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HomeMy WebLinkAbout042-1008-95-000 O ocs~ 3 o O ~ o~ 0. o I 'o g I I 0 ev m C) a N CO :3 E I I -0 N r ° Q N O 2D Y I I h ~r m I ayi o L ayi o a Z .o, n Z ED v Z c >..2 c LL c v. o Em c a 3 ~5 a av 3 Q m ° E ¢ i 3 M a c) CD W E m = oo z o zt O 'p z ~ d m I m m I v0) IL am o I i o Z a c I w d Z :!t ° o to F- r- C' E E z N 7 O p^/J1 C N y y ~i I ~ I •Wob a Cl) c t 2 O O v Q Z m z 2 Z Z N Z m y Z N CL ate. j C. m r Co N W d N W cM W d N 0 O G a C. n N G G C. .n > E -a < ca CUD (a :2 U) U) E = m 6 N I a az 'off z a ~ •N 3aaa 3aaOC. z co i~ I y y I IL id t~l C) 0) a co n m-1 0 rn rn Z it rn rn } co co (D a o C r N 0 C C7 N _ 0 O > 0 > O O ~O L c m c Q m c (L i~ ~ y N~ L ~ y N m N 'O 41 Q U) 9 d Q cn co O O N C 0 y c O` E D O O cc CL 0 a -2 1 Fr CD C f 0 N m j t~ C tCp N C6 . v C~ p C C m co C r N C 7 N C: O) N ' l0 y "D N co y N 00 N N C N M r 7 O` "D C 2 7~ Z' C .OC •O' Y Z CO Z O 64 o Z Z mUO) ~ I I ti QY`, R € a € as • am.~ da LC.~ ~~`Iw~l 10 CL 0 U) Q E c c c i 0 N 0 J FILED ST. CROIX COUNTY ~~i 565 SURVEYOR'S ECORD OCT ly 1979 JA&ES Of CONNELL 1O R"law of Ds*ds CERTIFIED SURVEY MAP briaoerls 'tr DAVE KENDALL DESCRIPTION: Part of the Northeast 1/4 of the Southeast 1/4 of Section 4, Township 29 ~(v North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. 0 o Indicates 1" x 24" iron pipe stake weighing 1.13 lbs./ft. set. o Indicates 1" iron pipe found. UI~ E'.4 ST G //vE' SEC. 4- V) N ~ `V e ~ r N s o0 00 0 0 i o~ z. scs _ Q ~9 61 To ww ,Q v. r ''nn 5JS z6" N~s o° o N r l S Min / ,voo °oo 0o E , z mss. o , o ~0 N U~ t0 - N Q ~ N I~ U ~ _j L v 09"%A/ Y/ 381.07 n JA;"IrS I /VOA°oo 4/'(J _ M URPHY 4S E x'68.4-4 o= S- 1 0 4 2 AS BUILT SANITARY SYSTEM REPORT "NER to e TOWNSHIP rr~y1 SEC. if T 2,P N, k /f W .-0. ADDRESS r , ST. CROIX COUNTY, WISCONSIN. 3DIVISION LOT LOT SIZE PLAN.VIEW -Distances & dimensions to meet requirements of H62.20 SHOW E RYTHING WITHIN 100 FEET OF SYSTEM i * a-- 80 Cenfer • ° r ~G'~/I ~F3 flo as-c -O o Cexfer Ali WeII of P,Pe ~r'✓e GCJci d 1 /o ~gC in 1 l° 'TIC TANK (S) /000 MFGR. c> E X STEEL - NO. of rings on cover. DRY WELL,~~ INCHES NO. of width h J no. of lines width , h O' area depth to top of pip "Ola 3REGATE o c , :.K RATE /Q AREA REQUIRED S'Z" AREA AS BUILT 9~~a sc aimer: The inspection of this system by St. Croix County does not imply complete .:pliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of constvuction. St. Croix County assumes no liability for :Item operation. However, if failure is noted the County w make every effort to "ermine cause of failure. :_'ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYS --INSPECT 1/4. e DATED Xeq -Z~ `PLUMBER ON JOB LICENSE NUMBER - w 3 6~ C s w' U v / ILI z REPORT OF INSPECTION-INDIVIDUAL SEWAGE SYSTEM San.itaxy Penm.i,t/__' / State Septic, - NAME Town.6 hip St. Cno.ix County Location ~ L Section SEPTIC TANK Size gattonz. Numbers ob Compantments Distance Fnom: Wett it. 12% on gxeateA slope St Bu.itd.ing bt. wettands ~ . Highwaten it. DISPOSAL SYSTEM Distance Fxom: Wett St. 12% on gneaten slope 6t. Bu.itd.ing 6t. W ettands Ft. H.ighwatex it. FIELD DIMENSIONS: Width ob tnench it. Depth o6 nock below t.ite in. Length o6 each tine it. Depth o6 nock ovex t.ite .in. Number o6 tines Depth o6 t.ite below gAade •in. Total .length ob .Lines 6t. Stope ob trench in pen 100 it. Distance between t ine.b fit. Depth to b edno ck it. Total abs onbt.ion area 6t2 Depth to gnoundwaten St. 2 Requited axea it Type oj Coven: Papeh on S thaw PIT DIMENSIONS: Numbers o6 pits GAavet around pits yes no Outside d.iameten it. Depth below .inlet it. 2 Total absonbt.ion axea it A Axea nequ.ined ~t R+ I INSPECTED BY TITLE I APPROVED DATE 197 _ REJECTED , DATE 197 C EH •115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS ✓ LOCATION: /✓'/4, SG 1/4, Section , Tm;M, R ZY10 (or) W, Township or Moi~ elle-&,,;X Lot No. , Block No. County dff% Owner's Name: ~19 eN ~g ( (Subdivision Name Mailing Address:C7 fJf.O ~'J 15 TYPE OF OCCUPANCY: Residence No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW _ x ADDITION REPLACEMENT C DATES OBSERVATIONS MADE: SOIL BORINGS (0-y- ~7 PERCOLATION TESTS (0-797~5 SOIL MAP SHEET SOIL TYPE l e- C,-, e -A PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN % i 3(0 aR I3/q 11A S1/ P- 2 3(o " y 20" 12.11 2'-I N o P-3 310 II 70r• 12% Zy- No 1~/8 15~(~ 15/t 1 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B_ > ap 4 it S rr► " > Co rr sopd 9" Z 12 41/ 1/ 201" Jr ~ 10 B , 3 Z g7 38` r , 12 j 72 ? fo i~ y rr ZO. y B & 17, '1 T (o ~r y 20 0 b rr PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. ~dicate number of square feet of absorption area needed for building type and occupancy. 964 r. f iek Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. i 4D;pl a n r o~- "t o ~ rA a , o A A -99 N vo ~ zk_ r o 1 -/,2 -/,2 7 State and County State Permit # Permit Application County Pe # PLB67 for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY / Mailing Address: / ~'p ,g✓0--- ee-.,j dr4LL x7o Pe z44 B. LOCATION: A/C % s Section , T~ N, R7? 10 (or) W Lot# City Subdivision Name, nearest road, lake 'or landmark Blk# Village Township Ar?Re_n/ C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms No. of Persons ! 0 D. TYPE OF APPLIANCES: Dishwasher ( YES NO Food Waste Grinder YES .X NO # of Bathrooms ~o Automatic Washer X YES NO Other (specify) E. SEPTIC TANK CAPACITY .10pQ Total gallons No. of tanks 4011/e- *Holding tank capacity Total gallons No. of tanks New Installation X Addition Replacement- Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) i2► 3) //_Total Absorb Area sq. ft. NewX Addition Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width • Depth 6 a Tile Depth ..?51 f` No. of Lines .3 Seepage Pit: Inside diameter Liquid Depth _0 Tile Size 17Z Percent slope of land Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soi Tester, NAME d C.S.T. # _<3--s~/y and other information obtained from w R. (owner/builder). Plumber's Signature MP/MPRSW# n"t Phone *691- JS71 Plumber's Address + S PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). 90 9 ~ P Sa ,J , f'~ , ~S'e{► ~ t~ 99 C o 0 0 ` o p off ' we'll not La _d _ p I 'yS Pa. r ~Cd Ua p I a' _ 1 I4 v 3 o '4 F0 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER- ~ a ~1- / ADDRESS SUBDIVISION / CSM# LOT # SECTION T N-R <-f- Town of L~~ )1 t ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I , 1 ~ f f. ~ 10 I Z0 f 1 1.. i r 1 M ,C'Lol.C4Yl ya LAL.. INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATWK,- Manufacturer: /(~L~.gLtce~.rt. AlLi uid Capacity: /~'?~3 cac Setback from: Well House IPC ether Pump: Manufacturer Model#J, Size Float seperation f? Gallons/cycle: !`Ar w rI Alarm Location SOIL ABSORPTION SYSTEM r Width: <f Length Number of trenches Distance & Direction to nearest prop. line: a7 Setback from: well House Other i ELEVATIONS ,r1 Building Sewer 22rW ST Inlet: 2Q ST outlet: ~~r J -RA to7 PC inlet, PC bottom Pump Off n l W, 3 Header/Manifold_ Bottom of system Existing Grade Final grade / DATE OF INSTALLATION: PLUMBER ON JOB: -3,69 LICENSE NUMBER: INSPECTOR: J 3/93:jt Wiso6risin 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 284184 Permit Holder's Name: p City ❑ Village Town o : State Plan ID No.: GRANT, BARRY & SUE WAEN CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 106 TANK INFORMATION LEVATION DATA A9600435 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark C7~, JI OJ Z' X0_0 Dosing Aeration Bldg. Sewer &,~a( q, y`' Holding St/Ht Inlet 77 " 40.?J TANK SETBACK INFORMATION St/ Ht Outlet / q1 / y~o,SL Vent TANK TO P/ L WELL BLDG. Air Itontake ROAD Dt Inlet Septic/0' NA Dt Bottom 7' Dosing p~'' S ' NA Header / Man. _M17 vl~c o Aeration NA Dist. Pipe IDI. 51 Holding Bot. System ; ,pp 7S PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift R,? Friction / System; ~ TDH yS`( Ft Loss H r Forcemain Length i Dia.B- Dist. To Well-/U° SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth 1 / DIMENSIONS DIMENSIONS c(' , LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM CHAMBER Moe Number: INFORMATION Type 7 10J l fib" OR UNIT ystem m: DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake / t Length Dia. Length Dia. i Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over 1 Depth Over xx Depth Of xx_Seeeded / 9citM - xx Mulched Bed /Trench Center Bed /Trench Edges t¢ Topsoil ~t 53 res ❑ No 2"Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: WARREN.4.29.18W, NE, SE, 114TH AVENUE 5.3 , r~r7n S.b 7 r Plan revision required? ❑ Yes "J No t) , Use other side for additional information. g `I 7"~A SBD-6710 (R 05191) Date In pe ci's Signature Cert. No. ' t t ADDITIONAL COMMENTS AND SKETCH . R SANITARY PERMIT NUMBER: w I I ~ b E.- ` l S , s , Safety and Buildings Division ~•■~r■r,. SANITARY PERMIT APPLICATION Bureau of Building water systems 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 n i v than 81/2 x 11 inches in size. S+, ~(u J~ • 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 previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION - Property Owner Name * .S U. E r, Property 57 F 1/4, S -Y T 9 , N, R IS E (or `W 00 k L. V- Property Owner's ailing A ress dLJ., Lot Number Block Number !31 City, to Zip Code Phone Number Subdivision Name or CSM Number (715 --346 II. TYPE F BUILDING: (check one) ❑ State Owned ❑ City Nearest Road ❑ V Ilage ,~yy Public @30011"or 2 Family Dwelling - No. of bedrooms -_71 own OF (~a HH E III. BUILDING USE: (If building type is public, check. all that apply) Parcel Tax Number(s) C9y 1 F1 Apartment/ Condo 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. E] New 2. [E-Kr lacement 3. E] Replacement of 4_ E] Reconnection of 5_ ❑ Repair of an System Tank OnlyExisting System Existing System 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 hound 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 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft. Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation S0 ~1' • 37 S_ , , -_3 - `00,Z5-Feet ID-3-10 Feet VII. TANK Caa in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New I xistin strutted Tanks Tanks Septic Tank or Holding Tank por Lift Pump Tank /Siphon Chamber ✓ 16L<sp rOr (x/ $ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stam s) MP PRS o.: Business Phone Number: 03, s8 7i5--7y 9 -3 3a::?- Plumber's Address (Street, ity, State, Zip Code): IX. COUNTY / DEPA TMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue wing Agent Signature (No Stamps) Q~ Surcharge f ee) Approved ❑ Owner Given Initial `'7ry /O pj Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 0' 5/94) DISTRIBUTION: Original t.) County, One copy To: Safety & Ruildings Div-ion, Owner, Plumber , ? T INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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 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. 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 absorptio.asystem 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. 1 T a ' t SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 63707 State of Wisconsin Department of Industry, Labor and Human Relations June 7, 1996 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 i ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S96-01488 FEE RECEIVED: 180.00 GRANT, BARRY NE,SE,4,29,18W TOWN OF WARREN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sinc ely, mes Quinlan Ian Reviewer Section of Private Sewage (608) 266-3937 SBD•6928 (R. 0141) ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, Wl 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR Plan I.D. # S96-01488 A - Date June 7, 1996 Owner Barry & Sue Grant Phone 715-246-3662 Address 1184 114th Ave. Roberts, Wis.-54023 - Legal Description Tax parcel # 042-1008-95. Approx - . 27 _acre . s. _ NE 1/4, SE 1/4, Sec. 4, T29N, R18W Town of Warren County St. Croix C.S.T. Robert Ulbricht CSTM2482 Installer Local Authority/ Supervision St. Croix County Zoning Dept. PROJECT DESCRIPTION An existing home, in bad repair, will be removed, and replaced with a new proposed 3 bedroom home. Estimated daily wasteflow: 450 gals. The existing precast septic tank (from 1979) was opened and examined; it appears to be in fine code compliance. It appears to be a Weeks Concrete Prouducts tank (New Richmond, Wis.) Capacity:1000 gals. The 24" manhole cover however is above ground and unlocked. The installer shall properly bury this cover, or provide a code compliant lock for the cover. Soils in the upper 12" are fine and weak textured silt loam, slowly permiable (.3 GPD/ft2). Soils are seasonally saturated at 38,,. A very long trench type system is proposed. The existing drainfield is sited within 36" of limestone dolomite (see Backhoe pit #1 ) and is not legally compliant, this system shalk p,~.,abanloped Aj ~ t re-used. ~1 x t: a nally E~EwEv a Aam ` _ 61996 ED MR. 0 -,Y, LAFIOR a HUMAII RELATIONi & BIDGS• DIV• ; F SAFETY A tu"MeS ......N.. P9.1 PLOT PLAN VIEWS CORRE=SPONDENCE : ROBERT W. ULBRICMT Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS - kU ~ HUpg W~ S, Pg. 3 PIPE LATERAL LAYOUT U 'g. d''•••.,.......•"' Pg.4 DOSING CHAMBER CROSS SECTION Pg•5 PUMP PERFORMANCE SPECS eV IV',. AM I ~ • ~ 1r 3~ r 'yaii wM+a .~~#~Jlit~ yla+ , ~'.~y~. ;;j ~ :y+~.s>.~ A ~p 1. ~'Ne Z ~ 'tee 1A r v~ w ~CIVMA ~ o CLA i CML. j, 2- 7a ~ ~ o elm Ica. Ip Ii G s- ~ 14 O G m r ~ - o o G l t o ~ o ~ w t 0 I ~v o ~ e oa A ~ o F v I ~+T~ R I s /o~. zs' TOP of /7- /o% y0~ TOP OF Qoc k /d/• ✓r'~ 7r Page 2 Of Straw, Marsh Hay, Or Synthetic Covering /Distribution Pipe , Medium Sand H G Topsoil 3 E •D i Z % Slope vuiFOPM Trench Of 2"- 2? Force Main Plowed Aggregate Layer 9915 Undisturbed D . 40 Ft. Soil E / / Ft. Cross Section Of A Mound System Using F •93- Ft. Trenches For The Absorption Area : G AO Ft. A Ft. H /-5 Ft. B Ft. K ~Z Ft. L Ft. q J_Ft. t~ Alternate Position of Force Main 1 /,r Ft. W_Ft. L J ~ K A r - _ W Observation Pipes 2 96 Distribution Trwneh A/ JV _ 1 .1, ~ „ U Page 3 Of V v V O /Utif E tae 2 S5 `T 0r` 4-0,v IVS. P/~4Cc /4S T Xa/E Perforated Pipe Oeloll uV R1'6A r Fo t° V t! v tiE ,P- vA(uAr,'oN 0 End Vie- PVC End Cop) eye PVC Pipe 1 . ~oi~o `once Holes Located On Bottom. Are Equally Spaced X PVC Force Main TaT~ vo~v-4E-- Q \ OF iU&Tw 0,e 3 Distribution Pipe Lost Hole Should 8s Neat To End Cop End Cop Distribution Pipe Layout P y Ft. X AP Inches Y /B Inches Hole Diameter Y41 Inch Lateral 11i Inch(es) Manifold Inches Force Main Inches # of holes/pipe /Co Invert Elevation of Laterals Ft. • -D1'5TRi130 ri0A,,N :D%ScHA RGE RATE FOR e-Ac li. P1TER AL Ar ©TiS • A • j 1 PIMP CHAMBER CROSS SECTION AND SPECIFICATIONS P,4 1E ¢ of 5 -VEUT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUMCTION BOX =MAMHOLE COVER 25' FROM DOOR, l~(~11u&- IA13E/ WINDOW OR FRESH 12"MIU. AIR INTAKE i l,PArte 1//1T~ON GRADE I 4" MIM. Z-- ~ L__ IwMI 97.y~ -71114 CONDUIT ~ \ ~ IE V14 T7 o v 1- \ PROVIDE IuLET AIRTIGHT SEAL I I APPROVED JOItJT A 51~E I III IN III APPROVED JOINTS 1JIC.I. PIPE I (VM I I I W/C.I. PIPE EXTEMDING 3' 0~ ~0 I I I ALARM EXTENDIIJG 3' ONTO SOLID SOIL B ~ 1 I II ONTO SOLID SOIL ~ I I 3 3 I I oM ~~.10 ELEV. FT. PUMP OFF K ~Epv/a~ D /E vti f io d BLOCK y RISER EXIT PERMITTED OUL4 IF TAMA MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPEC.IFI'CATIOUS DOSE M,3T P~c~sT 3 TANKS MANUFACTURER: w o / WMBER F DOSES* PER DAS TANK SIZE: GALLOMS DOSE VOLUME Al'i ALARM MAIJUFACTURER: 4GY&L A%~l ~ INCLUDIAIG BACKFLOW: ~9Z GALLONS MODEL ►.IUMBER: D' U'L ' CAPACITIES: A=-/& y~ p INCHES OR GALLOAIS SWITCH TYPE: M ERtoft~f lo4T Bn 2 INCHES OR 50 GALLOUS PUMP MANUFACTURER: cm-17 INCHES OR /'l GALLOMS MODEL NUMBER: HI i/ Y2 HP D = X171 3 INCHES OR 358 GALLOUS SWITCH TYPE: P~yfYt3rKK NrP(tILS/ Ffo)k-- MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE LO GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 13•y FEET fiAA) k SPECS -I- MIuIMUM NETWORK SUPPLY PRESSURE . . • . • . . • . • 2.5 FEET CCAC(A-- p t~. + -)-55 FEET OF FORCE MAIM x 2,Ls2- F j U, 7 ~ooFtFRICT1oN FACTOR.. _ FEET "Ur'S 25 TOTAL D9MA.MIC. HEAD = X2,6, FEET S z/o INTERNAL DIMEIJSIOUS OF TANK: LENGTH c y, ;WIDTH I ;LIQUID DEPTH - - 5 P~ • 5 OF HEADI X „5 CAPACITY 110 32 ,OS CURVE 301 es 2e 90- 26 eS I I EFFLUENT 24 e0 MODEL and 75MODEL 1e9 DEWATERING = 22 70 t6S 2 2e ~ es- - - 1s 0 55 la- 16 s0 MODEL 0 163 MODEL f- 14 41 lee 12 40- 35 - 10 MODEL MODEL 30 137.139 IN SEWAGE and ° _f5__ DEWATERI NG ° 20 - - MODEL I MooEL ,61 4 7 _ 1S 1o - - - 2 MODEL - - S S3, SS, S7, S9 0 e0 GALLONS 10 20 30 40 S° SO 70 90 90 100 110 24 7S LITERS 0 so 160 240 320 400 22 FLOW PER MINUTE 70 20 ~ I 0 1s e0_ - - MODEL 295 55 x 1e V so a 11 4S -MODEL_ 294 _t C 12 40- # - - - - Q 3S MODEL - F 10 293 0 30 MODEL 284 e 2S _ , MODEL e 20 - 282 1s MODEL - 10 Z2 2 S 2e7, 26e 0 3280 OM Wera Lane OALLON9 10 20 3o Io' so so 7o eo 190 100 110 120 '130 14o isb 1eo 1io 1eo 11io P.O. Box 16347 4 ! { I ! 1 ! i Loulsv0le, Kentucky 40216 LITERS o so Igo 240 320 400 480 Soo 640 726 (602) 778-2731 FLOW PER MINUTE HIGH HEAD "16r-"163*"-"165*" "185"- "188"-"189" Series A (%2 HP) .(%2 HP) (1 HP) (1 HP) (1%2 HP) (2 HP) s Wisconsin Department of Industry, SOIL AND SITE EVALUATION 1 3 Labor and Human Relations Page of 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 include, but not limited to: vertical and horizontal reference point (BM), direction and Sr' percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. If dye- /aa~- ~5- 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 q 9/4Q/2y / SUS/I CJ 6r, ,4AJ`7- Govt. Lot 411 1/4 5F 1/4,S T Z/ N,R E (o OW Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# //rB //y 1461G, )Wr of 1640,e.0), 21 llaies City State Zip Code . Phone Number r-~ Nearest Road syou- (7!5 )1 (e-.EGGZ O city Village U Town A . New Construction Use: IR esidential / Number of bedrooms Addition to existing building LrJ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 13 trench, gpd/ft2 Absorption area required bed, ft2 375 trench, ft2 Maximum design loading rate 11V P bed, gpd/f12 ' 3 trench, gpd/ft2 - , 3 ft (as referred to site plan benchmark) Recommended infiltration surface elevation(s) S.~ 25 Additional design/site co rationns AF40/,4ee/ 4sA., T II,P&Df- 7ZF.f7-&O &470/PG~S TTPEkC (,L 7'0E_ M O"P Parent material 51 IC 1TC w t -rr 50115 Flood plain elevation, if applicable ft S = Suitable for system Conven2-u- tional ~M IJ ,ou/nd In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system E] S 5 EI U ❑ S 2s '-d ❑ U El S B' EJ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure' GPD/ft2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ; Trench I r o-9 /oyR 313 1 oAM I of 9,Itr n~fi' ate' /U Y; , s / -fA ~~f N -lJf' Ground Z -l 7 /0 y~ /0,`/ y elev-ft. 3 7-.271 /O yie Y Sl /T sd 441► 7r/ - O q • S Depth to limiting 47- 41 /'T L.- factor 1 7"0 60 Remarks: d>F •DOl D /mot ~'TE Boring # o-(o O yR 2~3 2f 5 bk- fk c5 3 f - • S ; . Co Z - iL /o 14rtl - 5i, 1,04► / fsh,C fit? Ow Z f ; • 3 ,f4,-fide C5 Z f- . s ; . Ground Cet,) ? , •e elev. y9 , ft. /o '7fs S/ of f may Curer v' J Depth limiting to 667 lArQ Dry 7 / Af factor yin. Remarks: CST Name (Please Print) Signature Telephone No. (?cx3~RT' 2tc13 PtG GtT" ~3$ <o - $ I $ S Address Date CST Number - y- yG C_fP1 2.4 93 Z a ~ y PROPERTY OWNER 13• 6:W,4) -r SOIL DESCRIPTION REPORT Z 3 Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure p in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots Gr. Sz. Sh. Bed Trench 3 / D- /o y 3/z /o z f5h,C .w, vet es 3 -F - Y :.,5 4~P3 /o Yi(' 3/3 fie c5• z ~ Ground L` elev. % 2rjy ~J~C. o C 7 .8 Zoo7 D~to S ~o /o ~v sG /^ie C!v .y '.S limiting ~P B'U loge T 2 A factor „ S -7, YYA"rl~ //7 in. J*A Me UFO 5✓~S Remarks: Boring # - /o 3/z - M 2Am s A0,f1 es <5 ; S/. 2 she ~w .2- -F A ; •S ouige Ground 01 elev. ~i K/ r- • 7 ' • j ft- Depth to " f 2 pr,/ ' . y limiting $ r s / factor Tl/~PA 3-- in. Remarks: ~t'Zp,, ,Sr i S A N SS5 Horizon FDepth Dominant Color Mottles Texture Structure Consistence Boundary GPD/ Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Roots # Bed Trench Boring Ground elev. ft. Depth to limiting factor m. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) n ~ ~ y ~ ~ f1j ~ C C ro L w b rb G rq m ~ZP e~ o in O i P e c ~ r G'~y+ Ljv'J ~ _ ~ ~~j ~1 'r0 co FILED O CT ly 1979 360565 JAAES 01 CONNELL ~-a NO pplbter of Duds N CERTIFIED SURVEY MAP ~ Wiaoe~is DAVE KENDALL DESCRIPTION: Part of the Northeast 1/4 of the Southeast 1/4 of Section 4, Township 29 N_ North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. Q o Indicates 1" x 24" iron pipe stake weighing 1.13 lbs./ft. set. t U o Indicates 1" iron pipe found. l` N Q ~ U (b EA 5 T G / /~/E SEC. 4IInn rl !5 CD '(=><D '(Z) t5- r=l To wiv Ro. oQ .¢S/.80", 666 A~ 5~3 iE zE> V OU (0. ~ Wo Av ~ o 0 Q mmm +K 0 Poo 0 , o ~o v U~ o ~Qm N e o`N 0) ~q) ' 0 N, NCO°rov9"fin/ 0 N C4 ~ \\`\\`\~`~~unnnuurnuq/ (D JAMES L. o~ °ov 10 N = • MU RPHY -7 r. 0 Q- EI`l=R FAi I S z x ~ 0 • DESCRIPTION: That certain parcel of land located in the Northeast 1/4 of the Southeast 1/4 of Section 4, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, more fully described as follows: Commencing at the East 1/4 corner of said Section 4, the POINT OF BEGINNING of the parcel to be herein described, thence S 00° 00' 00" E 1092.56' along the East line of said Section 4; thence S 88° 17' 00" W 591,381; thence S 83° 17' 00" W 475.521; thence N 00° 10' 09" W 381.07'; thence s 880 581 14" W 253.85'; thence N 01° 00' 45" E 768.44'; thence N 89° 04' 30" E 1304.901 along the East/West 1/4 line of said Section 4, to the POINT OF BEGINNING, containing 31.45 acres, more or less, being subject to easement over Easterly portions of said parcel for Town Road purposes as it now lays, also being subject to a 661 easement for ingress and egress, described as follows: EASEMENT DESCRIPTION: Commencing at the East 1/4 corner of said Section 4, thence N 89° 04' 30" E 33.001; thence S 00° 001 00" E 461.98'; to the POINT OF BEGINNING of a 66' roadway ease- ment described as follows along centerline, thence N 87° 50' 00" w 162.71'; thence along a chord of a curve concave to the North, having a radius of 169.901, go N 740 34' 53" W 77.87'; thence, N 61° 201 20" W 257.27' to the POINT OF TERMINATION. (For purposes of this description all bearings are referenced to the East line of Section 4, Township 29 North, Range 18 West, assumed N 00° 00' 00" E) `\\`\\\\\1\11111111 1 1 1 1 1 1 z °SG oNS~~ JAMES L. MURPHY 0 RIVER! FALLS ER FALLS, :4z Wisc. 41 ` James L. Murphy AND`' Fd..L • APPROVED ',/~/////IIIIIIIIIiI►11 \ Registered Land Surveyor COT 16 1979 ST. CROIX COUNTY COMPREHENSIVE PARKS PLANNING AND ZONING COMMITTEE ♦nnn^%PAI P<e rwe ALI►V1n BIm..w........ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT lot I, SuA5, St. Croix CountyW OWNER/BUYER ' MAILING ADDRESS old a A A rPSS IEF S 4 Ll l ~57 yn-2 3 PROPERTY ADDRESS p (location of septic system) Please obtain from the Planning Dept. CITY/STATE Yl o,6 L i is YeL:C PROPERTY LOCATION 1/4, _5ji5 1/4, Section N-R yV TOWN OF a i-i^ F -Y ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUMEa , PAGE 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: q DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8 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. Owner of property Aa.r-~-y ~~-a jy Location of property_,&g 1/4S-F 1/4, Section T;g_N-R~ Township YY 0.Y e~ Mailing address f I 4 114 ~4 )qve 1A) l 5 ~l O~ Z Address of site ~ar/yr~ Subdivision name Lot no. Other homes on property? Yes_>< No Previous owner of property -11plo,x anv\.e Le w e r e d' Total size of property '~U Acrrs Total size of parcel 30 Date parcel was created Are all corners and lot lines identifiable? _'y'-Yes No Is this property being developed for (spec house) ? Yes _.&No Volume //;7/ and Page Number ; as recorded with the Register' of Deeds. 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. !5;2 5 "2 9 Y' , 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. ignature of Applicant Co-Applicant /D /S -.262 Date of Signature Date of Signature y ri Ity l?ee`_ - ~ 14) L 10 u 'iht_s Dtiti A, nge,le Ixt~en Ba ~ J` . ~ , huh4 an{i Wiw,z- scth, That the z~? 3 Cra; s, in wt iu:,si r f the sr:r ~r.__.__ ~ 91 10 Qge i~c'gar atti o.he,r g ~a.4 and val a` " id ra i0rt_ con '.vs to Graz e all of R- mJ estate ,n tut.1 W the folloktanz des nir real Sjt,F asLSte in Cotutiy, krg ? A. - 1670 Mictr -;o%, vl;>t'~ Trade Cct;trr i r~itx S a'~ of 30 ha>t S,centh S rn t St. PAul, tA--..esct 55101 4Wl G 2' 3 _ f612) 1 Taff P~ ~ _ _ That part of aic Nonlle~t>t Qt11rt - Of t;le So .tl iaJt Q;1 a'icr (N1 i4SL. s °,Jf`Sr0,'iiVJELO[ 1 of ~escn ,c n . tt81 Township Twenty-nine (29) Norte,, Ra i-oe f=,l-htee Certified Survey Map Filed Octob>^ r 1), 1979, in Vol, ne M Certified S ,-,Icy 1lUp,, p' 880, Document No. 360565. Sub ct to th" foilowirg, ea~~ C r -in Gat theE -t61.9S I ,:-ct, t, ' Quarter comer of said S=ctior: -1; thence Nom) o-~ 30 r 330 feet to the point of bed nntng of a 66 root roadv a; c n_nt descri!)ed a,, `u:'"o~s a!c t€ the ,a ~ ~ , con~a•r to 'e centerline, thence N87 05` k)"W 16"',71 feet, there al `Sa fhor rfet t,,N61-e to 1' North, having a radius of 169.9!,-)' feet, th.ctl~e'`l%~ 257.27 feet to the point of ter,nin`c.tior,. ; I This _ is homestead property. (is) (;s not) ~j i~ ;i ij I~ rtiAR.R-V-i'ti' DJ-Cl? FUn tit r - . 4 I . ° 7 , 7 , •nf { d f d1 ~ . 7~ - 1 And „•ar ,t r t . c, t as <t t:. all 1 KI t...l t a c i! 1 a t ;t t t_r..t tt., t,.!r yrs .~~r et..,lt t ~.rd :tr . I I 1 f , ` 1 Barry 1. G",-t-`1\1 I G1w + I ~ I AGTIf `,TICATI'_3:ti F ti t , au,h:nr,.a' d hi= ly_ _ ! Per - :tliF d!T)c% ?7 c Tl 1• Jf~ 1_-.. - cuan~D'. , - l9i5, the ran cites ♦ _ fttlc: ~tv 7IKt St.te Rtr rt W c r n ~n t . he tt• E> rkt µr+'> d thc,"'Irgotag (If rot, _ j tn:.,ua,:'•t +n.f a.l,n. «!e t he ,a euthl't:ze,l by 1'''E k•, t.. St is N $ q . A, 4, t Qj cou L •b: I bt. C.- n t I vrr . _,,t. t1f not. %L. A' _krR' 31 hsc lnartma t . *dit . r - SI }?cr R T b P. A - 16-70.ltit,csca2 World ral, Cent::r 30 Lit Sc .nth S rxt St. Paul, tilulrrta >jIJ: d9'•.`1 (612) 227-3433 I. (Signeh:r_g, n~a) 5e eL'?:r s'atd`-' <r Both err not, WAR?-" .Y D,1::~ S; 1 tit s ~ 55.18 STATE BAR OF WISCONSIN FORM 1 - 1982 WARRANTY DEED DOCUMENT NO. This Deed, made between ST. CR.G:, ,71 Redd for Record 'OCT 2 3 1996 Grantor, and at c: 15 A. M `XAW...,. -R JAI,, Register of Deeds U tr3 G aA "I Grantee, Witnesseth, That the said Grantor, for a valuable consideration '.._y„~ 2 Ilk/ THIS SPACE RESERVED FOR RECORDING DATA conveys to Grantee the following described real estate in County, State of Wisconsin: NAME AND RETURN ADDRESS NacaL OF CAPJA L6C-rTfL0 IN SlIcr q 1"j6coiJSi4lP 29 Su-~,An1 b GkRaT 13a(t-rti, (LIR"i 1% Q iVs T j A[LI# G T'Ni1j SCXST A a f}C12 5 i t%4 pw t+ /SUE o p- c,.,~rr-L or- -rit(L C1tr2-r 5oaviZY mAP 45 Rico i 0 E(tts W t y o23 IM UOLUMIZ 3, 4y 47tH; (Al TN-Pi FK4 or- -rMIC C.o. ?1~j-0@ 2 )5r cil of K CA, Wj . bra 8. A-C4, 6 bal rv L Pu TH r(2 Oft5ciLiad d 4:5 r-OL4-QLJ'S : COW A r Te"t irAe;-, GTR C'A..X Ma of 15k10 SIZ G-r 14 : T4+1Z "1- PARCEL IDENTIFICATION NUMBER %1 c 011"7 c c t,J (Z_ 1 Ljq a • l P_T 10-(? Po j ^'T ®F $aQA) 1V i N(., sr~1o 190100T ~ i ►J~ (11R kGh~UW12,_1Tf_,0 to C09NiEfL Dr- 'npto dLoT 2 :-rftiZcuG.CL 3wriI4 ~ pLS I L1,4230 f'T /44.0h$ G*-r O (f, '"'U" a'UTIZ O --CaTFI u4i£ o f n010 CZ ar(IL J 9 0 (riPR Tb TH it s~ GoRr~ Q 2 o F 15A io Z , TifxA" NO a-Tt4 o° a.' 2d, a AST „ fig" 43-e5'r use of 5A (O L-Crr 2 %T ff1T #0CA A)O2Tf4 T;q0_37901 91.05' /~(_Octrl ca-rH f~ a>: `.3R1d1 C'-f~2T ~u 2v~fY yya . fo c P>'~2AAc.c-(£c curO Tlt-R Sc f~4 c.,n3E H O 02 50tj(C5T 147 5 e-6 "Tlf it L-c A+ 1Z o r Sn 10 1-0-r z : -r f♦- ~ T®e" R,i,~1-Tof 3 ~ racJ l rJ Ca . Tff~ SR cry a,, 2 o FSfF (Q Lo-r 2 ►~-(x~ c, rL IZ(~572 tc1'~ 7 1- (~~T Tb ]TS AC_ C r32~ ~r~ (S 5U 53 QC"C TO AN 'Y ~ptS'rt2n ~o Thtsr homestead property. TRAlM~7~~R (is) (is not) a 0O1M. X-1 $ Together with all and singular the hereditaments and appurtenances thereunto belonging; ' And FEE warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except TOIL PAACAL '540wN Cs40 T tt tS Q0C,4--%Wt (ZAJT 1S Z7Z 1 X) (n A-MW -M ?'fl'!Ja PAIZC(L(, GJ' HOW o3 o ^S T H (L U O W v t t Z NT KZCo (L D 217 1 ru VO L.. 3 1 P AC, a %IRO 1 Do c- W- (SRCL k-rr(\-CW 6 0eC_QiPT10cn1) and will warrant and defend the same. _p Dated this day of CJCS( 19-1wa- YV \ ate-- (SEAL) (SEAL) * 0 kjw)0.. , 1►I~QKV~. (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. 5 T CV 0 Nk County. authenticated this day of 19 Personally came before me this 9.9- day of Affidavit, Part 2 ' E i The parcel shown on this document is being added to the parcel shown on the document recorded in Vol. Is - , Page Document No. described as a parcel of land located CorrLmencing- at the East 1/4 corner of said Section It, the P0INT 01, ' ~~G'_: ?IIi;G of the parcel to be herein described, ther;ce S 00° 00' 00" E 10-;2.56' aionJ; the East line of said Section 4; thence S 88° 17' 00" 'fJ 591.38' thence S 83` 17' 00" W 475.521; thence N 00° 10' 09" W 381.07'; thence S 880 58' 14" rJ 253.85'; thence ;d 01 ° 00' 45" E 768.44,; thence N 89° 04' 30" E 1304.90' along the East/'Jest 1/4 line of said "ectior_ 4, to the POINT OF BEGINNING, containing 31.45 acres, more or less, being subject to easement over Easterly portions of said parcel for TO71 Rcad purposes as it now lays, also being subject to a 66' easement for ingress and egress, described as follows: F-ASHRE[vT llESCRI PTIGN : Commencing at the East 1/4 corner of said Section 4, thence N 89° 04' 30" E 33.00'; thence S 00° 00' 00" E 461.98'; to the 110I1i`I, OF i:rl;.;IN1,1I:IG of* a v6' rea6wa;; e ase- ment described as follows along centerline, thence N 87° 50' 00" W 162.71'; thence along a chord of a curve concave to the Eorl,h, havi nr, a radius of go N 74° 34' S3+' 'v! 77-87'; thence N 61 ° 20' 20" -W 257.27' to t.ic i10:: f 0' , 1i - (For purposes of this description all bearings are referenced to t'-P_ _:z t: lino c- Section 4, Tovnship 25 North, Range 18 West, as ^x::ed 'id 00° 00' 00" to create one parcel, and this transaction is thereby exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Section 18.05 (A)(3). r Iyodtpeia-, . .55118: ' 2Q racF~1 VQL "4 Document Number Document 71de REGIS i E~i`S rrMrrrraR \ ST. CROIX CO., W1 Pied for Ro=d OCT 2 3 1996 at 1o4►s a M St. Croix County Zoning Office `Kat&. `R JA I, St.Croix County Government Center RegkbrofDeeds 1101 Carmichael Road Hudson, Wisconsin 54016-7710 Recording Area (715) 386-4680 Name and Return Address ~ttSo-r. G ru-,'t ~I g4 II414 Aye AFFIDAVIT eo 4oa~y State of Wisconsin ) ss. County of St. Croix ) Pamet Identification Number WK "-sUSptd GQAAJT being duly sworn, states, under oath that: (name) 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume, Page a28 , Document No. S2%]?&~, St. Croix County Register of.Deed's office: A parcel of land locatedZ N(L7' se / rJ c- iv I $ W "'o Lj &j a f N 2. The above parcel has had added to it the following described parcel recorded in Volume Q0-5- , Page c~' , Document No. :~j j~ , St. Croix County Register of Deed's office, resulting in a single parcel: A parcel of land located 'SER I- T OQ+CiO St. Croix County, Wisconsin, described as follows: This iafotuutioa must be completed by tubmittec• document title, name do return address, and PIN (f required). Other trlformado- such to the grmuirtg clauses, legal description, etc, may be placed on this first page of the document or may be placed on addiriorsal pages 001c doemmeru ors: Usc of this cover page adds one rags to your document r-' 1Q r0 r,, r.':, rcce-?:,,_ (-c. iiirconsin Senses, 59.517., WMA 2196 r - ~ zr < VOL 2.05 ~a~€ ~1 3. The addition is a transfer exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Section 18.05 (A) (3) . 4. The purpose of this affidavit is to notify the public of the addition and the resulting parcel. A~ o ~JusArl 1~ G(~~NT Subs d sworn to before me this day of >r' . _ •7 • ~ 1 y~~ otEr 1t3~ • ate of Wisconsin r-~-97 My comr~;ixpires . This instrument was drafted by \ l~Lw t r,3 ~AC-, ,Am A parcel of land located in Section 4, Township 29 North, Range 18 West, being the south 2 acres of Lot 2 of the Certified Survey Map as recorded in Volume 3, Page 743, in the office of the County Recorder, St. Croix County, Wisconsin, said 2 acres being further described as follows: Commencing at the East Quarter corner of said Section 4; thence South 89 degrees 09 minutes 17 seconds West 442.10 feet to the point of beginning, said point being the monumented southeast corner of said Lot 2; thence South 89 degrees 37 minutes 22 seconds West 442.30 feet along the monumented south line of said Certified Survey Map to the southwest corner of said Lot 2; thence North 0 degrees 06 minutes 20 seconds East 197.05 feet along the west line of said Lot~2; thence North 89 degrees 37 minutes 22 seconds East 442.10 feet parallel with the south line of said Certified Survey Map to the east line of said Lot 2; thence South 0 degrees 02 minutes 50 seconds West 197.05 feet to the southeast corner of said Lot 2 and the point of beginning. Said parcel contains 2.00 acres (87132 square feet) and is subject to any easements or restrictions of record. + ee ` Affidavit, Part 2 YO~~~~JOAC~1~ 1 The parcel shown on this document is being added to the parcel shown on the document recorded in Vol. a_, Page <g9Document No. described as a parcel of land located Commencing at the East 1/4 corner of said Section 4, i.ne PuI':i' OF LLG-I.-KING of the parcel to be herein described, thence S 00" 00' 00" E 1(1,2.56' along the East line of said Section 4; thence 8;8° 17' 00" b1 591-38'; thence S 83` 17' 00" W 1+75.52'; thence N 00° 10' 09" 381.07'; thence s 880 58' 14" W 253.85' thence IN 01° 00' 45" E 768.44'; t}rence N 89° 04' 30" E 1304.90' along the East:-vest 1/4 line of said :section 4, to the POINT OF BEGINN"Ii`G, containing 31.115 acres, more or less, being subject to easement over Easterly portions of said parcel for To-...n head purposes as it now Pays, also being subject to a 66' easement for inf;ress and egress, described as follows: EASH4::NT DESCRIPTION': Corruoencing at the Last 1/4 corner of said :;ecticn 4, thence N 89" 04' 30" E 33.00'; thence S 00° 00' 00" E' 1161.98' ; to the POIN'T' O1' :::>v]:faI:I11G of a v6' rea;i~;ay ease- thence described as follows along centerline, thence IN 87° 50' 00" w 162.71 thence along a chord of a curve concave to the North, having a radius of go N 740 34' 53" W 77.87' ; thence N 61 ° 20' 20" ,4 257.27' to the i'0!'JT O: (For purposes of this description all bearings are refere^ce:i to tine :_ast line of, section 4, Township 29 North, Range 18 West, assumed N 00° C)0' 00" to create one parcel, and this transaction is thereby exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Section 18.05 (A)(3).