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HomeMy WebLinkAbout030-1094-10-120 ~ 0 3 °c ~ O 6 N O w C 'O h w N QO N °6 O Y c°c N X GL L ~O ~ f0 N N N .0. C ~ O Z O C LL O Cl) co 3 =L °n ~ 3 Q c Z r N w Z O Z N M W d m Cl) F- c O C O V O Z C V O n N FZ- ~ ~ ~ O .O N M N .C (0 N co ~ C N ' O O Z m z w z 04 N ~o w E CL a co ) d ad,. N O o d co U) U) U) E Z co > co Q 7 a o O O O z •N IL IL a CL (V C O O W Ii 7 O N fn J N rn OOi } *0 z :z 0) ce) \l 2 O N 0 ~ 0) CD LO LO E ~ O O 'O O ~ 0 C, L m C d co CO ) O 04 N 0 CO O N 3 E M O (0 C > co N CO O~ U d C Q- 0 0 0 O N N N (tJ 1.0 a) 0) 0 75 O M 01 ~ U L ~d. -O O (O CD (n • O N E O U 0 y~ co rNi (A Y o z T v~ d m I € a 75 3 o. `ate • a .2 E t c c 3 ~1 A UIL Oaic°) i a Form - STC - 106 AS BUILT SANITARY SYSTEM REPORT ' "OWNER" ' E[ r i~.yeG TOWNSHIP .-5-r j¢ S , Po 4 SEC. ~ T =N-R= W' ADDRESS 1~g~ ®P,4tJ,y~ ur SST. CROIX COUNTY, WISCONSIN SUBDIVISIONS K VoR. y? LOT 3 LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IMA 83' SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ;e T cam. ~ w _ .....,'v; tic, t .,.;r:i.u..r. .J"~'nPosao ~F~' horl It ~J K • r I'~Si/,Lit✓G~ .4 1 wr Li¢s7 ~jrr,A hri -y~/v~~T . •T i97- ; Apo %y/SENO r ~a vc Crj•,,crP r . ...ill 'ell's r /QtY~J C L~!~.v b u i/ .....r.._ r✓: e..l • /i' i .-(VS•OCG7,7041 4-.), /~if'vut.'4 l9Vt£!r i4iP?iTGt P.cac. tot wz-_Q INDICATE NORTH ARROW SO T/( tvl7~t' ;•y~/ /N• onE<,Q~Q TrCEE E✓. 9a. yo ' /orfL~ BENCHMARK: Describe the vertical reference point used _S~'i~£ /,V /So,t EL nE? TEF • r: • .•.a f i Elevation of vertical reference points 9O• Yb Proposed slope at site: SEPTIC TANK: Manufacturers- _y~5gr Liquid Capacity: •~•Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation:~ Tank Outlet Elevations 1 S~. '?0, 1 Number of feet from nearest Road: Front,©Side.&R-ear, 00riF4' Sob- feet • From nearest-property line s ' Front,oSide,ORear, O'_ feet Number of feet fromi• well building:., /a' • (Include this information of-the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: _ Liquid Capacity: Puap Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet frrom.nearest property line:'. Front, OSIde, O Rear, Q Ft. 'Number of feet from well: Number of feet from buildings (Include distances on plot plan). SOIL ABSORPTION•SYSTEH Bdd r .Z,1,~ ✓ Trench: Width: , Lenith: ~ ...Number 'of Lines:_ Area Built: g_ Fill depth to top of pipes 3- y6~ Number of feet f~om nearest property line: Front, O Side, 0-l" r,O it Number of feet from well: N or of feet from buildings (Include di Lances on plot plan). SEEPAGE PIT- Size: Number of pits Dismatert Liquid depth: Bottom of seepage pit elevation: Area Built: : Has either a drop box O or dint*ibution box O been used on any of the above soil absorbtion sytems? (C~eck one). MOLDING TANK Manufacturer: Capacity: Number of '.rings used:. Elevation of bottom of tank: Elevation of inlet: Number of feet from.naarest property lines Front, O Side, O Rear, OFt._. Number of feet from wells Number of feet from buildings Number of feet from.nearest road: Alarm Manufacturers / a Inspectors. Dated: ):90 ' Plumber on job: - License Number: 3/84:nij A Q WU VS DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR &+ifUMAN RELATIONS DIVISION P.O. BOX 7969 / ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION ~SE,S N$%,3S~ec.32,T30-R19 pmt State Plan D.Number: 71rJ`"I f assigned) Town of St. JosepY~ CONVENTIONAL ❑ ALTERATIVE (I CO. Rd. E . Lot 3 u Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Michael Koenig 1594 Racine Ave. S, St. Croix Be ch 5~23-?Q P BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.' cis 9. Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Za a Bros. Inc. 3395 St. Croix 135494 fan !c = D . SEPTIC TANK o / MANUFACTURER: LIQUID CAPACITY: TANK INL LEV.: TA T ELEV.: WARNING LABEL LOCKING COVER / PROVIDED: PROVIDED: YES ❑NO ❑YES NO BEDDING: vf=wT DIA.: VENT MATL.: HIGH WATER' UMBER OF ROAD: PROPERTY WELL BUILDING: VENT T FRESH ` e_ oo • i/ C_ 0. ALARM: FEET FROM LINE: c~ AIR INLET: ❑ YES NO ❑ YES O NEAREST IS C DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL L CKING OVER PROVIDED: P ❑ 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 -11111- 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.) l/ CONVENTIONAL SYSTEM: /e~ , ~G~C~t+ o~ S f'r3 WIDTH: LENGTH: NO. OF 15ISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID BED/TRENCH / r TRENCHES: / MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. ISTR. NUMBER OF PROPERTY WELL: BUILDI VENT TO FRESH BELOW PIPES: ABOVE COV ELEV. INLET: E V/. END: PIPES: FEET FROM LINE: 'A AIR INLET: NEAREST ~0 ~ /&0 or. MOUND SYSTEM: 9 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: TRENCHES: LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: 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 ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST C'C f~ /fix ~ . ~"t.t: r ; 1 GN'~F r ~ -~/Q'~ ~cytsti~ - '[.o ~P /t'~ ,✓c~,F' ~l ~ZF . CIA 'Gt'r' JP-G . < ST Ga ,Lai-ae 0 etain in county file for audit. Sketch System on TReverse Side. SIGMA RE: g~ y~"'"'"R/!~ / SBD-6710 (R. 06/88) e DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR BOX HUMAN RIELATIONS PERCOLATION TESTS (115) MADISON WI 53707 (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: OWNSHIP/""'~l-CIDAr 'T..• OT NO.:BLK. NO.: SUBDIVISION NAME: NE 3Z /T 3oN/R#9 E (.it -ST Jos* A14 - - COUNTY: MAILING ADDRESS: 's-rce'a ,Y lC C. 1- O F N NG USE DATES OBSERVATIONS MADE NO. BEDRMS.: 1COMMERCIAL DES RIPTION: A ST OResidence New ❑Replace 3 74 QQ 4(z/,76 Sott_s 01G Alitzc ~t `r , / `-~tQlPttld RATING: S= Site suitable for system U= Site unsuitable for system ti~ll~'Z ROUND-PRESSU CONVEN TIO0U NAL: MOUND~S. ❑u IN -G ` _ Ou RE: SYSTEM-IN~FILLHO~LDING IA1VK: RECOMMND~T/ONA&. pt y~aE~ S - If Percolation Tests are NOT required ]DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: (%lLaSS Floodplain, indicate Floodplain elevation: bec-'ror PROFILE DESCRIPTIONS BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH. ELEVATION OBSERVED E HE T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 3 ,~3?.59 g > d T3 Sc.?S 3S Gr 1,i,♦at~t ~,eNc- Ms~G B- 4 9.91 91,61 Naug ?911- 9"19cLr.. 14" aNL Z3 61vwr s .4g'igeftA S-F4 Is"W115 Zg III B- S P X Sgt Ijo C >1-1.9Z 1 8L 1-75 6"6v LJ 4TS SO~$IPuMS-4 GIP 26"VTSP-C•~►s B- 7,41 89.19 lUctqC > 7.41 /6"&LTS 9" j'eAjSpL l4" kNSL q .0 f5 M5 B- B- Lae- ~4-r PERCOLATION TESTS TEST DEPTH . WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES NUMBER S AFTERS WELLING INTERVAL-MIN. PERIOD 1 PERIOD 2P R PER INCH P- 4 gi.4o 3 >z >Z > P_ 5.9o r 9z.G~ 3 *>Z < P- G. o 3.~0 3 >Z- > L~ P- - F_ 84 AT I J aY tQ ttRG P- 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. 86.0 f -r-- 1(6vr o I IS IS A! kC iSioy t7 A QL N_vii-"rI c~I~us /~S t~Nre* ~oR v~ b Apr ,m Qtl ii 7_ v A 'A gC~AC.N1M a~t,1t Ike. L T b Al _ - - 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 sprint)' TESTS WERE COMPLETED ON: E 4 IN ~os-Jti s13N ~o u sA SU0VtYiNc, 4,A121 L ? /99o ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): ~-7 S arc~► ~ Mu n,<- ®0 ~ , l~/► <,-~4w fa 141 3T6 - 4Oto CST IGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR_SBD-6395 (R. 10/83) - OVER - ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code 72. ` EZ ° STATE SANITARY PERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 / 8% X 11 inches in size. Check if revision to prey oua application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. P7r",IAt--~A TY OWNER PROPERTY LOCATION A j1 CA01 5 ' % AM % S T 30, N, R 14 E (oroP PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # A I S2711 ,4c1,vC 40- lj S CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER • i3, P a~ /4t1/- 44, tA6 111. TYPE OF BUILDING: (Check one) El State Owned ❑ ZY-CITY : Josro.~ NEAREST ROAD r'" a .o .0 - ❑ Public Iint1 or 2 Fam. Dwelling-# of bedrooms V 10 A261CREEWL NT AX Nu BE 1 `1 O 3o--1~Q~~' III. BUILDING USE: (If building type is public, check all that apply) 313 ~ - c~ ! 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.,RNew 2. ❑ Replacement 3. ❑ Replacement of 4.E] 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 (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ms,, ELEVATION O o z . ZS 71O S .rT - & 'C 4'X Feet Feet VII. TANK CAPACITY Site in allons Total Of of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xistin Gallons Tanks Concrete structed glass App. Septic Tank or Holdin Tank Tanks Tanks / 6d / Sn 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 nature: (No Stamps) MP/MPRSW No.: Business Phone Number: .4~P.~FO.PS 3395 2!5' 3S~ --~?~Sv Plumber's Address (Street, City, State, Zip Code): / s S o.v 4l0! IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Zate u e Issuing em SignatuSurcharge Fee) Approved Owner Given Initial ~S Adverse Determination 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 i l 1 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: L. 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 an 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 3% 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; close 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 rnonitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) + APPLICATION FOR SANITARY PERMIT 8 T C 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ~1 ~ y Owner of property __=,C~T"~ J • ~/U~~,~ Location of property 4114, Section 3aZ , T .30 -R9w Township ST 'J O s Mailing address A` S 1,~L~L'-/UJ 4/ Address of site Subdivision name Lot number Previous owner of property T6HN Total size of parcel _ 1S.. a hc4 Date parcel was created Are all corners and lot lines identifiable? V as No Is this property being developed for resale (spec house)? Yes No Volume 965 and Page Number 4% as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a; certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge= that I (we) am (are) the owner(s) of the property described in this infotmation form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. ys7~ j and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Reg later Deeds, as Document No. Signature of Ow Signature of Co-Owner (If Applicable) 3 Date ot'849natur% Date of Signature ' DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED f 457838 'vrx 86SPA;E479 REGISTERS OFFICE i This Deed, made between RQn~1_d_.. N ...TbQ_P_.A.Ps..-and. 3,o.r. -..J. WI Thoennes-,_-an..und_ty!-ded.-.112--ate-r_ast..as--- sur_vivor_ship..mar-it 1 Recd for Record property_ and- - Michael. _J_. _ -Koenig -.and. Tames-A._.Koenig,_. an_ APR Q 3.1990 -undivided--I~2..interest._as--survivorship..mari-taL"-property at 12:15 P. M (between--couples,--as_.tenants_.in.-common)-and.-Thomas-_L-...Dox eld .,and.Debxa-K.-_-VanDellen---- as..tenants-.in.-common -.(between _co les V and_ D.ornf.eld.and-"V-anD:ell.en.,--tithe-as^tenants--in--common}; rantors RegisterofDeeds Michael J. Koenig and Tamera A. Koenig, husband grantee, ip "marital" 'p" roperty and••""'fe a"s' s~t~rviYOrs%s W 1$riesseThat tid Grantor, for a valuable consideration__... - - ! RETURN TO i i I conveys to Grantee the following described real estate in St..-Cr-oix-----"----- County, State of Wisconsin: Part of the Southeast Quarter of the Northeast Quarter ij ,i of Section 32, Township 30 North, Range 19 West, St. Tax Parcel No: If i, Cr.eix County,,Wisconsin described as follows: %I ~I Lot 3 of a Certified Survey Map filed September 1, 1989 in Vol. 8, Page 2147 as ii Document Number 451190 in. Lhe office of the Register of Deeds for St. Croix County, I ! Wisconsin. Together with and subject to the roadway easement as shown on said Certified ' Survey Map. This ...is-.not........ homestead property. 4K) (is not) i; Together with all and singular the hereditaments and appurtenances thereunto belonging; I' And....... Thaennes --.Kneni -Dornfeld- and._VanDell.en warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except i ii easements, covenants and restrictions of record, if any, and will warrant and defend the same. I / I~ Dated this day of ..Ja L3r----/~/-------.......-------....-..., 1994..... ` Is C7V .S. ---•--(SEAL) 1!5t (SEAL) Ronald N. Thoennes Lori J. hoennes i (SEAL) ~9*'.* /G----------•-- (SEAL) MicliaeT' Tamera A: oe G~ d~0 * * L-4- Thomas-L. Dornfeld Debra K. VanDellen AUTHENTICATION ACKNOWLEDGMENT II Ij Signature(s) STATE OF WISCONSIN ._County. ss. I~ authenticated this day of 19...... Personally came before me this Z.....da of II - ---------7ay- 100----- the above named I Ranald-.N;..Thc)ennes,,..LQZi--J...-Th-oennes-,-...-- L Acknowledgment STATE OF WISCONSIN) ) ss. St. Croix County ) Ir- Personally came before me this day of January 25, 1990 the above named Thomas L. Dornfeld to me known to be the person who executed the foregoing instrument and acknowledge the same. Notary Public, St. Croix County, WI My commission: a ~i k . ` j b 5~ Ct~ o I N { ZuIJ ;~7 CERTIFIED SURVEY MAP Located in part of the SE4 of the NEh of Section 32, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin. OWNERS Ronald E Lori Thoennes Michael h Tamera Koenig :m Route 2, Box 318N Somerset, WI 54025 NE Corner of N SCALE IN FEET Section 32 County Section 200 100 0 200 Monument unplatted lan_ds_owned_by_others Bearings are referenced to the 12 east line of the NE} of section a 32 assumed to bear N01019'45"E. ` North line of the SE} of the NE} Hi D~ C 89°45 12' W 536.41 ` A N76- haY RlW _ C 453.89' 8 X49'4' 1.w • ~'•H- 0 277'35 E--P K N7 0 o' •ir J in_ H¢ 1 q~=luW z Vol. 563, Pg. 432 'n ~ _ 133'33'1 to 45); 98. 834.8 M _ 0 0) small-tract ° 1 Highway to L o 8 M w M ~W U) 3/3.0p N \ P N890 14'25"W N 5' o !u „ 12' 500.00' I I w 66' Private U Roadway Easement !o? T/ S = ¢R ^v W 34/ 48, m 0 308.24. M h X 1 S OD mm Y e0. I 'sO4g,q/nE N co z 732.q 7. 0.9 01 n 1 z Temporary Cul-de-sac - o ~I \1 I W I N of >I d I •I .1., ~ I I X10 N U~ a1 M CD 011 C In OJ a + ot o) ltl I ° N N May Q 0 V a+ N - W 41 13 O c 0 0 N 0 of Z N 1 P ^ n UI 2 I I 370.85' to 933.71' M N89°56'57E 1304.56' N South line of the NE} Ej Corner of Section 23 C S.M. vol. 3, pg._ 900 111 Iron Pipe This instrument drafted by Fran Bleskacek--P-roj.•No. 88-25 SHEET 1 Of 2 SHEETS TABLE OF DIMENSIONS LINE BEARING LENGTH B.-A N7604914111W 10.08' A-0 S89°45'12"W 536.41' A-C S89045'1211W 453.89' C-D S8904511211W 82.52' D-E SOO04513511W 46.61' E-F S7604914111E 70.35' E-G S7604914111E 37.35' G-K S7604914111E 66.00' G-F. S7604914111E 33.00' F-K S7604914111E 33.00' G-H S1300514211W 24.70' C-I S1300514211W 89.32' C-F S1300514211W 64.67' F-I 51300514211W 24.65' K-J S1300514211W 24.61' N-0 S24054'1811E 50.00' M-P S2405411811E 50.00' L-Q S2405411811E 50.00' T-U S2000514211W 33.64' S-Y S2000514211W 150.00' S-V S2000514211W 37.65' V-Y S2000514211W 112.35' S-X S20°05'42"W 106.52' V-X S2000514211W 68.87' X-Y S2000514211W 43.48' U-V S6205815511E 33.24' V-W S7604914111E 33.24' R-W S2000514211W 33.64' CURVE DATA TABLE CURVE RADIUS CENTRAL CHORD CHORD ARC NO. LENGTH ANGLE BEARING LENGT_H_ LENGTH TANGENT BEARINGS H-N 233.00' 38000'00" S05054'18"E 151.71' 154.53' S13005'4211W S24054'1811E . I-M 200.00' 38000'00" S05054'18"E 130.23' 132.65' S13005'4211W S24054'1811E J-L 167.00' 38000'00" 505054'18"E 108.74' 110.76' S13005'4211W S24054'18!'E 0-T 167.00' 45000'00" S02024'18"E 127.82' 131.16' S24054'1811E 520005'4211W P-S 200.00' 45000'00" 502024'18"E 153.07' 157.08'. S24054'1811E S20 00514211W Q-R 233.00' 45000'00" S02024'18"E 178.33' 183.00' S24054'1811E S20005'4211W Y-Z 600.00' 6000'00" S17005'4211W 62.80' 62.83' S20005'4211W S14005'4211W TABLE OF AREAS LOT NO. AREA INCLUDING ROAD R/W AREA EXCLUDING ROAD R/W Lot 1 181,090 sq. ft. 4.16 acres 130,910 sq. ft. 3.01 acres .Lot 2 197,847 sq. ft. 4.54 acres 131,068 sq. ft. 3.01 acres Lot 3 532,139 sq. ft. 12.22 acres 517,389 sq. ft. 11.88. acres Lot 4 - - 673,980 sq. ft. 15.47 acres LEGEND 04 atiSi3i1~5 • 1" iron pipe found. 0 Set 1" x 24" iron pipe weighing 1.68 pounds per linear foot. b kH41 ~1HAG A existing fenceline. 0 N, ,I go. eJ~ B~Qu~a4'6~ SHEET 2 OF 2 SHEETS STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ~C15-9q C~/~ &J 1 ROUTE/BOX NUMBER CIA r A, . S • FIRE NO. CITY/STATE L/4L41V* ZIP S-~-o PROPERTY LOCATION: ~ l/4 AIC- 1/4, Section 3 , T SAO N, R_17-W, Town of / lu, St. Croix County, Subdivision IV 74 , Lot No .3 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. 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 F. ~~TH ~RopE~rr ,~~.vc v C'o ~4• ,af~d ~AIFL SCPTiG //INK w/T/~ /O' C,44ToN PiA6 AFr ~aQl V A-T~ PLO 67 ~N~~r f fu r chi p C'.E3~ `i`r PLOT & CROSS SECTION PLANS w~H ROA0 ZAPPA BROS. EXCAVATING INC , r PLUMBING UNIT n C7V~~ ~.fSdMG f 1OiPw/BD /oo, to ftP7iTr 6os,uG /Jverw Ae-)WTY.C/,u6 PROJECT S 3c - 3o3PVc Ew O 1~lsN L TC ~ etoPova 4. gyp. ~ ~ aK ~oOos4o w~4r ~T OtfQIX CQCdPV7-~o SO ~.rfn+`f PRvPoS[/~ pp n .~~A J 1," c9v6k To 4045- S r- VEwiT .STAck ovs,f "ov _ E M/trK ~P/kE A/ Sou>H p~/Q~PLlTY NO /N4 ,~c~JCEL,oE.C Tom! SCALE r-«,.. 90.yo • S FRESH AIR INLET AND OBSERVATION PIPE L--~F APPROVED VENT CAP MAXIMUM 12' ABOVE FINAL GRADE 4' CAST IRON VENT PIPE MAXIMUM OF 42' ABOVE PIPE TO FINAL GRADE SIGNED: ` ,/r MARSH HAY OR SYNTHETIC COVERING LICENSE: eeS 3s,:5;!s- MINIMUM 2' AGGREGATE DATE: OVER PIPE DISTRIBUTION PIPE TEE SOIL TESTING BY: J o ,s ELEVATION BED 5' AGGREGATE • BOTTOM PER SOIL BENEATH PIPE PERFORATED PIPE BELOW TEST IS COUPLING TERMINATING gG 7d FT, AT BOTTOM OF SYSTEM