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Home My WebLink About032-2055-10-100 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner Address City /State Legal Description: Lot Block -- Subdivision/CSM # VV '/, ?JE, Sec. /�, T,3 -R�JW, Town of 5bM�erStk PIN # - d� ` EP TIC �TA INFORMATION: Tank manufacturer zj- k Size ST/P ' ! W/ L -� C� / C)D Setback from: House /� Well Pump manufacturer , Model _ 5 Alarm location (HOLDING TANKS ONLY) Setbacks: Service road o ta ke e Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system3?� ., Width Lange � _ Number of Trenches Setback from: House _ Well N�w /L � Vent to fresh air intake ELEVATIONS Description of benchmark /� y✓ Elevation c) Description of alternate benchmark 4A n- Elevation Building Sewer T/HT Inlet m ot . 2 ST Outlet 2 PC Inlet L2- b 3 PC Bottom Header/Manifold . a V Top of ST/PC Manhole Cover ,.2 Distribution Lines Bottom of System Final Grade () () ( ) Date of installation !9�� Ypermit numVer 31 S - 63 0 1 State plan number Plumber's signat � License number D Date 9 l� � Inspector complete plot plan � Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division ST . CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary315839• Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: p City Villa e Town of: State Plan ID No.: BREAULT, VERN SOMASE'�' CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: cn? l� p a �� 6 �2 - 2055 - la -16o TANK INFORMATION E EVATION DATA A9800228 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. tic I Z&C Benchm r 3.6 f �� (o s. ng Aeration Bldg. Sewer Holding Inlet 41R -1.2 TANK SETBACK INFORMATION 0 Outlet �D E ja 7 TANK TO P/ L WELL BLDG. Air I to ntake ROAD Dt Inlet Air Iov 4- A � I I .--/� NA Dt Bottom ptic 7 osl (�� c f c�o� NA Header / Man. SS68 . Aeration NA Dist. Pipe Holding Bot. System ar., z 94 ,9z S lD PUMP/ SIPHON INFORMATION �H^ 3 Final Grade SFr Manufacturer Demand 9, Model Number 2 1 ,3L5 - GPM TDH Lifi�, " / Friction q4 Systems' TDH fk Ft ead oss Forcemain Length V5 Di a. Z " Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width r Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEAC ING INFORMATION Type O o ` CHAM4E er. System on 4 IZ 60.0 A-4 OR UNIT DISTRIBUTION SYSTEM Header/Man i fold ` Distribution Pipe(s) �/ x Hole Size x Hole Spacing Vent To Air Intake � Length Dia. Length � � 3`C Spacing ( SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Mulched _ Bed /Trench Center Bed /Trench Edges Topsoil Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET 16.30.19,NE,NE 597 160TH AVENUE % .� 1 1rae� jCMwV_5 3 .. bs - � � � �� Au caAM Plan revision required ❑ Yes a` n- Use other side for addi tional infor atlon. SBD -6710 (R.3/97) FIrt A (,� 5 Date Inspector' ignature ert. No. V iscons in SANITARY PERMIT APPLICATION 201E W II�ngAve sion P.O. Box 7969 Department of Commerce In accord with ILHR 83 -05, Wis. Ad m. Code Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County r than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this application State S Itary Permit Number /7 �) sion o c63 The information you provide may be used by other government agency programs �eck it revi previous appli ation [Privacy Law, s. 15.04 (1) (m)]. S9 �L I& n H� 7 S State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Property Owner Name open tion e j� /a 1 /a, S T Q, N, R Property Owner's Ma1 ng Address Lot Number Block Number �^-� e Cit tate I Zip Code (hone Number Subdivision Name or CSM Number II. TYPE F B ILDING k o : BUILDING ❑State Owned !t� j Nearest Roa Vile � J Public 1 or 2 Family Dwelling - No. of bedrooms O Town OF Ill. BUILDING USE: (If building type is public, check all that apply) I F�3rcel Tax Number(s) 1 ❑Apartment/Condo 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. M New 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 12P(Seepage Trench 22 ❑ In- Ground Pressure , f � / ( 42 E] Pit Privy 13 ❑ Seepage Pit (7) 3 )� — 7 '1 43 ❑ Vault Privy 14 ❑ System -In -Fill 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 q. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) q6 , 77 El�,v�tion (fJ 7,5 � t Q Feet 33'' Feet Capacit VII. TANK in Ca gallons Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App. New Exist in strutted Tanks Tanks Septic Tank or Holding Tank x C.c,) t r & -s - Lift Pump Tank /Siphon Chamber Y / ❑ 1 ❑ I ❑ 1 ❑ ❑ Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's me: (Print) 0o r Plumber'sS' a re: (NoStam MP /MPRSW No.: Business Phone Number: Plumber's d G ss (Street, City, State, tip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate I ssued Issuing A rpi at t j , re (No Stamps) Approved ❑Owner Given Initial Surcharge Fee) I Adverse Determination I � X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6396 (A t t/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber PLOT PLAN PROJECT Vern Breaft ADDRESS 440 Oak Ave New Richmond Wi 54017 NE 1/4 NE 1 /4S 16 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX MFRS BYRON BIRD JR. 3318 DATE 6 /19/98 BEDROOM 4 CONVENTIONAL IN -GR D PRESSURE NVENTIONAL LIFT X)4C HOLDING TANK MOUND SEPTIC TANK SIZE 1200 Gallon LIFT TANK SIZE 800 gallon DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .8 ABSORPTION AREA 750 # of chambers 24 BENCHMARK V.R.P. Top of 2" PVC Pipe ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. Same a s Benchmark Vent SYSTEM ELEVATION 96.77 and 95.10 >12" Sidewinder High of Cover Capacity Leaching Chamber with 31.8 16" ft ^2 per chamber Long Grade at System Elevation Alt. B.M. B.M. 34" 160th Ave 38' 50' B -1 19' \42' Vent gent 38' B -2 B -4 43,, 7' 2 34" X 72' Leaching Chambers B -3 37' Split Level Trenches 0 70' B -5 r V Driveway 5 ' Garage Pro 4 Bedroom Hous 20' T T I'AC,1 F PUP "\P CHAMBER CRO55 SEC IOIJ ArJG SPECIFICAT10kJ5 VCFJT CAP WEATHERPROOF APPROVED LOCKMIG ✓ _ _� JLJUCTIO►J BOX MAIJHOLi_ CGVEF. wiNDOw O� .- RESh 12MIU. TT AIR INTAKE GRADE 18" h11A1. COQDUIT 18 ° MIU. \ \�:� ----- --� - -- PROVIDE I - - ---- INLET AIRTIGHT SEAL / _T x A I I II II ALARM 6 77 � I *APPROVED i oIJ JOINTS WITH ELEV. �'� FT APPROVED PIPE __j 3' ONTO PUMP —� ` OFF D SOLID SOIL CONCRETE BLOCK RISER EXIT PERMITTED OWLy IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E 5PECIFICATIOIJ5 DOSE ll TANKS MANUFACTURER: Q UMBER OF DOSES: PER DAy TAIJK SIZE: 2,r) GALLONS DOSE VOLUME ALARM MAULIFACTUR£R; Vrp-,y6, J INCLUDING 6ACKFLOW: GALLONS MODEL ►DUMBER: 19 L_ L/ CAPACITIES: A=c:2 INCHES OR GALLOWS SWITCH TYPE: g = _ INCHES OR /� GALL01J5 PUMP h1ANUFAC.TUR£R: G = INCHES OR /2 V_ CALLOUS MODEL NUMBER: 53 Q� D= INCHES OR v GALLONS SWITCH TYPE: / �`✓/ �/C'�b MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHARGE RATE o� GPM INS TALLED ON SEPARATE CIRCUITS VERTICAL DIFF ERENCE CETW££AI PUMP OFF AND DISTRIBUTION PIPE.. __(t_ FEET +MII�� WORK SU y R O� ES ////:�TT,�: , ET + � FEET OF FORCE MAIN X /' / � /pp FACTOR.. #V-- FEET 9 TOTAL 0 HEAD FEET IMTERAIAL_ DIMEIJSIONL OF TA1JK: LEKIGTH ,;WIDTH ;LIQUID DEPTH 51GUED LICEUSE IJUMBER: s3) DATE:_�LLL_ � HEAD/CAPACITY CURVE EFFLUENT and DEWATERING WARNING; Model 185/4185 should not be subjected to less than 30 feet TDK TOTAL DYNAMIC HEADICAPACITY PER MINUTE sl ss I .�+ $ERIE /) 4 3151 91 137.139 11011110 16111361 1611163 16 L116S 11 M+115 166+166 1 1 91 6b 1!9' ! '. 30 —._.- ___ -•... — R, M. !: Gal. lbs. ;' G.I. Las - :: G.I. >Lbs Cal. La1 G.I. lbl GaI.::Ltril Gal. ltra G.I. Urti. GA. 11n< Gal r Ltn. G+ Ltn G+1. Ltn, G+I. Lrn. 4 ! — S 1.521 16.i 62 21 IN ' 47 167 72 273 53 312 14 3S6 106 1011 61 271 11 271 31 270 1S1 S61 133 L1 1 — 171 2 10 2A6 171 SO 17 It fr 117 61 271 Tf 330 90 311 100 771' 61 711 < It 771! 51 no tU >i60 I IS1 $7 +! 170. 35— 15 : 1.1 13 67 it 7 IS 70 61 l 62 1/ 91 )u 60 777 60 7771 SS 270 ta7 171 I uS 5a1 1 /Q.. — _ -- 20 (.11 l S 1 - 3 It 25 13 36 136 73 276 62 710 59 221 60 227 S1 270 136 IS s' S UI �� 1 -- i3 2Ai- 1 '30 63 731 14 260 37 711 S9 777.: S1 124 ul i1 SJ - 110 $3 '701 63 246 57 ni ` 51 720: 90 uo $4 7103 121 w 1.' 'ZI 170' —� 60 13.1It — 30 111 46 371. 16 112 53 701. IS 763 S6 170 101 317 111 71 -. 171. 11 6 1 - SO 1114 : - 71 60: 33 125 St 111' 51 119 51 i7/ M N1 1x 5 110 60 ti11 —: i 13 51 1 43 111 36 176 $1 770 7 H I: 7 170' 70 21 a/ 30 114 : 10 31 52 117 1 5 113 70 170 191 Io xst u w 3 u m`<: 21 to6 s+ w/ a ui` f0 2t.�1 32 121*.' 2 1'!' 11 too iJO.0 tl U 7t 19 '.1fY: >: ✓ 4 _ 110 72.00' 7 26 i 30 - 111 1 0 120. 36.31: T< �O`J 1]0 MU _ Loch Wlw: 11.1 21' 1915 27 26' u' S6' 66' 17 I7 11 S It' 1'� 37 4 186, 4186 24 1 80 4165 7 5 — — I I I i i i I i 1 163 i -- - - - - L -- I 1 1 �1Csi 1 — 4J I '"% —� - -- 188, 1 40, 4140 4188 137, 4185 6 20— — — 15 4 10— 43 —' 4 5 98 -- 1 61 , 59 4161 10 20 1 30 40 50 60 70 80 �0 t 00 1 10 120 I1 1 40 �� 80 80 160 240 320 400 480 560 J FLOW PER MINUTE Note: For Head Capacity on Model 112, industrial column - explosion pr000f pump, see Fh10219. SANITARY PERMIT APPLICATION Safe w shn Vi sconsin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County 1 than 81/2 x l l inches irtsize. C7 6-1 • See reverse side for instructions for completing this application State San ry Permit NNu�mbberr The information you provide may be used by other government agency programs p Check it revisiofi'E revious application (Privacy Law, s. 15.04 (1) (m)]. .State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner me I"� ropert cation 1/4 1/4, S Tel , N, R E Property Owne , Mailing A dress Lot Number Block Number Cr te Zip Code Phone Number Subdivision Name or CSM Nu ber G l9/Z r / ., 4 �' ' ` r �4 r II. TYPE B ILDI G: (check one) ❑ State Owned ❑ C it y N eaf est Road Public 1 or 2 Family Dwelling - No. of bedrooms * i of �'/t III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ^ 1 ❑ Apartment/ Condo I aJul? 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. *New 2 E, Replacement 3. ❑ Replacement of 4: ❑ Reconnection of 5. E] 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 1 igseepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑Holding Tank 12 Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons P Day I 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade 4w Require ft.) Propo . ft.) (Gals/da /sq. ft.) (Min. /inch) q Elevation s Feet Feet Ca aclt VII. I NFORMATION in ga llons Total # of 's Name Prefab. Fiber- Exper. Manufacturer Con- steel Gallons Tanks Concrete glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank ,� ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ I ❑ I ❑ I ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu 's Name: (Print _ Plum s Ignature: (No Stamps) MP /MPRSW Business Phone Number: �6 PI 's Ac dress (Street, City, S ate, Zip ode): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate issued Is ing Agent Signature (No Stamps) Approved E] Owner Given Initial Surcharge fee) (/ Adverse Determination l 0 X. CONDITIONS OF APPROVAL / REAS NS FOR DISAPPROVAL: if V i SBD -8398 (R.11/96) DISTRIBUTION: Original to County, One copy To: Safety 8 Buildings Division, Owner, plumber 7125W f1 4 - 0 r 34. ' Wisconsin Department of Industry $ OIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY /' .5 -�- %'�- � �r � St. Croix Attach complete site plan on paper not less than 8 1/2 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. 032 - 2055 -10 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIE ED BY D TE 5 �• 4� PROPERTY OWNER: PROPERTY LOCATION Vern Brp t. GOVT. LOT NE 1/4 NE 1/4,S 16 T 30 N,R 19 fc(or) W PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # 440 Oak Ave. na na csm CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE jffOWN 1 160th. AREST ROAD New Richmond, WI. 54017 (715 246 -4693 ere Ave. [x] New Construction Use [x ] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd /ft -8 trench, gpd /ft Absorption area required 643 bed, ft 563 trench, ft Maximum design loading rate • 7 bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) %•77- 95.10 - 94.60- 93.207- ft (as referred to site plan benchmark) Additional design / site considerations step down trench system Parent material pitted Glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ® S El RI S ❑ LI ®S ❑ U ® S El U ® S El [Is 4:1 U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench .................. ................. .................. ................. 1 0 -13 10yr3 /3 none 1 lcsbk mfr gw 2f .4 .5 2 13 -22 10yr4/4 none sil lcsbk mfr gw if .2 .3 Ground 3 22 -40 10yr4 /4 none sicl lcsbk mfr gw na .2 .3 elev. 9 4 40 -82 7.5yr4/4 none is Osg mvfr na na .7 .8 Depth to �, Z limiting factor 1°6 + 82" Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f . .6 2 2 10 -33 10yr4 /4 none sicl lcsbk mfr gw if .2 .3 3 33 -80 7.5yr4/4 none ms Osg mvfr na na .7 .8 Ground elev. ` -- 9 6.5 ft. Depth to � ' ^ � 9F r '•'h limiting factor .. 1 +80 J I Remarks: ��.;/ CST Name: -- Please Print Gary L. Steel Phone: 715- 246 - 6260' Address: 1554 200tk9Ave., New Richmond WI 54017 Signature: Date: 5 -7 -98 CS'I'1rnm er: m02298 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Vern Breault New Richmond, WI 54017 MPRSW -3254 NE4NE4 S16- T30N -R19w (715) 246 -6200 town of Somerset N 1 " =40' BM.= top of 2 pvc pipe 1 - 9 el. 100' Alt. BM.= top of St. croix County Survey marker el. 94.80' 0 pr n D Gary L. Steel 5 -7 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer \f E gm ro T 94,E71 cf �- Mailing Address 5 /0* , y~AW •��lE�s % Gt/ S G S Property Address �- � /W-- � ! (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location NE ' /a, N - '/,, Sec. .30 N -R 1 W, Town of Subdivision Lot # Certified Survey Map # 4,c; T , Volume Z— , Page # • Warranty Deed # .5F () - 7 G , Volume 3 0 Page # S -7 1 Spec house ❑ yes no Lot lines identifiable yes ❑ 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, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 as warranty deed recorded in Register of Deeds Office. / qp 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 conv of the certified survey map if reference is made in the warranty deed r r i 58051 CER'T'IFIED SURVEY MAP LOCATED IN PART OF THE NE f14 OF THE NE 114 OF SECTION 16, T30N, E19W, TOWN OF SOMERSET, ST, CROIX COUNT; WISCONSIN OWNERS ALICE BEER ARNOLD BEt� UNPLATTED LANDS PREPARED FOR 160TH A'V"ENUE VERN BREAULT - - -- - - - ------- ........... 440 OAK AVE. N1/4 COR. NORTH LINE OF THE NE1 /4 N89 6 35'11 ' E NE C O R. NEW R(CHMO Wi SEC. 7 SEC. 16 �_N89 °35' "E 2256.1411 A T 00' NB9 "E 375.63' 2' +1— EXISTING FIELD DRIVE TO BE REMOVED cq LOT I cam uJ c 10.002 ACRES j o Q Q 435,566 SQ, FT. U If?_ $.717 AC. EXC RW ,' �, �; w Or 423,271 SQ. F"T. � Z w Z W wum m I a m: 0 E ll '" w m l t� V z t Q CD 1 o w ¢ cd f/Y m w — ui a � � 0 � � J n � x z�,� b i 4 x C G► rr s 8 a �5 . 11 W Y ..- 375,63' UNPLATTED LANDS LEGEND �. Al I euc►e 11A f ^i WTV CGfl �`ffDAICO I "`