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HomeMy WebLinkAbout042-1086-90-100 � /CA 0 ic -0 0 J , R ; ■ � V } ; w 7 � 0 J 2 E o °& 0 ƒ e f �- m E s m # 7' % , Pm a $ a # « E S ® § § B @ _ 00 t § co e82g 2 ; 0 § e p ©® 3 0 ( E E 0 \ k E � 0) a w E k E ate® �� = e' CL k § \ § A $ ■� CO � ® ƒ k Q W _} k k lt� }. 2 k tr_ CL k V T § 0 0 0 < CO \ 2 k CD § ■ ■ @ a' % > E % 2 > t 0 � 7 CD a � § Oro CD \ � - CD A \ 2 z « G k ! a & § $ � A 2 �q CL 2 § 7 , 2 , }& /C>L %oro §4 0 Z ( �1 @C§ \� M E; ƒ �. tƒ � B § \\ )/ b gE o . 0 ■ CD % b \ � \ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: �. 453496 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Johnson, Clifton A. I Warren Township 042- 1086 -90 -100 CST BM Elev: insp. BM Elev: BM Description: _ Section/Town /Range /Map No: A� �bc'� i a J- 1 ��.v� rf - � irw 1 C5 31.29.18.485A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark l3esing Alt. BM 5 Aeration Bldg. Sewer 4 . 1-:57 y3.55 Holding St/Ht Inlet /0. TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \` Septic , 5� 1 N , 1 6 . % 7 , /5 ' i Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System 'j'0 ,7 t2•yI �. PUMPISIPHON INFORMATION Final Grade S .37 9 1`7 - Z Manufacturer Demand St Cover GPM 3•s - M7 - f - ' Model t mber TDH Li Friction Loss m Head DH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ! Length ! No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '1�6'<g °- - 'T� ` \ \ q>4 46 SETBACK SYSTEM TO P/L BLDG WELL LAKE /S -REAM EACHING Manufacturer: jV INFORMATION Type Of System: / % HA B R T✓� �� ���� Model Number: Ga nJz✓ e n �v13 loll! A- /J k- DISTRIBUTION SYSTEM 2L Header /Manifold i Distribution x Hole Size x Hole Spacing t to Air In ke Pipes) \ ` \` o Length Dia Length Dia Spacing \ � E� SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only an Depth Over + Depth Over xx Depth of xx Seeded /So ded xx Mulched Bed/Trench Center Bed french Edges \ Topsoil \ - \ No Yes J No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ( / Inspection #2: ! ! Location: 634 91st Street Roberts, WI 54023 (NW 1/4 SE 1/4 31 T29N R18W) NA Lot 8 ci i $ Parcel No: 31.29.18.485A10 1.) Alt BM Description = 5 C&' 2.) Bldg sewer length - amount of cover= i Plan revision Required? L I Yes � _ Use other side for additional information. No / Q _, f — -- i Date Insepcto Signat Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County l 201 W. Washington Ave., P.O. Box 7162 �' I ?�; i isconsin Madison Al 53707 - 7162 Sanitary Permit Number (to be filled in by Cc ) De artment of Commerce (608) 266-3151 S� Sanitary Permit Application State Plan LDS /Num/bjer In accord with Comm 83.21. Wis. Adm. Code, personal information you provide / /7 may be used for secondary purposes Privacy Law, sl5.04(1)(m) Project Address (if different than mailing address) L Application Information - Please Print All Informatio4 G 3T q/ �T T �J Property Owner's Na a Parcel k Lot p Block # L Q Pry Owner's M ailing Address Property Location a /Q '.�`�� EL � •��; �? O � �— S A. 5 , A,Scction 3 � d ' City, State ` Zip Code Phone Number ' _ l p /I t �l CLi lC t C i4 v %� ! { 5 7�y `j T N: R f (cEcI W ) II. Ty of Building (check all that apply) ( J�'�� ubdivisio Name CSM Number 7SI I or 2 Family Dwelling - Number of Bedrooms � I— -- � J Public /Commercial - Describe Use ❑ State Owned - Describe Use /ST C yj /4 Cit _ ❑village Township of III. Type of Permit: (Check only one box on line A. Complete fine B if applicable) A New S ❑ Replacement System ❑ Treavnent/Holding Tank Replacement Only ❑ Other Modification to Existing System B. Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued i Before Expiration Plumbcr Owner FV. Type of POWTS System: (Check all,that apply) + Non - Pressurized I n- Ground Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At- Grade ❑Single Pass Sand Filter — Constructed Wetland Pressurized In- Ground J Holding Tank ❑ Peat Filter Aerobic Treatment Unit Recirculating Sand Filter ❑i Recirculating Synth Media Filter X =ching Chamber ❑ Drip Line ❑ Grav - s Pipe 0 er ( plain) j V. Dispersal/Treatment Area Info ation: n h ✓ /, Design Flow (gpd) Design Soil Application Rate(gpdsff) Dispersal Area Required Dispersal Area Pro sed (sue System"�v !15 i VI. Tank Info Capacity in Total I Number anufacturer Prefab Site Steel Fiber Plastic Galloru Gallons of Ururs Concrete Co strutted Glass New Existing Tanks Tanks __ - - -.— _ -- - -- Septic or Ht44 � Aerobic Treatment Unit Dosing Chamber _ l U VII. Responsibility Statement- 1, the undersigned, assume respo for 4414112tion of the POWTS shown on the attached plans. Plufber's Na me (Print) Plumber's Si $nature P/ PRS Number Business Phone Number le- .4, Plu is Addre ss (Street. -ity, State: rip C odef 1 VII ) County /Department Use Onl Approved Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issui Agent Sig ature (No S s Owner Given Reason for Denial ) Surchargc Fee) e�5�, �� 47 o < ❑ L IX. Conditions of Approval/Reasons for Disapproval sys -�r�• �r. �- SYSTEM OWNER: n , e j Septic tan ent filter and / 2 L J dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicabl code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 8112 x l I inches in size t - SBD -6398 (R. 01/03) [ J a 3 ' g I i I 3� 4 w vJ �I go C� t Chambers Page 2 of 5 Calculations and Drawings Site Condition Infiltration Elevations Site Type: Private • Trenc #1 Trenc #2 rench #3 %Slope 1 % Contour Elev: 9 A. 9 64 0.00 Ft # of Bedrooms 4 Infiltration Elev: 91.691 91.691 0.00 Ft Depth to limiting factor 96 in Limiting Factor Elev: 88.69 88.69 N/A Soil Application Rate: 0.7 gal /ft ^2 /day Treatment and Dispersal Zone: 3.00 3.00 N/A Effluent Qualityi Eff #1 - - - -j Cover Material Required: 0 0 N/A In Design Flow: 600 gal /day Finished Grade Over Cell: 96.69 96.69 N/A Max BOD 220 mg /I Max TSS 150 mg /I Distribution Cell Septic Tank Choose chamber type: Septic Tank Manufacturer: Wieser Concrete -- I --- -- tor Standard _- _'�] Septic Volume Chosen: 1250 Laying Length: 6.22 Ft Effluent Filter Selected: Zabel A100 EISA Determined Area: 31.1 Ft2 Note: Access opening of sufficient size to be provided to allow removal of filter. Opening Open Bottom Area: 15.50 Ft2 to terminate at or above grade. Chamber Height: 12 Inches Required Infiltrative Area: 857.1 Ft2 Total # of Chambers: 28 Total Cell Length: 174.2 Ft Cross Section of Septic Tank Cross Section of Cell 12" Min Grade Cover Material Observation Pipe (if required) 18" Min !hi Final Grade A Ground All joints to Contour be water tight D3034 or Z Effluent Sch40 Le System Filter Pi Ch Elevation 3" Bedding Under Tank Plan View of Typical Cell Length L�16 0 0 Wide MM 3054 Observatlan �byervatton or 5ch 40 A" pipe pipe PVC pipe Scg l.E f J A- � `V 3 I _ a 3 U l (12 72 I a uF V1 2 3 n � V1 V \ M lY1 a ��e ' r❑ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of 3 Division of Safety and Buildings n accordance v:ith Comm E5. `Ns. Adm. Code County �1 I Sr Attach complete site plan on paper not less than 8 112 x 11 Inches In size. Plan must Inrl r�e n I nit Ijmjte Vi to: ver1!caf and horizontal reference point (Bhl direction and Pr`JrUfl LD. �7 / �fn percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q C� �O Flo —1 00 Please print all information. Revi D l Personal intormation you provide may be used for secondary purposes (Privacy Law, s 15.04 (1) (m)). pmrany owner Property Location, +/ 6 ,05CAj e F a se Aji GovL Lot A W 1/4,540 1/4 S.3/ T ZCj N R &A6 P•op " "^'ing Addres Lot # Block # Subd. Name or CStvM C -- itty!y State Zip C Phone, Nti'mtS�rj(;, ❑ City ❑ Village JaTown Nearest Road /U�Ltl tGf�A4d Ou s l ) t� 3 X 7 - New DO (� New Construction Use: Res ential / Number ' bedNeYms -x 4 Code derived design flow rate GPD _ ❑ Replacement ❑ Public or commercial - Describe: loud Plain elevation if a p p licable h. Parent material LC.. PP uci i General comments ypam� r I and fernmmgnr)BIlOnS PAI v� G (y - � 1 II 6;,Ih�y p U 9 22QQ U pit Ground surface elev. _. Depth to limiting factor in. Soil Appl ication Rate Horizon Depth I Domir art Color Redox Desuipt I Texture i Structure Consistence Boundary Roots I GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 Eff#2 1 / 0- G 16 y Rl lr 1 1 S 1 3SbK 'ov: r c$ 2r. cs a YA ggmawy S I I r-5 • �- /• G 16 Yxf/ I IBS' I -S 1• 1 /• G r sys I I I F n riming I � I t3Cf� t? L� J ® Pit Ground surface elev L� ft. Depth to limiting factor ->—'� in. Soil A plication Rate I Hnnznn 1 UPnth Dominant (;nlnrl Redox Uesrnption I Iex.ture I Structure Gonsistence Boundary knots 6 /tr I in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 o I o ,e.�/ I I s '/ 3s ,� �✓ r Cs Z '* I CS • G /. a If _ YR 41 6 1 ex e , CS I — I I I I I I I Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg& ' Effluent #2 = BOD < 30 mg1L and TSS < 30 mg/L ST z (PI a;7- P ,nt) Sig lure CST Number l a.�.� J. G 9 $5 address Da Evaluation Conducted Telephone Numoer �Q�¢3 l3 o-f� ASE C.�tc -1rGrr �w t .S�fa3 8-7-5 -a9 Ifs = `4.r -257-40 Pruperty Owner —C V Perc*1 ID # _ Page J! of t� L� Bor Boring # Pit Ground surface elev. rti Depth lo limiting factor /o� in. Soil Application Rate Horizon Depth Dominant color Redox Description Texture Structure Consistence Boundary Roots GPD/ff i 'Eff41 I 'Eff#2 in. Munsell Qu. Sz Cont. Color Gr. Sz Sh. 2 0- a 3 o a .sy FS v c / I /• v o f s 0 cS Boring # ❑ Boring i i ❑ Pit Ground surface elev. ! fl Depth to limiting factor — in. Soil A licalion Rate Horizon Depth Dominant Color Redox Description Texture Structure consistence 1 Boundary t Roots GPD/fF I in. Munsell Qu, Sz Cont. Color. Gr. Sz. Sh. 'Eff #1 I 'Eff #2 I I I I I I , I a^ri # ❑ Boring I I Ground surface elev. fl. Depth to limiting factor _ �� ❑ pit [ Soil plicatio, 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 I I Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mglL Effluent #2 = BUD < 30 mgIL and I S.S < 30 M9A. Tiic Ucpai Micnt of Cununerce is 811 equal opportune ty seivice provider and effl�fuYe(. !f YUU Ileed BSSIJt8111'e Ill BCCCSS sell'ICe5 UI need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. I i i A- i i I I 'i I d- C4 Oil o v r a Chambers Page 1 of 5 Cover Page Project Name: Johnson - Conventional Owner's Name Cliff Johnson Owners Address 838 N. 4th St. New Richmond, WI Legal Description NW %4, j SW %< Sec 31 T 29 N, R 18 �W ' I Township Warren County 1 Saint Croix Subdivision Lot# 8 Parcel I D# Table of Contents pg- 1 Cover page 2 Calculations and Drawings 3 Management and Contingency Plan 4 Plot Map 5 total # of pages: 5 Designer Name: Lyle J. Myers License #: MP224617 Date: 8/27/04 Ph. #: 715- 643 -2520 Signature: Design Methods Used "1N- GROUND SOIL ABSORPTION COMPONENT MANUAL FOR PRIVATE ONSITE WASTEWATER TREATMENT SYSTEMS" (Version 1.0) SBD- 10705 -P (R.6/99) Spreadsheet provided by: 3bAdvisement N12486 220th St, Boyceville, WI 54725 Ph: 715 - 643 -6068 email: 3ba @3badvisement.com Page 3 of 5 In- Ground System Management Plan pursuant to comm 83.54 W. A. C. Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and /or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical /biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Absorbtion Cell The absorbtion component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems /failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing /maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and /or possibly cause it to freeze in winter conditions. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank or other components therein (including floats, alarms, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the absorbtion component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by removing the clogged bacterial mat, aggregate /leaching chamber cell, and distribution piping within the cell and replacing failing components in order to return system to proper working order as required. If repair is not feasible, a new system is to be constructed in a designated replacement area f ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREENMNT AND OWNERSHIP CERTIFICA'T'ION FORM { OwnerBuye UU Mailing Addre s �( S � "i ' ) Property Address _ a t / 21 S, . l (Verification required from Planning Department for new construction) City/State Parcel Identification Number (2y -lo - '3o - XIO LEGAL DESCRIPTION .S ` /.I of S W'/+ " Property Location A)A '/<, S w ' /a, Sec. 3/ . T_�IN -R y W, Town of Lc�A_ r Subdivision Lot # o Certified Survey Map # ` sz c 5 Volume _ Page # -+ ' Wran eed # Volume _ Page # ar 3-�-- �' D { Spec house 1] ye§ no Lot lines identifiable,9 yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in it. 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 wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 aid returned to the St. Croix County Zoning Office within 30 dree year expiration date. X DATE APPLICANT OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) inowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. U S 411 OF �APPLI DATE * * * *** Any information that is mis- represented may result in the sanitsrry hermit 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 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF WARREN COMPUTER NUMBER 042 - 1086 -90 -100 Parcel Number 31.29.18.485A -10 OWNER NAME: First CLIFTON A& JENNIFER L Last JOHNSON PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 634 91ST ST SECTION 31 TOWN 29N RANGE 18W '/4160 NW '/440 SW Line Description Line Description TOTAL ACREAGE 2.818 PLAT CSM 15/4169 FKA 10/2924 042/01 LOT08 BLK 01 SEC 31 T29N R18W PT SW SW & 15 02 PT NW SW BEING LOT 4 CSM 16 03 10/2924 17.604 AC N KA 17 04 CSM 15/4169 LOT 8 18 05 2.818AC 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit 656455 KA - MLEEM H. WALSH hEGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR RECaRD 09 -12 -2041 1:45 PM COPY FEE: 4.00 RECORDING FEE: 15.00 Certified Survey riPiap Harvey and Suzann Hieikema Part of the Southwest 114 of the Southwest 114 and the Northwest 114 of the Southwest 114 of Section 31, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, being Lot 4 of that Certified Survey Map Owner's Address: recorded in Vol. 10, Page 2924 of St. Croix County Certified Survey Maps. 540 Summit Circle Baldwin, WI 54002 LOr/�C M., VO L.2, CC -S• VO -6 PAGE 1.580 PAG 492 1 LOT I L0 T 2 j LO T3 PR / V4 1 _r��OAQ � S89 9/3.74'R (9!2.76•/ 3 \� .190.00' 704.06' W \� ��� � � .� 723. 7I• /9.6 '^ ? V A .1OO i $ _-_O Do _894.06' R /894, /7y �� ' JOD• -� —•- k) rn oe ku t 0 v &OW AREA / 7J 0 C9 2 Q L � �.$ W Z i 2.8/8 ACRES L O T 9 �� ✓/ N J� So. FT. ti° �; ►> I o 9.965 ACRES N 6 4S4,090 SO.Fr. Q V2 r-57'52-E- 4 ) 3 b tV Xw 9.666 ACRES EXC. ROAD, M 74.4,9' •h `hry R/6NT OF WAY La�IY A` rah 1 \ r % I 2O\1 • b y � 421,031 SO_ iT. Q1 W M � d, b V / y J°4i ' 1r11j,>- SO /L BOR /J� w ' a� • O jVQ n 6� � /Typ.1 022.23' 00 ` \� Q 41� u S 69.20 • s 4 11W 517.74' � � lu • ,y p f '' c o � ,��; ROAD AREA 6 m`; 2 � "'I MM �_ 0.789 ACRES `.cam � ^T t ..-i � n; i b ri Q 34.36/ SO. FT. ` CL U - v to O f 2.805 ACRES M J� i c 97, 344 SO. FT. � r ► J m c h N 3 N d Z W a i j� �° S LINE SW 114 O Z `+� + L V ! �! O �I /331.47' R ! /3:9.52.1 Z lk /3/3.d8'A//3fLS9'J ,h b ^ 20027 ACRES n �!. i ( ,� ,, _,_ _ _ N 88.42'04 "E 2664.85' R /N88 •34.32 "£?66/.2!'1 STATE BAR OF WISCONSIN FORM 2 - 1982 IEaE'a 1 1 39 • ' R ' �� EED K ATHLE E N H. ' REGISTER DEEDS f2 OF DEEDS DOCUMENT NO. YQL PAGE ST. CROIX CO., WI RECEIVED FOR RECORD Harvey N. Hielkema and Suzianna H. Hielkema 11 -05 -2001 9:30 AM WARRANTY DEED EXEMPT # CERT COPY FEE: conveys and warrants to COPY FEE: Clifton A. ,Johnson and Jennifer L. Johnson TRANSFER FEE: 126.00 RECORDING FEE: 11.00 PAGES: 1 THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St Croix County, CLIFTON b JENNIFER JOHNSON State of Wisconsin: 838 NORTH 4TH. STREET NEW RICHMOND, WI. 54017 st, I'. part of 042- 1086 -90 -00 PARCEL IDENTIFICATION NUMBER Pt of W 1/2 of SW 1/4 of sec 31 -29 -18 described as follows: Lot 8 of certified map vol 15 page 4169 This i s riot homestead property. q¢)( (is not) Exception to warranties: Easements and restrictions of record. Dated this 3 day of U C'7` (SEAL) 'u� (SEAL) fl ry N. Hielkema (SEAL) (SEAL) • Su nna H. Hielkema AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. j: V�• Count authenticated this day of , 19 Personally a bef re this day of �e- a , the above named Harvey N. H elkema TITLE: MEMBER STATE BAR OF WISCONSIN Suzanna 11. Hielkema (If not, authorized by $706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge . sa THIS INSTRUMENT WAS DRAFTED BY .. Harvey N. fielkema = G U.. Baldwin, WI 5400 Notary Public, _County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is - erm n I nt�t� AratIon date: necessary.) 0IM .) • Nnrttes ut persons signing In any capacity should be typed or printed below their signawres. 4 � STATE BAR OF WISCONSIN •���'�.. ^•" Wisconsin Legal Blank Co.. Inc. WARRANTY DEED Fur- No. 2 — 1982 I " ta ` ^ ' s " I'eB Ws. vol. 1515PAGE 132 `c STATE BAR OF WISCONSIN FORM 3 -1998 KATHLEEN H. WALSH Document Nuinher QUIT CLAIM DEED REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Clifton A. Johnson, quit- cIaims to Clifton A. Johnson and Jennifer L. 05 -31 -2000 12:00 PM Johnson, husband and wife, as survivorship marital property, the following described real estate in St. Croix County, State of Wisconsin: QUIT CLAIM DEED EXEMPT N an Part of SE 1/4 of Section 35, Township 31 North, Range IS West, St. Croix CERT COPY FEE: County, Wisconsin described as follows: Commencing at the E 1/4 comer of said COPY FEE; TRANSFER FEE: Section 35; thence South 143 feet to the point ofbeginning; thence South 162 feet RECORDING FEE: 10 -00 thence West 103 feet; thence north 162 feet; th Fast 1103 feet to the point of PAGES: I beginning. , r wV" Iv{ - j / Also, that parcel of land de crs fo� ws: Commencing at the Northwest corner of Lot 1, Block - 2", Brown's Addition to the City of New Richmond; thence Name in Area Name and Return Address South 1 10 feet; thence West 103 feet; thence North 1 10 feet; thence East 103 feet to the point of beginning. 261- 1019 -10 Parcel Identification Number (PIN) This is homestead property. This deed is given to create survivorship arital propert between C1 flon J hnson and Jennifer L. johns I Dated this — �5 day of 1 2000. .CliV A. Johns n / AUTHENTICATION ACKNOWLEDGMENT Signalure(s) C �, h Ja t�� c n-, STATE OF WISCONSIN ) )ss. t County ) authenticated this 15 day of /0A y 2000. Personally came before me this day of 7 2000 the above named . n to me / known to be the person(s) who executed the foregoing instrument e ^a /d L ' `Si �R^ and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Notary Public , State of Wisconsin Ronald L. Siler My Commission is permanent. (If not, state expiration date: VAN DYK, O'BOYLE & SILER, S.C. 20_.) Post Office Box 127 New Richmond, WI 54017 (Signatures may be authenticated or acknowledge. Both are not necessary.) ^Names of persons signing in any capacity should be typed or printed below their signatures QUIT CLAIM DEED STATE BAR OF w7SCON5IN FORM No. 3 - 1"S INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800- 655 -2021 L ........ ............ . . •, , a �f 9/S� . Sr. wisconsiri Department oycommerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code County Attach complete site plan on paper not less than 8 112 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 ;n - atstance to nearest road. - �� v��.�Q Pf Please print all lnfonnation. viewed y Date 20 Personal information you provide may be used for secondary p , P ' cy Law,s��.04 (1) (m)). Property Owner Rroo rty Locati � 5 ,� 4 Pe y/ �i el- kEM l -' F of 1 114.SV 1 /4 S 3� T A 9 N R �E (or) W Property Owner's Mailing Address Block # Subd. Name or CSM# 5yp Sv.��►�T- G /i� -- ���N°'x f • CSM P & G -- City State Zip Code City ❑ Village own Nearest Road ST. New Construction Use: R3 Residential / Number of bedrooms Code derived design flow rate J IS40 "' GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable ft. General and recommendations: comments sue p/ • �+� Sy E�l r•c �P� U �s.. ��O /��f�� and recommendations: r ` - t • � P /1 Boring # [] Boring` / D D" - Y7 7 Q2-- 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' r in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I "Eff#1 'Eff#2 T 0. /o ye 2-/2— — l�F ,� 4WAif cS 17 .6 Z V , 17, /D Y - L Sbi� 'm �R w , y & /-2 • 3 /o ,e 3/4( Sit. 10k W/ 3 io ,eS S D, J /. z f Boring # ❑ Boring p Z 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 / o • /o Y2 3/ — i sAe Awl? as Z f 0 • 7.5 S /."2 o /o f. 1 9 • 7 ' 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 Name (i lease Print) Signature CST Number K0 2/GNi GG,T Vfl 2. 4 3 ?.S Address Date Evaluation Conducted Telephone Number 9 -� /• 7lS•3A6 • Pi30S Ulbricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 ORIGINAL r T � 7W M GOT � CS,y U,o�•�D ,•��s2 �✓ GUT 8 Property owner' �EM // Parcel ID # /C / Q Page Z of 3 F 31 Boring # ❑ Boring 1-742— `� 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 d • 8 /o M e 3 L. /AS& 4 5P . e :&S i 2-- 3/ 7 -yhe y/& - s O, s d�Q cs. �• Z ❑ Boring # ❑ Boring P Pit Ground surface elev. Z ff. Depth to limiting factor 7 in. Soil Application, Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Munsell Qu. Sz. Cont. Color Gr. Si. Sh. •Eff#1 I •Eff#2 / o•/.)- /0 Y4Y3 I- /fsht ,,/ w Zf .(-, 2 4 4 VM313 SL w . 3 •32- /v YX 31 S/G s /m f if S - 1 ,2- .3 t 7•S R -s D,s . cs — . � i.Z Boring # ❑ Boring Ground surface elev. ff. Depth to limiting factor in. El Pit 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 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 nded assistance to access Services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. S13D -3330 (RAM) . L { i i C �l wilo/T- 33 /z/ - O • �� GD T X 00 ,0 l ri , lQ2 God 8 To 30 1. W fs, p t & Ass Ulbrich a Conociates sultants pr ?t4ell Rd. 855 O' W's- 54018 Hudson z �3 �5 3 _ C 5 T 2 3 ?� cJ Yol - L Utj' _ `ep YC ly o�l.1 -to&— qo - tao L*-*O CSWI t3 656455 LEE# H. WALSH 0 (O$f0 — �D �oZOC� $�}'oZp RE RXOCObEEWI 8� LOt Q CrM `1 r 1wk y RECEIVED FOR RECD C) (08( —QD 8 �� -- 09 -12 -2001 1:95 PM e s t 6 COPY FEE: 4.00 RECORDING FEE: 15.00 c� a,- �- Oro -y . rtr 16W uavey Map Harvey a Part of the Southwest 114 of the Southwest 114 and the Northwest 114 of the Southwest 114 of Sectio 3 nship 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, being Lot 4 of that Certified Survey Map Owners Address: recorded in Vol. 10, Page 2924 of St. Croix County Certfied Survey Maps. 540 Summit Circle Baldwin, W/ 54002 Lorl, as M., — I C.S. M. i VOL 6 P ._ AG VO 2, �— ._._r X 590 I PAGE 492 ( LO / I �o j LOTS S 8 •00'03 "E 9/3.71'R /90.00' 704.06' W 0 7 23.74'. /00 /79 '� W W W $ D I AREA /� a a N b 2.818 ACRES (� J � t o Lora i,/ i b -I O SO. FT. t: I� �I O 0 % 9.965 ACRES N I j t q, b 4S4,090 $*. Fr. I b N2J•57'J2"F b /' �,� 3 b • N) 9.866 ACRES EXC. ROAD' \ _ 101 71. 1y' a�b A R/INT OF WAY so. F T. L ` R h W O v g a� W a. •. h V I / % 0 mo I $ OIL BOR /NO b �I J Z • � , Q �. �'�• � 535.19, y E .o S 19 • t1 '? 4 "W $37.74' ON W • O © q ROAD AREA ql .. 0.789 ACRES �y. X 4 s `. 31, 38 / SO. PT . ` n. a ID S ( T L V O L rho o� W I Z. f0? ACRES hI � *?I's 344 so. rr. #89.28'1 -E,&47. ?/. -- I b S LINE SW 114 p : O I I I p ior " w % /349.62 1 /: b IJ •I q 2027 ACRES N b I I N 81.12'01 "E ?661.8?' R/NII • ?I' ?2 "Et11 /.2/'/ I *soils s0. FT. SW CDR. SECT 10#31, T29N, R/IW, s 1/4 CORNER OP SECTION 3/, J � /t "IRON P /PE IrOUNO/ TtBN, R/IW, /BRRNTBEN 1 .73 .I S 89.28'54 "W 354.10- ALUM /NUM — — -- CAP FOUND/ k I ra 1 LOT 7, C VO /0, %J PAG 2924 yCONd�I► �� 9 4PPROX. PROPOSED DRIVEWAY LOCAT /ON �[ N ALL REARINSS REFERENCED TO THE sOUTN LINE W OF7ME sou TNWEsT 114 OP SECT /ON 3/, 1713 ASSUMED #88 "E (f�a SCALE / ":200' 0 50' /00' 200' 300' 400' ?00' Dated. September 5 2000 Sheet 1 of 3 This instument drafted by Laurence W. Murphy Vol. 15 Page 4169 b G�� �Ue� Y✓ ��ti FILED &I s'� ya6l,✓ 01 MAY 2 3 1995 s ozf 40f C KATHLEEN H. WALSH flog d Deals 5219zG0 x,71 IJ97 4 4�j L,42J CERTIFIED SURVEY MAP L+r y cl� /e /lQl y HARVEY HIELKEMA Part of the Southwest 114 of the Southwest 114 and the Northwest 1/4 of the Southwest ' 114 of Section 31, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. Owner's Address: C.IS VOL P AG /380 Harv4 Hielkema C.S. V I I I Century 21 Premier Group PAGE 4 I I I 990 Hillcrest RmI H +in,- WI 54002 5 a l -' T *Indicates 1" 50' 894.06' R f O94. /7'1 . I iron pipe \ / -- -- L -- -- —S 89. 00'03 "E 915.74'R(912.76'1 __ 19,68 found. / This instrument drafted b Laurence W. Murph � y p y l 3 6' Indicates 1" x _ _ I `p /; I 0 weighing 1.13 „ �\IBCONs Fj, � LOW AREA1� M ` lbs. /lin.ft. N W 3 �� r i in set. ki W` '^ z LAURENC C CV - I I = y v oh =i I h m s W MU P ; :Dated: 3 -26 -1995 bbl 3 W tk Q g 1 �. •� ° 3 2? RI LLS � ; ' • ,Al ROAD SETBACK LINE I N b N 2 m ot W1 Q -_ I I ` O W LAND �.•` LdA .I I n I -� e i k Ribs 2 3. 95.1 M 3 ` Laurence W. Murphy I o .I M Registered Land Surveyor I ° I hIl it o m V o N 89 ' 28' 54 "E 557. 74 i I CROIX COUNT ° O �n I .owprehensive Plannir ;^ 122. Z5' ti b Zoning and ° o o LOT 5 I a W Parks Committee_ x - 4 ( o o z h 3.393 ACRES O �O„ 66' lu 17.604 ACRES b 147, 798 SO. FT. 766,843 SO. FT. �� 1 b ko R 3 N If not recorded O N J. ACRES EXC. ROAD R.O.W. I K 1O° a N N W :t ° I m within 30 days of I 17. 303 ACRES EXC. 141, 760 $0. FT. m approval date ROAD R.O. W. h Q (� I 'R ° m N 89 28' 54 "E 557. 74' ,p _ , tpproval shall b® I 753, 793 SO. fT. im n 23.3 4-' - — — — — — I 534.40' I Q void I I 3 bl I 50' ROAD SETBACK O LO T 6 `Y -/0 I rn I h I LINE QI I ✓ „ p 3.393 ACRES r h 147, 798 SO, FT. W „ h V' 1 O N 3.248 EXC. ROAD R.O.W.I N N � 557.74' 24.44 l I I i 354./9' n 533.30' N 89.28' 54 "E 911.93' v - : L O T T �8 /�j- $89.28'54 "W 557 . 74 'R1S89.21'32 "W 558.79'1 �n 333_03' R13I33.60'l Z Z t-- - „- - -1 24.71' , Z N X 723 ACRES I N h 6 2, 16 / SO. f T. ` 0 4�I ! i X3..429 ACRES EXC. u0, C. S. M_, VO 6 , 1 C.S .M., Z b ROAD R. O. W. % VI � I p Y49, 334 SO FT. _� __ N § M PAGE /ST/ i VOL 6, P AGE o 3 m u O 1662 = N W O I /00 O q eq C h h 3 S 88 • 20 '38 "E 33 1 88' M .° O 1 „ h C O ti N h b N BB_PO' 3B "W 338. 09 !N 88 "W 338.70'/ SW COR. SEC. 31, T29N, Z R h R 18W, /2 "IRONP 1P£ y 1 UN L A T T E D F Ol/ND/ C.S V OL. T , PAGE 1838 / 3 s1. 47'R/1349.62% /3/3.38'RIl3//.39'I LANDS S L /Nf SW l/4 SCALE / 200' I N BB' 42'04 "E 2664.85' R1N88.34'S2 "E 025'50'100' ZOO' 300' 400' 500' 2661.2// 1 . SHEET 1 OF 2 Vol. 10 Page 2924