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HomeMy WebLinkAbout040-1125-30-000 4 o o °o a 3 0 m O 4 c tt. O g C~ O N y ~ N O •+1 O co y : O T .a I O N N c z U C LL O I O I 'p Co Q w rn ~ £ I U) O v g o Z `m m co 00 N > a m M F- CO c C C7 O O Z d c v FZ- O O W Z c E a) cu _~1! N a O 12 M N Of • %16 l C CL O O j~ C C O f S V O 2 Q Z I- Z 2 N d i N 1% E N W m w p V ~ v N m~ a~ ~ ~ O ~ o o a .a m ° N i z Ln j 3 o ~V a. cn 0 0 0 z "Na o R „',iaaa IL ~0 12 ~ 0) X 0) 0) J V N i 0) 0) co O N E X 0 0 ~ ~ N O O O E W N co O u [ 7 N Q ~ QI ~ ~ ap O') O O N C 9 co -0 0 E N O I, _C O O= rn 0 0 O O Fr M N C y N N LJ CF) O O In 3 Y rn O_ e~ N N O N 113 cD N co N W H C: 0 M L 2 - N r.y co : I. O M Q N V H C' N M 0p W O Cl) H O N O O E Z UJ c L . v a 7 i a r w E VC C C A a 2 3 0 3 O fA 00 Wisconsin Department of Indus Labor and Human Relations SOIL AND SITE EVALUATION REPORT S'ivision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code Page of 3 Attach complete site plan on COUNTY paper not less than 81/2 x 11 inches in size. Plan must include, but Ste' C' not limited to vertical and horizontal reference point (I3M), direction and % of sb lk dimensioned, north arrow, and location and distance to nearest road. pe' scale or PARCEL I.D. # APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY PROPERTY OWNER: DATE PROPERTY LOCATIq )t~' ON . PROPERTY OWNER':S MAILING ADDRESS GOVT. LOT Zkj 1/4 SW 1/4,S 33 T~ 19 @ LA3 \ Z Z8 p 8 S O `it} LOT BLOCK # SUBD. NAME OR CSM N,R E CITY, STATE ~ ~ 1Z l Q E1Z L.IS kJ J is o Li PHONE NUMBER _ Cs M 7 ~t5/'~ FtlI (7f S) N Z BE -73 0 9 EICITY ~II L GE DOWN NEAREST ROAD q S' QQ Y-1 New Construction Use [>,j Residential / Number of bedrooms a Replacement [ I Pubic or commercial describe [ 1 Addtti~rt to existing building Code derived daily now 611 gpd Reoartmended design ing rate bed, gVW o _ S trertcit Absorption area required S1I g2 trench ft2 , g Recommended infiltration surface elevations S Ph6 Ma)dmum design loading rate bed, gpd/0. 5 Additional design / site considerations ''►~-N ftS @e 3z ( ft (as referred to site ) trench, 911 1-14 ~Y plan benchmark Parent material StDIM @v ova St~Oy `1Ztiz ~Owtust pp~ ~Gf;~. cs~ S Flood plain elevationrf S = Suitable for system coNVe~moNnl. , applicable t\3• A . It U= Unsuitable ror n ®S ❑ U MO g❑ U 0❑ U ESSURE AT-WOE FILL HOLDING TAW SOIL DESCRIPTION REPORT [Is ~IU Boring # Horizon Depth Dominant Color Motfles in. Munsell Qu. Sz Cont. Color Texture r. Szture GPD/ft I o-1 1~~.tZ Z ~ Z Gr. Sz. Sh. Consistence Bandary Roots Bed ratdi y. S l y Z~ S b1t Yvt Z ~3 Zy Ip`i2 31L ~S o•S o-6 Ground 3 Z'4-S_ -).S`IV 3/y _ S1 Z- Fsb1t rrn`F!- Cg o.S o. 6 • ft. S c s bk v `fit-. oLtI o• y o. S ~ SZ_4 1~~Q V!` - S ~ s J o ss - m~ _ Depth to 1 S b k _ o• O. S limiting factor R 2." Remarks: Boring # Z{ Z to-ZZ S' Z,fsbk m~~ c5 - 0.5 0 6 ~OyQ 3!L 3 _bo s y2 3/ y s - s o. Ground Zz - S I ~ e S bh ' 99 1 ft. 4 60_8 16 v2 VA - S of S) ass - w► 'FL. ~w o y 0 5 \ c 5 bt•c, r>, v t ~;~(1.'~". ` D . S Depth to limiting facto t,. Remarks: CST Name--Please Print Arthur L. We erer Phone: dress 715-42'570165 egerer Soil Testing Design Service-P.O. Box 74 River Signature: F a 11 s, WI 5 4 0 2 2 ~ ~'L~-c g 3 _ Z 9 Date: CST Nu 1Z-~"7-93 mbar: M0 )576 3 1313 t) SOIL DESCRIPTION REPORT Page . of , PROPERTY OWNER ` PARCEL I.D. # GP D/ft Structure Consistence B0Und3Y Roots t Color Bed Trench Mottles Texture Gr. Sz. Sh. Depth Dominan Qu Sz Cont Color S 0-6 Boring # Horizon in. Munsell Z is S', ) 1~ sbk a c s S1 O.S Ground S d S g ct elev. . y W-aTa l0 y R 4/~ 6 b• 1 ft. L ~ 4~ z.l}GM S ~u to ~tn~n'~ Depth to limiting factor 7 Remarks: _ s~ I z-'sbk b. S o- w►~~ S Boring # 1 o-ty v""`A~ z JZ D, S o- 6 Z`F sbn ~ O-S sil 1.4 11 3 3Z-Sn -~.S `ilL Sly Ground elev. a6. ft. ; Depth to limiting factor 7 &bM Remarks: _ S ' 2, `F 5 bl2 `F~ C S o • S o, 6 Boring # 0- ~ - l Z t ti C S _ o g p. 6 '•"V'~ s i 1 z ~s bk wt. ~ S h Z \Z-Z b ~o Q 3! I, - C Sti~2 Yn U'vy, cS o• V ` o.S .3 ~ o s9 m1 - Ground elev. Sb - G 1+'Z L'~vT 5 c~1- 8 ft. ~tstv L t w~ `f oZ, y e. S Depth to timiting factor , Remarks: Boring # .l iit•`1vv Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE L~~L1~~' R.S S~w►v oSL~ t...or Lt1vL, ul6o CAU , o t -StC i S' 1 Awt tt z - ~n_ . g 9.9' 0),j 1 ° . 3iy,.O1~ Puc P1P~ w/~ 1 r B.Z 5 0 ° kt.gb s 5 S ~~12 j 1ZO 6, 3 5 , ti ~ J \b ~ d \ \ \o , 80 A ~O h OF 0\ \\c~ Lt °t~ e ZNvh-noNg \j- ~ V 3 ~ V, 11 - eL, . lDD . 0 4TV b° tA-t6N D B.y{ 3/y'~+~tR. PuC P~Pt w /~R7~.F ~l 96 3 ~t G~ ~AOua ~E 1D 3 RT LM7- LS ~2orq L L_S u►J L~ Signature 93_Z97 Date Signed (71 5 4 5 ni M00576 Telephone No. csr _ i M sconsin Department of Indus La nd In DrvisionOfSafetty& 3' rss SOIL AND SITE EV in accord with ILHR 83-05, ws]Apa REPORT Attach complete site not limited to vertical a an on paper not le m Code Page ` of 3 and horizo than 81/2 X COUNTY dimensioned, north mat reference inches in arrow, and I Point (B size. Plan must i oration ncl ude but APPLICANT INF and distance t" di won and % of sb ORMATION-PLEASE stroad. Pe scale or PARCEL LD~ C~ lk PROPERTYOWNER. PRINT ALL INFORMATION T }'1 N % i~ L1 REVIEWED BY PROPERTY OWNER':S t) U t~ PROPERTY LOCATION DATE Z8O MAILINNGADDRESS P~- o'- Lo r 1 of cS CITY, STATE Y > GOVT. LOT SIB} 114 S ►1 l~ut7 Zeta 1312 ZIPCODE~ F' LOT# BLOCK# D~ 114,S 33 T 2 b N,R 19' 1 l U L 1S kU I S yo L Z P WN NUA~EA C - SUBNAME OR CSM ~t (me VZO N cons New lructi0n 2 S. 3 p 9 CITY ONILLgGE ®TOWN O X pS C c. ] ] RVaWment Use[ Residetttial/Nur►~erof r12o NCEAR ST n y J ] Public or beftorm Code derived daily flow_ b1 ~mrsaibe ( ] A n to ftling bib bon area re"red , ft2 t?,~ R Sign bad' 9 Adds surface elevat(s 5, ft2 _ d r&---::-bed, 9Pdflt2 0 _ S tr "s ° - , 9UdAt2 00 , Parent material S t SAS @le Z v 3 (as referred to sib 5_ WA12 p S = U for L*M coN,;y a s Rood t~T Ott-0p~ ` GC rfaPP~ble ~ . au Ou S Ou ATGgpDE R Boring # Horizon OeM Dominant Color . $OIL DESCRIPTION REPORT ~S ❑U diu C3 U~c in. ~ Munsell s . o_ 1p~itZ L [ Z Qu. SZ Cont Color Texture Structure _ Gr. Sz Sh woe ftldly Roots GPp/ft Groff Z .3 zy Lo ~r R 3 /t. 'S t I z ~F s d>t >ti► c elev. Z14_S ~'Sy2 3/y S l) Z'~sbh S ~ °•S 4:6 ~f Sz_4 ►p~~ _ SI l~sbk cs o•S o.6 Depth lvt U 6mitingb S S J s b factor k v z~ o•Yo.S Remarks: Boring # o_to 1p`tk Z(Z 13 3 Z2_ 6p 1, $ _ SI Z ~s 6k ~S °•`1R 3,y S o 6 99 I ft 60---)g S) cs o. S o, C y 2 V/b 1 s bk l» tiro sqS °%sek factor U••V o. S Remarks. Print ress. Arthur L. eg6rer Soil Testin We erer Signature: g& Design Phone: Servioe_p.0. 715-425-p165 Box 74 River 4 3 - Falls Z9_7 Date: J 'W1 54022 1 Z, _ 3 CST Number: M00576 Page .u. SOIL DESCRIPTION REPORT GP Dlft OWNER Roots Bed Trerx~ pROPERn Structure Consistence BoaX~+Y Gr. Sz. Sin' G $ S b ppRCEL I.D. # Mogtes Texture _ Color S ~k ~ o • S o-6 th Dominant Color Qu Sz. Cont. S 1 ~ Horizon D in. Munseli _ Pn C S S Boring # ~~2 Z (Z _ Z ~'sblrc _ o• ~l o. X o t s) V `h- C S 3 ZZ Vo\AR 3l6 _ S~ 1c.sek a.s lab >x,... Z y 8 5 y R 3~ o Sol z_ r 3 - ~S Ground v M 1 elev. L4 Depth to limiting , to tof _ s j 13- L w►.~~ C S i Remarks. S 1 Sbk M 'fti- C- S , y it. o. S Boring # o -t y ; 31 V - ~s`w~c Pn v'~H y 3 , y 37-813 -S ytZ Ground t elev. Depth to limiting factOf s i ti Z`Fs bk _ o, S , Remarks: ~o `1,tz. z t z Z `~S bk y ii o. 5 Boring # o- 1 ` _ S I brf, u aS , S I L ww vK s to s Ground S, `t (Z Y /L elev. y Depth to limiting fa f°I Remarks: i Boring # ;sue tx~ r Ground elev. Depth to limiting lactor Remarks: SBD-8330(R.05192) PLOT PLAN Page 3 of 3 SCALE ~ LtNL 14C i CAa L SC Awi ~r z - 9' 1j 14L~I61i J` • 3~v,.Oiy [RUC PrP~'v/L fl X94 0i b- I I 5 S Lt c 1Z- . q16 ' s S 2 ° J -tea e• 3 \ `o L ~ J \b 9 s J o\~ 8 Z OF fie" ca O 4N lp" ct tsH 3/v'`~llq.PUC PIPE ~.6a q iv/L1}(~~ C) Zr 'A40U8 tz 1D c so' 3 .99 ~~suN Lkxj~-- CST Signature l7_ 9 3 Date Signed 9 3- Z 97 Tele N 5-~~ M0076 _ phone No. csi ff • Parcel 040-1125-30-050 Alt. Parcel 33.28.19.522A-10 07125/2007 04:47 PM Current X PAGE 1 OF 1 Creation Date Historical Date 040 - TOWN OF TROY ST. Map # Sales Area Application # Permit # CROIX COUNTY, WISCONSIN Tax Address: 00 0 Permit Type TOM & SUE BURMOOD Owner(s): O = Current Owner, C = O - BURMOOD, TOM & SUE Current Co-Owner W11409 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Type Dist # Description Property Address(es): • = Prima SC 4893 RIVER FALLS ry SP 0100 CHIP VALLEY VOTECH Legal Description: SEC 33 T28N R19W PT SW SW BEING LAcres: OT 6 OF 6'810 Plat: N/A-NOT AVAILABLE CSM 10/2856 6.81 ACRES Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2007 SUMMARY Bill Fair Market Value: Assessed with: Valuations: 0 Description Class Last Changed: 07/21/2004 RESIDENTIAL Acres Land Improve G1 6.810 81,000 0Total State Reason 81,000 NO Totals for 2007: General Property 6.810 Woodland 0.000 81,0000 0 81,000 Totals for 2006: 0 General Property 6.810 Woodland 0.000 81,000 0 0 81,000 0 Lottery Credit: Claim Count: 0 Certification Date: Specials: Batch User Special Code Category Amount Total Special Assessments 0.00 Special Charges Delinquent Charges 0.00 0.00 00 s ~ N ~ FILED g 0 Fr. 1 9 1994 ► JAMES O'CONNELL 52 42 JL Register of Deeds St Croix CD, WI LOT 1 OF THE CERTIFIED SmET I F I MAPS, PAGE 2017, LOCATED IN THEAgy,J/ECOR ?V ly M A P TOWNSHIP OF TROY D D I VOLUME 7 OF CERTIFIED SURVEY ST.CROIX COUNTY, OF THE SW, OF SECTION 33, T28N, R19W, , WISCONSIN. w 1i4 coR. sEC.33. Prepared for COUNTY MONUMENT Tom and Sue Burmood !O `r FOUND). N K o M U.NPL,Q E. TT LANDS N89°37'30"E 358.05' NORTH LINE SW-•SW , LO , o c0 , i LOT 5 ~ - 6.38 ACRES -O 0 a• m ( 277, 724 SO FTN i ly N i ° 2 N M \ 0 J: 3 n A0 S3780,00"E 180.00' 'j 00 W: ON O N89037'30"E 434.68' O7 Ci'. 2 t~ . Z J \00 6 Z z LOT 6 = 40 w N 671-A C RES M M (296, 739 SO.FT.) `r 0) ~ 2 3 aS-30-o5v K) W /~(,~V'~~ ~ oo' v>~ VI BUILDING w ° m CO S CEI?T;F;E cc~ h O - ETBACK W Li 0 SJRVc Y y1AP IO ~ 02 N 0 I a Q V- k o ° c 9 = 0 0 W 0 ? I 200.0 6 N ~ 213 . 68' 66. i 941 in S88 00 40 W S89 26 40 W 2 9.6 a of it U) tr) f S89°26'40W -~1 M w 156.14' u 1 NOTE: Bearin gs are referenced to the West dine of the SW-14-(Record bearing.) D 'SET I "x 24 " `ew~~.,rmq .,~sa I 13 IRON PIPE WEIGHING LBS. PER LINEAR FOOT. 1 " I R 0 N PIPE FOUND. -S C 4- E 1 „--2 00 ' L S • 1604 H Q SPRING V ALLEY it , • Q 0 100 209 ' 400' VI IS. r a,( ''qty ;•"Co'~~°~a••..»•a' ~ 00 94-II SHEET I QF3 Ova THIS INSTRUMENT DRAFTED BYE j• ►+'EeER. JAMES WEB R S-I VOLUME 10 PAGE 2856 ~A E D - Am--~-k r.~ i r FILED AUG 301988 .s a CONNELL M Aar VV to wyblw of De~d~ N 440978 64 ooix Cam'-to Wwmem ~ a ~ CE RT I F I ED SURVsECrION 33, T28N, R19W, LOCATED IN THE SW I/4 OF THE SWI/4 OFgCOr1SIN. OWNED 8Y: TOWN OF TROY, ST. CROIX COUNTY, TOM & SUE-SUR-MOOD .,.W I/4 CORNER SECTION 33. RT. 3 moo: (COUNTY MONUMENT FOUNO)f RIVER FALLS, Wt UNPLATTED LANDS 54022 NN • ' • • NOR•T•H LINE OFtT.HE•:S..W..-!SW 7 N M 5' 'A , S890 37 30° W 13 1 8.05 220.00" 'A Tao. oo' 6' 4' 35 8.05' Z: n Q. o J, in h n 3 tM. LOT 2 ) z Q• a 7.14 ACRES 0 LOT 3 to " _ a (3100, , 914 SQ. FT.) p ..l• 7.16 ACRES z 4) (312,077SO.FT.) ~ok cli C7 / M `W E cD S8 3°35'36"E 810.86 N 3T • 25' 33"W < , y ' o S 180.00' 0 O Z to LOT I l aaz 2 LOT 4 h to ~ lb 0 w- 14.40 ACRES 4.56 ACRES y}"• fV (627,,458: SO:.FT.)'.! T f • (:98,722 SO.FT.I N w Q ~ 0 13.19 AC. EXC LU01 NG ROAD 0O T-'~) • 00 (574,603 SO.FT.I TO - a• S - W BE oZ• a Z 1~ (D N89°39' 05" E 681.24 Wes. C O• ❑ A_DDE_D_ SEE NOTE: z / ON SHEET: W.F- nl y ❑ ON - 2 OF 3 h ~'W M 3 EkTIFI=V IS URVE.Y...MA.P u, J. %n „ 66' WIDE ROADWAYa 0.. o EASEMENT. tnM Z N„ (SEE NOTE SHEET 2 nl 0 M . =u OF 3). 66' ❑ o z z Z Z 1 J 2 0 0 . 0 6 , 2 13 . 6 8'~ 66.0 88000'40"E N89°26 40 ~E 279.68 n r_M v _ - - T- SEE DRIJEWAY AGREEMENT N89026 40"E 156.14 ON SHEET 2 OF 3, tvS~go. Z'- Oa` 9Go HW O = SET I"x 24" IRON PIPE WEIGHING Apmvwl ul 1.13 LBS. PER LINEAL FOOT. 'AU G - ~ Q fl~r*44 JAMES M. r I, wz Y ~O • _ I IRON PIPE FOUND. Wt' 08 WEBER W ~ couwl.' S-1804 z pMRA SPRING VALLEY K 0 - oomwm'E WIS. cafflocom" Viz ;pp NOTES BEARINGS ARE REFERENCED TO iv. .r~0,•► m~4 THE WEST LINE OF THE SWI/4 © (BASED ON RECORDED BEARINGS). h SURMV ~ , JAMES M. WEBER S-1804 SCALE 1": 200 WEGERER, WEBER a ASSOC. S H E E T I OF 3 DATED _=,_,-k 400' REVISED MAY 26, 1988. 0' 100 200 THIS INSTRUMENT DRAFTED BY 88 - 2 2 MA M7 PAGE 2017 AS BUILT SANITARY S04 YSTEM REPORT OWNER ADDRESS C r F~ SUBDIVISION / CSMJ SECTION 3 T f N_R LOT ST. --~W, Town O f CROIX COUNTY, !1G WISCONSIN Cat I • SHOtwEVERYTHING PLAN VIEW GS i WITHIN 100 FEET OF SYSTEM o~ ~~Sa r INDI~ATE tJORTH ARRow Provide setback and elevation Provide 2 dimension information on reverse of this form. s to center of septic tank, manhole cover. o 1 vv to 00 BENCHMARK: ALTERNATE BM: INFORMATION SEPTIC TANK / PUMP CHAMBER / HOLDING TANK 0 . d !✓~S~ f- "j_ Liquid Capacity: Manufacturer: M 12 0 Other Well House Setback from: Size Model pump: Manufacturer Gallons/cycle: Float seperation Alarm Location SOIL ABSORPTION SYSTEM r ~j Length Number of trenches Width: Ir line: Distance & Direction to nearest prop House Other Setback from: well: f - ELEVATIONS G 1 ST outlet Building Sewer ST Inlet yo Pump Off PC bottom PC inlet Bottom of system qG'1 Header/Manifold r Final grade "1 Existing Grade DATE OF INSTALLATION'' PLUMBER ON JOB: rr LICENSE NUMBER: INSPECTOR: 3/93:)t Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE SYSTEM 'Safety and Buildings Division INSPECTION REPORT County: GENERAt INFORMATION S CROIX (ATTACH TO PERMIT) SanitaryPer ermitNo.: Permit Holder's Name: DADO MIKE ❑ City ❑ Village ❑ Town o X State PI _ CST BM Elev.: Insp. BM Elev.: ) l / BM Description: Parcel Tax No.: TANK INFORMATION /L TYPE ELEVATION DATA MANUFACTURER CAPACITY Septic STATION BS HI FS /?~C✓ ELEV. Dosing e6J Benchmark Aeration ' 1161 ing Bldg. Sewer TANK SETBACK INFORMATION St/Ht Inlet TANK TO P/L WELL BLDGventto St/N'E Outlet . Septic Air Intake ROAD Dt Inlet Dosing NA Dt Bottom z - .9 = < Aeration NA Header 7,-7 A Dist. Pipe Ing n) PUMP/ SIPHON INFORMATION Bot. System 461 96.A , Man fac er Final Grade Demand s7 N. /a ~ Model Number Ccv o a/ TDH Friction S stem TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED /TRENCH Width , DIMEN 1 N Lengtt/ i No. Of nches PIT J No. Of its Inside Liquid Depth SETBACK SYSTEM TO DIM INFORMATION Type O rl P/L BLDG WELL LAKE/STREAM LEACHING rer: CHA DISTRIBUTION SYSTEM' UNIT Header r Distribution Pipe(s) Length Dia. / Len th x Hole Size x Hole S 9 Dia. Spacing 9 Vent To Air ake SOIL COVER x Pressure Systems Only xx Mound Or At-G Depth Over stems Only y Depth Over Trench Center _ xx Dep xx Seeded/Sodded x ! Trench Edges / Topsoil e COMMENTS: (Include code discrepancies, persons present, etc.) ❑ Yes ❑ No ❑ Yes ❑ No LOCATION: Tro .33.28.19W, SWI W Lot 5 Glendale Drive x, Plan revision required? 0 Yes o Use other side for additional information. SBD-6710 (R 05/91) R&H Date Inspector's Signatur Cert. No. ADDITIONAL COMMENTS AND SKETCH T SANITARY PERMIT NUMBER: ~.n SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code Co N Y -Attach complete plans (to the county copy only) for the system, on paper not less than ' 8%X 11 inches in size. ❑ STATESIN12 PERMIT # -See reverse side for instructions for completing this application. `BER Check if revision to previous application 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. STATE PLAN I.D. NUMBER FPRYPERTY OPERTY OWNER PROPERTY LOCATION OOWNER'S MAILING ADDRESS SW / SW Y4, S 33 T 28 , N, R 19 E (or) )I(I M 30$ LOT# BLOCK# , STATE ZIP CODE r River Falls PHONE NUMBER SUBDIVISION NAM OR CSM NUMBER 54022 715 427-5057 II. TYPE OF BUILDING: (Check one . ;P-?6;ro ❑ State Owned VILLAGE: NEAREST ROAD ❑ ILLAGE ,,T•o PUbI1C V ®1 or 2 Fam. Dwelling-# of bedrooms 4 PARCEL TAX NUMBER(S) Glen Dale Dr. Ill. BUILDING USE: (If building type is public, check all that apply) &"/0 3 0 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 3 El Campground 7 ❑ Merchandise: Sales/Repairs ❑ Outdoor Recreational Facility 4 El Church/School 8 ❑ Mobile Home Park 11 El RestauranVBar/Dining 5 11 Hotel/Motel 9 ❑ Office/Factory 12 El Service Station/Car Wash IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) 13 Other: Specify A) 1. ❑ New 2. ❑ Replacement 3. ❑ System Replacement of 4. El Reconnection of System Tank Only 5.0 Repair of ys B) ❑ A Sanitary Permit was previously issued. Permit Existing System Existing System V. TYPE OF SYSTEM: (Check only one) Date Issued Non-Pressurized Distribution Pressurized Distribution Experimental 11 ❑ Seepage Bed 21 ❑ Mound Other 12 E Seepage Trench 30 El Specify Type 41 ❑ Holding Tank 13 ❑ Seepage Pit 22 ❑ In-Ground Pressure 42 1:1 Pit Privy 14 ❑ System-In-Fill 43 ❑ Vault Privy VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE REQUIRE DD((sq. ft.) PROPOSED (sq. ft.) (Gals/da /s . ft. 6• SYSTEM ELEV. 7. FINAL GRADE 600 Y q ) (Min./inch) 1260 .48 ELEVATION VII. TANK CAPACITY 32, 96.3 Feet 99.1 INFORMATION in allons Total # of Feet New istin Gallons Tanks Manufacturer's Name Prefab. Site Tanks Tanks Concrete st u Con- cted Steel Fiber- plastic App. Se tic Tank or Holdin Tank glass Pp LiftPum Tank/Si honChamber western % VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached l Plumber's Name (Print): Plum is Signature: mps) P fns. J Joe Stang MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code Ml? 6646 506 Willow Drive Woodville WI. 715 698-2266 IX. CO NTY/DEPARTMENT USE ONLY 54028 ❑ Disapproved Sanitary permit Fee (Includes Approved ❑ Owner Given Initial Surcharge FeGroundwater e) a e ssue Issuing A nt Sig re No m Adverse D termination 3/j 7 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: •`-7' SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. ermit may be renewed before the expiration date, and at the time of renewal any new 2, Your sanitary p licable. criteria in the Wisconsin Administrative ode will the permit issuing authority. 3. All revisions to this permit must be approved by 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. must be pumped by a licensed 5. Onsite sewage systems must be properly maintained. 'The septic tank(s) pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your ons t se6age system, -38 5contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, To be complete and accurate this sanitary permit application must include: owner's name and mailing address. Provide the legal description and parcel tax number(s) of I, Property - 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. e of ermit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or IV. Typ p repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Providd all information requested in ex eyed tank, list the total gallons, number of VII. Tank information. Fill in the capacity of every new andlor royal only if tanks received tanks and manufacturer's name. Indicate prefab sor site constructed and tank ystem. experimental app material. Complete for all septic, pump/siphon and holding tanks for this experimental product approval from DILHR. appropriate prefix (e.g. Installing plumber is to fill in name, license VIII. Responsibility statement. Plumber must sign application formber with MP, etc.), address and phone IX. County/Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8'h x 11 inches must be submitted to the county. The lot Ian, drawn to scale or with complete dimensions, location of plans must include the following: A) P P service; holding tank(s), septic tank(s) other tanks; treatment stribut onboxes; so I absor;ptionl systwater m ems; replacement syst m streams and lakes; pump or siphon tan tal and vertical pump elevation areas; and the location of the building and controls; dose nvoi me; elevation d fferen pfrictionoloss;ints performance specifications for pumps manufacturer; D) cross section of the soil absorption system if performance curve; pump model and pump " 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. SBD-6398 (R.11/88) r DEPARTMENT OF ADUSTRY REPORT ON SOIL BORINGS INDUS ^S AND SAFETY HUMAN RELATIONS PERCOLATIOW-fj & BUILDINGS STS (115) DIVISION P.O. BOX 7969 LOCATION: SECTION: (ILHR 83.09(1) & Chapter 145) MADISON, WI 53707 Sw 4 sw 4 Q Tz4/R19E (o OWNS UNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: COUNTY: OWNER'S UYER'S NAME: ~ .-r-'I ► - c S xl -f', C.~ lx MAILING ADDRESS: USE Ll u Q R' I vu T83) 12- F:?t L NO.BEDRMS.: COMMERCIAL L` LC1j Syo 2..Z, LK Residence DESCRIPTION: DATES OBSERVATIONS MADE New ❑ PROFILE DES RIPTIONS: ER Replace 6 OLATION TESTS: ~ sill' ~eR v Q Yo - 6 8 8 g l- RATING: S= Site suitable for ONVENTIONA System U= Site unsuitable for sy~stauu~ s, C ~s L~ MOUND: au N -GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional ❑u ®s N RS au os ®u os ®u eo~iv~u,uhc.- TR~~vcl~I~s If Percolation Tests are NOT required DESIGN RATE: under s. ILHR 83.09(5) (b), indicate: If any portion of the tested area is in the Floodplain, indicate Floodplain elevation: BORING TOTAL PROFILE DESCRIPTIONS U NUMBER DEPTH MF ELEVATION DEPTH TO GRONDWATER-IBS CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- ~ ~.s~ ~q•1 ' ~ov~ y ~.s~ 1•p'~ptcGy,s~1 rs; ~ ~ . b ~ an s~ o.a 4 o.y `f 8>, Sl w/LS ptecif-I. 3.7' LT3~ S Qe,17 ~ L~ ; B- Z 6.7~ 97.9/ No>`l~ ~~6 r BhSjI ;2.s'Y(Qnsl~ a1ti h I -sc I B- 3 S,~I 96-v IvoyvE > s.a' o.~~,n2$ysil ; 1•Z"t 8r~sjl; t.~ b'>1s ; B- S..$ 47. S W LS R LQ1 S>I IUM B' S S. S w). I, 7'~, 1 1, 1• b' -1 a>n51 ; C),7.9 ►J Orv - ".-I DtzG > S,5 z Ysi{ 1 13; o.~S L{2nSil~ l•8'`t Rr~s1; TEST DEPTH W A TER IN HO LE PERCOLATION TESTS NUMBER INCHES W TER WELLING INTERVA MIN. P- 2 O PERIOD 1 DROP IN WATER LEVEL-INCHES AFTER 3 ~ ~ PERIOD 2 P R RATE MINUTES 1/~ I PER INCH P_ Z. Z ICJ O 3 O - P 8 Z7 3 ~ P 2y o 3>J % 1/8~ 1 S1~6 ?6 P 3 Z P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direct of land slope. what are the 8oZ " OF YX0, CN CJ~CGE 90 hori- SYSTEM ELEVATION ©46:3, 96 ' 1 I o T t ion and percent . r a k , 6 2 to , ~C. k. S t Tt,. ~.Oi ~t~?T1JD.. S ~ I~ ' S d ot~ 5~ -7. 4L1..''I .1 Vim S1, E )\j J% c-41f~11 I77 0_ s fY 70101 i3 E r1 Ll~t ST 50 ~Rpr~ iAJt PIS u a a e Nf•`M C, tfeT T M RE 2y DIr~-p :s I o a 0 i E i I, the undersigned, hereby certify that the soil tests reported form were made b Administrative Code, and that the data recorded and the location of the tests ware ere correct e y p to the best with by of my knowledge and belief. NAME (print): 6~Z~~Z TESTS WERE COMPLETED ON: ADDRESS: Y ox EL-L S~d✓ CERTIFICATISN,NUMBER: PHONE NUMBER (optional): CSTSIGNAT E; ~rs•~~"S`Of 6 y D DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - lot t TO THE } vate f44 S P p41 L4~~ ~ ~ X121 , `P 47.9 d 13 - 7. &otz~~ - g-5 97.3 o-r tie NLfi Nv/ . ~3 ~.l /00 t or o 4- ~ vg 1J~-„ v S. 33 t 2 fr rr/~ No, 0~ d J~R,a w~ r3 _Jo e SL 4 I6, < 01 9G . s 9~. 3 ~ 4G, r1 ' STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER i1 C L aL MAILING ADDRESS p / PROPERTY ADDRESS Z` (location of septic system) Please obtain from the Planning Dept. CITY/STATE ! l0 o l,d e AN r~S 1C/ PROPERTY LOCATION $ W 1/4, 56eJ o TOWN OF -77-- 114, Section S ST. CROIX COUNTY, WSUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP _ 1;7 VOLUME 10 S PAGE LOT NUMBER Improper use and maintenance of your septic system could result in its wastes. Proper maintenance consists of um n P p g out the septic tank every three premature failure if handle needed by licensed septic tank pumper. What you put into the system can affect the function of the sooner, if septic tank as a treatment stage in the waste disposal system. n St. Croix County residents may be eligible to receive a grant for a maximum of 60% f replacement of a failing system, which was in operation prior to July 1, 1978. accepted this program in August of 1980, with the requirement that owners of all new ° of the cost keep their system properly maintained. St. Croix County systems agree to The property owner agrees to submit to St. Croix Zoning a certification form, signed b and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that the on-site wastewater disposal system is in proper operating condition and (2) by the owner pumping (if necessary), the septic tank is less than 113 full of sludge and scum. after inspection and d I/We, the undersigned have read the above requirements and agree to maintain the riv sewage disposal system in accordance with the standards Certification stating that your septic has been ma nttain d morth st~be herein, as completed sand retu rned to p County Zoning Officer within 30 days of the three year expiration d by the Wisconsin DNR. the ate St. Croix ate. SIGNED: ` DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11193 S T C 100 'I'h i s pplicitiOn form is to be completed in ful the ol;!l1er(s) of the 1 and signed b' will only result he delays being developed. development AnY inadequacies be intended permit is,, House) ended for resale b `'uance. Should this then a second form should be by owneracontractor ( OPPr the 1 i° atetY is sold and submitted r to ined and Completed when -__-_Priate deed-recording. this office with the owner of property •`ca `----i-------------------------------1110 Location of propert Y5_q) l/4 -SCA) 1/4,, section-'--1-3 2 - .Township ~ T_LN R-Y?_W , Mailing address Address of site o subdivision name ~Sw~ lfcr~'. ~p Other homes on Lot no. s property? -----___Y a No Previous owner of property Total size of parcel y . 3 8 c-t-s3 Date parcel was created Are all corners and lot lines identi;t:iable? t Is thin Property-being deve -____--_Y e s -_N o loped or Volume ~,/S (spea house)?_ Yes I of Deeds. and Page Number N. as recorded. with the Register A t9 IidCLUDE WITH THIS _ ~it(tIV17'X DLLD wliIT includePLICATION THE roLLOWING: 1(UttU1;lZ F. 'THE SEAL a DOCUMENT ccrtiLiecl L Or THE IZCGISTLlt O NU2iNER, VOLU}SE AND PA GP de t survey, if available-, ;would be DEEDS. In addition, a delays of the reviewing reCerencaa to a cortiPia process. helpful so as to avoid shall also d serve If the deed description be required. Y Map,, the certified survey Nap PROP.GIZTY OWNER CERTIFICATION z(~,c) certify that best of m all statements the property described ( we) am true to the warranty deed in this information form, by virtue as Document no. office of the Count of ')'.'r' the proposed site , and that y Register of ')'.'r' I obtained for the sewage disposal system presently r~ all easement, to run the above described or I (fo tl for recorded of said system, and the same has Y~ of County Register of deeds been duly as Document Sight tune o✓ pl ca17t r CO`aPPI cant Date of Signature Date of s gnature'`-" K I ; Ali DOCUMENT NO. i WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA t STATE BAR OF WISCONSIN FORM 2-1982 ' 525971 VOL .~~.11Pa,i454 REGISTER'S t ~ Dwayne- Thomas.-$urnlood and. Marysue-.)3urmoDd,..Husband.and and.. ST. CROIX CU., Rec'dtorRaco;d Wife, and-.eaC.h_ in-.his..or_.her. own..iright - . ' E B 15 1996 - - . and warrants to Michael. L.- - Dado and. Diane ..M,..Dado conveys F Husband- and-Wife,-. holding-.as.-Survivorship- Marital.--....... y9:30 A. M l Property.... . ~1~ ' ~ • _ S R inter of Deeds J . RETURN TO- , • . - . . the followin1. • described real estate in S.t...CsDix ..................County, _ I,'' ► State of Wisconsin: Tax Parcel No: ri l Lot Five (5) of Certified Survey Map in Volume Ten (10) of Certified Survey Maps, Page 2856, as Document Number 524421, filed in St.Croix County Register of Deeds office on december 19, 1994, formerly !I being part of Lot One (1) of Certified Survey Map in Volume Seven (7) of (Certified Maps, Page 2017, being located in the Southwest Quarter of the Southwest Quarter (SW} of SW}) of Section Thirty-Three (33), Township ' Twenty-Eight (28) North, Range Nineteen (19) West, Township of Troy. ~I Subject to any and all easements, rights-of-way, conveyances, ordinances j or restrictions of record. **The Grantors herein state that Dwayne Thomas Burmood is also known as Tom Burmood, n: also known as D.T. Burmood, and also known as Dwayne T. Burmood. Further , Grantors state the Marysue Burmood is also known as Sue Burmood. These statements are made R p for the purpose of clearing title as the Grantors are aware that there are variances of their names in the title to the property described herein. I. i ' TRANSFEh l f FEF~ ' is not This homestead property. •?''s, (is) (is not ' Exception to warranties: Easements, restrictions, and rights-of-way of record _I j Dried this ./O......... day of February - 19- 95. r, .1~/Gt/~OtMna. /Gt~xw _ . - (SEAL) / (SEAL) T. Dwayne_.Thomas_.BurmDo - - - • ~I (SEAL) 'f.'/'2"1r Lh?~ ....(SEAL) ~ I Marysue Burmood ' - - 'T AUTHENTICATION ACKNOWLEDGMENT i Signature(s) _ of Dwayne Thomas Bur........................... oonSTATE OF WISCONSIN Burmoo ss. x K _ t- IF ~~yg r --------•__-.-___.--County. :l- auth d this ~V.__day f._.February 1995-_ Personally came before me this ................day of l 19...._._. the above named • $ a Leo A. Beskar i TITLE: MEMBER STATE BAR OF WISCONSIN (If not, j authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the i foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY 't- y ( Leo__A,__B~_ska-r_,--At_grney_ . . I~ Wit, Beskar Boles & Kruegir, S.C ' - - - - - N.6--Main- t.._____RiveL. Fa s._.WL_~4022_ Notary Public . ..County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: 19_..... P i • 'Names of persons signing in any capacity should be typed or printed below their signatures. SUAILRANTY DEED STATE BAR OF WISCONSIN Wisconsin Leoal Blank Co.. Inc. FORM No. 2 - 1B82 Milwaukee.'Nis-zonsln I ~C? fir". ~F s~ p roc ~ - /~n1 'ISO g~,., ~ ST'j~G'r Qu ~''R6e nrG,c~ NY, f:D N, x IM W, t 14 136v F~~a GOPIL IM4 7-p1vfHµ7"iac - ~ ` a Of so ~ ~ s FILED 9 DFr 1 9 1994• 0 JAMES O'CONNELi Register of Deeds SL Croix Co., WI 524421 ti LOT 1 OF THE CERTIFIED SURVYIMAP RECORDED IN VOLUMEP7 OF CERTIFIED SURVEY MAPS, PAGE 2017, LOCATED IN THE SWa OF THE SWk OF SECTION 33, T28N, R19W, TOWNSHIP OF TROY, ST-CROIX COUNTY, WISCONSIN. Prepared for: W 1/4 COR. SEC.33. Tom and Sue Burmood COUNTY MONUMENT in v FOUND). N N UNPLATTED LANDS o - NORTH LINE SW-SW "r N89°37'30"E 358.05' _ - - / i co , I l I vl w \ , x L- 0" T 5 co 6.38 ACRES -,o 40 - M ( 277, 724 SQ.FT•) LLD 2 N tti N ~ ~ \ 6 1 :r 1. r o• , Z 3 " S 37°25'33"E •s t9C~Gi 180.00 ' t I W. ° N89°3730"E 434.68 7 Q' ~O J a, B \ Z z LOT 6 Q z 00 6.81 ACRES 'n (296, 739 SQ.FT.1 I ap M 41 M M j in a 100' M ro WO BUILDING I w W C.E?T.iF.i.FO SURVEY M.AP 1A co SETBACK Ip . in crti N0 ! da VOL. 6, P13,11800 '800 . • . . O 2 I t(1 ti 0° 0 0 C cn „ I z 200.06 ' 213.68 66. 91941 S88 00 4o w S8s 26 4o W 2 s.s a n u in in -T H. . M . S89026'40W _.ili',.""•;Ij': R};~,(•.„n la -„1 156.14' NOTE:Bearings are referenced to the West line of the SW a . ( Record C;c,mrhi: ' bearing.) ^ E T I "X 24 " IRON PIPE WEIGHING h•."1 it :yyoenuu r y',a0' t ;qy ,uc1,.ltYE}1,,;13 LBS. PER LINEAR FOOT. ~J +•iL'r'~s:;( la w " IRON PIPE FOUND. bi 7 Jlt,MI -5` M. ~t'ra S- 804 SCALE I 2 00 ' v (SPRING1VALLEY V ri,i WIS. I+) 0 ' 100' 200, 400' ' y e~+'u •'v ~ i~':y F.4''1E'r'~d SHEET OF3 JAMES t. WEER -18 94-II THIS INSTRUMENT DRAFTEO BY, J. WEBER. &QrED_ VOLUME 10 PAGE 2856 I ' t - C1=.RT.I 11='.I~ StJRV1EY 1'VIAp LOCATED IN THE SWI/4 OF THE SW 1/4 OF SECTION 33, T28N, R19W, TOWNSHIP OF TROY, ST.CROIX QOtJNTY, WISCONSIN. (=U \7 B L .4TA TASLB NO. RADIUS CENT ANG1,E ARC CHORD CH BEARING. 1-2 80.00 106005'06" 148.12' 127.85' S74023'11"E 2-3 650.00' 20022'52" 231.22' 230.00' S11009'12"E 4-5 584.00' 10016'52" 104.79' 104,65' N06006' 12"W 5-6 20.00' 91037'40" 31.98' 28.68' N57003'28"W 6-1 80.00' 1550?6'34" 217.04' 156.34' N25009'01"W 6-7 80.00' 102052'06" 143.63' 125.10' N51026'15"W 7-1 80.00' 52034'28" 73.41' 70.86' N26017'02"E 6-2 80.00' 26103,1'40" 365.16' 121.19' N27053'32"E TANGENT BEARINGS AT 1=N52034'16"E AT 2=521020'38"E AT 3=SO057'46"E AT 4=N0057'46"W AT 5=N11014'38"W AT.6=577007'42"W DI✓ S G'R I PT I O1 T Lot 1 of the Certified Survey Map recorded in Volume 7 of Certified Survey Maps, Page 2017, located In the SW 1/4 of the SW 1/4 of Section 33, T28N, R19W,.Township of Troy, St.Croix County, Wisconsin, more fully described as follows: Commencing at the SW corner of said Section 33: Thence N0022'58"W along the West line of the SW 1/4 a distance of 45.00' to a point on the northerly right-of-way line of C.T.H. "M", said point also being the POINT OF BEGINNING: Thence continuing N0022'58"W along said line a distance of 1282.41' to the NW corner of said SW 1/4 of the SW 1/4; Thence N89037'30"E Along the North line of said SW 1/4 of the SW 1/4 a distance of 358.05'; Thence S0022'58"E 531.65'; Thence S37025'33"E 180.00'; Thence easterly and southeasterly 148.12' along the arc of a 80.00' radius curve concave southwesterly whose long chord bears S74023'11"E 127.85'; Thence southerly 231.22' along the arc of a 650.00' radius curve concave westerly whose long chord bears S11009'12"E 230.00'; Thence S0.057'46"E 338.95' to a point on the northerly right-of-way line of C.T.H. "M"; Thence 589026'40"W along said right-of-way line 279.68'; Thence S88000'40"W along said right-of-way line 200.06' Thence S89026'40"W 156.14' to the POINT OF BEGINNING, Contains 14:40 acres subject to any and all easements, right-of-wa or conveyances of record. t,Aota~~""Pliv C ,~/~~so JAMES M. WEBER S - 1804 SHEET 2 OF 3 SPRING VALLEY ! 94-11 This instrument drafted by Jim Weber r WAS' r VOLUME 10 PAGE 2856 S~,y .~,.,.y(} e .,"*Ip dS ; Ri ; e C>✓R.T I 1✓' I P.» SL.IF2V )i✓Y MAP LOCATED IN THE SW1/4 OF THE SW 1/4 OF SECTION 33, T28N, R19W, TCkVNSHIP OF TROY, ST.CROIX OaNrY, WISCONSIN. SLJRV~YOF'~ ' S C)E)4~T I F I (ZATIE I, James M. Weber registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County and Township of Troy subdivision Ordinances and under the direction of Tom and Sue Burmood, owners, I have surveyed, divided and mapped the above described parcel of land and that this map is a correct representation of the~b4q~~y thereof. +1>~~% 9A 0 Dated this k"~day of Mp!;~ , 1994. JAMES M. y WEBER S • 1804 James M. Weber S-1804 SPRING VALLEY NELSEN-WEBER LAND SURVEYING Wis. Act t 4 OWNER'S We CERTIFICATE hereby O ce~fyAthat As we have caused the land desftyofltft I~~Rn this Certified Survey Map to be surveyed, divided, mapped and dedicated as represented on the Certified Survey Map. We also certify that this map is required by Chapter 18 of the St.Croix County Subdivision Ordinance and by the St.Croix County Planning and Development Corrittee and by the Township of Troy. - - Persona ly came before me this day of 1994, Wk DAVID A. GILLES Notary Public ataryPublic-Slate of Wisconsin My Commission Expires May 18,1091 THIS CERTTFI D SURVEY MAP IS HEREBY~APPROVED BY THE TOWN OF TROY THIS _day of 1994. NOTICE: The parcels shown on this map are subject to State, County and Town laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any parcel, contact the St.Croix County Zoning office and the appropriate Town Board for advice. SHEET 3 OF 3 94-11 This instrument drafted by Jim Weber VOLUME 10 PAGE 2856