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HomeMy WebLinkAbout032-2018-90-100 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER z ADDRESS Is~A-iXeSX1- 14 SUBDIVISION / CSM# LOT SECTION TAN-R_26 W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM G~ L-A 6 l~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form- / Provide.2 dimensions to center of septic tank manhole cover. BENCHMARK: 'l ~N ~•aT~a• Toc~ 1(~D.l~ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: h2zfd:~ Liquid Capacity: Setback from: Well House-y Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length /-9,-Number of trenches Distance & Direction to nearest prop. line: LL)~- Setback from: well:JE~~ House _Z~ Other ELEVATIONS Building Sewer ST Inlet: 1&.87 ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system gQ, Q Existing Grade Final grade 9s,Z DATE OF INSTALLATION: PLUMBER ON JOB: ` LICENSE NUMBER: INSPECTOR: 3/93:jt i I'~ Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labortind Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: 21 Aas,6 Pef1IlLt 8 er's WL ❑ City ❑ Village R Town of: State Plan ID No.: CST BM Elev.: W Insp. BM Elev.: BM Description: ~5 Parcel Tax No.: 0 6D, "s /j 67ZXZ111 71 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark .3,10' /60,00' Dosi n I r✓(~ Aeration Bldg. Sewer Holding St/ Inlet 87 TA TBACK INFORMATION St/#f Outlet S~ Vent TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Septic a ~2NA Dt Bottom Dosing NA Header: Aeration A Dist. Pipe 9,7 Holding Bot. System PUMP/ INFORMATION Final Grade M a n u f u mand -(c%o or ,T. Ma r~~ D ~~S ~ a /w~ Model Number GP TDH Lift I Frictio stem TDH Loss Forcemain Len Dia. Dist. To Well I F SOIL AB-S RPTION SYSTEM BED / TRENCH Width Length . No. Of T enches PIT its inside Dia. Liquid Depth DIMENSIONS /C11 o~r DI ENSI N SYSTEM TO P/ L BLD WELL LAKE / STREAM LEACHING Per: SETBACK INFORMATION Type O p i CHA Model Number: System: UNIT DISTRIBUTION SYSTEM Header/ Manifold Distribution Pipe(s) , x_ le Size x Hole Spacing Vent To Air Intake Length ~ Dia. Length ~ Dia. Spacing ( SOIL COVER x Pressure Systems Only xx Mound Or At-Grade System Depth Over Depth Over, xx Depth-OL x Seeded / Sodded xx Bed /Trench Center Bed /Trench Edges ~'7 Topsoil ❑ Yes E] No ❑ Yes E] No ? COMMENTS: (Include code discrepancies, persons present, etc.)~~s .84 LOCATION: Somereet.5.30.19W, NE, NW, Lot 2, 180th,,Ayenue fw, Plan revision required? ❑ Yes [B-tdo- Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No SANITARY PERMIT APPLICATION ■r+ COUNTY v'~~-nR In accord with ILHR 83.05, Wis. Adm. Code STATE SANJ TA Y PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than of j g g5(0 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPS WNER - PROPERTY LOCATION AIE 'S T& ,N,R ,C1(or PROPERTY OWNER'S MAILI G ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER )T ~ Ilf E3 ITY VILLAGE • NEAREST ROAD IL TYPE OF BUILDING: (Check one) F1 State owned 82 TOWN ❑ Public 21 or 2 Fam. Dwelling- # of bedrooms -s PARCEL TAX NUMB (S) 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo C~ 20 Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. X New 2. ❑ Replacement 3.E1 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 M Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ 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./)rich) ELEVATION aC Feet Feet VII. TANK CAPACITY Site in allons Total It of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank _Z6~ A F] - F1 El F1 Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installs n of the onsite sewage system shown on the attached plans. Plumbe s Nam (Pr' Plumbe 's S' n r o s) MP/MPRSW No.: Business Phone Number: 9 622 tuber's Addre (Street, City, State, Zip Code): IX. COUNTY DEPARTMENT USE ONLY ❑ Disapproved Sanit Permit Fee (includes Groundwater ate Issued Issuing Agent Signature (No Stamps) *Approved ❑ Owner Given Initial Xi~ Surcharge Fee) 5~ Adverse Determination 9 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399),to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one 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 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil 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. SBD-6398 (R.11/88) . ~h~,trs.e ~ 1~1' S~~-s~ Txo~seo XZA~ F- ie G Ar ~s yd~ 6 ' j~l 98 PAC, C or °t A D teen • Ite111, Alt Was AAII O~~uwtloll PIPS M eviod vest Cq • MWww•Yd4P.D•c0 i•, ' ' !l• d• a i. • M' i0• •i• Ak•v Ile C••1 4M ' WM IMr qr h•rMrk C••aln• . . . 1r4 • •'7 : r .r . O.w ►y#K•t•1• 01•pl••1{L ' Atir•t•1. • • ••M•1s II►• • PNt«•r•• Pipe Y•1•v ° 0.11•, 01 it•1•w • Pro* pus cD Ptn.-l 9ro,41. 6011. FILL ©IP C APPRO'lCG S`O`Ipic-rIC COVC -!'IATf=R1~l STRAW 2" OF nGGR>rGl1'TE OR 10 OF 01l MAR>.1. N.^y etG,°0OR L Lr1t AGG(ICGI~TC ~I ~~~j ELEV. oF OISY'RIAUT10w ►IPC,TV BC AT 4¢A><T IUCHE3 BCLOW ORiGIIJAI, •.K~oE AUU AT. LENSTLO IWCH[L OUT 1.10 MOr%C THAW 42, IWCI{CS CCLOW rWAL 1•VlXMti DEPKVi OF CXE/IVATIOP FKoM OR16WA,L 6RAK WILt• el: _ IIJCHES 1'UNirlvly OCFTIi OF EACAVAT1O7.1 ~F~OA~e 04kiOIJA. _ GRA9F- WILL BC INCHCS r • i 1 LICCUSC UUMOCIi: •DAtTC: t Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _L of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 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 PROPER OWNER: PROPERTY LOCATION GOVT. LOT 1/4 ; 1/4,S T 5-?~j N f X(oCW) PROPERTY OWNER':S MAILING ADD ESS LOT # BLOC # SUBD. NAME OR CSM # CITY STATE ZIP CODE PHONE NUMBER EICITY ❑VILLAGE OWN NEAREST ROAD A-1 7L p(] New Construction Use [)(J Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate _,_3 bed, gpd/ft2__,!~~_trench, gpd/ft2 Absorption area required ./-<no bed, ft2 &2,~ trench, ft2 Maximum design loading rate _bed, gpd/ft2_,y trench, gpd/ft2 Recommended infiltration surface elevation(s) 9,0- ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ® S ❑ U ®S ❑ U ❑ S ❑ U WS ❑ U ❑ S ~ U ❑ S RILI SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Co t. Color Gr. Sz. Sh. Bed Trench l / Z Ground /7 !AJ elev. _ ft. Depth to limiting factor Remarks: Boring # / Ground elev. Ez ft. Depth to limiting factor Remarks: CST Name:-Please Print Phone: Address: Signature: Date: CST Number v - - PROPERTY OWNER gul SOIL DESCRIPTION REPORT PageZ2 of PARCEL I.D. # Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench pt z}vv. uvti{ \ti Ground - elev. ~L ft. Depth to limiting factor Remarks: Boring # 'A z/7 , Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # i 424 a ~j 5- Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 7'e 4 7T i ~j o d~ aa~' /Dy X70' ts''a t STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OW1vF.RBUYER _ _ Carl V- , ' Z&rC-k MAILING ADDRESS 5-6 5 l <?G GEC PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION / r 1/4, 1/4, Section s , TAN-R_ _W c~ TOWN OF 01 Q ¢ ST. CROIX COUNTY, WI SUBDIVISION , LOT NUMBER_ CERTIFIEDSURVEY MAP _ VOLUME , PAGE LOT NUMBER _ Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: ~a cc~C r AA DATE: 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 - )oa,14,1 (f_ of j?e Z 4&'eck Location of property/1/1-1/4 ItI&II Section 5 T J3d N-R ! y W Township <Z~5- 'Lz-1-t& Mailing address Address of site Subdivision name - Lot no. Other homes on property? Yes r/ No Previous owner of property Total size of property Total size of parcel '2 <a C~ Y'C, S Date parcel was created ~ 9 t t 2 5 Are all corners and lot lines identifiable? c. Yes No Is this property being developed for (spec house) ? Yes No Volume L, and Page Number 7G 5 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of .Deeds as Document No.>J S'- , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. 7 A. a AN G~ Signature of Applicant Co-Applicant J Date of Signa ure Date of Signature Ft~.~~ 2 i1 AY 2 5 1994 JAMES O'GONNELL 3 Regism! of Deol's 5JL 7035 ti S.OOUCo., ~ CERTIFIED SURVEY MAP Located in part of the NE4 of the NWha of section 5, T30N, R19W, Town of Somerset, St. Croix County, Wisconsin. OWNER Paul E Connie Burch 505 180th Avenue Somerset, Wi. 54025 R A 1 LR CALr) PRC),P ~r W North line of the NW} W N} Corner - -AVENUE 180TH o51 03~'W W 466.70' - AV Section 5 S87051103"W S87 3 300.00, 166.69' 2215.19' v, S88°55'58 "W 466.69' co Ln NW Corner w Section 5 Garage !n ® F_' rt 1(!) Z p House o ID I~ w ( If- I~- \,_N Deck o Ir- -r, > C; Oil- I --1 rn 4' 4- W v 4- I--~ tq r LOT I Zn 4C I~ Im jo Cr. w I~ 3.06 Acres Including R/W N I> f_ 133,335 Sq. Ft. ID w I Z w 3.00 Acres Excluding R/W G' IC7 w 130,724 Sq. Ft. APPROVED co MAY 2 5 '94 N N rt ST. CROIX COUNTY - C 1 300.00' rya ftgnnir - - N88°55'5811E Z am Fat 5 ewhtfAfe a a rt MATCH LINE tt rlat recorded a (See Sheet 2) witli{FI 30 dalyS 6f AT approval data jr rn = approvat #had 1b6 d LEGEND H C ' q 7 t ~`1 t9 Aluminum County Section a C° Monument Found v- T rt m E• ti 2" Iron Pipe Found d ~ • 1" Iron Pipe Found O 111 x 24" Iron Pipe Set, weighing N 4a 1.68 lbs. per linear foot . , ° O 0 Cf. \2~J 100' Roadway Setback Line C ® Well o Septic SCALE IN FEET SHEET 1 of 2 SHEETS 100 50 0 100 200 VOLUME 10 PAGE 2763 , £9LZ HOW 01 SWII'IOA I •90tnpE 20; papog uMoL ageTadoidde pup aoi;30 buzuoZ Xquno0 xioao •4s aqj 40BIu00 Igo-apd Xur butdoianap .zo buispgojnd ajolag• •(•049 'Iaoasd oq ssaooe 'azTs 401 wnwiuiw 'spue149M '•a•t) suOTIVInbaa pup saina 'sMei digsuMOL pup dquno0 'agegs oq 4oaCgns ST dew stgq uO uMOgs Iaozpd uoeS •awps buTddew pus buTdaAins UT xTOIO •4s go dquno0 aqq 3O 9auputp20 uozsiATpgns pupq aqq pus sagn,4e4S.uTsuoosTM eqq go i!£'9£Z aa4deg0 go suor.sTAOid quaiino aq4 g4TM paTidwoo XIin; aAeq 14eg4 IpagTjosep pue paX@Aans Xaepunoq aoia94x9 9q4 3.0 aieos 04 uoT4equ9saadaa g0a2100 e sz dew A9Aans pai;Tgaa0 szg4- qeq-4 ~JTgjao Osie I •plooaa go s4u6waspa TIP pup (anU9A'd T4'408-C) peoI UM04 aOj deM-3o-4gbTa 04 goaCgns sT Iaaaed pagTaosap anogv utuur aq Jo 4uTo aqq oq 49aJ 8Z'££6 'auTl gsea piss buoie 'M„90,TEoTON aauag4 :uot4o9s pass go V/TMN 9q4 go auii 4se9 aqq 01 4993 OL'99t, '2„£O,T5oL8N 90u9144 '4a93 8Z'EE6 '3„90,TCoTOS 9au9g4 :}aa; 0L'99V 'uOi409s piss ;o V/TMN 6144 go auTI T442OU aql buoip 'M„£0,T9oL8S a0u9g4 'S uOT406S go .29u.200 V/TN aql -.p u~rbGW : sMo I io; se pagTaosap a9Tq,4 zn;, :uTsuoosTM '4quno0 xtoa0 •qS 'gasaetuos go uMOy 'M6TU 'NOEL 'S u0140aS 10 t/TMN 9q4 3o V/TSN aq4 uz p94pooi puss go Iaaaed j :sMoiiog se pagTaosap si paddpw pup paXaAans Iaoaed puei aq4 go 4aepunoq joTia4x9 aqq 4eg4 :dew AaAans paT;Tgaa0 stg4 Xq pa4uasaadaa ST goTgM Iaoaed pupl aqq paddew pup pagTaosap 'paXaAans aAeu I 'going aiuuOO pue Ined ;o UOT4092Tp 9144 dq gpgq 'XjT4a9o ,Cgazaq 'IOX@Ajns pueZ uisuoosZM paaagstbal 'uabegAN •0 ually 'I SLfi0I3I L2I~0 S , 2IO~~A2If1S CERTIFIED SURVEY MAP Located in part of the NE4 of the NWh of Section 5, T30N, R19W Town of Somerset, St. Croix County, Wisconsin. OWNER r ax J Ww~ v~ Paul E Connie Burch J LEN C-l 505 180th Avenue' Somerset, Wi. 54025 ,j7 f 14 MATCH LINE' v{ der (See Sheet 1) NO 1w."J''11%` 300.00' _ N8805515811E I o m N V O, O F " r+ I I Co IL O 0 o LOT 2 IL If- w - I1 o w IIv Ir ° LO APPROVED C* I--{ (n ;0 6.94 Acres Including R/W I> Ifs ~j 302,200 Sq. Ft. IC) NAB' 2 5 '941 6.89 Acres Excluding R/W ICJ IF- 300,016 Sq. Ft. s iy w w ~ ST. CROlX COUNTY N ~ I~ I I co C7 w ' .im shensiVe PtdMk 17 N zonifto OM 0o Fa:s:s Co"tteo I(I If not FiZ6Wbd wathio 30 days of apovall data spptbval shall bo N ntA i1 VbW N N87051'03"E 466.70' rt a I 7 (j1 7 W rr o m obi `,a I'4 I In d s r• utiPLaTTI ~ LativS y a + `y, m m cr ~c Cr -ti m j,~Y1 ttclwi}~ w o y rr ro Cr S -h 1--' 't"Jy lL7 2 A VIS. 0 o co CD oi, n Q- +Lmri 4, 1!nA r So tlJ ` O fY rr 621006% *44 r SCALE IN FEET N 01 MM" SHEET 2 of 2 SHEETS 100 50 0 100 200 , D A /_F 7 7( Z DOCUMENT NO. BOOK 454 PAcE162 li WARRANTY DEED STATE OF WISCONSIN -FORM 9 +i 9-7 THIS SPACE RESERVED FOR RECORDING DATA . THIS IMENTURE Made b Albert A . Parnell and y _ - - - REGISTERS OFFICE Gertrude Parnell husband and wife ST. CROIX CO., WIS. . grantor»s - - _ _ - County, Wisconsin, Recd for Record this__$th _ pawl C Burch and Au st A.D.1969 hereb6 cone s EB and warraurcah ncts to...------us5ia --_---l . , a nd ---w as---»_-------•-------- day of_____~? e__ ir onniY .........1 o i n t tenants...... Z.....h._ t- - - at--- -+I4----- E M. ~ - Reg s r f Ds S. of St . Croix County Wisconsin for the sum of and 0th r Good and RETURN TO Valuable Consideration St. Croix the following tract of land in_......_...»...»_...---- _...----•_--.County, Wisconsin: - A parcel of land located in the East One-half (E2) of the Northeast Quarter of the Northwest Quarter (NEJ NWJ) of Section Five (5), Township Thirty (30) North, Range Nineteen (19) West, described as follows: !i Commencing at the Northeast corner thereof, and proceed south to a point of beginning located one hundred twenty-five (125) feet South of the center line of the main track of the Wisconsin Central Railway Company, thence Westerly and parallel with the center line of said railway track 466.7 feet, thence south 933,28 feet, thence Easterly and parallel with the center line of said railway track 466,7 feet, thence North 933.28 feet to point of beginning, said parcel containing approximately ten (10) acres. c, J j Grantors to pay 1969 real estate taxes. I, I i I' I I s 5't IngWitness Whereof, t}e said grantor .__S ha-_Ve.. hereuntc~et........,their h s•- and seal....._ this day of...- ulau.._ A. D., 19........... /17 ....f- _ (SEAL) BIGNED AND SEAT D IN PRESENON OF Albert A. Parnell ~Y~ 41 ......(SEAL) -11~ Gertrude Parnell I Shiri-e UJC_ a o n I _.-(SEAL) ST. CROIX COUNTY WISCONSIN - ti ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER """q°""- Road 1101 Carmichael ~ - - Hudson, WI 540 1 6-771 0 (715) 386-4680 July 27, 1994 Hartman Homes P.O. Box 326 Somerset, Wisconsin 54025 ATTN: Becky RE: septic Inspection for Paul Burch Dear Becky: An inspection of the septic system for Paul Burch's property was conducted on July 11, 1994. This property is located in the NE', of the NW-4 of Section 5, T30N-R19W, Town of Somerset, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions with regard to the above, please do not hesitate in contacting our office. cerely, .dimes K. Thompson Assistant Zoning Administrator mz