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HomeMy WebLinkAbout022-1031-10-100 Q o ° I o 0 601~ a ac a ~ I n 0 o I v I I m I I' I I ,H I N ~ I -a z° I c _ O LL O I d 3 `Y) ~ y I C,o i2 zz o z a (D 00 ° o y o z B v y o to H cn CD z a) E 'LO o v E ~ o ~ I Of `r c N O WMIN) "a c ro O z z O C.) E z° N N ~!N > i 10 a C i O 04 cc C: U') T Q NO d i a) O o G a E ro °N Z N d (n p a Z O a LL N LO LO N O N > 0) CD (n -j U 0) rn > ~~yy v W m o n " °o O O E N _0 V7 .O. '6 N y r~xy U aD _ m y LL N C O 3 a c Fyn O O 6 C O O OOH O L N Z a) 0 r. U w Q) O W O Q -7 In Z: Q a) r- 7 N O co a'D c Y c o co O a c6 CN a O y ~rf V~ `m m a # EL L a w 'ce a d .t? a1 y c L STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER- 1Ke /j c ADDRESS__ P C p- ~a l~s SUBDIVISION / CSM# LOT # SECTION'// T arN-R _Zr W, Town of ST. CROIXX"CO-UNNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM D b i I e INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: -ttm ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: &,'a/,,)es f~,~✓ Liquid Capacity: /ar D Setback from: Welouse Other Pump: Manufacturer )e*- Model# Size Float seperation Gallons/cycle: Alarm Locations SOIL ABSORPTION SYSTEM Width: Length ~j Number of trenches Distance & Direction to nearest prop, line: Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: Q~ 4 PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR:- 3/9 3 : j t PUd W,;~ - 53s~~ Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: J-aborarlrumanRelations INSPECTION REPORT ST. CROIX *Wrety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: El City 11 Village Town of: State Plan o.: AVISE, KEITH IR CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Tr,, rr /,_-)'A co 6 tl-, A9500320 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 6,76 (-,V Dosing j Ca AAeraticii~k Bldg. Sewer ,X) Holding St/ Ht Inlet TANK SE BACK INFORMATION St/ Ht Outlet Vent TANK TO P/ L WELL BLDG. AirItc ntake ROAD Dt Inlet Septic S(5 NA Dt Bottom i 2, 97 Dosing I " NA Iffier / Man. 7' /04 6 Aeration NA Dist. Pipe Holding Bot. System S fL' l Il PUMPkSWF16N INFORMATION Final Grade _11 o Manufacturer Demand Model Number P- 5 7 ~auG~ TDH Lift `riction I ^ ~ Systema -501 TDH Ft oss mead Forcemain Length 13-0 ' Dia. " Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S -7 S DIMENSIONS SYSTEM TO P/ L BLDG WELL t14EaSTREAM LEACHING Manufacturer: SETBACK INFORMATION Type of CHAMBER Model Number: System: Yvtu?-,,d 3 OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Length 35 Dia. Spacing 1~ / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) OCATION: Kinnickinnic.11.28.18W,,SE, Nw,.,Cemetary Road a 'on required? ❑ Yes [~No 'de for additional information. 91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: + SANITARY PERMIT APPLICATION 7DILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITA Y PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ chdk application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION < ' Y/, %WAj S ! Tai', N, R E (or) 4' PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # o Afav~ zO CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER l ^Y a~ II. TYPE OF BUILDING: (Check one) ❑ State Owned VILLAGE : NEAREST ROAD ,QWW ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms Y PA EL x Nu E III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 20 Assembly Hall r Recreational Facility 6 ❑ Medical Facility/Nursing Home 10 El Outdoo 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 130 Other: Specify IV. TYPP~E OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. M New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 IR Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 130 Seepage Pit Pressure 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) ~~lr ELEVATION 4?41-6-10 &4 e 3 ,41- Feet Feet VII. TANK CAPACITY Site in allOns Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Y, 4JZ S `e-, Lift Pump Tank/Si hon Chamber d Vlll. 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 Sta ps) /MPRSW No.: Business Phone Number: 1 ` e, S~_G K ~ A_ 74~1~p~2- 7/s- . Plumber's Address (Street, City, State, Zip Code): / / 7 er , l / Q~ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved San ry Pe it Fee (Includes Groundwater ate Issued ing Agent Sign ure (No Stamps) Approved El Owner Given Initial (J%1 Surcharge Fee) y - Adverse Determination 0 U 4A X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at thc! time cf 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 & 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. 11. 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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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 13% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. S8 D-6398 (R.11/88) SAFETY & BUILDINGS DIVISION State of Wisconsin r Department of Industry, Labor and Human Relations , 7 ' September 15, 1995 2226 Rose Street LaCrosse WI 5440V WEGERER SOIL TESTING 421 N MAIN STREET' PO BOX 74 f..`..,_, RIVER FALLS WI 54022 ~i RE: PLAN S95-41209 FEE RECEIVED: 360.00 AVISE, KEITH SE,NW,11,28,18W TOWN OF KINNICKINNIC 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 s"11 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. Sincerely rard M. Sw m Plan Reviewer Section of Private Sewage (608) 785-9348 2469R/ 1 SBDA-7997(11. 10/94) S95-41209 Page ~ of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE SCv 1/4 OF THE NW 1/4 OF SECTION T Zb N, R 18 W, TOWN OF ~11y1J 1Ch1yIJ1 C° ST-Q W[)( COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER ' PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED `c-c..~T1d R►~ \-13PasKIZ.A A V \5 E SEP 14 1995 p. o. S3 ux Zo g SAFETY & BLDG& DIV. R 1vL2 1-I pus) 1,01 Sqo'ZZ PREPARED BY ~~Q0~~6C~S~0~lOwca WECEV<E:F=Z E3 C3 S L TEST I NG Qe#%' l`l/ ~ • .ti mai 6 AND. d .100 ARTHUR I. i~ ICES I GiN S)EF~ V 1 4- S WEGERER { ~a D-915 P WI$. F.O. BOX 74 421 R. 1SAIN ST. RIVE? FALLS. VI 54022 715-42°-0165 ,,•i~~iSIG~E~ ouooe~ ~ , Ste-". \'2,, Iq. `l s JOB NO. q S _ Z S PLOT PLAN S9 5 4 1 2 gage 'Z-of Scale 1"= LID' 08~ G~ Zoo F y14 . y ,I ;Y f G id*~J~~ • f& r (7 a, 111V I ~.NL. 3+~LD o►.~ D+~~Ut~ uSLzD ~.~so' of z Svc! F=o2 ~}pv SL ~l.~S . i LL~.03`~ j t ipoZ , I S3o~ ~2 Lam., . ~ 1' \ (+r: i / s 7 QLC~ ~D S iT U2t"T 54 `r'S.,u" Nix 'PST t' . -%T ZS' F tLp M ~l°S 1lJ~fL . r., ~ T flu ~ ~ Yr CT Q1Z 2 NOTES: 1. Elevations shown are existing ground elevations; unless otherwise noted.. 2. Install permanent markers at end of each lateral. ( z required) 3. Install 4" observation pipes with approved caps;. ( -z -required) 4. Septic tank to be LbOb/~Sa gallon capacity manufactured by 5. Bench Mark ~r1#~ - 10U •0~ oFj 1l~e-w 1'I pi + - L:YL, 1p3.3 orv ;0° l{ IGH ~U. 41Y~ ayL P E P~ C st{vw~ 1)5 Lot) o+.) Sol ` 6. Divert surface water around mound toTprevC11_ponding at the uphill side. - Page 30f C~ Approved Synthetic Covering S95"41209 ~STM c 33 Distribution Pipe Medium Sand H_. ~G Topsoil F Elev. ti~l• O -J I D - 3 E " 01 b % Slope Force Main Plowed Trench of 2"-212 " From Pump Layer Aggregate Undisturbed D O Ft. Soil E t • Ft. Cross Section Of A Mound System Using F 0.5 Ft, Trench For The Absorption Area G o ' Ft. A S Ft. H I• S, F B S Ft. tF 1 \S Ft. Linear Loading Rate= 6,0 GPD/LN FT 7 Ft. Design Loading Rate= 0.3 GPD/SQ FT J a0% KFt. = F „lob L °l"1 Ft . 44 rR,+e Position of Force W Z1 Ft. Cr L -B - )Ij K W - 2 2 Distribution Trench Of Pipe Aggregate Observation Permanent Pipes Markers (Anchor securely) \5 C'oti CJ1IJ(E `tz~ `FNS V~ sLUA~ s I DE SLR V'wY- FICA N -\D"C Z Mound Using I Trench For Absorption Area Page Of S95-41 f)09 Perforated Pipe Detoll 0 End View )Perforated End Cop `once PVC Pipe hoc goo t Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced N Q End Cap { r } r PVC Force Main t' SAFETY A:.4 Distribution Pipe Last Hole Should Be Next To End Cap Distribution Pipe Layout P 35-S Ft. X SD Inches Y S3 Inches Hole Diameter 1 'y Inch Lateral l'IV Inch(es) Manifold- Inches Force Main Z Inches # of holes/pipe °I Invert Elevation of Laterals 1lbl•50Ft- 01xt.vl_- 11).S~5Y- L= 21,06 GPM Place lst hole ZS from tee with succeeding holes at Sc intervals. Last hole to be next to the end cap. Combination Septic Tank and S95-41209 OF PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS PAGE ~ VENT CAP WCATHEK PROOF JuuCTIOU e0Y 4'C.I. VENT PIPC APPROVED LOCKING x.10' FROM DOOR, MANHOLE COVER w1v wAR1.)IIJG L P.REI. wimDOW OR FRESH AtR IAITAKE cOL3D.J r tj I I 'i~ MIW. 18' MI U. 16MIAl. PROVIDE I INLE T AIRTIGHT SEAL. I III ~ I (I v 3AFFLCS A I I I i APPROVED JOINTS APPROVED JOIMT • I III W/C.I. PIPE14LM W/C.I. PI PE OR T rik construction I II ALARM R j RL, eomp:jq with I II ' I . Z'S'., and 83.20 a I I g~ - I I oW C CLIV FT PUMP "may OFF D COIJCKETE 9LOLK EL - °1 3 • ' 3" APPRat~b RISER EXIT PERMITTED OWLtJ IF TANK MANUFACTURER HAS SUCH APPROVAL 113ZD0INQ 5PCCIFICATI0QS SEPTIC f 005E TANK MANUFACTURER IJUMBER OF DOSES: 3 5 PER DAy : / 1Oo(3 l 6S0 GALLOUS DOSE VOLUME t TAIJK :,IZC S ~~-~~2Q Sj, TTtal s INCLUDMIG BACKFLOW: 15 GALLONS ALARM MANUFACTURER: Q MODEL QLIMBER: ~~l CAPACITIES: A= ' IMCHES OR 1226 GALLOy5 SWITCH TyPC' Y~\LzTtr_u" B= IUCHES"OR 31i GrLLOIJS Z(3e-u_ffy_ CJU• C:uILHES OR S3 GALLOWS PUMP MA►JUFACTURCK: MODEL NUMBER: S7 D=~IMCHES OR 1ST GALLOWS ~"1LJIZCUR~ DOTE: PUMP AUD ALARM AR TO 6E~` SWITCH TYPE: Z, INSTALLED ON SEPARATE CIRCUIT5 MIIJ►MUM DISCHARGE RATE---- p~--GP~"~ VERTICAL DIFFERENCE DETWLEW PUMP OFF AUD..015TRIBUTIOU PIPE.. S FEET 2-SID FEET t KIIJIMUM 1JETwORK SUPPLY PRESSURE . . + DSO FEET OF FORCE MAIN X loorr.FKICTIOU FACTOCt-- ~'4Z FEET TOTAL 09MAMIC HEAD = FEET DIAMETER Pump chamber IAITERLIAL OIMEWSIOWJ OF TANK: LENGTH ;WIDTH -;LIQUID DEPTH BOTTOM AREA - 231= - GAL/INCH AS PER MANUFACTURER = L-1.0 GAL/INCH S95"41209 ID P16E6OF6 -j I HEAD CAPACITY CURVE ~a5/8 Cc W a „ "5991 - W W 57 - SERIES W LL 45/a 25- I 1 / _ 'h - 11'/z NPT `t3/i6 20- 15- U Q I z C 4 975/76 a `1: 6l 1 0 33/32 21.06 - ~ 2- 5- TOTAL DYNAMIC HEAD/ FLOW PER MINUTE EFFLUENT AND DEWATERING HEAD CAPACITY UNITS/MIN 0 FEET METERS GAL LTRS us 10 20 30 40 50 5 1.52 43 163 GALLONS 10 1 3.05 34 129 LITERS 0 80 160 15 4.57 19 72 FLOW PER MINUTE 19.25 5.87 0 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS . Piggyback Mercury Float Switches -Available with special cord lengths of 15', available. 25', 35' and 50'. Variable level long cycle systems -Alarm systems available. available. a Duplex systems available. Standard cord length - automatic 9 ft. SELECTION GUIDE Standard cord length - non-automatic 15 ft. 1. Integral float operated mechanical switch, no external control required. _ 2. Single piggyback wide angle mercury float switch or double piggyback mercury 57/59 SERIES Control selection float switch. Refer to FM0477. Model Volts-Ph Mode Amps Simplex Duplex 1 Mechanical alternator 10-0072 or 10-0075. M57/59 115 1 Auto 8.0 1 or l &7 - 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". N57/59 115 1 Non 8.0 2o,2 &6 3 or 4 &5 5. Sensor mercury float switch 10-0225 used as a control activator, with "E-Pak" D57/59 230 1 Auto 4.0 1 or l &7 - duplex (3) or (4) float system. E57/59 230 1 Non 4.0 2or2&6 3Or4&5 6. Four (4) hole "J-Pak", junction box. for watertight connection orwired-in simplex or 2 pump operation. 10-0002. T Two (2) hole "J-Pak", for watertight connection or splice, 10-0003. 57 Series - Wt. 27 -.3 H.P. 59 Series - Wt. 29 -.3 H.P. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, All Installation of controls, protection devices and wiring should be done by a qualified FM0514; Piggyback Mercury Float Switches, FM0477; Exectrical Alternator. FMO486; Mechani- licensed electrician. All electrical and safety codes should be followed Including the cal Alternator, FM0495; Alarm Package. FM0513; Sump/Sewage Basins, FM0487; and Simplex most recent National Electric Code (NEC) and the Occupational Safety and Health Act Control Box. FM0732. (OSHA). RESERVE POWERED DESIGN , For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacturers of SHIP T0: 3280 Old Millers Lane rr ~ LL Louisville, KY 40216 qa (502) 778-2731. 1(800) 928-PUMP QU.4ZIrY PUMPS SiVCE IPJJ FAX (502) 774-3624 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page --]of-- 3 Labor and Human Relations Division of Safety & Buitdings in accord with ILHR 83.05, Wis. Adm. Code COUNTY 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 % of slope, scale or PAPC I. dimensioned, north arrow, and location and distance to nearest road. Q~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION D :DA - PROPERTY OWNER: PROPERTY LOCATION V.,Z-x I.M ~M~ 8~L$ A 11%V ~JF Q@dF--~6T' Slr 1/4 N T ~;~C;tIWf1 $ or PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK If SUBD. N CSM~#~`t¢ t1S4'tt. s~. , ' 14 b S C-t:!P1 ZUpf'D - - CITY, STATE _ ZIP CODE PHONE NUMBER []CITY []VILLAGE E FOWN Af `:Zl u`tZ L~-S, ~ I s 4 0 ZZ t 5) y Zs. z s 6 y ~1 N~ ~ e `Rt ~>J 1 c ff~tz-on ~ New Construction Use [JQ Residential / Number of bedrooms 73 [ J Addition to existing building j ] Replacement Public or commercial describe Code derived daily flow LA S0 gpd Recommended design loading rate - bed, gpd$ ° trench, gpd/ft2 Absorption area required 3-1 S bed, ft2 3-1 S trench, ft2 Maximum design loading rate r3 . S bed, gpd/ft2 0 - b trench, gpd/ft2 Recommended infiltration surface elevation(s) L Li L • O It (as referred to site plan benchmark) Additional design / site considerations `F'~uv►~ W / S 'x S ' MQz*-Ct{ . t-% L)Ij , \ ' 01= S Rw0 1=1 mot-. Parent material GI Ng _11 to 'T-t\_%_ Flood plain elevation, if applicable NJ _ q- ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RLL HOLDING TANK U= Unsuitable fors stem ❑ S Z U as ❑ U ❑ S ® U ❑ S O U [7 S ®U ❑ S O U 11 SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxlary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerch <D- Nr-, -t)Z- \,I- 3t3 - 51, Z`~sbn cs - o.s u.6 V s1( ZVn svk ►',r`Fir eS o,5 0. Ground 3 -37 l 0 `'11Z 316 - S t \ vvt Sb1z tin U''~ c S o n 3 elev. S 2 s t Gw \ S w ~-y t M. b ft. 3~ 1 Z -=1- S `t 1 S `t R S 1 c S ° s ctM t?D Depth to Cp ~^4~1 his G e p limiting factor S 1tA or S 11'0 ~b Remarks: S o. 6 Boring # ' p -l 10`12 3 L 3 - s t Z'F 3b%q - tl~`tl~_ 31. S) ` Zvn Jbk 'Ft- CS - o.S`o. \i 3 ZU 3 S 1 O H 1Z 316 - S 1) bk 1vt v C S - 0, Z-u.3 Ground elev. 3S-6Z 1b~ Cz- 316 C-S Depth to S kz_6s - ~S3R - - - limiting fa S D o} S t~wt~ 35', Remarks: CST Name. Please Print Arthur L. Wegerer Phone: 715-425-0165 egerer Soil jesting & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: ~S_Zy8~ z6~I`~95 M00576 PROPERTY OWNER lY)VISC, SOIL DESCRIPTION REPORT Page * Z-of PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boundary Bed Tench 3 o ~~vt iZ 3l3 - s i 1 2,`F3b~ 'I'S o. ~.s~231~ '~l~ Ground 3 Z7-~ . g 2 / S sib Obvt ~'Fl^-►~r ~I C S _ elev. 9$-S ft. y ,y- - - ~se~Z - - - - Depth to c.o s `Fs 6r L cs s 1-,~x~v~z~ ' w c-ti ~v limiting factor Remarks: Boring# ( o_~, 10`1.2.-313 - s~` Z`F~b1T m~-y~ cs _ o•S c,6 y Z. 8-3~ ~z-LVL3/6 std Z s`a~z wt~>^ c$ 0.5 ' 0.6 ~5 0~ ~'4►--►~v~ 3 3U --14 ~o -.t.VL- S)'6 Lq ou -e\t b 1. -3 Ground elev. 3 Cv S ZA'" 1J S or S `i 2 S t S `1 w-~ LOS-o ft. Dep limitth to ing factor Remarks: Boring # n Ground elev. ft. Depth to limiting factor Remarks: Boring # n'y} Its ~y,LM1`Lti, Ground elev. ft. Depth to _ limiting factor - Remarks: S13D-8330(8.05/92) • PLOT PLAN Page '3 of SCALE 1"= 30' NIVJ - L'L. LOo, b, w lop of 40" 161} 1 3)y k D1W .l~v C LL-LO S 9. ~-~o0 6 v3o~iv~ of `~.~►cH i LL. LO L. p' V) ~ ~ 4r L Do r~oT enM►~t}c-r o►z ~taTUI Z ~'(uv_~~ ZO 8E Cam' L s~ ZS' w1 Wi o~k,p. F 10 WkZLL_ ci u k ti S Oi ~c a P~.oP C''n- J 2 St}~ C ( o'Zw1, ~ ~ Cq \`1'w 3t d OR. r~ L ~ CIS-Zy8 1~trG,, Z,6~ lCt q5 ( 715 42.q-01 65 M00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry; SOIL AND SITE EVALUATION REPORT Page ) of- 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83:05, Wis. Adm. Code COUNTY ST• C\Z-u1 SC 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 % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION k'~!71`ym pr)'~ $0'\2$ fj UA J~ V I SE eeVT-E6 S E 1/4 NW 1/4,S 1I T Z 8 N,R IS E (or)© PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 14 6 S C-t!m I ~Lf 1ZA" - - ~ZZ.oPO 3 C- S• t"? CITY, STATE ZIP CODE PHONE NUMBER ❑CITY OVILLAGE ®fOWN NEAREST ROAD \AL_)\~~2 u-S, w1 S4~Z.Z. lS) L) Zs' zs6y ~►~~t 1zl~jw10- C\E)-lL:e~y Zoe [Jd New Construction Use [JQ Residential / Number of bedrooms 3 [ J AdditiQn to existing building [ ] Replacement Public or commercial describe Code derived daily flow LA SO gpd Recommended design loading rate - bed, gpd/ft2 0 1 trench, gpd/ft2 Absorption area required ' ~ S bed, ft2 S trench, ft2 Maximum design loading rate o S_bed, glxW 0. b trench, gpd/ft2 Recommended infiltration surface elevation(s) 1 Z v • (3 It (as referred to site plan benchmark) Additional design / site considerations Y'1uvf~ W / S 'X S ' rZL~vCtf . t n, LN • \ 01= S ?~k-r0 )=t LL-, Parent material GLN °i t t_ `Tl ~l Rood plain elevation, if applicable 1v _ A- ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ❑ S ®U as ❑ U ❑ S ®U ❑ S O U p S ®U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxl3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rerch 1NZ I o-8 Zo~t\Z 3~ 3 _ 51 Z`~sbk cs - 0.5 a b r. _ w >:i Z Fs -Z 8 1 `1 ~2 3l ` s i I Z yn S ~k wt F1r e S o• S o. 6 Ground 3 -3) 10 `112 316 - S t Sblz Yvt v c g o- Z 3 elev. S qrL 31 Gr~ \ s w Y Depth to CA ~'Ptl h l S G t°_p limiting factor 4 3 -Mln1s W1 of S r 3'1 i Remarks: Boring # € o. 6 ) --1 10`12 3 L 3 - s Z 3V't 1~n `~H S 0's: I Z Z 1-2..o 1.o`-tiZ 31~ s l 1 Z,vyt 3bk'~t- CS - o.So 3 ZD3S lu`-tIZ3l6 - St) 1vn~bk yvtvf>r ~S - O-z-o•3 Ground elev. S_6Z 1p`ltZ 31b -t,_S~ie 3Ly fS owe ~,F1--tnu C-S - - - Depth to limiting S Gt.{ ° p o~ S trvt~ factor Remarks: CST Name:-Please Print Arthur L. We erer Phone: 715-425-0165 ~egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: e1 s _ Z~ 8 Date: 13V 6 Z6 L 5 CST Num M00576 PROPERTY OWNER' SOIL DESCRIPTION REPORT Page?-of 3 PARCEL I.D, # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence eotxxlary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trendl .a>~ - s i t Z`Fabtc'F~ c S - o s o, Z °I-2.7 LLl`1~ ~~fo s l Z1n 9b12 ►n lt- CS o S °b O v C S Ground -z. S `t R s Its elev. LS i - y y- _ - - _ - - 9f3.sft. IMZ Depth to Cg) ff az ,Mlu5 'F'S GN^ cS s t C ilk RL w aal-q nvlr~ limiting factor, Remarks: Boring # I o-ca 1 O`'t~313 - 6 s~ Z'FZ bk mi~. cs o.5 c, 0 o•S std Zwt sb~~~ c I ~k 3 3 -1 o`-tsl_S 1 S'-cR 1ty ~S 0~ M~t--wlv'E - i L W 11 b y y M o f Ground elev. 3 Cate S O"-1s S or I- S `t ►z V It. S S v! 5C l I.OS.o ft. Depth to limiting factor Remarks: Boring # K ' w..+Y?.S Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of SCALE 1"= 3Q' BY'I - ~L,100, 0, w lop of ~O"r}161}~ 31y`D1~A .1~v c L--l0 S t~ tao 6 ti^ i ~'~'~uv~Z LSL, 1O ~3o 1r1 of Imew cN Lst • lO l , p' t1 LL 425 a.~ i ~L ZS' ~ ~ CTL °16 2 Do ~~r cQm Prrc-r Olt D~s7v►2.L3 07 W 1. u a Y S O, ut N Pq.op L J 2 Q, S\`~ k ' (a . `y Jl- - otZtU~ ~ ~~J~1x1 G ~l GS-Zq~ 1~vG. Z6~ L9.9.5 (715 4L-0169 _ 1400576 CST Signature Date Signed Telephone No. CST # 8 FILED , APR 2 6 1995 ► `-j L KATHLEEN H. WALSH 2 Aepist~ wea, 528 02 St. st co,Wl a ~ 11 CERTIFIED SURVEY MAR. Located in the SE 1 /4 of the NW 1 /4 and the NE 1 /4 of the SW 1/4 of Section 11, T 2 8N , R18W, Town of kinnickinnici St. Croix Comity, Wisconsin which includes Lot 1 of that Certified Surd'ey Map recorded in Volume 6, page 1750. Owned by,. X61th & Berbara Airise 'NOTE: The acreages given on this map are j' 465 Cetnetei;y Road to the meander line. Actual ownership Z Rives:f FAIls, Wi, 54022 is to the waters edge. N1/4 Cor. W Sec. 11 N Certified Survey Map} Vol. 10,_Pg 2861_ N Z W j/ Lot 4 z z 02 t ~b.r S 89'20'25" 1317.22 rc3.rs' 348.95' 284.41 414.52 2 16.84\ m w U_ Z y(D Note\ o ° a ol~ lL ® T 2 on z ~ °w Olt, ( o O back. rn ° ao I (g W 906)453 square feet (20.809 Ac.) \N U ~~M (r• Including rigtit -of -way. WW Wlrn 886,506 ggu.Ate feet (20.351 Ac.) 10.30, J 6 Excluding right-of-way. W r P I`" 4. WI , o WII"4 z o H tel: i QI om a.~ ~b $ 6J'20`25"E 1112.51' m JI m ` ► 104.4o' garage t I VIM tdUi4 LIN€ OF,L~i; 6t PGA 1780 _ . _ _ . _ W. Z DRIvtWAYr ctNttAUiNE - house 0 Z i. w 1O CD C 1/4 o 1 W 1~ L.NNLck'INNI to w1 v \L tii+ ; nder \ ? b yc al = N ~tiA line ~A~ yi, al to ZI a 03 m wetlendscn in o Ui 1112, 81 z m B,fi' J 1104.40- 177.64- 204.70, fti A[L NOT to SCALE W LINE TABLE - N b!9 01 N. Lf NE BEARING D1__ N 1 N 79'49'38"W 382.34 a o0 2 N 52'32'57"W 182.55 N 3 N 37'45'09"W 148.91 - LtGEND 4 N 62'15'30"E 243.07 5 N 51'11'13"W 325.55 S1/4 Cor. ged'lloii c6rfi6t ih6niirAeiht j 3 82 '34',23"W 122» 5 i Sec, 11. 7 9 59`09'58"W 165.79 Aluniinutn tip.. 2 ; N 50'54'58"w •103; oo i II Irc i pipe Iudtid. 9I t 69'33103"W 317.18 1jll' i1 ~r 'v 3 ~i t 'r 1 b 1'Y,M,;,CDT I -dotitainst 396.~Q70 square feet p6utid§ per litis, foot 6eto (9+039 Ac. incl. R.-O.',,W. it A V ; 395 # 991 squlkYe feet I cA , NEt I" : X50' (9.091 Ac.) Excl. 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CITY/STATE l~xyER r-A S 16 ~ -YO.9 PROPERTY LOCATION :5 E 1/4, A/W 1/4, Section T F? N-R /R W TOWN OF ~SNNrCK?-N~~r~ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER d_ CERTIFIED SURVEY MAP S 9i o, , VOLUME /0 , PAGE 01o , LOT NUMBER a 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 expirati ate. SIGNED: DATE: d2~ St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 : S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property 8A& -0 J. 4V_r r Location of property 5L 1/4 Nly 1/4, Section i / , T ~ 8 N-R_ /&_W Township_ =1VnJ?'cll~n~►~~r~ Mailingaddress 1"OU,zouo20'y Address of site L/b 9 CFLlf7T2 y A0,41) Subdivision name Lot no. Other homes on property? Yes r/ No Previous owner of property 3pNu 441?RZ.Z7_1- 1"N2?7S7-_rAN.SQ1/ Total size of property _ gip, OD9 AC Total size of parcel ay, 4>v4 4c- Date parcel was created (1121111S Are all corners and lot lines identifiable? t/ Yes No Is this property being developed for (spec house) ? Yes r/ No Volume /D and Page Number q~ /o 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 Sa by/S I (we) certify that all statements on this fo are true to the best of my (our) knowledge that I (we) am (are the owner(s) of the property described in this information orm, by virtue of a warranty deed recorded in the office o the County Register of Deeds as Document No. ~1 tap~/3 and that I (we) presently own the proposed site for he 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. Si ature of Applicant =APP g C licant 9/acb/~s ,2l Date of Signature Date of Si nature i DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING OATA- WARRANTY DEED Y 526415 VOL ~lr",' REGISTER'S N HE . ST. CROIX CO.,WI This Deed, made between ...91?h.-:...falls 1St-~,I1O.L1__...._ Recd for R?cord and-_Harriet_- I . Christianson-,.•.tlusband.- and..Wl fe , MAR 2 1996 • Grantor, and----- Keith..L__.Avise---and.-Barbara- _M_.._.Avis.e.,............... at 11:45 AM r husband and-_wifes............ - ~~u-,,~. (t~a"• R•:giAer of Decds Grantee, ` Witnesseth, That the said Grantor, for a valuable consideration...... 3^ ALT'-;RN TO conveys to Grantee the following described real t.tate in St CrO1X.._._..-. County, State of Wisconsin. t a Part of SE4 of NW'h of Section 11-28-18 described as follows: Tax Parcel No:.----°-----•--•---•---••--..__.... r t A triangular parcel of land located in the NE corner of Certified Survey Map of Lot 1 of Certified Survey Map filed with the office of Register of Deeds, St. Croix County, Wisconsin, on November 24, 1986, in Vol. "6", Page 1-750, ` #419677, described as follows: Commeng-ing at the NE corner of said Lot 1, thence SO 20'41" FEE E along said 1/4 Section.line 274.29', thence 13 NW/ly to a point on the N line of said Lot 1 e 244.84' W of the Point of Beginning, thence E EXEMPT on said N line to P.O.B. This is a companion deed to one bearing even date herewith in which the ,A Grantors herein received from the Grantees herein by a Warranty Deed title to the identical property described hereinabove; this property is under the Woodland Tax Law with an expiration date of 1-2-1995 at which time the above described property will become the property of the Grant- ees, their heirs or assigns. Further, this deed is then to be recorded with the office of the Register of Deeds for St. Croix County, Wisconsin. This itl__n0t homestead property. (is) (is not) Together with all and singular the hereditament& and appurtenances thereunto belonging-, a And-------------------------------------------- - - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. + Dated this say of May . . 19..8.7_. ---------(SEAL) ----.........(SEAL) • ` h> _V---- hristianson 1- ~slliya~ ¢cnJ--.-(SEAL) - --....(SEAL) ;z. n AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) STATE OF WISCONSIN I°'' x arlsl__Barriet__•---Chx~.s_t;inson•_______.-- - ••-_--_--County. authentic his ~~day of------- MY_......... 19__$7 Personally came before me this day of 119 the above named ~rt1' _ • TITLE EbfBER STATE BAR OF WISCONSIN i,. (If not, authorized by $ 706.06, Wis. State.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY JohrL-.G_.---bles_tingen,__Atty............ .....Baldwin,- Wiscons.in.__54-QOZ-------------- Notary Public County, Wig. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration are not necessary.) date_ *Names of persona sitning in any capacity should be typed or printed below their signatures. STATE BAY OF WISCONSIN Stock No. 13001 KC-Mille Co-Vary FORM NR- I - 1962 DOCUMENT NO. WARRANTY DEED T>.IS SPACE RESERVED FOR RE.CORDINJ DATA II STATE BAR OF WISCONSIN FORM 2-leas 4200;73 64PvA 587 Yr. RKWfts OFfice ST CRGrx m, WI& ec for Rord this 30th Jo.hn.._W..._.Gh r s. t-i.ansvn.. and...Haar.ie-t.._X.. I Chrisii ansot?.,..- band...~n4~..WIteA.....---- S°Y 0 _~:..A.D. 19 86 conveys and warrants to Keith L...... Avise and Barbara M........ 3: 55 Md ..Avi.se..... usband...and--- Wx fe.. baMa M D.N RETV RN TO the following described real estate in St..... XO. X----------------County. - State of Wisconsin: Tax Parcel No: Part of SE4 of NW4 of Section 11-28-18 (I described as follows.. I~ Lot 1 of Certified Survey Map filed November 24, 1986 in Vol. "6", Page 1750. Subject to Cemetery (I Road right - of -way and also being subject to all easements, restrictions and covenants•of record. I~ The 1986 property taxes are to be paid by Grantors. ~I - i~ TIVANSFfiR 0 FEE I I This .,.5._Z1Qt...... homestead property. (is) (is not) II Exception to warranties: ;I r Dated this . L ` day of December - 19.86.... li (SEAL) - ..(SEAL) II n W. •Christian-son............ J . i' 1 srr !...(SEAL) . . - ...(SEAL) ~i . Harriet I. Christianson . . • ' AUTHENTICATION ACKNOWLEDGMENT Signature(s) ._Qf---J-QhTJ _W._-. ChriSti.anSon... STATE OF WISCONSIN ._.a nd..Harriet..L....C.hris tiansszn......._.... as. -__---County. authentica tbas ........day of.._DeCember..., Ig 86 Personally came before me this . •.._....-•----day of the above named a_Jofi G. Nestingen TITL EMBER STATE BAR OF WISCONSIN (If not,..-. authorized byf ikw, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAF.ED BY ,John-. Cur-- Ne.S tngen...._Atty - ~sin_•5.4002 Notary Public - ------County, Wis. (Signatures may be sutherticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date- 19...... 'Names of Persons eitninc in any capacity should bet ed or YD Printed below their signatures. llGM111aCortprry~ STATE BAR OF WISCONSIN FORM No. 2 - 1982 Stock NO. 13002 r.....+. 000UMF_NT No. WARRANTY DEED TNI9 $.AC,, R!9lRY[D /OR RIQORDINO DATA ~~~K a~ STA7r BJ 3 OF WISCONSINFORM 2-1982I' a VOL REGISTLRS OFFICE TWA M..Q,...Kge.hl...and..Dee.Ann..F.,---Kuehl _a/k/a............ I ST. M(X CO., wo& DeeAnn.-Kuehl.,...husband_ And. w_ife-,....as_joint.............. Recd for Rewrd thFsll.h tenants day FEb. -~4 > of A.D. 19_ conveys and warrants to ....Keith-.L....Avise-•-and--.Bar-bara--M..--- ~ t 11:25 A ..Avise,...husband.. and..wife-.asA_oint ..tenants.. h I of DMd[ i P4TU RN TO i I - I II l the following described real estate in St.--.Croix County, i State of Wisconsin: ~I Tax Pr reel No:................. That certain parcel of land or tract of real estate located in the North-1 east quarter of the Southwest quarter (NE~jSWh) and in the Southeast quarter of the Northeast quarter (SEhNW;) of Section 11, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, more :fully described as follows: beginning at the intersection of the .East line of said Northeast quarter of the Southwest quarter and the North shore' of,the Kinnickinnic River; thence N00054' East along said East line a distance of 712 feet, more or less, to a point lying 66.0 l feet North of the center of said Section 11; thence N88013' West a i distance of 1329.7 feet;. thence S00054' West a distance of 192 feet, f more or less, to the North shore of said River; thence with said North shore Easterly and Southerly to point of beginning, the above described parcel containing 11.3 acres, more or less and subject to easements of ~i record granted to the Wisconsin Department of Natural Resources for fishing rights. I• so f This is homestead property. j ! (is) (is not) Exception to warranties: Subject to easements, reservations and restrictions of record. Dated this'--_ ------.day of February 19. (SEA L) (SEAL) THOS G. KUEHL - -~L - (SEAL)~J7 (SEAL) • D.- ANN,_F..-_KUEHL-a/k/a_- - LEEANN KUEHL AUTHENTICATION ACKNOWLEDGMENT Signature(s) - STATE OF W1S ONSIN ss. St. Count .........Croix y. autheati^_ated this -------.day of 19 Persor.:,iiy came h-fore me this ay of c ebruarY-------------- 19...4 the above named _ Thomas.. G.-_ rueh-i an--•--Qjp.eAnn---r Kuehl a~ k;i~eellnn__Kueh1.......... TITLE: JIE:4IBER STATE BAR OF WISCONSIN (If not- I authorized by § 706.06, Wis. Stats.) o e:,ecaLed T~ Xrr*Ie known to be the person q . Rt~C ~T3 U. B~ '~nrero;:;r' ,.'nQ[~ and acknowledge th-, =ame. ' THIS INSTRUMENT WAS DRAFTED BY t40r,LRY Dy''D`w j~ j /J 51N STEPHEN J. DUNLAPS~ ° Yr'iS`ON ~uflrv.~ L % ✓ff7J. - Hudson Wisconsin l - :Votary Public - --County, Wis. (Signatures may be authenticated or acknowledged. Both 3fy Commission is permanent.(If not, state expiration are not necessary.) date:/ ?1GIZ-11.1 ( Oti) •Names of persons .icniuQ in any capacity should be tynel or prlntcli o.-Iow their !ixnatur^:. WARRAN:4 DEED STAi6 BAR OF WISCONSIN A•i-on.,in L.tal Plink l'... Inc. FORM No 2- lu-2 U..un: te.•. Ws. UVCUMENT NO. STATE BAR OF WISCONSIN FORS 3-1982 THIS SPACE RESERVED FOR RECORDING DATA QUIT CLAIM DEED 486002 --VOL __954__ Ist 522 REGISTER'S OFFICE John W. Christianson and Harriet I. ST CROIXCO''W ' - - ----Christianson-E-_hus - Dand--an-- ~N fe Reed for Record JUL 17 1992 quit-claims to Keith__L,I...,AV1.5-e._and---$al<~d~~__r1~__~v~~~--- ~ 11:05 A.M hl:sband---and_mi.fe------------------- R + d~ 0 the following described real estate in St. CroiX County, State of Wisconsin: RETVIN TO I Part of SEA( of NW4 of Section 11-28-18 described as follows: Tax Parcel No: That property lying South of Lot 1 of Certified Survey clap filed November 24, 1986 in Vol. "6% Page 1750 and northerly of that property transferred to Keith L. Avise and Barbara M. Avise by Thomas G. Kuehl and Dee Ann Kuehl by that Warranty Deed recorded in Vol. 682 at Page 388 as Document #391268 in the Office of the Register of Deeds for St. Croix County. This Deed is given to clear title. ' This is-.not homestead property. (is) (is not) J~ o Dated this ,~Y~Q- day of -1---------------------------------- ~I I (SEAL) SEAL) ohn W. Christianson (SEAL) _.(-~1 !1~1ifPN - (SEAL) • . Harriet I_.___Christianson....... AUTHBNTICATION ACKNOWLEDr3MBNT Signature(s) STATE OF WISCONSIN as. County. authenticated this day of_........ 19_..___ Personally came before me this - day of n~___. 114 19__91?. the above named ----Jq _xi__ ►.__Chxxstiazl5an__and_______________ -------Hair.?.et---1.---Cl rjLsti ansan-----....•...---- TITLE: MFMBER STATE BAR OF WISCONSIN (If not, y § 706.06. Wis. State.) ~ to me known to be the person who executed the e ....:V'r,~. "tp ing instrument and acknowledge the acme. THIS INSTRUMENT WAS DRAFTED BY _ Chax_1e.__33x_.liax>r~s = utrw~i. U RICHARDS, WALL & HARRIS • 'a~`~ s (Y_S a-rru ----Httdson-~ --W1----- 540-1-ti---•--- tktat Public ~ Conn W (Signatures may be authenticated or ackrlp `sari 'irk IE Cbelmission is permanent. (If ndt, state expiration are not necessary) •••.:..:.•t date: 19. ) n QUIT CLAIM DEED STATE SAq flF WISCONSIN BIRO WiKpAAIR ; IPVRM R 3 -1992 Milwaukee. Wis. k Ca Ine.