Loading...
HomeMy WebLinkAbout018-1083-07-000-,~~* ' Wisconsin Department of Commerce Safety and Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) Personal information you provice may oe usea ror secondary purposes Irnvacy Law, s~5.04 (1)(m)]. Permit Holder's Name: ^ City ^ V e To of: Bonte, Ron `~1'a~m~on~'~'ownship CST BM Elev.:• Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~ - ~ ~ Lr Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL LDG. ~ vent to Air Intake ROAD Septic ~ ~. 32 ` -~ NA Dosing NA Aeration NA Holdin g PUMP /SIPHON INFORMATION Man facturer D nd Model N ber GP TDH Lriction' System TDH Ft orcemain Length Dist. To W SOIL ABSORPTION SYSTEM TRENCH Width ~ Length ~ I N Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME 3 118• ?S ~ DIMEN I N SYSTEM TO P 1 L BLDG WELL LAKE l STREAM LEACHING ManNf~.sturer~~~,~ n ~`L(- OC~/ SETBACK INFORMATION Type O ~ ( f CHAMBER ber: Model N ~ System: , ti sd ~ ) (~ ,______~ OR UNIT r DISTRIBUTION SYSTEM C'c~-...P~ ,•„a4-I~~~ -e..,~~'" E->,-s~•^^ ~•[.. Header /Manifold tt Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length ~~ Dia. ~ """ 10'0 r 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.) Inspection #1: °~/fit /o ( Inspection #2: - / / Location: 1727 46th. Avenu~e,~ Hammo , WI 54015 (SW 1/4 NW 1/4 16 T29N R17W) - 162917579 Pheasant Hills -Lot 7 1.) Alt BM Description = SCct ~r~~cQeo-r 2.) Bldg sewer length = ZZ-Or~ -amount ofcover = ~g "-F- -~` ~Q 3) ~jet~ Co't,~-x' w~.l, ~-~- r~ l 2 -1 ~ u aoc ~ crn,•~%1 ~ pe,.. ~~'""'~-. ~+~ °uc~ ` ~r..ti,.,.5 .-t ~ -E+ c.Q.~a•••~-s Plan revlslon required? Y ^ No Use_>>other de f r additio a Inf r S~DC67 O`(R.3/g Date ,, Inspector's Signature Cert.•NO. ELEVATION DATA countySt. Croix Sanitar+~ R,er~t~vo.: State Plank IvvD No.: Parcel T~tCAlol X083-07-000 STATION BS HI FS ELEV. Benchmark B .2D o$.20 ~ ~ • ~ ~ 2. $ 5 i oS.3S"r Bldg. Sewer • 2 O 0 ~{~ o ~ St/Ht Inlet ~o3.fo8~ St/ Ht Outlet , (o ~ ~p-S• ~r Dt Inlet .---, Dt Bottom Header /Man. (o. ~ f c7 p (• ~1 Dist. Pipe Bot. System ~ # ~•SS loD'6rrr eo. Final Grade ~ ~. ,, j --~j St cover ice- ~•S D/ ~c5 o'1.bS'r ~ 6. ~-~. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: .~ I _ Safety ~ Buildings Division ~, Z'{- (~ e., Sattitan~ Permit Application tot w. washirgton Avc ~ lr, accord gran Comrr. 83.21, a't~ Adr^ Cody PO Box 9302 See reverse side for instruc;ions for compietirg thts applicaticn ~ Madison. ilVl 53'f+l?•73G" ~~.gt<i'DiT1'S-~l~ ~ Personal infomta-ion you provide may be used for secondan purposes i (Submit completed farm to couuy if r peparti'rYant r-f Comma-c• ~ jPrivacy LaH. s. 15 04t 1)tm)J ~ state owne. -- Attach om e te ens to t e oun ~~ 1,4a-ion umber Chet if revision to previous app ' State Sanitary erm uste Plan 1. D. Number ~o~, Jr~C~Yo r' .~C 3 .. . 1. A licati information -Please Print ail taformation ~ Location, Property cltt n pp~y er ame S~ I/4 lr~ il4. S /li T~Q N. R~ r or ' ~o~~~ Lot umber BIocR Number Property vvnar's Mail ing A dress ~ __t....._-_ ~ ... 7D Th s i • . _' _. /dll l Phane Nu ~' - Subdivision Nama or CSM Number lty, 5tu~e ` Zip Code S~/DDS , , '~~''~J G~5 Y ~ ~~ Ji' 8a. S s,~ ~ ~; Ids ' ~ o.U Q C~.1 • ~ v . ~ ity Typo ol? Building: {check oae) ~ -a5 P°~ ~"' -. t' -" ~' '~trj: 'llage ~ ~~~Q 1 ar 2 Family Dwelling - No. of Bedrooms:,•,_,,,,,,,,,^, ~3' wn of ,_-. Q public/Cottuaereial (describe use}: D State-owned IU Type o! Porrait: {Check only ane bax on line A, Check bnx nn li 'f applic rc ~ tcE ~ Ne `!toad a Th A) 1. Ncw System 2, ^ Replacement 3. ©Raplacertent a ~ 'N • • ~. ~Ad~itton ~~, I Tax Numbers} ~ l ~ I D - n7ra ~ S stem Tank Onl ~ ` ~;:~'~`lo- zg. l~. S Date i'sued ` <. t P'et-att Numbs -~:. ~~ D A sanit Permit was reviotssl issued ~ _ _ + iV, "t"ype o! POWT 1$yrteat-t (Check all that apply) ^ Sand Filter d ^ M ^ Conatroctod Wetland oun 'Non-~eastutred Ingraund D Sin !e Pans O Pressut'szed ln•grouad O Holding Tank g D itecirculatin i D Drip Line g D Other: a ,~ D ~ ~e ^ Aerobic Treatment Un ~ijr- FLOW (gpo) s, urapara a• ~~~pc:+w •,•~IL Roquirod Proposed S 7.1~ ~s'~7 Via' p~'d _ _~ ...~_.. - Inlormatian GaUona Gallons Tanks ._.. TT_.!~.~_ Con• ~ Con• ~ ~ glass crew strutted .Sr°i~4 ~ ` C __ l ,~ ~ ! /v`t~[1~ ~ l 111? • ds 7`Prr/ , ,- , ~ f 1 I ~ I 9~d ~5-3~l0~,~1~ Cfta7lpOri Af{fKFis \u~wb v~yr vn...~ ~•~ - , ~!~ SG o L`~~ d~ .~O ~ L VIIT CountylDeparttnent U:e Oaly ©Disapproved Sanitary Permit et tlncludes noun water Date slued/ ASent Signuure (t+o cramps) Approved D Owner Given initial Adverse Swcharae Feei ~ ~1 ~c~/~ LX. Coadltiona of Approval /Reasooaa for pisstpprovsl: t~ .. _ ~~, o~ w,~-a~- ..~,~1uM, ar~. " ~ ~ : `°'C un.c~4.6tA.Q ~u,A. SHD•b398 (R. 47/00) II ~~ ~:d ,4~;r f~ ~ , ~--_~ ` ~ ~~-~ ~ V-~ L I~ I co~C ~1i0 ,,~,J~ /~oasa s.'7`r. r--.- /O~DO , „St/'o~`~c W~f~ ~le0 °~-;,,, w yw L /~~ ~ ~''v ~ ~~$~o ~, a~-~,' 1cyo~~ ,_. ~* , . ~~ n.,., 4 ~/,~~~~~.s-f~._ ~'' lam' :. `dam/Z/oo ~.~ , t .' Wisconsin Department of Commerce ~ SOIL AND SITE EVALUATION ~' Divisioi`~ of Safety and Buildings OR'~ith Comm 83.05, Wis. Adm. Code Page 1 of 3 Certified Soil Testing Attach complete site plan on paper not less than 8'/z x 11 inches in size. Plan must Count y include, but not limited to: vertical and horizontal reference point (BM), direction and St. C CO1X ercent slo e scale or dimemsions north arrow and location and distance to nearest road p p , , , . Parcel I.D.# APPLICANT INFORMATION - P sp Ip int~ll rmation . Personal information you provide may be us , fo Jewry pu~t5os~s dirty Law, s.15.o4 (1) (m)). .r iev~ed By Date to - ~ - 2~ Property Owner ° "~ a Property Location Borate, Ron / ~-~~ ~': Govt. Lot SW 1/4 NW 1/4 S 16 T 29 N R 17 W Property Owners Mailing Address ~ ^°° _~ ~ Lot # Block # Subd. Name or CSM# _ 1011 170th St. i _ ~ r'~~u~~'~ - ! 7 Pheasant Hills City fate Zi C umber ~''~~ ~ ~ ^ City [] Village ®Town Nearest Road Hammond _,~ 96 52~@-- ~ ,iv Hammond 170Th St. ^ New Construction Use: ~ der~G~L/ Nu ~, edrooms 3 ^Addition to existing building ~ Replacement ^ Eo describe Code Derived daily flow 450 gpd Recommended design loading rate •3 bed, gpolft2 •4 trench, gpolft2 Absorption area required 1500 bed, ft2 1125 tre #2:, b::.-.t~j~l1 toi~ding rate •5 bed, gpolft2 •6 trench, gpd/ft2 Recommended infiltration surface elev ' ` Additional design /site considerations - °~ ~ ~4 ,_,. ; , Parent material rift Flood lain elevation, if a licable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ® ^ U ®S ^ U ®S ^ U ®S ^ U ^ S ®U ^ S ~ U a~i~ vlw~.r~ir ~ wn r«rvr~ i Boring# 53 Ground elev 107.9 ft Depth to limiting factor > 82' 2 Ground elev 105.3 ft Depth to limiting factor > 63' Horizon Depth Dominant Color Mottles Texture Structure Consisten Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ~ Trench 1 0-4 7.SYR 3/2 - sl 2 m gr ds cs if .5 .6 2 4-14 l OYR 4/3 - sl 2 f sbk mvfr cs 1 f .5 .6 3 14-18 l OYR 4/4 - Is 1 m sbk mvfr cs 1 f .7 .8 4 18-26 7.SYR 4/4 - sl 2 m sbk mfr cs - .5 .6 5 26-41 SYR 4/4 - sl 2 m sbk mfr cs - .5 .6 6 41-64 7.SYR 4/4 - sl 0 nL mfr gs - .3 .4 7 64-82 l OYR 4/4 - sl 0 m .r-- mvfr - - .3 .4 Remarks: Remarks: 1 0-4 7.SYR 3/1 - sl 2 m gr mvfr cs if .5 .6 2 4-9 7.SYR 3/1 - sl 2 f sbk mvfr cs if .5 .6 3 9-24 7.SYR 4/4 ~ - sl 2 m sbk mvfr gs 1 f .5 .6 4 24-35 7.SYR 4/6 - sl 1 m sbk mvfr gs if .4 .5 5 35-43 SYR 4/4 - sl 0 m deh cs - .3 .4 6 43-53 SYR 4/4 - si 0 m mfi cs - .3 .4 7 53-63 7.SYR 4/4 ~~;~ - sl 0 r~r mfr - - .3 .4 :ST Name (Please Print) Signature: Telephone No. Henry F. Grote ? 15-665-2681 lddress ertt to of esttng D to CST Number Ref # P.O Box 57, Knapp, WI 54749 417/2000 222774 1076 r~r~ ~~ ,~ .~ .~ S~ .~ .? PROPERTY OWNER: Bonte, Ron SOIL DESCRIPTION REPORT ~ Page 2 ~ of 3. ~ . PARCEL LD.# Certified Soid e7 sting ~, Ground elev 106.9 ft Depth to limiting factor > 63' 4 Ground elev 105.8 ft Depth to limiting factor > 60" Ground elev 107.9 ft Depth to limiting factor 39" Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. onsistence Boundary Roots GPDIft2 - Bed Trench 1 0-4 7.SYR 3/1 - sl 2 m gr mvfr cs 1 f .5 .6 2 4-13 7.SYR 3/1 - sl 2 f sbk mvfr cs if .5 .6 3 13-43 7.SYR 4/4 l~ - sl 2 m sbk mvfr cs if .5 .6 4 43-53 7.SYR 4/6 - sl 1 m sbk mvfr cs - .4 .5 5 53-63 SYR 4/4 - sl 0 m mfr - - .3 .4 a, ' Remarks: ~~~~~~~~a" ,~ ,~, «.,~,~~", , 1 0-4 7.SYR 3/1 - sl 2 m gr mvfr cs If .S .6 2 4-11 7.SYR 3/1 - sl 2 f sbk mvfr cs if .5 .6 3 11-30 7.SYR4/4 ~~ - sl 2 m sbk mvfr cs if .5 .6 4 30-48 SYR 4/4 - sl 1 m sbk mfr cs 1 f .4 .5 5 48-60 SYR 4/4 - sl 0 m mfi - - .3 .4 H FZemarks: 1 0-3 7.SYR 3/1 - sl 2 m gr mvfr cs if .5 .6 2 3-8 7.SYR 3/1 - sl 2 f sbk mvfr cs if .5 .6 3 8-28 7.SYR 4/4 - sl 2 m sbk mvfr gs 1 f .5 .6 4 28-35 7.SYR 4/6 - sl 1 m sbk mvfr cs if .4 .5 5 35-39 SYR 4/4 - sl 0 m deh cs - .3 .4 6 39 55 SYR 4/4 f2d 7.SYR 6/3 sl 0 m deh - - .3 .4 ." Ground elev Depth to limiting factor f' ,, ~~~ aN Lo~ Sw- N,w1 -1b -Za• }w d ~.. V. ; hl a w w~ o ~~ S'~~ Z$ a 3o I,o as (.~•L' N ~Q~, c S..~va ~f~Y- bVaK ~3-t - •3.3 - B-4 SKr\~n w~ C.MVO.v.'F7 O~s~ a,~ - ~~ wr w.0~-»fJ c .~ ~In~a~ ~ ~,~ '~/ t3-~ 3 4~ ~~ * ~. ~ ,.---- (~ mS,3~ g,4 . ,. ~~ ~ t'l e~,av o ,^ S t :..~ : ~. ~ (G~. b~ C3 b ae~t -~tcG 'Y s~ ~: ~~~Q.,. ~ `l ~, 4 ~ ~~ ~ 4L.o S o~ 3 ~,,"'~ ,- .~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Desian Specifications Sanitary Permit Number 3~0 3 Number of Bedrooms ' 3'' Design Flow -Peak (gpd) 4~ ~ Sao t Estimated Flow -Average (gpd) Septic Tank Capacity (gal) 1 a-coc~ Soil Absorption Component Size (ftZ) .SI ~ -/~ ~ /7•~ Type of Wastewater Domestic ~S ~~ Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) ~ ~ wt w Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding fank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treafinent of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 A Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. ~';~.~ ~ 3 ST CROIX COUNTY SEPTIC TANK h~lAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ~o r~a~~ C , Qor~.. ~ ~~ Address lo~~ ~ - 0 5 Address ~ 7 ~ ~ -I ~~ h w = 5~~~5 (Verification required from Planning Department for new IA. Irr~,1`f~0 r'~ W ~ Parcel Identification Number ~ ~ 8=1~ 3 ~~ ' ~~ ~- D +LSCKiY"1'lUlV ~~ a ~>~~c~- Location s w '/., N ~ ~/,, Sec. - ~ . T~N-R~W, Town of on ~ ~ e-4~~r~ ~ ~ I ~ S Lot # ~_. Survey Map # ,Volume .Page # Deed. # ~ ~ a 5 ~ ~ .Volume ~~ Page # ~~ Spec h~use ~ yes ^ no Lot lines identifiable ~ yes ^ no Improper use and maintenance of your septic system could result in its l+remature failure to handle wastes. Proper maintenance consists f pumping ont the septic tank every three years or sooner, if needed by a licensed Bumper. What you put into the system can aff the function of the septic tank as a treatment stage in the waste disposal system. 'The property owner agrees to submit to St. Cmix Zoning Department a certification form, signed by the owner and by a mfr r, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is is p~~pcrbeoperating condition andlar (2) after inspection and Pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, ~ undersigned have read the above requirements and agrce to maintain the private sewage disposal system with the standards sd f herein, as set by the Department of Commerce and the Department of Natural Resources, State of W isconsin. Certification stating t your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of ; e three year expiratiaa date. D~i~~,t~ SIGMA OF APPLICANT DATE I (wt) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p descn~bcd above, by virtue of a warranty deed recorded in Register of Deeds Office. ~_ 1~~17, SIGMA OF APPLICANT DATE *«**** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** '`* Incl de with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified sarvey map if reference is made in the warranty deed DO~UMENTNO ~o~l'3i~FacE~~4 ~T.a[r P.~11t i~F tiVIX:t_~ti~IN F ARM 2 - 19+12 WARRANiI' DEEI> --Roaer__E_.__in~quist_~n~_1un~_L~l°a~quist,__ __ __ ---.h~baad and wifQ------------ _ _ - --- _ - .omzvs and Narrants to _. R4ne_Ld__~ Bonte ~rid_.I~CI@ M` donte~ _`husband_~ ~tif~as sur,~iY~shiR marital~roperty __ the I.dlu~.ing described real estatz in ____._ $t. CroiX___ _ _ _ _ C.~..-'x State of Wscunsin: The Southwest Quarter of the Northwest Quarter, except the West 363 feet of the North 600 feet; The Southeast Quarter of the Northwest Quarter; ."tll in Section 16, Township 29 North, of Range 17 West (in the Town of Hammond). ~ ~~ ~Sf ER This 1 S nOt _- - humrstcad pn;ptr!}' 7Pid (r, nor! Excepuon to Harranties. Datedthi; _I9th davu( Nuvt'mbrr ~SE~L~ AUTHENTICATION ISEAU ACKNOWLEDGbtENT Si};n. urels) __.. ___ __ _ _____ State of ~~'isconsin, - ----- Sl. Croix--- - - County authrntiaued thts __-- day ~rf ___ -- 19 _, __ Fc:=.~r;ail~ came !x~ rc ntc rho: 19th ---- _ uaY ,,1 . N~we-mbc: r 1d S8 ,the ahi~cr n:nn,d --~ -- -~ ,~ - ' 'roger E_ Lindc~u,ist . ~ and June. L,_ _____ ___ ------ -~` _ ~~`~ind~uist~ husband aand wife_ __ __ TICL[ ^i[bt[3ERSL~CE'tARI)FWISCONSIN : ~ "' ;, lIl nut, authunzed by §?06 On, ~~ts. Stats.) -,,{t ~J~ : _ __ tQ •~~tr [.~ be thr peg-,un~-- who tzr:uteJ the f:~r~gu~n~; 41`;i, ~ , , ; v ~Atstrt$: •nt uul aci:n~r tetl;;r t sa THIS INSTRUMENT VAS DRAFTED BY ti~v~'OO~Q °e'°° \C ~~t'' ~i -- Ms~'k_~lZobberf_i1h1LLII2l=N & DOBBERF ~ `~ ~~,~ Dan i e I G . Sc hm i t tiet~~ ---___------- ---- ----- - --- 425_E_ l.aSal_le Ave._~arron, WI _54812__ ti,>tar. r ,r ;, _ st crux __ __ ~,,,,,,t~ ~~„ ... ,~ , (Stl;natures may b. authznuratcd or a~kno~clzdred Berth arc rna '~1; _..,~ta>t~~n hcnnanent- ~.lf ~ ,tat.• ~m~r ~,nn dac necessary.) Ph /x(715) 537-5636 '0/20/ Z-002 ---- - - -- - -- --- -- t.~ x x KATHLEEN H. WALSH kEGISTEk OF DEEDS ST. CkOlic CO., W1 RECEIVED FOR RECORE 592188 11-23-199A 9:30 RM YpRRAFItY DEED RECORDING FEE: lO.Ot: RAGES: 1 .r,. . ,_ ~~. ,.~~. ~ , /o FIRST NATIONAL BANK OF BALDWIN 99U Main Street Baldwin. WI 540Q? G18-1034-80 018-1035-00 ~ D . l y~~ ~~~ ~ ~'~1.1L, ~- R Roqer E . t i_n r _____ _ t x_ ~ne 1. LindQuist ~______ __ .^ ~{ ~H~~,~~~~ H~~.c.~ {rCA ; ED ! N 7HE NE ! r4 OF 7HE NSA ! i4, E ! ~'~ OF THE NW 1 t4 AND PAR 7 OF THE S ~ ! i4 OF THE NON ! ~'4, AND PART OF THE NV~/ i i4 OF THE NON' ! j4, ALL ! N SECT 1 Ol'1 ~x ~. ~9N. , R. ! ~~r. , TOUVN of Na~nroND, S7. CROlX COCINTYI WISCONSIN ~E i.~r z~ ~. • 4 ~~a r /~ (~~ ``'~'~ ~~ x°' '~ ~ _~ ~" ~ H 3 " ~~ ~' .SEE m b e ti ~ ~~ZME; f.at f`J `~ 'v HEE T ~ i i srsr ~ ~---_----`..r. - _1 r"_"_ MCTrA. ----..__.j~.---._._.~.,..,_._...__ i i ~ ~ tOCAli!}1 tK[lCN a~, t tM.. t. ~>fa. fOw ~ w~M`Lwb Mf t4 KK7 J t171t iTY EASfA~'NTS THE r o, Ma PatE ~~R 9uR+Fn CA9iE5 ARE To BE ot.cc~o rucJ. rwr *•~E rksrAtkATrf]M NPui.O DryltNlA ANY SvRYEY STatE, pl Ja3T;:uCr re9rGh A;oHC aNr cot t ~+~ oR sTREE T t r+~lE. T)~ 0 t S IUABa1rC( Or A SvR VF Y STAKE e r ANYGNE ! S A Y r Q[ A r e .» ~f SEG1/CN i3A.]F Ai +1'r5C7wt1lM STATt'TFS, tJT~csTY E.tiSE~I`MTS Aa s{RE r.y SET FORTH ARF fiJR T-rE v5E Qf FvBt:C 8c7prfS Al10 +''rVA-£ ,tTrtJl'E5 »AV2k~ Tr+E KtGr+T 20 SERYF TO AREA. LEGEMU f - FOt;NQ I' lRG1N P 1?E 4 • SET i'X~0• tROM R'R[ /E rGnrv6 !. 69 tBS. IfR ~ rerE.~R FOOL kO-E: stT ,~rrr fROAf PIPE wFt:.-fr+rG r, r! tes. ••°ER t rhEAR r:0ol XT Att OTnfR lOT CC+RNERS ~ UTet 1TY EASE6Eh7 t TYp, ) __~T__ 1 ,... ~ - -... _ • SE T9ACKg ~ aRrvFkAr r,aCAr+avs SEE .t~`$Ct~fy~iir ti ~. _ ~ ,~ • 1f~ ~~ 1tS (~t7t'~i SI.C1bt?iX t~Q.9~ri1 fwd bt *smt+d ~-s,~At e/ (hnR f3 ~.6L4 t •~ •„P ft Rrt~diri i~ ~` r~~_! ~• ~, ~ a tq n. <. ~ m ~ p ~ a0~. ~ ~~ HIV 1 ~~ 1 • i ~ ~: ' ~ / ' ~ ,p ~ to 'Oll ~-...... _-.~`,: ~' ~ O n .~ ' I a- ti ~., ~.~ ~ ,~ .. ~ -~` i ~_ ~h \ 4 •rl... ~ ~ , C • ~ - ~ fir... ~••~~~ ~ ~ ~~ ~~... .W ~ ., '' `280.•32. - --~ ~ ; ~• .~- ~ i Naow ~ \ .-~ :~' i ,~~ ~ ~ : o t" `, ~ .~o .. .4 ~. ~ ~ •~n. - r- - o ~ r ~ ...... , :: _ - ~ ~--{ ~I ~ ; ', ` ~ ° D ~ ~ ~ B ~ i , '1 ~; oo a <p ^ h ~ 1 t~3<' ~ r A ~\ ~ y O`~ ~ ~ 1. .. ,.{," ~ C, • (~}. ~ ~ n A\~~ /. ~ ~ t ,;u ~ ~ j ,. r'~!='~ .. ~~ ~ ,.• •1{Q .y94 •i---^`.N Nom``` '• ~i ~`` ~i, 1ti• \\` ~~0 , tfo 1. .v' - 1 ' ~ ~ ~' kf f : ,.. in i .... • - ~ ... .• ..~ j ~ is ~ r ~'Rn o, ~' i ~ i ~ o C") Vf n 1 `~ DTI ~~~ ~ ~ ~ ~ ~, ~ / ~ i, O f l ~~w ~p '~ .. 52'E ... ~.....~~r...s ~._?~~ ~ '~ ~= ~ ~ ~ '` X46, } ti i ~,; ~ ' ~ ~ ~ ...... ... , ~~ ~ o ~ ~ ~ ~ o ~ /~ • s, .,w a ~ I i ~, F ~ k~ a . ~ ~' ~ t _ ~~~ ,w' ~ ~ ~ ~ °3 ,. , ~ / / ~~ ~ , __ - ~ ~ r .• PHEt!:SANT HILLS LOCATED 1 N THE NE t ~4 OF THE NW I s4, SE 1 i4 OF THE NW 1 i4 AND PART OF THE SW t i4 OF THE NW i ~4, AND. PART OF THE NU'/ ! i4 OF THE NW t i4, ALL t N SECT I OPJ 29N , T R. i 7W. , TOWN OF HAMNiOND, . 5 T. . CRO t X COUNTY, W I SCONS I N J ~ room AVENUE ~E T 1 ~ I f S rr-«r i L -+i -------i-----.._.. ~_ - _- . LOT 23 f 4 a.~ i~ p~ `/~ ~a g%/; i. ~~ ~ I I ' t ~' ~ ~ .f 1r ~ Nf -n Mr!( ! K -ii i~ i ~ i ~ s ~ ~ i i _ ~ ~- THE l a, ,~ m ~N ~ LOCATiGN ixETCH /~ fR CTt0~ 1{. -. tMl.. .. i1r.. iQ.f d M.Mdfa N w J ~ F (/pT TO fCKL/ N /~ fs m - - _ _ _ uT~L(rY EasEMENTs NO POLE ~'R BUR+cD CA8LE5 ARE TO 8E PLACED SUCti THAT TIE tNSTAlLA710N A0U10 DtYTURB ANY SURVEY STAKE. OR OBSTRUCT V14tGY 40NG ANY LOT LINE OR STREET LINE. THE DISTURBANCE OF A suR vE r STAVE 8r ANYtaAiE I S A Y I OL A r t ~'_ OF bb ~• SEC110N 23Q.3F OF WISCONSIN STATCTES. UT!~ITY EASEMENTS Ai HERf :N q SET FQRTH ARE r'oR THE USE OF IuBL:C BOOtfS ANO o4tvATE u71lITlFS HAVING THE RrGHT To SERVE TO AREA. `~~`' L 0 T 15 v SHEET ~ .`6~ti•r - - 1 ... SEE m = " v ~~; - LEGEkO f FOUNO 1 • IRON PIPE O SET 2'x30' tROM PIPE U~EtGHtVC x.63 185. PER LINEAR FOOT NOTE SET ('X2~• IRON PIPE 11f tGHtNG !. 13 LBS. PER L INEAR FOOT AT AL! OTHER lOT CORNERS ~ UTiL (7Y EASEMENT (7YP. ! ---~-- - -- --- • SE7BAl"XS ® ORfVFWAY LOCATIONS ~~~ ~ tr .~ nQ ~ oG,~l~ ~.5~f ~f RD('~STF,1tS p~F1CE S~CR(3tX C4 ~M1S `r~ RA+'w+~ for R~oo~cd drs„~-•-~f d AQ~QQ ~t 'do~~-~ R°°sed~'~ ~ Jr'~""'"~~--- -+~~ -