HomeMy WebLinkAbout040-1125-30-200 C o I O� I
M
N
O I
C
N
� ` I
N I
fi I
O
Z N
C
Z
LL. VJ
O
a
O
U) O
V £ OL
Z r i ' I
°o a m
m H (n
d
ifl
o Z `� ° @
c Y
o
fA F- r O Z
CL
c C o
U
• 0
o
o a I
z _ z
o
z
N
N
�1 ao N N
^\ Ql O LO
a G .�+ w ?
� N d i > O 0
Co N
a 75 F-
Z > H H 2 m E O
° o
i m 0 0 0 �� Z I
WAWA
is LL N
>
o X
) N
°�' ° I
fn J t� '., 6, N
t 0
@ N Z N O O
�1 T N
N O _ O E r
IL
C CYl
U m Q n
C m
O N N
CD LO cl
o U -o o 'o E M ao
to O N O (6 O C f9 _ CL O O I
L6 � 3 N E N N
t' Li r ~ O7 N pY N 'O r N
00 O r
i! ~ O N p C M :31 0 iTl U
• = ^ ! 1 '' O M H J M O N Z Y Un
r
w� E N
✓� m m CL
• E 2 U m
C v a O 0 0
Parcel #: 040 - 1125 -30 -200 07/25/2007 04:38 PM
PAGE 1 OF 1
Alt. Parcel #: 33.28.19.522C 040 - TOWN OF TROY
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner
O - LANGLOIS, DAVID MICHEL & KIMBERLY SUE
DAVID MICHEL & KIMBERLY SUE LANGLOIS
526 CTY RD M
RIVER FALLS WI 54022
Districts: SC = School SP = Special Property Address(es): " = Primary
Type Dist # Description 526 CTY RD M
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 5.370 Plat: 1800 -CSM 06/1800
SEC 33 T28N RI 9W SW SW LOT 1 CSM 6/1800 Block/Condo Bldg: LOT 1
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
33- 28N -19W SW SW
Notes: Parcel History:
Date Doc # Vol /Page Type
09/26/2005 807486 2895/611 QC
12/10/1999 615351 1477/419 WD
07/23/1997 1056/29 WD
07/23/1997 7801552
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 5.370 73,500 416,800 490,300 NO
Totals for 2007:
General Property 5.370 73,500 416,800 490,300
Woodland 0.000 0 0
Totals for 2006:
General Property 5.370 73,500 416,800 490,300
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 135
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
CERTIFIED SURVEY MAP
LOCATED IN THE SW I/4 OFTHE SW 1/4 OF SECTION 33, T28N, R19W, TOWN OF
TROY, ST. CROI X COUNTY, WISCONSIN OWNED BY:
JAMES L. MILLER
RT. 3 BOX 18B
RIVER FALLS, WI 54022.
S 1/4 CORNER OF SEC.
Sk�/33, T28N, R 19 W.(COUNTY
W I MONUMENT FOUND).
NOTE: BEARINGS ARE REFERENCED TO THE 3 °= SET I "X 24 "IRON PIPE WEIGHING
SOUTH LINE OFTHE SWI /4. (OR►ENTEO TO 1.13 LOS. PER LINEAR FOOT.
TRUE NORTH BY SOLAR OBSERVATION j
ACCORDING 70 HIGHWAY PLAT.)
UNPLATTEO LANDS
N82 X34 `,y/
S 0 0 06 X 39 "E 382. 70' 6.21
y r
7 CURVE DATA 1 -2
\ /
3 CENT. ANGLE 2 17 i
yr RADIUS = 1004.93' �
w ARC .,A
= 302.85' A 12
x 'v
w tL CHORD BEARING= N8 1 "W
C TANGENT BEARINGS � '/ ED
w 10 ` IE
z Art S73.17'20 "E
AT2 S89•26'40" W W 1AP 22)9 w
,,,,te of
Z; �.
N I
L0T
0
I e
5.37 ACRES :I
(233,967 SO. FT.) _;• : I
Q G .
50' 55'
w:
Q• M mobile }•1.• 'r I
J: ° home V� \
a•• oo shed ^ sheds 1� y
Z; A 1 1 M
'• Z shod 3 w
w
2
APPR�\ bo drive d �• J
OD
APR 241 1987 \(yy�(-'l � house c o
ST. C OIX COUNTY I
COMPREHENSiV4 PARKS PLANNINS ^
AND ZONING COMMITT21 shed`' S0' S5'
52.30' N
oa N0 0 57 V v
46 W 338.95 _ I
M
M
NO.57'46 "W M
SM UNPLATTED LANDS
"� S•lt3i�4 � SCALE 1 "- loo' I o+
o*
SPRING VALLEY "' SW CORNER OF SEC. 33
49 0
T28N, R1 9W. ( COUNTY
c, WiS. d
04 50 100 200 2 MONUMENT FOUND).
�",� •� saw•' a a a
SHEET I OF 2
87 -48 a$v THIS INSTRUMENT DRAFTED BY
Volume 6 Page 1800
tscongin Apartment of Commerce PRIVATE SEWAGE SYSTEM y:
Safety and Buildings Division Count
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)). 353265
Permit Holder's Name: []City ❑ Village ❑ T *wn of: State Plan ID No.:
Lan loin David Town of Troy
CST BM Elev.:- Insp. BM Elev.: BM D scription: Parcel Tax No.:
11O.O ` 1 = CSTBw1'� 040- 1125 -30 -200
TANK INFORMATION E EVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic �� 6�"D Benchmark - Z, c�0 / cu . p'
Dosing Alt. BM $. s Seu.r -r 0 If?
Aeration Bldg. Sewer D • le,( . ( PT
'
Holding St /Ht Inlet
TANK SE BACK INFORMATION St/ Ht Outlet
TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet "—
Septic } /VD >(30' (2 ' NA Dt Bottom _
Dosing NA Header / Man.
Isi: v'
Aeration NA Dist. Pipe I. Z-t
.o
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufactu errand St cover L, -4 8
Model Number GPM
TDH Lift I Fri em TDH Ft
Forcemai ength Dia. Dist. To
SOIL A SORPTION SYSTEM (p C. P.. 4-n�
BED,/ ENC Width r Length / N O Trenches PIT No. Of s Inside Dia. uid Depth
DIME NSIONS �� S� 3 DIMENSION
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHI nu acturer.
SETBACK BER
INFORMATION Type Of Moe Num er:
System: } /� 3� 0 `� �' OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold �� Dist r bution Pipe(s) le Size x Hole Spacing Vent To Air Intake
�
Length'SC� S Dia. h Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over U Depth Over xx Depth Of xx Seeded / Sodded xx Mulched
Bed /Trench Center V t� . Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code disc('epancies, persons present, etc.) Inspection #1: O&ablOD Inspection #2: -- 4---,L—
Location: 522 County Road M, River Falls, I 54022 (SW 1/4 SW 1/4 33 T28N R19W) - 33.28.19.522C
1.) Alt BM Description = 646%�% ,.I
2.) Bldg sewer length = 13.0'
- amount of cover = ? 18
Plan revision required? ❑ Yes P No l
Use other side for additional information. 0( 1 7 - 1e I ov (o
SBD -6710 (R.3/97) Date Inspector's Signature Cert No.
I
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
P g
s � s
€ u s It((
t.,
A_
E.
'_'
4_. 4___ �- .�.
1 41
r s
7
I
a
t
g
! , jj w '? Safety and Buildings Division
Vi scons i n SANITARY PER IMk1�„1`^- A0 ./iT�Q�p., 201 W. W Avenue
c ' . ` P 0 Box 7302
Department of Commerce In accord with Co Q306, W Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) fort ec- ,stem, on paper not les' -- County
than 81/2 x 11 inches in size. - j l4 r ;; e 9 0 j� �zj
• See reverse side for Instructions for completing this a nation S (AU Mate Sanitary Permit Number
C<xx,�ln 35 "s
Personal information you provide may be used for secondary purposes ;r0)NINGDFFI
f ❑Check if revision to previous application
f Privacy Law, s. 15.04 (1) (m)).
State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL NATJ
Property Owner Name /� - Property Location
6 _D e" j / 5-0 /4 Sto 1/4, S 3 3 T d g N, R/ 97 /(or) W
Property Owner's Mailing Address Lot Number Block Number
C6 4( QTY
City, State Zip Code Phone Number Subdivision Name or CSM Number
A" ! Ll 8- FA 6 W _ ( ) t2s R5 C S M v 0 6 10 AC6 6'00
II. TYPE ILDING: (check one) ❑ State Owned ❑ ❑ M !t i ( age Nearest Road );
j�� C 0 m
Public Iff 1 or 2 Family Dwelling - No. of bedrooms K Town OF
III. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) OLI t`/ _ '3 a adQ
1 ❑ Apartment/ Condo 3 • . ) � • 'ET, C_
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. INew 2. ❑ Replacement 3, ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an
System ________ 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 41 ❑ Holding Tank
12 ® Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 E] Seepage Pit N � / � ,� 43 [] Vault Privy
14 El System -In -Fill / 7- � ( OiS J4 CAP 4 �j
VI. ABSORPTION SYSTEM INFORMATION: CO , t ,7M 2
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
5 � Feet 10'/, 5 Feet
VII T ANK
I NFORMATION in g Total # of Manufacturer's Name Prefab. Fiber- Exper.
Gallons Tanks Concrete Con- steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank oak• /00 '` ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ ❑ 1 ❑ 1 ❑
w VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sew system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stam s) MP /MPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY
[]Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps)
Surcharge Fee)
Approved [:]Owner Given Initial
Adverse Determination o �.Z s� �Z�Y j
X. CONDITIONS OF APPROVAL / REASONS FO DISAPPROVAL:
2 ' BD -6398 (R. 4/99) DISTRI TION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
PLOT PLAN ` Page 3 of 3
e
SCALE I"=
'� '�' t� fix' ��_,.r..- �„ fie, �� `�� , f ,•.,r��
N 'tb
e`}�3 B 2 ltd -.1�u
Oa.!! fG2Yj711'
C Gam.
J
o� o 5y-,TE-
TO
3 u � 9 1'P7tc l`�� 1
V- !D(}.$' + K e k ^D`
A!
�g -ZS8 2
zzoZS`f
O L ( 7I�
CST Signature Date Signed Telephone No. -r
Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations 9 —
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST,
not limited to vertical and horizontal reference point (9A);' firection and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and dist4R6q to nearest road. O y0 - l 12 S
APPLICANT INFORMATION- PLEASE R MT' AL INFORMATION R IEWEDBY DATE
2-
PROPERTY OWNER. PROPERTY LOCATION
It k. S
� � L.l� $ -GAF -E9T 511/4 W1/4S33T Z
,.,_. b ,N,R lg E(or W
PROPERTY OWNER':S MAILING SS. LOT # ADDR � BLOCK # SUBD. NAME OR CSM #
SZZ c.cw/v`M ' y�'
CITY STATE ZIP CODE PHO
CITY VILLAGE
. , OWN NEAREST ❑ ❑ � EST ROAD
TZ1 U � FLLS' 1_J SV bZZ C) l-9 W _L - r1zU C, 1A '' M of
[ J New Construction Use IX] Residential / Numbea ja pedrootns 3 [ J Addition to existing building
[xJ Replacement [ ] Public or commercial describe
Code derived daily flow k4S0 gpd Recommended design loading rate - bed, gpd/ft • S trench, gpd/ft
Absorption area required — bed, ft °tom 0 trench, ft Maximum design loading rate - 4 bed, gpd /ft • S trench, gpd1ft
Recommended infiltration surface elevation(s) sZz_ PAN G k- 3 ft (as referred to site plan benchmark)
Additional design / site considerations rNs1m.L - j)Xgj etfrs , w! L+ c!I- Cf'tPj - LeK4 OLtt ma ezS
Parent material r3Q7v j %A Flood plain elevation, if applicable 1y A ft
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ®S ❑U ®S ❑U 2S El 2S ®S ❑U EIS OU ❑S ®U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
U 0- t S
1S -3b LO
Z `11Z 31 L � g 1 1 Z � Sb i� lvl '�'1r � W � • S
Ground 3 3t -S) 77 • S Ll 2. S l y S) l cS �k wi V �1 e g • �l . S
elev.
ft sl -as - 2•3 `12 vly
Depth to
limiting
factor
? otS
Remarks:
Boring #
o -Lq 1o� -LIZ ��Z - s► I Z`��b'2 Asll 0.S .S ,b
- S
.. S
.. h
3 3°/ -SS 7 . S `� Jt 31 S) 1 b� wl v'F►- C,S q S
Ground
elev. y ss -RY S `ttZ Y7y ®g m — - S ` .►�
low It
Depth to
limiting of b 3`{•g� 8 ��
factor
R emarks:
CST Name:- Please Print Phone:
Arthur L. We erer 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022
Signature: Date: CST Number
q0,-zsB R lZ - - CL 220254
PROPERTY OWNER L_Nrv6\-O\-S SOIL DESCRIPTION REPORT
PARCE `
LLD.iI oy0- 1�Z$ �o
Page ? - of 3
Boring # Horizon Depth Dominant Color Mottles Structure
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots GPD /ft
Bed Trerxh
�t 31Z S I
to y,tlz � c • .b
St I Z m Sblz 1.r1'�h �� _ 5 • �
Ground 3 X2 L f-)`1 IZ VI 6 S t CSC )n tJ `�t. - •Z . 3
elev.
1 8.9 ft. CU hIS 6� s 1u at= S
Depth to '-
limiting
factor
S
Remarks:
Boring #
K'�•'ii�;4 ii�;v:•:ii
Ott' � � (� i
vh..► e��,, 6 �o r
Ground NAAS C G t_m Z lZl G
elev.
ft.
E
Depth to !
limiting
i
factor
Remarks:
Boring #
U1 =
Ground i
elev.
ft.
Depth to {
limiting
factor 1
Remarks:
3oring #
around `
:lev.
ft.
)epth to
imiting
actor
Remarks: —
PLOT PLA Page 3 of 3
SCALE 1 "=
8. 2 D F
b,, 5 3 8.1 BY1 t�rZ
ob t
y
eL 01
8 r 1 I _
eQ.au wttY
J
i
x
1tur1�, �'�rlou�p
I 3
3 �� �Y9�IE
n" 1 0, EW- b' O\J - '596TMI l OF S t "D l +VQ_, j
GU
o lq-ZS8 R
zz o2.s`f
tZ?' y— O 9 ( 715 ) 42-5 -0165
CST Signature Date Signed Telephone No. CST #
isconsin epa n o Industry, SOIL AND SITE EVALUATION REPORT Page of
Labor and Human Relations 9 —
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. ' O YO - t t 2 S - 30 - 7'_00
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
- S-) N\) L� \� G �� \ S rnt.�2T StA,1 1/4 SV) 1 /4,S 33T 2.b ,N,R Lg E (or(W)
PROPERTY OWNER':S MAILING ADDRESS. LOT # BLOCK # SUBD. NAME OR CSM #
sZZ C- Uv�N Vl M - C-S VOL. 6 I 1 1800
CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE ®TOWN ' NEAREST ROAD
Tz�v n l-mLs 1-J) SI-L bz () 0 qZ tbsb
(] New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building
(XJ Replacement [ ] Public or commercial describe
Code derived daily flow �AS0 gpd Recommended design loading rate - bed, gpd/ft • — S trench, gpd/ft
Absorption area required — bed, ft °�13 p trench, ft Maximum design loading rate - 4 bed, gpolft • S trench, gpd1ft
Recommended infiltration surface elevation(s) sew. P1 c t✓ 3 ft (as referred to site plan benchmark)
Additional design / site considerations I,-S't tL - .1 w/ L} f , cf ?FM s it)Ewihn)ek L& t{ O.)tiota E S
Parent material LOEaS o v» ____ ' _ Flood plain elevation, if applicable N'� A ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN RLL HOLDING TANK
U= Unsuitable fors stem ®S ❑U I ❑U I 2S ❑U ®S ❑U I ❑S ®U ❑S ®U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles (Texture Structure IConsistencelBourclary Roots GPD /ft
!C
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ra
fi....tnµp
0 -1 S t'0 `21z 3 LZ - S 1 Z mSli�C wt '�:- Zo S • S
3 1S -- LO �R 3!�
<1
Z — s 1 1 Zr� sbk ht ��• �w - - s . �
Ground a, 3t -S-'i S rz- 3 ! y S l cS bk wi V fi- e g - • \A . S
elev.
Va ft. sl -0.S S `/!Z wy
Depth to
limiting
factor
> 9.s
Remarks:
Boring #
; 0 -1q 1o`1 3 Z e- S . S . b
p) ` t 2 216 - S'l 1 2`� sb 1z c� S Cw - • 5 I A
3 3q _ss �.sy►z3� _ s) 1 b� wlu� CS — _ -
Ground
elev. �R V IC/ wt.
X 03.4 ft
Depth to
limiting
factor
Remarks:
CST Name:- Please Print Phone:
Arthur L. We erer 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022
Signature: Date: CST Number:
otet -ZS`3 R lZ - 9,9 220254
PROPERTY OWNER L N GL 3�S SOIL DESCRIPTION REPORT
PARCEL IA I - 3ao Page?- of 3
Boring # Horizon Depth I Dominant Color Mottles Structure
;.. ,.,, in Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots GPM I
»<: »:: » > V_ 3 L Z Bed Trench
...�...3..... Z �Z -6 1 5 � Z�'sblZ �''l � h cs - • s .6
o `t 1Z — St I Zm A b✓t'�h r�,v - S
Ground 3 �Z_ 1 13 , -1 1Z L//6
elev,
i oa.9 ft. cc, OF s
Depth to
limiting
factor
Remarks:
Boring #
<;<
>, _�
'' »...... �� z -99 . - sot F! v►� ► e 6 E
vj ►_o
Ground C G L31 Lac Z !ZL G
elev.
It.
Depth to
i
limiting
factor
Remarks:
Boring #
j
::.:..:.:.:..
i
Ground
i
elev. i
- ft. '
Depth to
limiting I
factor
Remarks: `
3oring #
around
Aev.
fl.
)epth to
imiting
actor
Remarks: _
PLOT PLAN Page 3 of 3
SCALE 1 "= 1 -10'
tn- 1U9`!
X WPR -Ux. LL1C.P�°ti�,OfJ
ZO
4,
\o b �
bvy
(� o � ','
03 cz.�- ,�tuvj
v° -
Z
e P�uEwP C`i .
� X
ttvwt�, ��ou�p
� 3
N
3 u �-SYPTIC
Wit` 1 tP i_- Tom. Lw_ b' C)v 'wti - rMI - J - of sl D7 kfc -, �
UZ . 100
0�
zzoisy
C l ( 715 ) 425 -O i 65
CST Signature Date Signed Telephone No. CST #
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
P
Owner/Buyer c �,'
Mailing Address C G T j Y- r k Yh - Vr:, (A W S` O�> z
Property Address c , - r `- 7t,t YV1 ►�, c�V rr� s Cam,' S .5 t 0� Z
(Verification required from Planning Department for new construction)
City/State A, 1 � Parcel Identification Number 33-,-,21- 1 `1. 5
0 Il Z- 5- - 35 --200
LEGAL DESCRIPTION
Property Location 1-- i/4, jg i /4, Sec. ;3 32 , T ,a �( N -R 1 =y W, Town of
Subdivision Lot #
< < C i qvi)
Certified Survey Map # L Volume Page #
Warranty Deed # C12 6 `/ q 5 — , Volume -- - 7 e1 0 , Page # 5
Spec house ❑ yes ❑ no Lot lines identifiable 0 ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic syste has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the y x . T on date.
9 J IGNATURE17 APPLICANT DATE
OWNER CERTIFICATION
I (we) certify that ments on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the r edy describe abov of a warranty deed recorded in Register of Deeds Office.
,,,, l �.
IGNATURE 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
r
133909
WILLIAM O EARLY, . •.
Certification, License or
or-Registration on Name Expires
s
Master Plumber t�� 03131/01
Journeyman Plumber L ' 03/31/99
Refrigerant Handling TeChniciart CeRification 10/13/00
Wisconsin De artment of C mm ce
Signature: O,
ti
f � '
es�
�- so� 1
s ice � Z re5��c
• Safety and Buildings
PO BOX 7162
MADISON WI 53707 -7162
r � �
TDD #: (608) 264 -8777
iscons n www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
November 17, 1999
CUST ID No.267341 ATTN: POWTS INSPECTOR
WEGERER SOIL TESTING & DESIGN ZONING OFFICE
421 N MAIN ST ST CROIX COUNTY SPIA
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS WI 54022'' HUDSON WI 54016
RE: CONDITIONAL APPROVAL_ /'
-
APPROVAL EXPIRES: 11/17/2[01 Identification Numbers Transaction ID No. 278666
!r
Site ID No. 184384
( Please refer to both identifications numbers,
SITE: G�jltnt7y f - above, in all correspondence with the agency.
Site ID: 184384 )N >NC CJFFf„ :.
ST CROIX County, Town of TRC)yh'
SW1 /4, SWIA, S33, T28N, R19W
Lot: 1,
Facility: DAVID LANGLOIS 522 COUNTY M, RIVER FALLS 54022 P .
'
Description: REPLACEMENT NONPRESSURIZED IN GROUND CONVENTIONAL / DWELLING 750 GPD COh
Object Type: POWT System Regulated Object ID No.: 637916 AP
DEPARTA
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes DNI Of
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
SEE COI
The following conditions shall be met during construction or installation and prior to occupancy or use:
• This approval is contingent on contiguous ownership of the dwellings served by this design.
• A minimum of 12 High Capacity Sidewinder Infiltrator units per trench are required.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 11/16/1999
FEE REQUIRED $ 190.00
FEE RECEIVED $ 190.00
ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00
Integrated Services
(608)261-7735, 8:OOAM - 4:30PM, MON -FRI
RKANTER @COMMERCE.STATE.WLUS WiSMART code,�3'
cc: DAVID LANGLOIS
DOSED CONVENTIONAL SOIL ABSORPTION SYSTEM Page 1 of 1
FOR
titu 10 � lime
LOCATED IN THE S W 1 /4 OF THE SW 1 /4 OF SECTION 33 , T Z b N, R lQ W,
TOWN OF ST- C1Z.bu COUNTY, WISCONSIN
RECEIVED
INDEX NOV. 15
PAGE 1 of 7 TITLE SHEET SAFETY a OLM. DIV.
PAGE 2 of 7 PROJECT DATA
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEW -CROSS SECTION
PAGE 5 of 7 LEACH;CHAMBER DETAIL
PAGE 6 of 7 PUMP CHAMBER
PAGE 7 of 7 PUMP PERFORMANCE CURVE
O.W.T.S.
ditionally
ROVED
1ENT OF COMMERCE
SAFETY BUILDINGS
r
PREPARED FOR ZRESPONDENCE
- -lZ F ` w S 41-Z
e
THUa L
PREPARED BY W:1R,p
, ELLSWORTH,
W '. 1;
WECEF:< I—= F::;, SO I I TEST S "ca ® `e ��v •.......•_ ��
AND �� o ��
DES = GI;V S�F %V = CE 4,ft — well %
F.O. ROI 74 421 N. KAIA ST.
RIVET FALLS. WI 54022
JOB NO. q9 -ZS8
I
PROJECT DATA Page Z of - 1
This replacement system will serve an existing 3 bedroom home
and an existing 2 bedroom mobile home.
A 1000 g allon Wieser Concrete septic tank will be installed for
each building with a 1000 gallon Wieser Concrete pump chamber
which will dose 4 trenches with High Capacity Sidewinder leach
chambers by Infiltrator Systems, Inc.
PLOT PLAN Page 3 of _]
SCALE 1 "= X10 '
�11JV_L- LOV.0�
eti. t u8 9
6.3
13
�
�`1,S Z F.wl.
� b
b`
� B.1 gk1'drZ.
13
B�YTU► -1 U Frt1Z�l.►C -EE_. �_ �
to or- V "PVC
m
I BM* ) tou0 6f� . t u
® \o 1•S _
t
U`'PuC
6Pt�. .
J
X16 h4 U " Pv c
�,tt'fi7ti.i�`�?s �`-t lrvFl �.`Ctz�} -T'oR S`�37'L� -1S tie,
x
!v
J
btvwl�,
� 3
N
3 k � 9 �lPTlc �11r
QP'1'�'Z � � ...100 -9• w � Y _ -
FA-. PPw PrLL QXtsmry G
b 8E M�Si �ou�o t}S
P flR etl��
100
3'
3� D
�l4PR.ov'�p C.�P g
3'
LOO'
Z ° n iN , GtiPCD
�n
et.�uo- S
�tlGl�1 _ C.t(PTP_L'Cx{ : : :SLp%wtk)9gR__Lm -"
PN t S o F
F�
W a , li s, A ,
N �' l a
cc
- � � J 11 11 - L���Illffff
0
Tul III �- F 11
_ _ cr
o � --I
N . r : n
N W m m a 1 11 CD
n
_p bx 4 _
1g� - cl &' o r(1 R a l i l O ma
a „ O 3 W ►- cD I i; CD
to
en
Cq
r
m
6 0 i - IT11
Pi
yN ° 1 m RI
< -..�
1 IIIi1Ll � i..-
�= il• I
�� .... I III {Il
co cn — -�
�+ m o N' _zp-nr
_ p �. (CD
-,5 _
s X m o m - n 11�! -_�
a r �'��� IIIII ill
E _ 0 cn
cl) n c- u ro :3 0 CD
a N• I .
_ C <
0 111 T i
CD l< i A? (D
O
O � ��'cn IIII J
d O C ITI
(D � g f
ro m
W (Q X Q
N - (D
N
_ � (D _. W1 1 1 1 111
Ccn 3 to M x C O a
--L v 3
a as C =� I
i O p7
!�' W —
aD CD _
s m p _ �-- Invert 11' --+�
CD
Y (D
M
f
A
D
PUMP CHAMBER CROSS SECTION AND SPECIFICATIOUS ' PAGE OF
VEIJT CAP •
4 "C.I. VENT PIPC
WEATHER PROOF APPROVED LOCKING MANHOLE
10' FROM DOOR, JUAICTiOtJ 80X COVER WITH WARNING LABEL
WINDOW OR FRESH I2�MIL1.
AIR INTAKE I
GRADE
ZL CI
ti' M itt.
COWDUIT �— —
PROVIDE --
IIULET AIRTIGHT SEAL
APPROVED JOIIJT/ A Tank construction shall comply I I I � APPROYED JOINT$
with COMM 83.15 and COMM 83.20
ALARM
8 I I II
I
I I ON
-- sias I
CLEV. FT. PUMP �
OFF
O
;D -eu. bN -bO' CONCRETE BLOCK
3" APPROVED
RISER EXIT PERMITTED OAILtJ IF TANK MANUFACTURI~R HAS SUCH APPROVAL• BEOpING
SPECIFICATIOMS
DOSE \- Q1R5E2 IC -�-jb IJU 3.64
TANK AJ
MAUFACTURCR: MBER OF DOSES: PER OAy
TAWK bIZE: 1000 GALLONS DOSE VOLUME t Z g."�
ALARM _ MANUFACTURER' IhICLU01N6 6ACK►LOW: GALLONS
MODEL HUMBER: 1 p � �W CAPACITIES: A= 7 �� jNCHE5 OR 5 J GALLOIJ3
SWITCH TZPE: 5 Z IMCHES OR 51 • y 4 LLOL15
PUMP MANUFACTURER: �� S C = g IIJCHE5 OR ZZ9-,I GA LLOWS
MODEL NUMBER: 424 D= INCHES OR Z* $ GALLOIJS
SWITCH TYPE:
me Ctcu" DOTE: PUMP AIJD ALA TOIDC -1 I
MIMIMUM DISCHARGE RATE Z 9 GPM INSTALLED OIJ SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWEELI PUMP OFF AUD..015TRIBUTIOU PIPE.. 2-Z..zS FEET
......... LET
+ 1`ls FEET OF FORCE MAIN X l' !1 F YOfTFKICTIOU FACTOR._ "S FEET
TOTAL OyWAMIC HEAD = Z� ""13 FEET
DIAMETER -
INTERWAL. DIMEIJ510N�i OF TAWK: LENGTH ;WIDTH — jLIQUID DEPTH 36 (Z
BOTTOM AREA — - 231= GAL /INCH
AS PER MANUFACTURER = - GAL /INCH
' I
ME40 Series M
4/10 HP Effluent
and Drain Water Pumps
Performance Curve
MODEL ME40 EFFLUENT PUMP
CAPACITY LITERS PER MINUTE
0 50 100 150 200, 250 300 350
40
12
35
�-. 10 En
W 30 W
W
Z 25 24.13 8 X
o
z
20 6 O
J Z9 2
15 J
0 4 H
to
5 2
0 0
0 10 20 30 40 50 60 70 80 90 100
CAPACITY GALLONS PER MINUTE
1101 Myers Parkway, Ashland, Ohio 44805 -1923
419/289 -1144 FAX 419/289 -6658 Telex 98 -7443
K3326 7/91 Printed in U.S.A.
I
1Vtsc SOIL AND SITE EVALUATION REPORT Page \ 3
Labor and Human Relations g 1 Of
Divisiod of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point ( nd % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and dist he �t ad. 12 S - 3o - Z00
APPLICANT INFORMATION- PLEASE , ALL II&ORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION �,�
SW 1/4 SIA)1 /4,S3'�T Z$ AR Lq E(
PROPERTY OWNER':S MAILING ADDRFSS • �/ ._ 71 LOI # BLOCK # SUBD. NAME OR CSM #
S Z2 CUuvm Wl ., at Ct�Cilx � — CSy`? VOL. E� t 1�ltSE t$Oa
CITY, STATE ZIP CObE P UWAM PCITY ❑VILLAGE ®TOWN ' NEAREST ROAD
[ J New Construction Use (<] Residential / Nufn4i r of bedrooms S [ ] AdditiQn to existing building
Replacement (] Public or commercial describe -
Code derived daily flow ZSD gpd Recommended design loading rate bed, gpd$ • S trench, gpd/ft
Absorption area required — bed, ft \ S o O trench, 11 Maximum design loading rate - 4 bed, gpd/ft • S trench, gpd/ft
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations Std KjU1 — e ot IF 3
Parent material LnZ (3 uQ S+4w` -t Out "N Flood plain elevation, if applicable ) R It
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ®S ❑U ®S []U 2S ❑U ®S ❑U ❑S OU ❑S ®U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoLrtclary Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rRench
o -1 S LD `L R 3 LZ S 1 Z mSli�t wt `�t- �S • S
Ina Z tS 3Jo Lo KR 31 _ S I I Zm sbk W, - �I- caw
Ground 3 3� 1 S `i 2 3! y s cS 'bk >M V {�1- e g `I. . S
elev.
X0 ft sl _q s z S 1-1 VIV
Depth to
limiting
factor
? qS
Remarks:
Boring #
o-t4 �o`�L2 �t Z — s i I Z��b cQ s 1� �S — • S , b
. Z Z 1 39. mo m- slb — S't) Z`� Sbk CLS h C w — •S _b
3 3°/ 7.Sy1z 31 S) 1+° -zSb wlu'F►- CS — -q ,S
Ground
elev. y SE. RV Z S *L Wy ab wt ` — - S .L
tom ft
Depth to
limiting
fa c to r l�
Remarks:
CS T Name:—Please Print Phone:
Arthur L. We erer 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022
Signature: Date: CST Number. .
220254
PROPERTYOWNER LNYQC,\,0\�S SOIL DESCRIPTION REPORT Page?- of 3
PARCEL I.D.>I ogZ0 111 S - 30 - 2c�n
Borin # Horizon Depth Dominant Color Mottles Structure GPD /ft
9 in. Munsell Qu. Sz. Cont. Color Texture Consistence Bou Clary Roots
. ••,....
Gr. Sz. Sh. Bed Trends
z)- V1 tib`1�Z 31 — S I Z�' SbbZ �^'1 �h CS - •S .6
1o `11Z 3j� — St I Zm soh wl'f J- Si,� - '
Ground 3 X2.9 t] l c)4 L /` (o
S l 1 CS}> >►1 U `�i- - 'L , 3
elev.
l -9 ft. co ti/ 61r ° a S —N� U�
Depth to `
limiting
I
factor
Remarks:
Boring #
µ }}
J t ti:i
I
Ground I
elev.
ft. I
Depth to
limiting
factor
i
Remarks: '
Boring # i
f
i
Ground
elev. I
ft. I
i
Depth to
limiting
factor �.
Remarks:
3oring #
i
i
around I
:lev.
ft.
)epth to
imiting
actor
Remarks: _
PLOT PLAN Page 3 of 3
SCALE 1 "= y p '
eti -1u69
@.3
O
By �TOt1 0 F —
m
® 10
\.S
I+
w� t�1Gt4 Cf�f��l`ty Si Q�i�v�� � v
x 2
J
1�uw1�,
. i 3
3 u �RPTI c �YV�
L� ,{� - Tom.. LQO.6' C�►v - _ �tiTR>I -7 "OF = = S t D7 � G _, � .
0�
...� z.zozsy
1715 ) 425 -0165
CST Signature Date Signed Telephone No. CST #
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Labor and Human Relations g of i
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Att ach 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 % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. ' (3 y0 - 11 Z S
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION ��
40 StQ 1/4 SX) 1/4,S33T 2.g ,N,R L q E(` OW
PROPERTY OWNERS MAILING ADDRFSS. LOT # BLOCK # TSUBD. NAME OR CSM #
SZZ C.JVIV , M — _Sf'l Vo L. • (0 t 1plwe t$OD
CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE ®TOWN IN EAREST ROAD
L— TZ w� FmLs, lJ) - 1 - li CT 1i " t „ t tt
[ ] New Construction Use [X] Residential / Number of bedrooms S [ ] AdditiQn to existing building
pQ Replacement [ ] Public or commercial describe
Code derived daily flow DSO gpd Recommended design loading rate ___ __bed, gpd$ • S trench gpd/ft
Absorption area required — bed, ft \ S o O trench, ft Maximum design loading rate - 4 bed, gpd/ft - 5 trench, gpd/ft
Recommended infiltration surface elevation(s) Sze Pf74I� I ft (as referred to site plan benchmark)
Additional design / site considerations ►uD`Ct otJ
Parent material LoE o ve'V oQ7vjtk . Flood plain elevation, if applicable 1.3 A ft
S = Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE I AT -GRADE SYSTEM IN FlLL I HOLDING TANK
U= Unsuitable fors stem ®S ❑U ®S ❑U 1 2S ❑U ®S ❑U ❑S OU ❑S ®U
SOIL DESCRIPTION REPORT
Boring # Horizon
Depth Dominant Color Mottles Texture Consistence Boundary Roots I Structure I GPD /ft
in. Munsell Qu. Sz- Cont Color Gr. Sz. Sh. BW rich
� -1 S tU `-t IZ 3 LZ —
U S l � z mS�� wt `�t- �S � • S � �
Z 1S 3� LO �� 3�L •
s ) I 2.vn sbk h� �1^ r�w - S • �
Ground 3 3�_ 1 77 - $ '42 31y S 1 CS��t WfV eg - � .S
elev.
sl -aS - 2 •s `y2 ply
Depth to
limiting
factor
? qS
Remarks:
Boring #
o -tq
- \ 3 Z �S S . b
-S _6
3 39 -SS 7 . S y ti 31 S) 1 Sb� W, u'Ft
Ground
elev. y ss. Z S `m vfy
t oa-a It
Depth to
limiting
fa
Remarks:
T Name : — Please Print Phone:
Arthur L. We erer 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI.54022
Signature: Date: CST Number. .
$
220254
PROPERTYOWNER SOIL DESCRIPTION REPORT Page?- of 3
PARCELI.D.1I
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxiary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
'v6 `-t v- 3 L Z 5 Bed Trench
I g
Z �Z -6 Z 1 D `t 1Z 3� t S t I Z m S�►T loci
Ground 3 �Z_ 9 0 l 0`112 �� 6 S l YA 'Z , 3
elev.
1 09.9 ft. co AJS S
Depth to
limiting `
factor }
Remarks:
Boring #
Ground
elev. ;
ft.
;
Depth to
limiting
factor
I
Remarks:
Boring #
;
Ground I
elev. I
It. I
I
Depth to
limiting
factor.
Remarks:
3oring #
around I
.lev.
It.
)epth to
imiting
actor
Remarks: _
" n !•ir..n ..r .
r
PLOT PLAN Pa 3 of 3
SCALE 1 "= L4p '
��tu99
8.2
Z e
b
b
b� N'� -lol8
3 �.l g*t'drZ
�1r� J
co
6 PCQ . nl
-
Q _ J- S Qrh
_- ec v wry
y `I1ZD�eH; - cel -3'X = =sue'
+•�'t� 1�161� e - f't�f'cc�.t`M _3t_p��tv�C'2 :I�eN J
_ tt MLo? zre43� ►n.e,
x - �
�tur1�,
3
C� - 0—;
W�LI-
Q
coo Lo�� ►fie 2e-s �� 4 g - ZS
zzalsy
c 715 ) 425 —n7 65
CST Signature Date Signed Telephone No. CST #
DOCUMENT NO. WAI:.IANTY DEED • SPACI IIISIRVID r RICOROtNO L \TA
j STATE BAR OF WISCONSIN FORM 2-IM
42648.E 7SOPI:r 552
F REGISTERS OFFICE
Dwayne Thomas Burmood and Marysu^ Burmood,
5T. CROIX Co. WIS.
husban and wife and each in his and her `own
d Recd• for Record IMs 3rd
............. .......... _ ... ....... [tune A.D. 19_
right ...... ...... ... .._. .. _..... _ .. ............................... Y �i : 15 A. 1
_......
conveys and warrants to - David - Michel Langlois and
--- --------- - - --
Kimberly .Sue . Buxmood....... -.... ... .... .... .......... .................... e.+.
. .........•. - -• --
.. ..
.......... ..- ................. ... . - " -. .... ....... -..... ............ ..- - - -_ KTVRN TO
.. ... .... ..... ... .......... .................. ....... ...... .. .... .. .... ..... ...... .. .... ..... ..
....... ..... ... ........... .... ...... .... . ... ..... .........
the following described real estate in ...St - - -- C1:0iX- ...... ..............County,
State of Wisconsin:
Tax Parcel No: ..............................
Lot 1 of that Certified Survey Map recorded in the St. Croix County
Register of Deeds Office, Volume 6, page 1800, on April 22, 1987,
as document number 424794, being a part of and located in the Southwest
Quarter of the Southwest Quarter (SWJ of SW}) of Section 33, Township
28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin.
i!
I
This ...... homestead property.
(is) (is not)
Exception to warranties:
Dated this . _... ... . day of . -..'J `'i _._..- 19.7.
... --- - - - -- - . (SEAL) .��:, c. w . ,.c rl v ._ - c}>.«. ... f t _- ..(SEAL)
Dwayne Thomas Burmood
- .... .. - ....... - ...... - ._ _... _ (SEAL) / i �s ;_ %.,�' " . l.c -t- J_1. Cf LCL ....(SEAL)
_.... ----------- ........ - Marysue Burmood,
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) ---------- - -- -- - --- ---- --- - -- - -- ------- ------- --- - -_-- -- ST 7F WISCONSIN
ss.
e f Vic-- -- -- ------ -- -- -- County.
authenticated this ----- . -day of ---------- ----------------- 19 ...... Personally - e before me this __. -_ -_ .......day of
-1�• --- --- ------- -_ -. -, 19 ........ the above named
•---------- - - - - -- -------------------------------------------------------------- Dway Th as Burmood and
- -- ----- - y- -------- - - - - -_ ` - - -- - -• -- - - - - -- - - -- ------- - - - - --
................... ---- •-- •----- ----- - - - -- - Marysue Burmood
- - - - - - - -- --- - - - - -- ----- - - - - -- ------------- - - - - -- -- -•• - -- -- . - --
TITLE: MEMBER STATE BAR OF WISCONSIN
- ----- ------- -- ---------- --- - - -- --- ------------
not, ................................. -
authorized by § 706.06, Wis. StatsJ s
to me k , pd - wn - to be the person ---- ._ -.- who executed the
foreg g instrument a acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Leo A. Beskar - - - - - -- j - - -
219 North Main Street - -- - -.... -- . - - -- -
Rive- r- F'a -1- ls- ,---W1- --- -54- 02-2-- - -- ------ --------- - - - - - -- Notary Pu lie �� f .. "�e; �'S� - _County, Wis.
(Signatures may be authenticated or acknowledged. Both Hy Com , sslc>aH L A4nt.•(If not, state expiration
are not necessary.) > = ! s )
date: .- ._. . � i- --
(n
•Names of persona signing in any capacity should be typed or printed blow their signatures.. 4••• ........ -
KGM.11ar Co,ry+f� STATE BAR OF WISCONSIN
w F ORM No. 2- InSZ Stock No. 13002
c
424'94
CERTIFIED SURVEY MAP
LOCATED IN THE SW I/4 OFTHE SW I/4 OF SECTION 33, T28N, R19W, TOWN OF
TROY, ST. CROI X COUNTY, WISCONSIN. O WNED BY:
JAMES L. MILLER
RT. 3 BOX 188
RIVER FALLS, WI 54022.
S 1/4 CORNER OF SEC.
x/33, T2 8 N , R 19W. ( COUNTY
v MONUMENT FOUND).
W
v
0= SET I "X 24" IRON PIPE WEIGHING �
NOTE: BEARINGS ARE REFERENCED TO THE 3 1.13 LOS. PER LINEAR FOOT.
SOUTH LINE OF THE SWI /4. ( ORIENTED TO
TRUE NORTH BY SOLAR OBSERVATION /
ACCORDING TO HIGHWAY PLAT.)
UNPLATTED LANDS
............... ..........
N82 W
S 0 0 06 X 39 "E 382. 70' 6.21
3 �
vt
CURVE DATA 1-2 '
It
CENT. ANGLE a 17.16'00" i
y RADIUS = 1004.93' 'A
m 12
ARC a 302.85' f
CHORD BEARING= NO 1. 55'20 "W
i a
O TANGENT BEARINGS IC F ILED
W ATI S73.17'20 "E
W '~ IAPR 2198 (a
AT2 S89.26'40" W .0 W
' "' A#An of 0
14 Grak W u) . I,
Q. i � i
OD
Z;
" L0T
5.37 ACRES
(233,967 S0. FT.)
0: 50' 55'�
W: W
In
0% mobile er '•• a
Q• M home V,
J: 0 _ 3
01 shed N
d : 00 shed r"� M
Z. Z ( (� , J I shed 3 s
3.... O: C
O ro. z
born drive m co
N
I 10 "
H
F 0
APR') CD
s:. J .
�`'.; iLaNr?iNG 50' 55'
AN[) ZONING; COMMI(1kil shed
52.30'
N 0 5 7 46 W 338. 9 5 - I
NO.57'46 "W I e
I W I
�Ar�FsM U N PLATTED LANDS, n
0
Ir "�t3r64 SCALE 1 ° = 100' I ro
S 1(3i?4
SW CORNER OF SEC. 33
SPRING VALLEY 1 m T28N, R19W. ( COUNTY
WIS j `e 0' 50' 100' 200' z MONUMENT FOUND).
SHEET 1 OF 2
87-48 q THIS INSTRUMENT DRAFTED BY
11 iL
Me ZRflO