HomeMy WebLinkAbout040-1312-14-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 552312 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: city Village X Township Parcel Tax No:
Flacke , Dean & Kim Troy, Town of 040-1312-14-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
`Qip 1'Y( 6.6T 04.28.19.2044
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic, IIZS~ Benchmark 60. /ate
Dosing Alt. BM
I,J~.~Jt+o..J ADZ
ft*.6
Aeration BI . Sewer etc 7
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/Ht Outlet 67 9 7, 't/
TANK TO P/L WELL BLDG. Vent to Air I ake ROAD Dt Inlet
J 'l;'t,
Septic ` / - 17- 9 z Dt Bottom
7
Dosing Header/Man. 7.75 477.33
Aeration Dist. Pipe -6-191 9 7 2 7
Holding Bot. System -1.Cr7 PUMP/SIPHON INFORMATION Final Grade
Manufacturer Demand St Cover 5.73
GPM ~'l4ti.- COJ 160'
Mod umber
TDH L Friction Loss System He DH Ft
Forcemain Length Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width LengW / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 r5
SETBACK SYSTEM TO f BLDG WELL LAKE/STREAM LEACHING Manufacturer: /
INFORMATION CHAMBER OR j < w
Type O~Y~ m: ^ ~ -6 / UNIT Model Number:
li/o ?.µ.1s1L~ : •
DISTRIBUTION SYSTEM /S-/41"4
Header/ManifVd Of Distribution x Hole Si x Hole Spacing Vent to Air Intake
AA jPipe's, Length Dia Length_ Dia \ Spacing ~ \
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only c~
Depth Over Depth Over xx Depth of eded/Sodded xx Mulched
Bed/Trench Center ! 0 -7 Bed[Trench Edges Topsoil xx Se s ] No Yes Fa-] No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2:
Location: 532 Hwy 35 16 (SE 1/4 SW 1/4 4 T28 RI 9W) Cottage Meadows Lot 14 Parcel No: 04.28.19.2044
1.) Alt BM Description '
2.) Bldg sewer length = / 7
uUDCa V4XTQ t/~
- amount of cover = ! 1
y 2 O v~ O-~°Z ~ v~4N
Plan revision Required? ® Yes ] No ~J /b I ^7
Use other side for additional information. / G►
SBD-6710 (R.3/97) Date Insepctors ature Cert. No.
co Safety and Buildings Division County \
00 X ~o
7a-mk- \01 W. Washington Ave., P.
Madison, WI 53707- A S
s ;,t Permit Number (to be filled in by Co.)
Iti q~ 2
Depa ,Qy ~(5 Z 3 L
San it plication Transaction Number
~ /06
In accordance with s. Co m. 83.2 mission of this form to the appropriate governmental
unit is required pri or to , permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address)
submitted to the Dep a erce. Personal information you provide may be used for secondary
purposes in accordance wi the Privacy Law, s. 15.04 1 m , Stats. 7Z r r
1. Application Information - Please Print A!H*ormation
Property Owner's Name Parcel #
Property Owner's Mailing Address Property Location
Z,2!9 5-0 la ST Govt. Lot
City, S to Zip Code Phone Number
~j ` JL'/,cam y4, Section 7
Z,of Y` G/ T N; R f ~c1E or W
II. Type of Building (check all that apply) Lot #
Subdivision Name
El I or 2 Family Dwelling -Number of Bedrooms
I., z~ rl
* Block # 7T 4 e-
❑ Public/Commercial - Describe Use (~r~ [JCity of
SM Number El Village of
El State Owned - Describe Use
❑ Town of
J IZ ~--tZ t tl G r~
III. Type of Permit: (Check onl one box on line A. Complete line B if applicable)
A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New
Before Expiration Owner
L
IV. Type of POWTS System/Component/Device: Check all that apply)
[bbNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersal/Treat ent Area Information:
Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Area Require (sf) Dispersal Area Proposed (sf) J System Elevation
er SfS? o , u `10 75 Z r
VI. Tank Info Capacity in To # of Manufacturer r
Gallons Gallons Units U d y -0 15
New Tanks Existing Tanks W w o ? d
'G L a U A w C7 a
Septic or Holding Tank
Dosing Chamber 4-F
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Si ature MP/MPRS Number Business Phone Number
Plumber's Address (Street, City, State, Zip Code)
VIII. C o u n /De artment Use Only:
ssueIssSignt=ed
Approved
Fee Dat7157/z_
ven Reaso or Denial / 4 5 ' OD 3 IX. Conditim(MA )""tWasons for Disapproval .01
1. $eptic tank, effluent finer and
dispersal cell must all be servkn I maintained
es per rnanapeMent plan provided by plumber.
2 AN shack regt leMs must be maintained
n or 40000" c odot
Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in size
SBD-6398 (R. 02/09)
►~u 5 ~ -2
~~W 13c2_
Sr- ye f r'y T24-N )2 l' 1 ~r
len, 70
G L~ 1fU-r 3 Tr
~ 6 dr~Ll
P
L°Y
ar
'l Le-J-
V
. 2JG o d
0 _
SGT C « Q~_ owl
P4,j-
d-c ~R G l~c~-t car fR ~S'
19
p y 1z
C3
-5', l G
(vim 3 -cam 2 / v'" ~G~ ~
lou 5e- I
.51-le- Pjy-
Oe,,r,clv. FalkGx ~e.? c -
P-To 1311-4 eKJ-oc-f
SY TAN/
le, 7o
Gov
a
44
3
IZrG v d
5
cT~ 3 oft
0
fid Absol RSystem Con Section
-eft
Cl tt
4' SdoxNb 40
PVCVWApte
wNh Vent cap q ft
Ober ~ Syshmn EWaMon
f ft 3 ft
SoN At MWn 8wtmn Plan View
ft
Oft
1 ft Leaching Trench 1
Chambers
4' Diet.
Trench 2 Header
Vent Or Observation Pipe
1111111191111
Trench 3
Laatrhina Chamber SpecMcadonB
ManufadurerAnd Model 2 C
EISA Rating sci ft per chamber Sol Applkation Rate 7 gpd/aq ft
ll gpd Design Flow 7 Soil Application Rate 2 EISA = 3 Chambers
3 rows of Ow'ribets each.
Page of
~u y.L ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer ~Az A,,-
Mailing Address
Property Address
(Verification required from Planning & Zoning Dep nt for new construction.) V-
City/State Parcel Identification Number O yo 13 !2 -
LEGAL DESCRIPTION
Property Location Sec. , T 2i-N R / 1W, Town of
Subdivision Plat: cw Y Z' t K ~ e- a 06w3 , Lot # .
Certified Survey Map # , Volume , Page #
Warranty Deed # (before 2007)Volume /4 , Page # /0 6 q
Spec house 0 yes 0 no Lot lines identifiable 0 yes 0 no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
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 a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms
S NATURE OF APPLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 09/07)
P ~ 111111! illll IIIII I{{li !1111 {Ili! Ills 1111111111 Ili!
9 1 5 6 2 2r} 1
915622
WARRANTY DEED BETH PABST
DOCUMENT NO. REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
05/05/2010 04:10PM
WARRANTY DEED
This Deed made between MATTHEW W. EXEMPT t 16
HOLLISTER and CHARISSA R. HOLLISTER, REC FEE: 11.00
husband and wife and each in their own right, Grantors and PAGES: 1
DEAN E. FLACKEY AND KIM R. FLACKEY
REVOCABLE LIVING TRUST DATED MARCH 11,
2005, Grantee,
Witnesseth, That the said Grantors convey to RETURN TO:
Grantee the following described real estate in St. Croix D. Peter Seguin
County, State of Wisconsin: MULE, PORTER ET AL.
110 Second St, PO Box 469
Hudson, WI 54016
Lot 14, Plat of Cottage Meadows, Town of Troy.
TAxID# 040-1312-14-000
This is not homestead property.
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And Matthew W. Hollister and Charissa R. Hollister warrant that the title is good, indefeasible in fee
simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of
record.
Dated this Ly 1~3- day of April, 2010.
SEAL) ~ (SEAL)
Matthew 'W. Hollister Charissa R. Hollister
AUTHENTICATION ACKNOWLEDGMENT
Signatures of Matthew W. Hollister and Cherissa R Hollister STATE OF WISCONSIN
)
authenticated this day of April, 2010. ) SS
COUNTY OF ST. CROIX )
: ATEPA"V WISCONSIN Personally ~ before me this day of April, 2010, the
eY I~~' above named Matthew W. Hollister and Chanssa R. Hollister, to me
(
necessary SiPEAM ) may be ale. iwcffi Qdged. Both are not (mown to be the persons who executed the foregoing mst:tmment and
v aclmowledged the some.
THIS INSTRUMENT DRAFTED BY:
D. Peter Seguin
MUDGE, PORTER, LUNDEEN & SEGUIN, S.C.
110 Second Street, Post Office Box 469 Notary Public, State of Wiscon.,in.
Hudson, Wisconsin 54016 My commission (expire').
1 of 1
N 7°48'44" W 525.92'
I
1~ ~ c
c
~CONSERVAT--1 N
w
c
EASEMENT N C
cr \LA s ~`3L 00
FARMETTE
ul LOT 14 w
Q N
140627 1 .7-
3.23-"Ac. o
n ~ b
2 GO _ Z
N 89.58'21" W 431.
IES
CONSERV T N
° EASEMEN I I ES V/ R
.F. ~O ~0~~ \ n
G 2 \ D
`O FARM E
8' O-A
LOT 1
~ ern? ~ i ~
LOT 2 ~ ~ 217843 S.F.
'20 (P~3 G)A~ uo_ \ 5.00 c.
(:p s 0. 00
cp3 01
~
ERVATIO, \
MENT o
.OT 6 a°~~ \ I N
~a
sq. ft Lo W
y '~I- G,~A ~ o
Acres U
C114 NX
cfl
o6'`fl
P7
EO I F) :.n
VIA bD / - i~
o Ir Ln
00
pop f ` IQ ~m
NN> r
50' 50' I4y w 50'
f> C N
pool
000 0
00
w co cal NIA
I G cNn IA I~
~ ~ ?t CP arnp K) 00 a
c N Im I~ s s
b
a
- _-----84.62' 84.62'.,
N 02'13'12" E 368.52' - - -
<
OLD HIGHWAY 35
- o
_I UNPLATTED LANDS I LOT 1 CERTIFIED SURVEY MAP
D LANDS - VOL_4 PG. 1143 _
PAID
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County ST. CROIX
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 040 - 1312 - 14 - 000
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print aH information. RegieW - Date
Personal infomnatlon you provide may be used for s. 16.04 (1) (m)). YIiL_ . ( Y
Property Owner Property Location
DEAN E. FLACKEY TRUS Govt_ Lot SE 1/4 SW 1/4 S 4 T 28 N R 19 EE((or)❑W
Subd. Name or CSM#
Property Owner's Mailing Address 4m0
ws
12950 12th Street N. T CROIX COUNTY Cottage Meado
City State Zip Code f~l itY Village • Town Nearest Road
Lake Elmo, MN 55042 ( 651) 436 - 4404 Old Hwy. 35
New Construction Use Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement [j Public or commercial - Describe:
Parent material sandy outwash Flood Plain elevation if applicable
General comments Conventio al In-gro d Tr ches 0.7 loading rate
and recommendations:
'4az~s~~~ G~ L :y'LL c~ Q ~t-
G Li C ~ Carl 2%
E Boring # D Boring -1, q
El Pit Ground surface elev. Q I ft. Depth to limiting factor 120 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-12 7.5YR2.5/1 - 1 2f-msbk mvfr cs 2vf-m 0.6 0.8
2 12-24 10YR3/4 - sl 3fabk mvfr as lvf-m 0.6 1.0
3 24-33 10YR3/4 - sl 2fsbk mvfr cs lvf-f 0.6 1.0
4 33-72 7.5YR4/6 s Os dl 0.7 1.6
5 72-120 10YR5/4 s Osg dl 0.7 1.6 71
Horizon 3 has some gr 1-5%
2 Boring # ❑ Boring /bD V I 120
0 Pit Ground surface elev. ft. Depth to limiting factor in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
1 0-12 7.5YR2.5/1 - I 2f-msbk mvfr cs 2vf-m 0.6 0.8
2 12-19 10YR3/2 - sl 2fabk mvfr cs 2vf-f 0.6 1.0
3 19-32 10YR3/4 - fs Osg ml cs l vf- f 0.5 1.0
4 32-52 7.5YR4/6 s Osg dl cw 0.7 1.6
5 52-120 . 10YR5/4 s Osg dI 0.7 1.6
Horizon 4 has a pocket of I OYR3/2 c 11
Horizon 5 has some pockets of cos. I Si
' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:5 150 mg& ' Effluent #2 = BOD < 30 rng/L and TSS < 30 mg/L
CST Name (Please Print) - - ture CST Number
Mary Jo Hollister Hollister's Soil Testin & Design) 224832
Address Date Evaluation Conducted Telephone Number
W9875 690th Avenue, River Falls, WI 54022 03 - 19 - 08 (715) 426 - 1775
Property Owner-~FLA~CKEY, Dean E. Trust Parcel ID # 040 - 1312 - 14 - 000 Page 2 of 3
U Ong
E) Pit Ground surface elev. ft Depth to limiting factor 115 in. Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-12 7.5YR2.5/1 I 2f-msbk mvfr cs 2vf-m 0.6 0.8
2 12-18 10YR3/2 sl 2fsbk mvfr cs 2vf-f 0.6 0.8
3 18-32 IOYR3/4 is Osg ml cs lvf--f 0.7 1.6
4 32-48 10YR3/4 s Osg dl cs 0.7 1.6
5 48-58 7.5YR4/6 l' s Osg dl gw 0.7 1.6
6 58-115,' 10YR5/4 s Osg dl 0.7 1.6
orizon 4 has some pockets of c; Horizon 6 has some cos & gr.
❑ Boring # Borag
Pit Ground surface elev. ft. Depth to firm" factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2
F-1 Boning # H Boring
Pit surface R Depth to I'nrtiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ti?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
" EfBuent #1 = BODS > 30:5 220 mg& and TSS >w:5 150 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.
s1113-833(ran (I L07/00)
Plot Plan for Site and Soil Bvaluadon Page 3 of 3
Property Owner D-CA RL Y IRRS7'
1"=40ft.
Legal Desa*don , m 14. (kept where noted).
.`/w- - sue'./ -P S 4, rz s N, x 19 \4. 7%vJM aI 0 = Backhoe it
TRr,& St- cr-oky- C O"- 1, 11y t 5 CON MOA . North
Z%°'!'fOM OAF S 'DMl J c~pvuJS]. N ghwJ ,yo P8°
a ~
~ M
3
a
b a b
00 ~
age
as
SOUrt~ p1t T BM4 {~itD FoR e~S2~C X30,
-u.'-~ fsskM~Li ~ of)- 00
Site Location:
Q
Plot Plan for Site and Soil Evaluation Page 3 of 3
Property Owner D-cAN 9 F to KEY IT,? us-F
1"=40ft
Legal Description l-mr 14, C.ot`tAc A^-tA-E>s, {accept where noted).
`A or- -twsV4 /"A 4, TZ N, ka o~ :1 = Backhoe pat
--'7?-ay.0 s-r, cr.oky- CbV-A-T`I,
z~ j5,,MDAk .YO ~ ,ROU n_107-01, North
~ M
~ Z
CMW
c
~ Svu~-t-~ pay-., T ~ PM-s i~lED'FvR ~-.ec-~c S3oX
Site Location:
may. ~1COPY
P~
ON
FILTER CARTRIDGE INSTRUCTIONS
,
~r. 2oae- ;~Y~I
Installation
STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is
centered under the access opening. If not, then either insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe onto the outlet
pipe.
STEP 2 While the case is still dry fitted on the outlet pipe, measure the length
of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the
optional supplemental side support. If side support method is not utilized,
proceed to step four.
STEP 3 For installations utilizing the optional supplemental side support:
solvent weld the 3/4-inch pipe onto the filter case. If side support method is not
utilized, proceed to step four.
STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down until the filter locks into the bottom of
the case.
STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning
clockwise 900.
Maintenance
1. The effluent filter should be cleaned every time the septic tank is
serviced.
2. Open the outlet access opening to inspect the tank and filter.
3. Pump the septic tank completely, making sure to remove the sludge*
layer on the bottom of the tank and not just the scum and effluent.
4. Once the effluent level has been lowered below the invert of the wr'
outlet pipe, firmly pull up on the filter handle to dislodge the f.'
cartridge from the case.
5. Slide the cartridge up and out of the case for cleaning.
6. If a VRS switch connected to an alarm is present, the switch
should be removed by turning counterclockwise 900 and cleaned
with water only. w
7. While holding the cartridge on its side (large flat surface facing n
down) over the access opening, rinse off the cartridge with water,
only, making sure all septage material is rinsed back into the tank.: w~13,~r
8. If VRS switch is utilized, replace by inserting into filter and
turning clockwise 900. t
9. Insert the filter cartridge back into the case, pressing down until
the filter locks into the bottom of the case.
10. Replace and secure the access opening on the tank.
Materials: ABS Plastic, Polypropylene, PVC, Stainless Steel Screws
Model Numbers: ML3-910* ML3-932*
ML3-916* ML3-948*
rwrrr»aa ML3-925* ML3-964*
nsarimi smnaaw ~a
X" -Models certified by NSF® to
BEAR ONSITEr" FILTER CARTRIDGE - FIVE-YEAR LIMITED WARRANTY
Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five (5) years from the date of consumer
purchase.
BEAR ONSITE_ Filter Case -Lifetime Limited Warranty
Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original
purchaser owns the product. If a defect is found in normal use, Bear Onsite will, at its election, repair, provide a replacement part or prod-
uct, or make appropriate adjustment. Damage to a product caused by accident, misuse, or abuse is not covered by this warranty. Improper
care or malfunctions resulting from units not installed, operated, or maintained in accordance with instructions provided will void the war-
ranty. Proof of purchase (original sales receipt) must be provided to Bear Onsite with all warranty claims. Bear Onsite is not responsible for
labor charges, removal charges, installation, or other incidental or consequential costs. In no event shall the liability of Bear Onste exceed
the purchase price of the product.
rev030911
a7 :>ti fi~si: tLd<
771 7-1
WWWbearoris#e.am 877-MUILTRS [bS3~4583'.
- ' ' PD. Bax 5117 ~imerv)Ite,;l`I~ ~UtSB," ;
Report for Parcel #040131214000 1 St Croix County, WI Page 1 of 1
2011 Property Record I St Croix County, WI
Assessed values not finalized until after Board of Review Property information is valid as of 717111
Years in red have delinquent taxes
NOTICE: All payments received by County Treasurer will be posted the next day.
Property Description Billing Information
Parcel ID: 040-1312-14-000 Name / Attn.: DEAN E & KIM R TR FLACKEY
Map ID: 04.28.19.2044 Address: 10828 ASHLEY LN
Municipality: TOWN OF TROY City, State, Zip: WOODBURY, MN 55129
Public Land Survey: SECTION 04 28N 19W
Quarter: NE Ownership
QQ / Tract: SW Primary Owner: DEAN E & KIM R TR FLACKEY
Plat: COTTAGE MEADOWS LOTS 1/15 040-05, LOT 014 Secondary Owner: NO SECONDARY OWNERS LISTED
Description:
Deed Information
SEC 4 T28N R19W PT NE SW COTTAGE MEADOWS ('05) Volume Page Document #
LOT 14 CONSERVATION EASEMENT
915622
Property Address: 532 OLD HWY 35 889618
Total Acres: 3.23 ACRES 10 069 803079
Assessed Value Other
Valuation Date: 11/09/2009 Fair Market Value $.00
Assessment Acres Land Improved Total Assessment Ratio: NOT AVAILABLE FOR 2011
Type Value Value Value Net Assess. Val. Rate: NOT AVAILABLE FOR 2011
G1-Residential 3.23 80,500 16,200 96,700
Totals 3.23 80,500 16,200 96,700 School Districts: 2611 - SCH DIST OF HUDSON
Installments Tax Detail
Please pay your 1st installment or full payment to County Net Tax Before Lottery, First Dollar Credits .00
Treasurer, 2nd installment to the County Treasurer. Lottery Credit .00
Period Due Date Amount First Dollar Credit .00
Total Taxes .00
Net Tax After .00
Tax Payment History Amt. Due Amt. Paid Balance
Date Receipt Number Amount Net Property Tax .00 .00 .00
Special Assessments .00 .00 .00
Specials Special Charges .00 .00 .00
Category Amount Delinquent Charges .00 .00 .00
Private Forest Crop .00 .00 .00
Woodland Tax Law .00 .00 .00
Managed Forest Land .00 .00 .00
Penalties .00 .00
Interest .00 .00
Total .00 .00 .00
http://stcroixwi.mapping-online.com/StCroixCoWi/ParcelReport.j sp?keyword=0401312140... 7/8/2011
SAFETY AND BUILDINGS DIVISION
Plumbing Product Review
P.O. Box 2658
commercemii.gov Madison, Wisconsin 53701-2658
SCO ■ ■ S I n Jim Doyle, Governor
4tiepartment of Commerce
Jack L. Fischer, al.a, Secretary
June 30, 2008
ADS, INC. ADVANCED DRAINAGE SYSTEMS, INC. (ADS)
PSA, INC. SHANE BLACKFORD
DICK BACHELDER 4640 TRUMAN BLVD
71 ORCHARD FARM RD. HILLIARD OH 43026
YORK ME 03909
Re: Description: LEACHING CHAMBER
Manufacturer: ADVANCED DRAINAGE SYSTEMS, INC. (ADS)
Product Name: BIO-DIFFUSER-- ARC 36, ARC 36 end cap, ARC 36 SPC
Model Number(s): ARC 36 (modified) and ARC 36 SPC (side port coupler)
[ARC 36 EISA WITH OR WITHOUT GEOTEXTILE 2004 FABRIC 490 SQ.
FT./CHAMBER, LAYING LENGTH = 5.0 FT., WIDTH = 33.75 INCHES, HEIGHT = 13
INCHES, MIN. DEPTH OF BURY = 0.5 FT.; MAX. DEPTH OF BURY = 8 FT., OPEN
BOTTOM AREA = 12.0 SQ. FT./CHAMBER; AND ARC 36 SPC EISA = 4.5SQ. FT./UNIT,
LAYING LENGTH = 1.17 FT.; OPEN BOTTOM AREA = 2.7 SQ. FT./SPC UNIT]
Product File No: 20080276
The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance
with chapters Comm 82 through 84, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin
Statutes.
The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative
Code. This approval is valid until the end of JULY 2012.
This approval is contingent upon compliance with the following stipulation(s):
• This product must be installed in accordance with the manufacturer's printed instructions, product approval, and
plan approval. If there is a conflict between the manufacturer's instructions and the product approval and/or plan
approval, the product approval and/or plan approval will take precedence.
• When this product is installed in a dispersal cell that is sized based on the EISA rating stated in the regarding
block of the product approval letter, this product must receive wastewater having a BOD5 value between 30 and
220 mg/L and a TSS value between 30 and 150 mg/L.
• When this product is installed in a distribution cell that is sized based on the EISA rating stated in the regarding
block of the product approval letter, this product must be installed in individual excavations that create a row of
chambers that are horizontally separated from other rows in other excavations by at least 3 feet. The 3-foot
measurement is measured between the closest out side edges of the leaching chambers.
• When this product is installed in a distribution cell that is sized based on the EISA rating stated in the regarding
block of the product approval letter, the distribution cell design must allow at least six inches of ponding in the
chambers without backflow of wastewater into the drainpipe that discharges into the chambers.
• When this product is installed in a distribution cell that is sized based on the EISA rating stated in the regarding
block of the product approval letter, this product must be installed in a distribution system, which has the top of
the distribution cell at or below original grade.
SBD-10564-E (N.10/97) File Ref: 08027607.DOC
ADS, INC.
Page 2
June 30, 2008
PRODUCT FILE NO. 20080276
• When this product is installed with geotextile fabric on the sides of this product in a distribution cell that is sized
based on the EISA rating stated in the regarding block of the product approval letter, the geotextile fabric must
be Reemay Filtration Grade Spundbonded Polyester Style No. 2004 fabric.
• When this product is installed with the ARC 36 SPC, side port coupler, the design of the distribution cell shall
take into consideration the EISA rating for this accessory as stated in the regarding block of the product approval
letter, for each SPC unit.
This approval supersedes the approval issued on 11/28/2007 under product file number 20070513.
This approval letter shall be incorporated with your previously approved plans and/or specifications approved under
product file number 20070513.
The department is in no way endorsing this product or any advertising, and is not responsible for any situation which
may result from its use.
Sincerely,
Jean M. MacCubbin, CST
Engineering Consultant--Plumbing Product Reviewer
Commerce; Safety & Buildings Div.
PO Box 2658
201 W Washington Ave.
Madison WI 53703-2658
Phone: 608-266-0955; Fax: 608-283-7456
E-mail: Jean.MacCubbin@wisconsin.gov
U 254? P 2 8 6
property where passible. Grantor retains the right of privacy and to exclude
unauthorized members of the public from trespassing on the subject property.
Upon transfer of any of Grantor's interest in the subject property, the rights and
obligations as established and otherwise set forth and acknowledged herein shall inure to and become binding upon Grantors' assigns and/or successor in interest.
5. Permitted Uses.
For the duration of this easement, i.e., in perpetuity, the subject property shall be
used exclusively for natural, scenic, wildlife habitat, plant habitat, and conservation
purposes, management and preservation and for the creation of residential lots on
which dwelling units may be built to the densities authorized herein. Fences,
outbuildings and other related structures directly associated with permitted on-site
uses are also allowed. Utility installations are also permitted for private and public
distribution purposes, provided that all new utility installations shall be placed
underground. All such development shall remain subject to related state and local
regulations in effect at the time the development occurs. The use or operation of
the subject property for commercial, residential or industrial activities is specifically
prohibited except as such uses or operations are preserved and authorized herein.
6. Current Level of Use and Future Development Activities Allowed.
The subject property being encumbered by this Conservation Easement is 39.77
acres in size, more or less, consists of woods, meadows and grasses and is
currently zoned Exclusive Agriculture. Although it consist of four parcels separated
by state and local roads and road rights of way, no lots have been created by
subdivision, and there are no dwelling units presently located anywhere on the
subject property. No buildings of any kind are located on the subject property. This
description of uses and the absence of dwelling units or subdivided lots on the
subject property is set forth herein to provide a baseline of the nature of the uses,
lots (none), and structures (none) on the subject property at the time of the creation
of this easement. The location of the parcels comprising the subject property is
shown on the drawing attached hereto as Exhibit "B" and incorporated herein by
reference.
A. Purpose. This Conservation Easement is being put into place because
Grantor desires to rezone the subject property and to acquire and transfer
into the subject property certain off-site development rights in a manner
that will allow the subdivision and development of the subject property at
ua sitlas iiiat ace on;y aiiuv-v-able pursuant to such an incoming transfer of
development rights under Grantee Town of Troy's Subdivision Ordinance
3
~ Il rr
/2r Ti's T- N~-W RB7POX T-' o cv hAT" Gv4 S P,PEU/DoSiV
C,411-4 Z-0 r -j-
JUL 5 200
Of 3
SPG`f Y Page ,
SOIL EVAL
VlssoortairtDeP 't ofCorrtrrrerce ZONINGOFFICE
Division of Saf~y n~ in accordance with Comm 85. Wis. County $ I ' , cy~ d / X
mWi l complete site Plan on paper not less than 81/2 x 11 inches in size. Plan must ~/y~
~l l.D. , D ~Q- 3 I ' I I'IAJv • toy
to: vertical and ~ reference point (ern}. diret#ortrest road. , Date
in but not smiled y~
CBM stance
parcertt slope, sole ~ dimensions. north arrow, and location anddi to nee Reviewed
. Please print all inibrmatwn. /d Z ~
maybe used for seooedwy MWP~ (PdvaoY Law. S- 75.04 (m))•
RersonN kdatnar~ YO1 P~ ~f p
PMPertyOwrter
GovL Lot L 114SW1f4 S/ T 4 N R/f E~ W TT07-
Lot ~>7~ 133EQ srE r # Subd Name or CSNN S7.
Propertyowner's address G T'4f L P, p IV / Cd *4 6-g
M Taws Neeuest ~-f-
3 2 rs ~
stagy ,code Phone r~Nrrrtber ZW ❑ m ` aM- 3S
I` v1~so~ w/. syo/G (&SI) 109 9° Ra I y
Q 10 a GM
NeM► Cor°r' Use: ResidertliaF Nta7tber of s bedroom 3 ' Code derived desW ftw raw
Public or oorntnodal- Describe ft.
ParentnWMW f Q E's S rv.~ -'g,VO r, Food P elevati•°n if app`~le
General OfJf Gv/'tsLt d-~j elegy-
oorrtrrtents 5JJ pTr p~"' a r
and Area x Spot Tested suitable W
a cohventionai inground system (P.OOT.S.)
/ # lux"
Baring; q S A licaisort Rate
❑ ®Pit ~Wsurface Depth 11D &nMM *,cW in.
Bounfty b GPD/iF
Texture Strudtrre Corm(en 'Eif#1 'Ef(#2
Hm.t n Depth Dcmirtant Redox Desna Gr. SL SK
In. Munses btu. sy cont. Col" 4) 3f . y 7
,o ye si, bx
1 f- / • 0
/a 51 2 hK fR- c o
3 2. *-S G c i
0 S
1
❑ Boft l lb r } soy
tD rig bCWr in. Rafe
eorir>s# ®pit GroundsurFaceeie".,----# ~,atdar„ fps GPM
Haiaon Depth Docnkmtt Redox Damon Texture Gr. Sz. SK 'EtF#1 'EtF#2
in. Mtmses Cim Sz cont. color f 3 "7
o, 5 ffS
A
r
• l 02 = BW < 30 mga. and WE 30 rrtyL
• EflNrent #•i : sm > ms zo mot TSS >30 150 mgll. Moiler
S
ignal csr r~rrte
F"w P" S Z 4 37
Nuritrer
Ulbricht & Associates 713' ' 17c)-; Yy
Private Sew
1 Oth Ave.
Spring Valley, WI 54767 A Q
zoos
ORIGINAL
Owner TD Paro~ iD LD f ' I l~""` paw or
ftp"
Borft 99.9 ' 9th in.
3 10 UnWft fay
a Ground stxfa ce Stev. ft Depth Rate
Pit Bounda<Y Roots GPDRf
Horizon Depth Dm*MtCdOF Redw Description Texture Structure Consistence
Gr. Sz. Sh. 'EM" *01#2
In. Muned Qu. Sz Cont Color s
3 S ~ ifs f
O- b 10M
Ay- W.
F-I Boring # O Boring in.
O Pit Ground sud" elev. ft. Depth to re sad Rate
Cow Boundary Roots GPDJfF
Horizon Depth Don*wd Color Redox Description Texture S
2
'Ei 1 'Eff#2
in. Mu ad (hr. &z. Coat. Color Gr. Sz. Sh.
-
❑ l8
n Bodng,# ❑ Pit G" surfaee elev. 4JZ::- ~ Structure j Body twm
Donrioard Redw Desa~on'
Depitr 'Ei~1 ~tf#2
in. Mures CAL Sz. Card. Color • Effiuwrt #1 a SMa > 3():S 220 melt and TSS >30 1150 nlgll ` EffNjet# #2 = BM5 30 rngA.. and TSS 30 ffQL
The Department of Commerce is an equal opportunity service provider and employer. If You need assistance to access services or
need material m an &mwte format, plem contact the department at 60&266-3151 or TTY 608-264-8777.
serfauetR.~~ '
33
NOV
t
q4
SuRezd T
-
0 0l~ GR~rs S ~~o z
N 5 ~
03
t of Sly loom >
~f f
6z .
dd85 -
~a[31 _
L40
n 31q
o 't
.50 OX 0 7~
N
5 fiAPA4t*-t tai- IS
~p w
~k 1M1~
V
t
Ulbricht & Associates
Private Sewage Consultants
2812 10th Ave.
Spring Valley, W l 54767
.30
~ r7'S
~I`
11' d
N,.0T08'19' 1 S 88'33'47 E. I I -
Ii
VACTION"
4EMT
i
1 \ LOT 1 Q i
T I CSM
/ o l II VOL. 19 I i
I 1
II CHURCH M M 16
LOT o G ' I
I+
i 83.63: + N
S574 S F 't,
m"/ AxiA ` 1
43574 0- n ` I Q.
t.o0 Ae x`43567 S.F. / v r I I a
Ac. 1 t/!l Z. ,O , I , 1 I
vn y t N $7.48'44" W 525.92'
h~ `gyp/ ~p vir. ~I
n
L6~ N CONSERVATION 1 U
9 lr. r 3 rn \ --~ASEMENr - I I I T
• 4356~TS,F. VOL 2730 P& 00 ~
1.00 Ac. \ O ?,pp'• + V 1L 2752 ft all 1 I N ~0 ,
\ NA 4AW SF.': yel3s 1 Y• \ VOL 2547 PQ 293 I to
1.00 FARMETTE I M -
LOT 14 1 W i
N 233.18 1 1
's \10 \ v \yo 140627 .S:F.
S.F. t- - - 3_23-Ac.- LJ T 1
50~ . \ 1 s N
Ac-
.....,.....LooNA 43976 Z 1 to I
- 168.\ Am 2
N 89'W21" W 431.8\ c~ I I E S( g
CONSERVATION 1: I
Cl EASEMENT I g
438 ^a,F. y. \ VOL 2756 P6 300 i
1. Ac C '4 9 \ \ I I S I Z 1
I ~y
43560 S.F. NA 43577 O va 2753 Pc 2V
NA 1.00 wt. 2547 Pr. 263 I G` j Y
I
,.oo N° FARMETTE ofl
NA lz~
N:
386.78' 18x.88' fi N n \ 11 III m
S 89.09'46 E ~`1 n o + \ LOT 1.5
724.291 LOT 1 -f /I LOT 2% \ N o~ \ I i N jl It
F. 1` l I -
k
-7 C) l:~ d" \ 2158434c.
1 VOLUME 3 PAGE 1720 W ?J \ m a a tr \ I a
~ U~ 6t ~ ' \ I . . ~ • I J I
\ \ I ICI
CONSERVATION
1.'t \
EASEMENT
9 , l l
VOL 2547
OUTLOT 6 w a~0o F' \ I i n. :I I I
16444 sq. ft °Ma to to
0.38 Acres 7- Cl~ \ I ti _
o N, n n aZ~ \ I:,+ 1
'ACT Tp _ _ - 9
_ 68:86'
- - - - AR'..LENO 18.943"W I
VALLEYAnEW DRIVE- rn -N 8922.sg~ CNO. ' = 2
'nwT,u4ti = 1876.86' I
MEET NO:
PROJECT:
COTTAGE MEADOWS DRAWN BY, Jpp
SUBDIVISION aECM BY. RUi
s r'+6yo:s TOWN OF TROY, WI DWG FIM 310-002.DWG
vcMon ti[anagers .
26-696-9441 PRELIMINARY PLAT JOB Numom 310-002
ItJ
i,VM -
r
r Wisconsin Department of dommerce OIL EVALUATION REPORT Page of
Division of Safety and Bc&*W €
inacoe wth 00mm 85. Vies. Adm. Code
Attach complete site plan 6MAL rtl>sit 8` 1%2 z indiesin i size. Plan must
i x*xfe, but not limited to: ! and horizontal reference poirt (BM), *action and Parcel I.D. P slope. scale ortflrrmmons, north arrow. and location and distance to nearest
road. IQI o[D . 2~
Please print all information. R by Date
PenqM b*Q- UM YOU provide maybe used for
seoorWery purpos .2. 15.04 (1) (m)1• Owner rrV AO ~ I3 T~'RSTE1j 7- Lo Prop m" Location F-1 SW 4A04--
o~ T 1~ +o;tAt 5 f- 1/45WIM S TZ9 NGjR /9 Wo()W
S
*ot # Block # Subd. ame or _ L
CS 44 s~6r EI J
3 OMA'6r,Gz,C T • Z G
city State Zv PY Rddress
o/ll Lv/ S y~lr ' I) Number - ;Off ° City DOva9e Town Nest {Irwy. 3
gNewCastruction Use: 0 Residential l Number of beftoms Code derived design flow rate CO ~ GPD
Replacement ❑ Pub or commercial - oescrtm
Pau+ertt material /,04r-49 .S Plain elevation if aapplicable ft.
,Genaral~ vv7" GU/f QgT o ~lC S:O ~w 'StP
d'rwsmm"da
is o q yiP o v v2~
13 7~'s TAD is Sl>iTa9/3GE~,v bi-I
/S7- Ce t) 11r-A.) 7io Uh L- {7.O. w • T S . i v l ',tTV ~ CQ,Q,IS
❑9i Q > 8
#
!t'~ Pit Ground stcface elev. ! q, ~ sft
DapM ID r factor in.
Sail
Hortzoa Depth Domkwvt Reedorc De 0*& n Texture Swc*ure comistence Boundary Roots GpD11~
in. Mansell Quw SZ. Cord. Color Gr. Sz. Sh. 'Etf#1 •Eff#2
/ o•/(o /oYR 2-3 SL. / shl< IM-FP- w 3-f • y
2 /6.28 io Y12 YI(A - 5L Zf s k nM f 2 CS l-F ( /10
3 z.g,y L-5 / dop- cs - .7
s s .7
# ❑
F2_1 &AV
wound suftce elev.
Clepth Dominant Color Redox Desc r#Mon TeAure Strudcue Consistence Boundary Roots GPM
In. Munsefl Qu. Sz. Corn. Color Gr. Sz. SK *8M •Eff#2
o • 5 /D R a SL /fs e- m% f fZ 10 3-f 15 '34 /o S/L tj • C~
o n 5 d. C5 .Cp
S
7 1-62
• Efiluert #1 = SM > 30 < 220 mg& and TSS >30.5 150 ffQ& • Efiiuert #2 = 901 ),:5 30 nett- and TSS < 30 mg&
C Name p%ase E 7- 1b z G',3 r s
Address Date Evaluation Conducted Telep~ho.•n~e Akrrnberr f
ov ! 12 3 T ,1
Ulbricht & Associates
Private Sewage Consultants
2812 10th Ave.
Spring Valley, WI 54767
ORIGINAL
, ?4"
o7 s
~S y~ M1
iS r Ga
i ~D SE R S T E07 T
CS"
Z
~r1,►o~ Parcel i0# PE~uD~N (r~ page - of BorhQ 3
F-31 Bmirg# o > 9C
P~~t 't Ground surtace elev ft- Depth to f'tirg iador In.
Soft Race
Horizon Depth Dominant Color Redo x Description Texture Structure Cor"istence Boundary. Roofs
GPDfit
In. Munsell Qu. Si ConL Color Gr. Sz Sh. `£ff#S 'EfFlt2
0• /o y2 2 51, /fsbX A"TP w 3f y 7
2/ to 3 514- n, f /Z W z f .69
-f .
3' SQL b n~+ f
45 t
16
s
]7..15
o
s
Bodiv
D Pit Ground suft0e elev. ft. Depth to firnning faetor in.
Rye
Horizon Depth Dw*mdCokx Reiox Description Texture Shin C.or ce Roots GPDulf~
in. Munse! ChL Sz. Corti. Color Gr. Sz. Sh. +~1 *EW
goring # ❑9
❑ pit Grvtrnd surface eiev Depth In tirdkV fador in.
Sol
Horizon Rate
DWM Dm *wt Colot Redox Desai *m. Texbre Sbuulure Consislenos Boundary . Roots GPIIltF
in. Munsd tau. Sz. Cont. Gr. Sz. Sh. -Effl11 mm
EAluent #1 = SODs > <220 mg& and TSS >30:E 150 rnglL ~ Effluent #2 = SCOD 130 n-q L and TSS < 30 rng/L
The Department of G is an equal opportunity service provider and employer. If YOU need assistance to access services or
need material m an alternate format, please contact the departrrrent at 6o8-266-3151 or TTY 608-264-8777.
seoas~utes~aur .
1
if1Q, GOT Gi ifJJ2_. .S~--S o
L 0
4, o
Zog v ~
P/Vt
O T'o p F G Gh
5 P
/00.
~
~7 a
5 f
6 p, D
N
(3 -2.,
0- 13
1~ a /e
9~. to
/0(9
o R
1j)'i
~ s
3 ~
a
Uibricht & Associates
Private Sewage Consultants
2812 10th Ave.
Spring Valley, Wl 54767
i
+ yo
57
Uibricht & Associates
Private Sewage Consultants
2812 1 Gth Ave.
Spring Valley, Wl 84767
CERTIFIED SURVEY MAP
LOCATED IN THE NORTHEAST 1/4 OF THE SOUTHWEST 1/4 AND IN PART OF
THE SOUTHEAST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 4, TOWNSHIP 28
NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN.
-W 1/ 4 COR EAST - WEST 1/4 LINE S 02"13'12" W E 1/ 4 COR
SEC 4 FOUND --:--A- - N 88.52'44 E 33.00' SEC 4 FOUND
3" ALUM. MON. " S 88.33`4V- 5284.79'-- t"- 3" ALUM. MON.
TOWER 2583.38' EOAD_.._.` S 8S 88'33'41" E 443.94' - 2701.41'
41 " E
20t -S-88'33'41" E
10-
S 02'13'12" W 20. -o--1 5.00N 0'13'12115.00'
SCALE: 1° 200' Ch6 ~
o so 10o zoo ILOT 1 i~
\10 , 17, 370117 S. F. , Ci
\ `t 8.50 Ac. 1 m
i
I l
00
NOTE: 0 I ~I I of
BEARINGS ARE 1Na 50 ,t 1 150' 3 col I mI
REFERENCED TO THE
EAST WEST 1 /4 LINE OF
SECTION 4, ASSUMED \ M Il ~i~1
TO BEAR S88'33'41" E. \ N 8748'44" W o I I I
Ina \ 525.92' to ~t I
OWNER:
SURVEY CONDUCTED AT THE
REQUEST OF THE OWNER: LOT 2 1
TODD BJERSTEDT 6, , 150'
392 OMAHA CT. \ P t 358470 S.F." I
HUDSON, WI 54016 ~ 54 8.23 A~ L t I
\ to. t ao t
t co
~ ~ I M I
:SETBACK NOTE:
FRONT SETBACK 150' I
= al ` -
\ L {
SIDE SETBACK - 50' -ti \ \ I~ I I
REAR SETBACK = 50'
QI b I
=
I t i 11 N I
z 00
~ ~t ` 0 11 I
\ \ 0 I I
l \ t iQ 1
\ \ 1 I
LOT 2 CSM \ a I
VOL 3 \ t,
PG. 720 \ I
LEGEND: N I II
SET 3/4" BY 18" IRON I \ Pi I
PIN WT. 1.50 LBS./FT. `
FOUND 1" IRON PIPE I \ \ iv I ~I04
00
i
\
FOUND 3/4" REROD I 0 04
1, wlMl
I \ U
x
COUNTY SECTION MONUMENT - - g 82.22 43" W <I>°I
(FOUND AS NOTED) 168.91
BUILDING SETBACK LINE LOT 1 CSM VOL. 9, PG_I2583
PROPOSED DRIVEWAY
THIS INSTRUMENT DRAFTED BY KEVIN SAMUEL SHEET 1 OF 2
HUMPHREY ENGINEERING
776973
VOL19 PAGE 4858
KATALBHA H. 1r13A----
REGISTER OF DEEDS
ST. CROIX Co., MI
RECEIVED FOR RECORD
10/14/2004 08t00AM
RECTIFIED SURVEY MAP
GUPY FEE.,
PAGESt 2
CERTIFIED SURVEY MAP
LOCATED IN PART OF THE NORTHEAST 1 /4 OF THE SOUTHWEST 1 /4 AND IN
PART OF THE SOUTHEAST 1/4 OF THE SOUTHWEST 1/4 OF SECTION 4,
TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY,
WISCONSIN.
TOWER ROAD R-O-W
W 1 4 COR EAST - WEST 1/4 LINt ~
A. - '52'44" E S 02'13'12" W E 1/ 4 COR
SEC 4 FOUND N 88 33.00' SEC 4 FOUND
3" ALUM. MON. S 883341 E _5284.79'-- 3" ALUM. MON.
' JMH 2583.38' QAI) S 88.33*4 1
S 88'3333 41" E 443.94' S 88'41" E
200.00' 270101..41
ENCROACHMENT-f = f - -
\ S 88'33'41 E 1
cn S 02.13'12" W 20.00' I
\ 1 15.00' N 02'13'12" E I
1 \ i--------------------------- 15.00' 60 33 1 zoo 1 \ ~ 1 Im,atOo
o f so too zoo 1 \ 1'~ U i 11 -I~ JI
o 3'
1\ ? LOT 1 o ~I
NOTE: 370117 S.F. ; oM t~ltO~ C.6
\ ~ y 8.50 Ac. co ~-ICL
BEARINGS ARE \ 220\I` < 1210' 1 131I,6I
REFERENCED TO THE
EAST-WEST 1/4 LINE
OF SECTION 4, 1 i 0 -
ASSUMED TO BEAR LoI
S88'33'41" E. \ It 150' 3 POI
OWNER: _ _ _ I I
SURVEY CONDUCTED \ \ `i\ C -------J r II
I
AT THE REQUEST \ N 8748'44" W o 91, NI- I
OF THE OWNER: \ \ n 525.92' cn cn 01 1 U ^
TODD BJERSTEDT \ \W c'' _Ci 60 60' 1 ^Ic6I
392 OMAHA CT. \ v ` aI
HUDSON, WI 54016 \ \ I I o~~I
SETBACK NOTE: \ LOT 2 ; - - -
FRONT SETBACK a 150' \ ~ 358257 S.F. 150'
C%l
SIDE SETBACK = 50' S0 8.22 Ac. i
I
50
REAR SETS = ' N `o- i n I I o
0M ZI \ I
V RIES I
ROGER LYNN cl \ I I I
HUMPHREY
I~ CLI
5-2188 I \ I I N
OpVI ~I \ cV I
c'~oes;•'"'a'ccr LOT 2 CSM \ i 1ES ~ - - -
LEGEND: V_OL. 3y
0 SET 3/4" BY 18" IRON PG. 720 r
PIN WT. 1.50 LBS./FT. N 11 aIzIg°I
~
0 FOUND 1" IRON PIPE i i 3 11 I I
1 I
A FOUND 3/4" REROD I \ \ \ 1
cli
? COUNTY SECTION MONUMENT 1 \ \ ° 1 °DI
(FOUND AS NOTED) 1 \ N \ dal
L - -
C2
BUILDING SETBACK LINE LOT 1 C!3M VOL. _9
\ _ a' , \ rl I
PROPOSED DRIVEWAY I17-j
THIS INSTRUMENT DRAFTED BY KEVIN SAMUEL SHEET 1 OF 2
HUMPHREY ENGINEERING
Vol 19 Page 4858