Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
040-1131-50-000
(D o o 3 o 0 0 U). m > M Q" 0 Cam, O q O c O. O 7 3 N LL C N ~A O N Q E U > C m O. N 0+ ~ C Y g) III L ~ I N O 3 a O O 2 C z z E- -o 3 (D 7 N O. ON ~ U. LL O N > C z c 2 N ~ 'B O ~ 'O O ~ i E Q ¢ O m C (D CD N M O Cl) d (D W E 00 Z O O v £ OL OL " a m a m Z- L 'a L V I Lo 04 M F- z O C C9 O c6 O Z v c c = M - =3 O N O a) 2 N H p7 m o E O O M O N CL = N O 7 a 0) O 7 d 7 (D y U) N O • Ai a L D O N O d u C O O Z I- Z o z m z N Z I ~ n C cc N > N N N!Q £ (0 N 16 E N c N N A 0 Q L v « cto CL •M co a 06 U') c N N O 0 0 N N (D O U o a a E ro N G C a E in E fR VJ (A _O U N vi F- 1- F- O O LL 0 0 0 n m Z° LL O O O d ~aaa I~IL CL a '*Ala 0 > > N a g 0) 0) co co 0 Lf) Z oM v _ aoi oo m O cp oy W CO co CL m 7 'O N O In Lo o N O C a c c r- o U o 9 (o co ° in n y O c c n c n 0) 0 E E CO y G O M C O O ,y O N N C O w 06 F- (D E ~ a Lo :3 E E pOj 5 y E E O U N 0 U E O I v r~ m ~a' £a I da CL L: a 0 L: r a w iV ° u Z c m W c u E U A c0 a w 0 o 0 0 w V wgy-9:3- (R' ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE " 911 FOURTH STREET • HUDSON , WI 54016 (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. ❑ Water (VOC's) $185.00 Septic $25.00 ❑ Water (Nitrate & Bacteria) $35.00 (Visual inspection) si it/A r~o~t~t~K Owner: ✓ u M.J ~.2 Requested by: Address: n1" 3 , ~s S CrX, 1,41yj Address: City & State: /Z„~~2 /pus , cJ City & St.✓E.?- F~«s , ~.✓j Zip Code: .-5'o.2 z-- Zip Code: Sri o2_7__ Telephone N°: (~js) 412-5- / Y3y Telephone N4: ( ) Property address pre N2 & Street) : R r, ASS Cr, mm Location:~;,f Sec.?, T N, R-4-_W, Town of 7'2oy St. Croix Co., WI. Tax ID N2 Parcel ID N4 ~ House color: Sk. Realty firm: Lock Box Combo: Water sample tap location: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF IS FOR Is the dwelling currently occupied? ~ Yes ❑ No ~j If vacant, date last occupied: Septic system installed by: Year: ? Septic tank last serviced by: &4,jnj ~PNMPE~1 Date: J,4,u6 Previous Owner's Name(s): Have any f the following been observed? C ❑Y Slow drainage from house. ❑Y Sewage Back-up into dwelling. ❑YI Sewage discharge to ground surface,road ditch or body of water. CD ❑Y Slow drainage from the dwelling. ❑Y Foul odors.Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. ATE: 7~3 9.3 OWNERS SIGNATURE : ~C_ C-✓ 1 F OWNERS DRAWING OF HOUSE & SEP IC SYSTEM LOCATION t o~ 0 ~ IN C,,y TO BE COMPLETED BY INSPECTION A CY System design &/or permit on file? Yes o Soil series per SCS Soil Survey: G o sheet # Type of soil abso tion system; elow grd ❑At-Grd ❑Mound Approx. size. ❑Gravity ❑Do ❑Pressurized *+F t.2 ❑Bed. ❑Trench sery Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Ot er ❑Unknown Septic tank _ o Setbacks: ❑House_ ❑Well ❑Prop. line~30ther Dose tank Setbas: ❑House. ❑Well ❑Prop.'line; ❑Other ❑Locking-cover ❑Warning label ❑Pump/Floats" ❑Alarm ❑Elec. wiring Soil Absorption System Setbacks: OHouse ❑Well ❑Prop. line ❑Other ❑Ponding: _ U-~--re, ❑Discharge: in e,t!' General commen ,e cJ XJ O~7 67 INSPECTORS SKETCH OF-SYSTEM LOCATION N ~Juk nspect Title r ST. CROIX COUNTY T WISCONSIN ZONING OFFICE c~SI•: r ST. CROIX COUNTY COURTHOUSE 1101 Carmichael Road • Hudson, WI 5401E 1 715 386-4680 July 20, 1993 First National Bank Attn. Mortgage Loan Dept. 104 E. Locust River Falls, WI 54022 To Whom It May Concern: An inspection of the septic system :serving The Steve Sumner property located at 755 Co. Hwy. MM, was conducted on July 19, 1993. This inspection was based upon a :surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly, there may be hidden defects in the system not discoverable by this inspection. Our records do not date back to the time this system was installed, so it is impossible to determine exactly what the system consists of or how many square feet of drainage area there may be. At the time of the inspection, the septic system appeared to be functioning, but not at full capacity. It was noted that sewage effluent had "overflowed" out of the dryywell and onto the ground surface. There was also sewage effluent ponded within the drywell at the time of the inspection, indicating that the system may be approaching failure. Given these factors it is very difficult to estimate the useful life remaining in the system and I cannot guarantee or warrant that this system will continue to function properly in the future. I cannot predict how long this system will continue to accept sewage effluent nor how soon the system will fail completely. In an effort to prolong the system's life as long as possible, I recommend that steps be taken to minimize the wastewater flow from the house which enters the system. For example, repair any leaking water fixtures and/or replace them with water conserving fixtures, reduce time spent in the shower, wash clothes and dishes only when there is a full load, use a washing machine with a suds saver feature, etc. I would also recommend that the septic tank be pumped at a minimum of once every three years. Based on page 90 of the S.C.S. Soil Survey Manual of St. Croix Co., the size and topography of the property, and field findings of soil conditions in the immediate area, it appears that either a conventional or mound type septic system will be required when replacement of the existing system becomes necessary, depending on the specific soil conditions at the site. Should have any questions or concerns that I can clarify for you, please feel free to contact me at this office between the hours of 8:00 am.- 5:00 pm., Monday - Friday. Since ely, mes ompson Assistant Zoning Administrator cc: file i ANWIVIERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.: 08418/01 PAGE 1 ST. CROIX COUNTY REPORT DATE*# 8/03/90 COURTHOUSE DATE RECEIVEDS 8/01/90 HUDSON, WI 54016 ATTN! THOMAS C. NELSON a~/o 113 2f, OWNER. Steve & Sandra Sumner LOCATION'* 755 Cty R , aver FaLLs COLLECTOR; M. Jenkins SOURCE OF SAMPLE: Kitchen faucet COLIFORM: 0 /100 ml. INTERPRETATION. BacteriologicallySAFE NITRATE--N*4 4 ppm Under 10 ppm is safe for human consumption. Coliform Bacteria/100 ml Nitrate-Nitrogena mg/L LAB TECHNICIANS Pam Gane WI Approved Lab No. 19 OF.WpEDENpfry t Means "LESS THAN" Detectable Level. Approved by: A PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE G St. Croix County Courthouse 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix County Zoning office offers the service of septic and water inspections to Lending Institutions, Realty Firms, and private individuals. Comvletion of this form is essentja3 no that the Vronerty can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. G-~ WATER TESTING----------------------------FEE: $ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 _ (Determines if system is properly functioning at -Mme of inspection) Property owner's name 515\)E - SAM89_A SUf►1N&K_. Property owner's address -155 C~~1- rn~ 2~Uc-~ ~f~<<S =5'~Oa~ Legal Description X1/4 of the N r,1/4 of section, T AL N-R_j,~1 Town of yn,L_ j Lot Number - Subdivision Name - fTRW NUMBER 755 U= DQX NUMBER Color of house uL 5E5 Realty sign by house? If so, list firm: (gyp - eP_0V3M PLEASR INCLUDE, IF AT ALL POSSIBLE, A MAP, .e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone Number REPORT TO BE SENT TO: _5tF E_ U~Nf.=-4 LA - 3 'l 55 i IY\ lS i 5 S A4 d a Closing date - - Signature ST. CROIX COUNTY WISCONSIN ZONING OFFICE ~t I amp ~ a ~ ■ ~ _ _ ST. CROIX COUNTY GOVERNMENT CENTER ■~~•6 1101 Carmichael Road ' Hudson, WI 54016-7710 s-- - (715) 386-4680 September 8, 1998 Mr. Jerry Ginsberg 750 Co. Hwy. M River falls, WI 54002 RE: TOWNSHIP BUILDING PERMIT Dear Mr. Ginsberg: I have reviewed the building plans that you submitted and the information that we have on file regarding the septic system that serves your existing three-bedroom home. The septic was designed and installed to treat and dispose of the waste generated from a 3-bedroom home. It is my understanding that you wish to obtain a building permit for an addition to the house, which is to include adding a fourth bedroom. As the septic system will be undersized after the addition is completed, you must complete and submit the enclosed affidavit attesting that you are aware of this fact and will make this information available to any parties who may be interested in purchasing this property in the future. It appears that this system meets current code requirements in all other ways. Accordingly, the only permit needed to proceed with this project is a building permit from the Town of Somerset. We have no objections to this addition being constructed provided that the addition does not encroach upon the required setback separations from the septic system. The addition must be at least 5' from the nearest edge of the septic tank, and at least 25' from the nearest edge of the drainfield. Should you have any questions or concerns regarding this matter please feel free to contact me at his office between the hours of 8:00 am - 5:00 PM, Monday - Friday. Sincerely, James K. Thompson Assistant Zoning Administrator Cc: File Enc. STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS-'2,5_5- -4 SUBDIVISION / CSMf LOT SECTION. T N-R i' W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM CU ~%GL L OI'L L ico',0 ~ ~ -A Z- 3 , %1 ' t y i e INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: jV f~L ✓~~=G~L~C~ Y 702 ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION Manufacturer: S' Liquid Capacity: /fee-)e7 Setback from: Well 10C) House 5-3 ' Other Pum ufacturer Model #-ae- Float separation cyc "Laca Alarm . in -:SOIL ABSORPTION SYSTEM Width: Length E) Number of trenches 3 Distance & Direction to nearest prop. line: Setback from: well: 00 House /i / Other ELEVATIONS Building Sewer /0 ,,L ;Z, ST Inlet. ~ 9,'7 R ST outlet 5?!9~, > S PC inl-et- /VA PC bottom NA Pump Off Header/Manifold Bottom of system Existing Grade Final grade j3 DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: 0 3 2.5 ` INSPECTOR: 3/93:jt L ~b~pert~i c f h,4At?y28.19 . 545CnbTAy SrEVIli4G Y5TEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) sanitary r iin it Permit Holder's Name: City Village © Town o : State Plan o.: C r SANDRA -k- v.: Insp. BM E ev.: M D scription: ~i Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300268 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S LrtC Benchmark Dosing A - 0 ~ Aeration Bldg. Sewer mx "21 Holding St/Ht Inlet 9,e 7j, TANK SETBACK INFORMATION St/ Ht Outlet 3S' 99 SV Vent ir Ito ntake ROAD Dt Inlet TANK TO P/ L WELL BLDG. A Septic NA Dt Bottom Dosing- NA Header:- Aeration Dist. Pipe I n,d Holding Bot. System Holding o' -31 PUMP/ SIPHON INFORMATION Final Grade Man u Demand T S Model Number GPM TDH Lift friction t Forcemain Length rDia. Dist. To WefiF SOIL ABSORPTION SYSTEM BED /TRENCH Width Length} No. Of Trenches PIT No. Of Pits Inside Dia. + Liquid Depth DIMENSIONS 40U DIM I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEA acturer: SETBACK INFORMATION Type Of CHAMBER Mo er. System: OR UNIT DISTRIBUTION SYSTEM Header / y Distribution Pipe(s) r/ x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length S 7 / Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Depth Over Depth Over i/ `tV xx D ed /Sodded xx u r >ifJ /Trench Center ,Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 35.28.19.~45C,NW,NE,CTY. MM C' Plan revision required? ❑ Yes 2'Iglo Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND. SKETCH SANITARY PERMIT NUMBER: li e DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COON STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than / 9t? 9&Z 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. PROPERTY OWNER PROPERTY LOCATION W14 4''/4,S $'T .1. N, 9 E(or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ® I3O S A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) 1:1 State Owned VILLLLAGE : NEAREST ROAD ~j R N W: a_ C ❑ Public 1291 or 2 Fam. Dwelling4 of bedrooms PARCEL TNUMBER( III. BUILDING USE: (If building type is public, check all that apply) O O 1 ❑ Apt/Condo r 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.E1 Reconnection of 5.E] 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 (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION ~D Q O ®Q , S Feet 8 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb s ignalure: (No Stamps) PRSW No.: Business Phone Number: OffM VIA/ C56#171 7 R p~ - umber's Address (Street, City, State, Zip Code): ,_86 1JAZ_LA;rX 0149raj TA? 36 - - - IX. OUNTY/DEPARTM NT USE ONLY Disapproved S itary Permit Fee (Includes Groundwater Date Issued Issuing A ent Signa S Approved ❑ Owner Given Initial ag surcharge Fee) a Advers Determination 1 11 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (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 63'39) 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 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 arid 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. i Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The puns must include the following: A) plot plan, drawn to scale or with complete dim3nsions, location of holding `ar k(s), septic tank(s) or other treatme,a tar ks; building sewers; wells; water rnains/water service; strearrls and lakes; pump or siphon tanks; distrinm Lion boxes; soil absorption systems; replacement system areas. and the location of he building served, E) horizontal and vertlea! 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 - - - - - - - GROUNDWATE14 SURCHARGE 19°3 ~N`sconsin ;pct 4':0 included the creation of surcharges (lees) for a number of regulated practices which can effect groundwater. The monies collected through these; surcharges are usetl for roof itoring grog. od,,iater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) PLOT PLAN Page 3 of 3 ~..i1.>~1ZS . S`RTV~ Sf~'~vDV SV1'71J1~ SCALE 1"= 30 N oR`~T} W `3 T o1- S`t S T~1 H-Y_~ ~N X l S i~1~ Tl j tC2 7 Y ~ r- _ T 1-~A of Ti~R! 1~ ~cz <<~o Tom . ~L C~ez~l VA eoa trt~2~ zy Tom of 4' ~y t 6N O 18 k Lrl- e D It", . wuut~ t~ST. R N a t2t~ . -t , # ASS E tR fit- q-i Sut~3LL ~ 63` S:~A R Gc~ 13~ oR ~ , 3_ ~~51ILQ~ , 3 `MeveF}QS , "cto 6u, LU~vG 3, `b P t1T- 'bl~,mu S Wp 1. L-- b 6E pl PM 13c-- l /v 5'rft L l ob . 93_ ~s9 Cj ~Y -?-~-9 43 ( 715 4~.5-01 _h5 II00576 CST Signature Date Signed Telephone No. CST # `bdDepartment Industry, LAabor or and Human Relations SOIL AND SITE EVALUATION REPORT Page 1 of 3 - Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST". cv* 1X Attach complete site plan on paper not less than 8 112 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 LjC _ ~ `3) --)13 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION S TAU El- 4 S P~/vp'-( S vY-1 tv ER GOVT. LOT N 111/4 1.1 I; 1/4,S 3S T ZS N,R 1 E (o( PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK! FSUBD. NAME OR CSM # 7r). eu K 3 ~ S - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®fOWN NEAREST ROAD ~t4w3Qv\.i M S6LjZ (611)164- z6Y6 TRuy' cJ-j" . [ J New Construction Use [JQ Residential / Number of bedrooms 3 [ ] Addition to existing building pQ Replacement [ J Public or commercial describe Code derived daily flow - qSO gpd Recommended design loading rate o y bed, gpd/ft2 0 S trench, 9Pd/ft2 Absorption area required \12 S bed, ft2 q Do trench, ft2 Maximum design loading rate o • ~ bed, gpd/ft2 0- 5 trench, gpd/ft2 Recommended infiltration surface elevation(s) °f q• S 3~D ft (as referred to site plan benchmark) Additional design / site considerations Parent material _St,Lr ot_mt 'T) \..t_ ow im S tr"& ym xjL Flood plain elevation, if applicable M -A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RILL HOLING ~TANK U= Unsuitable for stem S❑ U INS ❑ U NS ❑ U IRIS ❑ U I@ S❑ U ❑ S IR U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Bourtdary Roots Bed Ttertdl b' l b `~1 1Z I Z "K 1 o-1b Z si z~,bk cw t~~ o.s o.6 S11 Z FS~k yn'ft, e-S - o•S u. Ground 3 Z. ~O `t ti y/y ~S sbk Vn u ~V cg o- S o. elev. q 8- 8 ft. y 2 _q 2 t O '-r R Y/y - SSF n/ ° ~g ~r~ - o • S o . b Depth to limiting factor 7 Z Remarks. Boring # n., 1 b-ty 1`12 Zf Z - s t Z ~s~k M'fj ck, 1v~ o. S p_ ,4 z tq-z3 ~0 1 c S Ground 33-yZ lu`i2 3/to _ s1 `cSbk Lvl t.1 ~S - o•S elev. Ll to g-t.R Y/y C. L] o,5 q 3 ft. Depth to limiting fact g 3, Remarksi CST Name:-Please Print Phone: . Arthur L. We erer 715-425-0165 dress: egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: 3 _ I S 9 Date: _ 2g - g3 CST Number: M00576 PROPERTY OWNER Sk,3V-1 R SOIL DESCRIPTION REPORT Page?- of 3 PARCELI.D. o~L l~- ((3)-70 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Z!z - s i 1 Z S~1z cw o.s v 3 _ Ground 3 3 -SO l O -fit VL - S C-S'bk w, v~ C S o• o. 5 elev. o ft. so-9o l o iZ v/yr S v w, w, v _ o, y o. 5 Depth to limiting factor g u'' Remarks: Boring # Ground elev. ft. Depth to limiting factor T-1 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) if"God. rJEN'r o~ /NsPEcr~o/v ' P APPI?oc Z6 A /?OueO C bcr~lt a$ ~ p 0 I - ; ' 6 ' 5' 6' ~E- ~5' --31 ySTE/'~ C L , 9%, 6- s~ rG ~ - r v ~-B - o o~ ~v\LIL~p TtiTI L`~CD 11 ~L4Es~ 9.1 P~ MBOcz Gi ~ Y grh _~L. 102.0 ~ G)v ToN of 1 t 3 9p P~O/~dS~=d I ~ y 1 c,1-I o r . ~vooA T. R ~S R"'► i~ G1~, ~ T; h El- k--WT. >SS h I I + I I ~.z i I ! Cl N r 3'~X 6 + I I o. LLl~I~ = ?AWIYV6~ 9012,' 7- 93 DRAwlvc- S ~'EUE cS is ~ - lP~`r✓' 2 'F~1cc cvJ`. ~syQ22 501-7E/I5-cT o S 81 N LAND SURVEYING- HUDSON I WISCONSIN 54016 (715) 386-2007 Nome River Valley Abstract & Title Inc. Address 220 Locust St. Hudson, WI 54016 Description Part of the NWy~ of NE, -czf S_ectian 35-28-19, St. Croix County, Wiscons C89-1 Steve W. and Sandra A. Sumner PLAT DRAWING N This: is not -:a complete' Land: Survey W E S c •t .y gb ~ ,o l b3 ~4- G f{OUSE c P 26, o~ m C STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 51UL AND 560 aa 0 SLAmAEA- ROUTE/BOX NUMBER P •U . U~ X 3qS FIRE NO. CITY/STATE ,luso ZIP 56A33 k PROPERTY LOCATION: .Llt"-1/4 1/4, Section 35 , T_a_N, R 19 W, Town of Ty , St. Croix County, Subdivision , Lot No. 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 $3000 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master 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. Certification form will be sent approximately 30 days prior to three year expiration. 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 Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date.) sFi j I~ SIGNED DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address v STC-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), thenia 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 -544-- E AND 5AK0M * 5URIAEX, Location of'property-&Li/4 hF, 1/4, Section 35 , T _N-R 19 W Township Tk-()q Mailing address ~•4 9ox 395 MOM , M. 5633a S1TE AW2_M - ~ . X55 Cry m0 Address of site 0 Subdivision name Lot no. Other homes on property? yes k... No Previous owner of property Total size of parcel 2 ACEE5 Date parcel-was created 'Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes nNo Volume I(1a5 and. Page Number 51~, 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_at all statements on._this r true to the best of my our knowledge that I (wed e owner(s) of the property ascribed in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 033141 , 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. Signature of applicant Co-applicant Date of Signature Date of Signature tr I962 THIS SPACE RESERVED FOR RECORDING DATA DEED DOCUMENT NO. STATE BARIOF WISCONSIN FORK 1- 50334'7 r rc REGISTER'S OFFICE ST. CROIX CO., W! Steve W.__ Rac'dforRaWfa I This Deed, made between . S.and I,...Sulkr.,..--hu'sband..-and_.wll Q • AUG 3 1993 Grantor, 3t 1:00 P., M and ----...~ral~..$ ~----~~-nsberg......................................................... er d De6ds 4 Grantee, Witnesseth, That the said Grantor, for a valuable consideration-- T NATIONAIL bkl{11 RETURN Seventy--Thousand___(.~.I.Q,_900 ,-9-0 )-.D911 _a?r$--_---_--___-._ conveys to Grantee the following described real estate in St..__ Croix-•" RIVER FALLS, WISCONSIN 54022 County, State of Wisconsin: All that part of the North 70 acres of the I Northeast Quarter (NE114) of Section Thirty- Tax Parcel No:----------------------------------- five (35), Township Twenty-eight (28) North, g art of Range Nineteen (19) West, lying Westerly of highway and being, p arter (NW1/4 of NEl/4) of the Northwest Quarter of tTownship Northeast Twentty-eight (28) North, Range Section Thirty-five (35), Nineteen (19) West, EXCEPT parts onveyed to ae209~ and Ruby McLaughlin in Volume 426, page 364, and in Volume 450, page r I This 1A homestead property. I Together with all and singular the hereditaments and appurtenances thereunto belonging; A _ e iSum em."-a>ad.-S.andx _.A..-._ Sumner...huahand--and..w e................... , warrants s that t thhe title e is good, , indefeasible in fee simple and free and clear of encumbrances except easement-: reservations and restrictions of record; and will warrant and defend the same. I July 1993.... Dated this A9th.- day of ---•--•---------•------•-----•---•---•------•-•---------------••-----(SEA ) (SEAL) Steve W. Sumner. ' I (SEAL) . Sandra_•A.__ Sumner•_______________________ AGHNOWLEDGMENT STATE OF WISCONSIN tare(..) Pierce------------------County. ------------------county. Q 17;1 . authenticated this _day of 19------ Personally came before me this may of MY • 19_.9.. the above names teve__W.._ Suznner_ and__Sandra._A:__.____ Sumnerx__husband_ and_ wi__ e,_________________ - - - - - TITLE: MEMBER STATE BAIL OF WISCO (If not, b Is by $ 706.06. Wis. Stata.) to me known to be the person 3----------- who executed the authorized foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY _ ~*L_•~._ ie C. Moelter................................... ChazJ.es_.},__._WU tex..ttorney--ax..aw - - 540.22 St Croix Notary Pnbiic - WI vvvvz <,< i:,Xli$~X~l4r River Fa-1...1..s. • -------My Commission (Signatures may be authenticated or acknowledged. Both expires___04 10 94. XXeK_ are not necessary.) i1~esly Publio.S1~ d 1K9ooneYl naturee. LS£'.o!1 Ezpices r. 10~ 19U eNamea of persons si[aina in any capacity should be typed or printed below theca a>Q ~ C'Oh>m Wisconsin Legal Blank Ca Ins. STAT19 BAR OF WISCONSIN Milwaukee, Wis. WARRANTY ABED FORM Nw 1 - 1962 kisconsinDepartment of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3 Labor and Human Relations - GiNision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY S GIzU 1 X 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 Ll 13 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY,OWNER: PROPERTY LOCATION S T~Dj e 4 S S u>~'1 N GOVT. LOT tv w 1/4 M 1E 1/4,S 3S T Z N,R 14) E (o W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # p.0 guX S - CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE DOWN NEAREST ROAD is NN jZLo'j ►+~NJ S6Z'~Z (612)-)64- (6Y..(-_ I " V1m [ ] New Construction Use [JQ Residential / Number of bedrooms [ ] Additi} n to existing building j~ Replacement [ ] Public or commercial describe Code derived dairy flow SO gpd Recommended design loading rate ov y bed, gp(W ° S trench, gpolft2 Absorption area required \\Z S bed, ft2 °f 1D17 trench, ft2 Ma)dmum design loading rate o - '4 bed, gpd/ft2 0- 5 trench, gpd/ t2 Recommended infiltration surface elevation(s) ol q• S B eZ ft (as referred to site plan benchmark) Additional design / site considerations Parent material star cum out sft'vtg Tuxj` Flood plain elevation, if applicable 4N , ft S = Suitable for system CONVENTIONAL MOUND I ROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem S ❑ U ®S ❑ U 2S ❑ U EIS ❑ U ®S ❑ U ❑ S Mfil SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure consistence Bcuxfary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench ` 0-16 w~L~ztZ z ~,bk~- cw IMF o• s o• 6 1 - S1 4> Z ~6-36 to~~31b - sal ZFS~k >n~'~. cS - o.S u b Ground 3 3(, ~Z 10 `2 ti Y/y ^ ~g sbk y►1 o. elev. dig s - o. s o, b a S, B ft. y 2 -°12 t o~ c IL Y/y - FM&fl Depth to limiting factor 7 017, Remarks: Boring # , 1 b-ty 1rw-12 Z l Z - s L 1 Z~'Sbk ~t~4 ck, 1v~ o• S o. L ITH Z 1~L-z3 L~~1R 316 - 1 2'fsbk rn cs o.S u.L M?:3CAYv+ tC:v\~~\~i{+i{OEi:I 3 13 _41 l O `t l_ 3/6 - S l ~sbk 1rn LT 0.5 Ground elev. ft. L4 yZ. C3 lb `-I R Y/y y„ U 1 y ' 0.5 Depth to limiting factor 34 15g R oar f. Remarks: oFFt T Name: Please Print Phone: ~t Arthur L. We erer 715--, egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,W-I-«• 22 Signature: Date: CST Number: ~!3- lS9-29- `73 M00576 PROPERTY OWNER s('3M1VeR SOIL DESCRIPTION REPORT Page? of i3 PARCEL I.D.# o~L l~- J ~J-70 J Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxh . o_~~ Lo zlz - sit Z 6 o S ~~-c '1nr► `F~. Cw 1 ~ o •s ry:.v 0-3L ~o ~tQ M. s 11 Z`~ S 1~k e g o• S o. L Ground 3 -SO 10 `7 2 VL _ S ~ ~ c S~DIZ vn U `Fh ~S - a . o. 5 elev. Cy o ft. L4 so-9o to `2 2 ~/!~t o, y o. 5 Depth to limiting factor Remarks: Boring # vi }.i • v • Ground elev. ft. Depth to limiting factor Remarks: Boring # 4 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) • PLOT PLAN Page 3 of 3 ° o~~s : S`CL'~l~ e SM'►vDY SV1r11U1~ SCALE 1"= 30 ~c~ Oyp_ 1131-fin t~oR-`~►w~T OF 5'`7ST " F-t*A NVJi?i~ ' - -1- T T 1 ~P pF S uRl 0 SvRtNO TEL. c~ ~L 9 g.1 PAD. ~18Od Nt4~ _ Z~ 8►^1 -~L. 102..0 Otte )VO of 614 3 p I ~ X En. a" D! . wuuu HOST. ~ ASS $ LO q-l3 T3Q~ WL hz5- K) v.3 0,-0- C ' ZU~~ ~Z( Ux.t F~vcE, 1F DEss12 3 `T~2~vCt+~s , RCN ('13, ul)UG 3e) el!P kT' w - !/v q3_ ~s9 (715 ) 4L-0165 M00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department Industry, Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page I of 3 ` 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 S T' c'LZU I 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 Ljl3 - ~ k 3) _-)13 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY-OWNER: PROPERTY LOCATION S TTV L~- 4 S AL1uQ'-f S vy1 N kER GOVT. LOT Iv W 1/4 M e 1/4,S 3S T _Z-~ N,R I. E (o W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # P.p. Bu.X 3~ S - CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE DOWN NEAREST ROAD Dt~wsoly N'1N S67 'I (612)-)64- z6Y6 TRuy' c`t~" cwt'' [ ] New Construction Use [JQ Residential / Number of bedrooms 3 [ ] Additt n to eAsting building p(( Replacement [ ] Public or commercial describe Code derived daily flowgSO gpd Recommended design loading rate o• k/ bed, gp(/tt2 0' S trench, gpd/ft2 Absapfion area required \\Z S bed, ft2 0100 trench, ft2 Ma)dmum design loading rate o-~bed, gp(W 0- S trench, gPde Recomrnencled infiltration surface elevation(s) °t q. S ti3 D ft (as referred to site plan benchmark) Additional design / site Cations Parent material 51,~r QUM ou *U s tt~vp S -I.n,~ Flood plain elevation, N applicable la -q , It S = Suitable for sy8tern CONNEN110NA1 MOUND FUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDOVG_ T~ac U = Unsuitable for Stem $ ❑ U ®S ❑ U T29 5 ❑ U R[ S ❑ U Ills ❑ U ❑ S 1 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistiertce Bwxl3y Roots PD/it in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. -Bed tt & l 0-1lo w~ttzztZ ) si z`F3 bk cw o,s o•6 Ground 3 36 ~Z 10 1-1 fZ Y/y ^ TS Sbk u F~ aS o- S o. elev. as-a ft. y 2-92 to I-2 Y/Y - sSFwt~ °~g vim, - o,S ;o. b Depth to limiting factor u 7 0171 Remarks: Boring # 1 b-~y 10`-15Z~LZ o•Sso_~ Z Z t~L-Z3 1p`1R 316 - 1 z~F3 rni~ c5 3 Z3-4i t.o`iP_ 91~6 - S 1 cSbk lout vi,- '--S o q 0.5 Ground elev. 4 YL.C3 W-tM Y/ q.~-3 tt y yrt V iv Depth to limiting factor 8 3a Remarks: T Name:-Please Print Phone: Arthur L. We erer 715-425-0165 g rer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: q3- IS? -29-013 M00576 3 PROPERTY OWNER SUw'1r~1 SOIL DESCRIPTION REPORT Page Z. of PARCEL I.D.# ~~L L L 31- 70 Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench S~k ~n~~ Cw 1 o•S o. 6 ~-A 3s a. L ~4yCLvC'5:~:::: -3L v~~ Li z Ground 3 36-SO l O `f 2 3/L S 1 C- sb~c w► U 4 - S - a, y o-51 elev. o, 4 V%j yz~ 1.1 ft. Depth to limiting factor > 9 O'' Remarks: Boring # ~w. ti Ground elev, ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ml 4 +ti: Ground elev, ft Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 r . o~~1zs ; S`1Z~lC Sly-,~.DY SVY-i1Ul~ SCALE 1"= SO ~t~Zr ~ pyp_ 1131-~b w ~,L is Lpe~U ~ ! pQ t~oR`11iw T of S`YSreM FM*A K7~ ~(`v ' StjP~1 ~^IP1tfUt 7 y _ ~r81~! - ETL L W. 0 ~ ~J T T T T--` _ T 1 dP of 8 uR Cso . 3vZ1LO Tee. L~ 9 Pet). M e0O tR 94~ _ 8'1 ZY ToP OF- %l' t416N i3 ~D~ 4 ~S y~ 0" Z )I 1~1. wnuD MOST. q,'1.7 S ~ s.z ,L 3 0 q (a. r ° Sut - 63 I~rTts~zq R ~ B~1 oR Q ham, ~s ~ G 0.3 t:z,t 4'b - \P, L1 w~ C FeveE IF DL-S! M!b `Me)v c.!} e-S , "CH 60 ' Uw G ~ 3fl' U el p kr C uw~ S WP is L~ 6F Y-I I'NI 8 I ! AJ S'T PrL L OD . ~ q3- ~s9 (715 ) 425-0165 M00576 CST Signature Date Signed Telephone No. CST # C.) ca 0 O O k v ° c_ C; CD o r w o S p$j O V=i O ONO IV Q I~ • OD CL 3 :3 1 OD CL CD 0 N 61 O ~y~~y CL ! R O CL N O 3 v w C ~ p m cn Z D ~ ate; C co O W a O CD a p Z 00 O co n o CO) co CO M CO Q_ v 3 a T V u • z _ !mil o rye OFF CO) vi CO) m p 123 v v o! N p CAD !D y N = o •p N fp lei =L !D O N 3 CL CL w Z 0 zD W z 0 a : cn • CD m y t~.l c c m w n Z ? A Z 0 o a A Z O v ~ 0 v Ln a Z A ;U O * Z 00 'A m co I ~ a o Sr x° v c o s. CD m CD I A I dy b I 'ax I 3 m v = 2r o O t=ir N CD as N N C o O d i O b O n• ~ y Parcel 040-1131-50-000 12/20/2005 12:37 PM PAGE 1 OF 1 Alt. Parcel 35.28.19.545C 040 - TOWN OF TROY Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - GINSBERG, GERALD B GERALD BGINSBERG C - SMITH DEBRA ANN SMITH DEBRA ANN 755 CTY RD MM RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 755 CTY RD MM SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.920 Plat: N/A-NOT AVAILABLE SEC 35 T28N R19W.92 AC IN NW NE COM Block/Condo Bldg: 539.9 FT S OF N1/4 COR; S 38 DEG E 500 FT ON CL OF HWY TO POB:S 38 DEG E 200 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) FT, S 51 DEG W 200 FT, N 38 DEG W 200 FT 35-28N-19W TH N 51 DEG E 200 FT TO POB INCLUDES P545E Notes: Parcel History: Date Doc # Vol/Page Type 01/04/1999 594974 1392/344 QC 07/23/1997 1025/512 WD 07/23/1997 756/63 07/23/1997 710/141 2005 SUMMARY Bill M Fair Market Value: Assessed with: 103076 287,600 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.920 70,000 206,800 276,800 NO Totals for 2005: General Property 2.920 70,000 206,800 276,800 Woodland 0.000 0 0 Totals for 2004: General Property 2.920 70,000 206,800 276,800 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 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. 60X""7669 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION :e~' p1sQ wl RECONNECTION EXISTING SYSTE"2 State PlanLD.Numbec ~W f LVC, SY0728 , 19W (It assigned) Town of Troy El CONVENTIONAL ❑ ALTERATIVE CTY Hwy M^'I ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Steve & Sandra Sumner 755 CTY Tk MM River Falls, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Carl Heise 13378 St. Croix 128614 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ED NO El YES ❑ NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST 00- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES [:1 NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO El YES E] NO NEAREST I Retain in county file for audit. Sketch System on Reverse Side. SIGNATURE: TITLE: Zoning Administrator SBD-6710 (R. 06/88) Thomas C. Nelson SANITARY PERMIT APPLICATION 1.1 OILN~ In accord with ILHR 83.05, Wis. Adm. Code COUN STATE SANIT Y ERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than l / 8% x 11 inches in size. ❑ Check if revision t6 pr vious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION -re ve, + S r S Lj '/4 IVC- '/4, S 3.< T aQ, N, R ( (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # '155 7Y Tk CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER R►V Fall Ww"s s4o 171.!5' )4.2!r-14:34 II. TYPE OF BUILDING: (Check one tjILTLYAGE NEAREST ROAD 11 State Owned : T C) ❑ Public K1 or 2 Fam. Dwelling- # of bedroo - PARCEL A N ( 111. BUILDING USE: (If building type is public, check all that apply) 040-113/ -50 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 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. 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 420 Pit Privy 13 IR Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill P1.ALLONS BSORPTION SYSTEM INFORMATION: PER DAY 12. 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./inch) ELEVATION Feet Feet 7ANK CAPACITY Site VII. OR in allons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete structed Con- Steel glass Plastic App Tanks Tanks Se tic Tank or Holdin Tank =0 H Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) 0NMPRSW No.: Business Phone Number: 1 ` , tiv 1~ 42,E-211,r Plumber's Address (Street, City, State, Zip Code): 104V t ,'s IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved anitary Permit Fee (Includes Groundwater a e ssue Iss g gent Signature (No Stamps) Surcharge Fee) Approved E] Owner Given Initial -ll Adverse D rm f . CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-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 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 systerns; 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) APPLICATION FOR SANITARY PERMIT STC - 100 his application form is to be completed in full and signed by the owner(s) of the roperty being developed. Any inadequacies will only result in delays of the permit ssuance. Should this development be intended for resale by owner/contractor, ("spec ouse"), then a second form should be retained and completed when the property is old and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - vner of Property 5iF-VF0' 5A N UA SU I ME4, ocation of Property _14, Section 35 , T a$ N-R IC1 W ownship TkQ'4 ailing Address P,-). 3 -1155 cig. MM 00F-Z ~A(15 ~Uis. s4oaa ddress of Site .5AIN\ E ubdivision Name of Number revious Owner of Property TWAA 5 A. M i otal Size of Parcel a. $ ACRES ate Parcel was Created re all corners and lot lines identifiable? X Yes No s this property being developed for resale (spec house) ? Yes No olume 5 b and Page Number 6 3 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: Warranty Deed which includes a Document number, volume and page number, and the eal of the Register of Deeds. In addition, a certified survey, if available, would be elpful so as to avoid delays of the reviewing process. If the deed description refer- nces to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION (we) cVW6y that a.U 6tatement6 on this 6otm aAe true to the best os my (ouk) nowt.edg e; that I (we) am (are) the owner (b) o6 the phopen ty de.a ch i.b ed in this n 6oAmaLion Sown, by viA tue 06 a waAAan ty deed neconded in the 0 66.ice 06 the oun.ty Reg•is.teh. o6 Deeds a6 Document No. $5 and that I (we) pnesen.tey wn the pnopoaed bite Soh the 6ewage cUzTob dyb em (on I (we) have obtained an as ement, to nun with the above du ch ibed pnopehty, Son the cons-tAuc Lion o6 dai,d yd.tem, and the acme h" been duty neconded in the 066.ice 06 the County Reg.ca.ten o6 eeda, ae Document No. IGNATURE OED OWNER r SIGNATURE ER (IF APPLICABLE) / -CA -ci s ATE SIGNED TE SIGNED •rl ~ fir: y~ r,r -77 .i' 66 -ANN l`ky ~ ~ yS6 Y v t ~ H.C.MIISrCanpeny M Stock No. 13001 DOCUMENT NO. STATE BAR OF WISCONSIN-FORM 1 `E [1r~ WARRANTY DEED t 17795 BOY, t FA.•,,. THIS SPACE RESERVED FOR RECORDING DATA 1 RE015 .5 OFFICE THIS DEED, made between Thomas A. Joy, a single mans ST. CROIX CO., W I& Rec'd. for Record ft 6th Oct. --~$6 a~~ ~ Grantor qg► of and Steve W. Sumner and Sandra A. Sumner husband and wife, as survivorship marital proper , !I A ail Grantee, Mightu DMA/ . W i t n e s s e t h, That the said Grantor, for a valuable , consideration FoKt - y Thousand and no/100 ($40,000.00 Dollars---------- RETURN TO conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: j All that part of the North Seventy (70) acres of the Northeast Quarter (NFk) of Section Thirty-Five (35), Township Twenty-Eight (28) North, Range Nineteen (19) Tax Key No. West, lying Westerly of highway and being part of the Northwest Quarter of the Northeast Quarter (NW -,of Na) of Section Thirty-Five (35), Township Twenty-Eight (28) North, Range Nineteen (19) 'I West, EXCEPT parts conveyed to James B. and Ruby McLaughlin in "426", page 364 and in "450", page 209. { Grantor hereby cancels and releases agreement to furnish water supply contained in Deed record in Volune 426, page 364, Document No. 285709. } NT TRA FEE This ~ homestead property. l Together with all and singular the hereditaments and appurtenances thereunto belonging; And Thomas A. Joy, a single man, warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except eaSe iEntS, reservations and restrictions of record; and will warrant and defend the same. Dated this lst day of October 19 86 I (SEAL) Lug Sri ,s L (SEAL) Thomas A. Joy (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 19 PIERCE ' SS. County. ii Personally came before me, this 1St day of October, 1986, the above named ! TITLE: MEMBER STATE BAR OF WISCONSIN Thomas A. Joy, a single man, (If not, authorized by § 706.06, Wis. Stats.) This instrument was drafted by Charles E. White, Attorney at Law to me known to be the person _ who executed the. fore- River Falls, Wisconsin 54022 going instr ment end kno edged the same. Boris E. Deiss (Signatures may be authenticated or acknowledd ~~.lwh - are not necessary.) I c 1y f : -3 No~ary Public S Croix County, Wis. / Q hgy Commission ,'s, ..,o X~t~xpires : January 8 19 89 , ) *Names of persons signing in any capacity must bE~yj;d-qr prinlL N*kg, their signatures. WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. 1-1977 i a STC - 105 r r a H SEPTIC TANK MAINTENANCE ACREEMENT o St. Croix County x d _ a OWNER/BUYER N' 58N(bq 5uMNE4., ROUTE/BOX NUMBER ~~.3 MPA Fire Number 155 CITY/STATE kiQE~_ VA115 W15. 7.IP 5240 a PROPERTY LOCATION: AVJ 1, NE 14, Section 35 T ;k$ N, R 19 W, Town of Ki~U fAI(5 , St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in I its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, I if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to recelve 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master 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 sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H I/WE, the undersigned r, have read the above requirements and agree t4 to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- b ment of. Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Offi,re within 30 days of the three year expiration date. SICNED DATE ~ GI_ $Gl St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION INDUSTRY, G P.O. BOX 7969 LABOR A14D PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (H63.0911) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: - R 0) NA AM) A SW %NO/a ja_ TaBN/R ►q (or) W -7 COUNTY: NER' ER'S NAME: MAILING ADDRESS: S T I STEVE - S C-7, L Tc M USE DATES OBSERVATIONS MADE NO.BEDRMS,: COMMERCIAL ESCRIPTION: PROFILED SCRIPT IONS: PERCOLATION TESTS: ]Residence Z ❑New RI 4/j jla NA RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- I UND•PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) F71S DU X S DU S ❑U EIS ®U EIS ZU If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5) (b), indicate: Floodplain indicate Floodplain elevation: NA PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. GHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 94rr 0-$n LT Or. 8-12" Ak& S;L 12-32"L?6 B-S; 32-52 B- q4„ 103,3 NONE ? Ok{3„ SL 52-Lo"LTG,, -,IS 6o-41" 13,. f5 wrr rocA. '~~,gen•~+fs B- B- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD 3 PER INCH P- P_ NOTE - T11's i 'w 9 T f sr P- 0nt )6fow 4 1114taLki-el Wk AV p__ r be w 5 'i e r p_ i C) a -t o GaLi T~ S TC 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 n A F _ i E'tsT'.P -r--- I I 1 j 1 w o(k,v tH II: O Ex y7.r j ! g ~ S! w< l c ( i t~ CS I E ! SC 3S j ~ ~ 1 . I SS~~ • I o,p i I, 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 : TESTS WERE COMPLETED ON: Cary P )4 ct 4/11/,2.q ADDRESS: CERTIFICA ION NUMBER: PHONE NUMBER (optional): 3:31 j 604 TA 57 W 15.115 ~s o z ~►5-4 - S CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER- INSTRUCTION FOR COMPLETING FORM 115 - SRD - 6395 To I )`,te and accurate soil test, your report m ale: 1. C I description; 2. must clearly indicate whether this is a i ce or commercial project; 3, rl of bedroorr- ~r commercial use wi- I; 4. -nnt w 5. { rating A SITE IS SUI1 _E FOR A LDING 'ANK ONLY 1i11 ALL G 711-`: _TE RULED JT BASED ON SC CONDITIO B. PL_ a tht lions sf~ here for writing profile descript' an I completing the plot plan; 7. n EC° am act ly locating you ;t locations scale is preferred. A if desi r and ievation t point at nd are permanent; poxes as ~s, names, flood P percolation test. exernp- 1l ° 'such as floor! PI ~tio r} does )ply, pls , in thy, appropriate box; 11. -I place your currer. your ion nr 1 IM s and distribut ~.r. (=d. ALL TE,A ~ FILED VVITH 'THE LOCAL P I FY V11ITHIN 30 COMPL ABBREVIATION,, ...ERTIFIED SOIL 'I'S °es . I Textures Other 5, 10") Bed 10") - San <<;. {r.: der 3") Litr - Nigl p l s L ~Id "sl - aa~ Loam ~ i . Lcr-,Fan sil - Silt Loam Bi Si - Silt Gy c. I - Cla, L Y - sci - F- L R sicl Sil Lo mot - - 1 wt S;( Clay fff cc, pt - i r3 rn m I` ck (I P NVVL - I 1 Ste d t l 5 F Point TO THE t, to of ~1 of Q1 a~ 5TCVG. SkmVicv '),5S Q,? If IIA Wl R %v -,ev Fu ~1s w i j MOV12 a e vtw r~~as 33~g t v 1 gy Tt IWO je ~'0 6 ~ °1a ~l oQ~ be ~OV~ 5tEUE, 5ANDi2,(1 51dMNEK- R4. 3 -7 55 Cty. MA Qi~Erz fA115 , W15 . NW l/4 - NE //4 545 A ~ Qp . d: p . 545 D o° 548 B ES OWNED COUNTY DESCRIPTION 545 C ~ o0 ti 545 E 545 B I G Z~ ~J G n 2 S W l/4 - NE //4 - I a 546 y~ 1 L_