HomeMy WebLinkAbout032-1089-10-001
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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
ADDRESS /F--46
SUBDIVISION / CSM# LOT #
33 - 3/ 1
SECTION ° T N-R_~W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
f ,iC/1 ,E
y
~a~ ~Jl KSe Ar
will
(fytI'i,1Cft'
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
f
i
BENCHMARK:
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING-.TANK INFORMATION
Manufacturer: Liquid Capacity:
1
Setback from: Well House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
:SOIL ABSORPTION SYSTEM
Width: Length Number of trenches
Distance & Direction to nearest prop. line: /~'G 71-
Setback from: well: Housed Other
ELEVATIONS ~y
Building Sewer ST Inlet; ST outlet g/7
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade 2S JV Final grade
DATE OF INSTALLATION: ,9s
PLUMBER ON JOB: -
LICENSE NUMBER:
INSPECTOR:
3/93:jt
r
LqO LMOa y,33.31.19.OA%TE SEWAGE SYSTEM County:
Labo►and Human Relations INSPECTION REPORT
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanity rrni
Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State AIRW:
Insp. BM Elev.: BM Descriptio x Parcel Tax No.:
032-1:089 1:0 003:
TANK INFORMATION ELEVATION DATA A9300158
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark (y'~ /(~D. 6 • U
Dosing
Aeration Bldg. Sewer 741
Holding St/Ht Inlet Z2 23.
TANK SETBACK INFORMATION St/ Ht Outlet 7 S 3 23• d
TANK TO P/ L WELL BLDG. Ventto Air Intake ROAD Dt Inlet
Septic NA Dt Bottom
Dosing NA Header/Man. 7(07 X13 O
Aeration NA Dist. Pipe -7-7? 92-02-
Holding Bot. System ~3
PUMP/ SIPHON INFORMATION Final Grade 6tQ
Manufacturer Demand op O)C C417hb i161 S-X
Model Number GPM
I Loss Friction System TDH Ft
TDH Lift
Head
Forcemain Length ID 'I a. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type O CHAMBER Model Number:
System: OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
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.) c~
LOCATION: SOMERSET 33.31.19.424B
- Ca rl - 3~
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710(R 05/91) Date Inspector's Signature Cert. No.
I
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
SANITARY PERMIT APPLICATION
TUILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY
Is _1W tl~ljll
STATE SA IT RY P RMIT #
Attach complete plans (to the county copy only) for the system, on paper not less than /J
0%. x11 Vinches in size. ❑ Check if revision o revious application
-see reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
L 'APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
(or)®
9 ~
'/a, S , N, R
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
11„•'Ll 1 -
CITY STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
CITY
ILLAGE : NEAREST ROAD
II. TYPE OF BUILDING: (Check One) F1 State Owned ❑ V
❑ Public ®1 or 2 Fam. Dwelling of bedrooms _~:K PARCEL TAX NU E
Ill. BUILDING USE: (If building type is public, check all that apply) Qom - leg? lo cc 1 f ~
1 ❑ Apt/Condo l•
2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash
50 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. 14 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ 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 12. 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./ rich) ELEVATION
Feet Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION Manufacturer's Name concrete Con- Steel glass Plastic
New istin Gallons Tanks APP.
structed
Tanks Tanks
Septic Tank or Holdin Tank - O
Lift Pump Tank/Si hon Chamber. VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installati n of the onsite sewage system shown on the attached plans.
Plumber' Na a (Print): Plumbe 's S na re: o ps) MP/MPRSW No.: Business Phone Number:
- - 9
P u tier's Address (Street, City, State, Zip C
IX. C LINTY/DEPARTMENT USE ONLY
❑ Disapproved pry Permit Fee (Includes Groundwater /,,Pate ssue Iss ent Si No
pproved [3 Owner Given Initial Surcharge Fee)
4 A I Adverse Determination dw_
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6396 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS .
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at 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 Famiy 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 tangy; replacemew, 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 inforration. Fill in the capacity of every new and/or existing tank, list the total gallors, 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 :f'anks 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 rnains/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)
STC-100
This application form is to be completed in full and signed by
jthe 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 1a 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,5~
Location of • property-" 1/4 A/,-' 1/4,, Section T _,Z/ N-R_L2 _W
Township 7
Mailing address _ °51,Y91
Address of site
Subdivision name_C_SiYl11Of. s, Lot no.
Other homes on property? yes No
Previous owner of property
Total size of parcel
Date parcel -was created-
Are
all corners and lot lines identifiable? Yes No
i
Is this property being developed for (spec house)? Yes _,No
Volume 2.2J and. Page Number 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 & 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.- 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 County Register of deeds as Document
No.
Siq ature of applicant Co-applicant
9 3
Date o Si ature Date of ignature
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1982 TIAIS SVAr,E RrSFRVF D FOR RECORDIN'.
QUITCLAIM DEED
[.rkvffgrG 5 rrjj
V^~ 7FRGE
- REGISTER,"S OFFICE
Carol M B l; l ST. CROIX CO., WI
Rec'd for Record
quit-claims to 'f'},n mqc F RP1 i slt-, a single person 3 ; 1 1 ~1
10 P. ~ftA
IZeg%%r of 0ecds
the following described real estate in St. Croix County,
State of Wisconsin:
RETURN TO
S. ' c_ SyC2
I
Tax Parcel No:
I
A parcel of land located in part of NE4 of the NE4 of Section 33, T31N, R19W,
Town of Somerset, St. Croix County, Wisconsin, further described as follows:
Commencing at the NE corner of said Section 33,; thence S01°47'13"E,
along the east line of said NE4 of Section 33, 347.00 feet to the
point of beginning of this description; thence continuing S01°47'13"
E along said east line, 658.98 feet to the NE corner of Lot 1 of
Certified Survey Map recorded in Vol. 5, Page 1482 in the St. Croix
County Register of Deeds Office; thence N81°09'45"W, along the north
line of said Certified Survey Map, 442.37 feet; thence N00°13'41"E,
590.46 feet; thence N89°58'01"E, 414.22 feet to the point of beginning.
And Lot 1 C.S.M. Vol.- 5, Page 1482.
M1 -
, W7
J
1
This i s not homestead property.
(is) (is not)
Dated this 7 f19 day of , 19~•
f1
0-1 r" ~ a2-5 (SEAL) (SEAL)
Carol M. Belisle
(SEAL) (SEAL) '
ti
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss.
County.
authenticated this day of 19 Personally came before me this T t~ day of
P~trS R. M~F NC~~rn►n: i' 19 the above named
,I
II 51 e
NOTARY n rol
J~,
TITLE: MEMBERSTATEBI WISG013SM}
(If not, to me known to be the person who executed the
authorized by § 706.06, foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRA dy v ;^<<' alt I;-f"
r.r-.. .ai
Tom Belisle
NJ'ary iI4uhliC_ -County. Wis.
rn,~y ' ±hentir.ated or acknowledged. Both tv y Crorlrr ss on is h^rm:- ent. (If not, State eNri ."3n
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER 7;7;,9, A;Zjz~,:
ADDRESS FIRE NUMBER
CITY/STATE ZIP-
PROPERTY LOCATION: L~, l/4,11Z 1/4, SECTION_!, T_L/ N-R-i~LW
TOWN OF St. Croix County,
SUBDIVISION CSWI LOT NUMBER--L-.
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 a 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 Co. Zoning Officer within
30 days of the three year expiration da e.
SIGNED: a L,
I
DATE : 2 3
St. Croix co. Zoning Office
911 4th St.
Hudson, WI 54016
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _L of 3
Tabor 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
PROPERTY OWNER: PROPERTY LOCATION
GOVT. LOT ' 114 1/4,S T ? ,N,R ~oqk'
PROP RTY OWNER':S MAIL[ G ADDRESS LOT # BLO K # SUBD. N ME OR CSM #
'v" -
r
CI STATE ZIP CODE PHONE NUMBER ❑ TY VILLAGE ®iOWN NEAREST ROAD
~S A;10
New Construction Use [4 Residential / Number of bedrooms Y [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow Zs'2 gpd Recommended design loading rate gybed, gpd/ft2_,~trench, gpd/ft2
2 2
b ,gpd/ft ' trench, gpd/ft
Absorption area required bed, ft2 < 5"l ? trench, ft2 Maximum design loading rate ~Z ed
Recommended infiltration surface elevation(s) q ft (as referred to site plan benchmark)
Additional design / site co iderations
Parent material e2~ 1„~ -z r- 140Z-~'e paz'o 44"J'Or" i Flood plain elevation, if applicable ft "PIA S = Suitable for system CONVENTIONAL MOUND IN-GROUND
PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ®S ❑U ~Z S ❑U ®S ❑U 9S ❑U ❑S 0U ❑S ®U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoLndary Roots GPD/ft
in. Munsell Qu. Sz. Pont. Color Gr. Sz. Sh. Bed Tmr&
Ground -
elev.
ft.
Depth to
limiting
factor
> 98
Remarks:
Boring #
4/Y
- -s'
-
Ground
elev.
Depth to
limiting
factor
>'9S
Remarks:
Phone:
CST Name:-Please Print
- -
T 717j, e 71 's
Address:
Signature: / Date: CST Number:
PROPERTY OWNER SOIL DESCRIPTION REPORT Pagg of
PARCEL I.D. #
Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. 22nt. Color Gr. Sz. Sh. BourxJary Bed Trends
/o 2Z Z
4
Ground
elev.
! ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
.
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
DEPARTM~NT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, , DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069
HUMAN RELATIONS
(1-163.090) & Chapter 145.045)
LOCATION:.- SECTION: T-l-TY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
C- t/a ~t/a /T,5(_N/R/t/ f,(or) W t i i L ~
COUNTY: BUYER'S NAME: MAILING ADDRESS:
USE DATES OBSERVATIONS MADE
I
]7N0BEDRMS.,:, COMMERCIAL DESCRIPTION: ROFILEDESCRIPTIONS: 1PERCOLATION
c' _ Z i'?
Residence New D Replace I i f 2 t!
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
OS DU OS❑U DS DU DS EA DS DU
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
/ PROFILE DESCRIPTIONS ~
Sri --'/•~G; 1. /'~i
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTWM. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 'Z U,'0 /1-%4, l ~~~',s ~;r,• lj i, 1 f~ lr L°,~.
LSD t-~. _ T h'ai• ~l-. L.
'o d
B- Y C / ( / r3~+, / iii ~5. s• j" .CJi r . r~i: •j.
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER P4ett@S AFTERSWELLING INTERVAL-MIN. PERIOD I PERI0132 P R PER/INCH
P-
p- '2/i.'fJ
P C"''
P--
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
I
71
1-41
4 -)A
1~9~ r Nat { j
i
i ~
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief,
NAME (print): U TESTS WERE COMPLETED ON:
ADDRESS: / CERTIFICATION NUMBER: PHONE NUMBER (optional):
`f - CST SIGNATURE• '
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) -OVER -
INSTRUCTIONS FOR COMPLETING FORM 115 - SEED - 6395
To b{ complete and accurate soil test, your report must include:
1. Col ~lal description;
2. T! ion must clearly indicate whether this is a residence or commercial project;
3. MAY umber of bedroon-- , commercial use planned;
4, IF +r , replacement sy,
" e suitability rating ? A SITE I5 SUITABLE FOR A HOLDING TANK ONLY IF ALL
C YSTEMS ARE RULE-,- BASED ON SOIL CONDITIONS;
6. PL W the abbreviations s) n f =re for writing profile descriptions and completing the plot plan;
7. MAKE A LEGIBLE diagram a y locating your test locations. Drawing to scale is preferred. A
separate sheet may be rise(] i c
8. Make sure your benchmark and elevation reference point are clearly shown, ar ` -re permanent;
0. r. fete all appropriate boxes ates, names, addresses, flood plain data, pe ~!st exemp-
if a- < siriate;
1C. i;.°i much as floor` -1-vation) does riot - ly, --ilace N.A. in th to box;
if. ; lace your cu e ;s and your ce _.a number;
12 IE i' copies and distribute rettuired. ALL TESTS MUST BE FILED ~JITH 'THE
L-° ~L AUTHORITY WITHIN 30 DAYS OF C:OMPLF
..EVIATIONS FOR CERTIFIED SOIL TESTERS
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• S N LAND SURVEYING •
HUDSON , WISCONSIN 54016
(715) 366-2007
Nome Tom Belis.ie
Address Rt. 2
Somerset, WI 540 -
Description A parcel of land located in part of NE 3,4 of the NE 34, of Section 33,
T31N, R19W, Town of Somerset, St. Croix County, Wisconsin,
further described as follows:
Commencing at the NE corner of said Section 33; thence S01047113"E,
along the east line of said NEa of Section 33, 347.00 feet to
the point of beginning of this description; thence con-t.inuing
S01047'13"E along said east line, 658.98 feet to -che NE corner
of Lot 1 of Certified Survey Map recorded in vol. 5, Page 1482
in the St. Croix County Register of Deeds Office; thence N81009'45"W,
along the north line of said Certified Survey Map, 442.37 feet;
thence N00013141"E, 590.46 feet; thence N8905&' 01"E, 414.22 feet
to the point of beginning.
This parcel to be deeded to adjoining owner.
NE Corner Sec. 33
N W
C)
0
\ \ M
O
\ 66
Mpno5a1nlnE
414.22' /
SCALE ~1 \
I"= 200'
\ \
100 0 100 200 300
265,545 SQ. FT.\
6.10 ACRES 1 \
A-E7 Waiver
ap ~I3
I, Allen C. Nyhagen, and I, ` Z
co
Thomas Bel~ale, agree to L L
waive the requirements for r- ° \ 9~ ` I
land surveys as set forth `j \ 3~ \ 1
C)
in A-E7 of the Wisconsin \\y
Administrative Code as the
corners of the land parcel `
described on this map w W
have not been monumented. o N81o09'45''W \
442.37
I N
Allen C. Ny agen date ~~C.
Lot 1, C.S.M. vol. 5, A4LEN {3 ,
Page 1482 NYHAC"EN
0 170,243 SQ. FT. $-1A07 r
#1t~CS~7N' Q
3.91 ACRES Cl)
Thomas Beli ae date I Wis.
,.e_`o
449.751 1 1V
N890401 0711W
Map Number 84-23-190
Drawn By B. B.
Allen C. Nyhage
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