Loading...
HomeMy WebLinkAbout042-1081-20-100 f Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM O County: Safety and Buildings Division St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: Persona information you provice may be used for secondary purposes (Privacy Law, s.15.04 (�I (m 370333 Permit Holder's Name: ❑ City ❑ Village ❑ T n of: State Plan ID No.: Bouma, Allan Warren Township CST BM Elev.:- insp. BM Elev.: / Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA Z .2-Cl le � TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (,J /jP 6, o Benq�TgM 1.3 $ �,Y. f 1,40 Dosing A IM - f z0 0 12o •6 7> Aeration Bldg. Sewer I - d!P s&�- IN-6 Holding St Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet G TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic iu a / ✓ NA Dt Bottom Dosing NA Header /Man. �� h•�� `��`� o �• 3 Aeration NA Dist. Pipe�o !oM� Holding Bot. System PUMP / SIPHON INFORMATION Fin Manufacturer and J 04a c ; 3 Model Number GPM o bo �N joc.;r —7a' / S6 TDH Lift Friction S rn I TDH Ft p o-4 ,3 7 .9a- / el 6 Forcemain I Len Dia. Dist. To Well i n i fl e --' bow 3 Fl T. Z2_ SOIL ABSORPTION SYSTEM 14 f f� M- 1do ox / , ?j ja0 BED / EN Width Len No. f ench PIT o. Of Pits Inside Dia. Liquid Depth DIMEN 73.7s DIMENSION Manufacturer: SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LE G INFORMATION Type O i / HA B Moe um er: System: C 7 S bcm O T l DISTRIBUTION SYSTEM Header/Ma old rr Distribution Piped ' x Hole Size x Hole Spacing Vent To Air Intake Length f!• Dia. J Length - q3• y Via. d& Spacing /t/4 4- 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 ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: Q / 5 /01 Ins #2: Location: 714 107th StreAt, Roberts, WI 54023 (SW 1/4 SE 1/4 29 T28N R18W) - -Lot 3 1.) Alt BM Description = 1 °p Jbr A vs kr b 14 • —.� 2.) Bldg sewer length= ` � q. � ,e4 - amount of cover & ,vl we, 3 ; � > Gr vot,��Yj [ (Ytli to cC&TG �tI`w(rf't &(M y l a � r��#�(e� •fie �� fCV.� ��P.t�. �,f� �' Gw. Plan revision requi? ❑Yes No Use other side for additional information. /a► 7 / SBD -6710 (R.3/97) Date Inspector' ignature Cert. No. i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: £ e 1 g — g ) t £ S _,..e..� L� � ..... <�..A ...»�r�..m..�� -.,gym t � a> -O— ff 41- -- It I I t n £ s £ � I I v� y I i I i - I i � 4- x I fl � a EAtJ W anita Safety & Buildings Division ermit A pllca Io 201 W. Washington d with Comm m. Code gton Ave. See reverse side for instructions for completing this application PO Box 7302 Personal information you provide may be used for secondary purposes Madison. WI 53707 -730, # . 6� ortment or Commerce [Privacy Lati. s. 15.04(1)(m)] (Submit completed form to county if r state owner Attach com lete plans (to the county copy only) for the system. on paper not less than 8 -1/2 x 1 I inches in size. State Sanitary Pem Numb ❑ Check if revjsioq to previous application State Plan 1. D. Number 4 A lication Information - Please Print all jnformation , Location: y Owner Name � '�.' Property Location � I gF em c X1/4 l / 4.S T N. R E or Owner's Mailing Address / - Lot Number Block Number X0 State Zip Code Phone Nti6{pef Subdivision Name or CS)\1 Number Za: 71F IX of Building: (check one) Q4 ❑ City I or 2 Family Dwelling — No. of Bedrooms: _�,D '..1P ❑ v5ag e v Public/Commercial (describe use): own of State -owned M Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road P System 2. ❑Replacement 3. ❑Replacement of 4. ❑Addition to Parcel Tax Number(s)No r System Tank Onlv Existing S stem 1� Permit Number ❑ A Sanitary Permit was previously issued W ype of POWT System: (Check all that apply) on- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland V Pressurized In- ground ❑ Holding Tank ❑Single Pass ❑Drip Line '10 At-grade rr ❑ Aerobic Treatment Unit ❑ Recirculating 13 Other: 'xg3.75"` DispersaVIreatment Area In or ation• = �;z Z. S�� � - : i7. r4,R 7 . Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Applica r n 5. Percolation Rate 6. System Elevation 7. Final Ge Required Proposed Rate (Gals. /day /sq. ft.) rad (Min. /inch) Elevation ej 4d W [ Tap Capacity in, " Total 4 of Manufacturer Prefab Site Steel Fiber- Plastic j Gallons Gallons Tanks Con- Con - orptation glass New Existing crete structed Tanks Tanks Sty �pga ❑ ❑ ❑ ❑ Responsibility Statement the undersigned, assume responsibility for installation of the POWTS shown on th ehed plans. Plumber's Name (print) Plumber's Signature (no stamps): M PRS No. Business Phone Number - PltenWs Address (Street, City, State, Zip Code) VIII County/Department Use Only ,,,_/ ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) (RF►pproved ❑ Owner Given Initial Adverse Surcharge Fee) Determination ad boa t 'M Conditions of Approval /Reasons for Disapproval: l - �Q SfvvL � l Dw-� /� c,J�7�i � „��� /D%� C6d.,i jG tc,��/oviSl�g,�( �rerw� �r 600 `,�v,,.t �•r]�.� /�tGSL�fiL �•tw�' . E lvulf;rlfc✓ skull 5 � �Ct�Ji V �"tQ�lt�c (vr�r�S ��tc��i2us Al- OS WG�o loop{ ��u,n T1'p R. $6398 (R. 07/00) <. `fir s Q 1` J ' Y\ m T a 13 M l S GE�SLQ . R 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) 6,00 Estimated Flow - Average (gpd) 4 a Septic Tank Capacity (gal) .1"P 0 Soil Absorption Component Size (ft 51 y a. Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 0 0 '&'0 ° 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. r other treatment or holding No one should enter a septic o g tank for p 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. absorption component raffic around or over the should be avoided particularly p p 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 f 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 component should be avoided since root intrusion into t he p onent ma y obstruct wastewater flow. CL tz 3 41 X • l S r�' S — 7� / SpGi f. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/ in size. Plan must County 5' C�� I include, but not limited to: Vertical and horizontal eta B ( p irlt u ' • . , -direction and Parcel I.D. / / �/ . , .,�-�) percent slope,,scale or dimensions, north arr c�eoflon "2nd disra to nearest road. o UU Please print 14i% ( qc+ Reviewed by Date " Personal information you provide may be us foLs`condary� Law, te .04 (�) (m)) Property Owner 2000 R erty Location P. A 11AA1 13 0 ,, iX ; ( . Lot Sk) 1/4 SE 1/4 S 2 - 1 T 2 -7 N R I8 E (or nW CT Property Owner's ss M lling A (,OUN?Y 7 Block # Subd. Name or CSM# 72Z 10 7,9 S T. , >�. zonitNsnFt lcE # PC a t � G- 1u14et1- G S K' city, I State Zip Code E] City ❑ Village own Nearest Road Ro6�let'S w[• SyoL �/ '1 w �� /07 6**T. ET Construction Use: ET Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _ � Nf� 4D ]'W.4Rt Flood Plain elevation if applicable - ft. General comments L .1 N /Q� W 7�.2v�G� s C N'`i L T Q i4 T �S and recommendations: w /DAr /Sat -- P/ * M0 S F-1 1 Boring # ❑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 /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 / 0-r3 / LS if �' GtJ Zf. .7 �- Boring # t❑t Boring � tly Pit Ground surface elev. �0 � ft. Depth to limiting factor ` CJ 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 -i© / 33 GS /4" d,2 w 2f . ? �. Z • fff toog S. d Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 nVL CST Name (Please Print) Signature r - CST Number RAW Rl bilbQiaT 2- 2 ce 31 S Address Date Evaluation Conducted Telephone Number 715'- 386.8185 r c t & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54018 t QR IG�N Z Property Owner 13 o vM � Parcel ID # 00 Page of 3 F 3] Boring # ❑ Boring ` P 5 d Pit Ground surface elev. ft. Depth to limiting factor / �P in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ., Roots.'..' GPD /ftz in. y , Munsell Cfu.'Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o•7 /oYA 31 — G S (.w► d,Q 4�' Z • 7 �. Z. Boring # ❑ Boring /D 2. 3 d y © 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/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 04 i0y,0 3/3 S/ w L-f t. z.. 2 1 D Z-S m 4W D s �S /� • S D ,Q - • L ❑ Boring # ❑ 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 GP51ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#t 'Eff#2 I 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. I ' SBD -8330 (R.6100) I ' i J tdW A PAP V CS o s c. o �l r �ZD I r 13z 1 3�m ITV d4 L SyS T-ewt � W , ar- av S �- 13 / -' 13,, - VN 1-01 COV of y ST CROUC COUNTY Y5 t �t SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM /Buyer A4*ess l 7 Address (Verification required from Planning Department for new construction) x k 4 # "' l rate Parcel Identification Number RI� TION k w Location 5 60 r /,, `' %., Sec. T_2?_N- R_LL0Town of visio avll n Lot i - Lot # .� 40 ! O ed Spivey Map # � Volume _ 1 �' , Page # a nty 1 # _T12o (19 -Y Volume 10 `!'� . Page # S bouse 0 yes no Lot lines identifiable 98 ❑ no �4►fAIN'I`ENANCE Icnpro*r use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenances s of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system t the Aw,ction of the septic tank as a treatment stage in the waste disposal system. IYe o�er a er property ag to submit to St. Croix Zoning Department a certification form, signed by the owner and by a , Ccplumber, journeynimplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system por operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.:, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards' !;gGli, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification; 7.7 s that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 34" eaf the three year expiration date. 00" R OF APPLICANT DATE a #R 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 � t rcY described above, by virtue of warranty deed recorded in Register of Deeds Office. OF APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Departrr. s. 1. - Oude with this application: a stamped warranty deed from the Register of Deeds Mice k = < t a copy of the certified survey map reference is made in the warranty deed a it DOCUMENT NO. STATE BAR OF WISCONSIN eORM 8 -1M THIS Sr AC a 111"MV90 ron NaCONCHNO BATA QUIT CLAIM DEED 520645 REGIS T t ]OFC.I ST. CROI Thomas F. Sewel . OFF .. .----- •-- ••- •-- •-- ••--- ....... _ ..... Ogland as Power AttorneY _ —_ for ............................................. ............. ----------- •--------- ._..._........ AU6 2 .. .. ....... .. ........................ ......... ..... ••-- ------- - - - - -t ... • . quitclaims to ..._.._.Ala_ -�1' -- Bouma and Barbara '1' — Bouma 1 45 ---.........................•-----•--- •-------------...--•------------•--......---- ...••---- ..................... Iw�r ................................... ---------------- .._.........._.. ---......_... ..------------ .....-- •--- ...... the following described real estate in ......... t,.. �OiR.._... »__.____ - - -- County. _ State of Wisconsin: VMTU H T i Tax Parcel No: .............................. That part of Lot 5 of Certified Survey Map filed August 1, 1994, in "10", Page 27%, Doc. No. 519661 lying Southerly of -the existing fence line (located along the South line of said Lot 5) and Northerly of the South line of said Lot 5, as depicted on Lot 5 of said Certified Surrey Map. This ........ i3 ....... homestead property. " = (is not) Dated this VA T � ................. •- ••- -_.... day of .......... •-••---.......... ....................... lit... .. ........(SEAL) QJUL -P O • Ar. .......... .......... ••••- ••--- .......... (SEAL) .. ' ------- --------- •--- ••---- -... -- - -- Thomas F. Sewell, by Kristin Ogland as F "of Afforimy .. .................... - ------------------------------------------------------------------- (SEAL) --•-••-•-•--- .............................. ............... -.---•---•(SEAL) • • AUTURNTICATION ACKNOWL13D(3URNT '*.{ �natnre(s) ---------•------ ----- -•--•-- -- --- ---- --- -•-- -- STATZ OF WISCONSIN 1"'.'•. - ........................................................................... St. Croix mo • >, °y .._._._. . ............. aaTthenti:ated this ...._.._day of ............. ..... ......... 19..._._ _..�_. -. Person ta me before me this ..... day of .. the abm named _»........................................................................... e aaasi _�.F.. S i � ------------------------------•-------....._•---•---•--•--- et lendy -- ••-- ...._.... �EiSi_ ..Qf,. e�QK Cs ................. .................. $` TITLE: MEMBER STATE BAR OF WISCONSIN .». °,'•.f (If not. - ....._.._ -- - ......... .... .... -- -•l ...... ».... » . .............. >�. authorised by 1 706-06. Wis. Stats.) •�••.,• i to e kno tb �... sa .. wbo executed the forego _ the tame. THIS INSTRUMENT WAS DRAFTED BY :.i i' . ........................ - - Kristine Ogland .............. -- A Attorne ........ ........ .... .................................. Law - ; ... .: -- •- • .... .......... .• -•• N- - Pablie .,. .... _..._.:.s. :.......A ..... county. Wk (S�nat �u y be authenticated or acknowledged. Both My Commission Is `permanent (If not, state expiration awe date: ............... ........................-_.lT.. Wrr CLAIM DRRD STATR BAR OF WISCONSIN wi.aend• Lanl Blank Co. Inc ' �t - '' d �' 't+. ti T• : `' i1 6k � . ii'•7'.at:: 6:Ei' _ ,� 7j . ,. FT .. ZcJ . l . '?S C f� . 2 631001 �� TNLE=41 H 3 I �gi ;ar cl Geeds 5LC(01xCo.,WI ti• � CERTIFIED SURVEY MAP Cn LOCATED IN GOVERNMENT LOT 1, GOVERNMENT LOT 2, AND THE SE 1/4 OF THE SW 1/4 OF SECTION 29, T29N, R18W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN, INCLUDING ALL OF LOT 2 OF CERTIFIED SURVEY MAP RECORDED - IN VOLUME 2, N 1/4 CORNER PAGE 570, DOCUMENT #347790. SECTION 29 LOT 4 T29N, R 18W i LOT 5 I_VO_L. _3_ 00 — C. S. M. O I _PA_GE _ 899 GOVERNMENT LOT 1 MI VOL _10_ — _ ' PAGE 2_796 I DOC 36_1791_ 01 W 3.78' EXISTING , N 89 0 36' 15" E DOC. 66 h - (R- N 89 E) DRIVEWAY ` 30.00' N 88° 4' 09" E 0.46' N 89 0 30' 2" E 726.87' ' NORTH LINE OF 3 599.96' 57. 57' / THE SW 1 1/4 OF I PAGE 1503 69.32' ;n 657.55' I DOC , 520645 SEE L OT 5 / / 1 �,• DETAIL A o S 7 LOT 4 0 89 °26197.59 37 57„ /�� , I 0 S 89 W 2 62.06' n LOT 2 HOUSE SEPTIC! 2 34 0 1 �� 107th C14 _C.S_.M VENT STREET Q w I VOL, 2 WELL EXISTING f ,1 co ENTERL o J I J � ;n' 0 PAGE 5_ — SHED o � ° ,y /o,`V o �' " DOC. � 34 7790 N 2o 9z o f 5 E ry / 3 Z w r` 0 I v � ro 432.82' N 52° 16' 25" E /� �" �`' - ' It ~ N w 3 N 89 0 43' 14" E S S 116.35' u '� �� ~ z if v o to •� 0 A 0�,, �6,5�ti� Q/ W N z Z3 0 't io 0'\6 �� z F d ' I I w 0m o `°�Z LOT 3 a �� i� �,P W1 " O 0 o: tY O N \ V1N�p w0wrn f� m z O a 44.66 .17 / SCALE IN FEET 0.00' 14.66' V Is 89 W 47 . 3' POINT OF I (R- N 89 0 46'22" E 477.86') - - BEGIN I _ I LOT 1 / 331 33' 0 100 200 400 n C. I I LEGEND 0I VOL. 2 APPR64 � � COUNTY SECTION CORNER MONUMENT PA GE 5_70 ST, CROIX COUNTY ALUMINUM CAP, FOUND. . — 37" committee DOC • 1" IRON PIPE, FOUND. S 1 /4 CORNER CT o 3 zQOQ SECTION 29 0 1" x 24" IRON PIPE WEIGHING 1.68#/LINEAR FOOT, SET. T29N R 189 If not recorded within 30 days of approval date approval shak4w —x— EXISTING FENCE. LOT AREA INCLUDING TOWN AREA EXCLUDIN OWN u WETLAND. ROAD RIGHT -OF -WAY ROAD RIGHT -OF -WAY 3 5.537 AC., 241,176 S.F. 5.281 AC., 230,023 S.F. — EXISTING OVERHEAD ELECTRIC LINES. 4 7.816 AC., 340,456 S.F. 7.448 AC., 324,443 S.F. o EXISTING POWER POLE. 5 1 2.245 AC., 97,819 S.F. 2.026 AC., 88,249 S.F. I Q EXISTING BUILDING. —Aw— PROPOSED DRIVEWAY LOCATION (200' S 01 °20'58" W MIN. FROM EXISTING DRIVEWAYS). _ N 8 0 44' 09" E —x 3.78 X— 4 ' N 9° 0'5 E (R- ) PREVIOUSLY RECORDED INFORMATION. -- - - - - -- 26. ' DETAIL A OWNERS AND SUBDIVIDERS ALLEN AND BARBARA BOUMA SCALE 1 = 20' 722 107th STREET ROBERTS, WISCONSIN 54023 THIS INSTRUMENT DRAFTED BY ROSS A. COLLINS PAGE 1 OF 2 Vol. 14 Page 3963 ,ti r £96£ a6ed b r..10A SUI J JA3 % o ° o Q W w G fn -4-• N .3Q Ln . w c.) cu i�a' •. w� QSC �. nWWO W F^ OS CIJ ►- ri l'i ~' Z 3O Z 39Vd t0¢W� 1 30Vd NO NMOHS (M .,9Z .ZZ.OZ S) ON18V38 1N30NV1 3H1 01 IN30NV1 ION 38V 60 ONV '80 '£0 '10 S3Aano :31ON 3 .,ZO .LZo£9 N 3 ..L4 .£9o9Z N 3 .,9' 1Z .O1 o04 N ,£Z'9LZ ,ZL'8LZ ,.LZ .5=£.9Z .9£' 109 9 010 3 .At N 3 ..OZ.L1oOZ N 3 ..S'0£.95:o£Z N .6Z'69 ,£9:'69 ..tZ.9£o90 .9£'t09 4 60 3 ..ZO.LZo£5 N 3 ..OZ.LI*OZ N 3 ,O'tt ,Z9o95: N JZ'CK .60'84£ .,ZV,60aC .6£'t09 — 80 3 „9Z .ZZoOZ N 3 ,.9Z .9toZ9 N 3 ..0'9Z .6L.9£ N .94'£61 ,86'96L .,00 .00'Z95: 4 LO 3 ..9Z ,9L oZ9 N 3 .,IZ .M90 N 3 ..0'£9 ,49o9Z N ,9 CK .90'£5£ ..40 X4o94 .00' M C 90 • .,81 ,LOo9O S M ,.9Z .91 oZ9 S M .,9' t6 ,80o6Z S .OZ 4IC ,06' ZZ£ .,LO .9t 094 ,00' 004 £ 90 • ..SZ ,9t oZS S M .,9Z .ZZoOZ S M ,.0'9Z .61 o9C S .09' L L Z .9C' 4LZ ..00 ,Ko I .00'98£ 4 40 • ,OZ,LtoOZ S M .,0£,94oLZ S M ..0'9Z.10o4Z S .40'4L .60'4L .,Ot .SZoLO ,9£'899 4 Co • ,.05= .94oLZ S M ..L1 .£4o49 S M ,.9'£Z .41.It S ,00'99Z ,WL9Z .,L4 ,L9o9Z ,9£'899 9 Z0 • „ OZ ,Lt o0Z S M .,LL Xto4S S M .19'81 ,OC.L£ S 3l4'9cc ,99' 145: .,L9 .SZ.45: .9£'899 — t0 ln0 NI ON 18V38 HION3I HION31 310NV ON ON 1N3ONV1 IN3ONVi 080HO 080HO 08V IV81N33 snlaVa 101 3A8n3 3 3n�jno '331AOV 803 08V08 NMOI 31Vl8dONddV 31-11 oNV 301330 ONINOZ A1Nn00 X1Oa0 '1S 31-11 13V1NO3 1308Vd ANV ONIdOl3A3a 80 ONISVH08nd 380338 '('013 '1308Vd 01 SS300V '3ZIS 101 WnWINIW 'SONVl13M — TI) SNOIIVlnO38 aNV 'S31na 'SMVI dIHSNMOl ONV 'A1Nn00 '31V1S 01 103(8(19 38V dVW SIHI NO NMOHS S1308Vd 3HI :31ON £Z04S NISNOOSIM ' S18380a 13381S 41LOL ZZL ,,,• h ns VWn08 VNV8aV8 ONV N311V � SH301AMenS V S83NMO 26 ' IM J 1 81W.4 d3ARJ Mill ZZ049 NISNOOSIM 'SIIV3 83AI SNIX11:1 } 13381S 1nNIVM IS3M !: t l •Q S�`+ ANVdW00 ON1833NION3 N3000 964Z -00# 80t'894ZZ- SSSN1IAl a32101s1 OOOZ '*I a38W31d3S : a3S I A3a OOOZ ' ZZ 1SnOnV : 31V0 �ullllUi '3WVS 3H1 ONIddVW ONV 'ON101A10 'ONIA3A8nS NI A1Nn00 X1080 '1S ONV N38WM 30 NNOl 31 30 SNOIlVlnO38 0NV S31n8 NOISIAlaenS 3H1 ONV S31nlVIS NISNOOSIM 3H1 30 9CZ 83ldVHO 30 SNOISI,AOad 31-11 HIIM 0311dW03 Alln3 3 11VH1 ONV '30VW A0383H1 NOISI 3HI ONV 03A3A ONVI 3H1 30 S318VONn08 801831X3 31-11 11V 30 NOIIVIN3S38d38 1038800 V SI dVW HOnS 1VH1 'ONVI aIVS 30 S83W 31-11 30 N01103HIC 3H1 A8 dVW A3A8nS 031311830 ONV NOISIAIO oNVI 'A3AanS HOnS 30VW 3AVH I IVH1 A311830 1 '080038 30 S1N3W3SV3 01 103rans 'AW-30 -11-1018 OV08 NMOI ONIonlOX3 'SS31 80 3" '1333 3aVnos 9LL'Z49 ON138 'SS31 80 38ON 'S380V 99L'4t ONV 'AVM- 30 -1H018 OV08 NMOI 014 =1ONI SS31 NO 380W 1333 38Vn0S tS4 6L9 ON138 'SS31 80 38001 'S380V 869'51 SNIVINO3 1308Vd SIH1 ONINN1038 30 1NIOd 31 01 Z 10l o I VS 30 3N I l H1nOS 3HI ON01V .M LL4 (3 .,ZZ .94.69 N SV 03080038) M ..94 ,99.69 S 33N3H1 ' 3N I I OIVS ONOIV .OZ'41£ M .,9'L9.80o6Z S S8V38 a8OH0 3SOHM kl831SV3HinOS 3AVONO3 3Aan0 sni(m .00'004 V ONOIV .06' ZZS: k mis3minoS 30N3HI ! 3N I l O I V S ONOIV C; ' 91 l M ,SZ .9 L o Z9 S 30N3HI ' 3N I l G I V S ONO ,09' L L Z M „ 9Z ,6 L o9£ S S8V38 oa0H0 3SOHM A183IS3MH180N 3AVON00 3A8n0 sn I aV8 .00' 98£ V 9NOlV ,6£' 41 Z A1831s3MHinOS 30N3HI ! 3N I 1 01 VS ONOIV (.l0'Z6 SV (13080038) .90'Z6 M „9Z,ZZoOZ S 30N3Hi :3NI1 OIVS ONOIV 3 (M,XG.9£oL£ S SV (13(180038) M „9'81 .00.LC S SNUG O80H0 3SOHM .0831SV31-l1nos 3AVONOa 3 A8no sn I aV8 95: ' 899 V ONOIV ,99' l K AI N Rs MHInOS 30N3Hi ! ( .64' 9£ M .. L Z ,84049 S SV 03080038) Z 1.0l 01 VS 30 3N11 A1831SV3 NV ONOIV ,46'9=£ M ..L1 ,5:4.4 S 30N3HI l 101 1N3WN83A00 G I V S 30 3N I l H18ON 3HI ON138 OS1V 'Z 101 O I V S . 30 3N I l HI80N 3HI ON01V .L8' 9ZL (3 ..9£ .LOo68 N SV 03080038 A1SnO I A38d) 3 ..Z9 .0£.68 N 30N3HI I .SL' £ M .,89 ..OZo l0 S 30N3HI I ,94' 09£ 3 ..60 ,44.88 N 30N3HI !4/1 MS 3HI 30 4/t 3S OIVS 30 3NIl H18ON 31-11 ONOIV .00'OS< 3 .,91.92.69 N 33N3H1 Z 101 O I V S 30 3N I l IS3M 31 ONOIV (,L l ' 088 SV 03(180038 A1sn01 A38d) .96' 9L9 M .,94 .91.00 N 30N3HI Z 101 G I V S 30 3N I l H1nOS 31 ONOIV .00' OS: (3 ..ZZ .94.68 N SV 03080038 AlsnO I A3w) M ..94 .99068 S 30N3Hi :ONINN1038 30 1NIOd 31 01 3NIl N01103S 4/1 H1n0S oIVS ONOIV ,L£'094 (M ..94.91000 N 8V38 01 031NnSSV '6Z N01133S OIVS 30 3NIl N01103S 4/1 HinOS - H180N 31 01 030N383338 SON18V38) M „94.91 N 30N3HI :6Z NO9133S a IVS 3O 83N803 4/1 S 3HI 1V ONION31AW03 :SM01103 SV 0381NOS30 06LLV£ a38WnN 1N3Wn00o 'OL9 30Vd 'Z 3WnlOA 'dVW A3A8nS 031JI1830 'Z 101 30 11V ONIanIONI 'NISN00SIM 'A1Nn00 X1080 '1S 'N388VM 30 NMOI 'MM 'N6Z1 '6Z N01103S 30 4/L Ms 31-11 30 4/1 3S 3H1 0NV 'Z 101 1N3WN83AO0 't 101 1N3WN83A0O NI 031V301 dVW A3A8nS 831311830 SIHI a3ddVW ONV 0301 A I 0 ' 03A3A8nS 3AVH I 1VH1 A311830 1,8383H ' 8OA3A8nS ONVI 03a31S I O3a ' SN I NI 13 ' 0 S3WVf ' I 31VOIJUJ30 s ,�JoA3n�jns n CO) 0 3 -a n v1 I C � 7 � O � �1 ro it O W W G N O =r pit a N O O C O7 N N 0.0 ID A c ro N y w ?� :3 CL CO n C) 0 c ro iU O o o ° v cnC 4� ro CC7 y y Q � � W N N 3 O N fro»D 0 0 N CL 0 A y 0 O (D (p O C N 3 v "*A M M M M u A o z 0 o < W Z 3 fA [A fA W D ^ = Q 9 v 0 O ° _ CD A :: vi A A d C T ro • �" W N 1 12 ro O CL w W z •• O 7 0 O '0 o m 3 CD c o n ro CD ro C W ro CD CL z m v S O :3 p ? Z n w a l' I N v 0 M co a z a 9 A A ° o M 3 m � �? z _ ro a a � o' 0 a CD 0 o i I N A I A i p I � O N yq f0 N o V � a o i w +�,� n 2000 x3,051 �� I(ATHLE "IN•WALSH ' ps;; ;ar ct Gec�s 3 NOV ' SL Croix Co., wt L ST. CROIX C°R cTy C F .:RTIFIED SURVEY MAP ,; LOCA GOVERNMENT LOT 1, GOVERNMENT LOT 2, AND THE SE 1/4 OF THE SW 1/4 OF SECTION 29, T29N, R18W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN, INCLUDING ALL OF 2 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 2, N 1/4 CORNER PAGE 570, DOCUMENT #347790. SECTION 29 LO 4 T29N, R 18W I C. S tiJ o, LOT 5 I VOL. _3_ 00 C. S. M. NORTH LINE OF I VOL . _ 10 I _PAGE_ 899 GOVERNMENT LOT 1 1 ' PAGE 2_796 — �` 361791 — — '- I D S OC 01 °20' 58" W 3.78' EXISTING N 89 °36' 15" E DOC. 4 51966 f` (R N 89 °07' 35" E) DRIVEWAY 30. N 88° 4' 09" E 0.46' N 89 0 30' 2" E 726.87' \ NORTH LINE OF 3 � 599.98' 57.57' / THE SE 1/4 OF VOL. 1092 69 3� . 657.55' THE SW 1/4 I PAGE 503 L 0 T 5 - 7 I DOC 520645 SEE t LOT 4 DETAIL A °M O 197.59' S 77. 37• S ° S 89 °26' 05" W 262.06' E / s M, LOT 2 Z 27.90 1 07th 04 p �.I C. S. HOUSE SEPTIC _ VOL VENT 2 STREET EXISTING �}} Q w ao I — — — CE DR p H/� — — — J J PA_GE 5_70 SHED ° 22 5 E Q j 1 0/� O N 20 2" 3 p o to in— DOC � 34 7790 � — sz.o 1' �! W / Z � 432.82' N 52° 16' 25" E 1/ �'� ``' -' to { N 3 N 89 °43' 14" E S S 2 116.35' u v ^ G a /� ~ tO a Li 3 uj in CD z � N /rQ�r1� O / Z d a' i o l- O tD F F .� o 1ro '`V/ w in Zo X1 � I M F- o'Z LOT 3 `/ \ IXoo° Z Z `� O I�ULa x xwM �OVh QF-NN W O li N coZOQ 44.66' 33.17' SCALE IN FEET 0.00' 14.66' 89 °55 45" W"47 , BOGINNIONG I (R— N 89 0 46'22" E 477.86') - LOT 1 / 33'-I— 33' 0 100 200 400 _C.S_.M I I LEGEND °I _VOL. _2 APPR64ED _PA_ — ST. CROIX COUNTY COUNTY SECTION CORNER MONUMENT DOC. W 3 R1a77DIDg and Parks Committee ALUMINUM CAP, FOUND. — — ��F — �/ // , yy • 1" IRON PIPE, FOUND. S 1/4 CORNER OCT 0 3 2000 SECTION 29 0 1" x 24" IRON PIPE WEIGHING T29N R 189 1.68#/LINEAR FOOT, SET. If not recorded within 30 days of approval date approval shc*be - -X— EXISTING FENCE. LOT AREA INCLUDING TOWN AREA EXCLUDIN TOWN u WETLAND. ROAD RIGHT -OF -WAY ROAD RIGHT -OF -WAY 3 5.537 AC., 241,176 S.F. 5.281 AC., 230,023 S.F. — EXISTING OVERHEAD ELECTRIC LINES. 4 7.816 AC., 340,456 S.F. 7.448 AC., 324,443 S.F. o. EXISTING POWER POLE. 5 1 2.245 AC., 97,819 S.F. 2.026 AC., 88,249 S.F. EXISTING BUILDING. MID —�� PROPOSED DRIVEWAY LOCATION (200' S 01 0 20'58" W MIN. FROM EXISTING DRIVEWAYS). N 8 8 0 44' 09" E _ 3.78 X 7 96.46' N 9° 0 E (R- ) PREVIOUSLY RECORDED INFORMATION. — — — — — — — — 7 26.87' DETAIL A OWNERS AND SUBDIVIDERS ALLEN AND BARBARA BOUMA SCALE 1 = 20' 722 107th STREET ROBERTS, WISCONSIN 54023 OM_ THIS INSTRUMENT DRAFTED BY ROSS A. COLLINS PAGE 1 OF 2 Vo1.14 Page 3963