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HomeMy WebLinkAbout182-1017-50-100 County: St. Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM c°u" Safety and Building Division INSPECTION REPORT Sanitary Permit No: 556331 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Parcel Tax No: Permit Holder's Name: City X Village Township 182.1017-50-100 Volkert, Brent A. Villa e of Star Prairie Section(rown/Range/Map No: CST BM Elev: Insp~ABM Ele A BM D-sction: 01.31.18. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r Septic - 0 , Benchmark Z , 3 6 W • I`4 on, S i DeSMT d ~o ►Z Z~ Alt. BM w o. o 1,6z, / 4 Aeration Bldg. Sewer 160 3 Holding St/Ht Inlet 5 y 7, 9 5 St/Ht Outlet q ~ , TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Vent to Air Intake ROAD DtInlet Septic Dt Bottom ca Dosing Header/Man. 723 94 "71 - Z Aeration Dist. Pipe 4 Holding Bot. System N 5 q i.(.4 Final Grade r^ 67 PUMP/SIPHON INFORMATION 7 q .r' Manufacturer Demand St Cover GPM 3 y9 Model plrbet"° .a H Lift Friction Loss System Headq_, TDH Ft Forcemain Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1~21 SETBACK SYSTEM TO P/L BLDG WELL ]LAKE/STREAM CHLEACHING AMBER OR Manufacturer: ~n 1p, INFORMATION Type Of System: II ~ UNIT Model Number: Q C>OhJvwh G~/l~ A14- DISTRIBUTION S~e..+.~ / AJ S DISTRIBUTION SYSTEM / 5 / 5 +c-/ S = 1-15 Aad4~S(v ,~n to IAir Intake Header/M#nifoldf IDistribution X Hole Size x Hole Spacing IVe Pipe(s) 1 / ~I/I , Spacing LengthQ ~lK Dia Length Dia E SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of,, ; xx Seeded/S dded xx Mulched / Topsoil. s No Yes ~ No Bedrrrench Center Bed/Trench Edges r COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: Cty. Rd. M Star Pr i - WI 54026 (NE 1/4 SW 1/4 1 T31N R1 8W) NA Lot 1 Parcel No: 01.31.//18. 1.) Alt BM Description = / v~ L) it 2.) Bldg sewer length = 3-7 - amount of cover = P / SC w° 1 Plan revision Required? ❑ Yes No I B w y Use other side for additional information. Date Insepcto(6 Signa a Cert. No. SBD-6710 (R.3/97) ap 0 1 c~. M. 00 ti r-Y4 t~ n .Z off' ar"~vr County Safety and Buildings Division S ti Os K 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 Sanitary Permit Appl* State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this appropriate governmental unit a / i is required prior to obtaining a sanitary permit. Note: Application forms for state-own e S are submitted to Project Addre s (if different than mailing add ~Rs ) the Department of Safety and Professional Servies. Personal information you pr sed for secondary t purposes in accordance with the Privacy Law, s. 15.04(1)(m , Slats. • I. Application Information - Please Print All Information Property Owner's Name ; \J L'V Parcel # e137'r U S~- Kyt;u" : ~2 - /7 Property Owner's Mailing Address Property Location t~ ~L= '0 City, State r Zip Code Phonemb ,y Govt. Lot i/4 1 Section 7l,-114'90 1'6911(- T N; R lrcle one LEor~ II. Type of Building (check all that apply) ~ Lot # Q,1 oor 2 Fami Dwelling -Number of drooms / Subdivision Name +r Block # ❑ Public/Commercial - Describe Use ❑ City of El State Owned -Describe Use CSM Number Village of /~-r,,AAJIIE_. ❑ Town of III. of Check only one box on line A. Complete line B if applicable) A New System ❑ Replacement S stem ❑ Treatment/Holdin Tank Re lacement Onl ❑ Other Modification to Existing System stem Y g p Y g Y (explain) ❑ Permit Transfer to New List Previous Permit Number and Date Issued B• ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber Before Expiration Owner IV. Type of POWTS Sys I tem/Comonent/Device: Check all that apply) 3'v'729 ~ T Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ P etreat ent Device (explain) 7L - V. Dispersal/Treat ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) Sy evation VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o ~2 11 New Tanks Existing Tanks Y ^ a`U v: Cn w0 P, Septic or Holding Tank /15 On p0 I Dosing Chamber it- ra VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS hown on the attached plans. Plumber's Name (Print) Plumb Sign re ~O/MPRS Number Business Phone Number Y -ah 1) ~s7 7~s-6a Plumb enAddress s (Street, City, State, Zip Code) 1 960C L113 "k- VII County/Department Use Only Approved 11 Disapproved Permit Fee Date I sued suing Agenttgn re $ ❑ Owner Given Reason for Denial 1[X. Conditions of Approval/Reasons for Disapproval 01 SYSTEM OWNER: I Septic tank, effluent filter and G M - Si~ ~paiyz dispersal cell must all be serviced / maintained 2o plan provided by oJIC~ctn, / l" 0 /C ___1P as per iiirernentS must be maintained f ` rte. s dr Ica- 2. All setback-Eeq , , as per applicable CeXans for the system and subm't to the County only on paper o ess than 8 1 x 11 inches in siz SBD-6398 (R. 11/11) CONVENTIONAL` COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Owner's Name: Owner's Address: A b2-UT - Lt_1 ~~61 Legal Description: N~- UJ - J5 l - 73 U ~ County: 6T Subdivision Name: cs /41 - U~~ ate - ~ 5 a c,! Lot Number: Parcel ID Number: Page 1 Index and title Page 2 Plot Plan Page 3 System Sizing & Cross-Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenance Form Page 8 Warranty Deed Page 9 CSM or Plat ~j Attachments: Soil Test & House Plans Designer/Plumber: I6Xpp fV/ Y Ur,C(A efflLicense Number: p<p~ C~3-5-2 Date: f = - L2 Phone Number `~ls ?l d c~~ Signature X Designed pursuant to the In-Gr and Soil Absorptio Component Manual for POWTS Version 2.0 SBD-10705-P (N.01/01). Page 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~~~~o ~ ~ x ~ ~ ,C ~ Op O O ti ~ ~ ~ ~fl~ '''S O , ~1 ~ ~ ~ r ~ ~ Mix a ~ oo ~ cc~ ~ ~ e~ ~ ~ ~ ~ M ~-P~ z Absorption System Cross Section ~ 9y j t~ e his 4o Final Grade PVC Vent Pipe Vft Vent Cap Leaching ♦ l --3 Chamber 0,3 ~J _ ft System Elevation t►bon System Plan View ~D ft 3 ft ( ft Leaching Trench 1 Cumbers 4" Dia. Trench 2 Header Vent Car Observation Pipe Trench 3 LeaeWnu Chamber Specifications Manufacturer And Motel ~ TCL t f"`A 1-6 EISA Rating sq ftper, Chamber Soil Application Rate , S' gpd/sq ft gpd Design Flow+ S Soil Application Rate + 00 EISA = -Z, Chambers 3 rows of chambers each. Page 3 of 48" (EFFECTIVE LENGTH) 12" 11.2" 8" INVERT 8" INVERT _ 5.3" INVERT _ 33„ QUICK4 PLUS ALL-IN-ONE PERISCOPE (360'SWNEL ) f ' 12.7" INVERT 6" OUICK4 PLUS _ ALL-IN-ONE 12 N ENOCAP 9" -I QuIck4 Plus Standard Chamber Specifications 34" x 53" x 12" (86 cm x 135 cm x 31 ern.) Invert Height 0.61', 5.3", 8.01', } 7" a hl , 48" (122 cm) (1-5 cm 8.4 cm, 18.5 cm, 226 crn} E0 4 HiA H •*Yt~'(EMIS. INC. STANDARD LIMITED WARRANTY r "ry;, ..AJTABIIJ-IYi. INFILTRATOR ,y (j FSUIn (~~ith li.;,.r=i • I'I; I;c,, . d City Oi _r Sn"y( x)k. C! 0Gi Y, O u:,•., 01 r rS50.IJ %i'OO(() Fl1X bCiO 800.221.4436 Yr nhn• r V.3ir.im.- - n~Ihe www.i tfiltratorsystems.coni a~ O~ in $ ° o Big N LO O M CrJ ~t M O N M M L co co Co O 0 'i UT ITD= LC) l } Z O O co v a . w w Z C) X W w w z Z UUi W J ~ w z - 0- E! C.0 U w LL! Z cn .6 o ~ v X w o r O d J LL I- = i m IJ- U) Z W o v O = a C7 cL cn = m c cv C7 m =D Lo z I- J ® = ~ ~ W F m of, o OZD Lo IW- M = O C-6 O z LO N W 0- POWTS OWNER'S MANUAL & MANAGEMENT PLAN k1 liff ORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity IdC)n al 0 NA Permit #~,Lj tfj Septic Tank Manufacturer ❑ NA )WON PARAMETERS Effluent Filter Manufacturer 0 NA Number of Bedrooms 3 0 NA Effluent Filter Model - s 0 NA Number of Public Facility Units O NA Pump Tank Capacity al NA Estimated flow (average) 30C3 gal/day Pump Tank Manufacturer NA Design flow (peak), (Estimated x 1.5) S gal/day Pump Manufacturer NA Sop Application Rate al/da /ft2 Pump Model ANA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit IV NA Fats, Oil & Grease (FOG) 530 mg/L O Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BODO) 5220 mg/L C NA 0 Mechanical Aeration O Wetland Total Suspended Solids M) 5150 mg/L O Disinfection 0 Other: Pretreated Effluent Quality Monthly average Dispersal Cep(s) O NA Biochemical Oxygen Demand IBOQJ S30 rng/t. Vin-Ground (gravity) O In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L XNA 0 At-Grade 0 Mound Fecal Col'ifoma (geometric mean) 510 cfW100m1 0 Drip-Line 0 Other: Maximum Effluent Particle Size Ys in die. 0 NA Other: 0 NA Dther: 0 NA Other: 0 NA *Valnes typical for domestic wastewater and septic tank effluent. Other. 0 NA YUNTENANCE SCHEDULE Service Event SerAw Frequency El. mrutt'(s) (Maximum 3 yeses) 0 NA hspect condition of tank(s) At laser once every: a "ump out contents of tank(s) When combined sludge and scum equals one-third (Y3) of tank volume 0 NA aspect dispersal cell(s) At least once every: 0 month(s) (Maximum 3 years) 0 NA 0 month(s) :lean effluent fitter At least once every: f arts) 0 NA aspect pump, pump controls & alarm At least once every: month(s) kNA d ear(s) 0 month(s) :lush laterals and pressure test At least once every: D arts) NA 7ther: At least once eve 0 month(s) 0 NA D earls) )ther. 0 NA IAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cep(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent fitters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other e~eemicais that may Impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) In one large doss, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the fife of the POWTS: antibiotics; baby wipes; cigarette butts; condoms, cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain Isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications, oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken ,of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with ctapar Comm 53.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disoonnac and'the abandoned pipe openings sealed. • The contents of all tanks and pits shah be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shaft bs excavated and removed or their covers removed and the void space felled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the PO S fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant repl nt system: A suitable replacernent area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement aroe should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot fines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that *no. A suitable replacement area is not available due to setback and/or soil limitations.. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. !y/~' slue ' ingiank e a~ '~RDiI(8 TT~► 4~bi2- A/ CcNS7RU~ DN C3 Mound and at-grade soil absorption systems may be reconstructed in place folbwing removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Ytf/illtVVi► ♦c.a~ raa. ~ry*t7~ ST. CR4DLfi COUNTY .SWW, TAM M U4TZ✓NANCE AGREEMENT AND O EL W CERTIFICATION FORM Owner/Buyer / a0 TA - rLus G~ Mailing Address / 5 Property Addr,;ss - t for renew construction) Wersfucatiaas required from Plowing & City/State j A a4 Ls~.. ar :l'Idcnt` cation Nturlbcr LEGAL DES~~4N U O r property Local ion SU.4,14 . Sec. T .~N R-/ LW ,Lot# Subdivision Plat: ~o a 3 Volume , Page # So Certified Surrey Map # 37 (before 2007)Volume , Page Warranty Deed # spec house n yes Kno Lot lines identiftabk)Yy"s tJ no SYSTEM MA. LrNANCE ANU OWNER CERTIFICATION improper use and maimenaaeeof your septic system could result in its Pre=true failure to handle wastes. P sou put intp maintenance con-149a of pumping out the septic tank copy tttr yew saOr1ef, if needed, by a licatstcd pumps the system can affect the function of tk L septic tank as a treament stage in the waste disposal system. Owner mainteaance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The proV" owner agrees to submit to St_ Croix County Planning & Zoning Department a certification form, signed by the owner and by a tram plun*er, journeyman phimber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater di,"sal system is in proper operating condition andfor (2) rafter inspection and pumping (if necessary). the septic tank is less than 1 /3 fait v)f sludge. t/we, the undersigned have read the above mquircittents and &Woe to maintain the private sewage disposal system with the standards set €ordi, herein, as set by the Department of Commerce and the Department of Natural Resources, State of W isconsim Certification stating that your septic system has been "intained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. 1/we cerii€y that all statettaents on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property describes above, by virrue of a warranty cued recorded in Register of Deeds Office. Nut of be rooms ' SIGNgR RE OF APPLICANT(S) l7ATE "'Any informal ion that is misrepresented may result in the sanitary permit being revoked by the Plaa ug & Zoning Deputment. Include with this application it recorded warranty decd from the Register of Deeds Office and a copy of time certifsud survey map it reference is nude is die wan•anty iced. (REV . 08/05) Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings page of dance with Comm r~tdm. Code Attach complete site plan on V'ress n $ 1/2 x 11 size County 11 include, but not limited to: vert nd zontal reference t (B). PI a~tlt percent slope, scale or dimens s, north arrow, and location and di apconearestir~Oad, parcel I.D. y Dr 7 Q-160 Please Print all information!SP ~c awl iewed b -1t Date Personal information you provide may be used for secondary purposes (R6va~VaEp~s. 15.04 (1) (m)). PropertyONmer Property Locationsc Govt. Lot L 1/4 yC,, (~4 S 1 T,3 1 N R V E (ow Property Owner's Mailing A d ss Lot # Block # Subd. Name or CSM# C;~1! \,j State Zip Code Phone Number A ❑ City JR Village ❑ Town Ne st Road r ► Co. New Construction Use:'A Residential / Number of bedrooms C Code derived design flow rate J El ❑ Replacement ❑ Public or commercial - Describe: Parent material 10 C ; ir"j J V -1 ~.a Flond Plain elevation if applicable General comments - - 1 ft, and recommendation s r`C hG~,'$ S✓~ IN, 0, Y Far c p l.t G it w► L 9403 ' 'f, 3 90, y Boring # n Boring IT 15~ pit Ground surface elev.. f . Depth to limiting factor h(~ in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil A licaff- Rate in. Munsell Qu. Sz. Cont. Color GPD/f / Gr. Sz. Sh. *Eff#1 "Eff#2 8-1 3 L S - a. Y S/ r- . L F yc. F ; ;1-3 1 m e. L ire ~ ~ G W !J F i- F 5 w O y' 4 r ' o Boring* Boring I ~3t I Pit Ground surface elev. C)s V fi. Depth to limiting factor in Horizon Depth Dominant Color Redox Description Texture Soil A`lieation Rate in. Munsell Structure Consistence Boundary Roots GPD/ft2 Qu. Sz. Cont. Color Gr. Sz. Sh. ~ -Eff#1 -Eff#2 c) - 9 F .4 L S!> 1 3 S-tit D`(R.q r t tl'hS~K 6"2 y ,s y p -5 inn L * Effluent #1.= BOD, > 30:E 220 mg/L and TSS >30 <150 mg/L 'Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) _ Signature - f CST Number 1 ` ;Y'c ~ 7 SS • S -to ate Evaluation Conducted Telephone Number 4t A d , -7 0I ~s/-a38-YW Property Owner C7 K C'a~ + Parcel ID # Page -01 of Boring# E] Boring 94,37 3 54 pit Ground surface elev. ft. Depth to limiting factor ~_~in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 l 0- 1 U O TA S', L a FS b k. V" F w r 3 t- I uj al I y r--- L rn F c w i J F P01 D 7" 70, y - s Boring # ❑ Boring Eopit Ground surface elev. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Q;6 bk ;)F A2 Z "'110Y Boring Boring # Ground surface elev. Depth to limiting factor Pit I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 o- 0 3/ w 8 t' I bk V%f ; C" I J F S YQy S p s vh L Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD,, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact: the department at 603-266-3151 or TTY 604-264-4777. SRAS310 tR.07/00t Q a M1 I U ..JJ e ' P t .sue R ©F Na, / ra ot Lo ~ 1 n *At AI& \.N~ 45 I 'sue a ~0 110 to to n ° OV 3 eJ --C ~i s f 9.i ~C 9v - t Ic -lz 8 0 3 9 9 4 4 Tx:4079(5h 943723 BET111-I PABST REGISTER OF DEEDS CERTIFIED SURVEY MAP T. CROIX CO., Z RECEIVE[) FOR RECORD LOCATED IN PART OF THE NE1/4 OF THE SW1/4 OF L0125/2011 .za Pm SECTION 1, T31 N, R1 8W, VILLAGE OF STAR EXEMPT #'PRAIRIE, ST. CROIX COUNTY, WISCONSIN. REC FEE-, 30,00 eeule~y~ COPY FED, eX0 PAGES 2 c OWNER %0 \act BRENT VOLKERT ®q®4"°'~~°"•~s/,el,°.^ gI 1508 220TH AVENUE EpyysHC~ w 4 NEW RICHMOND, WI 54017 5-2487 A MOW SURVEYOR J EDWIN C FLANUM a'~•~ . et'1 ~ NORTHLAND SURVEYING, INC. O < P.O. BOX 152 e,~° ~(JI~~F•~ o~`~ AMERY, WI 54001 'fell WI UNPLATTED LANDS N88°55'54"W N88°55'54"V1/ 976.70' 4+ 3± 1302.26' N88-55-54' W _ W1/4 CORNER 648.97' 327.73' 2949.27' SECTION 1 EAST - WEST 1/4 LINF io d E1/4 CORNER SECTION 1 00 dam' 0 CO = y W V z ::j o F T) 10 W Z \ \ O 20 Z O C3 Z- F- v LCT w o n SEE DETAIL w w v 0 10,00 ACRES v/ ! w U OUTLOT 1 435580 SQ. FT. u- Q j w LL U 'V \ 13.18 ACRES - 0 I ~ O } I LLJ 574303 SQ. FT. Z I ~ Z cn w w N g j can `r Q i NOT TO SCALE \ = cq c7 ~ ~ z / v I- T- ZF-inL-J LL w a cf 1 Cy coo w r ti\ 2: , W Z LL W LEGEND `'Q\\~~, \ \ .06 \ o J ALUMINUM COUNTY SECTION w CORNER MONUMENT FOUND \ O.A 1 5/16" O.D. IRON PIPE FOUND. 3/4" IRON REBAR FOUND 3/4" X 18" IRON REBAR SET WEIGHING Z~ 0 1.50 LBS. PER LINEAR FOOT ~p ~~g'~ o°' X -X EXISTING FENCELINE SOUTH LINE OF THE SOIL TEST NE1/4 OF THE SW1/4. S88-59-1 7"E 308.04' CURVE DATA TABLE NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC L-ENGTH TANGENT IN TANGENT OUT C1 1155,91' 00°14'36' 835°21'12'E 5.08' 5,08' S35°28'30'E S35°13'54'E - C2 1085.92' 11°26'51' S40°57'20'E 216.60' 216.96' S35°13'54't S46"4"'45'E ❑,L, 1 1085.92' 06°23'13' S38°25'31'E 120.98' 121.05' S35'13'54'E S41°37'07'E LOT 1 1085,92' 05°03'38' S44°08'56'E 95,88' 95,91' S41°37'07'E S46°40'45'E SCALE IN FEET .1 = 200` THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 11-51 DATE 8-18-11 200 0 200 SHEET 1 OF 2 SHEETS Vol 25 Page 5804 1 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE1 /4 OF THE SW1 /4 OF SECTION 1, T31 N, RI 8W, VILLAGE OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. I OWNER SURVEYOR BRENT VOLKERT EDWIN C FLANUM 1508 220TH AVENUE NORTHLAND SURVEYING, INC. NEW RICHMOND, WI 54017 P.O. BOX 152 AMERY, WI 54001 SURVEYOR'S CERTIFICATE I, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that by the direction ofBrent Volkert, I have surveyed, mapped and described the parcel of land which is represented by this Certified Survey Map; that the exterior boundary of the parcel of land surveyed and mapped is described as follows: A parcel of land located in part of the NE1/4 of the SW1/4 of Section 1, T31 N, R1 8W, Village of Star Prairie, St. Croix County, Wisconsin; described as follows: Commencing at the E 1/4 Corner of said Section 1; thence N88°55'54"W, along the east - west 4 line of said section, 2949.27 feet to the point of beginning; thence continuing N88°55'54"W, along said east - west 1/4 line, 976.70 feet to the west line of said NE-1/4 of the SW1/4; thence S00°05'29"E, along said west line, 435.08 feet to the northerly line of County Trunk Highway "M" and a point on a 1195.91 foot radius curve, concave southwesterly, whose central angle measures 00°14'36", whose chord bears S35021'12"E and measures 5.08 feet; thence southerly along said northerly line and the arc of said curve, 5.08 feet to the point of tangency; thence S35'1 3'54"E, along said northerly line, 832.40 feet; thence N54°46'06"E, along said northerly line, 10.00 feet; thence S35'1 3'54"E, along said northerly line, 72.42 feet to the point of curvature of a 1085.92 foot radius curve, concave northeasterly, whose central angle measures 11°26'51", vihose chord bears S40°57'20"E and measures 216.60; thence southeasterly along said northerly line and the arc of said curve, 216.96 feet to the south line of said NE-1/4 of the SW1/4; thence S88059'1 7"E, along said south line, 308.04 feet to the west line of the E1/2 of the E1/2 of said NE1/4 of the SW1/4; thence N0001 8'44"W, along said west line, 1323.36 feet to the point of beginning. Described parcel contains 23.18 acres (1,009,883 Sq. Ft.). Parcel is subject to all easements, restrictions, and covenants of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with.the current provisions of Chapter 236.34 of the Wisconsin Statutes, the Land Subdivision Ordinance of the County of St. Croix, and the Subdivision Ordinance of the Village of Star Prairie, in surveying and mapping same. w EPIC FLANUh1 5-2487 i AMERY ..r WI ; AAte~" " a° ea •,~'[yURV VILLAGE BOARD RESOLUTION Resolved, that this Certified Su y Map in the Village of Star Prairie is hereby approved by the Village Board of the Village of Star Prairie. Approved eg Gibso , 'resi e t Date I er by ce ify at the foregoing is a copy of a resolution ado ted by the Village Board of the Village of Star Prairie . Patsy Jon , Clerk. Date SHEET 2 OF 2 SHEETS Vol 25 Page 5804 Parcel 182-1017-50-100 09/10/2012 04:18 PM PAGE 1 OF 1 Alt. Parcel 311801-31-02-00-00-OOX 182 - VILLAGE OF STAR PRAIRIE Current ❑ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 10/25/2011 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner O - VOLKERT, BRENT A TR BRENT A TR VOLKERT 1508 220TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 SCH DIST NEW RICHMOND SP 1700 WITC Legal Description: Acres: 10.000 Plat: 5804-CSM 25-5804 182/2011 SEC 1 T31 N R1 8W PT NE SW; BEING CSM Block/Condo Bldg: LOT 01 25-5804 LOT 1 (10.OOAC) FKA PARCEL 173 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-31N-18W NE SW Notes: Parcel History: RETIRED 2011 FOR 2012; TAKES PT Date Doc # Vol/Page Type 182-1017-50-000 FOR REMAINDER 10/25/2011 943723 25/5804 CSM 182-1017-50-050 & LOT 1 CSM 25-5804 06/10/2010 917336 QC 182-1017-50-100 & OUTLOT 1 11/03/2008 883708 PR 182-1017-50-150 11/03/2008 883707 DM LTTR more... 2012 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/24/2012 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 3.000 500 0 500 NO 00 AGRICULTURAL FOREST G5M 7.000 17,500 0 17,500 NO 00 Totals for 2012: General Property 10.000 18,000 0 18,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 llllll !1111 III[I IIIII IIIII [1111 till Illlli il[I II[I State Bar of Wisconsin Form 5-2003 * 8 8 3 7 0 8 2 PERSONAL REPRESENTATIVE'S DEED 883708 KATHLEEN H. WALSH Document Number Document Name REGISTECOF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Dennis Enser, Sr. 11/03/2008 08:30AN PERSONAL REPRESENTATIV as Personal Representative of the estate of Roger Clarence Hillebrandt aWa Roger EXEMPT 9 C. Hillebrandt, a single person REC FEE: 13.00 TRANS FEE: 1050.00 ("Decedent"), ("Grantor," whether one or more), and Brent Volkert, a single person PAGES: 2 ("Grantee," whether one or more). Recording Area 13, Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Name and Return Address St. Croix County, State of Wisconsin ("Property") (if more space is Brent Volkert needed, please attach addendum): 1508 - 220'' Avenue New Richmond, WI 54017 See Schedule A attached hereto. 038-1003-50-100, 182-1017-50-000, 038-1003-40-000 Parcel Identification Number (PIN) This iS homestead property. (is) (is not) Personal Representative by this Deed does convey to Grantee all of the estate and interest in the Property which Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated /G -30 ".20th PERSONAL REPRESENTATIVE: (SEAL) b (SEAL) *Dennis Enser, Sr. AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF l S cy-i S`c n ) ) authenticated on ss --5'r f ='I'U! 1C COUNTY) Personally came before me on &,t-30 :2C306 , ' the above-named Dennis Enser, Sr. TITLE: MEMBER STATE BAR OF WISCONSIN (If not, ■ me known to be the person(s) who executed the foregoing authorized by Wis. Slat. §y 06.06 ~:OTARY PUBLIC strument and acknowledged the same. STATE OF WISCONSIN THIS INSTRUMENT DRAFTED .v Chandler and Brown, Ltd. Notary bl' , State of (,{J7 S(r~~ 332 Minnesota Street, Suite W2610j St. Paul, MN 55101 My co ssion ((is permanent) (expires: a-7 y- a D/{,Z_) (Signatures may be authenticated or selmowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. PERSONAL REPRESENTATIVE'S DEED 02003 STATE BAR OF WISCONSIN FORM NO. 5-2003 'Type name below signatures. INFO-PRO- Legal Fomu • (800)655-2021- trnoerntorms.com 1 of 2 SCHEDULE A W3/4 NEIA SWIA AND W1/2 SW1/4, Sec. 1, T3 IN, RI 8W, St. Croix County, Wisconsin, EXCEPTING THEREFROM the following: Part of the SWIA SWIA of Sec. 1, T31N, R18W, described as follows: Beginning at the SW corner of said Sec. 1; thence North 00°59' 11 " East, along the West line of the SW 1 /4 of said Section, 206.19 feet; thence South 60°16'03" East 214.60 feet; thence South 00°59' 11" West 105.46 feet to the South line of said SW1/4; thence North 88°15'34' West, along said South line, 188.16 feet to the point of beginning. 2of2