Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
042-1088-20-100
0N0 3v0 C 0 c 3 n 3 '* � cD � eD •o A'+ i~' � O r A C7 A'+ Q O ° W CD N l�l FD 3 N :3 a N I�1 k p o N W M. 7 C 00 G ` CD o :P, ° \ ^ 1 CO o fO A� J 1 0 S N N O �+ y d cn z D a m f �. co D (n a L C (D c _. rn 0 CD < z o 5D 0 r co II o � a CO) � c �• M t,�l� 000 I U) c o i (A N N W D 3 lD 2 V � ¢ N < N Ln Oi � • • O 3 O o — o � 'o CD O G I rn n N C = M 3 p Z m rn m a G I •• z—�w 00 T m co M z co m o ; A o M 00 m � y z I N A A � 01 vv ate a d O 'o N O N a N p 7 a p CD C p� C p 7 S N a 7 > jr- ?o a O ? 7. 0 < N N N CD Q CD m 0 7 p N Q 7 (D Sao C CD 17 o y c m y R 3 3 3 sc o c� 0 . as O amp .n. m o I U CD F• o N $ (D ti m « s � tv 3 y m N� o�m o CD �_• K o 0o N A N C, ~ v, a r — - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Sarilety and Bu�Ming Division " INSPECTION REPORT Sanitary Permit No 45326 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. �� Permit Holder's Name: City Village X Township Parcel Tax No: Warren TownShi 042 - 1088 -20 -100 C ev: Insp. BM Elev: Desc ion: y� ; , q Sectionrrown /Range /Map No: C� r �5( Ac " � , � 31.29.18.489D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic \ Z Benchmark / ^� Dosing q Alt. BM� pvw�p Aeration c ` / �\ Bldg. Sewer' Holding SUHt Inlet 97 Z TANK SETBACK INFORMATION SUHt Outlet 7. 3 /F TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic I (� j Dt Bottom '_7 ;�� 7 I 0 Dosing Header /Man. Aeration Dist. Pipe 1 Holding Bot. System ��, !_ 4 Final Grade `` PUMP /SIPHON INFORMATION , Manufacturer Demand St Cover M IQ�� Model Nu TDH Lift Friction Loss Syst ead TDH Ft 7 Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length b r, No. Of Trenches PIT DIM N� SIONS No. Of Pit`_ Inside Dia. Li Depth DIMENSIONS Z Z 1 f �1 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION I CHAMBER OR /G�t't r aQC1�� Type Of System: , ; l � � UNIT (�,ASh / Model Number: C G Ill:v o DISTRIBUTION SYSTEM /p�� If ccv e... Header /Manifold / Distributi n x Hole Size x Hole Spacing Vent to Ai Inta Pipe(s) \ \ (�� P o Lengt Dia Length Dia Spacing ` 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 L4 Bed/Trench Edges Topsoil - � +Yes [� No `Yes E.] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 975 65th Ave. Hudson, WI 54016 (NE 1/4 SE 1/4 31 T29N R18W) NA Lot 3 Parcel No: 31.29.18.489D 1.) Alt BM Description = a.; r`g �- /r f �/k Q Pi �L.� (�� � 2.) Bldg sewer length = 3 � / ilk San do jG �� - amount of cover = Plan revision Required? ] Yes o 1 �' N Use other side for additional information. SBD -6710 (R.3/97) Date Insepctoes nature Cert. No. Safety and Building ivision County N *I rsconsin ! 201 W. Washington Av . , . Box 7I62 - 5 , ev Madiso , 8 162 Sanitar P ' ermit Number (to be filled in by Co.) 2 Department of Gommerce _ - 3 Sanitary Permit Appli forma , ' ` e l State Plan I.D. Nuynbe In accord with Comm $3.21, Wis. Adm. Code, personal i tion duo may be used for secondary purposes Privacy La , s15.o4(1)�m) f Project Address (if different t n mailing , addres0 — T I. Application Information - Please Print All Information _ Z0N NG � 1 ` OFF /CE d Z ^ _ Property Owner's Na me ` U� / PAP ®,/� rcel a of ii Block 11 Property Owner's M ailing Address _ /Property Location City, State Zip Code Phone Number � (circle o ) // I T �� N; R — E o C T8q 1. Type of Building (check all that apply) Q,� d'`l� 1 or 2 Family Dwelling - Number of Bedrooms `� _ Subdivision Name ��6 CSIvi Number -- �a91✓ s4/ _ Public /Carunercial - Describe Use LJ State Owned - Describe Use (i(f oc o� _ -- ❑City_EvillageVTownship of III. Type of Permit: (Check only one box on line A. Complete line B if ap A. O New System ❑ Replacement System ❑ Treatment) Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal Permit Revision I U Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration 1 � Plumber Owner L4 3 9&3 IV. T ype o POWTS System: (Check all that apply) V Non - Pressurized In - Ground ❑ Mound > 24 in. of suitable soil G Mound < 24 in. of suitable soil LI At - Grade v Single Pass Sand Fitter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank Peat Filter ❑ Aerobic Treatment Unit D Recirculating Sand Filter 1 ❑ Recirculating Synthetic Media Filter eachirg Chamber ❑ Dri Line Gravel -les tpe ❑ Other (explain) g Y T _ V. Dis rsat/Tre nt Area I nformation. ! ose - Pr System Elev Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal persal Area Required (sfl is Area p f} Y VI. Tank Info Capacity in Total Number Manufacturer Prefab Sire Ste F= plastic Gallons Gallons of Units Concrete o I Glass New Existing Tanks 'ranks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber 9 I VI Responsibilit Statement- I, th undersigned, assurne responsibi for ' alla tion of the PO WTS shown o the attached plans. Plumber's Na me (Print) Plumber's Si gnature 1PRS Number - � Business Phone Number °.1 /a l Plumber's Addre ss (Street, City, State, Zip Code) VIII. t Department Use Onl [� Sanitary Permit Fee (includes Groundwater Dat lssue uing Ag Approved Disapproved it Sign cure amps) Surcharge Fee} `� D Z) ❑ Owner Given Reason for De nial IX. ! A1,, / Conditions of Approval/ Reasons � � ps � 57'0 � alx C2) qs 3 Attach complete laps (to County only) f -r the sy, to on paper not less than 81/2 x i i ' es in size � r 1 v M v /a j v M i M a;Z79"*u RECEIV Wisconsin Department of Commerce I OIL EVAL I N REPORT Page of 3 Division of Safety and Buildings U L I 2 6 in a ance with Comm J VViS. d Co5e �/ County Attach complete site plan on paper not less n 8 1 T �cs�7Al�t#e:rPlan s include, but not limited to: vertical and horiz K*ection n Parcel I.D. percent slope, scale or dimensions, north arrow, and location a l>TTdneele res Z Please print all information. R 'ewes rm Date Il Personal infoation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ; Z Property (Owner C I Property Location I GVl rYG J F. Govt. Lot Alr 1/4 1/4 S T Z N R E (or Property Owners Mailing Address Y U Lot # Block # Subd. Name CSfvf# 3 k-e e r, 3 � 1-1 S City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road cQ S� (W ( I SYaZS (7/3 15'12 -&JE31 4 110 rr c_ n (Z S 4C ® New Construction User Residential / Number of bedrooms _3 - -ti Code derived design flow rate `"/ 6o Z G d GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material e) U wok S 1n Floc�I Plain elevation if _ applicable /� ti / ft. General comments and recommendations: rv\ � vv © Boring # E] Boring ® Pit Ground surface elev. lo'a � 3 0 ft. Depth to limiting factor /3 o 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 k a Boring # ❑ Boring ' 2 ❑ Pit Ground surface elev. to _3 Q, ft. Depth to limiting factor Q in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Z 1 c- l S z ) v? 5J Yt C 7 A7 I V r Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS 130 mg/L CST Name (Please Print) - - nature ZS O c+ Address Date Evaluation Conducted Telephone Number Z I U JV, o /. S Y d z s ld _ Z 0 - 0 ` ?is - - �G 0 - aL - Property Owner �� _ Parcel ID # /0 f Page 3 of 3 F ❑ A Boring Z Boring # 7 Pit Ground surface elev. - Z • A6 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 I-' i w , 31 5; I tvv, s jt Y c: 5 1 ,s' /1 q & S a t�►�.F c S /, ll z -►L3 Cyr y/ — , S. — S ii /ZQ it F -1 Boring # E) Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in . — go - i — lApplicaton 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 # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit 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 1220 mg/L and TSS >30 1150 mg/L • Effluent #2 = BOD, < 30 mg/L and TSS 130 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. SW4330 OL6Wr I PAGE �OF� NAME (,k, J LOW LEGAL ION LEGAL S'� T ZG N R I$ E (ory SCALE: 1 "= BM i ELEVATION (() O BM 1 DESCRIPTION —L a o�. t� ; S�� � � BM 2 ELEVATION BM 2 DESCRIPTION U SYSTEM ELEVATION q r ALTERNATE ELEVATION CONTOUR ELEVATION S , o I SIGNATURE �� d- U 2508P 320 1 ±I ! 7 5 4 0 6 6 ! STATE BAR OF WISCONSIN FORM 2 - 1998 (i WARRANTY DEED !; REGZ OF DEEDS . , Document Number i ST. CROIX RECEIVED FOR RECORD This Deed, made between 02/12/20,04 08:00AN �i RICHARD O. STOUT and JANET P. STOUT, j MA (:: husband and wife, i� EXEMPT t 15S Grantor. ! !; and BLUE JAY PROPERTIES, LLC, a Wisconsin i REC FEE: 15.00 11 Limited Liability Company, COPYS CC FEE: 1 Grantee. j PAGES: 3 Grantor, for a valuable consideration, conveys and warrants to Grantee the following i described real estate in St Croix County. Stale of Wisconsin: l i Rocorjv,p Ar::a i i in part of the SE 1/4, Name and Return Address ! part 1/4 of the SE 1 pa i) R jci;let P. Stout of the I ! 53 A atukee Tr. SW 174 o e NE 1 tion 31 , T29N, it lffu W X 5401 own or arr n, St. Croix County, t ` Wisconsin, described as Lots 1 2 3 and 4 of Cer fiea burvey Map _ recorde 7-10-03 in o.17, page 4560, as Doc. No. 1�4; 16 09 and Parcel Identification Number (PIN) I This is not homestead property. Ii Lot 26, Plat of Apple River Bend First (is) (is not) i Addition, Town of Star Prairie, St. Croix County, I; is ! if and ✓ j' i See attached Exhibit A for legal. SW I Exceptions to warranties: easements, restrictions, rights -of way and covenants I of record. q Dated this 5th day of February 2004 (l .�tTCJ�ltJ - (SEAL) 2`c c /O 1�it c (SEAL) * Richard O. Stout ---'- Janet P. Stout ! { it (SEAL) (SEAL) i t �! AUTHENTICATION ACKNOWLEDGMENT �! Slgnature(s) State of Wisconsin, ss. St. Croix ! County. authenticated this day of Personally came before me this day of FPhruary 2004 , the above named ! I Richard O. Stout and Janet P. Stout TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the j ail , _j_• 5 9,SiKe used the foregoing authorized by §706.06, Wis. Slats.) instrument and aBr�Te&e3t F C0NS1N f i t KERNON J. BA j THIS INSTRUMENT WAS DRAFTED BY {i Janet P. Stout - 1353 Awatukee Tr. H UCLson, Notary ubllc, State of is ons(n My mmLssion s per 2tent. (If not, state expiratto te: !i ` —�% I j (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 Go.. Inc. WARRANTY DEED FORM No. 2 - 1998 Milwaukee. Wis- yd 9A 3 exc p / _& Csm / 7 - �a ,189 A' &; 0I2_- l0`db- - ()so X198 `1 A/&4_) I-&-- / 729654 ' y 2 - - 10 8V - 20 -0 5 y ?96 L Z A164) t7y2 — I(� ,Zv y�� KAATREM H G y LSH Lo - f REGISTER OF DEEDS S CROIX CERTIFIED SURVEY MAP 07/10/2003 12 : 15PH LOCATED IN PART OF THE NE1 /4 OF THE SE1 /4, PART OF THE NW1 /4 OF THE CERTIFIED SURVEY MAP SE1 /4, PART OF THE SE1 /4 OF THE NE1 /4 AND PART OF THE SW1 /4 OF THE REC FEE: 13.00 NE1 /4, SECTION—U. T29N, R18W, TOWN OF WARREN, ST. CROIX COUNTY, COPY FEE: WISCONSIN. EGEND PAGES: 2 FOUND ALUMINUM COUNTY PREPARED FOR: SURVEYOR: SECTION CORNER MONUMENT RICHARD STOUT DOUGLAS J. ZAHLER 1353 AWATUKEE TRAIL S & N LAND SURVEYING, INC. FOUND 1' OUTSIDE DIAMETER IRON PIPE HUDSON, WI 54016 2920 ENLOE STREET SET 1 -5/16" OUTSIDE DIAMETER BY 18" LONG IRON HUDSON, WI 54016 O PIPE, WEIGHING 1.68 LEIS. PER LINEAR FOOT 3 aV ENCH MA • • • • • • • • ROADWAY SETBACK LINE (100' FROM RIGHT -OF -WAY) �O rp % TOP OF 1" IRON SLOPES 20% OR o �� 0n J Na PIPE ELEVATION GREATER ��?� ; a�g c� �1 a ' 62`�� A 01014.9 X EXISTING FENCE • 5� A� o N o I Q NB9 25 26 'll 5309.32' ��� �5 y o I o I — — MEANDER LINE � pV • N C) O.H.W.M. ORDINARY HIGH WATER MARK 65t�' 1 o I 151 — C1 W� Ala 11114 COR. ° ' " o ' S 31 S89 52 38 E C 2 I LAST - HE S T SEE DETAIL,, S89.52'38'E � r4 1/4 LINE 55.09' 3751.29' w 151.61' w O N89 "ir rn c3. E1 /4 COR. w Io 690.62' . • 3' SEC. 31 0 1 `N89 (� C SILOSt' w� LOT 1 I v 0 0 1 0) LOT 4 w a, LOT 3 W co r- - - - - -, m to tv ` R W CO 1 I N U w e �� (0 m i SHED - � to b Z f!)� I� V N v y ip IqgI WWZ iQ W L �� (�T :� � CD O Ld I 6�y1: il.Yr..... vj� ' :.$ /MIGHT- F-WAN Z / a,r. A `.�Gp.. LOT % 'D 3 , 55' 1 Q I.- %: gh� ✓�AZ ` \�QB : o SI ECTION LINE I Lu co 0 1 �� '•cn 0 S' I c I � , BENCH MARK: a4 �' �;;; ti �9 y0 ,s t i lil 89 8'16 / TOP oF7\ �' G o f o / , r FOUND 1' �i :::: :i.: ` �?� 0 Y/ 2 IRON PIPE. \ A "�' :?::. �tiSS\ A 60.8' / ELEVATION `,O 2, ��4 o D EfiA 1L �o/im �jt r 999.0 A PRO ` �9j; �w :N (NOT TO SCALE) SCALE IN F 1" = 150' 8 CROIX COUNT1a•H.W.M. ;•;, N RIGHT -OF -WAY PlanMna Zonirw and Parks ComlGilt6rl✓• _ -� ti N 150 0 150 999.1 1 L a JUL 1 0 2003 1 ��� all I i LOT AREA TABLE z C 33' 33' LOT SO. FT. ACRES If not recorded within 30 days of N LOT 1 INC. R/W 121,690 2.79 *n2 P� v realer ' ' ' ' ' ' LOT 1 EXC. R/W 112,592 2.58 of slo 1, c4 �� I ' ' ' ' ' not identified on the 1 0o LOT 2 INC. R/W 90,767 2.08 approved plat and not ROADWAY SETBACK LOT 2 EXC. R/W 88,409 2.03 covered by escrow money LOT 2 TO O.H.W.M. 2.61 are required to apply for JOINT DRIVEWAY LOT 3 INC. R/W 89,995 2,07 and receive a separate / 16 EASEMENT TYPICAL / special exception permit. (NOT TO SCALE) LOT 3 EXC. R/W 83.211 1.91 This permit is applied for S89'38'1 6"W LOT 3 TO O. H. W. M. 2.31 through the zoning office LOT 4 INC. R/W 97,523 2.24 and is reviewed through a r LOT 4 EXC. R/W 90,753 2.08 public hearing process by Each Parcel shown on this map is subject LOT 4 TO 0. H. W. M. 2.31 the St. Croix County Board NOTES: ALL O.H. W.M. (ORDINARY HIGH Of Adjustment. to State, County and Township lows, rules WATER MARK} AREAS ARE EXC. HIGH and regulations (i.e., wetlands, minimum R/ lot size, access to parcel, etc.) Before ALL AREAS NOT LEASED TO O.H. ARE AREAS TO THE MEANDER LINE purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Warren for advice. THIS INSTRUMENT DRAFTED BY: WILLIAM KANE SHEET 1 OF 2 SHEETS JOB NO. 5052 -18 DATE: 02/07/2003 REVISED: 07/09/2003 VOL. 17 PAGE 4560 �___ -_�, - ,- ,- •�,,..__�__ SaMy aTid Build; .1g) D! filon 4junty f -V'l W, Washington Ave,, P.O. Box 7162 Madison. W1 53707 - 7162 San.tary Permit Number j be,-,)kd r ; 0 consin be partrnent of Commerce (608) 266-3151 Sanitary Permit Application s law ?An .D. ]�U In accord with Comm 83.21, Wis. Adin, Code personal hiformation you pr racy be ussid for w pUrpos*LpzWsay-LA*, 15�U(1)(M) �Addresg (if di /t. I Application Lutortuation PSUM l oan t1IF_; q 6 Property Owrwe, Na aw --— j 11124 4.12 — Pa rcel --- L # MAY 2 5 2004 rj VW1141"I M Ulu Address UNJ ZONING OFFICE 7 0 Z) City, State I z C 1.4 _2 , ,Section —106-- ;A 7YA Ili. Type Of Bjd" ap N; R e 0 Y) 7- JZI of 2 Family D"fing - N um b er of Hodrourris subdivision Namd CSIM Num 1 -'PubIjz/Ccj.mMrcj4l - Describe Use 1 State Owned - Describe t:ia I �j 14 J 2 '2- 17,3 Ccity Civiiiage I ow hip y one box or U 7�1)41 Of P&MU1 (Cheek an w A. A. rriplate Unt B It Applicsyle) i Tom Now Synetn Replacement Synem Troa arvfloidi Modiflc atsor. Lo E xioung System ng Tank "MCAt OCAY List us Permir Number lsdjed Before FApiration : 0 B 0 Permit Renewal Permit Revision — caftarn: 0 tart Transfer te New V., � (Check afi TM Or POWTS 5V that MIX) ! ,XNon -Pr9"u6W In-Ground 7J Mourid > 24 in, of suitable soil Und < 24;n. of suitable sod At•Grade Q Single Pass Sand Fiiter Constructed Wet" 0 Pressurized In-Ground 0 Holding T. t Filter Aerobic Treatment Urit --- Adcit4wfifinx Sarvj Filter Recirculaong Synowt Media FjjW kLeac. Chit a p L- I GOW (expinjif) V. nAVTr Unt Arena Arena Design F Informadon: 14f-? T---- Drip Line Wave' i ess 1e — P — - - 7. Ti P � 15 1 ki low (jpdJ Desig Soil Appli�oti k; wrul Area Re4o"re system: -plevation — 71 ' V1. Tank Into Capac In - - ----- bet iic U Prefab Site eel Fiber , L-- - Gallons Gallons Units j Concrete ConArNelod I Ws N ew Its -Task i Sepik or Hold T & V /v, AebiG r4m (Jelt 4 44) 1. Ras biti st"emet 1, ate uaw r"Pousibility for 49allatwu of the PO TS shown on the attatchod Plans Plum Na me sprint) Plumber's Si V J&PAIP19 K Business Phone Member c: hk ju.. P1 Ad" se (Sweet. city ate, Code) I VIII. C ount 1D0 t Use ovQd Sanitary Pe�mt F:i; Di Pprovsd ;includes Grouaidwztor a St 0 Owner Given Reason for Derial surOwlit Few LX- COUMUM Of Lnupproyal SYSTEM OWNER, dispersal cell must all be serviced / maintained (1/ 3. as per management plan provi 2. All setback requirements must be maintained as per applicable code/ordinances J'3,1/3 1 � 114 " 1111 10 1144 PAN 00 at �Ow am- � �� ty Duly) W the Am, $14 I CAM -6449 tri numi SA167" - MM7n, LLG %J-'Cf /lcY� C / zg : rA 1 -1-1vo J5 e- 0 � 3 � d � C IO J 5 fig e 4 I � VII 191/ � ;kb J 17oult (n1LIsiJQW ORBDVE (a. IADE S FREsH AIR �NTAx =------ ....,_. WEANERPROOF JL'NC:Ip!� SCX APPROyEO F GRADE WSTii CONDUIT ,` &N?10"r �A :ov rR 1F cz PADLOC WARMING !AuL K � wATwR TIGHT SEALS r GAS- # � pPRa TIGHT f PROVED f 'IPE 30O ,,,,� SEAL ` ;f i JOINTS WITH INTO SIL10 8 A 1 ' APPROVED PIPE ya: L ¢ -,Tol ON S' ONTO PIMP OFF ELEV , x C SOLID, SOIL """"' D ? PERNITTM CNLY ' 1 ? F TA.4X MANIJFACT'JUR " APPltvv ED BRDD:NG HAS APPROVAL 5 ii wC6:4 -, Ns b PAD 'ANX MAN �--- _ MUMBER 4OSCS PER DAY: - +...... GAS. L05w VCLU*:E IAC JDrNG DOSE I'LQWBACX: tv 9 Gq;, a �. RM ........,�.- ......., �" MAt�IUPgOnXgR .__...w., MODEL CAAAC ES : q . !- S"XL"S v SW:TCH TYPE: SAL. B = „2 INCHES v MODE'! NUMBER : C a INCHaS s Sw2T TYPE; "RED DiRCHARGE RA T �, CP"` l pump S ALA M 'r n.. 1�. R: NG AS r s E2t t LNR 26. Z3' WA C �R x.CAL J�FFER£l�L.�', z. NIhIIM�tM ME TWO SUPPLY t OFF AND Wi ,ST'P * By T I ON PIPE TQRCEMAIN PR "ES5,.RE 12 rE£T X �F'R .T 0N FACTOR . FrET ':' : . �� YN � � I`L�I:d GNA T .� 4 � U L DYNAMIC MEAD : z ,. W DIM':' ;titiS I�: [qGOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high 9 EPOS Impeller: Thermoplas- ■ Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing following uses: lubrication and efficient improved performance. construction. heat transfer. ■ Casing and Base: Rugged •Effluent systems g 99 • Homes Available for automatic and thermoplastic design provides AGENCY LISTING • Farms manual operation. Auto- superior strength and corrosion Heavy du sum a. cWMWStw " * � odafion • h+ tY P matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "F" or "C ".) factory. strength, and durability. SP ECIFICATIONS ■ Motor Cover. Thermoplastic Goulds IS 9001 Registered. • Solids handlin g capabili bil' FEATURES cover with integral handle and 3 14" maximum. ■ EPO4 Impeller Thermoplas- float switch attachment points. • Capacities: up to 60 GPM. tic Semi -open design with ■ Power Cable: Severe duty • Total heads: up to 31 feet. pump out vanes for mechanical rated oil and water resistant. • Discharge size: 1 NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104% (40°C continuous 140"F (60 intermittent. METERS FEET _ • Fasteners: 300 series 10 stainless steel. 9 30` l-. sGM • Capable of running dry without damage to - bi 2.51`1 components. c 25:� .. _....... __ . Motor. _ • EPO4 Single phase: 0.4 HP, 4t 620 115 or 230 V, 60 Hz, 1550 RPM, built in overload with c 5 automatic reset. 4 • EP05 Single phase: 0.5 HP, o EPOS 115 V, 60 Hz, 1550 RPM, 3 10 ..... - built in overload with EPO4 automatic reset. 2 _.. • Power cord: 10 foot standard length, 16/3 1 S1TUW with three prong grounding I Optional g 9 P ug• P � ° ° 0 10 20 so as so GPM foot length, 16/3 S1TW with three prong grounding plug t_ _ __L_ (standard on EP05). 0 2 4 6 s 10 12 ml /h CAPACITY Goulds Pumps 0 2000 Goulds Pumps ITT Industries Effective February. 2000 t ;aa2m f �= Qffick4 STANDARD CHAMBER FQuick4 Standard Chamber - - - - -� (EFFECTIVE LENGTH) 1' I SECTION VIEW SIDE VIEW MultlPort End Cap 1 f h'° , j � r '; fi 'd' �; � � { / •'� :�� it _ � �, r r � -- - - - - -- -- _.__. —. 34"-- _– _-- .— �_._ - -•, SIDE VIEW TOP VIEW FRONT VIE IPT i; iiisk4 StandarChimbeNotinal Speci €icatioas�` ItsPort��Ertd CaprNam(ai +Sri'ica #loos �.,. _ Size fLV x L x H1 34 x 52" S (Vt� x � x H} -- �"- -� s` Effective Length — ` r 34 , x 16 " x 12 " 48" Invert Heig 8" or 1.25" Invert Heig _ ` —" S --- 1�F t6IAAIC�R�YS 1 , ��1 �i.�L R � IT �ARRAlg7 lal e r t a IeU har C , w;3 vlie wttctor wid dha aca.nr y J : , 1 Inbltraror t •ur. .n yn rn:el,o..l a „1 i� i le t I.rp 1 a on I ♦ < "y - •. a�;wdpnnw w�ln IMNlalrr's rn I 1 ,, a � :r'IE ' •I „nn wl fknN K. r .Ur U y Year rUU'111rP dat6 °lldr IrM aaPly: (tpf 115 .�i�� J I - r Ira �;Pli S t.J I ,w �" (rl p.]I, >Jr •S• d!♦g;.rYE Ir.at t saWu. nw I I n:d la:(Nr "r7 by d11P4ratlb 13w, rile wi - rq - ^ "J tt n:s. C. :n•P. >Lwewrr 1.; 4 we n� w a I h, 1 ?S:r Jc : prr rqn Ir. Jdig Irrw tat anln 1 he .s ntrc 55 l .r ... nnn0f ctie ;i., of Irp F' 7yyeJ uc ar;� f: "HOI 1 I :It r t IN I rhr llu t y a :. ,cyPr+ralB Fa[ 7 y �:. , r f i f 'u .:rJOk ..,>+ nelo u.! n hfieer': i 15; d r l tln wAl Ign:h PPlauurant /d IS hs L',11`, a1Hnllltcl U N fl r _.0 n, :,fy.a, % I IS LJ U4Y� )rarrwN.'y. r . r nal•Y e. u( r. I e cc t US 9n1o1ol WLLtIJf Iroidacr dt If1P lAbl ` Indr :r tiAIIO NTN et•L �EMt W li(�AGAA, t,:} A?I rC l -A i la Q r - IJPd/ ^ INYfA: 1•F 1 Mi{` '( WA AI t;; IF MERC.NANTAn J I 1 It A,tL rltl (lifr yrWCuWTI{- JfI H RP *PIE C7 �t Q+, A PAW)., IJLAH (K E SYG EMS INC t, 7 I 'vYd J Yr vt> Y +:f .an11e y lemal uocl uw rl ! M IU tlC, k t 'r i4d Sl•VE - M Ad! ! it I IrIB ftiri lllfNl dl (tyr �• t! 11 IBr:'y Wo, c' 4. rd lho trnr dl 111 nC+i v3 luofH Ir '•g lcln e' r IUJ UICY LMIY Ya:.Ani WraS ,J ad sllf n 18 Cr orhM E'if/, 42nyf.:51 •Y, oyl y {kfAy l Ki• EnvkwnwnW Ousts WntvwsjK SOjUiryT/a t rr 1 11 S Ih, U .I. lxy 1 lnyw I', I tnH J1415 rye ".C' 4^',1112 \ we'll N J t fill All IatF n a/ fA(jP,Pt M 3 40 34x1 nl r`G IIP - i nr - S l •" Ie0 n veniL.lp 7 }t O p7r9r plt'Jd !Y15 Yn KIt ,:1 r larf lfif(Nf r:V :fW n tel efdl in5t U( .'!111. 1 Y td � o.+l ;Y12 II-lf Box 768 m,,n 1 r au 1 �n r s .et r- :n n rre r..Ialnw nsuucdrn tnn ifa431 u t Y1 .:1 K �+P ,1 *tn a>a ,y;:ern cnnlair•.Ing Irae 5 C3u Si71@S,S Park Road • P.0, v po +e tit Jr IY 9en1" syStarl ride c nl.roPe .,dny or ilMmfGir 5121rg. dz o"8" WaNtr 1 1)I- t141XY1t. or nlgr>Var .••d ,n, nr /�7 /� A G Inv Jtl yr 8,&,t .1>i cauaac. s' II ale. tt l.'mileq wan 4 ,will'. tc Ihr It the MI 7 � o corr,P.v w,n :;I or tha Iamx ryl Ip h as Saybr l,i 1 1/py! d a . r r h - I, :.lfjecl rl of Cyh l tl •1;rra a rr 860. 577 -7000 l FAX 860- 577 -7 ^e r c �,.1 lac, < soe kv arr IOW An Ikrnage to th Hr IJe, II f t ;„ any trl d carr le5ul,n7 Iv n I s 1uIKr a uqr w,iw 7i s le a" - dNons ""row, h, �,.c , tlla�"rran rea: olrw apfllx;eae aw � l a�,�vltret a �ns4ala mytrtcii(u 5O6 malfllbn ) ar,;or;arlce 8001-22 ,4436 Ik wNmSentalMP, of Ir;t'IIIaLIf raS IIM well Uf:ty Ip c•hanga u a "land Ihi rr:.ltn: lvarr ray ra. ndl iY1' ,1 V I a: r �•47iaNlj Tn al@ NYII 1:1 N w4,, ina nrl({- ttF b-'u A r IePlenard n SIAI'::J.ji t 'urerf rA'afx'4Y OYUroJ Lv u W ,• I r to AnY Mc nUry d ntOC, In4 veMr'� Car " n l J +" - e J Wldlei Ila' a bdf. ^ w ) ry „r�. r` %PY Uf hB epp:.lt•,a 6 war an1Y, alt I / ++rena HBtp F.d a v; (A f a:l 1 ChtUti CtiefWy role that warren .:ti Tla,,lk;4' unrn td 5 nw` aw .n ,L e ry prior n,t.o v. ✓cnu< or �hls. u Patonl 5 . 711 6, 1 63.5.58 1 ,778;5,839 ws, 11g1; 5.166,488: Sr3lE.t7; t and ]tan l'aien(9: 1.3?9.� 9, ;' ?':4, E4 G t1Wr ,844 p¢lerlts psnulrxt. it ruatof Ey;la IM' Wd 8doW'lI are rIl\jlsterfitl lradLrn8rk5 Of Mfikrator SyStOMS Irl< , nrdtfalor it; a ftpztenx, vadenldlna,n France. Infttvator Systems Inc. Is d .ayistererl trademark n tv%x,M, Contour; Contour SwMal Connei;,lort, Mlcrol aacr:rg, I'oiYTUff, pl.ork, Chdml>er lifd Owek4 are ba(iomarks of infiltrator Systems Inc, 0 2OW In(8retre fWstems Inc. P ni"m �n I ; c e ��• paeloek, QUIUOut, Owekhfa. ,earn .......� wiscxmsin Department of Commerce SOIL EVALUATION REPORT Page I of _ Division of Safety and Buildings in accordan with Comm 85, Wes. Adm. Code County Attach complete site plan on paper not less than 8 112 x 1 ixbosl sjge.. Plan must include, but not limited to: vertical and horizontal refers poin ±drrersfi t on pad Parcel I.D. percent slope, scale or dimensions, north arrow, and n and mete tteilitast road. Please print all informa0cin. a Date Personal information you provide may be used for secondary pu'peses (Pr1raCY Lam. fJ f } " " -�1� (m))• Property Owner Property Location Govt Lot Al � 114 ,fit- 114 S 3 T N R E (or) IM Property Owner's Mailing Address t" # Subd. me o CSM# 1 City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road v,� Sc� 4 W` 0i 1P I (1�5) - 131 JA I c;- r r-e- r I (o "� 4. E* New Construction Use: Q� Residential / Number of bedrooms _ - Code derived design flow rate _ GPD ❑ Replacement ❑ Public or commercial - Describe: _ — -- Parent material _ — 0 4- W Q S K- - - - - - -- Flood Plain elevation if applicable — - - --- ft, and re General re Sy S e m e [ c V a nd recommendations: !^J Boring # Boring I 9 Pit Ground surface elev. _ � ft. Depth to limiting factor _ in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffr in. Munseti Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 t) S it) °3$ (� i'cI 2 c ,� 3 a l y — mS m S qJ ju s a Boring # E] Boring ® Pit Ground surface elev. �� v"_ ft. Depth to limiting factor �) in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fe in. Mtmsefl Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 - Eff#2 5 2 m -G- V -C S g Z Il" 10 c — Sic I Zrr ff-A^ - 3 .Z ` 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 (Please Pmt) ture CST Number — f- Adder �. Date Evaluation Conducted Telephone Number 2ti �..y��'M� -, Property Owner-- u>" A --- - - - - -- Parcel ID # — ------- — ---- ------------ Page -- - of -- -- (� Boring �j Boring # d ( 1 g Pit Ground surface elev. ucNiii to IimiGng factor 1 O ii,. Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfff I in. I ?ti!urtselt I 4u. Sz. Cont. Color I I (;r. Sz- Sh. I 'Eff #1 'Eff#2 2 In - 34 i© 3 13l� II ID f Lt to 1 I I 1 I I 1 �l El Boring Boring Boring # i L I ❑ Pit Ground surface elev.-- _ - -_ - -_ ft. Depth to limiting factor in. Soi(Application Rate i Horizon I Depth Dominant Colorl Redox DescWt-o---T Texture I Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 i BOrinn # Boring (......__� _� . - L —� ❑ Pit Ground surface eiev. _________.__.__ ri. Depth io iimiiing faciur - ______ u+. Soil Application Rate I Horizon ( Depth I Dominant Colorl Redox Description ( Texture ( Structure I Consistence I Boundary I Roots i GPD/fe i _ � •�.�ui I rsEesn Irt. Munsell QU, S1, Cold. Color Li!. 14. OIL I I 1 I I i r i I i i t I I I 1 i I i I I i t i I ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30:S 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L :.,-- Li,s:.. r need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. S3i?- -8330 }R- (+7rM1 PAGE 3 OF 3 NAME: S LOT# 3 LEGAL DESCRIPTION:,AIE 1/45�1/4,S _aT 29,N,R,je_E(or6? SCALE: 1 "= y� �r ELEVATION: , c� BM 1 DESCRIPTION: 1cp o n 04- 4ae BM 2 ELEVATION: 9 �d BM 2 DESCRIPTION: MoD o I M A/c- � BL SYSTEM ELEVATION: SYSTEM TYPE: 06A A4 -'a rt a{ �I Q s l'/ ZO a j SIGNATURE: DATE: � /��- - .10. 7 1. 5 `0b - -% Ff 11 1 q FRx: I S rpTIC YlAINTENANCE AGRLF-V2NTT AND O ��N; POE-776 n ew wlmctem} (fie ifscati is N=�tg requirod fTOM rjt 160 p arce l jd NumbfT Location Z4fr T W Town Of Of cvttfled Survey Map V olumt 7t Page 'Ivy rr am tY D of d V01=6 Pa9c L 'es tea L li jd ;�yep L7 to Spec ho f hwadle waste,. PrOPCI ilia LnUllan'-e IDA MLiatawmCe of yovc' a6ptl Put into the system V, tD;Yk aver;; tizet years or doom, it neod"'d by a �Cczstd rump ar cz, atlts of V=Pilg 0 the septi $ j7� the "m.;TP, temporal sytieT ,:,n kff* �As f k=t " n of t10 sb; 'x "tMMt A&& , 2 �J 'rho pry' o' ad �grocs to tubnlAt t6 ;t- cmix 70titz D" Pr jO=Ey r the cnl-vita WASteWaiV,:rdiAP0vAI MtLiVl6drlt=�'el 0r4ljCewq8dP= h PPrV -Pljc� tarok is k,-Is titan 1/3 full of 51116&c, ditioj% twptction md p= ping (if t tf ir, pmsr opmting cot s ewap dispof,&I sYst ' '" jr-d ' "s road the abovt z tr " fintwla State Of WigeonSiTl. �g Offi,�e Ce'r'ifLCati= jj�tgipad hover the Dq�?O �x County Zovlr WIfbJI30 jr, b the DOPU=ea of Confarct an w=d to the St. gf-I rorth, he�m }163 be Completad =d r" Y6W ter& Wsttm 4 'tb,6 thile Yc&t CXP'rkt'OTL bate. 0 *AZ APPLICANT ofttfy tut all gtI:tVMI F= this for= R-rg ty cjssizribe& lbov by V��o of N 'W;MWY d-to7d Cy -RA�& " X1(7 1"USP COY A?PL�I PANT the Ar• inf=aticia that is L" the saniter- Ication: a aunptd warranty dad from the Register of Dtodl office doed include with twi *PI � led survey map in the a cop • POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner 0 ' % Septic Tank Capacity # ,Z' �J ai ❑ NA Permit / / j 2 co Septic Tank Manufacturer O NA DMIKIN PARAMETERS Effluent Filter Manufacturer 14� $ 13 NA Number of Bedrooms g 7" 0 NA Effluent Filter Model d� 0 NA Number of Public Facility Units 0 NA Pump Tank Capacity a l 0 NA Estimated flow (average) ,O d elide Pump Tank Manufacturer ��+ 0 NA Design flow (peak), (Estimated x 1.5) Gel d g al/dav Pump Manufacturer O NA Sod Application Rate al /da /ft3 Pump Model O NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit 0 NA Fats, Oil & Grease (FOG) S30 mg /L 0 Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (SOD 5220 mg /L ❑ NA ❑ Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection 0 Other: Pretrested Effluent Quality Monthly average Dispersal Cauts) ❑ NA Biochemical Oxygen Demand (SOD.) S30 mg /L 0 in- Ground (gravity) 0 in- Ground (pressurized) Total Suspended Solids (TSSI S30 mg /L 0 NA ❑ At -Grade 0 Mound Fecal Coliform (geometric mean) 510' cfu /100mi 0 Drip -Lino 0 Other: Maximum Effluent Particle Size 1a in die. ❑ NA Off, 0 NA Other: 0 NA other: 0 NA " vsluss typical for domestic wastewater and septic tank effluent. ate: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequsnoy Inspect condition of tankls) At least once every: 3 a s (MaxMwm 3 years) ❑ NA Pump out Contents of tank(*) When combined sludge and scum equals one -third %) of tank volume la NA monthis) inspect dispersal colt (s) At least once every: ear(r) Mla*mm 3 yearn) ❑ NA Clean effluent filter At least once every: 0 1W ti►(5 0 NA X L OW (6) Inspect pump, pump controls S alarm At least once every: months) O NA —" 0 arts) Flush laterals and pressure test At least once every: moo (s) 0 NA ❑ earts) Other: months) 0 NA At feast once overt': ❑ yoarW ate ❑ NA MAINTENANCE Mammon Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licensee or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS MaintaMer; Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal colt(s) shell be visually Inspected to check the effluent levels In the observation pipes and to check for any ponding of effluent on tho ground surface. The ondin f fl p g o ef on the ground surface may Indicate a fail condition and req uires the Y g Q immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third tY,) or more of the tank volume, the entire contents of the tank shall be removed by a Septago Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Ali other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority wOln 10 days of completion of any service event. a � 0At%v)191ulwpV unuoos)M '(f) S (Z) 'I OWES Put (l)gIp)(41(q)(Z)ZZ'E8 wwo:) J00940 MIw. aous!ldwoo u4 PO4QJp DOM ;u•wnaOp 8141 OU04d 8U04d aweN Ow9N A11aOH1f1V Aa01V1n03Y 1V00i WiFind) a01Va3d0 ON101AV33 30V.Ld33 GUOLId ewely 03w f... 'P. ow; e 7 OweN 113NIV1NIVW 91M0d a3'1'IV1SN1 91MOd S1N3WW00 '1VNOI110QV '3'191990dW1 so 11n01ddia 38 AVW SNVi V40 HOIa31N1 3H1 WOW NOSUBd y d0 3 norm 'iimld AVW H1V30 'S30NVisWtlaal0 ANV 113GNn ANV11N11W1V3a1 H31 WO dWnd 'O cI3S V 1l31N3 lON OO 'N30AX0 1N3i01ddnSN1 110 /0NV 239SVJ 1VH131 NIV1N00 AVW S3NV1 1NBW.LV3a1 H3H10 (INV d11Ynd 'a1.Ld33 < <ONINWVM> > •9w ie41 it 109}}0 u! solnJ 94141!M Aldwoo 3snw ewalsAs 4ons ;o suo!lonalsuooev 'eaeljnt 0AplJill;Ul e41 le ietuo!q 941 ;o lenoweJ Bulneollo; eaeld ul pelanllsuom o9 Aew swelsAs uciidjosge loos 9peJ8 -1e pue punoIN 13 r �1uei ils egi e ;!s PUS HUN %I b.LpAud W ' S1MOd P 0 41 •oeldoJ of iJO lsel a se pellelsul eq Aew duel Su!p104 s AbOlou4094 S1MOd u! 89ouenpe Buujeg -suollellwli Ilot jo /pue laEq ;as of onp e19e1lens IOU sI me w9wooeidej elgellns y p 'Ow!i 1943 It 100148 u! Beim 01 41 411m Aldwoo ;snw swaleAs ;ueweaeldeld •98jS luew• oeldej elgellne it 491Igeise of uo!lenleAO 91!9 pus 1109 Me a jol pseu 044 ul lints,► Illm esje ivawoosldej eyi laolojd of oinliag 'ellem pus seu!i lot 'ejn3onge pesodoid pug Qu!ls!xe woj; r4oegies peimbei Aq uodn peBu!jlu aq iou pino4s put uo!laedwoo pus eouegjnislp woJ; paloeloid eq pin04s eeje luswsoeldej 841 •we4sAs uogdjosge ilos iuouisoeldej a ;o u0119001 041 J04 pez!llin eq Aew pus polenlene ueaq 984 e9Je waweoeldei elgel!ne V p :welsAs 3uOwsooldej luelldwoo epos a OPIAojd of 'ueAei eq isnw Jo 'uesq 9Ae4 sanseow Bu'mOIIOJ a4i paiiadej oq louueo pug silo; S1M0d 0 41 11 NVld A0NEIDNIM00 Is!jOiew p110s >Jeul J043OUe Jo 1eAeJ6 '1!08 4 1!m pall!; easds p!oA 041 pue p9A0weJ 9JOAO0 J !O 4i Jo paAOweJ pus pe3 0q Ile4s s ;!d pus sluel lie 'Bu!dwnd jolly • jo;eiedp Bu!o!AJaS abeideg a Aq ;o pesods!p Apadojd pue penowaJ eq Ile4s slid pue sjluel Its ;o sivaluoo 041 • •poloas sauluedo Odld psuopuege 04i pus p9139uuOO9lp 9q 11e4s si!d pus s4usi of Buld!d 11V • :9p00 OA!ieJis!uiwpy ulsuoOSlM '££'£8 wwo0 Joide43 41!x++ eoug!ldwoo u! psuopuege Ale ;gs pue Aliedoid si waisAs 8 41 1041 einsu! o1 uo lei eq ife4s WOW 8u!MO!lot 041 901AJes to ino us lei Alwouewied so jo1pue slle; S.LMC)d 041 u04M 1NBWNOONVSV *0u!jq jeuei;os Jalem pue :suodwel :sunldeu AJei!ues :s•p!a!ised :sionpojd Su!luied :go , suo,1eo!paw , sdajos leaw :sop!mgJG4 I GSOSJB :oulloseB IsBuilead 01g81959A pue i!nil :j91eM (dwnd dwns) ulejp UO!lepuno; :lei :siusioe ;uls!p :sJede!p :slog 101uep :sjeseojBep :sgems uoiloo :swopuoo 'sunq oUsia6!a :sodIm Aqeq :so!3oplue :'SJ.MOd ay; ;o a ;!1 043 BuoloJd pue aousuuoyed 941 OAojdw! Aew weeiis j 91QmO l se M eyi woJ; Bu'mOIIO; 043 to uo!leu!wllo JO uo!lanpea , ewe uO!;djosge Ilos apejB - io punow Aue ;o edole unnop ass; g t u44i!m eeJO 041 'ioedwoo jo gjnlsip Osimj914lo JO 'JOAO died JO OA!jp iou OCI •sflea Imedsip pue siluel JOA selo!4vA flied JO 0AIJp IOU op •luei dwnd e4i u!4i!M 910AeI IewJOU OJO399J of slonuoo dwnd e4i Bullejedo Allenuew u! ;s!sQe of joulelulaV4 S.LMOd jo jegwnld a 10eluoo jo dwnd lueni ;le a4l of jamod e$ S Bu!joisaJ of jaljd jOleJOdO BusolAJ 969 ;de a Aq p9AOwaj alusl dwnd eyl ;o sivaiuoa e4i OA84 uolieni!e 91141 p!OAe o,l - luenlHe ;o OBJe4os!p soepns jo dn�iosq e4i u! ;InsaJ Aew pus (8)1100 941 BUIpsOIJOAO 'esap aBjei ouo u! (s)llao IgsJeds!p 941 Ol P OBJ84081P aq Il!M jel9melsum segoxe e41 pejOlsOj sr ismad UOtIM 'slenei J9leM46!4 1ewJOU anoge IIq Aew siI uel dwnd so8sino jemod Bulina saelJnt OAIleJ3I1 841 is uQZO4 eJe suo!llpuoa 1109 ue4M Jnoaa iou 11040 do lJeit wanAS •esn of Joud jowiedo Bu►olAJos 08eido8 a Aq p•AOwoJ (s)jlugl 9 41 1 s1ue1u0a a41 OA94 p91081ep 9Je suofienue0uoo 4B!4 ;I '(s)lloo lesiodslp 941 OBswep JDIPUO sseaoid 1Uewiesil eLp 8pedwl Aaw 1941 sleoiwe4o je410 jo slonpoid Bu!w!ed ;o eaueseJd O4l Jo; (s))Iusi iuewieeJl 1 301 4 0 SIMOd 941 ;O esn o; jo1Jd 'uo!3onjieuao Mau joy N011Va3d0 aw do laths _` to 0604 I U 2 5 2 6 P 1 7 8 STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. MALSH WARRANTY DEED REGISTER OF DEEDS i ST. CROIX CO.. MI Document Number RECEIVED FOR RECORD �i T•�•}}��{{ �� d � ] y � P � P � � {[ � ! 03/12/2004 01 :20Plf RICFTARIT O: STC•U'1'ena71 JANET P. STOUT, _ RANTY D h and wife, 15S Grantor. GLENRIDGE PR LLC, a Wisconsin REC FEE: 13.00 and I! TRANS FEE: Limited Lia bil4 -ty Company COPY FEE: -- CC FEE: Grantee. j PAGES: 2 -- I Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St Croix County. State of Wisconsin: j r ,:. i t I Parcel A: n Name and Return Address I' in of th SW 1/4 of the NE 1 0 o e Dick Stout P a o 1/4 of the SE 1/4 and part of tho. 1353 Awatukee Tr. NE 1/4 of th o ec 1, T29N, R18W,i1 Hudson, WI 54016 Town of Warren, St. Croix County, Wisconsin; described as follows: ._ 4 Commencing at the south quarter corner of said iV j; Section 31; thence N 00 0 01'11 "E along the 042 - 1088 -20 -0000 M. Y' north -south quarter line of said Section 31 a parcel Identification Number (PIN) distance of 2629_88 feet to the centerline of 65thh is not Avenue; thence alond said centerline S89 0 52' 38 "E Th hornesteSd property a distance of 210-00 feet to the point of beqinninq ; (is) (is not) j thence S00 0 01'11 "W a distance of 1560_23 feet; thence S89 ° 32'5 0 "E a distance of 1104.65 feet; thence N00 0 05'46 "E along the east line !! of said southwest quarter of the southeast quarter a distance of 230.66 feet: thence along the south line of said northeast quarter of the southeast quarter S89 0 33 1 04 "E a distance of 356.68 feet; thence N04 0 35'22 "E a distance of 396.12 feet to the beginning of 1 a meander line along the shore of an unnamed pond; thence S30 "W along said meander line a distance of 215.53 feet; thence S77 0 13'39 "W along said meander line a distance of 251.94 feet; thence N48 0 52'56 "W along said meander line a distance of 520.74 feet; thence N21 0 19'55 "E aloncr said meander line a distance of 345.76 feet to the end of said Exceptions to warranties: Cont. see attached easements, restrictions, rights -of -way and covenants of record. i Dated this �' day of March 2004 . �`�� C (SEAL) ' ' — � (SEAL) * Richard O. Stout Janet P. Stout j (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix Count . authenticated this day of Personally came before rly 0 4 1 6 t day of Marc L the above named R ichard ou an Janet P. St �._ R`f AV 'Ar TITLE: MEMBER STATE BAR OF WISCONSIN �'� e ' r O -. S ri to (If not. Cm�0 known to be the person who executed the foregoing authorized by §706.06, Wis. Slats.) ' JAE E. 1 inirument and acknowledge the same. N OLSON _x 1 THIS INSTRUMENT WAS DRAFTED BY ' �I 'ice + y L� Janet P. Stout ��iO�t` ,.- .- ••''O"t' r 1353 AWatukee Trt. r 4g r OFVVIS G ,� -�. Hudson, WI ������ otar P blic, State of Wisconsin My o ission 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 Mllwaukae. Wis. U 2526P 179 Parcel A. legal cont. meander line; thence S89 along the south line of Lot a of a certified survey map recorded in Volume 17, page 4560, at !aid register of deeds office a distance of 11.32 feet; thence N00 0 46'09 "E along the west line of said Lot 4 a distance of !20.78 feet ; thence N89 "W a distance of 865.82 feet to the point of beginning. Including all land lying between said meander line and the ordinary high water mark of the unnamed pond which lies between a line bearing S89038'16 "W from the beginning of saic meander line and a line bearing N89 "E from the end of , aid meander line. Parcel contains 35.02 acres to the meander line and 9.99 acres more or less to the ordinary high water mark. Parcel is subject to right -of -way for 65th Avenue and subject to all other easements, covenhnts, and restrictions of record. 13 3 44 ► ' 729154 VOL 17 PAGE 4560 KATHELT9 H. WALSH REGISTER OF DEEDS RECEIVED * hECORD CERTIFIED SURVEY MAP 07/10/2003 12:1 LOCATED IN PART OF THE NE1 /4 OF R THE SE1 /4, PAT OF THE NW1 /4 OF THE CERTIFIED SURVEY MAP SR E1 4 FTHENEI /4 ART 1 /40F� —' REC FEE: 13.00 1 4 SEC TION 31, T29N, FIT OF WA EN, ST. CROIX COPY FEE: WISCONSIN. LEGEND PAGES: 2 FOUND ALUMINUM COUNTY PREPARED FOR: SURVEYOR: SECTION CORNER MONUMENT RICHARD STOUT DOUGLAS J. ZAHLER FOUND 1 OUTSIDE DIAMETER IRON PIPE 1353 AWATUKEE TRAIL S & N LAND SURVEYING, INC. • HUDSON WI 54016 2920 ENLOE STREET O SET 1 -5/16' OUTSIDE DIAMETER BY 18• LONG IRON HUDSON. WI 54016 PIPE. WEIGHING 1.68 LBS. PER LINEAR FOOT 3o�j ENCH MA' • .. • • • • • • • • • • • • • • ROADWAY SETBACK LINE (100 FROM RIGHT -OF- WARY) �D �.Z/ TOP OF 1 • IRON SLOPES 20% OR ��i 1014 ELEVATION r GREATER , ,`•� 23� W .......... ........ . EXISTING FENCE NB9'25'26 "1I 5309.32' — — MEANDER LINE M pV !' a O ' i P O.H.W.M. ORDINARY HIGH WATERMARK `�,' O I I 151 ••± rn W ! �;� W1 S4C 31 S89 °52'3 S89 8 "E - %, C2 .1sT —IrEsT SEE DETAIL °52'38•E c to 1�4 LINE 55.09' 3751.29' 151.61' y N89 "lI cn_ I o 690.62' N s EC. 31 1 1-t ca co it N I `N89 °25'26 W Edo C sIi os ba A y g LOT '1 w L 12_32'— — — z tv J A r(S Z � � LOT 4 c c 1 LOT 3 w _ � � N w w p 1 SHED z�N r te , - - - -- �_ � � ;�; W Z i 0 I C9 1 � °' ::::.� cc ¢ LL Cc ro -, ' 9 O eP G � I+ th, 44h w ^ m0 1 �G V 1 O, �s. I1� C. ` Q l- 0 09 1 \ AIGHT- F -WAY �\ \ w w I O i .S1 ;•; \\ °i ; :• :� Z _ ,2 A �' ` tiF LOT ?A `�� r— . 55' 1= D : • %;• ( \\ ° vB :::::. 0 I SECTION LINE 1 �c 2 �..::..:.:: ai •l .Z •Cl�.. c9 5 . O $.. BENCH MARK: �\ � �� t Z ; 889 °38' 6 'W TOP OF I i :::::::::::: O l i ♦w \� O i IRON PPE, A 60.8' ELEVATION ����A � ��_ ` .0 otTAIL 999.0 A PR O S Y ` �'9 (NOT TO SCALE) SCALE IN FLET 1" = 150' S1ICROIXCOUNTP•H•W•M• 1 N RIGHT -OF -WAY Planning Zoning and Parks Comte• a N 150 O 150 JUL 1 0 2003 999. �1\ co I i Z LOT AREA TABLE � O 33' 33' If not recorded within 30 days of - LOT SO. FT. ACRES a da o y �� V LOT 1 INC. R/W 121,690 2.79 �i•,} 0������••ll���� � LOT 1 EXC. R 112,592 2.58 ° O W o sl WW grest� t., / not identified on the at I • • . • . • � ... ' .. • LOT 2 INC. R/W 90,767 2.08 approved plat and not ROADWAY SETBACK LOT 2 EXC. R/W 88,409 2.03 covered by escrow money LOT 2 TO O.H.W.M. 2.6t are required to apply for JOINT DRIVEWAY LOT 3 INC. R/W 89,995 2.07 and receive a separate / is EASEMENT TYPICAL / special exception permit. (NOT TO SCALE) LOT 3 EXC. R/W 83,211 1.91 This permit is applied for S89 °38'1 6"W LOT 3 TO 0. H. W. M. 2.3t through the zoning office J 31.7%t LOT 4 INC. R/W 97,523 2.24 and is reviewed through a LOT 4 EXC. R/W 90,753 2.08 public hearing process by Each Parcel shown on this map is subject LOT 4 TO 0. H. W. M. 2.31 the St. Croix County Board to State, Count and Township laws, rules NOTES: ALL O.H.W.M. (ORDINARY HIGH of Adjustment. Y P WATER MARK) AREAS ARE EXC. R/W and regulations (i wetlands, minimum ALL AREAS NOT LABLED TO O.H.W.M. lot size, access parcel, etc.) Before ARE AREAS TO THE MEANDER LINE purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Warren for advice. THIS INSTRUMENT DRAFTED BY: WILLIAM KANE SHEET 1 OF 2 SHEETS JOB NO. 6052 -18 DATE: 02/07/2003 REVISED: 07/09/2003 VOL. 17 PAGE 4560 I