® Town ❑ Village 0 City 6748 MILITARY RD Of: WARREN WOODBURY MN 55129 7. What Type o nveway that apply) ® New Driveway (Trans 233) 8. TO BE COMPLETED FOR SHARED DRIVEWAYS ONLY ❑ Improve Existing Driveway Co -user name:Quintin & Marlys Haugen ❑ Relocate Existing Driveway 957 US12 Roberts, WI 54023 ❑ Change of Land Use Type (715) 749 -3711 I Permit Number: ❑ Shared Access ❑ New Permit for existing driveway (Trans 233 CONSTRUCTION OF NEW DRIVEWAYS 9. Driveway lies Within e: MUST BE COMPLETED WITHIN THIRTY (30) NE Quarter of the NE Quarter Section 19 T29N, R18W DAYS OF START DATE OF CONSTRUCTION. — THIS PERMIT IS REVOKABLE AT WISDOT's DISCRETION CONDITIONS OF ISSUANCE Rights of access have NOT been granted to this property. 1. The permittee, indicated on the reverse side, represents all parties in interest, and that any driveway or approach constructed by or for him/her is for the purpose of providing access to property, and not for the purpose of parking or servicing vehicles, or for advertising, storage, or merchandising of goods on the highway right -of -way. 2. Except in cases where the indicated driveway access may be constructed by forces acting on behalf of the State in relation to a highway construction or reconstruction project, the permittee shall furnish all materials, do all work, and pay all costs in connection with the construction of the driveway and its appurtenances on the highway right -of -way. In every instance, the subsequent maintenance of the driveway and of its appurtenances within the limits of the highway right -of -way shall be the responsibility of the permittee, who shall be obligated to pay all costs and accomplish all works necessary in relation to the said maintenance of the driveway facility. Materials used and the type and character of the work shall be suitable and appropriate for the intended purpose. The nature of construction shall be designated and subject to approval of the District Director. The driveway installation shall be made without jeopardy to or interference with traffic using the highway. Highway surfaces, shoulders, ditches, and vegetation which are disturbed by the driveway installation shall be restored to at least the pre - existing conditions by the driveway constructor. Any such facilities disturbed by operations relating to the subsequent maintenance of the driveway shall be restored by the permittee to the satisfaction of the District Director. 3. No revisions or additions shall be made to the driveway or its appurtenances on the right -of -way without the written permission of the District Director. 4. The department reserves the right to make such changes, additions, repairs and relocation's within statutory limits to the driveway or its appurtenances on the right -of -way as may at any time be considered necessary to facilitate the relocation, reconstruction, widening, and maintaining of the highway, or to provide proper protection to life and property on or adjacent to the highway. 5. The permittee, successors or assigns agree to hold harmless the State of Wisconsin and its duly appointed agents and employees against any action for personal injury or property damage sustained by reason of the exercise of this permit. 6. The department does not assume any responsibility for the removal or clearance of snow, ice or sleet, or the opening of windrows of such material, upon any portion of any driveway or entrance along any state highway, even though snow, ice or sleet is deposited or windrowed on said driveway or entrance by its authorized representative engaged in normal winter maintenance operations. 7. Wisconsin Administrative Code Trans 401 requires the permittee of commercial driveways to assure that proper erosion control and storm water management measures be implemented at all times during work operations. The permittee shall also be responsible for providing erosion control and storm water management measures to protect all restored areas upon completion of the driveway until the replacement vegetation achieves sustained growth. 8. ROCK, BITUMINOUS, CONCRETE, TIMBER OR OTHER EMBANKMENT RETENTION OR DRIVEWAY MARKING TREATMENTS ARE PROHIBITED. The construction and maintenance of the driveway shall be the responsibility of the applicant. It is understood and agreed that approval is subject to the applicant's full compliance with the pertinent Statutes, as well as any codes, rules, regulations, and permit requirements of other jurisdictional agencies. The applicant shall comply with ALL permit provisions, superimposed notes, and detail dr wings which ay e Ad d by th Department. Any alteration of this form by the applicant is prohibited. (Property Owner Signature) (Date) PERMIT: Approved by Division of Transportation Districts SThis permit voids and supersedes permit mber: 55 -16 -93 PERMIT NUMBER: 55- 2001 -16 (District Director or Approved Representative) Date: 10-01 -01 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of o2 Division of Safety and Buildings , in accordance with C Is) �c�m de -_y I I County Attach complete site plan on paper not less than 8112 x 1 i4 In size. Plan include, but not limited to: vertical and horizontal refers a (BM�lir n and `< , Parcel I.D. percent slope, scale or dimentions, north arrow, and I and dd earest road: (J ��$� — �(� • — (� Please print all infor ec n. Reviewed by Date Personal information you provide may be used for seconds ur ses (Privac LI, Z15 (1) (m)).` Property Owner Z ��Q+oc (7 of 1/4 --114 S T• N R fir) W Property Owner's Mailing Address \.,` l L Lot #}� # Subd. Name or CSM# City State Zip Code Phone Number ❑ Village IM Town Nearest Road � ,�vr a • X50 ' •) 5. - ,� - u/ Jam, New Construction Use: ® Residential / Number of bedrooms .3 Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material rr 6z' was j� , Flood Plain elevation if applicable / V ter m r+s s'> . __ ft• General comments — �—. ccvy1�f1^QV A J 1 e and recommendations: E] Boring �. C 9�) a 0 Boring # Ground surface elev. q �.. _ P 9 Pit 7 ft. Dept to limiting factor Y />` 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 S 3 a 3 1.3 .C. ,� ' ° s ✓ , CID Boring # ❑ Boring Cqz pit Ground surface elev. ft. Depth to limiting factor � in. Soil Application Rath Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color / Gr. Sz. / Sh. •Eff#1 I •Eff#2 t 7 5 S/[ S SG /' �T�L' ✓ / a ,e 31 .z m -5 P C -s -F 5 ✓ - 7, P We, C 4' 1 S s• C v N / (: Olt, v r J I 3 0L 0�O Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 1 0 mg/L ' E#ki6nt #2 = BOD < 30 mg/L and TSS 5 30 mg/L CST N (Please Print) ature CST Number o e ISM ° Address Date Evaluation Conducted Telephone Number se I /v / 17 150 .2 35--93 Properly Owner m i k -:X C6 SC7-k OtJ N r Parcel [D# 64c2 " / — / 0 — 0 00 Page l of � 1131 Boring # Boring 068) ®pit Ground surface elev. ft. Depth to limiting factor � in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 C /, _ S,C J 3 wlI-- I - 1 v F a i cl- 5" E \ E] Borin Boring # t ,2, IN surface elev. �, ft. Depth to limiting factor /ll. / in. Pit Ground u �� 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 3 3 7 .45 ,e h - j , z d " Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor & A in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 d o61 sk - 3 cf Gt • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:5 150 mgA- ' Effluent #2 = 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 alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.6100) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page o2 of a. Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code County C Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. j Q Q Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Y - C-- v _ : (Z Govt. Lot ;C 1/4 / 1 /4 S Z2 T ,22 N R Y JW) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Y City State p C e Phqrle Number ❑ City ❑ Village Town Nearest Road 42 19 New Construction Use: R Residential /Number of bedrooms �_ Code derived design flow rate GPD ❑ Replacement 14 ❑ Public or commercial - Describe: Parent material 0.1.2 G(/d 5A Flood Plain elevation if applicable i1/ / �______ _ — ft. General comments and recommendations: 3P QV� ' L� F-b] Boring # Boring ❑ I ry ® Pit Ground surface elev. 9U1' ft. Depth to limiting factor 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 5- -2 S; S ' k In F 0 V �z 16-.2 >> - C,l m sl 3 7 g t J s�,� �• la V Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soii lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftr in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nam lease Print) 5ignatu a CST Number Address -� Date Evaluation Conducted Telephone Number K. j�y 7S r Property Owner Parcel ID # Page of F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soli 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 F-1 Boring # E] 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 GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # Boring El Pit Ground surface elev. ft. Depth to limiting factor 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 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = 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 alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. 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A .. �s.,2 -. �;�r Y ».. ; . r . ^ ter:.:., '� ,.. • ` W d - ,r�3' — <, • 3. ♦ zx � we A . ,r:. , .;:,.�•.. - '.,.s :,::.. :..; ..`4F .t .: # *{� j' *"Y4 �-� .: 'ter ��` �,M c��.�.,a-'s., •? .,�,�.'• 'y"tY ._ ..k - ' a ' � -- rk- - �� .�,cd's. +.55. -. � �as..�. -z. •'i.4._ :9:.. «.. .. � . - . . k:�. _ � -.� .> � Yz _ _ . ��- _,. � �t:.. _ , �fi1L, Jw..rv: ,r. . »s/44t+i4t . �' • .' , r • I I IWO In, I V2, 4 60-- , S � Wf �4 -XIC 01, ol iz I V Pw 74 O "A ; 0 2 Mig 19 Y-W %:�l :Zin,� w v � Al 9i I - �A f A CIA ZZ., Cr � -5 —.44 vv �V JiE � ff 2- 7A STATE BAR OF WISCONSIN FORM 2 - 1998 �� gpU3 WARRANTY DEED KATHLEEN H. WALSH (� REGISTER OF DEEDS Document Number VOL 1 729PAGc 518 ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between QU nt nal rz ai qPn and Marlys A Hau4leLt, husband And wi far 10 -01 -2001 1:50 PM WARRANTY DEED Grantor, EXEMPT # and J Michael Schneider and Carol J Schneid CERT COPY FEE: COPY FEE: husband and wife, a$ survivorship marital nro>- opertwr- TRANSFER FEE: 261.00 RECORDING FEE: 11.00 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: Hctt;ording Area Name and Return Address Stephen J. Dunlap t DUNLAP LAW OFFICES 600 Third Street P.O. Box 129 Hudson, Wisconsin 54016 042- 1051 -10 -00 Parcel Identification Number ) This is not homestead operty. (is) (is not) Part of NE 1/4 of NE 1/4 of Section 19 -29 -18 described as follows: Lot 1-of Certififed Survey Map filed August 29, 2001 in Volume 15, Page 4162, as Document Number 655120. Exceptions to warranties: Dated this day of October 2A01 (SEAL) l (SEAL) * * QUINTON DALE HAUGE (SEAL) ���_ (SEAL) * * MAR A. H A U GEN AUTHENTICATION ACKNOWLEDGMENT Signature(s) Of Quinton Dale Hat3gen State of Wisconsin, and Marlys_ A Haiilqen I County or authenticated this _ _ `� day of _2tQQ1 Personally came before me this day of the above named * STEPHEN J. DUNLAP TITLE: MEMBER STATE BAR OF WISCONSIN — to (Ip'y(pr(, me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY STEPHEN J. DUNLAP Notary Public, State of Wisconsin Hudson, Wisconsin My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged, Both are not ) necessary.) Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. WARRANTY DEED FORM No. 2 - 1998 MAwaukee, Wis. A r f- i RIAU S1ER OF DEEDS ST. CROIX CO. WI RECEIVED FOR Rffib 08 -24 -2001 1:00 PM CERTIFIED SURVEY MAP CuI FEE: RECORDING FEE: 14.00 LOCATED IN PART OF THE NE1 /4 OF THE NE1 J4 OF I'acES: 3 SECTION 19, T29N, R16W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. D.O.T. # 55 -012 -3310 -2001 SURVEYOR iv OWNER S 8 N LAND SURVEYING •d OU1NTIN HAUGEN ALLEN C. NYHAGEN W 957 HWY 12 2920 ENLOE STREET to ROBERTS. W154023 M o p HUDSON, WI 64016 NORTH LINE OF THE NE1 /4 NE CORNER YY SECTION 19 1 4 S89'42'63 "E ^ � i KV 2623.7e' y- N89 °42'55"W567.00`_ A 33.00• N1 /4 CORNER t 600.99' ACCESS i 77.oa SECTION 19 7T L4I L L_ -P.9T "_ ^!_ --_ L9 RESTRICTED SEE NOTE ON PAGE 3 r- 66.00 1189 668.28' —�� —� OF 3 ° ' (D OZ 86.01' n° n •`` �•'" .r' OM N89'426a YV 689.34 _ 66' WIDE ACCESS Q O U) m Z � EASEMENT r ,� kxJ4 10 - ¢ AS PER DOT INSTRUCTION (o] j .Z . ,J' 0 Vl� t a 1 i O m h v 0) ` 5 cttf�lx L"n NTY , O running Zonlnq and Pwks �i 31 1 1 E 12 676 ACRES > n 552,173 SO FT ID 57.59 � �� I o AUG 2 9 2001 ro AREA1EXC. A rn N Z II not recorded within 30 days of 509,545 SO IFT ( h approval dale approval shag pe ( CI 7 null and void O A Z Z w N.6 W op u. O oLL w z w °o , Z B ,j O '" Q w m w ° w N(34-2620"E 497.00' LL H 5 00 g, En J' ``J' fa m Z m "'�� Utlo�? r Mfn�pdtnl t�4G® dG1 -- -- - CURVE TABLE Et /d CORNER SECTION 19 NUMBER RADIUS CENTRAL CHORD CHORD ARC TANGENT TANGENT ANGLE BEARING LENGTH LENGTH IN OUT 1 323.00' 12'29'62' 806.68'16 -E 70.32' 70.4(3' 800./6411W 612'13'11'6 2 131a.83' 08.4131' 808.62'26.6 "E 153.60' 163.68' 812 806.31'40'E LINE TABLE LEGEND NUMBER DIRECTION DISTANCE ALUMINUM COUNTY SECTION CORNER L -1 S9W42'68'E 88.01' MONUMENT FOUND L - SOO'39'36'E 77.01' L -3 NSW42'66"W 86.01' X SEE COUNTY SURVEYOR FOR SECTION CORNER TIES L -4 N00'39'38`W 77.01' 0 1' X 24' IRON PIPE SET WEIGHING SCALE IN FEET 1" = 200' 1.68 LBS. PER LINEAR FOOT V IRON PIPE FOUND 200 0 200 400 S HEET 1 OF 3 Volume 15 Page 4162 r } s T f CERTIFIED SURVEY MAP LOCATED IN T2 N, R 8W, OWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. OWNER OU1NTIN HAUGEN SURVEYOR 957 HWY 12 S & N LAND SURVEYING ROBERTS, WI 54023 ALLEN C. NYHAGEN 2920 ENLOE STREET HUDSON, WI 54016 1, Alien C. Nyhagen, Registered Wisconsin Land Surveyor, hereby certify, that by the direction of Quintin Haugen, I have surveyed, described and mapped a part of the NE1 /4 of the NE1 /4 of Section 19, T29N, RI 8W, Town of Warren, St. Croix County, Wisconsin; further described as follows: Commencing at the Northeast corner of said Section 19; thence S00'39'36'E, along the east line of the NE1 /4 of said Section 19, 33.00 feet to the southerly right -of -way of U.S. Highway "12" and the point of beginning; thence N69'42'55"W, along said right -of -way, 667.00 feet; thence S00 °1 6'41'W, 329.18 feet to the point of curvature of a 323.00 foot radius curve, concave easterly, whose central angle measures 12°29'52 ", whose i chord bears S05'58'1 ST and measures 70.32 feet; thence southerly along the arc of said curve 70.46 feet to the point of tangency; thence S12'13 *1 1'E, 57.59 feet to the point of curvature of a 1315.83 foot radius curve, concave westerly, whose central angle measures 06 °41'31 ", whose chord bears S08 ° 52'25.5 "E and measures 153.60 feet; thence southerly along the arc of said curve 153.68 feet to the point of tangency; thence S05 ° 31 1 40 "E, 437.36 feet to the northerly right -of -way of the C & NW Railroad; thence N84'28'20 "E, along said right -of -way, 497.00 feet to sold east line of the NE1 14; thence N00'39'36"W,along said east line, 991.86 feet to the point of beginning. Parcel contains 12.676 Acres (552,173 Sq. Ft.) and is subject to all easements, restrictions and covenants of record. I also certify that this Certified Survey Map Is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix and the Town of Warren in surveying and mapping same. ol Allen C. Nyhagen S & N Land Surveying , 2920 Enloe St. Hudson, WI 54016 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 the Town of Warren for advice. THIS INSTRUMENT DRAFTED BY: KEVIN REED JOB NO. 6070 -01 DATE: 06/11/2001 REVISED 8/22101 SHEET 2 OF 3 L Volume 15 Page 4162 II CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE1 /4 OF THE NE1 /4 OF SECTION 19, T29N, RI 8W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. OWNER SURVEYOR OUIWIN HAUGEN S 6 N LAND SURVEYING 957 HWY t2 ALLEN C. NYHAGEN ROBERTS, w164023 2920 ENLOE STREET HUDSON, wI 54016 D.O.T. NOTES PER TRANS 233 HIQHWAY SETBACK LINE NOTE: THE HIGHWAY SETBACK LINE (PER TRANS 233) SHALL BE 50 FEET FROM THE HIGHWAY RIGHT -OF -WAY, OR 110 FEET FROM THE HIGHWAY CENTER LINE. WHICHEVER IS THE GREATER DISTANCE. NO IMPROVEMENTS OR STRUCTURES ARE ALLOWED BETWEEN THE RIGHT -OF -WAY AND THE HIGHWAY SETBACK LINE. IMPROVEMENTS INCLUDE, BUT ARE NOT LIMITED TO SIGNS, PARKING LOTS, PARALLEL DRIVEWAYS, WELLS, SEPTIC SYSTEMS, DRAINAGE FACILITIES, ETC., IT BEING EXPRESSLY INTENDED THAT THIS RESTRICTION SHALL CONSTITUTE A RESTRICTION FOR THE BENEFIT OF THE PUBLIC ACCORDING TO SECTION 236.293, WISCONSIN STATUTES AND SHALL BE ENFORCEABLE BY THE DEPARTMENT OF TRANSPORTATION. CONTACT THE WISCONSIN DEPARTMENT OF TRANSPORTATION DISTRICT OFFICE FOR MORE INFORMATION. THE PHONE NUMBER MAY BE OBTAINED BY CONTACTING YOUR COUNTY HIGHWAY DEPARTMENT. NOISE NOTE: THE LOTS OF THIS LAND DIVISION MAY EXPERIENCE NOISE AT LEVELS EXCEEDING LEVELS IN S. TRANS 405.04, TABLE 1. THESE LEVELS ARE BASED bN FEDERAL STANDARDS. THE DEPARTMENT OF TRANSPORTATION IS NOT RESPONSIBLE FOR ABATING NOISE FROM EXISTING STATE TRUNK HIGHWAYS OR CONNECTING HIGHWAYS, IN THE ABSENCE OF ANY INCREASE BY THE DEPARTMENT TO THE HIGHWAY'S THROUGH -LANE CAPACITY. ACCESS RESTRICTION NOTE: ALL LOTS AND BLOCKS ARE HEREBY RESTRICTED SO THAT NO OWNER, POSSESSOR, USER, LICENSEE, OR OTHER PERSON MAY HAVE ANY RIGHT OF DIRECT VEHICULAR INGRESS FROM OR EGRESS TO ANY HIGHWAY LYING WITHIN THE RIGHT -OF -WAY OF S.T.H. 12; IT IS EXPRESSLY INTENDED THAT THIS RESTRICTION CONSTITUTE A RESTRICTION FOR THE BENEFIT OF THE PUBLIC AS PROVIDED IN S.236.293, STATS., AND SHALL BE ENFORCEABLE BY THE DEPARTMENT OF ITS ASSIGNS. ANY ACCESS SHALL BE ALLOWED ONLY BY SPECIAL EXCEPTION. ANY ACCESS ALLOWED BY SPECIAL EXCEPTION SHALL BE CONFIRMED AND GRANTED ONLY THROUGH THE DRIVEWAY PERMITTING PROCESS AND ALL PERMITS ARE REVOCABLE. ACCESS RESTRICTION NOTE: The Wisconsin Department of Transportation has granted a Special Exception to Trans 233 for the proposed driveway access, as shown on this map, with the condition that an access easement is provided through Lot 1 to serve adjacent / remaining properties to the west. Additional land divisions, change in land use, or future highway projects may require a public road intersection or relocation of the driveway to an alternative i public road at the discretion of the department. THIS INSTRUMENT ORAPITO SY: KEVIN REED JOB NO. 6070 -01 DATE: 08111/2001 REVISED 8/22/01 SHEET .3 OF 3 Volume 15 Page 4162 1 I I v Number �' r DocumelltN , r � hLc'rS4a19i3i+4 VOL 170 . P;U ` 36 ALSH euv�NANT KATHLEEN N. W W4ca,sln04pat— ofTra- po" REGISTER OF DEEDS S sdion Trans 233 (2), Wis. AdrMn.COde ST. CROIX CO., WI and 5238 and 88.07(2). WISMOkh etslhaq. g In order to further the orderly layout and use o f tsrd; to lessen congeatbn In the streets and RECEIVED FOR RECORD h highways, 1 p f proper ingress and egress: and for the purpose of Providing fo *I 08-27-2001 9:30 flit safety a trevt upon and entrance into and departure from the state trunk W gtwvay dealgnsled as US 12, a0 in accordance with the Provisions Of Chapter 236 and Highways and C 86-07 COVEHANTS and bons governing tatted Sub dMslons g Statutes. and the nuke re9ula S1 State T akh r Trans 233 Wisconsin EXEMPT I State rust orrsctlng ►tlOhwels• p1°Pt° CERT COPY FEE: AcirrhWslrative Code, the urrdarelgrhed ownere of the following described lards: COPY FEE: ALL THE LANDS OF THE OWNER(S) BELOW LOCATED IN THE NE !b OF THE NE 14, TRANSFER FEE: r SECTION 19, TOWNSHIP 29 NORTH, RANGE 18 WEST, TOWN OF WARREN, ST. RECORDING FEE: 12.00 CROIX COUNTY , WISCONSIN. SEE EXHISiT'A•. PNGES: S hereby covenant and agree as 100OWS: 1. Ali lo a nd blocks we hereby restricted so that 00 0"10, Posses user, Mceneee, or any highway othe y g within the rlpht-01 -way Of S 1 22; It Is eWMIY Intended OW this space is reserw111for net ardnp date femk4on Constitute a restrlcton for the bens8t of the public as provided In a.236.293, Return 10 G , Stats., and shell be enforceable by rte dsPerbnw* a he assigns. Any access shell be v snowed only by special exception. Any access allowed by wdcw 41COPSOn shell be cotMmted and granted only through the driveway Permitting poceee��p �tts Wisconsin Departrnent of Transportation revocable and revocation is r--o mpensafory. special T18 W awromont Ave approved for the e:dstrg scene (Fire 0945) on the west property line. The e:datin9 o . Cielre WI 54701 residential driveway 168 feet east d "a access point must be removed (lire "57). A r * e r r• The seem on t he west property One will now serve as a shared access p". A LJ r I c r � Mal special owsptlon has been approved for an access on the East property The existing Gold entrance 605 feet west Of the seat Property tine must be femoved. A W acce easement is required th uired to e west through LOT I to serv 6 4800M / Parcel Identification NurnbeHTax Key Number rernaWrp properties to the west. Additiorhef divisions, relocation the 042- 1061-10, 042- IOSI30 -100 future highway pro)ect(s) may require Public roW driveway to an a8ernatve public road at the d1wedon of the daparsneM. 2. The FOgthway Setback Line (per Trans 233) shell be 50 feet from the highway fight -O' way, or 1 t0 feet from the hV"y center Ina, vrtllothww is the greater distance. No knproveim" or structures are allowed between the rl9ht'a line and the higinwey salback ling. improvements an d st include, but are not "ad to s parking areas, driveways, walls. septic systems, drainage focintes, buildings and retaking walls. it is expressly Intended that this restriction Is for the benefit Of the pudic ae provided in motion 236293, Wisconsin etst m, and shelf be °nforosade by the Department Of Transportation or Its assigns. Sold Highway So ft* Una shell apply to all that lard of the owner abultlng US 12. 3. The lots of this lend division may experience noise at Ievels exceeding levels in s. Trans 405.04, Table 1. These laves are based on lederal standards. The Department Of Transportation Is not responsible lor abating nolm from wishing state trunk highways or 0onneclkng highways, kh the absence of any Increase by the department ro the highway's througMan• capacity. � nun with the Isrd end shall farevM Wild them selves their heirs, 4. it b expressly agreed s, the undersigned owners that these part thereof shat ent a Transportation or successors administrators, axeculors, and assigns until said covenant or erry part theraa are taloned h writing by Department or assigns. IN WITNESS WHEREOF the undersigned owners of the premises abav"$Wdbed have Cahged those oovwwfs im fo be red to n '` s. �) A State of %maconsin I Q t' _ .bow dub, t11b In rirnrmM ses ecwwe+edged boors ms 11 1 14 a rwnsd pasah(s). gnetu0) ta� , Sws of ) (Palm or Type, Nolary VuWl4 spiv of WlemaM) is ethhre) 0 Oahe E mves) (Pmt Nam) SS- W241ou>:•n CSM (Subdvl4an r lard 0W4fon NAM) 1107 Cersticatlon Number SS This Instrument was drehad by Wisconsin Departm of Tra nsportatwh um 'OlZ - 3 3 h 6- 'I•+�1� i 1 0 k 0 ■ ° T -1 2) 7 & - E� ' 7, 3 * ° ¥o n ¥: ® ■ §: % ©® , E ® C) & ' G A § � § / C § a' R o � 2 8 2; @ ® 5 E e ■ ° E Eƒ f§ k 0 ;z O ■ � O £ � ( / § > t » 3 \ -4 . 4 § 2 � CL � / o * o o c n r■ � $ � § ¥ � i � �. _ 7 _ z 0 0 0 r Oro z 2 ■ / % § > 0 $E 7� °� CA � E � � 7 � CL ■ B z \ >0 0 ? 8 $ X N g m CL z } 2 4 ■ o $ a z ; / CL k0 £ .. A 2 � e 0 t z q z 2 . � k 0 § z % � � $ � � § � ) o � K 0 ~ m \ f ~ � 2