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Home My WebLink About006-1006-50-100W,iakonsin Department of Commerce Safety and Bu(Iding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Thom son, Kermit C Ion Townshi CST BM Elev: Insp. BM Elev: BM Descriptioq~ l~ ~.~7rn ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~ '\ Dosing ~ ~ /~Q /~~ y Aeration Holding TANK SETBACK INFORMATION TANK TO P/L~~ /l~- Y"1""` WELL BLDG. Vent to Air Intake ROAD Septic r f !N t 1 ~ r Dosing Aeration Holding PUMP/SIPHON INFORMATION (~-vri.r k~~ ~ Manufacturer Demand GPM Model Number TDH Lift Friction Lo System Head TDH Ft Forcemain L Dia. 'st. to Well SOIL ABSORPTION SYSTEM 11 (~/~ ~-.,,.,, /_ DA ~/ //'n U// ELEVATION DATA county: St. Croix Sanitary Permit No: 463105 0 State Plan ID No: Parcel Tax No: c) L~ - /G+~G~ -- 5 U Section/Town/Range/Map No: 03.31.16. STATION BS HI FS ELEV. Benchmark ~ ,~~ ~D~'a Alt. BM T ~ ~~ /p~ ~ +_ BIagSG~ ~a ~ ~ / o/, ~' SUHt Inlet /v ~ ~~ ~~ / pa SUHt Outlet Dt Inlet ~'"^ ~.--- Dt Bottom .~.-- ~,~~- Dist. Pipe ~N .~ ~ Bot. System '7• Fina! Grade A ,~~ / t/'( ~ . ! t~ ro .~ St Co r rr~i'h.~~iLco ` /.2 lp~. a~ BED/TRENCH Width r Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~ ~ ~____.~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREA LEACHIN Manufa r r INFORMATION CHAMBER ~~ Ty a Of System: ~~/ ~ f UN Model Number. e ~..!% DISTRIgUT1~N SYSTEM Heade nifol~i b h Distribution ~ Pipe(s) ~f.~ 1~,~/,- / ~ ( lD i h Di " '" x Hole Size ~' x J~-Specirtg Ven ' q r 7 1 d Lengt Dia Spac ng Lengt a_ 3~IL OVER ~ Y a~o~~~~~o Cvc4nmc Anly YY Mnunrl Ar 4t.Grade Systems Only Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlrrench Center (~. ~~ /~+ Bed/Trench Edges Topsoil 0 Yes r~± No "~ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /~1~ lnspection #2: / / Location: pending 235t Ave. r SJ/ Deer Park, WI 54007 (NW 1/4 SE 1/4 3 T31 N R16W) NA Lot ,1 Parcel No: 03.31.16~C 1.) Alt BM Description = ~~~ IUL+~ t j'"'~ 0V'e-~"~Y S - ~~j(,Qy ~G~'/~;,b~~.Q.o,,,- 3~ra~~ "'~~ 2.) Bldg sewer length = ~Z„r~ ~~ ~ ~ fr (.~-,b'a,~. !/rte.. -amount of cover = ~ ~ f ~ ~7~,P~1.~..r~` ~ y ~'Z, a.~'~~--~-- ~ n'~ o~,~ 235- /ktre,. ~u,~ Plan revision Required? [] Yes o ~1 ~ ~ ~ ~wY~~ J in/~ ~ Use other side for additional information. ~_L~--__11tL- ~ L __ _~___- _ Date Insepctors Si ature Cert. No. r SBD-6710 (R.3/97) • Wisconsin Departrnent of Commerce ~~~ATI N REPORT Division of Safely and Buildings Page / of in actor nce wdh Comm 85, VYi~~1m. Cade Zb ~ , ~ z Coun ~ ~ er not less than 8 /2 x 1 ~~a~~es~n size Plan must ~ Attach com lete site lan on a S ~ . p p . p p indude, but not limited to: vertical and horizontal re rence point (B ~i~~for1 and ~ percent slope, scale or dimensions, north arrow, an locati a~cv~~Qfear ~ d. (~~~~1 parcel LD. Please print all infor ationZ0~1N(( ew Date Personal information you provide may be used for secondary purposes (Privacy t_aw, s. 15.04 (1) (m)). f ! ~ G Property Owner Property Location ~~~•rt~ / Govt. Lot ~ ~ 1 /4 L ~' 1 /4 S ,3 T ~ N R E ( ) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ~~ /~/ ~-- City to Zip C e Phone Number ^ City ^ lage wn Nearest Road New Construction Us esidential I Number of bedroom derived design flow rate -~~ GPD ^ Replacement ^ Public or m dal Describe: __._____ _~ Parent material0 ~ ~~>• Flood Plain elevation if applicable ~ ~ ff. General corrxrlerns ~°~iu~C~,Q-~ ~/v~- /lam' Yt~~ and recommendations: ~ P~jl~ IoC~~~ a J- ^ Boring # Boring ~ ~~ it Ground surface elev./~~" "'ft. Depth to limiting factor .~~ in. Soil lication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 2 G - I ~ ~- ~ /~ / - ~~ ^ ~'~ # ^ Bonng ^ pit Ground surface elev. ft. Depth to limiting factor ~• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Eflluent #2 = BoD < :tU mgn_ ana i ~ < su mgrt_ CST Name (Please Print) - lure CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducte Telephone Number 1008 192nd Ave, New Richmond, WI 54017 /v ~~"~ ~~ 715-246-4516 1 LV LAM PROJECT John Hoeffely ~+ r ~,~„ RESS 373 Ctv Line Ave Clear Lake Wi 54005 NW 1 / 4 S E 1 / 4 16 W TOWN Cylon COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11 /2/04 BEDROOM 3 CONVENTIONAL XXX IN-GR D RE5SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 ,BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 97.5/97.3 5' below grade setbacks required by WDNR 235th Ave 525' AIt.B.M. 5' is top of 3/4" pipe C 99.95' 9' B.M. 64' S4' nVent >6" of Cover 11" 6' Long Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area 31' 106' 3% B-3 Slop 0' B-4 Vents B-1 at System 101' B-2 2-3' X 69' Cells with >3' Spacing 30' ST 30' Pro 3 Bedroom House 235th ST. Plans Designed Using Conventional Powts Manual Version 2.0 Safety and Buildings Division County /~ 201 W. Washington Ave., P.O. Box 7162 ' ~ (, ~ 0 ~~~~~~~~ s~3OZ - 7162 Sanitary Peaait Number (to be filled in by Co.) De artment of Commerce '~rv ~ 3 ~~ Sanitary Permit plic~ti~~l state Plan I.D~ In t-eeord with Comm 83.ZI, Wis. Atltn. Code, oral infomta[ion yo ~ ( Project Add (f different than tttaitiag adcltess) may tie usod for seooadarY purposes cY 13W, ~°~x-GU1)iVT ,~ ~3 ~.~. L Application Information - Plestse Print All Information ~~, Z Property Owner's Name S '` f + G-' ~.fYYi ~ "f' ~("~~'1 Orrs~Ssr~ Paroel #~ Block i[ ~ ~,/ ~ T PropeRy owner': Mailing Address 2 3 3~0 2 3 *' l~ .~ `~3fi. ~./~ Seaioa City. State Z'ip Code Phone Number Q ~ ~ ) / T~~N. ~ ~' ~- S II. Type of Building (cLiedc all that aPP}y) `~ 3 ~(j'y~ /)'l ~-'t 11 i~~ ' subdivis' Name cst,~rt or 2 Family Dwelling - Nntnber of Bedrootac J ~ ~ !~ Pubiie/Comtrietrial - Desaibe Use ~lo State Owned - I)esctibe use °~ a7. (.~ . C~Z,C,S ~ `x" b C/ ' {~2 Q' .~/ c t~'E ~ ah'- '"a4$e~(l ° of III. Type of permit: (Chtxk only one boz online A. Complete line B if applicable) A' ew S Replacement System TteatrnendHolding Tank Replacement ~y Other Modification to Existing System List Previous Permit Number and imoe Lsaoed B. Pexmit Renewal Pcmut Revision Change of Permit Transfer to New BeforeExp'uation Piamber Owner IV. T e of POWTS S (Check all that a 1 ~ Mound _> 24 in. of suitable soil Mound < 24 in. of suitable soil At-Grade Single Pass S Coasuuaed Wedand Pressurized In peat Filter Aembic Treatment Unit ' ~ luting Filter • Synthetic Media Filter - Chamber ~ Line Graver-kss Pi Other ( ~ / 3 ~ ,~ V. Di reatment Area o l ~ ~ '~ Desi Plow (gpd) resign son Application Rate(gpdsfl Dispeisa! Area Regeited (st). Dispersal area st) VL Tank Info CaPttaty in Totat Number Mannfactuter Prefab Site Steel Fiber Plastic t;ralions Gallons of Units Concrete Constmcted Ctlsss New E:isdng Tanks Tanks Sep6ror HoltLog Tad: ~~ . Aerobic T~eatmmt Unit ' Dosing (~ataber VII. Res onsibili Stattimnt- I, the and astamu nslbili for [nstaitatton of the FOWTS sbotru on the a ~~'P~ Number pl >~ds N (punt) Plu Sigatature MPtMPRS Number ~~ / Plumber's Address (Stnx4 City, State,tip / ~ ~ /'1 )''] l'vz~ ~ 9 /~ (f/ vnQ. Conn /De rttaent use Onl Da Issued ~ Agent igtiature Stamps) Sanitary Permit Fee fuicludes Groundwater GG%r!iLL~ pproved Disapproved Surcharge Fee) ~j-~ ~ a' l ~ 13 Q - -' Owner Gives Reason for Denial fI ~Gx/' "V ' LY. Conditions of ApprovaVReasons for Disapproval ~ ~ ~ n ,[ 1 Septic tank, effluent filter and dispersal cell must all be serviced 1 maintained Sr ~~ ~, ~~~_ /~ as per mana ement lan rovided b lumber. !~ ~Ct,-i-. 2. All setback requirements must be maintaine O ~.e~ ~ ~~~r>~! _,~/ as per applicable code/ordinances- ,~Q/ 'S Attach plans (to the County Daly) [or the oa paper not than E1/L x 11 inches is sin S~IIG- kerrn~~t I~~~' LOT PLAN PROJECT John Hoeffely ADDRESS 373 Ctv Line Ave Clear Lake Wi 54005 NW 1/4 SE 1/4S 3 /T 31 N/ 16 W TOWN Cylon COUNTY ST.CROIX 10/5/04 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN-GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 ,BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 99.5/99.3 3' below Qrade setbacks required by WDNR 235thAve Vent JinJ 5' 9' Standard Biod ffuse Leaching Cha ber with 31.1 ft2 Area 1 AIt.B.M. is top of 3/4"pipe ~ 99.95' * 64' _ _ 54' 31' 106' 3% B-3 Slope I with > 'Spacing Vents B-1 >6„ of Cover / 111 „ 6' Long at S 101' B-2 30' ST 30' Pro 3 Bedroom House 235th ST. 32 t `f' {r~e_ igne Using Conventional wts Manual Versi 2.0 __ s~lle.,- ke---m~i ~~~' LOT PLAN PROJI~CT John Hoeffely ADDRESS 373 Ctv Line Ave Clear Lake Wi 54005 NW i/4 SE 1/4S 3 /T 31 N/ 16 W TOWN Cylon COUNTY ST.CROIX 10/5/04 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN-GROU PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 ,BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark Well is to meet all SYSTEM ELEVATION 99.5/99.3 3' below grade setbacks required by WDNR ~~~~,, ~.,e 5 ~ A1t.B.M. is top of 3/4" pipe C? 99.95' 9' B.M. ,Vent >6" of Cover 6' Long111 " Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevatio 64' S4' 31' 106' 3% B-3 Slope 101' 2-3' X 69' Cells with >3' Spacing B-2 30' ST 30' Pro 3 Bedroom House 235th ST. ents B-1 Plans Designed Using Conventional Powts Manual Version 2.0 '?~ -. Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code 1434 Page 1 of 3 Steel's Soil Service Inc. Attach complete site plan on paper not less than 8'/: x 11 i es in ~ Couniy St. Croix include, but not limited to: vertical and horizontal reference int (B ' Parcel I D nand distance to nearest road. percent slope, scale or dimemsions, north arrow, and Iota . . Pendin Please print all informati n. ; ~ II, v ~ ~ O ~ ~ f riv 1 04 ~ evie .. Date or secondary pu es (P ( (m)). Personal information you provide may be used acy haw, s. 5. ~~~W~ ? ~ Property Owner ~ ~ ~ . C'~ :U ~idp~i'iy~ iLocatio Hoeffely, John & Stacia ~ONIN ~`bf~ NW 1/4 SE 1/4 g 3 T 31 N R 16 W Property Owner's Mailing Address Lot Block # Subd. Name or CSM# , ~G~' [~~ C f ~. 373 Cty Line Ave n na 11 Acres Pe ding City State Zip Code Phone Number City J Village ~ Town Nearest Road Clear Lake ~ WI 54005 715-263-3162 Cylon 235 Th Ave. /,_,,,~' New Construction Use: ~ Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement ~ Public or commercial -Describe: Parent material Sream terraces and pitted outwash plains Flood plain elevation, if applicable na General comments and recommendations: Convetional system. System. elevation 100.OOft. Trench es spaced and depth to code 2.5ft below grade. Boring # J Boring 96 Pit Ground Surface elev. 102.50 ft. Depth to in. limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none sl 2msbk mfr cs 1f .6 1.0 2 9-19 7.5yr4/4 none ms osg ml na na .7 1.6 3 19-96 7.5yr4/6 none cos osg ml na na .7 1.6 9 -s` .3 3~ ` ~ " O ~~ ~ah~_ - ~~ ~ 3 S-°~~ 3 n i , -- Boring # ~ Boring pI Pit Ground Surface elev. 102.50 ft. Depth to limiting factor 84 in• Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/2 none sl 2msbk mfr cs 1f .6 1.0 2 14-84 7.5yr4/4 none cos osg ml na na .7 1.6 /i * Effluent #1 = BOD 5> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/Land T55 < 3l) mg/L CST Name (Please Print) Signature: - CST Number David J. Steel _.-----~ ~ 248956 Address Steel's Soil Service Inc. Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 6/8/2004 715-246-6200 Property Owner Hceffely, John & StaCla Parcel ID # Pending Page 2 of 3 Boring # ~ Boring 1~ Pit Ground Surface elev. 100.50 ft. Depth to limiting factor $0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 none sl 2msbk mfr cs 1f .6 1.0 2 10-80 7.5yr4/4 none s osg ml na na .7 1.6 . a D~~ ~~ ~ 357 " ^ Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rood in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM John and Stacia Hoeffely New Richmond,WI 54017 LiC. #248956 NWI/4,SE1/4,S3,T31N,RI6W Bus.(715) 246-6200 Town of Cylon, St. Croix. Co. Fax.(715) 246-9372 11 Acres pending This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1" = 40' • =Benchmark Ele. 100.00Ft Top of 3/4" pvc pipe • =Alt Benchmark Ele. 99.95Ft Top of 3I4" pvc pipe ^ =Borings Boring Elevations B1 = 102~OFt B2 = IOtZ,S~OFt B3 = 100.50Ft B4 = OO.OOFt m ~"L~D_{ C /pU f6{i' l / 3 ~6~ / ~~ ~~ ~0 Z~ / ~2 - ~~'~. ~~ ~ T Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 ~~' -.~~ ~ c Plan Option #1. If stem fails, determine cause of failure, use alternate area and install new system ' sted replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 ,:,NP'l'1C' T.4.1~}~~. ~n.A.II~TT~:t~fA,:~iC~E A(JN.}::l~1v1•F't~t~' 1,>~.~V1~;l:;I~::~x~ll'' ~,F..,I:.TI.t•It~,'.~'i'I'I~.~i~~ }~UR,.I~I A ~ ~ r .,. .. a 3 5-~i ~ ~ r 1 --- ''62 h? -• ' ~ t~ ...l 1c.,.;i,:.;, ~ L„f.~.(~Y.L L/'F.l~ ~.-L'vf,. .S`~'tZ.L)....,.5r.....,..,.,,_...._,_....._.__....~_.._,_._..~..........,... (Yeritica:ion rcquir~d tiCr)m Planning Gepariment tvr new ~~orastnrrtion>_,,,,,,,,,,.._,.,,._....,,.,._,,, . , ,. ._.................. __. ...... ~ xrctil Idc;nti.ftcatio*~I t~u.tr..hr.r . ... -- .. 1}rol:~~.:~ty .L.c:~~,;;,,~~n wT ', ;, .~'r:' %.. ;ec..-.3__._.. ~~'..:~.~_...:1~•-~.,,.L:~,..1w`, TutivCl ut ._~.y.E,.O.~..........._..- .. ,;"trlurrrL~ ~......!..._.1..__..~._... F'a~e :~ _7.0_7. . .. .. - 'st Fi• ~ '~tirt.r, ;txa+t'y' '~ !c r : N' ....3~~ 2~ 3_.. _ .. _ .. _......_, Vc>Itun:~ ....~o, ro.( ......... _. fy~ _...,.... ... ...... ....... ~~rc .goose :`~ ! ~~~s too Lc>t bars idPatztal~le " yrs l.J ne7 ^~ lraapro r~r~ r.' ~ rte acrd tnain~icnanceof your septic system could result in ire pramaturc.failure to ha:ndla wastas.l?rriprr r~lr~.tiersance cons: ~ ~ of pux,ap i;i: ;out the sei-•tic tank every ttxree ye;ica or soaraer, if' ncrdrd by a iiccnseri puurpcx, wruxt ynu plu; into tts;r;. systcrtu can. a3:~ :et the surr::rian of the septic tank us a aeatrnent stage in the watsrr. disposal system. The p;ro :.~,; °ry owner a~:gees to submit to St. Crow lcnin.g Uepu~ttu~ont a ce:rti[icatkon.furm~ sisrstc.d by the. on~xer.;t:r^.d by a mastr, •: olumlxx, j rii::rneyrraan pltxnabar~ tcstxicttdplt~bar or a liccnsed.ptrnzp,:r vcrifyin~ Lt~4 (I) the vu-stt:r. wastewateidispb~~'r~ systarz~ is in ~:a ~pez op~°;c:e;±: ~g condition andlor f2} afYCr iaspecti4n atsd pumping (if necessaryl., the septic tank is less thaxt lY3 futi oF: ~lu~ige. l~wr., ~~. ~e undcr:si N;:i;d have reac;• the abovr, recluimt>zents and agree to maintain the private sewu~c disposal system witi~i tht~ ;fis:ndsrds set !'ar+>~, herei:~.i,. <'i.s...et try the I:aapartinept of Couumerce end tlrc Uepnrancnt of Natvcnl Resources; State of 'Wiscoasaa. Cer.::~1;;c~.ati,dn statin.t~ at'hatyoi~r~ ,;.;~ ~~ti~c system l•~as been maintained.must be cotrrpleted and roturrae:d to the St. C~r~~ix County Zonia~;. U~ce ~i~~~lt:hin 3Q <tu.ys ~., ~hc t~.z ~c t • xr txpi.cs~tio~s :late. ~~~ ~~ ~~ ~~~ ` j~ ..~.,L. a ~ fIC;:C•~ ~j•t:~:, :I~r~i.l~'.°, ~.'ra` UA"Z'"ti i (we}Y~c~~;~~.ify that au t~taternents on This form axe true to the best of my (our) latotivied;te. I (we} ant I;arc} the ov,;nar{s) of the p:c:°.~etty dt:;c?~i~ i~d aibove, E y virtu: o a ~va.sranty dried recorded m Ft.e¢iste,r of Deeds Office "'"*~" Amy i~:rfnn rratioa that i;, rrtis-represcntedmay result in the saziitary pextnit beictg revokad by''~e Z,ciniug Depa.x~nea.;"***"` ~~ XrR~.;ude with ~461c npplicati~~-n: a~st~tztpcr~ w3rrtrnry ~'leed from tha IZe~istcr Af l:lceds aiticc a copy of the certified survey txtap if reference is made psi the warr~.nt•~ decd ,DARD ORED DIVALENT APPI ~iED TOTGARAGE 5 DE OF SITE CONSTRUCTED GARAG E51 SB HE RESPONSIBILRY OF OTHERS?SUM DISCL05 ED OR OT ERW SENUSED WITDH OUT TH ERWRITTEN CIDNSENT OF ALB ALDL AMERICAN HOMES OF IOWA, LLC. NpTE ONE CpPY OF THIS DRAWING MUST BE SIGNED -pMli ALl SHUTTERS BY THE DEALER AND CUSTOMER AND RETURNED Tp A.A.H. STD, 2004 SPECS. Np pTHER DRAWINGS VILL BE STARTED UNTIL THE SIGNED -ANDERSEN wIMDpWS w/Lpw.'E GLASS -sTANDARO aRASS ucHrs DRAWING AND SIGNED ORDER CONFIRMATION fpRM ARE BOTH ~h-I+aT~R}6R4 Wuop :~y~ -OPTIONAL BRASS DDOR KN08S6HINGES P ON FILE WITH A.A.H. -EXTERIOR HOUSE WRAP -STANDARD RIDGE VENTS-'•••Lower fhe ridge beams l' -STANDARD LEPER HANDLE BATH FAt1CETS ANY CHANGES AFTER WE HAVE THIS DRAWING AND CONFIRMATION FORM - -STANDARD VITREOUS CHINA LAYS will REpUIRE A s 350 LLAR CHANGE DR-ER CHARGE PER EACH CHANGE. -SPRING VALLEY pAK (MEDIUM) CABINETS DEALER W/SQUARE TOPS 6 Np HARDWARE PKG. ' ~,~I[/ ~,~ -CUT RA AND HEAT REGISTERS HpIES GNIY COSTUMER ~ ~.E),,..~. / ~,,.~ Y x 5' 16'-~ 5/8' II'-5 I/1' ~ [~5 Hlry /` IO'-11 YB' R'-2 1/Y - v,• / \ :Aro -x Y .• to vY I 0 ~ I ~~ e ~?~ I OKrmvlx a~%[nntoma R K I 1 10 nEEi IIENI Lv[nf (.• A O (~ ~ I 9EWIRCKxt - __gg I rJY`l! a' Y - I7'-1 V9' 9'-3 318' I ~//-~ e'-8' ~ LREAT RCOH ~ I ~ I _ I pn7lFQyJE~p IY t e I ] l ~~/1I`~:J" "'... 1 I ~TI iS I oa I I NIN R ~ o II o~ , ~ ~ BATH m~ Y -. I va no'sv -~ - z ~ g .Ye I I I O 000 = s^ c _ ~ i rLUSxeuou~ 7 J 5/~, I_ O pgl _ ; _ _ Y( .q~lJF~ V _~x. ~ p ) L / PNIEL CNp h /p/' , / /~ ].,~ d/~ r - -Qa IItim rri /~ ,fl /sv~' // ~Ers PB ~~ 7-612- ® a I Ir-~• awsr /"r•. a s'-z 3/r > 1 •~ \/ e - n \If / 0M1 Ir~3~I+1 EMiENGCU $CFfii$',.. 1 \\ S V/AECESSEC L:fY.iS 5 i/Y ~ i... '~~ 0.0p(IAG t7-1 i/B' D ID I a Td ]/8' EATH pl I _ RwNER BEBROCttI y~ ~ I 13F (2 t- ~ e®~ - 13P - - I ED7L KITCHEN _ I SPNxiCQ n A II' I II . o . (~, ,~ lb ri'BS MSq r -0'' $4~ f O I = R M p - - i OCE[n TT f • i, =~ - uExo eoLr x• uooa ~ . i ;, - ~._.-._(86 .ii s`.ux nl - o nL nl ~. Ir-10' \~ -nos sro v/ _ 6'-IB 1/2' 6'-10 Irz' f'~ „vertu[ ~~~ ~ DATE: DRAWN: SCALE: REVISIONS: ALL AMERICAN HOMES IOWA DRAWING MODEL: O4S6-S421Z DRAWING ~: PAGE: i OB/2C/Oa J.J.R. 3/16' sssT Tsm nve. s.e. (LLC) NEW HORRON HOMES MNQODCBO Dyerevilfe, Iowa 52040 563-875.2421 ~ FLppR PLAN M 2856 3 2 SB FK B STD DEER PARK, WI 0454217 - i DOCUMFNt NO. •~: von 669 tasE t~l 3862F.3 Kermit F. Thollpsal and Glor_ is J. ;71a1>pscct, husband arty Wife as j9in_ tenants quit-claims to ~~F~'I'I7OS1~1Bt'^ and (:lciria ;t _SO71, as tE+nantq„_ i n CQtmonh n Sirv3 i yi curl P-ha 1 f i ntarc~c+ --~- - the lollowing described real estate in St. CrO1X County, State of Wisconsin: The West Half of the Northwest Quarter (W~ of NW3a) and the Northwest Quarter of the Southwest Quarter (NFF~ of SW~) , Section Two (2) ; the Northeast Quarter of. the Northwest Quarter (N~'a of NF~a) , Section Ten (10) ; the East Half of the Southwest Quarter (E~ of SWIG) , the Southwest Southwest Quarter (SWIt of SWIG) , the North Half of s er N of SF3a) t the Southeast Quarter (SW~ of SE~~ artci he ~rrtt,Pa~+ ! STATE ELAR OF VISCONSIN-FORM 3 OUIT CLAIM OEEO I THIS SPACE RESERVED iON RECOROINO DATA R6G)~iiRS OFNCE ST. C~IOtx CO., ~. Rx'd ftx Re~otd Hit: 21 sf day of July A.D. 19 83 O~ AA. TO Tax Iiey No. !SF3t of N~t).~n Three 3), ALL in Township Thirty-one (31) North, Range s ollowing parcels of land which are located in Sections Twn (2) and Three (3). 1. A parcel of land located in the Northwest Quarter of the Northwest Quarter (NF>3; of NV~d) of said Section Trao (2) described as follows: Cannencing at the Northwr=st oorner of said Section Two (2) being the Point of Beginning; ~~~ South 00° 32'58" East, 1519.37 feet; thence North 89° 56' 26" East, 569.10 feet; thence North 04° 09' 18" East, 392.09 feet; thence North 83° 46' 10" Fast, 212.50 feet; thence North 00° 15' O1" West, 310.29 feet; thence North 80° 35' 14" East, 119.07 feet; thence North 54° 59' 16" East, 471.95 feet; thence North 00° 10' 38" East, 123.63 feet; tter:ce North tl0° 42' 30" 4vest, 383.6 feet; tl'~ence due West, 1322.78 feet to the Point of Beginning; and 2. A parcel of land located in the West Half of the Northwest Quarter (WIC of N4V'~) , Section Two (2) and the Southeast Quarter of the Northeast Quarter (SEIY of NF};) , Section Three (3) described as follows: Ccxnnercirg at the Northwest corner of said Section 'Ifaa (2) ; thence East, 1322.78 feet; thence South 0° 42' 30" East, 383.6 feet; thence South 0° 10' 39" West, 123.63 feet to Point of Beginning; thence South 0° 42" 39" West, 782.04 feet; This 18 homestead property. (is) (is not} 'Dated this _ 1 th day of - ~,~.~G~ ~ T (SEAL) Ite_rtnit F. 1'hGIIns~t AUTHENTICATION (SEAL) Signatures authenticated this 19th day of _ Ju1ti' , 19 8 3 / ,~~ • C.~ . Hendrik W. Var: Dyk TITLE: MEMBER STATE BAR OF WISCONSIN 1Krolr---------- ------- -- -eathorized-b}r $9(36~f)6-Wis-Slats ~ - This instrument was drafted by Rei)-,stra, flan Dyk & Needham, S,C. At Flew Ri.chlrtory3, rrlisconsin 54017 (Signatures may be authenticated or acknowledged. Both are not necessary.) Notary Public My Commission is permanent. date: (lf not **continued on reverse side July 83 ~E _ , 19-. #~ EXE3`1~.~ :~ ~ ~ %`~ ' ~ (SEAL) (SEAL) ACKNOWLEDGMsNT STATE OF WISCONSIN 1, ss. County. Personally came before me, this day of the above named to me known to be the person,...- who executed tha fore- going instrument and acknowledged the same. County, Wis. state expiration . 19 _.) OVtT CLASH DEH7-STATE BAR OP 71RSCONSIN. PORy NO. J-1977 / _ _ .-. Y ~ ~ , VOL. ~~9 PA~f V~ ___ds__:_-~ **oontinued frecn reverse side '~ .. y ~_ gam' -~ ;... ., . thence South 39° 44' 07" West, 103fr• feet; thence South 44° 02. 12" West 206.01 feet; thence South 50° 43' S7" West,'2'12.61 feet; thence South 58° 10•.52" West, 262.37 feet; thcsnce South 65° 33`.46"West, 212.47 feet;- tt~.xsoe South 71° 10' 58" West, 553.11; thence North. 0° 04',1:2" Weat, 755.9 f~; thence l~brth $3° 49' 51" West, 212.28 feet; thence North ~~° 06' 30" East, 320.12 feet; theme North 18° 18' 50" East, 162.79 feet; then~oer~torth 89° 32' 39" East, 707.59 feet; t,`yennce North 89° 45' 31" East, 568TH--feet; thence North 4° 02' S9" East, 392.09 feet; thence North 83° 45' S9" East,`~12.5 feet; thence North 0° 15' O1" West, 310.29 feet; thence North 80° 35' 14" East, 119.07 feet; thence North 54° 59' 16" cast, 471.95 feet to Point of Beginning. . ,~ NS/4 CffB~ER, SECTION 3 ( ESTABLISHED FRGN TIES CERTIFIED SURVEY MAP ~ gE(x)gD) OWNER / SUBDIYIOER LOCATED IN THE NEi/4 OF THE SEi/4 AND THE NWi/4 OF THE SEi/4 OF SECTION 3, KEAMIT 6 GLORIA THOMPSON ST. CROIX COUNTY, WISCONSIN. 2336 235TH STREET T31N TOWN OF CYLON R16W , , , DEER PARK, WI. 54007-7720 iy ®I ~~ BECAUSE THIS PORTION OF BLACK BR001C DOES NOT HAVE AN ESTABLISHED FLOOD PLAIN ELEVATION AT THIS LOCATION I -Fm THE WESTERLY LINE OF OUTLOT 1 NAS ESTABLISHED BY PLACING THE LASE ~1 THE GROlMO AT AN ELEVATION THAT IS ~ p I °~ i' (+) HIGHER THAN THE LOWEST PORTION OF 2357H AVEMIE WHERE IT CROSSES BLACK BR001C. THLS WAS TFE l~ I m u~ ' gEARp~ RFFEf~NCEO TO THE Na}7TH-SOUTH RECDM+EJ~ED LOCATION PER ST. CROLY COUNTY ZONING OFFICE. IN TFE EVENT OF A 100 YEAFI FLOC THE WATER ~ NOT REACH HIGHER THAN i' ABOVE SAID PORTION OF 235TH AVEMIE IN ~ SE T O SS ~ ~ I ° . i N 3, A U14=0 TO WOULD 1/4 SECTION L E C I BEAR N00°18'59'W. \ 2,yg'f~~ AN®S VENUE ~ ~ ~ ~1 ~I I _ _ - - - - - -- - -~~ ' - .TfE® L UIVPL EAST-NEST f/4 sECTIaJ LInE ?3J~ A -- I I L- ~ -- _ -_------- ---- ------------- --------- - m N89°23'03'E 1835.68' - - - ~' ' A . I 2637.30' ~~ NB9°23'03'Ei 1 m~ ~~ ~~"' ~I I ~~~ W II d~m~ t/~ I 1 ~~ I ~~ ~I~ I aW ~ I N~~ ~ ® ~ I ~I ~I I ~I ~I I I Z I ~~ I_ 0 r ro w 00 r o° ~*f w ~ ~ ~' ~~^ /~ o~ / k ~~~' I vN ~w m~ m 90fi.83' __ _~ --- - 821.78' Y ~°_ - 9.~ 1619.00 ` Ot' ' 4 N69°23'03 E _ 900.00 - - - WIRES LOGTIO®DRNEWAY ~a° ~ ~~7, ~ ~~ pP~ a2~ _ ~, 6 - ...-. 99 .... ..... .. ~. w~ / i ' ................. ............. ..... .. .. .EENO1MAiif ~ 30d SPII(E ~ ~~S f'~" `~ ~ i n~ urbm Pole ~ ea-a=f Qy. OM ~~ }~~ LOT 1 eLev - 100.00 ~~. _ ~,~,, , ~ - [EGE11~ ~ 495.843 SQUARE FEET (11383 ACRES) °p,~"Yi V~ M` 6~jF~1~ ~ ~ - (~ASCAN~OT ~)CTION CORDER U DdCLUDING RIGHT-C~-WAY ~1 C~ Q~ O ~~ -~ - IWICATES 125' X 24' (OUTSIDEy~ A20 ~ 5 0."i ~ ~~ ~ ®~~ DIMETEA) IR~1 PIPE MEIGHING~. ~4 435,295 SQUARE FEET (9993 ACRES) PG l 1.68 LBS. / L7!•EAR FOOT SET. Wcv EXCLIDI RIGFIT WAY RGN~ ,~' ~® x--~ - MIICATES FENCE LIFE. .r I~ N~ re5s ~ ,w r J ~ OO C~~~ ~ ~ ~ ~i~~~~ ~ ..-- - S~IC~BAa~c'LU°a°~E~ROMwrY RIOT-OF-NAY ~ ~ ® , ~ ~ -~--1' - L~LIICATES APPROXIMATE / / - WETLAND 80lA~DARIES i ~ / (03,978 SQUARE FE T (2387 AGES ~ ~ ~ INCLUDUJG gICHT-OF-NAY i ~~1~ ~ ~~ 1~ / ~ ~ ~ 8!,762 S(XIAFE FEET (i b77 ACRES ) EXCLIAING gIGHT-0F-MAY ~ 4~ /~ ~ NOTE: These parcels are located in an agricxdhral area. Owners of these ~ C o _N_ N ~ ~ ~ parcels may experience extended hours of farm equipment operation during ~. E O ~ i ~ various times of the year or may experience odors assoaated with fivestack. * : H N8E G ': ~ ~ NE~AI RICHMOND = / CUiVE 1 - 3 CUiVE i - 2 CURVE 2 - 3 CURVE g - i} : WI p / RADIUS- 1909.93' RADIUS- 190993' RADIUS- 1909.93' RADIUS- 859.00' ~ py CENTRAL ANGLE- 26°42'42' CENTRAL ANGLE- 25°07'20' CENTRAL ANGLE- 01°35'22' CENTRAL ANGLE- 10°24'58° .9 '.,ti ~•N ~ Q~ [zf -C / CHOF~- 882.38' CHORD- 830.76' CHOF~ 52.97' CHORD- 15595' y ~ Uf / S57°59'18'N S58°46'59'N 545°25'38'W S83°38'47'W ~ StJFiv .. ~ I / ARC LENGTH- 890.42' ARC LENGTH- 837.44' ARC -52.98' ARC LENGTH- 156.16' pr I / TANGENTS IN- S71°2039"N TANGENTS- IN S71°20'39"W TANGENTS 1N- S46°13'(9"W TANGENTS IN- S79°26'18"W iJ.. ' ~~ IX1T- S44°37'57'W OUT- S46°i3'19'W OUT- S44°3757'W OUT- SBB°51'i6M ~~~: ~ ~ ~~ GRAPHIC SCALE i'=200' GRANBERiGS!/RVEYIIVG ~ ^~ 1235 C.LH.'E' THIS IIJSTRUMENT DRAFTED BY: (VE{N RICFIMOND' 1Ai1, 6401 - O ZOO 4OO GOO ~~~ N. GRANBEFiG 5-2295 ~E(n7~1b~5~29 .~ i ~. !9 Xl U17p 7CC ~ ~DOf~itn>O ~ ~° ~ . ~~x J ro C ~ Of~'CS ~ Q N ° ~ ( ~ 70` v" HN r ~ ~~ F ao ~rC w ~ ~~,1v '~._./ CERTIFIED SURVEY MAP LOCATED INTHE NE1l4 OFTHE SE1/4 AND THE NW1/4 OF THE SE1/4 OF SECTION 3, T31 N, R16W, TOWN OF CYLON, ST. CROIX COUNTY, WISCONISN. DESCRIPTION: A parcel of land located in the NE %, of the SE Y, and the NW Y, of the SE'/, of Section 3, T31 N, R16W, Town of Cylon, St. Croix County, Wisconsin, further described as follows: Commencing at the S'/, Corner of said Section 3; thence N00'18'59"W 1826.95' along the North- South'/,Section line of said Section 3 to the point of beginning; thence continuing N00°18'59'W along said North-South % Section Line 813.62' to the East-West'/,Section Line of said Section 3; thence N89'23'03"E 1835.68' along said East-West'/,Section Line to it's intersection with the Northwesterly right-of-way line of the forrner Chicago, St. Paul, Minneapolis ~ Omaha Railroad; thence S71°20'39"W 1142.93' along said Northwesterly line; thence Southwesterly 890.42' along the arc of a 1909.93' radius curve concave to the Southeast whose chord bears S57°59'18'W 882.38' to the North-South'/,Section Line and the point of beginning, containing 599,821 square feet (13.770 acres) more or less and being subject to any easement, restrictions and covenants of record. SURVEYOR'S CERTIrICATE I, Joseph W. Granberg; Registered Wisconsin Land Surveyor, hereby certify that by the direction of the owners, Kermit and Gloria Thompson, I have surveyed and divided the lands shown and described hereon in accordance with official record, Chapter 236.34 of the Wisconsin Statutes, the Town of Cylon Subdivision Ordinance and the St. Croix County Subdivision Ordinance and that this map and description are true and correct representation to scale thereof. GENERAL NOTICE STATEMENT Each parcel shown hereon is subject to State, County and Township laws, rules and regulations (I.e., wetlands, access to parcel, minimum lot size, etc. ). Before purchasing or developing any parcel contact the St, Croix County Zoning Office and the appropriate town board for advice. THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG S-2295 DATED TH{S 7T" DAY OF AUGUST, 2004 0~~ APPRCIV~D ST. CROIX COUNTY Planning 2ontnn and Parks Committee S E P 3 0 2004 ~., ;NEW RIq ~ti., W 9~0 3 U If not recorded witnln 30 days of approval date approval shall be null and void PREPARED BY: GRANBERG SURVEYING 1235 C.T.H."E" NEW RICHMOND, W1.54017 PHONE (715) 246-7529 JOB N0.04047 SHEET 2 OF 2 Vol 19 Page 4848