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HomeMy WebLinkAbout042-1007-95-000 § 0 2 ) k . c \ 0 2 � § � Z ] � § � ) 2 � c 2 ; 2 7 $ n � . a \ < 2 . 0 # § % a m § 0 § k : ca k k 7: D 7 7 7 � � � ƒ � § @ 3 # Q /kk $ 0 z c i I ts . { ) ~ � cc £ ~ CL _ a :k 2 k 2 � f 8 � k r k!\ k k k �/ � § a a a j \ 0 1 � k \ � 2 I _ ! � � = 8 \ _ \ ® � : 3 a) �� J ƒ � � ■ � � § / %$ & § _ _ k k r k k k 2§ k § \ i� C-4 / a 5 D k \ § , ■ c© \ S \ L U LU c 2 a - & q & ;2 LO - _ 2 / 2 , A ; a © '' CL» 2 E ( -n o J a 2 v k Parcel #: 042 - 1007 -95 -000 10/11/2006 05:05 PM r PAGE 1 OF 1 Alt. Parcel M 04.29.18.55A 042 - TOWN OF WARREN Current I 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 - WELCH, KENNETH A & JOANN J KENNETH A & JOANN J WELCH 1145 110TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1145 110TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC � ' q � iJ Legal Description: Acres: 20.000 Plat: 3473 -CSM 12/3473 SEC 4 T29N R18W PT SW NW EZ -IE- 1333/387 Block/Condo Bldg: LOT 3 BEING LOT 3 CSM 12/3473 20.00AC EZ -U- 1345/221 EZ -U- 1345/219 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 04- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 05125/2004 763829 2580/636 QC 06/26/1998 581839 /184 WD 07/23/1997 754/1 , _ 2006 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 45,500 212,300 257,800 NO AGRICULTURAL G4 16.000 2,500 0 2,500 NO Totals for 2006: General Property 20.000 48,000 212,300 260,300 Woodland 0.000 0 0 Totals for 2005: General Property 20.000 48,000 212,300 260,300 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch M 118 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT �,,1 Y Owner RECEIVED Property Address i/ y ? /i C f, `" City /State 4 w S> ST CRax 1 COUNty Legal Description: ZONING Lot 4 Block k 4- Subdivision/CSM # ti id . C' S bv' t /a LL ' /a, Sec. �, T,2� N -RIL-W, Town of r'., 'cc t , r , , PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer /1 , ,., .ztc �r, u f Size STIPC i-(oo /scn Setback from: House Well /0 PAL ILL— Pump manufacturer Model Alarm location , r_ t �� ` fL / (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: hY - 01 ! n -,6c Width Length /cl-5 " Number of Trenches Setback from: House lei Well / -�c' ' P/L /c`' , Vent to fresh air intake n ( ) f �- r P ELEVATIONS Description of benchmark -t, , .� `'Z_�'�f C Elevation Description of alternate benchmark t"- / ,, mo 4)) et, Elevatio Y—( /0/. ?91 Building Sewer_ --�5 ;"7 ,5 ST/HT Inlet `/C -= / ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover /(^i 7 ,9 ,C- Z 4 Distribution Lines 0. O / c'' 0 i Cc ( ) Bottom of System Final Grade Date of installation / S/ c %S?ermit number 3 / --S - 9 � State plan number a Plumber's signature � - - - -- License number %` i7)�� Date e / Inspector Complete plot plan 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. 1 \.\ PLAN VIEW ly, ��, Q �p .Y, 7?, Y.0) _ ,,7e 2,0waJ cCo �0 1 1 ,1 Q I H V r 4 . �. o 1 " 1_ s 3 j 3 r 4 32 i l I ' • 1 INDICATE NORTH ARROW I JJ .4 _ _,_..5 . , A" Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count bT . CROIX INSPECTION REPORT GFENERAL INFORMATION (ATTACH TO PERMIT) Sanitali@ff_: Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)). PELCHoIder' N , f G],L �illage E] Town of: State Plan ID No.: W, KEN CST BM Elev.: Insp. BM Elev.: BM Description: Parcel N fie- :1007 - 95 - 000 1 o0 10o 1�t S i:c_. TANK INFORMATION ELEVATION DATA A9800290 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S Ic Z p BB enchm r ,Q /Q $.q Dosing W7 J 6 42– Aeration Bldg. Sewer 7 V9 Tr- dpw Inlet 8 17 TANK SETBACK INFORMATION St/ Ht Outlet - — TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake e is ��0 S�' NA Dt Bottom Dosing /f ( ' NA Header / Man. ration NA Dist. Pipe .S C ,?j Ho m Bot. System PUMP/ SIPHON INFORMATION t/p , Final Grade Manufacturer Gklu Demand Model Number i t fD �• GPM TDH Lift ? Friction Sp System .ZS TDH / /.;)�t Forcemain Length '�?,C> Dia. -*) Dist. To well SOIL ABSORPTION SY BEM I BE / TR idth / / Length ' No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N (� 9� DIMEN ION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Ma �re r . SETBACK CHAMBER INFORMATION Type O System. TT �L' 2,)' / OR UNIT tuber: DISTRIBUTION SYSTEM B jr / 7' 2 Header / M nifold Di , n�b�u�4.n i (s)�♦ n x Hole Size x Uole Spacing Vent To Air Intake Length Dia. Z Yength Dia. / L Spacing �/� e � S SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Syste s my Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil E] Yes E] No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) s �� • - 7 (v S. 7`Z loo /IPO47 ' a.s/ LOCATION: WARREN 04.29.18.55A,SW,NW 1145 110TH STREET 411. 9M 9+, q .5 S�/ G •2? ,SsB w� _ • ��vvrt • / tic �/+G� � � 1 n 5 � �0-CO� . �j Plan revision required. (_J Yes No _ 3 Use other side for additional information. I to h d o i& l I I SBD -6710 (R.3/97) Date Inspecto 's Signature Cert. No , ADDITIONAL COMMENTS AND SKETCH ""` SANITARY PERMIT NUMBER: Pirt 1-ter �faV c.� 1 '^) n� D 10° \1°v Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Cod_ a P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. S • C r ( K • See reverse side for instructions for completing this application State sanitary Permit Number 3159 � The information you provide may be used by other government agency programs ❑ Check if revision to prevtouscation [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location ! 1/4 lVt 1/4, S �,� T 2-Y , N, R /k (orC Property Owner Ma iling Address Qt Number Block Number Lak es kcl c�laac- /1,19 City, State / Zip Code Phone Number Subdivision Name or CSM Number Z G w ro Ain d 1i' f O! 7 ( 713 ) �3;. �y�s<o C5/v II. TYPE OF BUILDING: (check one) ❑ State Owned El Cit Nearest Road ❑ Public 1 or 2 Family Dwelling - No. of bedrooms —3 E] up- OF L-) c� - III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0�Z— I 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. ❑ 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 M Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 41 (;2 ac/6 43 ❑ Vault Privy 14 ❑ System- 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 (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation a _100 I �d Z) v 6,5 A1,4, /o % o Feet 1 0d, 3 Feet Ca acit VII. TANK in cap Total # of r Prefab. Site Fiber- Exper g Manufacturers Name Con- Steel Plastic INFORMATION Gallons Tanks Concrete glass App. New Exist in strutted Tanks Tanks eptic Tank ' / ictrt'<vtz. - AFC ❑ ❑ ❑ I ❑ ❑ Ift Pump Tank Y - — �7If11ek �C��; I Z ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite age system shown on the attached plans. Plumber's Name: (Print) Plumber's na ur : (No St ps) MP Business Phone Number: / .J c_% 9. ° ocim to Plumber's Address (Street, City, State, Zip Cod -:219 f9 - SY . -5 7,5 IX. COUNTY/ DEPA TMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issue Iss t Signature (No Stamps) Approved ❑ Owner Given Initial Z C*1 Surcharge Fee) � [1 .q Adverse Determination w F X. CONDITIONS OF APPROVAL/ REASONS OR DISAPPROVAL: 5epke, IF4Sfem f Ill SRD -6398 (R. 05/94) DISTRIBUTION: original t,) County, One copy To: Safety & Ruildings Div, ion, Owner, Plumber. Safety and Buildings 9 2226 ROSE ST LA CROSSE WI 54603 -1905 i sconsin Tommy G. Thompson, Governor Departm of Com William J. McCoshen, Secretary May 21, 1998 CUST ID No.260751 ATTN: POWTS INSPECTOR BOWMAN PLUMBING INC 2819 KNAPP ST MENOMONIE WI 54751 RE: CONDITIONAL APPROVAL Transaction ID No. 78365 APPROVAL EXPIRES: 05/21/2000 SITE: Site ID: 7165 St Croix County, Town of Warren SWIA, NW1 /4, S4, T29N, R18W KEN WELCH FOR: Description: AT -GRADE Object Type: POWT System Regulated Object ID No.: 17543 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the Wisconsin At -Grade Soil Absorption System Manual (Pub. 15.21). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwaters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. 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. BOWMAN PLUMBING INC Page 2 5/21/98 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. When making an inquiry or submitting additional information, please refer to Transaction ID No. in the regarding line. Sincerely, DATE RECEIVED 05/18/1998 FEE REQUIRED $ 180.00 GERARD M SWIM, POWTS PLAN REVIEWER FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (608)785-9348, MON - FRI, 7:15 AM - 4:00 PM JS WIM @COMMERCE. STATE. WI.US P.O.W.T.S. conditionally A, D Piznvrn RROJBCT NAME Rolf & Welch C 'G OWNER Ken Welch ADDRESS 1164 Three Lakes Road New Richmond, WI 54017 LEGAL DESCRIPTION SW,NW,4,29,18W TOWNSHIP Warren COUNTY St. Croix PARCEL ID NUMBER 4 2- 1007 -95 � � PLAN ID NUMBER #78365 L INDEX SHEET PAGE ONE AT -GRADE CALCULATION PAGE TWO AT -GRADE DISTRIBUTION PAGE THREE PLAN VIEW & CROSS SECTION PAGE FOUR LATERAL TOP VIEW PAGE FIVE MANIFOLD TOP VIEW PAGE SIX PUMP TANK CROSS SECTION PAGE SEVEN PUMP INFORMATION PAGE EIGHT SITE PLAN PAGE NINE ONSITE REPORT PAGE TEN APPLICATION FORM PAGE ELEVEN SOIL TEST (a,b&c 6f 12) PAGE TWELVE FEIGNER 3 �1 o-- LICENSE NUMBER SICNATURE � PHONE NUMBM C 1 �� -a S s - Li 3 y DATE page 1 of 12 r ""COM�SER� 1NGS�, p �pPR�MEN T jY p�D 8 VIS10NaF S /� E CO ENGE SE AT -GRADE SYSTEM CALCULATION WORKSHEET 793 6� Owner's Name: 5( �/� I/V��c� Parcel Tax Number: y 2 /007 - - T Legal Description: �k, �k, S�, T Z7 C N, R 6 or 0 Lot Number: Al.n. _, Block Number Al 4., Subdivision /CSM Name: A14 Town of: U,( aR/1Eh if S`• C /e oI X County, Wisconsin At -grade Structure 1. - 5,_5 inches. Limiting Factor Depth 2. `j percent. Land Slope 600 gal /day. Daily Design Flow Rate (DDFR) J f De sig n Loading Rate DLR lU• J � gal/ 2 t /day. De g g ( ) - ac tied ,, G 00 la►zE a C h 2 ° + a 5. /a?o O feet2. (00O Effective Absorption Area (EAA). DDFR = 5 A x B /Z d� D� 6. feet. Effective Absorption Width (EAW) = A, 7. 95.. feet. EAA _ Effective Absorption Length (EAL) = B = `� " EAW � ? /t' L�� 8. DDFR gal /ft. Design Linear Loading Rate (DLLR) = EAL t_ 9. A , feet. 8 Total Aggregate Width = A +'C 10. feet. Finished Width (W) = A + C* + D + E ** 11. Z 06 feet. Finished Length (L) = 2(I) + B 12. 8,3 feet. Finished Height (H) = F + G 13. 'S; feet. 1/6 B ) Observation Well Locations 14. 7.$ feet. 1/2 B ) 15. 0�liY� ��r2YY) Texture of Soil Cap Material. Notes: * C is 0 if the slope is 0%, otherwise C is 2 ft. ** On level sites, substitute another D for E. F Page 2 of 'Z, We c At -grade System 7 8 3 (0 5 Press Distribution Network Design 16. Distributior,Lateral Sizing. °% 6�_ If I „ inch Hole Size r >a 1 1 �� �� A neh- 4 2 Hole Spacing feet. Lateral Length q ,, C9ra�a� \ a-�•. 1590 �S.Z( inch(es). Vy Lateral Diameter V feet. Lateral Spacing z /0/10 feet. 0(� Lateral-invert Elevation Coon k -, ter tioa5 17. Distribution Pipe Discharge Rate. PIaA°- 1 h� P_ T dam^ Number of Holes xr Lateral Ih @ r6dtt gpm.. ow Rate per Lat 2 Z Total Number of Laterals 0 g gpm. Total System Flow Rate U 18. Manifold Sizing.. Manifold Type (center or end) feet. Manifold Length * * If only a tee fitting is used as the manifold, the manifold inch(es). Manifold Diameter * length and diameter may be reported.as not applicable (NA). 19. Forcemain. inch(es). Forcemain Diameter feet. Forcemain Length z: gpm., Minimum Dosing Rate (system flow rate) /b ,8 gallons. Forcemain Liquid Capacity 20 Total Dynamic : Head.,(TDH) Calculation System Head _ 2.50 feet Vertical' Lift = /Z. feet Friction Loss = /,$0 feet TDH = feet Page of !a . 5` B = qs ' 5� F F r. 6� ! '52 W 5' I/6 B 1/6 B 1 1/2 B =95' Q5 S31 r w 3a' Distribution 3 u s rvation Well Lateral xa rl 12 "t Cover b� 2 11 ' q 4 ?5' A =6' �2' CS9 A =6' r2' >5' V� = 3Z',, 8 Plan View and Cross Section of a Wisconsin At -grade Unit with Two Absorption Areas With in a Single Unit on a Sloping Site • u La _ N `^ O o- 7 w i r a n L p r cr I � iO 1 Cl o f C y X83 (o5 V , 15--lo ` 2 2 rook �c�k Si � 'f2�-t�4/ V I E ll i �I` Page Of COMBINATION SEPTIC TANK /PUMP CHAMBER (No Scale) 4 CI Vent Pipe with Approved Locking Manhole Cover Approved Cap, +25' With Warning Label Attached From Buildings Weatherproof Approved i _ Warning Label Junction Box Vent Cap - - -� 12" Minimum 6" Mini m Final Grade t 4 Minimum 6" Maximum 4" C.I. Quick 18" Minimum Insp. Pipe :___ Disconnect t 1/4" Weep Hole Baffles n 1 - 1 Approved Joint w /C.I. Pipe ; A Extending 3' 1 Alarm B Approved Joint Onto Solid Soil On 6; w /C.I. Pipe C Extending 3' Onto Solid Soil Off 6' D Conc. Block -2 no aQ 22 3" of Bedding Under Tank -� Note: Pump and Alarm Are On Separate Circuits Number of Doses:J-Per Day Gallons Per Day /# of Doses: 1 50.6 Gallons Volume of Backflow: ....... + &. 82 Gallons Tank Manufacturer Total Dose Volume: ........ = 2lf ;.Gallons Tank Size - Septic /Pump: so o G allons Alarm Manufacturer: Model Number: s _ 'T Capacities: A 2,S inches or v 3.65Gal l ons Switch Type: M cRCuaU + B 2 inches or Z.�L Gallons Pump Manufacturer: iu-e + C inches or �a ?. 7 Gallons Model Number: i 3s f-- 0 + D -- _6__ l nches or L2 . 2o Gallons Minimum Discharge Rate: 57 3 GPM Total ..... = 38.5 i nches or 21, Gallons Vertical Difference Between Pump Off and Distribution Pipe: Feet - 0.7 70 gin Minimum Required Supply Pressure:.......................... 3,as Feet iG 8 Feet of Force Main x o •q I Fri cti on Factor /100 Feet: + / , 5 f =eet 3 Inch Diameter Force Main Total Dynamic Head: ... = /6,z7 -Feet Sternal Tank Dimensions: Length 12 Width I V ; Liquid Depth 38 L f SSE/BEF SERIES CAPACITY (U.S. CALLONS /MIN.) TOTAL HEAD PUMP 71,57d BEF B SSE B E SSE E �r 40 60 50 76 100 200 a O 1115 135. 155 180 216 — 84 105 115 150 '185 230 COY -� 20 43 68 85 120 150 210 i 25 — 28 = 65 117 175 30 76 145 9 ! 35 — — — — — 110 t ,oa i y 40 — — — — — 80 i s. MODEL BSE MODEL BEF ELECTRICAL CHARACTERISTICS Shipping Wt. l BEF -40 .4 HP-115V 60 hz 59 lbs. � BEF -60 .8 HP -115V 60 hz 50 lbs. BSE -50 % HP -115V 60 hz 103 lbs. BSE•75 3 /4 HP -230V 60 hz 105 lbs. B$E -100 1 HP -230V 60*hz 107 lbs. BSE -200 2 HP -230V 60 hz -' lbs. PERFORMANCE CURVE MODEL BEF 'PERFORMANCE CURVE MODEL BSE KNFORMANCE OUTSIDE THE LIMIT UNES 19 NOT REMMMENOEO PERFORMANCE OUTSIDE TILE UMrr LINES IS NOT RECOMMEMOEO 60 c u . M � rr % W71 W BaX •S' LIMIT 40% � 3% 40 es (v 741` Ta W I 60% 1s r°% % m E sox. AM 10 uMtr LIMIT 10 s' � ( o 0 0 so too 1 60 200 250 200 O 20 40 60 1 60 100 120 140 160 CAPACITY—U.S. GALLONS PER MINUTE P.AWITY_9.2. 4AUS9 PK4 MIIIUT+Q •--------------- ----------------------------------------------------------------------------------- JUIV 01 '94 08 :56AM S.D. MCCULLOUGH IZ Bowman Plumbing, Inc. 0 C Master Plumber No. 5875 x o N 6- o 6 2819 Knapp Street 9 Menomonie, WI 54751 p (715) 235 -4634 FAX (715) 235 -3650 0 �c C 4 U � IG I n n H r c � d 11aI 1° e a w m°° 0 0 o C U, - ct o - o o w 0 'd & o � o ct H - rn � ( ct H. ct p� G � O r- �t So� c O ( ¢ 111 ¢+ c - (D W ct �t ( 9 a SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 isconsin Department of Commerce Tommy G Thompson, Governor William J. McCoshen, Secretary At -Grade System onsite Verification Report Are the soil and landscape features accurately reported on the Soil and Site Evaluation Form X yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? County Offici Signature Date W 1 /4 2 a rre r , Property Location T SI -Cro /X CO(in i 0j .Swngir IL 0 U 'I C' eo 1:� , 6 Landowners Name SBD- 10513(N.11/96) SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 63707 State of Wisconsin Department of Industry, Labor and I-Iuinan Relations APPLICATION FOR THE USE OF AN AT -GRADE SYSTEM 1/4 NW 1/ 4 S e c t.i4 —LAB 18 F (or) W Warren Location Towns hipXKiKXKTPCMq Unknown 115t Ave. __ N•A• St. Croix Street Address Subdivision County Ken Welch, 1164 Three La kes Rd., New Richmond, WI 5 4017 Landowner's Name Mailing Address I, the undersigned landowner, make application for an at -grade private sewage. system for the above described premises. If approval is granted, I agree to have the system constructed in conformance with the plans and specifications approved by the Department of Industry, Labor and Human Relations ( DILHR). I understand that an at -grade system is an experimental private sewage system and, as such, will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit county officials charged with administering county sanitary ordinances and DILHR employees, or other authorized persons such as the system designer to have access to the above described premises at any reasonable time for the purpose of inspecting the at -grade system during construction or monitoring of the system. I understand that this application does not permit me or my plumber to begin construction. (If the system is approved, DILHR will send the submitting party a letter of approval which authorizes construction of the system after all necessary permits have been obtained.) I agree to give notice to any subsequent landowner that an application for an at -grade system has been made and, if the at -grade system installation is completed, that the premises are served by an at -grade system. In addition, I agree to give the buyer a copy of this application form. I will also advise the subsequent buyer that the buyer assumes all responsibilities stated on the approved plans and in this document. S gnature of Landowner Date (Valid only if notarized) STATE OF WISCONSIN Subscribed and sworn to before me this COUNTY OF St. Croix (D t :) 9 Notary Public, State of Wisconsin 855WPPO My Commission Expires: SBD- 8766(R.01/94) WPCR MAY 1994 LAURIE A. MILLER Nohry Pub"tMe of Wbeoneln (ogt 1l of 1.7- �tvisionotS.bq aBulbi�gs in aemrd with ILHR 83.03, Ws. AdM. COa19 CO Attach complete site plan on paper not less than 6 1/2 x 11 inches in size. Plan must include, but St. ceoix nvt NW404 to vertical and horizontal reference point (BM), direction and %at slope, "s or C ID, r dimensioned, north arrow, and location and dstenoe to nearest road. Z -106 APPLICANT INFORMATION- PLEASE PAINT ALL INFORMATION REV IEWED BY ,DATE PROPERTY OWNER V' PROPERTY Louie OCH ie Rolf � 00VT, Lot 4 :NW 1/4.S 4 T 29 ,N,A 18 >cda) W PROPERTY OWNIEFi 4 MAILING ADDAESS 4 4 LOT a BLOCK 9 SUM NAME OR CSM 1499 115th. Ave. na I na ca CITY, STATE ZIP CODE PHONE NU []VILLAGE N N New Richmond, Wt. 54017 (713 246- J AUMIL 115th_ Ave_ Pq New Cotrehmoon Uss pr: ) Residential / Number of bedrooms 4 i 1 AdMon 10 exis*?g building I 1 ROplacemern 1 1 Public or eoinm=al desaibe Code derived d* haw 600 gpd Recommended Mir bad" raw A , _t>ed g4 gpW Ab$orpdan area MqL *w 500 bed tt2 500 trench, 0 Maximum design bading tats .4 bed, gN1ft , 5._,., - trenM gpd* Rec m wiled IMI tttaian suit t:tWVa m(s) 101.25 ft (as refelTed t0 site plan benchmark) Addt(onatdeso / aft coasiderahm system _el. based on contn»* i in - of &I ,, 1 00- 75 ' Parent malerlal pitted glacial ck ift F100d plain elevation, if applicable na ti S = Suitable tar system W 3 ® Q O I ROI�NO PAESSUft AT•G W SYSTHYI IN FILL ►[]D ING TANK U: Uttstfl!t for $15 ❑ U ®S ❑ U ®S 13" as Qi U U 5 IRU SOIL OSSCRIPTIOW REPORT Boring Horizon Depth 0ominantColor Mottles Texture Strucmure I c4milswce swcwy Roots OP0 /f in. tulunaell CAI. SzCOM Color Or. Sz. Sh. gad 1 0-12 10yr4/3 none 1 2msbk mfr ce 2f 2 12 -27 10yr4/4 none sicl 2msbk mfr gw If .4 -5 c� �. t>Murd 3 27 -46 5yr4/4 now sl lcak mfi gw na .4 .5 ' t;Ietr• 4 46 -60 7.5yr4/6 now of s lcsbk mvfr gw na .4 .5 100.95 f1 Depth to 5 60-84 7.5yr4/6 none a /SCI lcsbk taf i na na .2 .3 fimiting tam +'84" Remarks: 13afirty g 1 0 -10 10yr4/3 tone sl 2mgr 2fr 9w 2f .5 = .6 2 10-43 7,5yr5/4 none S1 lesblc mfr yw if .4 .5 3 45-55 5yr4 /4 none sl M na v na .3 i.4 Ground dev. 4 55 -75 7.5yr5/4 rMe scl M t>m na na .2 1 OePOh b �^g factor 55" Remarks: rMdyw T Nramc — Pktae Pdric L. Steel em Phc 715 1554 20016. New Wt 1 ° D V 4- 15• -98 CSrNumtxr. =02298 Tnnftfi T&%7" TTT�% .•T.,♦ es.. nnn nTr �c n� ,. 4. �_. _ commymben Louis Rolf SOIL DE5UhW i 1urr rntrv►a a rays 1 v 3 :ACt3lQ It 042 -IoC 7-54 Depth Dominant Color motors Texture T Structure ConsistenceBarclay y Roots, Trent DM arirg 0 Horizon in. Munssll Ccs St.0; t Color Gr.SxBed 1 0-10 10yr4/3 _ none 1 , 2msbk , mfr 1 rs 7f _5 ..5 •.'` 2 ' 10-29 7.5yr4/4 none scl 2msbk mfr yw if .4 1.5 I 3 29-52 7.5yr4/4 none ' sl lcsbk mvfr yw na .4.round 1.5 vir. 55 IL 4 52-59 7.5yr4/4 none W. M no gsr na .3 r.4 to 5 59-80 5yr4/4 c2p 7.5yr5/8• sl lcsbk mf z na na .4 1.5 lipth dor 52" - - 4 . Remarks: --•� r r tiring# 3 ! -- . ' . . _, . .. ______. ,. ____ _ .... . __ _ ____. . . . .. , __ , . . . . out>d AK ' 10 . -- 1 ! I .fling . —r 'Remarks: R 3oring# - . 1- T I • 7 i - - . - 'eA+, . r -- —ti Gmun4 ►——..-- V --- —► *v. tt . _ t - . DePth a _ , T .r. i. I ,__,. , Remarks: 3oring# �r T s -. ..__, Ground elev. ft. -- - -1 DePth ro -- - .. 1 limiting factor — v Remarks: ` D i Z b ere-It. cool .LSE'a .1 ID KL.MS. ar-rr oar err Otis Pf- . _ ST'EEL'S SOIL. SERVICE Gary L Steel 1554 200th Avis. CSTM2298 Louis Rolf New Richmond, WI 54017 MPRSW -3254 NWW4 S4- TM-48W warren town o (715) 246 -6200 of 1 "-40 HM•= top of SE lot stake LF el. 100' Alt. BM-= trail in Bmmlder tree pi. 98.55 Iz- X 90 0 1Air )0 � l n � V ^n � n • Gary L. tool 4 -15 -98 zoom TfSVq XT T"1 VTUT Q•rTT non nTA emr na•w� ..... Wisconsin Department of Industry SOIL 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 Attach complete site plan on paper not less than 8 1/ 11_ inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference `t,(3fv!) „direbtioti and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location an t rlaeto nearest road. 00 l`'S APPLICANT INFORMATION - PLE `E 4IN AA ORMATION R E D_ Y D TE PROPERTY OWNER: FF PROPERTY LOCATION r r Louis Rolf 7 A ,T s GOVT. LOT SY4 / NW 1/4,S 4 T 29 N,R 18 )5�or) W i PROPERTY OWNERS MAILING ADDRES� LOT # BLOCK # SUBD. NAME OR CSM # 1099 115th. Ave. �: na na csm CITY, STATE ZIP WID PI�fQN�t ❑CITY [-]VILLAGE SOWN NEAREST ROAD New Richmond, WI. 54017' (715 2467,54�4/ Warren [x] New Construction Use P ] Residential Num .o1bP.dr6oms 4 ( J Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd /ft . 5_ trench, gpd /ft Absorption area required 500 bed, ft2 500 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd/ft Recommended infiltration surface elevation(s) 101.25 ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour lima of Q1 . 100-95 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 EIS O U I ❑ S ❑ U I LK7 S❑ U ® S ❑ U EIS ❑ S Q U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouinday Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmr& 1 0 -12 10yr4 /3 none 1 2msbk mfr cs 2f .5 .6 2 12 -27 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 27 -46 5yr4/4 none sl lcsbfc mfi gw na .4 .5 e lev. 100 5 ft. 4 46 -60 7.5yr4/6 none of s icsbk mvfr gw na .4 .5 Depth to 5 60 -84 7.5yr4/6 none fs /scl lcsbk mfi na na .2 ':.3 limiting factor +84” Remarks: Boring # i 0 -10 10 r4/3 none sl 2m~ r mfr gw _t 2 _ 2 10 -45 7.5 y r5/4 none sl lcsbk mfr gw if .4 ;.5 3 45 -55 5yr4/4 none sl M na gw na .3 .4 Ground elev. 4 55 -75 7.5yr5/4 none scl M na na na ri p j.2 1 Depth to limiting factor 55" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. AYE, New Richm9nid, WI 54001 Signature: Date: 4 -15 -98 CST Number: mO2298 PROPERTY OWNER Louis Rolf SOIL DES(lP1II I ion rimrurr i rayo 1 u. ' 3 PARCEL I.D.# )#Z —ZOO 7 93 Boring# Horizon Depth Dominant Color Mottles Texture Structure GPD/ft2 Consistence Boundary Roots in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench 1 0-10 10yr4/3 none 1 2msbk mfr _ c-s _ 2f , ,5 .6 2 10-29 7.5yr4/4 none scl 2msbk mfr yw l f .4 .5 Ground 3 29-52 7.5yr4/4 none sl lcsbk mvfr yw na .4 .5 elev. 4 52-59 7.5yr4/4 none sl M na gw na .3 .4 99.55 ft. Depth to 5 59-80 5yr4/4 c2p 7.5yr5/8 sl Icsbk mfi na na .4 .5 limiting factor 52" Remarks: Boring# .................. Ground elev. ft. Depth to limiting factor Remarks: Boring # .................. ................. .................. ................. Ground elev. ft. Depth to limiting factor Remarks: Boring # .................. ................. .................. ................. .................. ................. .................. Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Louis Rolf CSTM2298 New Richmond, WI 54017 MPRSW -3254 5Vj 4NW4 S4- T29N -R18W (715) 246 -6200 town of Warren N 1 =40' BM.= top of SE lot stake @ el. 100' Alt. BM.= nail in Boxelder tree C el. 98.55T `oo �O E %A Ati— IV die ✓' � �1('� J-0 L w� Gary L. Steel 4 -15 -98 SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7969 s � Madison, Wisconsin 53707 isconsin Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary At -Grade System 4ns i to Verificati Report Are the soil and landscape features accurately reported on the Soil and Site Evaluation Form yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? vl zq County Offici Signature Date I l cl D.� ba N W Sew . 72g hl- t2 7h ( t�/at -rte Property Location i -O-C 'O %X i 04scOnor, �-d o 1 SyD 1 7 Landowners Name SBD- 10513(N.11/96) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Louis Rolf New Richmond, WI 54017 MPRSW -3254 NWaNWa S4- T29N -R18W - (715) 246 -6200 town of Warren N 1 " =40' BM.= top of SE lot stake @ el. 100 ' Alt. BM.= nail in Boxelder tree C el. 98.55T L 5 1 0 IV Ir �E LIW' l of •35 ,,.,.- �,1 Q� Gary L. Steel 4 -15 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �7) 14h n i),) 2 lC h Mailing Address y Loj (. S new R(( 6 6n d W Property Address Lis" l (Verification required from Planning Department for new construction) City/State O f .W R kc kV1/16Y1 d Parcel Identification Number 04a I DD1 AS LEGAL DESCRIPTION Property Location SSW � ' /4, VLI,/ %4, Sec. 14, T� �N -RAW, Town of W Q YVe(�_ a Subdivision Lot # 3 Certified Survey Map # 5 (p S , Volume o� , Page # '3Y Warranty Deed # 1'6 , Volume 3 3 5 , Page # 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, 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. l ,2ql SIGN 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. & C h 14 48 SIGN RE 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 VO 133, 5 P % il S 4 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. Louis T. Rolf and Jenny Lee Rolf, as his wife and in her own right REGISTtWS OMCE ST. CROIX CO., W conveys and warrants to Kenneth A. Welch and JoAnn J. Welch, JUN 2 6 1998 husband and wife, as survivorship marital property 9 :15' A R@ later of paed THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St. Croix County, State of Wisconsin: ICI 042-1007-95 PARCEL IDENTIFICATION NUMBER That part of SW1/4NW1/4 and SE1 /4NW1/4, Sec. 4-T29N-R18W described as follows: Lot 3 of Certified Survey Map recorded in Vol. 12 of Certified Survey maps, page 3473 as Doc. No.. 581657. t a!'FER This is not homestead property. X(kk (is not) Exception to warranties: Existing highways, easements and rights of way of record. AD., 19 Dated this q A. D., of June 98 (SEAL) (SEAL) is T. Rolf (SEAL) (SEAL) 4 � / Tpnn V /4 P R I f V AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. County authenticated this day of 19 Personally came before me this ^ ^ day of V1 C V r a z T.29N. - R.18W WARREN W �- 4,� E Ken•Garinc See age 46 76 Richard Robert Gerald & Connie Ol C•a c r G•.•,+.'� "` w. L. omL MA' 79,01 .Q CIA e A. U. Hopkins Mueller 73 cwr etal 67.78 Derrick John E M Game 274 Mickelson unlimited St of WI W Three w 6 uls ¢¢ 155 Vernon Hunting Club DNR Lakes a 7 & 219.28 3 S .+ cac c� Nelson 120 317 Inc 209. 1 ' ' Mmonal 160 t5227 olE '" Thomas 152.18 240 o M• y E u crn1 yl o Aus�. , 27.15 Maloney g Am+k'• Peter ta0 73 1 ` _ Fink R 54 Iona a A11.n Donald 'i 287.4 10 Dolores t'.36.6r r ' < ad- Greenfield It uar Dale & Virgins 260 g CD+^ > e 9 Frederick David lelr & Cynthia Kenneth & Ronald Thomas ,ra + H irnblyd Land „ Y 4 lt, Pamela Herink Meyer 85 Metal ey Wesley & Ma RHK Farms Inc C, .d., 61.52 C radon & 1 60.13 ea area pmderick 11.Mtl6a• 7728 7129 panda )ohn &Anne Iw"n. 203 160 80 1 a _ Classing Kurkowski 167.54 200 u1Ar Burl 158.48 . 80 t32.38 a a Van Beek Kenneth 470 5 Robert _ o Donald & ,` ,. i Gordon Rusmar 150 Frederick ,, ,Y 160 160 S 8 ' 4o Raymond & Doris Erie Truesdill Farms 6rAMn 7' PatriciaSellsid Inc 160 : Hammon ,+"d, 152 151.9 ' aa. Writer 5 i 195 2 ' 14536 M +7 a "ta+,ow1. � °YV Ncchville 78.4 d 1 as war.. 7• �„ p M,Kann. s0 m Tr 15.76 2 60 z c� "" Eu ene St Croix Valley a 7es Kenneth 3 160 168.3 N Henry e g 335.8 Girl Scout FaaD & _ v B0 & 13 a w.5 arnann Gorge ramda = �rP David Viola cuss. Camp Inc & Mary He �' Dean 6r FJ br Delores Farina 232 1811114,11 1811114,11 6636 Bloom 1 „ , de. Tepe Schulte Inc 1 Diane Helen e tl 150' Jennifer a L Newel Trust McKenna - Lamson George Mueller 72.9< o0 Camille _ k 118.5 114-97 97 78.16 °A ' ■" . 5 1 .3 Holden 33EE loan BO a Bloom 160 2� n '' _ � •r 12 00 c Beown Duane Hall j6c 343.16 n.» �' , r ae 10 Bala W Iran to t47.S7 D so Trustee 10 wM & lone 12 w .a Country ""' "' � ROBERTS 7 o.. � Rode 6Y0v' 9 11 B A ". Eu ene ' 9 Elevator Inc 160 s Jenmkr iUer 79.95 KW �3 149.8 Bergh Earl 139.04 Mueller rn wa1 _ . pas D a ryl r Pechuman mr.a as Ci& & 53 3 e:. ggg 8 ration Dorothy i $ 727 HumbirdLand Corpo Jora e ;dw 115.5 Gillis 163 sonnenta Fam R Farms lttr: Badlands Archie '•�` a Gardiner y t7ci Golf Ltd 21.88 p Graham 762 232.36 Guy Wilbur Ruben &Sand,+ Denucci 121.88 Mark Hamlin 160 67.26 Albdght Corporation 107.8 Bea 112.48 77.4 Laos 166.22 i . 91.13 a u tcru"n sac �,'"' 7v.52 James 128.96 Gran &Gary 18.6 rS 77.1 a ww, a w �r K c°°'g° dr Ruth Royer sT 4 n f, Mary Ho Hackef Gry4 -Y- ^ t. on.lda F Archie John Wayne dr t'y y Q' ConI a Marlene au Makr E^ „ slurv" David punucel Peaks Miller Y2 gloom Wells GO sue na a S.w,n & Carol BS 310 Merle 160 •" Julie & Peggy , 6725 coyer 7 69.8 99 J enertz Phillip pgburn 44.t Donald 5uwan C 1 I tot• Hamlin pane etal as R - 1. B 0 Haw ... 98 32 190 & 110 s� G 240 ' r Craig & Earl t1 � H � � Jamn Sherri Darrell 1, schwaie . 110 parnAa # .a t 6 ►�^'°" ^ Diane Pechuman Gregory p 6 k so Zak^ a 48 Darlene ' 86.43 70.22 Smith & Gloria ••: so 7s Andaman 80 "'° a S 7 153.5 Anderson Go p ; o r�e 61 � Aaa 1 1 Froderick 72'7 knr ( 160. Mark g Hudson f w"'wi Ourane Tr t w d '� ' 4 a i Le ru' a � Road 6 c.`"+W a Sonnentag Clara 115.88 sawn � Srs 39.73 1 3a C aan.Mrrdwar t Pb 87 'Family Ltd Peska, 231.92 Dorwes 1m ! t +D4kae rd.Wdrr � a'ee.• ",ro 1z area ns3 Prtnshp Farms Int � 6 G unrva 94 2222 aa „ Glen Wiese 115.48 160 114.26 6 `►x. ^ • ras ur Margaret Lenertz Land & 237.98 nY a 1 _ z L =1 n - 101.33 1 10.23 �---,. mean Sr IT + S 101.55 1'40 acres Cq� N,nrp 2 ulx COU CERTIFIED SURVEY MAP .. • � FFI I ' D ST D114N PART OF THE SW1 /4 OF THE NW1 /4 AND ° N� 1RT' OF THE SE1 /4 OF THE NW1 /4, ALL IN SECTION 4, W bui N, R18W, TOWN OF WARREN, ST. 'CROIX COUNTY, WISCONSIN. Lj z° U N P LA_ T_T_E__D__ LANDS _ OWNER W -j - - - - -- - LOUIE ROLF wv� 1099 115TH AVENUE X�H NORTH LINE OF THE S1/2 OF THE NWl /4 NEW RICHMNOND, WI 54017 W '' ¢ N 89'45' 04 "W ' 7-- Lo I Q Nf U 0� M LL) w 1 I \�. ' I CL� QG- 1' IRON PIPE FOUND I - - - _ _ 1.15', WESTERLY - - '- FROM LOT LINE I 00 . V, I (n I L o N z I C-4 in: Z� M _ j i 0_ LOT 3 Z i W o i 3 > 20.000 ACRES = I d- Fes - �i N y 87LI96 SO. FT. I to Q 0 1 0) = 1 ~ v I. a" >I O o y O Z I -- - - - - -- � N WI W =I H w Z � i LL. I LL. J C I a �I W I Ui w I w I 3 1' IRON PIPE FOUND I W1 /4 CORNER S89'3, SET CORNNEE R El /4 CORNER SECTION 4 FROM SET C i SECTION 4 S89 1'06 "E S89'51'06 "E 667.17' S89.51�'06"E —B 664.46' 66' ROAD EASEMENT IN VOL._, PG.___ 3977.02' —Li— EAST - WEST 1/4 LINE OF SECTION 4 UNPLATTED LANDS --------------------- SURVEYOR'S CSRTIFICATB I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Louie Rolf, I have surveyed, divided and mapped a part of the SW1 /4 of the NW1 /4 and part of the SE1 /4 of the NW1 /4, all in Section 4, T29N, R18W, Town of Warren, St. Croix County, Wisconsin; described as follows: Commencing at the West quarter corner of said Section 4; thence S89 "E, along the east - west 1/4 line of said section, 664.46 to the SW corner of the E1 /2 of the SW1 /4 of the NW1 /4 of said section and the point of beginning thence continuing S89 "E, along said east - west 1/4 line, 667.17 feet; thence N01 "E, 1308.02 feet; thence N89 0 45 1 04 "W, along the north line of the S1/2 of the NW1 /4 of said section, 664.69 feet; thence S01 "W, along the west line of the E1 /2 of the SW1 /4 of the NW1 /4,, 1309.25 feet "to the point of beginning Above described parcel contains 20.000 acres or 871,196 Sq. Ft. and is subject to all easements, restrictions and covenants of record. I also certify that this Certified Survey Map is a correctly dimensioned representation to scale of the exterior boundary surveyed and described; that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix and the Town of Warren in surveying and mapping same. W1 ,9 Douglas J. Zahler �: vol'G'us `� Registered Land Surveyor S & N Land Surveying 212 Walnut St. F!t!0 Hudson, WI 54016 �? yV1'0-. qJ Each parcel shown on this map (plat) is 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 Town of Warren for advice. �8165?� CERTIFIED SURVEY MAP LOCATED IN PART OF THE SVIA OF THE NVI /4 AND PART OF THE SETA OF THE NV1 14 ALL IN SECTIjN 4 i 7i " T29K R18W, TOWN OF WARREN, ST. CR61X COUNTY, VI CCtfSIN, 4+� UNPLATTED LANDS OWNER LOUIE OLF I NORTH LINE OF THE Sl /2 OF THE NWl /4 NEWjCNMNOND, V l 5037 N� _4.4'+/- N89 "W 664.6 ' a RA a1W� g 1' IRON PIPE FOUND I 1 WESTERLY p — __- _- -_ —_-- FROM LOT LINE , z a LOT 3 z ,W C� sl7' N H 8 7� E FT. LO J! D i M o k PF20v to ZI vi If riot I+•urded U i VAN" X o•it w appsr�l �+• shop be 1' IRON PIPE FOUND •o uf VDW S69'31•99'v, 1 i E /i 4 R VIA CORNER FROM SET CORNER 1 SECTION SECTION 4 g•31` /- SE9 1'os•'E 589 6D E 667.17' { se9•s 'ob"E 664.46' 7 3.Z'+ /4 _ __ - Surveyor, hereai� I, `Douglas J. Zahler, R Wisconsin Land surmye- , di e certify that by the direction o! Louie Riia,� � rt of t he St. Croix and mapped a art 4 the 4, t Town of the NNIA, al is S Warren, act 4. County, Wisconsin; described as lollo�►s � 4; t puce aster corner Of said section ion, 664.46 to Commencing at the 'West � .Nest 1/4 line of sa id se said sectioA and S89 1 21 along the east " said east the SW vorner of the $1/2 0! t,eontiaoiag 889051'06 8, along thence the = thanes ace N01o3a's4 "B, 1306.02 lasts 81 /2 of the ina/4 Of sold he - Va 1 4 line, 667.17 fast, tho West lino N89o45'04 "N• along the north line ol2�, along the section, 664.69 fast) thence 801039' - and is 81/2 of the SUT1. /4 of the VMI /4, 1309 -Z5 feet to this of cord. Above described Parcel conta and eovenaa o Sq. subject to all ea is a .correctly Map su rveyed I also certi =y that this Certified Of he Pr of oped r•pre � d• that ied With t ivision din�easi s•atatI have fully ioa to scale of compl the erior boundary the Land S ubd and describe pisconsin Statutes sad' of Narrea in Chapter 136.34 of the ordinance of the County of St. Croix a nd • Town surveying and Uapping some. ' �� Cf W�sdoy i Douglas J. Zabler ,�'r C0UG4ASd. Registered Land Surveyor y U.R S ZZ pia t st� 6 7k' 13 wSDJ, Rtidso I NI 54016 (Plat) is �j act to State, County and wetlands: ats lot size, g�ch ysra.l shows on this �y ti.t., ��' m cei Township laws, rules and regulations r asing or developing any P� access to Par cel, etc-) . Before pu 'rowel of 'Warren for contact the St. Croix County Zoning Office and the advice.