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HomeMy WebLinkAbout032-1023-80-200 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER FOAL UAX13 ADDRESS cfl~711 e3 mc- wsET SUBDIVISION / CSM# LOT # SECTION F_T 31 N-R1.W, Town of .SO/~icS,es~T ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N POLO J d EC./a~ b ~pUS~ oil C4, A70 /000 ~.-sxs7 'rR~~H~s INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: Zia /'STEEL .&49 ALTERNATE BM: r SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: GlI~~XS c,~, Liquid Capacity: Setback from: Well A(cT 11v _ House 18 11 Other Pump: Manufacturer Model# Asst Size Ar4 Float seperation~rf} Gallons/cycle: Alarm Location /IA SOIL ABSORPTION SYSTEM Width: Length Number of trenches :Distance & Direction to nearest prop. line: s] Setback from: well: House-53_ Other ELEVATIONS Building Sewer (o ST Inlet: ST outlet: 9j 9 PC inlet J- PC bottom Pump Off /yg 9y 93• s9 Header/Manifold 196Bottom of system q/. 96 Existing Grade 97 x 97, s~ g 9Y, s Final grade DATE OF INSTALLATION: 7-/a ? PLUMBER ON JOB: rz"~ LICENSE NUMBER: 320.0 INSPECTOR: 3/93:jt °,0 o.~z f-01 2-41`> 44~'~s 319 P/ A 10 p 7108 M CERTIFIED SURVEY MAP' i Located in part of the SE4 of the NWa of Section 9, T31N, R19W, Town of Somerset, St. Croix County, Wisconsin. N LEGEND •N Aluminum County Section SCALE IN FEET Monument Found N W s 0 100 200 400 0 111 x 2411 Iron Pipe Set, weighing, 1.68 lbs. per linear foot N O W Roadway Setback Line a d s v o a 0 v d v v e d ai ■ b UNPLATTED LANDS OWNER ro 332.96 Kevin Fleischauer 0 S89011' 15"W 256 First Avenue South ta -M •C v 299.96, South St. Paul, MN 55075 o 33.001 m o 661 ApPROVED WI D:. " 1991 LOT 2' ~I u') AREA - INC U) V) 1 mlys pLAANNING 00 . R/W co x?r~~;'1 11Ci`~Si~A'!'IN~KS oo 294,901 sq. ft. 00 ~i v~l n~r~mn~r~.:c:Ot1f7TEE A i 6.77 Acres 4311 A I ~I ZI Qi AREA EXC. R/W 33'33' J "-II 248,022 sq. ft. Uji 5.69 Acres 501 o ¢1 ~I N N ZI . N I 0) O N O N O z O O O .M• Z " O Ul) S88o3114511W ..300.001 2146.61-- 332 .96' - - N89011' 15"E _ N 1 15' E - 2799.861 w} Corner of UNPLATTED LANDS [RICE LAKE ROAD E} Corner of 5£hz Soda 6 HwnZon •aoTnpV ao; aoT;;p 6uTUOZ Aqunoo xToao 'IS eqq goPquoo TaoaPd AuP 6uTdOT9n9p ao 6uTsPyoand aao;ag (•019 'TaoaPd oq ssaooP 19xts qoT unwTUTW 'spUPTIaM •a•T) suoTgeTn5ea puP saTna 'sMPT Ajunoo puP gjejS oq joalgns ST ( IPTd) dew sT4q uo uMOys Taoaed yoPS '19w, r. si S civ il9pd K•a b' LCD r d•S ~ ~dia17'~rJ,l"J ~ a~~aa u eg~tN ` ~ ua t TK ~`~c<<o'Joc~cU~ ~ ItAoTzl `awes buTddew pue BUTAGAins UT XT030 IS ;o d4un6p agl ;o aoueUTpap UOTsTnipgnS pueq agq pue sajnjejS UTsuoosTM agl ;o b£'9£Z aeldego ;o suoTsTnOad 4uaaano ago MITM paTTdwoO dtjn; anBg I Jeg1 !pagTaasap pue padanans daepunoq aoTIaaxa ago ;o SIV06 04 UOT4equasaadai 4092200 a BT dew AananS POT;T4290 9M 3egl A;Tgaeo osje 'I 'p20093 ;o sjuawasea jje pue (49024S gItt pue PEON axeZ OOTg) s eoa uMO ao Avm- o_ b a o as ns st aaaed a aa a P ~ 3 ~ ~q T ~ 3 ~q t p q,T s p anoq'j `uOTjdTaasap sTg4 ;o buTUUTbaq ;0 4uTod ago 04 409; TC 988 '3„ZT,6Zo009 aauag4 :400; 96'Zfi£ 'M„ST4TTo68S a0ua1q4 'ISO; T-L'988 11aaa4S g4tt ;o OUTt.20auaa ago buote 'M„ZT,6Zo00N aauag3 :408; 960Z'£S 'OUTI pTes baote '3„.9T,TTo68N buTnuT4uoo aouagl tbuTuuibeq 30 IUTod oqa. o4 489; T9-9WTZ '6 UOT4009 pTes OUTT 6/T 499A - 4990 aq3 buoje '3„9T,TTo68N aouagl ;6 UOT400S pTes ;o AOUIOa b/TM aq4 eqI ae buTOUawwop :sMOTTO; se pagTJosap aag4an; ;uTsuoosTM 'djunop xTOA0 `4S '40sAaw08 P U801 'M6TV 'NTU '6 UOTIaaS ;o t/TMN aq4 ;O V/T3S agI ;o 4aed uT pajeooj puet ;o taoaed i Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 289308 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: STOHL-FLOSTRAND RUTH & RON FLO TSOMERSET CST BM Elev. Insp. BM Elev.: BM Description: Parcel Tax No.: 032-1023-80-200 TANK INFORMATION ELEVATION DATA A9700122 1,19 7 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic s lC ~Jv Benchmark Dos Aeration Bldg. Sewer 755 7G. Holdi, St /~11 Inlet 96, 17' TANK SETBACK INFORMATION St/ Rf Outlet s y's, 9.3 Ventto TANKTO P/L WELL BLDG. A irlntake ROAD Dt Inlet Septic NA Dt Bottom - -7 Dosing NA Headers Aeration NA Dist. Pipe Hold' Bot. System iz SJ, 9a-°j ~k. PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand del Num GPM TDH Lift L Ic I S stem TD Ft >al n Length Did. Dist. To Well Force SOIL ABSORPTION SYSTEM BED/TRENCH Widths , LengtJ~h'7 ; No. OTrenches PIT No. Of Pits Inside Dia. Depth DIMENSIONS DI N I SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA nu acturer: SETBACK CHAMB INFORMATION TyPe O Model Num System: OR T DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Ven it Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Gra ems Only Depth Over Depth Over xx Depth Of xx Seeded -1 d xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ~~TE] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET.9.31.19,SE,NW 2260 44TH STREET LOT 2 / 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: vi~FiR SANITARY PERMIT APPLICATION Safety oand f Building Water Sng Water System! Bureau of Builystem: 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code 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 12 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 b other government agency " ~O~ y y by programs ❑ Check if revision to previous application lPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location /S>< '114 1/4, S 47 T , N, R E (or Property Owner's Mailing Address Lot Number Block Number /313 5-3-W Allie- 94E 1- 1 City, State Zip Coe Phone Number Subbddivision Name ~ CSW Nu ber _ ( ) V Ul O"~) Jl II. TYPE F UILDI G: (check one) ❑ State Owned ❑ City Nearest Road ❑ Village Public ; 1 or 2 Family Dwelling - No- of bedrooms Town OF SCIVe E-7- Ill. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo ~3a2 -140,?-3 - 46 Qa 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. KNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an _____System System Tank Only______________ Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 1.2 JA 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 5. Perc. Rate 6.' System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 3,S"' pptoctr. Elevation 0 $://1F Feet 9 - f; eet VII. TANK Capacity in gallons Total # Of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank t E3 r_1 r_1 El ❑ Uff Lift Pump Tank /Siphon Chamber ❑ 11 El El El ❑ VIII. RESPONSIBILITY STATE-MENT I, the undersigned, assume responsibility for installation of the onsite sews e s m shown on the attached plans. Plumber's Name: (Print) Plum IF Signature: (No Stam s) Business Phone Number: m ~,~t1S l - Y -6'6,-/ Plumber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved San, ary Permit Fee (Includes Groundwater Date Issue Issuing Agent (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) r N% Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: C/ Z, SBD-6398 (R. 05/94) 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, 608-266-3815- 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 isto be installed. Il. 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_ VII. 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; Q soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) fora 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. Ly ~ y„RUC vGsNT~ /XrP- v a G ovt~ 3Q'` poo t ~yS'TC~9' ~L. 70 • 133-.~' ~E~au~ nr~- poLE sHe-D ~/~rucF RoPpS ~u- ~J Air ~ Q EC, /o/,i0 Qfr ~ CLteoa+ 17 132 ' ~C 1J / I `r 3 5c4cF Io! 13,,r7. 7 5" r--e4- 9/19 e- EL. /aa . ALT 1617 Top /%z ~ovc A//sue e4.10.1,40 /C i LA )rbr 0 . 1)k'i4wlx6- mot? p S, if 7 fi/?A Ale- /-3y STaf! - ~LGST/1AN/~ /1 CK ~LGS ?/l~4/l~D1.~1tiu p~ d~C•••-c.ZT ff4 7,,4 L ~z yYr'~ S T ' 5-86 0AC,(- cy Sol~l~ns t~ ar~~-nst~ iW 320,E Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings j Oer~ Itlw1k .05, Wis. Adm. Code St. Croix [PPARCEL OUNTY Attach complete site plan on paper not less '1/2x sin si , . n must include, but not limited to vertical and horizontal refere a int on and °4 x)fl lope, scale or I.D. # dimensioned, north arrow, and location an ance to nearest r, © 3 Z 0?_ 3- 8 ^2-00 REVIEWED BY DATE APPLICANT INFORMATION-PLEAS r ilNT~t~t sti ~'NgMATIOFI;, PROPERTY OWNER: oo ~F4Gs% ROPERTY LOCATION Rori' Flo strand ~ ,,CMNNG /GOVT. LOT SE 1/4 NW 1/4,S9 T 31 AR 19 ~ W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Ism NE 1333 53rd. Ave. - CITY, STATE ZIP CODE PHONE NUNM []CITY []VILLAGE BEOWN NEAREST ROAD Fridley, MN. 55421 ( ) Some :k] New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate ____7 _bed, gpd/ft2_trench, gpd/ft2 Absorption area required 643 bed, ft2 56R trench, ft2 Maximum design loading rate bed, gpd/ft2trench, gpd/ft2 Recommended infiltration surface elevation(s) 93.76 It (as referred to site plan benchmark) Additional design/ site considerations step down r n h G aced to coda '3_51 hp-joy aurfact- Parent material o wash _ Flood plain elevation, if applicable z~a ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ®S ❑U ®S ❑U ®S ❑U CAS ❑U f]S ❑U ❑SlU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bouridary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 -8 10 r3/3 none sl 2m r mvfr cs 2f .5 .6 2 8-16 10yr4/4 none is 2mgr mvfr gw if .7 .8 Ground 3 16-82 7.5yr4/6 none ms Osg ml na na .7 .8 elev. 97.26 ft. Depth to limiting factor +82" Remarks: Boring # 1 ~1-19 10yr3/3 none sil 2msbk mfr gw 2f 1.5 .6 2 0-28 10yr5/4 none sicl lcsbk mfr 9W if .2 .3 3 8-84 7.5yr4/4 none ms Osg ml na na .7 .8 Ground elev. 97.26 ft. Depth to limiting factor +8411 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200 Ave., New ch and WI 54017 Signature: Date: CST Number: m02298 4-94-97 PROPERTYOWNER Ron Florstrard SOIL DESCRIPTION REPORT Page of :i PARCEL I.D. # ij 3z 1023 &Q ^ ZC C/ Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bourxiary Roots Bed Trench 1 0-12 10yr3/3 none sl 2msbk mvfr 9w 2f .5 .6 212-20 10 r4 4 none sl lcsbk y / mfr gw if .4 .5 Ground 3 20-84 7.5yr4/6 none ms ml na na .7 .8 elev. 94.57 ft. Depth to limiting factor +84" Remarks: Boring # 1 0-10 10yr3/3 none sil 2msbk mfr gw 2f .5 .6 S 2 10-41 10yr5/4 none sicl lcsbk mfr gw if .2 .3 3 41-80 7.5yr4/4 none ms Osg ml na na .7 .8 Ground elev. 91.48 ft. Depth to limiting factor +80" Remarks: Boring # 1 0-11 10yr3/3 none sil 2msbk mfr gw 2f .5 .6 -36 10Yr5 4 none sicl lcsbk mfr 211 if .2 A ><?...5... 3 36-80 7.5yr4/6 none ms Osg ml na na 1.7 .8 Ground elev. 91- 48 ft. Depth to limiting factor +An Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Ron -FZor-strand 1554 200th Ave. CSTM2298 SE4NW4 S9-T31N-R19w New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246-6200 lot #2-Q N 1"=40' k, o~ D\~ BM.= top of 1" steel pipe C el. 100, 4 Alt. BM.= top of 12" pvc pipe C el. 101.60' r-f p, r / 5' o~ Gary,a,L. Steel 4-24-97 S T C - 100 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. Ownerofproperty1?6AZ f'LT~AN® Location of property_5Er_1/4 1/4, Section T_3N-R___ty W Township 6' m/wS'~T Mailing address 1333 S3,eo Ne~ 1=Rin L E Y aA(, 55 YI / Address of site ? ~Z .Q 51 i ' °S7, 5f~02S- subdivision name Lot no. .2. Other homes on property? _Yes No Previous owner of property l~~ulAr A-LEi sGh/ AUgje-12 Total size of property 7,-.--) Total size of parcel, 5 Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes _ )C_No Volume and Page Number 30 as recorded with the Register of Deeds 30 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. Y 280V , 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. V2fQ q - Signature of Applicant Co-Applicant 1/-1;' Date of Signature Date of Signature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER &"y S n? A'V/) MAILING ADDRESS 1,-33 3 Ty" A UjEF- ff OE /C2lD L t y l ~/V~ S 55~2~ PROPERTY ADDRESS S- (location of septic system) Please obtain from the Planning Dept. CITY/STATE 50,A 'E;Q ieT &4,1 Syea 6 PROPERTY LOCATION 5E 1/4, Wal 1/4, Section T_2j _N-R__ZY_W TOWN OF Sa~~ f C T ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP VOLUME 7, PAGE~3 S ;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. I/We, 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 expiration date. SIGNED: ' r i yL~' y DATE: - St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 o pF~ FD ~c!'Y ~q'wFCc 4.77108 ~ CERTIFIED SUR-"VEY MAP' Located in part of the SEa of the NWh of Section 9, T31N, R19W, Town of Somerset, St. Croix County, Wisconsin. N LEGEND Aluminum County Section SCALE IN FEET Monument Found _ Ul) 0 100 200 400 0 1" x 24" Iron Pipe Set, i _ weighing 1.68 lbs. per linear foot 4-1 Roadway Setback Line dco Z 4, L o 0 -0 4J m U 'O C d L 7 4 N UNPLATTED LANDS OWNER d b 332.96' Kevin Fleischauer CU °o S89011' 1511W 256 First Avenue South 14 F299.96' South St. Paul, MN 55075 41 33.001 41 o W o F6 6' APPROVED - I LU 1 2 3 1991 C/) I LOT Z II DEC AREA INC. R/W ono uON1i''f~k}~f+d51VkPANS PL1-NN11(' 00 294,901 sq. ft. i ,r, 00 =1~i C/~ID10 COMM N ~1 Q1 Qi 6.77 Acres ~ ~ ~.I z1 33~ 33' Q i AREA EXC. R/W J J 1248,022 sq. ft. Q 1 cal 5.69 Acres :50' LLJI W I ao F- f-' I 00 F- 1 F-I 00 QI J I _I 1 W = - tZ I C~j C1-I N ; _ ' N =I Z I ~I N. 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STATE BAR OF WISCONSIN FORUA!-1111W THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED ~4'78Q47 p 930 f C 630 OFFICE REGISTER ST.. CROIX CO:, WI Kevin C. Fleischauer Reed for Reciid a married man JAN L? 1992 Of 11:55 A. M conveys and warrants to Rut A. S t o , a single woman n bow of 0" RETURN TO the following described real state in S t . Croix -arty. Slate of Wisconsin: Tax Par col No: Lot 2 of the Certified Survey hap recorded in Volume 99 CSM Page 2435 as Document No. 477108, a part of the SEk of the NW)t of Section 99 Township 31 North, Range 19 West, Town of Somerset, St. Croix County, Wisconsin. Rle3erving a Non-Exclubive easement over the N 33 feet of Lot 2 of the Certified Survey Map recorded in Volume 9, CSM Page 2435 as Document No. 477108, a part of the SE} of the NW} of Section 9, Township 31 North, Range 19 West, Town of Somerset, St. Croix County Wisconsin for the purpose of ingress and egress for the benefit of the following described: The East Half of the Northwest Quarter (E} of NW}) of Section Nine (9), Townhsip Thirtyone (31) North, Range Nineteen (19) West, EXCEPT the following described parcel: Lot One (1) of Certified Survey Map filed December 20, 1990 in Volume "8" of Certified Survey Maps, page 2306, as Document No. 465077. This is not homestead property. (is) (is not) Exception to Warranties: Dated this 15th day ofJanuar ' t9 92 - (SEAL) (SEAL) • Kevin C. Fleischauer (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s)-- _ STATE OF WISCONSIN sa. St_Croix -County. 15th authenticated this- day of , 19-- Personally came before me this.- day of _ January .19 92 theabovenamm Kevin C._ Fleischauer a_ parried man TITLE' MEMBER STATE BAR OF WISCONSIN to me kstown~o be the person w e uted the (If not, authorized by 4 708.08. 6. Wis. Slats.) - 4,0,eginv,,9 r rumens and go e m K I THIS INSTRUMENT WAS DRAFTED BY ~ i