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HomeMy WebLinkAbout042-1053-95-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 399520 GENERAL,INFOR:hAATION (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: Krueger, Richard Warren Township 042 - 1053 -95 -000 CST BM Elev: U Insp. BM Elev: I BM ascription: TANK INFORMATION ELEMATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 9W S -� ; wei f e y, ZocJ Benchmark s z Dosing we2.l�-5 Alt. BM Aeration Bldg. Sewer 0.4� Holding _ Ht Inlet �p Y TANK SETBACK INFORMATION Ht Outlet A- Z c (0 O TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septict I / - :�Z. ' 1 Dt Bottom A 7 #rL > a - r' ±ZS > 2 . , Dosing k ?O , 4 , 7 Z Header /Man. s q Z - - G Aeration Dist. Pipe L S. (� Z 2• r 3 olding Bot. System L ro PUMP /SIPHON INFORMATION N S Final Grade Manufacturer / J Demand St Cover L /`( ar_ GPM Zla 2,Q Model Number Yd Z Z O,s Z TDH Lift Friction Loss System Head TDH Ft 31 �� 3 . V z I ,Q y C �r Forcemain Length Dia. Dist. to well } 11 2_(1 SOIL ABSORPTION SYSTEM G BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS q3 3 S L SETBACK SYSTEM TO P/L JBLDG WELL LAKE/STREAM LEAgkUNG Manuf (u r. INFORMATION Type Of System: BER R r Model Number. C &o - lS -7 l 4 DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake _J g Pipe(s) / '� P � -' -� 75 / Length Dia Len th �- � � Dia S acin g 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 Fu Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_1 f 0/ Inspection #2: Location: 997 80th Avenue Roberts, WI 54023 (SE 1/4 SE 1/419 T29N 17W) / NA Lot NA ! Parcel No: 19.29.18.304D 1.) Alt BM Description 2J Bldg sewer length = S f, I �J & fW «w - amount of cover = / li r(G� �, �p� t ��LS i,l a,`yr„7 lie✓ �o bt hyoa,` � , � o�k r vA - l g�,e5 �. Plan revision equired? ❑ Yes No Use other side for additional information. N� v Date I Insepctor's nature Cart. No. SBD -6710 (R.3197) u o k K cQ 33( Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 NVisconsin Personal information you provide may be used for second purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)) p (Submit completed form to county if not _ state owned.) Attach complete plans (to the county copy only) for sy�trr, on p of less than 8 -1/2 x 11 inches in size. Count State Sanitary Permit Number ❑ 'k i :revtMfrtu p�gvi s plication State Plan I. D. Number PkI 3 sZ � 1. Application Information - Please Print all Information ,� Location: Property Owner Name q - = Property Location 1/4 S A, S f T21 , , d (or) Property Owner's Mailing Address .r F , Lot Number Block Number City, State Zip Code n Subdivision Name or CSM Number II Type of Building: (check one) ❑ Cit 1 or 2 Family Dwelling - No. of Bedrooms: ❑ Village ❑ Public /Commercial (describe use):_ Town of 11 State-Owned i r r e, Nearest Road .1& Parcel Tax Numbers Z 111S3 - - v!7° III. Type of Permit: (C lyan line A. Check box on line B hma� / _ z /� 3p d A) 1. ❑ New eplacement ❑Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV Type of POWT System: (Check all that apply) on- pressurized In- ground ❑ Mound E and Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank QtSingle Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 30 e, 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed 3� ✓ Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed z �p Tanks Tanks ❑ ❑ ❑ ❑ c, 2�Kl 17-001 j 2 fx � � � FK � wa g6V �./ / Ii � ❑ ❑ ❑ ❑ VIII. Responsibili y Statement I, the undersigned, assume responsibility for installation of the P9^WTS show on the attached plans. Plumber's Name (print) Plumber's ig re no slam ): MP/MPRS No. Business Phone Number 51� cz-� Ts I / 2 2—, Plumber's Address (Street, City, State, Zip Code IX. County/Departmeift Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee Determination ZLS OU �0 Lo0 X. Conditions of Approval /Reasons for Disapproval: 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. The existing system shall be abandoned per code requirements (Comm 83.33). 3. Chamber louver shall be installed in soils with a soil application rate of .7. SBD -6398 (R. 07/00) I PLOT PLAN PROJECT Richard Krueaer DRESS 997 80th Ave Roberts Wi 54023 SE 1/'4 SE ' 1 /4S 19 /T 29 N/ 18 W TOWN Warrem COUNTY St. Croix MPRS Shaun Bird 226900 DATE 10/7/01 BEDROOM 4 CONVENTIONAL IN-GR6&D PRESSURE CONVENTIONAL LIFT )00C HOLDING TANK I MOUND SEPTIC TANK SIZE 1200/261 LIFT TANK SIZE 800gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 500 # of chambers 30 IL BENCHMARK V.R.P. TO of Steel Fence Post Top ASSUME ELEVATION 100 Filter Zabel A -100 ❑ BOREH Ven� WELL *H.R.P. Same as Benchmark > 12" Sidewinder High SYSTEM ELEVATION 91.0 Capacity Leaching of Cover Chamber 6' Long 16" Grade at System Elevation Badlands Roa d/80th Ave Alt. BM A roxiamet Top of Wood Corner Post @ 98.6' Vent d a afield location Failed Plans Designed Using Conventional Powts 30' Manual Version 2.0 Weeks 261 150' Septic tank D W to contain 22-3 i� Q� / fti �, 3 0 , 15 a 94' 95' C 'e- 11 - 5 — `�'� 7 3 T Baffles were Vents B -2 S� fixed 4 years °`' 25' g 10' Well 0 14% N Slope Existing 4 ' 40' Bedroom 0 House 3 100' 50' 10% S1 I� 0 ' 5 ' 80' B -1 * Alt. B.M. 150' 25' Property Line pVr,.,P ,l' 'R R R� CC'•'t a., �Al� 5° IGi A'f � ^� V G AJ P ...«...... � Wf.A'r.tiC'RFIgppF '� ; AfPRQVC>A1 VOtKtA3G a3 :4d' p OCR, I I «,�t�C G►� box covtR «lhwaowan f .r'a , Q - AKC ! i GKAOC — t�p( -1 {� 1�r �� i. A ! t *APPROVED i ' Oki JOINTS wlTm FT APpROVEO PIPE � 3 ONTO 0 SOLID SOIL ° GS►1CRGtC 6604K RI![R EXIT OCKA17r D 0411..''S to & rAWK /-�AQUFACTi KCIt KAII 6UCM A►rRQVA6 t co .:�,� MAA11�FhCT —�Q �aw�e�l� of ooscs; � r�C� TAdilt SILL : —900 DAM �► bAL N LOi DOSE vOapuMC .� APAGTit�1'.R: �vCiti01NG ✓1AtKfiOwr 6At,�0a�la MOpts, 1r11iM�ER3� �" ✓ CAPACITICS: A�Zs.s� 1MtrcM T o ots '" -- a1<UES OR MAar�rACTu�t»c1t: rs�_....._.. on . I.! ►�t r MOOS}« AI41Ml�R: `S �'� W40496 OIl 'f SWITCH TvPt: i- �-� { Orr; PWMP AND A6AlkM ARE TO St INrrtr,M 01�pMCI►ROIC RATL«.Z...._.....G►M / IMiTAi+.PD ON SiPr►riAT>E CIRCii�Ti VtXr(gX6' a1Fet RlNCR 11> k 1 't 4 "i P UP#*ff OMA D )STRIbUT. PIFS...; Z r r►,ulhuM NETWOR SIJPPLV PACs SWKC .. V rCT + -Z.4— F'CRT OF T01tCS 11AIN X reFrtttr +ova Pa.eYo+R.. PR,ST '7'CTAL !':fiJAMIC. M CAM FLC r / I1;7CRUA6 01MCWJ4044 , OF AAJK; i. ;QUID OCP'r m g'+�EC;.,,..,_ +CCW:F J a h f P Dimensional Data 5 e 40 Performance & 40 , 30 _ SHEF40 FT20 10 0 10 20 30 40 50 60 70 GPM 3 -7/8" —► 6 -5/8" (168.27) • (98.42) 5" (127) 1.All dimensions in inches. (Metric for international use). 2.(omponent dimensions may vary ± 1/8 inch. 3 -7/8" (98.42) 3. Not for construction purpose unless certified. 1 4. Dimensions and weights are approximate. 3 -7/8" a DISCHARGE (98.42) 6_ 1 -1/2" NPT 5.We reserve the right to make revisions to our product FLOAT and their specifications without notice. SWITCH jLn 1 I� 11 -3/8 ,03/16" HYDROMATIC® (288.92) (258.76) Pentair Pump Group • f 3 -5/8" 2" (50.8) (92.07) 7 • WARRANTY Hydromatic Pumps warrants to the original purchaser of each Hydromatic Pump product(s) that any part thereof which proves to be defective in material or workmanship within one year from date of installation or 18 months from manufacture date, whichever comes first, will be replaced at no charge with a new or remanufactured part, F.O.B. factory. Purchaser shall assume all responsibility and expense for removal, reinstallation and freight. Any item(s) designated as manufactured by others shall be covered only by the express warranty of the manufacturer thereof. This warranty does not apply to damage resulting from accident, alteration, design misuse or abuse. If the material furnished to the Buyer shall fail to conform to this contract or to any of the terms of i this written warranty, Hydromatic Pump shall replace such nonconforming material at the original point of delivery and shall furnish instruction for its disposition. Any transportation charges involved in such disposition shall be for the Buyer's account. The Buyer's exclusive and sole remedy on account or in respect of the furnishing of material that does not conform to this contract, or to this written warranty, shall be to secure replacement thereof as aforesaid. Hydromatic Pump shall not in any event be liable for the cost of any labor expended on any such material or for any incidental or consequential damages to anyone by reason of the fact that such material does not conform to this contract or to this written warranty. ALL IMPLIED WARRANTIES, INCLUDING THE IMPLIED WARRANTY OF MERCHANT - ABILITY AND THE IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE, ARE LIMITED IN DURATION TO THE SAME EXTENT AS THE EXPRESS WARRANTY CONTAINED HEREIN. Some States do not allow limitations on how long an implied warranty lasts, so the above limitation may not apply. • MANUFACTURER EXPRESSLY DISCLAIMS AND EXCLUDES ANY LIABI LPLIED `FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES FOR BREACH OF ANY EXPRESS O WARRANTY ARISING IN CONNECTION WITH THIS PRODUCT. INCLUDING WVFHOUT LIMITATION, WHETHER IN TORT, NEGLIGENCE, STRICT LIABILITY CONTRACT OR OTHERWISE. Some States do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. J PUMP MUST BE REPAIRED BY AUTHORIZED HYDROMATIC REPAIR CENTER OR WARRANTY 1 WILL BE VOID. IF REPAIR CENTER IS NOT AVAILABLE, RETURN PUMP TO PLACE OF l PURCHASE. This warranty gives you specific legal rights, and you may also have other rights which vary from State to State. Your Authorized Local Distributor - IFL,° HYDROMATIC Pentair Pump Group • USA CANADA 1840 Baney Road Ashland, Ohio 44805 www.hydromatic.com 269 Trillium Drive Kitchener, Ontario, Canada N2G 4W5 Tel: 419- 289 -3042 Fax: 419 - 281 -4087 ISO 9001 Registered Quality System Tel: 519- 896 -2163 Fax: 519- 896 -6337 © 2000 Hydromati& Ashland, Ohio. All Rights Reserved. Part# 5625 -408 -1 Item# W -03 408 5M 10/00 I .r� ENGINEERING DETAILS SW25/33, 1 41 P®rformanco beta ' Pump Characloristlics u t oai 1Nod «la SMSM} SW3AMt Autemfi-c Ma '206 � dols SWUM Mul Is pip llarsapewe, 1/4 1/3 Id Fol toW Amps 6.0 IO.Q Lr !Motor 1 e 5hoW hk (4 4e) ° 2 RrAA. ISM $ s NJ Phase 0 1 �9e 115 ELL 1 Hertz 60 o a 10 2 0 90 40 so 00 f � --- ••. �. CAPACITY-U.8, G.P.M. I P� �NafMd! }61t1 1 Temperature 12PF Awhiont 1 N"d `40) 4 6 4 1 0 12 14 16 It 2 0 22 24 o• a A 1/41M 41 41 36 33 " 26 23 10 1 2 6 0 �selo}1aa On* A � a1rM 1/2 N� 47 45 4' bilckwo 40 57 84 50 26 22 j 6 10 wa 1 -�arpr Dimensional Data �n WdQbt 30 Ibs• ,..` Power Cord 9•t/1 a•7B -� !.A}6rnpmpnsinled� ii smdY,1+Y :}d. «1,a ----• ; s, tonaawr aween►t�a �w '}"`!'_' 3. j DISC PT ,, No � � WM Materials of Co nstruc tion t ' +� uaMuuraner! i matron+ erld wo }hn en Ht� I approxlnwe -- �- �.- .....��.. s•tr2 S. Oa/ONlersla�osleik 09 M _ ' - _� 6, We teserw 16 ro to r1wWAt b our Matoriianflo C,ostlreas 1he bn o smi ns Cut tr Nlecianicol Seal 100.- cobaa /Coal* Shah Seal Aid Shy �. 1 St"r, Stw rra p Pull P , 9t•Y18 IMAKer I lboran 1a118 CN a ,r u ! SMatri Ze1Ner 00$CN ARG E Raw No looft --- Sfratear �'IN11[ L I/x )aftellNi 4RFp ttabtieea Slea1 N C w A p V���/'11�1f'11R��,`lillA"�'�!' �wu�p0, Inc. r now, A"Ad, O hio 44805 (419)2W3042 x S Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of DivisiIn of Safety ano Buildings + in accordance with Comm 85, Wis. Adm. Code J County � 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. Please print all information Reviewe by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ( l Property Owner Property Location 49 / l 1� Govt. Lot 1/4s 1/4 S T N R l d E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# F-- City State Zip Code Phone Number ❑ City ❑ Village S7own Nearest Road ❑ New Construction Use: Residential / Number of bedrooms Code derived design flow rate GPD Replacement ❑ Public or commercial - Describe: _ Parent material //t,/t y� Flood Plain elevation if applicable General comments �� e and recommendations: � 1 \' f �� \ . ❑ 1 Boring # Boring 7 wpit Ground surface elev. Z/_ ft. Depth to limiting factor 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 r Z . �r �� . 7 2. Boring # Boring � .J, /� ��'' . Pit Ground surface elev V ft. Depth to limiting factor �� 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 - 714 * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 r g/L /1 111 1 *Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L CST P (Please Print) 10 00 Address Date Evaluation Conducted Telepho a Number SBD -8330 (R07 /00) Property Owner Parcel ID # Page of IN Boring # F1 Boring � O � Pit Ground surface elev. 1_ ft. Depth to limiting factor �— 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 I *Eff#2 7 7 . v i Aid .o 2 , Boring # F [] 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I I I I F-1 Boring # E] 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 /ftz 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. SBD -8330 (R.07 /00) Soil Test Plot Plan Pt�aject Name Richard Krueger Shaun B' Address 997 80th Roberts Wi 54023 CST # 26900 Lot ------ Subdivision ------- Date 10/6/01 SE 1/4 SE 1/4S 1 9 T 29 N/R 18 W Township Warren Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post with Orange Ribbon System Elevation 91.0 *HRPSame as Benchmark Alt. BM Top of Wood Corner Post @ 98.6' Badlands Road/80th Ave Vent Approxiamet dramfield location Failed 30' 150' �k D W 15' a 94' 95' T Baffles were fixed 4 years B -2 ag o ° 25' Well 0 0 N 14% Existing 4 50' Slope 40 Bedroom 0 House 50' 10% S1 I� 5 0' 30' 80' No T0,B Alt B.M. 150' — fir' -- Property Line 03/26/00 FRY 09:59 FAX 715 386 4686 5T CRX CO ZOriING IbOO1 —, ST, CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the ' 1 \ residence located at: Sr lei, Sr �4, II See. _, T R W, Town of U a f ( St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. East time serviced D c, a 200) Did flow back occur from absorption system? Yes__ N C�L (if no, skip next l ine. Approximate volume or length of time: gallons minutes Capacity:_ /Id Construction: Pre NT Concrete Steel Other Manufacturer (if zkno ) : Age of Tank ( : (5ignatur (Name) Please Print �2s 69d (Title) (Lic nse Number) /� /— D (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowle ge, will conform to the requirements of ILHR 63, Wis_ Adm. Code (except r inspection opening over outlet baffle). Name 5 I rzt6o" U) Signature MP/MPRS 2 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSI-IIP CERTIFICATION FORM owner/Buyer ' `j-d4 ,�, � Mailing Address 2 �` �� �� Property Address (Verification required from Planning Department for new construction) ) City/State Parcel Identification Number �7 ✓/ ° `� 3 ��� LEGAL DESCRIPTION Property Locatiov� V" Sec. T, -N -R/ W, Town of Subdivision Lot Certified Survey Map # . Volume ---, .Page # Warranty Deed # / 7 . volume v , Page Spec house ❑ yes – Lot lines identifiable yesp`no SYSTEM MAINTENANCE 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. 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 Zoning Office within 30 Z the three year expira ' n date. SIGNATURE OF 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 owners) of ;t!he r ert y descnbed , by virtue of a warranty deed recorded in Register of Deeds Office. / 0 ATURE O PLIC 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 ' Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or instail system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 Shaun Bird #2/6900 r boc.uMENT No. STATE BAR OF WISCONSIN FORM I — 1M2 THIS SPACE ft"CAVID FOR MCCOMOIN41 DATA WARRANTY DEED ' %1 6M REGISTER'S OFFICE This Deed, made between ..................... ........... ... .................... .............. ...................... . I ................................................... ........ I ........... sr. CROIX CO., W1 - PERRY . ......... I ......... ................... .. . ................. Reed for Record ......................... ......... . .............. ....... ­_ ........ Grantor, and... - .TO.DD,-KP.Ln.�M-.AND-.SUSAN..MARY..KRUBMP. ......... JAN 2 219 . ... .. ..... . ...... .......... • ..... CO 10:45 A M ............... ..... I—— ......... ....... ... .................. .... ......................... ....... ...................... ......... I ...... ................. .... 1­1 ....... .... ­ ............ I ................... .. ...................... ..................................... .............. ...................... , Grantee, Witnesseth, That the said Grantor, for a valuable consideration ..,TEK,D01JARS..and..Qther_ good. -and- RETURN TO conveys to Grantee the following described real estate in ..... ST—.CROM .......... County, State of Wisconsin: Tax Parcel No: ... 042=103=95 .......... AND 042-1082-20 See Legal Description attached Subject to restrictions of record, conditions, reservations and easements, zoning ordinances, if any, and general taxes and assessments, not yet due and payable. M-01 ER s TM v_rp This ......... i$ ............... homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And ------- Sharon-I.J'grry ----------- ......................... .... .... .......................... . . ...................... ......... warrant- that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this ------ 19 .................. -------- day of .-. ..... JanU4rY. .......... ............................ 19_94 ....... _(SEAL) ----------- -- ............ ..................................... (SEAL) SHARON L. PERRY ......................................... ...................... - ---- ----------------_--- _ ------------- --__-------------- ..................................................................... (SEAL) ....... I ..... ......................................... ................................. OL U71 ►A SM LEGAL DESCLIPTION f A parcel of land in the SE 1/4 of SE 1/4 of Section 19 and the HE 1/4 of NE 1/4 of Section 30, All in Township 29 North, Range 18 Nest, located in and forming a part of the Town of Warren, St. Croix County, Wisconsin, more particularly described as follows: Commencing at the SE corner of said ^,Action 19; thence South 00'31 East, 28.28 feet; thence North 67 West, 173.06 feet to the point of beginning; thence South 27 West, 104.79 feet; thence North 89'12 Nest, 665.93 feet; thence North 33 "52 East, 477.40 feet; thence South 54'14'14" East, 426.64 feet; thence SEly along a curve Y 9 d line, concave NEly, having a radius of 881.47 feet and long chord bearing South 58'09 East, an arc distance of 120.86 feet to the point of beginning. SUBJECT TO town road easement over the My 33.00 feet thereof, and subject to road easement along the NWly line thereof described as follows#. Commencing at the NW corner of the above described parcel; thence South 31'52'50" West, 33.02 feet along the Nally line of said parcel to the point of beginning; thence South 54 East, 33.02 feet! thence South 33'52 West, 405.74 feet; thence SEly along a curved line, concave Sally, having a radius of 5o.00 feet and long chord bearing South 07 East, an arc distance of 13.63 feet to a point in the South line of said parcel; thence North 89'12 West, 50.00 feet to the Sw corner of said parcel; thence North 33'52 East, 444.38 feet to the point of beginning For the purposes of these descriptions, the South line of the SE 1/4 of said Section 19 is assu to bear West. L�3�e-parcel covered by this deed is also referred to as Parcel 6. Together with a non- exclusive -asement for an access road and for the Installation of utility lines over and across: A parcel of land in the SE 1/4 of SE 1/4 of Section 19 and the NE 1/4 of HE 1/4 of Section 30, all in Township 29 North, Range 18 West, more particularly described as follows: Commencing at the SE corner of said Section 19; thence South 00'31 East, 2R. 2R feet; thence North 67 West, 173.06 feet; thence South 27'54 t9est, 104.79 feet; thence North 89'12'00" West, 665.93 feet; thence North 11'92 Fast, 444.38 feet to the point of beginning for the description of said road: thence South 54 East, 33.02 feet; thence South 33 tdest, 405.74 feet; thence SEly along a curved line, concave SWly, having a radius of 50.00 feet and long chord bearing South 07'00.35" East, an arc distance of 13.63 feet; thence SWly along a curved line, concave Nally, hiving a radius of 50.00 feet and long chord bearing South 45'08 West, an arc distance of 77.39 feet; thence Nally along a curved line, concave I1Fly, having a radius of 50.00 feet, and long chord bearing North 44'51 West, an arc distance of 79.69 feet; thence NEly along a curved line, concave SEly, having a radius of FO.00 feet and long chord bearing North 41'41 East, an arc distance of 71.37 feet; thence North 33 East, 407.90 feet; thence South 54'14 East, 33.02 feet to the point of beginning of said road. 0 LOT I N LOT 2A�ba��� 301 A 301 A - 20 - 83RD E. C. S. M. 13 / 3746 _ LOT 3 ° LOT 4 a 301 A � - - 30IA 40 401-54' 300' 610.02' N w� OD 304 F N� ID� 04 A 304 H 9 610' �I E 114 -5 //4 N O \ 304 G N 3 4I LOT 3 \ g 03 A 460 \ \ 304C 3se �(D rn \ N 304 B '063 7 rb � OD 5 \ In 304 E a� \ 304 D 282.41' �___ 440' 2622.41 \ SE C SEC.