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HomeMy WebLinkAbout026-1000-30-120 STC - 104 AS BUILT SANITARY SYSTEM REPORT -QQn( 't OWNER W°sl, L 7 s~ ADDRESS SUBDIVISION / CSM# LOT # -3 SECTION T,30 N-R/a) W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~r N 4 IN INDICATE NORTH ARROW w t p''^► Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 J i BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: 1, IA-v- Liquid Capacity: IQ.Sd Setback from: Well House &;L Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: /I. Length_ / d-O Number of trenches Distance & Direction to nearest prop. line: /c1D Setback from: well: House J8 Other ELEVATIONS Building Sewer ST Inlet: ~000_ i7 ST outlet: AOCJ ~ PC inlet r-" PC bottom Pump Off Header/Manifold d.3 Bottom of system Existing Grade 4 (v, Final grad 4 DATE OF INSTALLATION: 10 3a PLUMBER ON JOB: LICENSE NUMBER: / SJG~ INSPECTOR: 3/93:jt BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: / QS0 Setback from: Well House 6)a Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length Number of trenches fix Distance & Direction to nearest prop. line: /CA Setback from: well: House 58 Other ELEVATIONS Building Sewer /Q/. ST Inlet: 061 ST outlet: A6CJ PC inlet PC bottom Pump Off Header/Manifold ~~..3 Bottom of system Existing Grade 9 Final grad d, DATE OF INSTALLATION: /0 3d `T PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: 'Safety and Human Relations 'Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: 299011 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: HALLE, WES RICHMOND CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 026-1000-30-120 TANK INFORMATION ELEVATION DATA A9700329 101911,P7 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ' Septic Benchmark /CI 6 4/ t .66 Dosing Aeration Bldg. Sewer Holding St/ F9 Inlet 9 ' TANK SETBACK INFORMATION St/)A Outlet Vent to TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet ? Septic NA Dt Bottom' Dosing NA 44aa4er/ Man. /d. /G 17 ` Aeration NA Dist. Pipe d,A Holding ~ Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand ` f /tog Model u r GPM TDH Lift Fri • n System TD Ft Loss ead Forcernain Length Dia. Fi Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH width , Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /a DIMEN I nufacture SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM L CHAMBER INFORMATION Type O 2 Moe Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: RICHMOND 01.30.18.2B-20,NW,NE 1449 CTY RD K L9T 3 i~c C.~ - -(Op ~CX r'LC ~r?Cf t n^.t r} l (/G P f e t t P. p j~ 1 .,1~-~n0-nem"~ r _ 02 UM Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: : E. WsBngonADwision SANITARY PERMIT APPLICATION 201 afety and NAsconsin In accord with ILHR 83.05, Wis. Adm. Code Madison, 7969 Department of Commerce Mad, 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. • See reverse side for instructions,for completing this application _ State Sanitary Permit Number ~ The information you provide may be used by other government agency programs ❑ Check if revision"to~Jfous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Propert~y QQwner N IF" Property Location W 4.5 AT114N 114, S f T -3 , N, R /S X(or) W Propert y Owner's Mailing Aclress Lot Number Block Number City,Sta Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F B ILDING: (check one) ❑ State Owned o itia Nearest Road vile Public` 1 or 2 Family Dwelling - No. of bedrooms ❑ To wn OF J)tG+l Ma>r'-A ik III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo ©a (IV -J000 , 30 -1.20 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 100 Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 110 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 online A. Check box online B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank OnlyExisting 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 1129 Seepage 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 Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) G~ Elevation w CCU f1• Z Feet 4Y-s Feet VII. TANK Capacity INFORMATION in gallons Total # of manufacturer's Name Prefab. Con- Fiber- Plastic Exper. New Existin Gallons Tanks Concrete strutted Steel glass App. Tanks Tanks Septic Tank or Holding Tank (p,ia", ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Na Print) Plumber's Sig atur : (No Stamps) ASP/MPRSW No.: Business Phone Number: +~,r:ndute.r►g 1,54-3 7tS'''~F~G-•513.5 Plumber's A( dress (Street City, State, Zip Code): /.05-4 n/7 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sa nary Permit Fee (includes Groundwater ate Issue Ient Signature (No mps A rOVed Surcharge Fee) pp ❑ Owner Given Initial Adverse Determination ~ X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-8398 (R.11/96) DISTRIBUTION: Original to county. One copy To: Safety& Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years- 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. V11. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. P, ort' ~ I o.,,,, 3 C9 3 Ids ~a~►~re `~'.GS 6 f+ AJAw - N E See-T36 - 1 c.J 1'LGI~. Syo~~ 5~ yo aAp yak / aa' v cy). a 0 n,PRS~ 1 S'~, 3 s y ~o ,~rA`~ I~r o~cs.eol E--y8''~ •s D 3° l~ w~lls-w ~~,,c, (~S 1fJ : , PAGE OF r~SS Sic Ivn o SYs~-en-I Froth Air intel$ And Observation Pipe n Approved Vent Cap Minimum 12' Above Final Ciade 20- 42' Above Pipe _4" Coen Iron To Final Grade Vent Pte ttorth Hay Or Synihelie Coverln. 2' A Over Pipogngate DUirlb ♦ ullon Pipe 0 0 0 0 --Toe s 6' Agoteeale 8enealh Plpe ° Pattoraled Pipe 0e10r o Coupling Terminating At Bolcom Of Srilom .SOIL. FILL DISTRIBUTIOU PIPE • APPROVED .S19PETIC COVER 2"0 AGGREGATE •r MA7~RI~t- OR 9" OF STRAW .1: OR MARSH tAms le'.0 PJ2-Zt/Z AGGREGATE DI•S"rRIB0JTItJU PIPE TO BE AT LEAST INCHES BELOW ORIGIIJAL. GRADE AUU AT LEASTZO IJJCHES BUT.IJO MORE TNAIJ 42 IUCNES BELOW FINAL GRADE MXIMUtA DEPTH of F-XCaVATIOP FRoM ogi&wa (KADF. WILL BE -R2 IIJCHES MINIMUM AEPnt OF ExCAVATIOM F.PO^.0PI4INAL raR4VE WILL BE 41FO_ INCHES SIGQED: LICEUSE IJUMBER:ICtPRS4.~ ISFs3 . DATE: I C7,7 Wisconsin Department of Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page ~ of2- Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County C include, but not limited to: vertical and horizontal reference point (BM), direction and 5i1 C t~ J( percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # a;k.(. o00 10 - APPLICANT INFORMATION - Please print all information. Reviewed by , Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot V l j 1 /4 Alf, 1/4,S T30 N,R (fir) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 965 (o3 9.3 ac,w.a. City 1 Siate Zip Code Phone Number Nearest Road 6V El City village Town Rlu1 WT 5Vol ( W, ) a b•-yo v i 1jrk Cot, IV v,- New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 C70 gpd Recommended design loading rate nch, gpd/ft2 Absorption area required 426211 bed, ft2_/0V0 trench, ft2 Maximum design loading bed, gpd/ftz 6 tr ch, gpd/ft2 Recommended infiltration surface elevation(s) _ ft (as referred to site plan benchmark) Additional design/site considerations Parent material 1J*ak a ":ku ~ Flood plain elevation, if applicable 5. D . ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system [$S ❑ u ® S ❑ U Ks ❑ u S KU ❑ S [X U ❑ S AU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench G .3 Go ; , S' O-It. za /VoriL. / / s s b M&" /0 119.112--1A PJ L 6 e Sil A ss $hk 1'tn 5-C4 35-0 Ground 1V eYu. C. N qh 5 , e v. ft - Depth to limiting factor J_ j Remarks: Boring # D !0y& i2/a, 1 w. Srv C.W 340 - ( d ( f rn G co ,5 Ground ~elev. Depth to limiting factor 1> lkoln. Remarks: CST Name (Please Prinil Signatur Telephone No. cculuVw% T O 71 F_--l 9t -NTc Address Date CST Number / G Zfcr"~ PROPERTYOWNER W,R.S SOIL DESCRIPTION REPORT Page cA_ of 3 PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure Consistence 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Boundary Roots Bed , Trench Ach 1 f Soh m l1'M G W Cb s 3 O•(, 5~/ f 5 bi C ce , Ground G S n 4- ^ ' s e elev. Depth to limiting factor ; Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD/ft2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring* Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. tt. , Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) tS 66..-r. CA l 97 4 Q i o .gyp 1'►e.tia~a,.. ~ 3a ~ Q ~ 0 4a~ W~}haw ~ ~ re.~, 05/02/1997 16:11 7152467079 REMAXTEAMIREALTY:NR PAGE 02 05/02!97 FRI 15:02 FAX 715 396 4888 ST CRX CO ZONING DEPARTMENT OF X002 INDUSTRY, REPORT ON SAFETY p , A SOIL SORiNGS AND & BUI LDrn LABOR AND HUMAN RELATIONS _ PERCOLATION TEST {115 D) 37 ) p. O. BOX 79 L MADISON, WI 537 ILHA 05,09(1) & Chapter 143) l: gE j8 N/R Ete awl MUNICI ALITY: O ,UK.NO. 51 IVISIO E; 75- • GrO 1 ! O MAMINZ DRESS: 8E OM AL I rlp VATEi o83lAVAYIONS MADE y.. Ranidence ~r RATING: S= ?eta suitable for system Lie Site unsultebla for s am r M ts on QEM•IN•F LOIA1 TA ECOftdllp EO ST-EMI epci I) s V V u S TEJ5 ~a if Pacolatioh Tats are NOT required DESI E: under s, ILHPI 83.0816)(b), indieate; it any leoco. indicate the Flood tested aoea is in the P leotlpfpilin elevation: Q PROFILE DESCRIPTIONS - 5 RIN p A114. E4EVATION 0 IfV STHA RA :Ttg UP WIL Will 111,11 HI , COLOR UAE, AND p H gil BEDA -K IP O 09SE VE BRV. dN 8A k,) s• ,a B• ~ ~ ~ ~ f. tom-^~ ~i/v~./~~ q~9 3r • ~r~~ - 71- OVIA 6- PERGOLATION TESTS W4TSRiN, NLAIBEft AATER I N. GR HATER i1N NCH I. lie- P- P- P- 'LOT PLAN: Shaw 16cacons of percolation tests, soil borings noel the dimenslons of euii ble soil areas. Indicate 6-1, or distances. Deeerlbe what are she hori- tonta! sad vertioal elevation reference points and show their location on the plot plan. Show the su►faw Newclnn at all tao►ia>fr and the direction, and percent of Iandslop#. SYSTEM ELEVATION S-' ~1 _ a.. i . _ T . -4z~ -il0 7I r9e%.. .r S T C - 100 a ti This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Z Z~, , 1/-1/1Z Location of property l/4/~i 1/4, Section / ,T fe N-Rle W Township /Gr. ~I?f1 Ma' ling address q tas a,,,, C (10 7- Address of site J~{ I Co~~T_S,C.hmo'l_ Subdivision name~Cv, Lot no. .3 Other homes on property? Yes No Previous owner of property 9.7 T~s~SOA Total size of property Total size of parcel q A Date parcel was created 9 ,7 Are all corners and lot lines id tifiable? Yes No Is this property being developed for ('spec house) ? Yes X No Volume and Page Number a as recorded with the Register of Deeds. J ~ INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY.:DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner (s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 54.2g) , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signat e of Applicant Co-Applicant 011~119~7 04/ Date of Signature Date of Signature . t STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYERG Fy Z&2 - 1 MAILING ADDRESS C PROPERTY ADDRESS (location of septicsystem) Please obtainfrom the Planning Dept. CITY/STATE ft1~ Gfl7J/D~~ K/ l -r 7 ~f 11 r PROPERTY LOCATION 1/4, Section TsZj~2_N-R_l0 W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP T✓ /7/4/7? , VOLUME ~j 1~ , PAGB--?`~LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Me, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expi tion date. SIGNED: /0' DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 VOL x.251 PAGE W ,---562478 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. AEGISTER'S 0i FI ;F Lloyd G Pet rsnn and Ronni c M PPtprcnn, ST. CROIX CTY., W1 husband and wife, 'JUL 16 199T conveys and warrants to Wesley W. Ha 1 1 P and T i nda R Ha 1 1 a 02.00 P. All husband and iii fa, ^c cttrvivnrchip`marital pr=er_ty, 4A 'iegstw -I Deeds THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St. Croix County, KRISTINA State of Wisconsin: OGLAND Zilzt Estreen & Ogland P-0- Box 359 Hudson, WI 54016 TRANSFER $-c FEE e0 CX7.65) - 1606 - ,33- l -.b PARCEL IDENTIFICATION NUMBER Part of NW1/4 of NE1/4 of Section 1-30-18 described as follows: Lot 3 of r Certified Survey Map filed September 22, 1989, in Vol. "8", page 2153, Doc. No. 451749 EXCEPT part to Thomas F. Heffron and Janet Heffron in Vol. "894", page 318. TOGETHER WITH the right of ingress and egress over the 66 foot private road as shown on said Certified Survey Map. This i no homestead property. XXW (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. I Dated this DJul A.D., 19 97. Ii 011 G' (SEAL) (SEAL) Loo G. Peterson Bonnie M. Peterson I~ (SEAL) (SEAL) II AUTHENTICATION ACKNOWLEDGMENT Lloyd G. Peterson, State of Wisconsin, Signature(s) Bonnie M. Peterson ss. y ..f T„l.. n~ _ _ Count II ant}ianrir~rvrl r},;o 104 O s 8 FILED 451749 SEP2 2198900. -CQNNELL 2 CERTIFIED SURVEY MAP St ix St crop LOCATED IN PART OF THE NW} OF THE NEJ OF SECTION 1,T30N, R18W, g TOWN OF RICHMOND, ST. CROIX COUNTY, WISCONSIN. LEGEND OWNER 19 St. Croix County Section corner monument - aluminum cap in concrete Lloyd Peterson Rt. 3 • 1" iron pipe found New Richmond, i 54017 0 1" x 24" iron pipe weighing 1.68 pounds per linear foot, set 1 APPIMED -#r- k existing fenceline SEP 2 2 19$1) swamp ST Mix c,-;,. 4 VSVE PAPK. N} corner ANDZl7r Nr- NE corner Section 1-30-18 _ _EAST CTH_"K!' _ 308.26' d a north line of the NEI S2"Ction 1-30-18 - 405.00' 275.26' 1939.31' - 1 _ I "I EAST - 1 0 U1 242.16' a LINE DATA TABLE 0 C) W o h6 :f C line bearing length CERTIFIED SURVEY co LOT 1 a - b S00°23'47"E 55.00' I MAe_Y:S2=_R9=1~¢ g P i a - d WEST 33.00' C b - c SOO°23'47"E 78.15' C) •i , \ o A ` ; o b - e WEST 33.00' 0.00' 325.00' 1 b - g WEST 66.00' EAST 405.00' e - f S00°23'47"E 78.38' 477.25' e - g WEST 33.00' g - h S0002314711E 78.61' ifi i - j S6204911911W 167.84' I -.1 Ln 66' PRIVATE ROAD ° j - n S6204911911W 59.88" o o k - 1 S6204911911W 103.57' ° iM i - n S6204911911W 227.721 I:3 E co w Ia a (n o If AAP - 1 y 1 WEST 72.25' I N rn 4- 1 T T 1 z o I I w i E m- o S62°49' 19°W 227.72' E LOT 2 r„'= ° II I 'CD p - t S0003010811E 253.92' CO I d a I I o_ ; q - s S0003010811E 253.34' -ti m /1 I existing house o r - s EAST 50.43' T I awo i T s- t. EAST 66.00' I CD 1 M d - f S0002314711E 133.38' N M ~ I 1 o I Cn rl 422.59' d - e S0002314711E 55.00' 172,671 WEST 711.69' N SCALE I N FEET ^L 200 100 0 200 Bearings are referenced to the _ north line of the NE} assumed LOT 3 to bear EAST. co co ~~ddQ90t'r~Fy~,~ 00 r) en N)