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HomeMy WebLinkAbout010-1007-20-100 p 6rk Mo 0. 0 i 0 r. 0 0 N o I a e I 0 ~ I I z ~ II .a ° c z O L m LL -o Q 3 ~ vII ~ z vi z c 0 z m M - U) (L IM O CD 'a O Z d : v ce o N m Z d c ° fA F^ Y) N Z c a) E V _0 rn m t! (CDI ° • ~ III' ~ ~ ~ c I pea a c 4 c c O U Z m H Z N to • • >m Cl) N ? N L M C w a+ Y C d i O IL E LO 3 _ H H I- Z O 0 0 0 d z •►v cc o a a a E rn rn ~ o N V1 J U W rn rn Z Cl) (0 O O C14 t N N LO v m o .wss N ao O N Q z co 16.4 4) n, 7 Q O O N C 1:+ C > O O Q o v o I, ° w a o 0 o .5r r-- M~ N C QJ N N O 00 v Q c C co +..w (D (O O O O O N N G" r N i N 4i N .O a) s N v :4 1 CY) • ° E a> a w o p M r v Lo 2 O M W i d M 0 y z Cn O ~ ~ 1 V v~ D Q ~ a C c A 0 C• L 0 N U Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page / of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code _ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and 5 percent slope, scale or dimensions, north arrow, and locatio and distance to nearest road. Parcel IY_Q "y ` ` j 9. APPLICANT INFORMATION Ple ` t all i ormAtiolii Reviewed by Date Personal information you provide may be used fo o ary pu Law s: 1504 (1) (m)). l d - q_ Property Owner roperty Location f --1 0 ^ ? ~ ovt. Lot 1/4 1/4,S 3 T 30 N,R /4 E (o(vF Property Owners Mailing Address gr GRC~IX l of # Block# Subd. Name or CSM# r, UN G~ Ci c State Zip Cod s " Phone ❑ City ❑ village El Town Nearest Road CAT I lr.4 16-yo ~3 ~V ?S'o SST ff l New Construction Use: residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: -4 trench, derived daily flow gpd Recommended design loading rate ; bed, gpd/ft2 ~ 4 trench, gpd/ft2 Absorption area required gibed, ft2 trench, /2 Maximum design loading rate 7 bed, gpd/ft2 r trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerate ns Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system S ❑ U F-S ❑ U 0`S ❑ U ❑ S FI U ❑ S + ❑ S 4--VU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground j/ ~.I SA Z/ IC elev ~ Depth to limiting factq~ Remarks: S <c L- Boring # ~ ~ J y1~ ~ r /~L S/J/~ ~4' ~R ~"2Cts A , i •J Ground elev. Depth to limiting factor" ' IM in. Remarks: CST Name (Please Print) r-Signature Telephone No. o717,4 V/ Address Date CST Number D 7 Z 9171 a l,30 A ix--, 72z1y7i T y i Q m gal goo ~d 7 (cy ~ / AGE Z fl AALw t2S 1A /QSas'; c 3' ~'f I, Bradley J. Canaday, registered Wisconsin Land Surveyor, hereby certify that by the direction of Timothy Banker, I have surveyed, mapped and described the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: Part of Government Lot 1 and part of Government Lot 8, both in Section 3, Township 30 North, Range 16 West, Town of Emerald, St. Croix County, Wisconsin being further described as follows: Beginning at the East Quarter Corner of said Section 3; thence along the East line of said Section 3, North 1 degree 19 minutes 26 seconds West 2085.26 feet; thence South 88 degrees 40 minutes 34 seconds West 691.35 feet; thence South 1 degree 19 minutes 26 seconds East 505.00 feet; thence South 1 degree 39 minutes 32 seconds East 217.48 feet; thence South 88 degrees 210 minutes 28 seconds West 582.73 feet; thence South 1 degree 39 minutes 32 seconds East 1321.28 feet to the South line of said Government Lot 8; thence along said South line South 89 degrees 35 minutes 53 seconds East 1265.64 feet to the point of beginning. Said parcel contains 50.583 acres (2203396 square feet), is subject to 250th Street right of way over the Easterly portion thereof, and is subject to any other easements or restrictions of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping the same. NOTE: The parcels shown on this map are subject to State, County, and Township laws, rules, and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. 2"PIPE aCAP FN D. NE CORNER SECTION 3 UNPLATTED LANDS N I°19~26It '13 33 W 1 1258.14' p~ S88°40134"W 691.35' w Z, 635.31 gr, 56.04 _ 4c► C]' a' ,k eO I o IH I * e L 4 IZW w, Z; ° LOT Z o a Jz O IW I U' ;ro J~a ° ° 8.015 ACRES WITH STREET I m 0: I0 N W 349133 SO. FT. IN 7.398 ACRES WITHOUT STREETI $ 3 = I Irn V,) I; 322239 SO. FT. -N 1~°1 li I O 1 ' - I ~~I N W ~ N I MATCH LINE - SEE SHEET I 100, 2-1 1 J~ N N 880403411E 691.35 1 Z Q I = J Z; W _ 65E~T89~ 50.46 z O n- N OD VENT J N Z1 M GOV-T LOT _l W rn t~ - - I Z I - U o N LOT 3 W ° N I M4 ) O WELL I Z EAST Ll G 0 VT LOT 8 HOUSE SECTION 3 F SCALE IN FEET E 1 /4 CORNER o' 200' 400' SECTION 3 1 2"PIPE a CAP FND. SHEET 2 OF 2 SHEETS Vol. 13 Page 3589 ' ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner -67,? Ge- o . d Property Address City/State er~ d, vet rf; Legal Description: Lot Block Subdivision/CSM # s'~n V4 ~ t/4, Sec. , TAN-RAW, Town of jE 72 e 4^a ld PIN # SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: r`,I 6J 2- '''r-Cv ,J Tank manufacturer Size ST/PC/ja2 / Setback from: House ?,0' Well Lil P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: L-~ Width Length Z- Number of Trenches 2-- Setback from: House Well P/L Vent to fresh air intake ELEVATIONS: Description of benchmark T e Elevation lee, Description of alternate benchmark 4, A) Elevation Building Sewer 7, • r1 ST/HT Inlet Y ST Outlet _2~ PC Inlet PC Bottom Header/Manifold SG ?-6- Top of ST/PC Manhole Cover • Distribution Lines d' • le' 17 el 97 ( ) Bottom of System ~7~ 9el ( ) ( ) Final Grade L;er 2d Date of installation Permit number State plan number Plumber's signature C„ License number Date Inspector Te -J Complete plot plan Or NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW v r _ l INDICATE NORTH ARROW NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW o~ b J V INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division County INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. 353219 Permit Holder's Name: ❑ City ❑ Village [j Town of: State Plan ID No.: Peterson Steve Town of Emerald CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ef) :1 Ocalod 4a 4 Z /rC 010-1007-20-100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0a /UO Dosing Alt. BM 7~ 9 , 3 Z Aerati0 Bldg. Sewer g~ .3 qo; ding Ht Inlet 9. v. 3 TANK SETBACK INFORMATION Ht Outlet Vent TANK TO P/ L WELL BLDG. AirIto ntake ROAD Air Septic -7 7 5-f z3- ~ Z i NA D NA Header / Man. P.57- Aeration N Dist. Pipe L 1, 6 Holding Bot. System 1 T X- 7, PUMP/ SIPHON INFORMATION Final Grade ,-Manufacturer Demand St cover 5" Model Number PM TDH Li Friction SV TDH Forcemain Length Dia. H Dist. To SOIL ABSORPTION SYSTEM BED / Widt~,/ Len s( No. Qf Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME L SYSTEM TO P/L BLDG WELL LAKE/STREAM LE nufadurer: SETBACK AMBER INFORMATION Type O ~4 r OR UNIT Model Num er. System:) i T DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake n , Length l Dia. Length 5~ Dia. 7 Spacing 717 Z .1 1 Z ?-!2 1 yd / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of T xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes C] No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: )z/ 7-9/-f f Inspection #2: Location: 1768 250th Street, Emera/l~d, WI (SE1/4, NE1/4, Section 3 T30N-R16W - 3.30.16.35C d 137 BM Description= >Vjk 6f ~d^. , ss v 5kH`s 011 A- 2.) Bldg sewer length =z15r IvA -amount of cover= '2 y Y < < Plan revision required? ❑ Yes Q No Use other side for additional informStion. SBD-6710 (R.3/97) Dat Inspector's S ature Cert. No. ADDITIONAL COMMENTS AND SKETCH ` SANITARY PERMIT NUMBER: F-7 !w q', it • rrl' 9r ore\ Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue Viscons~n r. . P O Box 7302 Department of CommeVice. In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707-7302 • Attach complete`.ptans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in sie: • See reverse side for instructions for completing this application State Sanitary Permit Number 35'3,2/91 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name Property Location t/a 1/4,53 Tjjf N,RI E(or)a Property Owner's Mail ng Address Lot Number Block Number c~ ~e 1~/ Cit"y/~ State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F BUILDING: (check one) ❑ State Owned it Nearest Road ZZ Public 1 or 2 Family Dwelling - No. of bedrooms c Towan OF 4FW eYa ~/Z III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 3G C- 1 ❑ Apartment/ Condo a /G --14 D? -a'0- 4 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. XL New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an Syfstem-------- System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 410 Holding Tank 12 ffSeepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit f 43 ❑ Vault Privy 14 ❑ System-In-Fill ( C K 5~ VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required s ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 89,. 5W Elevation Q O 7 '~S Q r Feet IV• >V Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks 1 1. Septic Tank or Holding Tank r"JO jyf,` e 7ee,.1 R ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. W No.: Business Phone Number: PRS Plumber's Name: (Print) Plumber's Signature: (No Stamps) TT; /i a ~I .,rr~ ~J/S 3 PG- cz Plumber's Address (Street, Cit, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved $lanitary Permit Fee llncludesGroundwater Date Issued Issuing Agent Signa ure (No Stamps) Approved ❑ Owner Given Initial qq Adverse Determination 6 . CTD surcharge Fee) <<~ all QV &t~ l X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly mairitained. The septic tank(s) must be pumped by a licensed pumper WNh never necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin,-Safety and Buildings Division, 608-266-3151. - - - To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI_ Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. / GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Wisconsin Department of Commerce SOIL AND SITA--EV. AL-UATION r Division of Safety and Buildings Page of Bureau of Integrated Services in accordance wjt , 3109, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in si?e. Plan must County include, but not limited to: vertical and horizontal reference point (BM)%direction and C Q l percent slope, scale or dimensions, north arrow, and location and dis4nce to nearest road.. Parcel I.D. # 'YkCA APPLICANT INFORMATION - Please print all informatlpn, Reviewe by _ Date Personal information you provide may be used for secondary purposes (Privacy Law S• 15.04 (1)mf) Jt ~~Ce Xk)-, a - ILI- Property Owner reper)y~c a ' 1~ Q (1o 1/4&)E 1/4,S 3 T _3(),N,R E (or)o Property Owner's Mailing Address lot # Block# Subd. Name or CSM# I G -so,-)+ K G, 4/9 1 ~ Aud"It4 City State Zip Code Phone Number ❑ City [:1 Village ❑ Town Nearest Road c 1 01 7 (7/5 ) - ' (mil r» e ra- CQ SD ® New Construction Use: Residential / Number of bedrooms -I Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate ?bed, gpd/fi2'trench, gpd/ft2 Absorption area required Zbed, ft2 trench, ft2 Maximum design loading rate bed, gpd/fi ,,U trench, gpd/ft2 Recommended infiltration surface elevation(s) SSj , 5_0 ft (as referred to site plan benchmark) Additional design/site considerations V pp r ,r ~ 71 9 U LOW t r Fj G , Yo Parent material &='a 0 r,cti r1 c I A i C, S ~ Flood plain elevation, if applicable /I / f+ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ta s ❑ U ® S [I U PS ❑ U ®S ❑ U ❑ S RU -1 S © U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench i S , tS~ 6 1- o _l of C1 2>1 Z _ S I, AM Z 3` loqrylg S L vrta~ ' WI-P; C S 1 -~5` Ground 3 _ L , Q elev. LS ,Sc)ft. Depth to limiting factor Remarks: Boring # 6'_ -Jib ~C 312 - S Z- mC<4 c 9 G =S L- C ,t r ~r; I c - - 7, . $ Ground ` elev. Depth to limiting factor AU _in. Remarks: CST Name (Please Print) S' nature Telephone No. vlla.ka 7/_!0 7-~OO$ A d ess Date CST Number s e ~SZ/GZS 9r,336 PROPERTYOWNER Sf P~~e~D~C`ic:r1 SOIL DESCRIPTION REPORT Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Z t / vy f L 1-~' S Ground 3 6 ; elev. qf2c, ft. Depth to limiting factor Remarks: Boring # _ 0- /Z 5L C -S w Ground elev. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # - 16 v( S 'I o, t 91q -S L 16 vt 112, 301 Ground ct~ Depth to , limiting factor Lp~r-in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD-8330 (R.9/98) ° e t Sv-~ S S S fi3D J- Cvzt l /v Sce.k f - - PAGE 3 OF 3 NAME f~2 S LOT # t kiJ LEGAL DESCRIPTIONS1 o SCALE 1"= eo r BM1 ELEV. /w, O DESCRIPTION- Sr_recs 1 N PI n " N li BM2 ELEV. clc~ .d / DESCRIPTTON- Sc rew i IZ lop n~ SYSTEM ELEV. .SU Lor..dr ~CvU ALT. ELEV. upg-er,37.90 CONTOUR ELEV. C re 5 I 67- 6/ c~ t J e3 f ~ c J ~ I ' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ~~s o yl Owner/Buyer -S f e y (f Mailing Address 130 Property Address (Verification required from Planning Department for new construction) City/State Parcel Identification Number _l-)4 4 '~/60 l0 ^GGd LEGAL DESCRIPTION Property Location a4 Sec. T,-Zd N-R_Z.'W, Town of Z ~ e Subdivision , Lot # Certified Survey Map # Volume Page # ~S 8 Warranty Deed # Volume 0 2 , Page # 3e Spec house ❑ yes P( no Lot lines identifiable ❑ yes 4!4- no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed A.1 I i3S~tl\CI \ Fl)R~E ? - I9N? t ~,F RY r t r~ :~+r x A~~tRAN l'i 1)I:I:U rj' {~.~+l_~X~1 ~ ~ u riJ r t^t^¢irrv r~r k L+\ \rp~ ti fwb I ! ~r 5't{:' {iS" 'CT \ ; pp dry .\2 i i7lV i Yy\i~~ •J~',Dy. [1f1 1~ 4imothr~,trs=-B~2~$et~'71 w~ye-Bank~r-aLk/1 - y Hni Rax kr`41~ w f z 4 a i} WARR CERV u TRANSFFEE EE 4g 00 r ixt-vey ++)d' x+arratus.tu S~ ~s~SF~~2R . $_1S~ i.inaa Pzttrso.n, huso~nd aqc~ i2tfe as survi•:orship ms _it.tt kEiOFO FE I0: _ pRGES I' ro er ` `.ti5 f,VP.,F Ri:if Rb EO F~RECOgO!NGDa*A NAME ANn RETI'RN AOL'RLSS IIjc. lioA ILI t 1i r \ ,i n'.1i r,ldlr n S_t_ Cro ix \ ' T.M. Ab,tract Title of WIScO115111 Services, Inc. 239 E. I.aSallezlv.e. Lc 4 of Certified Survey !k!aos 13-3539, as iocument Barron, WL 54§j2 No 595276, being a part of Government Lo's 1 in Section 3, Township .30 ;forth, of Ran>ze ',Jest, a;'' (in the Town of Emerald). 010-1007-10-00(x' PA:,."r.C .:FNriF i.:P ri:N ,4uva !r. EhL is .nut nida(,al hig44ays,.,easemer.t_ -ind restrictions of reciir:d. ' A, 9 _.LSEAL) - Cimorhy S. Banker, "Ce - - Melanie `Fave Banker IHENFICATION. ACKNOWLEDGM i{T `f'• State of Wisconsin; - - - _ Barron I'C r: n tl;j i.i rl e EtelU(B l' '.hit a'~-~. dal. ..A January 199 dlk~ho\e,;anred Cimoth S,..Banker. and Kea ~nie,Faye Banker, a/k/.a Melanie F Y;BrAkq1.C, I1*1LC MEMBL,<IA1 B V.01 UI\CO I^ husband and wife r :;th,• ._,d h\' On Oh. Wks to hr th, rvrson - \\hcl \«a ~t~1l;4xeg~tnl G: L •i~ ~NSIHUMEN' ..AS PA, !FO iv t.// t 77YSS..-:..+ ! ,)iDi `R/ - ?lark U. DGbher.uhl/LLDE~i DOBBERri.''.iL, ~.C. 7 bb N' _ ~►'l trl VAC - ;t- 425 E. LltSalle Ave.. Ba:rror. WI 5431_ I'',It:.--- ,Barron rnac h, authintt, u d IT ,t tI0\0cd ,d Bo! `k ,,arum'SWOWilt I 1 t, L f~" t\lar'1L r,r t (715) 531 563b:. _l~llJl~;dQc.~ 1 'rNn~u f. • v L~,,•, . tI H\N ,1I Imo, ♦,I\ . i\ it 0 2 ~ . 1999 J Q TM 1A.W 3 ~ Register or 0~ S1.Cro~~O•W1 ? ti `r 5 y~'a 7 6 i CERTIFIED SURVEY MAP LOCATED IN PART OF GOVERNMENT LOT 1 AND PART OF GOVERNMENT LOT 8, BOTH IN SECTION 3, TOWNSHIP 30 NORTH, RANGE 16 WEST, TOWN OF EMERALD, ST. CROIX COUNTY, WISCONSIN Prepared for and at the request of Drafted by: Bearings are referenced to the East line of Section 3 , Owner: Bradley Canaday Township 30 North, Range 16 West which is assumed to Timothy and Melanie Banker bear North 1 degree 19 minutes 26 seconds West 1762 250th Street W - 2"PIPE 4CNEPR Emerald, Wisconsin 54012 , W 0 MATCH LINE -SEE SHEET 2 NE COLEGEND N SECTI1 id -M County Section Corner W 0 in Monument of record ° L O T 4 ZI N N88°40'34!'E 691.35' 0 1 "x24" iron pipe weighing J Q' W 640.89' a minimum of 1.13 pounds J (V OD 50.46 per linear foot, set. Z M VENT C I ' SCALE IN FEET ' M N G O V T -LOT -1- I 33~ ~33' O 200 400 0 I IM ' N S88020'28"W 582.73 ELL 0 ti HOUSE Le OD IJ QI 1 N ZI GOV 'T a LOT _8_ I I w J~ I , M 00 o ~ M a at LOT 2 ° N LOT 3 N "if OD ~o 0 0 I aD f - O 1 Z~ 15.854ACRES WITH STREET O 16.642ACRES WITH STREET I wo ' N Q 690595 SQ. FT. O 724918 SQ.FT. I 0 i r ILM1t N I W J: _ 15.796 ACRES WITHOUT STREET 15.531 ACRES WITHOUT STREET I r- 0 OD 688081 SQ.FT. 676528 SQ.FT. 1 0~ N IW (n WI N IY ; 3 1"'-' M I a ' t0 P N Q I ' wI 0 J' z w i I$ J? O Z~ W SA~~ 1 'wl I Z 7o N ° 0 IZ M ~SSia~ N89°3553"W 501.28'1 U I Di 462.82 38.46' M H-I 0 H~ W S89035~53E 800.00 ' O J14 I CM M 762.27 3773 0.. I 1 M _ 0 100 Z1 (3 m o (02 4 1 DI cwn 0K I I W 4) W- LOT I ' z 10.072ACRES WITH STREET I NI N U o 438750 SQ. FT. I BFI 9.727 ACRES WITHOUT STREET OD 423721 SQ. FT. 1 z SOUTH LINE GOVERNMENT LOT 8 ::~V 1232.62' 33.02 S 890,35'53"E 1265.64' I I I Prepared bUNPLATTED -LANDS- EI/4CORNER,'SEC. 3 BRADLEY CANADAY SURVEYING 6976 26th Street Court North Oakdale, MN 55128 Phone No. (651) 779- 6435 Sheet I of 2 sheets Vol. 13 Page 3589 i I, Bradley J. Canaday, registered Wisconsin Land Surveyor, hereby certify that by the direction of Timothy Banker, I have surveyed, mapped and described the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as follows: Part of Government Lot 1 and part of Government Lot 8, both in Section 3, Township 30 North, Range 16 West, Town of Emerald, St. Croix County, Wisconsin being further described as follows: Beginning at the East Quarter Corner of said Section 3• thence along the East line of said Section 3, North 1 degree 19 minutes 26 seconds West 2085.26 feet; thence South 88 degrees 40 minutes 34 seconds West 691.35 feet; thence South 1 degree 19 minutes 26 seconds East 505.00 feet; thence South 1 degree 39 minutes 32 seconds East 217.48 feet; thence South 88 degrees 20 minutes 28 seconds West 582.73 feet; thence South 1 degree 39 minutes 32 seconds East 1321.28 feet to the South line of said Government Lot 8; thence along said South line South 89 degrees 35 minutes 53 seconds East 1265.64 feet to the point of beginning. Said parcel contains 50.583 acres (2203396 square feet), is subject to 250th Street right of way over the Easterly portion thereof, and is subject to any other easements or restrictions of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping the same. NOTE: The parcels shown on this map are subject to State, County, and Township laws, rules, and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. 2"PIPE & CAP FND. NE CORNER SECTION 3 UNPLATTED LANDS N 1.426ItW ' ' - 33 3 ' 1258.14 p' S 88040' 34"W 691.35' 1 Z ~Xo~ 635.31 ooIV~ 56.04 M J~ O I oIF-' ~ C~ e 0 LOT 4 IZWUi Wi; z; s>~r B NL di 1.1? owl i Q~ a 1 0 16 J 10 (r Oo 1 I ~ a~ 8.015 ACRES WITH STREET iN N I I~ N / •f, d~ W 349133 SQ. FT. 0 7.398 ACRES WITHOUT STREETIg 3 I IA S~ W j N 522239 SQ. FT. in I•- i m ~meea: t- 19) 1 N W' Q; N MATCH LINE - SEE SHEET I 100, o IN -J~ N 88°401 34HE 691.35 I Z Q; 1 J;. Z i W_ 6SEOT89a 50.46 Z I CO 0- i N OD VENT I J N Z, M GOVT LOT I I W I~-------- - - - I Z I _ N N LOT 3 i1 U Z 0 WELL EAST LINE G P -V T -L -O T 8 HOUSE S ECTION 3 OF SCALE IN FEET E 1 /4 CORNER o' 200' 400' SECTION 3 2"PIPE S CAP FND. SHEET 2 OF 2 SHEETS Vol. 13 Page 3589 i