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HomeMy WebLinkAbout002-1086-70-050Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PEP;VIIT) Personal information you provide may be used for secondary purposes fPrivacv Law. s.15.04 (11(mll. Permit Holder's Name: City Village X Township Paron, Nick Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ v' ~~~ ~ /~~ Dosing Aeration ~~ C'~ ~ ~ ~~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 5a s r ~ Dosing 7 / ~ ~ ~ / /~ Aeration• Holding PUMP/SIPHON INFORMATION Manufacturer ((~~ M~ ~ Demand tEJ ~ ~ \ GPM Model Number ~ ~~ ~~ TDH Lift., ~ Friction L oss System Head TD ~ Ft ' a ~ ~ ~ Forcemaim Length I /~Q Dia. / J Dist. to Well ~~ SOIL ABSORPTION SYSTEM i County: St. CroiX Sanitary Permit No: 453172 0 State Plan ID No: Parcel Tax No: 002-1086-70-050 Section/Town/Range/Map No: 34.29.16.500A20 ELEVATION DATA STATION BS HI FS ELEV. Benchmark ~, loz..~ `~S .9 ~ Alt. BM 5~. Ga.~ 3 ~ ! ~ ~ sz Bldg. Sewer 9 ,~~ G / 3 SUHt Inlet /~ ~ ~ -Z~ SUHt Outlet ~ .~` Dt Inlet ~ Dt Bottom ,~ ~ g ~ Z Header/Man. ~ ~ ~y / Dist. Pipe , J~ ~F ~ ~~ Bot. System _~ ~ ~ 9 ~~ z Final Grade t F~- AAA ~' '~ ~ q Z S over !,a A- ~, Sam- ~ 4 U q,~ ~. z J b Ca~~r, ~'~ ~ 9 (~ , J BED/TRENCH DIMENSIONS Width// Leng~ ~ ; No. Of enche PIT DIMENSIONS No. Of its Inside Liq 'd Du< epth SETBACK IfJFORMATION SYSTEM TO P/L BLDG WELL LAKE/BYRE LEACHING CHAMBER OR Manufacturer: ~ T e Of tem: yp 7 ~ ~ i 1 ~ UNIT Model Numb DISTRIBUTION SYSTEM , Header/Mani old ~' Length Dia ~ Distribution Z Pipe(s) ~~ ~ ~' J d-"~ ` Length Dia Spacing 1 x Hole Siz ? I t V x Hole Spacing z Vent to Air Intak ~f 0 SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over ~ ~ Depth Over xx Depth of xx Seeded/S dd d xx Mulched Bed/Trench Center I `' ] Bed/Trench Edges Topsoil I ~r Yes i _ No !Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / 2 ~/~ Inspection #2: / / Location: 2447 Hwy 12 Unknown (NE 1/4 NW 1/4 34 T29N R16W) NA of 1 rd~ ~t,0~ Parcel No: 34.29.16.500A20 1.) Alt BM Description = ~ G"~ ~ ~ I~~R..~ P/O 2.) Bldg sewer length = 7jj ~,G,~~S ~ ~ ~ ,S b ~, -amount of cover = ~ ~. r 3.) Contour = ~/ , ~~ l4 _ ~. -- ~ -_ _ _ _ Plan revision Required? Yes No it ~+ - ~ ! ~~ ~~'7 Use other side for additional information. ~ ~ ~~ ~ _ SBD-6710 (R.3/97) Date Insepct Signatu Cert. No. ~, r _~ ~-' Safety and Buildings U;~lslon ZO1 W. Washington Ave., P.Q. Box 7082 iscor~~fr~ ~d~g OS 265546 7082 Department of Commerce Sanitary Permit Application In accord with Comm 83.21, ws. Adm. Code, personal. information you provide nuy be used for secondary pt,nposes Privacy I~w ST3~~C('I~'-"" _ !J-,q,O.-. to '' I. Application Information -Please Print All Information ^ f _ J~~ C Address OL ~_ ~.. City, State Ztp tr-~j ~~~~ w i ~ ~e of Building {check all that apply) 1 or 2 Family Dwelling - Ntuabcr of 8odrooms, ^ publidCommercial-Describe Use ^ State Owned - lJesenlx Use ST . Cku' lIL Type otPermit: (Check only ooe boz on IIne A' ~ 'New Sysran ~ ^ Replacement System \; ~n +~: Phone Ntunber 3 r3 ~' • ~ ~i ~ Sanitary Pamir Number (to be filled in by Co.) State Plea LD. Number ~~~ ~3 ~~ Project Address (if different than mailing address) J] # Lot t~ r ) ]3loclt M Pr petty Locatiot~ s 5 ==/~fIN %y Sxtion ...7 cut one ft/ L/ E /(/~7 V t- N, Subdivt t:SM Number •, g y~ -~~. ~~r~~a A. Complete Ifne B if applies le) [] Ocher Modification to Existing System ^ Trratment/Holdiag Tsak Replacement Only . --- ~.,.,.,.~ v..,..,;t Nremher sad Date Iss B. ^ Permit Renewal ^ Permit Revssioa ^ Change of I ^ Permit Transfer to New Plumber Owner 13etore Expiration IV. T e of POV1rI'S 3 stem: heck all that a I ~ Sin le Pass Sand Futer ~ ^ Non-Pressurized la-Ground Mound? Z4 in. of suirabk soil ^ Mound <24 ~^° Aerobio Tr~eaRaeO Uni~dO Recirculating Sand Fil ^ Constructed Wetland ^ Pressurimd in-Ground ~] HaldiagTank ^ Pear Fiber bar ^ Drip Line ^ Cjravc]-less Pipe Other (ex ]sin) . d ~~ Racirculatia Synthetic Media Filter ^ Leaeltiag Chain V. Dis enaUTreatmeat Area Information: ~~ Dispersal Arm Req (sf) Dis ~/ Area~Pro~sod (s~ S9`'~'Elev7spon _ 1- Desisp Flow (gpd) Design 5oi1 Applicatio~fl.C, // _ / /w /1-1 4~ C-'S~/ / r' ~ ~ `~1.~- G_----rG•v ,~Y~ ~ ~ ~ - T-J - v~ - - Prefab site stoU rtoer G/ ~p~i Total Number Maaufacturcr ~cmte Constructed Glans Tank Info Gallons Gallons of Units Septic or no stag ~ aoc ~ 'l /~- Aaobie Treatment Unit (J Dosing Chamber VII. Reapoftstbility Statement- 1, the undersign assume respooslb{lily far insnillarioa of the pOWTS shown on the Ear abets phone Number Plumber' re MPlMPRS Number ~ 7/J ~ ~~/~~ ~/ Plumber's ~Narne (Friar) Z ~6~ /Q~ ` Gj it/Ge~c.- vv ` ~ ~~ Plumber's Address/~Tf' ~ Zip/ °~~ ~ _ ~._ - - ._.... Approved (~ Disapproved Surcharge Fee) ~ ~ ~ ` ~ /~ Q ~~~ ~~ ^ Owner Given Reason for Denial \ ~ `i""'- s`~ _ IX. Conditions of ApprovaURwsons for Disapproval 3 y y! ""r_ (~L'fiii//t ~t SYSTE m ~~,.~ ~ QJt,2_ 1~ ~~~~ ~ ~ ~~~,~i~ 1 Septic tank, effluent filter and maintained C~rvyi~t. dispersal cell must all be serviced / lumber. ~ `~ ~ ~ ~ /°'~~'"J~ as per management plan providedmaintained ~ ~ /'1~~~~ vG~'ti5~~"' ~ ~ 2. All setback requirements must be ~ ~~ /I /'l,'~I~~ Cs~t~ as per applicable code/ordinances.2 / ,~ ~l ~ ~7lGe J ~ than it~1,= t6 hti la fins ool for tba system a paper oat TLur Attach eotnpkte plaaf (to the Cauaty y) ~ y~ , / ~Z' u-s' r SBD-b398 (R. 08!02) y"'!N PROJECT Nick Paron NE 1/4 NW 1/4S 34 MPRS Shaun Bird 226900 CONVENTIONAL /T 29 AT-GRADE N/R 16 W TOWN Baldwin COUNTY ST. CROIX 4/24/04 BEDROOM 3 DATE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none BENCHMARK V.R.P. Top of 3/8" rebar ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Alternate Benchmark SYSTEM ELEVATION 97.2' US Highway 12 Scale = 1 /4" = 10' PLOT PLAN ADDRESS 248 S. Church St. Woodville Wi 54028 Tank is to be properly bedded and provided with lockdown covers with 95' approved warning labels Huffcutt Combo Tank Area 15' below system is to remain disturbed 5% Slope \~ ~J~ B-~1~~ 660' 310' to 96.2' Pro 3 Bedroom House B.M. B-1 grading is to be done to divert run-off away from system Well is to meet all setbacks found in Comm. 83 B - 3 It. B is t /2" pipe @ 95.92' 9 7' commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary April 30, 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/30/2006 A7T1V: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction }D No. 994355 SITE• Site ID No, 682693 Nick Paron Please refer to both identification numbers, US Hwy 12 above, in all comes ondence with the a enc . Town of Baldwin St Croix County ~" NE1/4, NW1/4, 534, T29N, R16W I, )~ %-=~ ~ f~ FOR: v V Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 955538 Maintenance required; 450 GPD Flow rate; 32 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes 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. COnditi~ No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, ~~~~ stats. The following conditions shall be met during construction or installation and prior to occupancy or use: D ARTMENT OP N 0 FT General Approval Requirements: ~ SEE CORRESi • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stats. • 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(2)(d), Wis. Stat SHAUN R BIRD Page 2 4/30/04 • Comm 83 22(7) A copv of the approved plans specifications and this letter shall be on-site during construction and oven to inspection by authorized representatives of the Department which may include local inspectors Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions azise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Si/c~rely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 04/24/04 Owner: Nick Paron ;, Y Location:NE1/4NW1/4 S~T29 N,R16W US Highway 12 Baldwin System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01 /31) Pressure Distribution Manual Version 2.0 (01 /31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. So Shaun B Signatui License g~~~ i is '~~' ~~~~ q~ R~~ ~~_ ~y zoos ~~~ °~s o,~ '.~~Ily ~~® COMMERCE AN ILCINGS ONDEN PLOT PLAN FROJECT Nick Paron ADDRESS 248 S. Church St. Woodville Wi 54028 NE 1/4 NW i/4S 34 /T 29 N/R 16 W TOWN Baldwin COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE4/24/04 BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none BENCHMARK V.R.P. Top of 3/8" rebar ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Alternate Benchmark SYSTEM ELEVATION 97.2' US Highway 12 Scale = 1 /4" = 10' Tank is to be properly bedded and provided with lockdown covers with g 5' approved warning labels Huffcutt Combo Tank Area 15' below system is to remain undisturbed 5% Slope B-2 660' 310' to 96.2' __--- Pro 3 Bedroom House B.M. B-1 Grading is to be done to divert run-off away from system Well is to meet all setbacks found in Comm. 83 ^ ~T B - 3 Alt. B.M. \ is top of 1 /2" pipe @ 95.92' 9 7' ~~~- _i-" No Designer Date v Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric ASTH. C-33 5 o n d /~ " Topsoil ~•. Slope ~ ,, ==J ~ E Bed Ottf~-2%2 Drain Rock ,D+striDulior-, Pipe ;~ D ~~ Force Mcin From Pump G Rowe C `Lnyer • .~ ,~ ~~ ~. ~ ~ F~ ~ -L-~ ~ h 1• Cress Section Of A Mound System Using__ A Bed For The Absorpt+on Areo q ~ Ft. 6.~~ Ft. ~~b,l I ,~,~ Ft . ~ , ~ S-Ft. • ~~} K.~~ Ft. . ~ ~l~{ Ft . -- ~, ~~ Ft L 4~Observotion Pipe--~ ~ e _ ~- K ~r ------------- ----------------------------- ~- A ~ ~ Farce Moin -° ~ ------- -----------------~~. 1 From PurnP Hl ~~ _.. _.Tw ~- -~- _ -.~ -_ _.` .'_ -- ~._ --. -- ~~ y ` . f ^ ° Distribution Bed Of /2 - Z'2 O pipe - Drain RocK I .4~Obzervotipn Pipe =--~~~.,:~ permonent Marker ~Sf~~r ~t~ ~ ~J~~ by/-~-~''~~s~~ Pe or Rods Pion View Oi Mound UcInQ A Bed For Tie Absorption Areo PAGE OF C~~rt c t.otated 0++ Bottom. •e EquottY Stsoeea '(RST MC+I.L 1JtKT To CartAtC}pan ~ ~.<- r/1_ - [.cps- ~~ .~ •~1~'- t7isfributiort Popt i_Qyoyt {~ ~~ Ft. ' ----- Signed: i. ~ tense Number Oate: X inches Y Inches 3 f stole Diameter ~it~#nch Lateral ~" ~. Inches) Manifold Z Inches Fgrca Main ? Inches # of hates/pipe2-$ Invert Eievatian of Laterals~Ft... Pe~fo~ated ~ipt; Qetoii r ----' =G~ f+Ng SPECi~ ICATIOKS ~ ~ Pt3MP C~iAMa~ Cr~Q55 SE~T~ SEPTIC TAN uEA~RPRflG~ AgFROV ED ,. ~ZN. ABOVE GRADE ~ J~NCTTO~ $flX HOLE COYER ~t£NT PIPE ~Z W~'1"K CrJRD~IT ~~ gpfliflCx ~ ~ v Gl ~tINDfl~ QR ~KIKG BABE.. FRESt~ SIR ;HTAKF ' ~~~~~~`~; ~~ ~_~~t HI1~- ~ ~ n ~. .. ~ ~ . 1-.. i t1s s. IS" IH• ~ '. INLET ... TIGHT • ~NIPPROItEO iiiAT£R TI6 piT ~ Fl°~ A }1pPR0~IW piFE _ RL+I"s f 3 L1 E•~ ~- "~.-- , ' '' Opt 3y~,IaQ~SOIL S ~ , ...~--- ' APPt~~ C ~ t FF P~ SflL•ID Ot`'F ELE~ - GLL-~T- D SOIL Pt7t4P 3C ~ CgETE PAD gEDD~NG VND~ TAN ~~. 3a APpgOYED ,.. ~ ~~ SPEC;~FTCpTZONS y ~J j ~- SER gOSES ?£R 33AY = ~~ ~~ _ SgpTSC f DOSE £ .v~r~tME FLQ~BACK~, / ~`~ GAL- TA1QK riAM1FAC~R£R• GAL• DOS ~, GAL- SEPTIC rL'v-tom fAy , .. ~f ~.~Ip1CHE5 TAli1C SZ Z£S = DOSE ~ CApAC;TIF-S = t' r --- D GAL- ' /` S 8 = ~ INCHf S s ALA ;''~'pNFAC~K~;: _.~~L- ES tyt~D H TYPE ~ S.~ C - _ /'~~ ~L. pUKP ~~FwCTtJA£A' ~~ I i.HR i6.23 wwc - KODEL ~r[BER=' i` M i~TZAZfitG AS PER gy;TC13 3YPE= " ~ PLtItP £' ASR ' f, FEET DI SCHARSaE RpT£ ~.•--- gZ STR ~ ~Ti ~ ~ - ~_ "FEET REt~3IRE~ piTMP Oz F ANB - FACTOg FEET vflt'~'2GL DIFF£R'E~CE $£TirtEEN £ggCTIO~ = /~~ IiE~QRK gt3PPLY PRE5~3 FT/IitQ+£T. I?'lMp~;C ~£AD ,~ `~~ FEET FORC£IiAIR _--- ~~-- ~ZDTF~ (~ -. SUMP T~K- i*'~Q`~ID ' INT£gHAL DiMENSIC~S ~£ LICE~SL ~MSK~ . 5 FGPtED = __--.--- . LT ~T L ^188 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 0 w U g 6 Z r 0 0 ~- CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. ` • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed 4wik-Box available foroutdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series 152!153 MODELS Control Selection Model Volts•Ph Mode Am s Simplex _ Du lex N152 115 1 Non B.5 1 2 or 3 BN152 115 1 Auto B.5 Included 2 or 3 E152 230 1 -Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 i Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 O CAUTION Ail inatailation of controls, protection devices and wiring should be done by a qualified licensed electrician. Ali electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). MODE 152 153 Feet Meters Gal. L;ters Gol. Liters 5 1.5 69 261 77 291 10 3.1 61 231 70 265 15 4:6 53 20t 61 231. 20 - 6.1 44 i 67 52 197 25 7.6 34 129 42 t 59 30 9.1 23 87 33 125 35 1Q7 ~ -- -- 22 85 ! 40 12.2 -- ~ -- 11 42 Lock Valve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 3 27 i I I I 12 ,/a ~~ _L SELECTION GUIDE 32 32 8 sKZOSt 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Z ~~' Louisville, KY 40256-0347 ~ SHIP T0: 3649 Cane Run Road Manufactwersof. . ~ ® Louisville, KV 40271-1961 QUgUTYPUMP9 ,pNCE ~.~ui7 ~ http://www.zoeller.com ~ P~MP ~O (~2) 77&2731.1(800) 928•PUMP FAX (502) 774.3624 © Copyright 2000 Zoeller Co. All rights reserved `~"~~`' 0 80 160 240 320 FLOW PER MINUTE 1712 ' Wis~nsin Depardrlent ~ ~ SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'~4 x 11 inches in size. Plan must County St. Crour include, but not limited to: vertical and horizon~l reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to rx:arest road. Parcel I.D. D 002-1086-70-000 c t" R B Date Personal infarma6on you ~ may 8~e~wldaly ( ~ Law, s. 15.04 (1) (m)). (~(~~yy~ s t'/ Property Owner Property Location Joseph F. & Clarissa Paron ~ 'j 2~~3 Govt. Lot NE 1i4 NW 1!4 S 34 T 29 N R 16 W Property Owners Mailing Addr Lot # Bock # Subd. Name or CSM# 2433 Hwy. 12 ST. CROIX COUNTY I Proposed CSM 7~~ ~~ City _J City ~ Vllage Town Nearest Road ' L f ,6 Woodville ~ WI 54028 71584-2854 Baldwin U.S. Hwy. 12 ~ New Construction Use: i+' Residential / Number of bedrooms 3 Code derived design flow rate ~ Replacement _] Public or commercial -Describe: Parent material Glacial drift Flood plain elevation, ff applicable General corrrmer><s and recommendati~s: Install mound system at elev. 96.67' at 6" above 96.17' contour. 450 GPD na ^ Bonng # -] Boring Pit Ground Surface elev. 97.25 ft. pepth to limiting factor N 32 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stnrcture Consis ry Roots GP D/ft' in. Munsell Qu. Sz. Conf. Cobr Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-9 10yr32 none sil 2fsbk ds as 2fm,1 c 0.5 0.8 2 9-14 10yr4/3 none sil 2fsbk ds a 2f,1 me 0.5 0.8 3 14-22 10yr4/4 none gr. sl 2msbk dsh cvv 1fm 0.5 0.9 4 22-32 7.5 r4/6 none gr. Is 1 msbk ds Lwv - 0.7 1.2 5 32-42 7.5yr4/6 f1f 7.5yr5/8 gr. Is 1 msbk ds gw - 0.7 1.2 6 42-61 10yr4/6 f2f 7.5yr5/8 gr. Is 1 msbk ds - - 0.7 1.2 Pit Ground Surface elev. 95.12 ft. Depth to limiting factor 41 ~ in. Soil Application Rate ~~ # ~ ~~~ Horizon Depth Dominant Color Redox Description Texture Structure Corristence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3/3 none sil 2fsbk ds as 2fm,1c 0.5 0.8 2 9-15 10yr4/3 none sil 2fsbk ds cs 2f,1mc 0.5 0.8 3 15-21 10yr4/4 none gr. sl 2msbk dsh cw 1fm 0.5 0.9 4 21-41 7.5yr4/6 none gr.ls 1msbk ds cw - 0.7 1.2 5 41-56 7.5yr4/6 f2f 7.5yr5/8 gr. Is 1 msbk ds gw - 0.7 1.2 • Effluent #1 = BOD ~ 30 <_ 220 mg/L a TSS >30 < 150 #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print} Signature: CST Number James K. Thompson 3602 Address A.C.E. Sal 8 Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceaa, 54020 8262003 715-248-7767 C prope~y p~yner Joseph F. & garisse Paron Parcel ID # 002-1086-70-000 Page 2 of 3 eceng ~ ~ ~~ !~ Pit Ground Surface elev. 96.17 ft. Depth to limfing factor 45" in. Soil gppl~ation Rate Horizon Depth in. Dominant Color Munsell Redox Description (~u. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots *Eff#1 'Efft~2 1 0-9 10yr3l3 none sil 2fsbk ds as 2fm,1 c 0.5 0.8 2 9-16 10yr4/3 none sil 2fsbk ds cs 2f,1mc 0.5 0.8 3 16-25 10yr4/4 none gr. sl 2msbk dsh cw 1fm 0.5 0.9 4 25-45 7.5yr4/6 none gr. Is 1 msbk ds cw - 0.7 1.2 5 45-53 7.5yr416 f2f 7.5yr5/8 gr. Is 1 msbk ds gw - 0.7 1.2 ^ Boring # ~ Boring ,_f Pit Ground Surface elev. ft. Depth to limiting factor in. Sal gppl~ation Rate Horizon Depth in. Dominant Color Munseil Redox Descr~tion Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots *Eff#1 'Eff#2 ^ Boring # ~ Boring J Pit Gramd Surface elev. ft. Depth to limiting facts in. Sal Application Rate Horizon Depth in. Domir~nt Color Munsell Redox Descr~tion C!u. Sz. Conf. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 'Eff#2 Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. • ~ u. s. ~ „~z ,, 5 ~r'~t cQ ~Yees ,~.ed Id,n es •o' K~ ''~,~z 3Ysf~~, s~ ~sl! ~.. ~- -- ~``"" a (ev; '~6, / '` _. - 1 E31 ~ / Q~n`h of 3 ~e.bQ~ Assc..i,-,Q.or ele,l;= /oO.exJ,' • ~xisi~'r~y 9,-aide 4~ ~O~o/~ased bu:~d~:-,q Si tx- = 98, s~'2 ~ cJ ^ d3 9.~0, ^ Soil e/alua-~o»~iE j ~ ~/e/0.G o~ 4 5 S~,C~cd I ~~o,f ~~~ ~f _~ ~? `r Yz., ~.~ e. w; roc. ~?' 9, 9~ Ele ~ ~'' ,; ~. 30'3 Y ENT Pl1~N ppWTS OVVNER~S MANUAL 8~ MA EM SPl`cIFtCATEOlN5 sYST Number ~ Bed>'~'ns Number of Commer~l Units ~ flaw (av±lr~l~~ pasiQn flow tpesk)• (~maoed x t.5) t3os'+PPt~tiO^ R~ UMusnt/Effluent Quarty Fats,• Oll ~ Grease (FAG) Biochemical O><Yg~ Demand (BOOS) Tots[ Suspended Solid pfd EfltueM Clustity SODS) Bixhemicat Oxygen Oemand Total Suspended Solids (TSS) Fecal CoGforrn (geometric mean) Maximum EMuertt partide Size Service Event inspect condition of tank(s) Pump out contents of tank(s) Inspect dispersal cell(s) Crean effluent filter inspect pump, Pump °On~'O1S 8` alarm Flush Iatetals and pressure teS__t ~,_ Monthly average' s30 mg/L 5220 mglL Monthly average" S30 mgt 530 mgn- 510' cfult 0pm1 y, inchdiameter Septic Tank t:.apaca~7 ~s~~ ~- Septic Tank Man rEf ~ Effluent Fitter Manufz-du EffluentFitter-Model Pump-Tank CBPactty ~ ~ pump Tank Manufacturer .Pump Manufacturer l~f.J PurnP Modal Page ~ of Z O NA r4~ laA O ^ tVA [] NA' IJ'~Z- ^ NA O SandlGrBtirel~~ ^ Peat Fllter p Mechanical Aeration ^ Wetiand ^ Other. ^ Disimfection CisPersnr ~"~'~ ^ In-ground {pressurised) ^ In-ground {gravity) /%_,..~,_und Q At-grade p~Ot°her_ ^ Dri ine tcai for domestic (norroortmn~ai) vrastawaw and ~ ~c eMuent. « values typ~- ~ prcu+~sted tN°stevvater• Service Frequency ^ monthsear(s) ^ (Maximum 3 yrs.} At least once every , uals one-third (x m eq ) of tank volume When combined sludge and scu ear(s) °^ ^ months Maximum 3 yrs.) At least once every ^ months r(s) At least once every ~ (] months s) ^ NA At least once every s} ^ months . ^ NA At least once every ^ months D year(s) ^ NA At least once every ^ months D years? ^ Nq At feast Once every .,...~.. n one of the following licenses or ~NTBNpNCE INSTRUCTIONS r, PdyYT-S Maintainer, Septa9e Insp0Gi3ons Of 1;ainlcs and dispersal ~l~ shalt be made try an ind'niid~~s tr~gst~ m~~ ~ ken moons:. Master Piumlaer. Master Plumber Restricted Sewer; on of the tanks} to identify arty for any back up Sing Operator, Tank ir,speciions must inducts a visual inspecti a and scum ~t1d t0 check cracks or leaks, rneasune the volume of combined sludg y to ~~ the ef};uent levels hardware` identlly any round surface. The dispersal cell{s) shall be v;suati lnsPected nding of eMuent on the or wing of effluent on the g nding of effluent on ttte ground surface. The P° in the observation PtP~ and to check for any Po utres ttte -immediate notification of the local regulatory author'7tY- ground surface may indicate a faTng condition and req uals one-~i~ (~ er more of tt~e tank volume NR e and scum in any tank eq of to accordance with When the combined aaxJmulation of sludg b a Septa9e Setviang Operator and disposed ~~ ~~~ ~ the tank shall be remo+r~ y nents~, and any 1 t3~ yy1econsln Administrative Code- - retreat meet oompo M~ntainer. ressurized POWTS ~mponents, p a mortified POYVTS The servidn9 of effluent filters, merfianica- or p matritenetnoe or monitoring at intervals oft 2 months or.less shale ~ ~ of ~ Ftet<on of any service e~+ent other q service report shat( •be provided to the local regulatory authonty wi t ~ the presence of painting Products or other START tJP AND OPERATION [f high conoenbations are For new opnstlucxlon, prior bo use of the POIIyTS ~edc.treatment tank(s) eras[ cell(s). d~ernicals that may impede the treatment process and/or damage the lisp rator prior to use. dCiJEdBd have the contents of the tank(s) removed blr a septage servicing ope ~^ ` ~ nditions are frozen at the infiltrative surface- - Soii~co is restored the excess shalt not occur when above normal titghwater levels. When power . m startup the cep(s) and may result in the Syste stages pump tanks may . our ter ~ to the d'cspetsal Dell(s) ~' one large dose. mrerioadtng To avoid this situation have the contents of the pcirrtp tank removed by a will be dis~harg rn or contad a Ptumt~er or PO stainer to dace dascha~e of etfl~opti er taa the affluent pu P badwp crot.to-r~~ P~ is within the pump ~. age Servidn9 Operst~or P ump ~n~pie tp r85torE normal feve assist in manually operating ~ P Do not drive or park over, or o~ierwise disturb orcompact, Yehictes over tenics and dispersal cells. bon area- po not drnre or panic o f ~y mound or atgrade soil absorp the area within 1s f®et down slope from ~ ~,„astewater stnaam may improve the performance and prolong the Gfe Reduction ot-etlmirwtlon of the Q.~ butts: condoms: cotton sinrabs; degreaser: dental floss; diapers; of the POYYfS: $nd~ .b~ . um water. tniit and vegetable peefutgs; gasoline; gt+ease;• herblcid~; meat disinfectanfs~~ ~~ fi g P~~p pesf~aides: sanitary naptans: tampons: snd ~~ softener brine. scraps: ABANOONMMF-1itT taken out of service the following steps shay ~ taken tD lnsur+e that the When the pOVVtS fa[Is andlor is permanently. lranoe with ~- Comm 133.33, Wisconsin Adminisb ative Code: and safely abandoned in oomp • i s sealed. system is praperly Ali P1P~9 to tanks and pits sha!! ~be disconnected and the abandodn~e~ps~ o~Y a Septa9e Servicing Operator. .. The contents of alt tanks snd pk+ shall be removed and properly ~ A~ pumping all tanks i3nd pits shall be excavated and removed or p~err covers removed and the void space filled y~ Soil, grarv~ or another inert solid material. CONTINGENCY PLAN the following measures have been, or must be taken. to Pn~de a code if the pOWTS fails and cannot be repaired Dement sol oompGant replacement systerr>: p A suitable replaoemenCat+ea has been evaluated and may be utilized for the {ocation~of a r absorption system. The replacenment a fom ~~~ 9 aradtProPos~ swdure.n~l~es a d ~aslon a ure to ~ not be infringed upon by requirrtd setbacks toted the replacement area ~~ result in the need for a new soil and site ~evaluation'to establish a suitable P ms muse comply vtirith the rules in effect at that time. rep{aeement area. Rep{aOement syste O A suitable replacement area is not aver 1~ as a last resort o replacethe failed POVyTSn4 advances in POYYTS ethnology a holding tank may be instal n failure of the POWTS a soli and a su'rtabfe replaoement area Upo The site has not been evaiuat~ed to identify ent area is available a evaluation must be perfo~e~ ~ ~~ a suitable replacement area. (f no repraaem hofdng tank maybe installed as a rest resort to replace the failed POVYTS. Mound and at-gBde soli 8bsorptlon systems may be reconstructed ;n place following removal of the blomat at s of such systems must comply with- the rules gn eta ~ that time. infiltrative surface. <cWARNiNG~' TANKS MAY CONTAIN LETHAL- GASSES ANDlOR INSUFFICiENT OXYGEN. SEPTIC, PUMP AND OTHER 'TtiEAT1KEKT CIRCUMSTANCES. DEATH MAY 00 NOT ENTER A 8EPTIC, PUMP OR OTHER TREATMEtYT TANK UNDER ANY RESULT.. RESCUE of A PERSOrI FROM THE i1NTER1oR ol~ A TANK MAY BE urn=~LCU`r oR [MPOSS[sLE. ADOfTiONAL COMMEM~3 POVivtS INSTALLER POVYTS MAlNTA1NER r Name ~~ ~~ Name ~,Sj~G2L~ r// Phone 7// Z Phone ~j_, = ~ ~,' ~ LOCAL. REGt!(.ATfJRYAl7?fiORfTY _ SEPTAGE SERVICING OPERATOR PUMPER , Name Agen /' '>C a~ -~' Phone ,~- 3 d~~ ~~ Phone ~ .~~ ~S Tnis coarment was drsRed by the amffs of the G.rsen Lake. Marquette and Watrshara County Zaning snd Sanlfatiort agertdes. Thk doatment meets the minimum rsQuirertfants d dt. Comm 83.22(2J(bKtKd)~{><) and 83.5s(i), (2) d (3J, Wisconsin Admints7ta'tive Cede_ Uae of tf+1s doatment does not guarantee the performanx of the POWrS. GMw (~tJ ST CROIX COUN'T'Y . SEPTIC'T~-NK M~AINTEN,ANCE AGREEMENT- . .AND p~JERSHIP CERTIFICATION FORM OwnerBuyer _..~~`~` Mailing Address ~ ~ ~ Property Address ,,,.,_ rttnent for new construction) ~-i (Verification required from Planning Dep ~S/h City/State _________ Parcel Identification Number / ~D_ ~ ~ ~~ 2 0~~ LEGAL DESCRIP7CION o ~U~}- J . ,~ / ~. ~ ,~ /, ) ~~ ~N-R~w, Town of f - Property Location L" ~ 1~4~/~ t-~/ 1~4~ Sec. T / ~^ Lot # _._,L-• Subdivision ~ ~ yq ~p `~- ,Volume g Page # Certified Survey Map # _ ~ ____ - ~ ~ Qv 1 T C~/VL '1(o b / 2 ~ ,Volume 2 S`~ Z ;Page # 'V4'at~'a~ Deed # _ ec house D yes no Lot lines identifiable [~ yes ~ no Sp SYSTEM ~~1'TF:NANCE emature failure to handle wastes. Proper maintenance Improper use an d maintenanceof your septic system could result in its pr a heed r What you put into the system consists of pumping out the septic tank every three years or sooner, if needed asal s stem. P~Pe can aged the function c f the septic tank as a treatment stage in the waste disp Y ent a certification foam, signed by the owner and by a Tye property o'~vner agrees to submit to St. Croix Zoning Departm that 1 the on-site wastewaterdisposal system nan lumber, restrictedplumber or a licensedpumperverifying ( ) masterplumber, journey. P ction and umping (if necessary), the septic tank ~ less than 1/3 ~ of sludge. is in proper operating condition andlor (2) aRer inspe P s tem with the standards ed hz.ve read the above requirements and agree to maintain the Private sewage disposal ys Uwe, the undersign Office within 30 set forth, herein, as set t ythe -Deparmnent of Commerce ~ coml le ed and reoturaedh ° the St Croix County Zoning ~ ~~cation stating that our septic system has been maintained must be p days of three e:cpiration date. /' ,a , . DATE iGNA":'URE OF APPLICANT OWNER CERTIF.[CATION our` Irnowled e I we am are the owner(s) of I {we) certify that all statements on this formdeed recorded m Register of Deeds Office. ( ) ( ) the pro rty de~aribed above, by virtue of a warranty //~ % ~ DATE SIGNATURE OF APPLICANT Any informati~m that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** *««*«« ** Include with this a pptication: a co mof the certified surveylmap Reglferencel semad ~in the warranty decd PY GENERAL ST. CROIX COUNTY, WISCONSIN NEW TXSCR01 REAL ESTATE TOWN OF BALDWIN COMPUTER NUMBER 002 - 1086-70-050 Parcel Number 34.29.16.500A-20 Claimed Date Re-certified 04/17/2001 Relate Number: OWNER NAME: First JOSEPH F & CLARISSE Last PARON CO-OWNER Mailing Address 2433 HWY 12 City WOODVILLE State WI Zip 54028 - Type Vol Page Doc # Rec.Date Type Vol Page Doc # Rec.Date HISTORY 908/ 524 / / CSM 18/4672 749407 12/17/2003 PROPERTY ADDRESS: Hse # 1/2 PD --Street Name- Type SD Apartment Post Office 2447 HWY 12 School District: 231 - BALDWIN-WOODVILLE AREA Special District: (1) 1700 - (2) - (3) - WITC Plat Code: Last Changed on: 02/25/2004 Book Number: 1 SECTION 34 TOWN 29N RANGE 16W'/4160 NW'/<40 NE Map Number: 00 - Sales Area: Parcel Control 0 TAXABLE Number of Units: ZONING: Permit Number: Type: Bank Numbers : Delete? F4-Prev, F5-Next, F6-Legal, F7-Value, F8-History, F10-Exit, F12-More u zsszP y3s STATE BAR OF WISCONSIN FORM 3 - 2000 QUIT CLAIM DEED Document Number This Deed, made between Nicholas M Perron a man~ted person Grantor, and Nicholas M Peron and Jacqueline J. Louden-Paron husband and wife., as joint tenants with right of survivorship Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 1 of Certified Survey Map filed on December 17, 2003, in Volume 18, on Page 4672, Document No. 49407 located in part of the Northeast Quarter of the Northwest Quarter (NE-1 /4 of NW- 1/4) of Section 34, Township 29 North, Range 16 West, Town of Baldwin, St. Croix County, Wisconsin. Together with aii appurtenant rights, title and interests. Dated this 4th day of April, 2004. ''~ --rte -~.-t~' -~ ~~_ J *Ni¢Colas M. Paron AUTHENTICATION Signature(s) Nicholas M. Paron authenticated this 4th day of April , 2004. *Patricta J. Mi ter" TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRLiMENT WAS DRAFTED BY Patricia J. Miller PJ Miller Law Offices 3125 Co Rd N Wilson WI 54027 (Signatures may be authenticated or aclrnowledged. Both are not necessary.) 7Es~ 1 24 REGISTER OF DEEDS ST. CROIK CO. , MI RECEIVED FOR RECORD 04/19/2004 04:00PM QUIT CLAIlI DEED EzEI~T # 8M REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES; 1 Name and Return Address Nicholas Paron and Jacqueline J. Louden-Paron 248 Church St. So. Woodville, WI 54028 Part of 002-1086-70-000 Parcel Identification Number (PIN) This is not homestead property. ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. S.~County ) Personally came before me this ~ day of ~, the above named to me known to be the person who executed the foregoing instrument and acknowledged the same. NotFU~btic, Stat of Wisconsin My Commission is permanent. (If not, state expiration date: , Jodi R. Trunkel State of •Names of persons sigiting in any capacity must be typed or printed below their signature. QLJTT CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3 -2000 ri LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF BALDWIN COMPUTER NUMBER 002-1086-70-100 Parcel Number 34.29.16.5008 OWNER NAME: First JOANN M Last MUELLER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 2427 HWY 12 SECTION 34 TOWN 29N RANGE 16W'/4160 '/<40 Line Description Line Description TOTAL ACREAGE 4.375 PLAT LOT BLK 01 SEC 34 T29N R16W 15 02 PT E1/2 NW 1/4 16 03 BEING LOT 1 OF CSM 10/2790 17 04 (NE NW 2.543A) 18 05 (SE NW 1.832A) 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF BALDWIN COMPUTER NUMBER 002-1086-70-000 Parcel Number 34.29.16.500A OWNER NAME: First JOSEPH F & CLARISSE Last PARON PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 2433 HWY 12 SECTION 34 TOWN 29N RANGE 16W '/4160 '/440 Line Description Line Description- TOTAL ACREAGE 37.457 PLAT LOT BLK 01 SEC 34 T29N R16W NE NW EXC 15 02 PT TO LOT 1 CSM 10/2790 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit V ~ /~ Q~ ~ 0. ~ aW 1 hJ `-'~~' ~ G~(/2.Qjy~ vlU d ~ ~ v u ~ - i ~. - ~ CV • .fie .~c,,r, o o a - ~aP7 : v ~-os~~ ,~ ~ ~I~~~ 2 ~~,.J ~~,~ 4D ~ • /0 8'~ - ~e - i~ ~ ~ U L 1 8 1994 ® 3 ~~~ JAMES O'CONNELL ~ 3y 2 9. l 6, Sea B ~ Register of Deeds ~ 51913'7 sue, ~ ©~3 ~ sc Croix co., wi y.37s ~ ti s C ER T I~ I ED SURVEY MA P Located in the NE 1 /4 of the NW 1 /4 and the SE 1 /4 of the NW 1 /4 of Section 34, T29N, R16W, Town of Baldwin, St. Croix County, Wisconsin. - --_-,-~__ N1/4 Corner U_S 2625.48'- - - - - - - -- Sec. 34 ~ S 86° 35' 51"E HWY "12!'_ (from ties) 13 12.74 ,. 6 6',, 1312.7 4 ' ~ -~-, NW Corner ---- ----------- Section 34 ° -N T29N,R16W °oo ~ UNPLATTED L_A_NDS (Berntsen cap) o JOINT DRIVEWAY:,, S'. 87°47•2~ME 260.2,• EASEMENT. SEE NOTE 8E LOW . LEGEND POINT OF BEGINNING ~' Section corner monument. (as noted) . 0 1"X24" Iron pipe weighing 1.68 lbs per lin. foot set. _ -~ Fenceline. NOTE: Joint driveway easement as. recorded in Volume 1087, _P~g~ _lOfZ. - - - Owned bv~Josep~ Paron 2427 U. S. HWY "12" Wb'ad~ti~ie., Wi. ~~~~ovEQ Jt~. ~ 1181~~ 5'~. CRG1X COUNTY _'a:r;prohensive Plarudc Zoning and Rr-ks Committee !f not recorded tiviU~in 30 days of .approval date •epproval sfistl be -n~ r} ~ void Bearings referenced to the North line of Section 34, assumed to be N86° 35'51"W . (NW 1 /4,: Section 34) y~~ ~ ~,r~ e- o• SCALE~,fajFE'E~URJ~ ~~~ 1" = 100' ,'4~~~~G~Ns~'~''~• ~ HARVEY G. 'k ~• JS H 8 9 9N ~.,, . 9 ~C HUDSO i ~ ~ W IS r ~ WELL ~~~ 8 hous ^ shed ~ SEPTIC VENT shed ~ ~ ~ m 190, 586 square feet N ~ ~~ QI n (4.375 acres)•, i~ ' ~ 3 w i I ~ s r1 O O (D O ~p p ~ North line of the SE 1 /4~ O Z of the NW 1 /4 to ~ ~ cal ~; ~{I ~.,1 F 1 ~ I ~ I ~~ l ~ I P1 z I a 21 ~I ~1 East .line of the NW 1 /4 of the NW 1 /4 and of the SW 1 / of the NW 1 /4. 1.5~ 3.5' V ~r7 VG ~V •• yVV • VV 72' CHICAGO & NORTHWESTERN 72' RAILROAD ~,- . _.._, ._ -.a- M r rC. OF TRACKS 0~ 25~ 50' 100 200' 300 This instrument drafted by: JSI • UGLUN.E 10 PAGE 2790 4942300 .may', 74.94ta17 VOL 18 PAGE 4672 KATRCEEFf H. M7CCSR---'- REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 12/17/2003 12:00PM CERTIFIED SURVEY MAP PART OF THE NEI/4 OF THE NWI/4 OF SECTION 34 T29N. R16W. TOWN OF BALDWIN. ST. CROIX COUNTY WISCONSIN FOUND I • STEEL MARKER CAL U , S , 1 2 UNPLATTED LANDS NW COR. SEC. 34 NORTH L I NE OF THE NWI /4...... ACCESS RESTRICTED ^ / SEE PAGE 2 ~ dr-~ \ S 86° 49 ' 00' E 2625.31 ' ~` 1 V ~ FOUND MONUMENTS AS NOTED ~ SET 3/4" X IS" IRON PINS WT. 1.50 LBS/FT. BEARINGS REFERENCED TO THE NORTH LINE NWI/4 SEC. 34 (ASSUMED S86°49'00'E) SCALE I" - 20C' -. 0 100 300 SURVEY MADE AT THE REQUEST OF JOSEPH PARON OWNER 2427 U.S. HWY "12" WOODVILLE. WI. 54028 APPROVED~~,,,,,,,, ST. CROIX COIL, , GON$/ ~~~~ Plannlna ZOnInQ and ~' • ~ ~~i DEC 17~~D~~,~' • Ly[E L. ELLIOTT ~~ ~- S•1300 .. ~ ~ ~ If not recorded vSthin 94 d11~$#~ N ~ W I approval date appCo~)~hatl be % e: null nnd,~-d ~••••....••'•'~~ ,ee ~i~~nd S~It~e~ ,,,,~, ,z As 0 0 z Q J in ro w ~' 3 F- a ~, -~ I O ~. . Z M ~ _ 0 0 z S 86°55'10"E 494.78' PROHIBIT IMPROVEMENTS SEE PAGE 2 - _,,.}il GHWAY SETBACK L I NE BUILDING SET BACK LINE LOT 1 435597 SF 10.00 AC. UNPLATTED LANDS CERTIFIED SURVEY MAP REC FEE: 13.00 COPY FEE: PAGES: 2 FOUND PK NAIL° NI/4 COR. SEC. 34 T M 28.90 0 z a J 0 w F- F- a J a. z v 0 ~Z rn N ,J v w-_ N O j M~ O = ~'~'~ O ~ ~ Z U C~ N Z ~ y N Op N U I. LYLE L. ELLIOTT. REGISTERED LAND SURVEYOR S-1300. DO HEREBY ro CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP °zv IS A TRUE AND CORRECT REPRESENTATION OF PART OF THE NORTHEAST ~ LLy QUARTER OF THE NORTHWEST QUARTER OF SECTION 34. T29N. R16W. TOWN OF BALDWIN. ST. CROIX COUNTY. WISCONSIN AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTH QUARTER CORNER SAID SECTION 34. THENCE S00°13'02'E ALONG THE NORTH AND SOUTH QUARTER LINE 28.90 FEET TO THE SOUTH RIGHT-OF-WAY LINE OF U.S. HIGHWAY N0. 12 BEING THE POINT OF BEGINNING: THENCE S00°13'02'E ON SAID QUARTER LINE 881.85 FEET: THENCE N86°55'10'W 494.78 FEET THENCE N00°13'02'W 881.85 FEET TO SAID RIGHT-OF-WAY: THENCE S86°55'10"E ON SAID RIGHT-OF-WAY 494.78 FEET TO THE POINT OF BEGINNING. SAID PARCEL CONTAINS 10.00 ACRES MORE OR LESS. AND IS SUBJECT TO ANY EASEMENTS. RESTRICTIONS. RESERVATIONS. AND CONVEYANCES OF RECORD. I HEREBY CERTIFY THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF SECTiaN 236.34 OF THE WISCONSIN REVISED STATUTES AND THE SUBDIVISION ORDINANCE OF ST. CROIX COUNTY AND THE TOWN OF BALDWIN IN SURVEYING AND MAPPING SAME. EACH PARCELSHOWN ON THIS MAP 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 TOWN OF BALDWIN. LYL ELLIOTT. LS 1300 DATE : ~I ~O G ~03 THIS INSTRUMENT DRAFTED BY L. ELLIOTT SHEET I OF 2 12J Vol 18 Page 4672