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Home My WebLink About022-1057-50-000 Q o ° ° M o be. o a o ~ I - E 0 o -o ° N I N N _ v (6 M N U U V) N - i 75 2 N W rC U 0 M 04 f6 N Q)m + a~ 0 -0 U N W N O Cr--O v, y3vco a~ ~ooo Z 0 L't 4) M 3 v lL O C co m f6 4 U Zy Tj co p 7 N O Q ~U~-oL 3 ~ Z y ao = 00 L O W a CD 0 m C. C14 N f z O I' O Z C U N V ~ ~ I O N H f= O N Z c E a o rn M VJU N N U N U) Vl C • AJ t O a ►~i c 01 Q Z H Z o N z I N li I ~ a I O I N C ~ 7 W d C - d fd T Y C L: .0 cn N C14 a . 6 d 4 C U X333 °-`n • a a a z (V ~ co M 11i 7 p y o T O N fR U rn rn } > M O _ Ay O N_ U O Q) N O _ ? M_ y N U U r 4iUl ~V 00 30 N C O p C C CD C> L"y O U ON N N c.> d 0 0 y +~ri M .C C Q a w. -O N N 06 'n E E O C V M lv' 0 N C= C U 7 O O 4+? L L .wU. 27 ^ r 06 C U In F E E N O y r6 L • 7a N N C M O N Y N O N v rA m E a a m • a G1 •U - G7 W C c o c 0 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Divis& of Safety & Buildings 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 s7 K 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. O 'L.-2. - 1 b S7 - S 0 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE i ' PROPERTY OWNER: C lZ I`c en* PO P LE) PROPERTY LOCATION Zp GOVT. LOT 13 t 1/4 SE 1/4,S Zo T Z9 N,R b8 E (or)(g) S 41 T1:1 - PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 21S b S- L 113 (F`ir `Ct1 [Z D CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE R FOWN NEAREST RQAD R I Ut~Z ~k LLS LJ 1 5 Lf I :Z- (71 S) U ZS- z S V (a xj"I C h I L,JN Z Z Yt tz-1U L. [ New Construction Use (kf Residential / Number of bedrooms 3 [ ] AddikQn to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 14 S 0 gpd Recommended design loading rate o - 38 bed, gpd/ft2 -qS trench, gpd/ft2 Absorption area required t l2 5 bed, ft2 R 00 trench, ft2 Maximum design loading rate o • ~bed, gpd/ft2 c). S trench, gpo1ft2 Recommended infiltration surface elevation(s) Sly ~1t 6E 3 It (as referred to site plan benchmark) Additional design /site considerations ~oS 1 ti G R~ ~-Oh'1 M L~v~LD k -)I'" Ov,S I .D l~- VY-*I P 01" M atM . Parent material S AKJ O U TL-'j R S I♦ Flood plain elevation, if applicable q y $ ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FlLL HOLDING TANK U= Unsuitable I s stem ®S ❑ U OS ❑ U Rs ❑ U 40S ❑ U IDS ❑ U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure ConsistenCe Boriday Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench LO ~1 3 L - S \ hn U 1~ C S 0• S M? Z ZO -3Z 1 O `t Q 3/ 6 ` S \ e S bk Yn U 'FIB ~3 S o- S o•. Ground 3 32.-y) 7.S y2 31y S F Sbt, `nom F~^ 0-S o o. S elev. ~1a-q ft. \j ill-VE3 ~•S`/R 3ly - S rlGh o Sg m CS o-~ ' o.g, Depth to 5 qe-s9 toyR - `FS o vnU~r cS o.~( :o.s limiting fact 6 S9-~a ~•S Htz Sly o Sg Yn U o• S o. b Remarks: Boring # I 1 o-ZI 1~~-LQ 3l i ~ S 1 \ ~ sAt~ my cg o.y :o. S zl-~!o lo~tQ 37` - `~S 1 e sbtt W1U Jti, 0-S o, s v, l~ 2~ 4D-47 7.S'-IR 3/u S) l sw Vn f~ 0- 3. k4 i o-S Ground elev. 4-s lOti1 Q y& 1 8 S sQj 1nt v- . cfi v• s o. L qe. s ft. y 5 Sb 7•Sbi~ 3l - b s9 r►11 o•-t 0.$ Depth to z . c limiting factor . N? Remarks: T Name:-Please Print Arthur L. We Phone: 715-425-0165 egerer Soil Testing & Design -P.O. Box 74 River Falls,WI 54022 Signature: q Z- \.Z,Z Date: V_~Uv \3 11442 CST Number: M 00576 PROPERTY OWNER Z-u ~Z 8 SOIL DESCRIPTION REPORT Page? of 3 PARCEL I.D.# OZ'Z_L0 57- SO Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ::.4'''~' o- a-1~ LO`i~ ~1Z S1 1CS~tic 'rnU'~h o-14 o.S ><w>` Z 16-35 Lo`ltZ 3/~ - 'FS 1 ~S~12 rnu'~h ~S n.S a,(. Ground 3 3S-48 7.Sy2 3!y _ S 1 S~tic ~n`~'In cs o-~( o•S elev. aq 6 ft. y ~$-S3 S `tlZ Sly - Gh s ern g `rnuv c S o• y o• S Depth to S S3-gn tio`'tV- y/6 - S gGv Sg -r, limiting factor Remarks: Boring # SQtti v44\44 }v v.` I L V 3_Z. _ '..IC..S~ 'f/ U~ t~ - 1Z O'V' n•S z:k.•:::<•: y Z 1b-39 tom ~z 3/6 `Fs 1 ~ser~ m UT cs o S o, b +:tii:.: 3 39-YG 7.S4(Z Sly Gr. s l 1 ~S dk r1 ~'h e S lb %4 -S Ground elev. X16-86 1e~R y~6 - S e(G~. S°) tin 1 c~•~ o•$ \ rib • o ft. Depth to limiting factor 7 86 Remarks: Boring # tt 4\4}:Q::L.~ t l o _t 43 o`•t. Q 3 1 Z. S 1 e s l U es o• v• 5 INS I~-41 1o41z 31b - `FS~ Z~s~k mvf~ es O•S o, 3 yf-su ~•S ye 31y - Gtr sl 1 es~k ~~h eS o.4' a.s Ground s9 Yn~ o. elev. b y Rc?•a ft. Depth to limiting factor 6 v Remarks: Boring # 44YC:.4vv : Ground elev, ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' t;"L q 3.5 t ! ~v s {Pm2 Om C ~-T Tn t )IV l~llt 1`O ? S`t'R L ~L 2 y„~- ►NS~~t, _s'~ST~ Z4" 1-0 fib" nL'~ w~`stYi[v.__ --~vcLS\ ~f su ~~13L~ MZI~ s~`WwN, S T_ CTS- BTU r L)K1 1v F b Vrtm>vi I/U L~ ._trvsTM-LI~~ '~-T' 1nMk-: of COAJTrLUch(3-7V. 3 Z ct ~ S ,Dell S'XI~Ci wIv 6 M Q-- W-4f) (~R A Z' x t d o 8 qtD _ N I1r`t 3 t: Uv TM LLLM,. J /u~ O O In ( s u ►'~a ~E 2~ 1=vR ( ~n 8 g.. 5 et q q , i r a, L - Lst496 t~-Rq 5 4 i~ "g ~yuvst Yo e~ \-rr L"sr Zs' F[i4" sys'w, . to wL'LL so' << J Rru e-. e~ ~ Z S rn i T'o u t~~~`rLr 2nd ti► o Tt 5T. G z_ t z Z N\ (715 1 425-0165 M00576 CST Signature Date Signed Telephone No. CST # Wisconsin DepartrQent of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labar 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 81/2 x 11 inches in size. Plan must include, but S7• { x 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. O Z-Z-- 10 S7 - S 0 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: C tTL-tZf`c13 Mj Po P L> PROPERTY LOCATION ' S ZO ~Z Q GOVT. LOT 11.3 E 1/4 5E 1/4,S Zo T ZS N,R 19 E (or)(9) PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Z3$ s, L- I Z3 LIZ` IZ b . - CITY, STATE ZIP CODE PHONE NUMBER EICITY ❑VILLAGE ®fOWN NEAREST RQAD [21u tLS tJl Squlz (7f57 UZS'_ zsy(o ~c-llvit.~~c-h-t1 "Ic ZZ n 1 L . [ New Construction Use [x] Residential / Number of bedrooms 3 [ ] Add'tbpn to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow y S 0 gpd Recommended design loading rate o 38 bed, gpd$ O.4 S trench, gpd/ft2 Absorption area required t 1 Z 5 bed, ft2 R 00 trench, ft2 Maximum design loading rate o • bed, gpd/ft2 0 - S trench, gpd/ft2 Recommended infiltration surface elevation(s) SL- _j->fi6E 3 It (as referred to site plan benchmark) Additional design/ site considerations aes I G R~ -t H ~avD~D 1'1~ Oki M t D c- P 0_" M t3um. Parent material S Aki 1~y - o U I-Ly R S t+ Flood plain elevation, if applicable o► L4 $ ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= unsuitable fors stem ® S ❑ U NS O U INS O U 40S O U ®S O U [Is IZ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftin. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench o-ZO Lo~-I~ 3Jz - S\ CSbticv~h c s o-~! o,s YZ< ti Z ZO-3Z 1D`tQ 3/6 _ S CSbk Yn vi" 3 S o• S O, L Ground 3 3Z-qI -).S LIP- 31y S F Sb1~ Win cS o o. S elev. aa•9 It. W-1418, ~•S`iR 31y S »fGH 0 Sg m \ cS o o.S Depth to S 14?-S9 10 `1.R- L/Al vn U '~h c s o . L4 ' O. s limiting factor S9--)8 . s ticz IN ~ 6 ~ o Sg m U Remarks: Boring # 1 0-2.1 11,E-L.Q 3! i ~ s 1 l~ SAk my fit,. eS o-~( o- S Z -2 -2)-L/o lo`tQ 3J~ ~g sbk 1nU`~. CS o. S v. L 3 y0-47 -).SYIZ 3lyr - SI l~ s~k ~f~ aS o.~q S Ground elev. y y7-S 104V- y/(e V4U fit- cS v• S o. L X19.5 It S Sb 7.SyR 3!y - S 0 s9 0•-7 0.$ Depth to limiting factor Remarks: CST Name.--Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: °1' Z- Z Z Date: t-jisv ` l~, 14 4 2 CS M 00576 PROPERTY OWNEH ZuL~1Zg SOIL DESCRIPTION REPORT Hage L of '3 PARCEL I.D.# OZ'Z_L0 57- SO - Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench k•• :,ti Z Q ,a ~ ~-L~ 10 `IQ ~1Z - s1 lcS~12 'rnvC-S Z t6-3S Ynv~t- ~S d.S ~ Ground 3 3S-u8 ~.Sy(z Sly S1 l 5~1~ Yv► ~h CS o-4! a•5 elev. gg•~ft. y L8-SA Sy231y - Ghsl ernS~k gnu cs o•~/;o•S Depth to S S 3 -`1'tn VW-17- ylf, - S gG►~ S pj `r~ \ o a limiting factor Remarks: Boring # o• o• S .<•.,w•,:::.;..>:: 1 0 -1 b l ~y R- 31Z S ~ ~ ~ S L~12 m r. -'S 1b•39 0 /6 `~s Sdk S S o. b 3 39-Y(a 7.S~tR 3!y - Cr. s 1 1~Sdk m ~'h e S 0•V o•S Ground elev. ~l6-86 le'KR yl6 _ S t Q1. C~ s~, Yn 1 c~•~ o• \Ob • o ft. Depth to limiting factor 7 86 Remarks: Boring # 1 0 -r 43 ~ p`-t ~ 3 l Z ~ S ~ 1 e s bvz rn v'F~ a.s o. ' o• 5 \ r$ `FS ~ Z s ~k m y c- S o• S~ n. SZ t~- y l 1 U 41z 31L 3 (41 -S D S ve Sly - Gy, s 1 S ~k ►7, ~r eS o. o. s Ground elev. so-~b 10`12 yl~ - S~6t.. O sg Yn 0.'1 o.q, qq•S ft. Depth to limiting factor 7'76 i Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' L"L. °l 3.5 t ~ ~v s ~0q ti y IA,I S'tY~ t.C. ^l sr dm 2 y i r o b " U W L`57r?/V.. ~ __1►~..STKtic~.~_ "i~~' 1~~~ of eo~s~UC:rt~-?C). z_ SCR e?~ e S_ , t~cctt s' X t o p Lu"v 6 . fl CZ~ L2t'OFt~v l~ sU~ C Mt A N,~'_ x li19'_ $ eSQ P4" 8Ei. 1N T1 _ J-0A, C• Q O O i 2 t-'L a4 ( s v ►'rK~ LE vv~ \=oR 1 B-S eL4R8 j q 1 ~ X2:496 a !U $~~uvst Yo % 1}T' L_ RSr zs~ plc 't S`>s1~ry J w~l_ i~ ~ ~SO' Le L~ Iii A _ _ ZZ rru e-. - o ~ Z S rn i T'fl L 113~1~ `[tf p~ t t p 5T. G Z_ 1 Z Z (715 ) 425-016 5 M00576 CST Signature Date Signed Telephone No. CST # Wisconsin Departri*ntofIndustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 ,dA&Dr 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 81/2 x 11 inches in size. Plan must include, but ST { X 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. o LZ _ 1 l3 S-7 - S O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: C 1LIZ.P~~ e -n* Po Q L2- PROPERTY LOCATION S tt -_Z 1h N Z.O e1z- t3 GOVT. LOT tJ t 1/4 SE 1/4,S Zo T ZS N,R t'b E (or)(g) PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # Z 3 ~3 S- L I a (E`iz~ r-b . - CITY, STATE ZIP CODE PHONE NUMBER EICITY ❑VILLAGE ®fOWN NEAREST RrAD RI(3 1t. ~tttt_S I,J( Sgoz_Z. (71) t-/25'- ZSyb `cc-1rV1vLCtLtLil'iIC -2 2" r L . New Construction Use QCJ Residential / Number of bedrooms 3 [ ] AdditiQp to existing building j ] Replacement [ J Public or commercial describe Code derived dairy flow u S 0 gpd Recommended design loading rate o.38 bed, gpd/ft2 o•`tS trench, gpolft2 Absorption area required l 12 5 bed, ft2 ct 00 trench, ft2 Maximum design loading rate o . bed, gpd/ft2 0.5 trench, gpo4t2 Recommended 'atfiWon surface elevation(s) SEE- _j!,k6G- 3 ft (as referred to site plan benchmark) . Additional design/ site' mwAlerations dos tX, G Ric-or~1 H Ov~~D w 1` 0U1-s l b F P 0_"H 3t R . Parent material S AlkJ \-SY - o u TLV h S I•F Flood plain elevation, 9 applicable CI L1 $ ft S = Suitable for system cONVENTKN & MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable for systein ®S ❑U as ❑U ®S ❑U 40S ❑u ®S .❑U ❑S OU SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistenoe Bounty Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ranch .caEC« 1 0-~ Loti2 3/Z - S\ C.SI~kv-(~ c s o-4 o.s Z ZO-3Z 10`i2 3/6 ~S CSbk Yn U'f >r. g S o• S o, to Ground 3 32-~11 7.S `-t.2 3!y S F Sbk w~ FM. c g 0. 1,4 o. S elev. qg-9 ft. y ill-U(3 ~•SYR 3!y - .S WGH O 11 C5 m ` es o 0.8 Depth to -S 14e-S9 l o `tv- y/t,' - `FS O 'M vn v +V, 0-S 0. L 0. S limiting g5 factor 6 Sg-~8 -S L/ CL 3ly 6~ o Sg m u a s o. b Remarks: Boring # 1 o-ZI tb~LQ 3I z ~ s 1 l ~ Sbic ~nnv ft.. ~S ay ~o. S Z -2- z)-yo 10`-tR 3/~ - `~S c sbh >»v ~ cS o. s v. t~ 3 40-47 -).SYtz 3!u - S1 l~sbk w1f~^ cS o•`~ o'S Ground elev. tort Q y& Fs S~ Yn U f v- GS q9- 5 ft 5 Depth to s6 -)-7 -)•SYR 3/y S ffQ• 0 soj o-~ 0.8 limiting factor Remarks: CST Name:-Please Print Arthur L. We erer Pine 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Sgnature: Date: CST Numbe. mowI \3 0 11 0576 PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' 3.5 t ) iv S\,N-11-3)~Cr Zv Yo 1,6" ' L'tj~z w tVA-rx,_- rt'wceS\F --T S_'19C~=CL t'rT 1i r~11 of eon sl' u cNTTQ . 3 x Z'`C ue S.,.V~kQ* s'Ktoo UNIQ6 -n-M ~R A x -tbo_' -8.~ HnM 8~_ tti-sue tt~, J Q a U I i 2 tL a49 _9t.loo°- 80/ ~ e-5 MI? I~tL - . ~oo• ow -7"ttr6H 4-jo01~ STh-k-E WIT)l ~ , post ~ i -ESL- L00.O4R s - - tsL 49 6 woop SSE. iy w/Fipvc-e Pos r uv st 1^o e ~~T- Lets r zs ~c~ ar=t SysTE~wi J 14 it ILA A ~ o, z S rn i '1~ Lt 13~1z-`r-f tZ-D> 1 ti 3 V ST. G Z_ 1 Z Z ,uz 1\ -A--,~ -RZ (715 ) 425-QI hs M00576 CST Signature Date Signed Telephone No. CST # PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' `nn s rct~~ca ~qy } Fwu~~ 6 ti 0~s INZY0=-- 1 O_ ? 1~1 S`T' S C LR \i. J S_ S: t- - v-tai-lyv 1-u 3E bgTL-M JAJOb 1CC$. ,LKc~t 5' IC1uO WN 6 _A CEOt`r-Q!'Lyt~O 3V~ pR A Z' x___u4. 8 Ni-f a-_ t,_sr+~ ~cca5. J f~ Q o L J I Q u, L4L 4 9 9 _ .too ti n ~r L'R-~ZLlu kT'C S`-! S 7'x'1 S , 8 S eL448 ~.100.1Oi~ 7"416H 1-/oo1~ STtri-E WIT)l i ~ t=Lsk/cEs POST ~ ~ -ESL- mo-0, tF- 4q s - - - _ LL- 99 6 otv ~~~~'n 6H tvUOO S~'PCY:.E ~ iy w/r Posy ~~uvst e~ ~~T LAST- zs~ Sys-rsm 44 cn w L s o' « t o, Z S m i ~ L1 D -`M p> 11O T f 5T. Z_ 1 Z Z -RZ (715 ) 425-Dj fi M00576 CST Signature Date Signed Telephone No. CST # W E G E Fc E R E;Q I L_ T E S T I P K-3 P.O. BOX 74 421 H. MAIM SF. AND RIVER. FALLS. KI 54022 DES I C3" S E R 4,! I G E 715-425-0165 ATTN: DATE 5-~- CC• SUBJECT: WE ARE ENCLOSING THE FOLLOWING ITEMS: NO. OF COPIES DESCRIPTION SENT TO YOU FOR THE FOLLOWING REASONS: ❑ FOR APPROVAL ❑ APPROVED AS SUBMITTED ❑ INFORMATION DESIRED [3--f-OR YOUR USE ❑ APPROVED AS NOTED ❑ RETURN COPIES ❑ NOT APPROVED ❑ FOR REVIEW AND COMMENT ❑ 126 S ~ ► -rb }fi~J `sue 1~- -ig ilk S vn-i vi\ w tz s . s WEGERER SOIL TESTING AND DESIGN SERVICE c~~[ n 4 ,i p ~ c I a~ N a ~O V C N o m I l~ f0 M ~ y y v u1 ai a I d O U y 0.y 00 N 0 CML N f6 'r + D C C 00 L E -0 0 N W a C O - I N C ~ a 7O0 ~ f0 N i ~ I C) z 3~ 2-t 7 O C N N m LL 0 cc .0 N N m o Q mo0.OL 3 ~ v ~ I z E O co UJ v' _ V °O N wI, am IN- z 0 p z v v = N - o o I m z N H E ~ m ~ N M O N d r • N N O IV O L L _ a U m I C C 0 U O H w - z z w N z m 7 E N 0 Lo m d - d (0 d w d C w N c e a m E p fA W W =5 y o a z •N ~aa IL u; O N LL m m V rn rn } Cl) O N w 0 N p Noon EN o _ a 3 a C CO 04 O - 2 w 0 0 3 H c p O o y aUi r°n N c N 0i d p p V n M c m E E N a w T °r° Y = N G t t d a co ! w H H • N O C% O OM1 O C :n3. E U 0 y p CV Y N p z _ g cn v ea d d 3~t a Ua - ca CL c r`iv 4 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 1~C/L ADDRESS 238 South Liberty Road River Falls, WI 54022 SUBDIVISION / CSM# LOT # SECTION 20 T 28 N-R 18 W, Town of Kinnickinnic ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN.100 FEET OF SYSTEM Dtw,p /a w 1n G Go►~j1 ~j ~j INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ~~Y~ GiVG 42wa,l eu /00 ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: WGe s Liquid Capacity: Ito Setback from: Well House Other Pump: Manufacturer Vers Model# S y-Aj Size V Float seperation 8 Gallons/cycle:_ 13? Alarm Location- 92Ayu,,✓~b f /y6 ..e SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: 4opse 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: PLUMBER ON JOB: C j S el h LICENSE NUMBER: go INSPECTOR: / !IL TAokd4O.50 3/93:jt LWAMR T4rtfi€ilf*N1eM0NIC 20.24490 AWWWWENPAD) County: Labor and Human Relations INSPECTION REPORT ' Safety and_Buildings Division (ATTACH TO PERMIT) Sanitar r*nit GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI X @le I p. ev.. BM Descriptio Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300192 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic s 2 Benchmark Dosing Aeration Bldg. Sewer /d ; 93, /P Holding St/ Ht Inlet 93, T SETBACK INFORMATION St/ Ht Outlet 9a. 8 i TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 17 NA Dt Bottom Dosing NA Header art? S 9~ 3~ Aeration NA Dist. Pipe 97.9P~ Holding Bot. Sys 99 PUMP / NFORMATION Final Grade Manufacturer P/S Demand r-er mob'" ~ 5,~~ Model Number. GPM TDH Lift Lriction System TDH Ft Forcemain I Length rQ/ Dia. os r Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Inside Dia. Liquid Depth DIMENSIONS 1.5_ ~d DIMENSIONS LEACHING Man durer: SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM INFORMATION Type O ew 3 CHAMBER Mo a Num e System: CeYiL, + , J OR UNIT DISTRIBUTION SYSTEM Header / MaadQ~kL „ Distribution Pipe(s) Hole Size x Hole Spacing Vent To Air Intake Dia. Length 7 Dia. Spacin Length _ ZL I L 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.) LOCATION; I:INNIC 1XINNIC 20.28. 8.317B (LIB,ER' OAD) n Plan revls on required? es ❑ No Use other side for additional information. 4 / Cert SBD-6710 (R 05/91) Date Inspector's Signature . No. ADDITIONAL COMMENTS'..AND SKETCH SANITARY PERMIT NUMBER: v z SANITARY PERMIT APPLICATION TDILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY St Croix STATES NITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than / 8% x 11 inches in size. ❑ check if rgvious application wee reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 022-1057-50 PROPERTY OWNER PROPERTY LOCATION Hans & Jan Zoerb NE % SE %,S 20 T28 , N, R 18 E*N*W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 238 South Liberty CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER River Falls WI 54022 1(715 ) 42-S-2-S46 111. TYPE OF BUILDING: (Check one) ❑ State Owned NEAREST ROAD ❑ Public ❑x l or 2 Fam. Dwelling-# of bedrooms 3 ARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) ' ~DS 7 5V -000 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ 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. ❑ 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 ❑ 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 (s q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 450 1,125 1.125 -45 97 Feet 99 - 4 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 TankxEbptRD0MM 1,0001 1 Weeks Fx] I El- F-1 F1 11 -1 1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plu r Signature: No Stamps) MP/144•: Business Phone Number: Paul C.J. Steiner 1 6y 6780 715 425-5544 Plumber's Address (Street, City, State, Zip Code): N8230 Highway 65: River Fall-,- WT ~;417)29 IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuin Agent 1 No m L : a CSurcharge Fee) Q Approved ❑ Owner Given Initial V,!~~nrd Adv rse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber a INSTRUCTIONS r , 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 8% 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; (lose 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) :S--h r3 -Z- L), ffR.B San. Permit No. Owner's name H63.05 PLOT PLA14 Show: N fl Dosing chamber Location of building served Q Verticallhorizontal reference point Septic tank f ~1 Building sewer System elevation is 3' S l I Effluent system 0 Well NA. Replacement system aL,;a Nt, Property lines w/in 50' of system scale or dimensioned Distribution boxes Pump and controls: Mfr. & Model NO. Vertical Lift size Force Main Friction Loss T. D. H. Vol. Dist. Pipe Gal-per Min. Gal. per Cycle Place check mark in appropriate box, indicating item is shown on plot plan below: Fwro P~f~tN Ns t'~=m~3~.~S~teA - w LsR \t'~►vb SL~~~vL Ofvp- welt eL q'I / "?~Lp 10"►tcGH 3)y" WPi. r / 1 S~uC C'IP< /71" / t vl~ 1 ~ ETL99? / "FLCL9 s i✓ - . • 0M - ~1..1uu•p ON `1" ►ii6N 3W 01A. ~0°1 r PvC PIPS w/~'+tfi~~ F~~,+c,; ~ 5 ~~l'C►FiL 11Z1~Cltl'S J R-`I qi.o` ~ ►~w. Z`!'' DAP , ►nn~c . 3~,~ Dl~~ L!'L q q Y 1L ~T3 ~ SLOP ~ S In. '~S"'>~'D FtR~'a v I1T_~l O - 1 ~ w~Z l -M C~C- ftT LQY ST 50' F2aM sySTErI n By the granting or approving of the above plan, or upon the event of a subsequent permit being issued, St.CroixCounty and thegt.CroixCounty zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversigh, construction, or any damaqe that may result in or aft nstallatio . 01 7 1- 11 C 1^os s _Se a c ova v e1 c Pans Java Zoe-r6 ~J max 4- 1 ROCK OVZr ~~pC a O aCodOO~~c~oo000 c~~~~,'~g t+a c. ^ P 1 Qc tY c! yn n . `R o c K u ncl e. r £~S f pe. 7':~. i • i I 502894 CERTIFIED SURVEY MAP LOCATED IN THE NE 1/4 OF THE SEI/4 OF SECTION 20, T28N, R18W, TOWN OF KINNICK- INNIC, ST. CROIX CO., WI. PREPARED FOR: HANS AND JAN ZOERB UNPLATTED LANDS E-W QUARTER LINE N89036 ~34E 330. 00 I 1 EI/4 CORNER OF SEC. 20. 2 97.00 33 ~1 ~ I COUNTY MONUMENT FOUND) 1 1 ~ 0 SETBACK 133' 331' FILED LINE 100' I 5 JUL2 71993► 1 JAMES O'CONNELL 1 Register of Deeds 0j ,O St. Croix Co., Wt 1 J I w N cn : L 0 T I cn: 10.01 ACRES W E Z• _ (436,238 SO.FT.1 1 .1 0' Q: N 8.85 AC. EXC.•R.O.W. N Z, APPROVED - I M1 Q; J: M ( 385,487 Sq.FT.) W O N1 1 J• z - rn o JUL 2 TlY w w N mI 1 Cy O N c Imo- w N septic 1 3 i w W; ST. CROIX COUNTY w o W. ml O F +nl~ptdlNtSiV~,Pi11Ir1~ C O barn ~'•MI I Zot*gand -1 w -0 LL z d, O well 6'I '-1 aI 0 1 z J. a I_1 w -•I ° o - a' If tot rocOtdW as m a Z noose Z: witbit30 ~llof Co lu Cr wo Z, I a apQ ovd die W S W I I W it moval " b6 0 0 1 r.-IN & void mi 100' 1 J 0 133'331 O M O _ N89°25112"W 302_28'1 I _ M 330.00 _ i _ S 8 9° 3 6' 28 ''W7 ('on: I ,~~t{Ifliti~M, = E OF THE NE-SE 1 M' 1 ~~t~\5GO/►~~/ 0= I"X 24" IRON PIPE WEIGHING 1.13 I W 1 ~ LBS. PER LINEAR FOOT SET. o JAMES M. 1 1 WEBER S - 1804 1 0 1 SPRING VALLEY i z WIS. ♦s~ SCOUN7Y MON MEJVT FOU ID. I ~~~'9 ~•r~ Dfbr~ U RvN if1,~1W SCALE 1200 JAM M.WEBER S-1804 NELSEN - WEBER LAND SURVEYING 0 100 200 400' DATED SHEET I OF 2 VOL. 9 PAGE 2654 93- 97 THIS INSTRUMENT DRAFTED BY -.U~« Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page N of 3 Labo; and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY S~'. Cti2.111~C 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. O'Z'a - ) T3 S 7 , s a APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 1ARN5 4 :SNN 77-1wc-R8 GOVT.LOT t`ikE 1/4 5I:_;-1/4,S'LOT Z-8 N,R 18 E(01& PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # . Z. 3 8 S. L 1 B LX1Z` %f RD- CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD Rtv~M F__A-0s L0 SWLZ (-)IS) Vzs- Zsy lt.tk,,vIC zZ"- Prue. Qq New Construction Use [JQ Residential / Number of bedrooms 3 [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow `I.S'Q~ gpd Recommended design loading rate D . y bed, gpd/K2 D • y S trench, gpd/ft2 Absorption area required WLS bed, ft2 qOD trench, ft2 Maximum design loading rate o. 4 bed, gpd/ft2 0.5 trench, gpolft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) - a Additional design/ site considerations \'N',S W IS w/ vim, P ~'N°rM 3 L \ CO►~twt c~J ~D - tmCN S' A Ma Parent material s f*rrjZ4 - by 'r w n % N Flood plain elevation, if applicable q.-) • o ft S = Suitable for System CONVENTIONAL MOUND T IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ®S ❑ U ETS ❑ U ®S ❑ U EIS ❑ U ®S ❑ U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence, Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed much 1 o Zo do l Z - s l s ~k 'M v H ~-s - b ~f o• S Z Z.o-3Z V3 `s R 3A - S l a S \Dk vn v'FH g S - o S o, b Ground 3 3Z-41 7.S 17 R 3!y m ~h cS o v o S elev. a9 9 ft. 41-u8 --)~S'M 3!y - S innGt^ o s9 rn I cS - 0.7 o. S Depth to S y8-39 Lo-1 tz y/6 tS (:!)`V\ VA \3 CS - o• Y o• S limiting `fs w o. S o. 6 factor b 59-l8 'I• S'9R 31- S a G Q$ S5 h1 v `~h -7 Remarks: Boring # S 1 o-Z~ lo~tl~ 3! Z - s) 1 c sb►~ ~n v~~. cS - 0 1410. t Z.. Z ZI_40 1p11 R 3/6 yAV'F~. CS ` o.S O•L 3 ~(D-47 7.S yR 3!y - S~ ~'F Sbk 1-n `i M a S/ :0-5 Ground elev. y L41-SL ~ 1~s `t IZ VA C q17. s ft 5 Sb-» -)-S vp 31y (7 Sg - ' u•8 Depth to limiting factor ' Remarks: T Name: Please Print Phone: Arthur L. We erer 71` egerer Soil Testing & Design Service-P.O. Box 74 River Falls, 40,22 Signature: Date: CST Number: d, 93_ IZS -)-1-93 M00576 PROPERTY OWNER Zo~~[3 SOIL DESCRIPTION REPORT Page? of .3 PARCEL I.D.# 0Z-Z - 10 So-so Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Xz' 0-1Z lo`IXZ 3!t s 1 Z ~-S~k tint/ Fh es - o•s o4 `'~4`:":':;°':" Z ~2-2.3 t o tL- 3! 6 - s l a c s bk tiv► v'Fh e s - o• Y o. S Ground 3 235 Lt)-jkZ Y/6 - ~s o so) wt I c s _ o S o•(. elev. q01- 2 ft. 4 - 6 oo `-t tZ v 1 C _ s g G 4 O sy wi ° 1 Depth to limiting factor , Remarks: Boring # b~ w ~0Lf 2 31Z _ S l 2 s env H o. s o. 1, 0. Z 13-23 to `t2 3l~ - S 1 1 C3 p~ 0-S ~•tl 3-S t 23-58 10,lvz VA - `~S O s9 h1 ~ C$ C.S o.l Ground elev. s2 -7g 10'12 L//6 - S$ G1. ass h1) 0 7 0.8 q9. y ft. Depth to limiting factor , 7 78' Remarks: Boring # t,k ) o-VZ Ioj ItZ~/Z sl z~sSDk 'M \j cs um: ~E:kw.., :Y;.. n 5 Z ti-2 3 10 ~ 2 316 - S) 1 ~ sblc v `F t" c S ~ o • o• S 3 Z3_bO to ~r2 ~!/G ~ ~ ~ 59 1 c S - o. S ~ o. L Ground elev. y b0 ~ b I o V q!G - S iEc G~. O Sg tvt) 0-1 o, a gS3ft. QD CZU W S QoC S of S Depth to limiting factor Remarks: Boring # ►~U S l~ ~P 111N S uk--l sR_ LU es ' LC2L.r 1°!°1Z b) OU 1 T'3 EvZ- C- je U S FUR. S~ \ G\ Kj L S M US SD u UA7 F, 2 Ground d elev. ft L. w I. T)t /IV T y . Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= UO 1D Ajo, 07-z_1oS7-30 ~iRN S ~ ~'RN Zc'FRO f=wop P\.t.,w ns > 3LlSl+P~ 8`t w LTD~SR ~►~yvD Su2U~~1~ G ~ ~ ~ Q9 9 ~p is go~ rA 3 ~ - ON _ 1,8711 i~~ IONI~LGN 31y" Dlh. / i ~ / Luc t?tae ~ i @'L. 9 9 • 9. z. o0 Sm - t•:L. tnu.p ON 9" ~k t6H 31V'01A. T",)C Pl~r w/n~t1L p~+c~ t~tisT S J S flu LTL R L ZlZ-~ Ch} FT $ 2 F ~=z 4g y Zy' Dip , hRSc . 31, Dim) ,a SL_OAtrS Uv ~'sTLsD pfR IjNIZ-1 U - a~ 1 W ~l.l_ TD 13~ RT L" ST S Q' F20►~ S`iST~11~A h V 0 L o. 2 S n1 L10 'MST-, LL C Q q" t2a) °13_ ~ZS (715 1 425-01.6.5 M00576 CST Signature Date Signed Telephone No. CST # SEPTIC TANK MAINTENANCE AGREEMENT ro St. Croix County w ( R OWNER/ BUYER eN L- ZO sn r- 0 d Fire Number ROUTE/BOX NUMBER .3Pr LL p 1\ 5 L i s- ZIP 9-4 ro CITY/STATE c PROPERTY LOCATION: _ SectionaT.2,<LN► RJ.'S.•-W• Town of St. Croix County, Subdivision Lo t number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.--Proner maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed' 's.e t*ic tank pumper. What you put int the system can a ect t e unct on o. t e• septic tank as a treat- ment-stage in the waste disposal system. St. Croix County, residents-may_ be eligible to recieve a grant for a maximum of 60% of the cost-of replacement of a failing system, whic 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. ~s't.ems agree to keep their system properly maintained. The property owner agrees to.submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or.a licensed pumper veri- fying that (1) the on-site.wastewater disposal system is in proper operating condition and -(2)-after inspection and pumping (if nec- essary), the septic'.tank is less than 1/3 full of days p scum. Certification form will be sent approximately 30 three year'expiration. y 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 Depart- W menu of Natural Certification 30 days ~ and returned to the of the three year expiration date. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. _.w , , . . ' APPLICATION FOR SANITARY PERMIT 8TC-100 This application form Is to be completed In full and signed by the owner($) of the property being developed. Any inadequacies will only result in delays of the permit issuance. -Should this development be intended got resale by owner/contractot,(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 _ 140ln-1-i C= aar,~Tan L -oer-jo Location of proparty . Q& 1/4 .x.1/4# section TovnshIp _ K 1 n. _c k.1 hn:C Balling address 1 Address of alto 'Ver ~r i Vero _ -137 Li o cl.;~ subdivision name • Lot number L 5/1i Previous owner of property Total also of parcel jo 30~ ~cC Date parcel was created _ C1 Are all corners and lot llnes ldentifiablet ,__,,,rYes V Yo is this property being developed for s/sais (spec house)"T`••~~i--rrrrrr.///-rr---Yes -------rwo Volume , and Page Humber t- as recorded with the Register of Deeds. •-•--«r...... A WARRANTY DEED whichLIncludes aNDOCUHKHTCNUMBER, VOLUME AND pAcz the BRAL OF THR R6018TBR OF DEEDS. In addltlon, a certifled Nsurvv"ep, and available, would be helpful so as to avoid delays of the reviewing process. it the deed description references to a Certified survey Map, the Cartlfled survey Map shall also be required. 1(ve) certify that all statements x on OWNER Cform at@ true to the best of or knowledge; that I (we)" am (are) the owner(s) of the property deserbedov`n lhls Information form, by virtue of a warranty e d recorded In the office of f the county Register of Deeds as Document No. a. presently own the proposed alto for the sewage disposal stem~(ordI (we)I have obtained an easement, to sun with the above described ptopettr, lot the construction of sold eyalam, and the same has been dui Asa eded In the olfice of a County ! later of Deeds, as Document No. I nature of Ow at ~ st use of w+•s (ff Jlppiicabie) 0 la ate- o 81 nature Date of 81gn4tur• ooc'u MENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 496211 70L 7PAGE410 REGISTER'S OFFICE .....Elizabeth. ..J... . ...PoPe.....a.marxied.-tDaman.-with.. sole ST. CROIX CO.,W1; a~ageme t..=d..cox tr.o.l..of..the..sub ect.-property Ree'dfof Re ord - - - MAR 1 9 1993 conveys and warrants to Hans..F...-zoexb..mxd.~Tau.~.._.~oerb........... at 8:30 ~.A hush and.. and..wifa.. as.. surv1vDxship_. marital _.p.ragerty......... ty RegLir of Deed RETURN TO the following described real estate in St...... Croix County, State of Wisconsin: Tax Parcel No: THE NORTHEAST QUARTER OF THE SOUTHEAST QUARTER (NEh OF SE;) OF SECTION TWENTY (20TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE EIGHTEEN (18) WEST. EXCEPT Commencing at the East Quarter corner of said Section 20; thence South 923.07 feet along the East line of the Southeast quarter of Section 20 to the Point of Beginning; thence S89e13tW 282 feet; thence North 367 feet; thence S890131W 23 feet; thence South 767 feet, more-.oj:. less, to the South boundary of the Northeast Quarter of Southeast Quarter, Section 20; thence East along said forty approximately 305 feet, more or less, to the Southeast corner of the Northeast Quarter of Southeast Quarter of Section 20; thence North along the East line of the Southeast Quarter of Section 20 approximately 400 feet, more or less, to the Point of Beginning. Said exception containing approximately 2.927 acres. ALSO EXCEPT Commencing at the East Quarter corner of Said Section 20, the Point of Beginning; thence South 923.07 feet along the East line of the Southeast Quarter of said Section 20; thence S89013tW 282 feet; thence North 367 feet; thence S890131W 1025.95 feet; thence North 556.07 feet; thence N890131E 1307.95 feet to the Point of Beginning, said exception containing 19.073 acres. Subject to easements for town road over the East 33.00 feet thereof. (For purposes of this- description, the East line of the SE; of said Section 20 is assumed to bear South.) St. Croix County, Wisconsin. This ._..i.$..n4 homestead property. TRANSFER Fie-) (is not) Exception to warranties Easements, restrictions and rights of way of record. , FED Dated this day of March . . 19.93.... , -••-••............(SEAL) . (SEAL) * Eliz. nth J....POP (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN ss. lam!! County. authenticated this ........day of ..........................1 19 Personally came before me this .f day of ...M . lS. ~ 191,3-- the above named . ..P`~R.C----------------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN j ................................•----------••••---t---....--•-------• (If not, authorized by § 706.06, Wis. Stats.) to me known to be.ahe,person.__~~c.._:,_: who executed the foregoing instrur4ll t•and jtcknoivledge the same. THIS INSTRUMENT WAS DRAFTED BY lr ~1j 'i _ -s Gwen Kuchevar ; RODLI BESKAR & BOLES, S.C. ' Notary Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission ; If not, state expiration are not necessary.) Vlt. date: *Names of persona signing in any capacity should be typed or printed below their Signatures. WARRANTY DEED RTATR nAR OF WTRr.0VQTU Wisconsin Legal Blank rn Inn