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HomeMy WebLinkAbout018-1090-47-000,~. .f . -fit ~ ~. ,_ ,,, Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and~ilding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Kraus, Tim Hammond Townshi CST BM Ele1v: p~ ~ Insp. BM ile_v:_~ BM Description: //f~, ~,Cr /~ / _ _• TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ^ .~. ~~~ C~~ `2-6D Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG: Vent to Air Intake ROAD Septic ' ~ f ~ ~ l --~ Dosing tt u t ~ ~ Z ~ / Aeration Holding PUMP/SIPHON INFORMATION ELEVATION DATA STATION BS HI FS ELEV. Benchmark ~•~~ ol,~o ~ I~-~ Alt. BM I~t•s gb 25 I Bldg. Sewer 23.86 t ~ .2S St/Ht Inlet Z `f. ~o .b0 r St/Ht Outlet Dt Inlet Dt Bottom ~8 `~ ~-Z. zp I Header/Man. Dist. Pipe $ •~ g.~ i 42.0 Bot. System 0, -t) ~ ~t'. o Final Grade ~~~ ~" St Cover ~~ County: St. CroiX Sanitary Permit No: 399490 State Plan tD No: ~~ Parcel Tax No: 018-1090-47-000 L ~ r CJ ! ~ ~ GI G G.I~'~sMn~u-~--~. GPM Model Number S~ ~` 30 TDH Lift Friction Loss System Head TDI-H Ft r~icCUian~ I~Cnyui / 1 Zy~ SOIL ABSORPTION BEDITRENCH Width DIMENSIONS t SETBACK SYSTEM 1 INFORMATION _ _ _ _ ~ (~,t1. DISTRIBUTION SYSTEM // a r "3Z > I (7pf ~~ i~e.~ ~•3o t /b.Yo r~(v.~nJ CHAMBER OR Sv~.~l?F•-n+iA+i ' UNIT Mrxlal N~~mbr:r -"" - t t L.'FD 7 s•7z /~ ~ sI L11f(JLr Header/Manifold / ~j, tl Distribution Pipe(s) x Hole Size x Hole Spacing Vent to Air Intake Length ~ Dia Length Dia Spacing SOIL OVER Y Prncm~ro s..erumc n.,w YY Mn~~nrl Ar Af~rade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlrrench Center Bed/Trench Edges Topsoil Yes ~ No [] Yes ~ No COMMENTS: ,(Include code discrepencies, persons present, etc.) Inspection #1:~/ D~7 O~ Inspection #2: ~ Location: 962 176th Street Ha(m~mond/,~WI 54015 (SW 1/4 NE 1/416 T29N R17W) Pheasant Hills 1s Parcel No: 16.29.17.712 1.) Alt BM Description ~~ -t°~-~^^dC 2.) Bldg sewer length = 1, ,S ~ u -amount of cover = j ~2 3) ~-Iw c-~:~1~. Plan revision Required? Yes ^ No tr' O~+ O) Use other side for additional in ormation. ~ '~-~~ ~~° SBD-6710 (R.3/97) ~,~~'~` Date Insepctor's Signature Cert. No. o~ ~~~~e. Safety and Buildings Division County ~ ~ ° ~ ,~ 201 W. Washington Ave., P.O. Box 7162 t B7j n /SCOIiSI Madison, WI 53707 - 7162 Site Address De artment of Commerce ~`'~~-x '~`~ i-~6°~ S _ Sanitary Permit Application s~~y Permit Number ` ~ In accord with Cornet 83.21, Wis. Adm. Code, personal inf titia you ~'@efl ~ ~~ ~ Check if Re~ision ~II VVVVVCCUU i m lll,,,,,~C tt ma be used for seco ses Privac Law I. Application Information -Please Print All Information S Plan I.D. Number 7 ._ Property Owner's e ~ ST Gf~X 1 Number ,~ r ~ ~ ~-. ~ oz Property Owner's Mailing Address ~'~ ~ roperty Location 7 D ~,,~ J '~v ! L !~ ~ 'R ~~ ii : S ~ TP N, R City, State Zip Code Pho~ Num Lo ber Block Number /~' (~( nr Su~J 'vision N'aJm,e- CSM Number II. Type of Building (check all that apply) ^City ~ ~r 2 Family Dwelling -Number of Bedrooms '~ ^Village ^ Public/Commercial -Describe Use ~l'ownship /KI'1~! ^ State Owned Nearest Road ~ Y `,~ b III. Type of Permit: (Check only one box on line A (numbering scheme for Internal use). Complete line B if applicable) A' 1 ew 2 ^ Replacetent System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Exis ' S sum B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit:. Check all that apply)(numbering scheme is for internal use) 44 on -Pressurized In-Gro 21^ Mound 47 ^ Sand Filter SO ^ Constructed Wetland X22 Pressurized-Fn~iround 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recircula ' 30 ^ Other V. Dis ersal/Treatment Area Informat ion: - ,~ Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed ys/Sq.FtJ Rate(Gals./D (Min:/Inch) Elevation / VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Co>xrete Constnrcted Glass New ExistinY Tanka Tanks $ep[iC Or ld9t~-~aFlk ~~ ~~ ~C f /J`~ I)osiaY Chamber VII. R onsibility Statement- I, the anti ed, asstn±+p r Wiry for installation of the POWTS shown on the attached plans. Plumber's a (Print) Plumbs Signatures MP/1~R3 Number Business Phone Number (~ Plumber's Address (Street, City, State, Zip C e) VIII. Coun /De artment Use Onl ,~ Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) / ^ Owner Given Initial Adverse . Surcharge Fee) ~ ~ Z Determination ~- ~- -~ O ~ ~ ~J ,,,~ IX. Conditions of Approval/Reasons Por Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. The septic system is sized fora 4 bdrm residence. A violation of the state administrative codes would be created if any modifications are mad to the structure that increase the # of bdtrns/design wastewater flow. 3. Propezty is zoned Ag-residential -only one principal dwelling is allowed on this property. ., ,.;.. Attach complete phua (to the Count) only) for the system on paper not less than Sll1 a 11 lncha In dze SBD-6398 (R. OSlOl)':. .~. 4.n. T.L: Sinz Plumbing Inc. E5609 708th Ave. Phone: (715) 235-2644 Menomonie, WI 54751 Fax: (715) 235-2592 www.tlsinzplumbing.com T ~ ~- Key Kr-~s g ~~ (rl~e ~ ~0,~-n 1J~e~.e.) p~Q-~ w( IJ Sso S"s sw N E ~~~ zq ~~ r~~ or ~d»~~o~~ I" ;~- e.A-s A-rt.7" ~~1 1 I ; S r N rb ~~C Cv . -\9~1~ r ~~ SOD ~ g~ ~ ~ = lDD NFL ~~, /2„ IJo~LI~ ~ L.~ ~~~ x - °i.UO ~~~ 2 _. 7~ yr %Z ~ ~~v~~ ~~ 01' f, D ~~~ I39~~v T.L: Sinz Plumbing Inc. E5609 708th Ave. Phone: (715) 235-2644 Menomonie, WI 54751 Fax: (715) 235-2592 www.tlsinzplumbing.com ~ - ~ ~- Key Kr,~s 5tv IJ E I'~ Zq 1-j T~~ ti p ~. j~ drrr ~ o ~! ~ r~ /''_ boo ~ g~ ~ ~ = goo N~~ ~~, ~z„ rJo~Lr~ ~ ~ T~~ ~~~ k~ ~i,~>~ 7~ yr %Z ~~v~~ ~~ °/l- o ~ ~39~~v ~~~,~, oepa~rr>arit ~ ~i,,,,~e SOIL EVALUATION REPORT Page ~ of 3 Division of Safety and Bu~ings in aaoordanoe vnttr c:omm ts5, vws. rwm. was • t ~~ 1'O Attach complete site plan on paper not Tess than 8112 x 11 inches in size. Plan mus indude, but not limited to: vecbcal and horizontal refers dkedion and Paroel I.D. north arrow, a a th nearest road scale ~ dimensions percent slope , , a,.,-_._ _. ~ Please print all J r~ ~ ~ R Y Date _ _ Personal informatlon you provide may be used for , . qr t.Aw: °a,-~5~ (1) {m)). r {` p , , vl~rty ~ner ~ ~ ~ ~Q~ --i -: '? ~ P~ Lo .Cation ` _ t ~ 114 N 114 S T ~• Q N R E (or~ ,. . , : . . Property Owners Maikng Address ._.- t ~ ad 5 L~t'# ' Bbdc # Subd. Name or CSM# • r, j. , Gp~N ~1G~ 0 ~ , . ~ Static City ~' City ^ Yllage [Town Nearest Road M •~ ( ~ (~ New Constnrction Use: j~ Resideritial4 Number of bedrooms ~_ Code derived design fbw rate _~P O d GPD ^ Pubbc or oornrnerdal -Describe: [] Replacement ~ Parent material ~'r ~ - Fbod Pain elevation ~ ~ ~' Gerteral corrarier>>s Sys-f c irv~ e I t V_ ~' / • U and n:c~ommendatrons: ~L'T . ~' ~ Y • ~ Z ~ 3 ~ t^ Boring Boring # ~ Pit Groundsurfaoee~ev. 9y.0~ ft Depth to Igniting facbr ~ ~ in. ~ ~ tion R D i d Texture Strudure Consistence Bouiuiary Roots GP D Horizon Depth in. Dominant Cobr Mansell ox escx p e Qu. Sz. Coat Cobr Gr. Sz. Sh. *Efflfl *Eff#2 /F J Z• 3 ~ c.S - 5 •8~ 3 ~' .._ ~ ~~ ~a ~r Z 1 7 1 Rnrinn # ~ ~n~ d i g n.~ L~ -----, ~ Pit Ground surface elev. i-r• pp ft Depth to timiting factor 7~_ in. Soft Rate Horizon th De Dominant Co Redox Desaipdan Texture Shudure Consistence Boundary Roots GP DJtt? p in. Mansell Qu. Sz. Cont Cobr Gr. St. Sh. "Etf#1 *Eff#2 - ,_,~ S * ~' ~ ~ tr ..~ f (. ~, 3G/„ / * Effluent #1 = BOD > 30 and TSS >30 < 1 _< 220 mg1L 50 rrxyl * Effluent #2 = BOD <_ 30 mgll-and TSS _< 30 mglL CST Name (Please Print) f Signatu CST Number K.~. Z53 3oq Address Date Evaluation Conducted Telephone Number/y~j~' Z.I 1 ~, SUS ~ ~-~- ~ r7"lPl'CO-~ / / ~ 1 . ~~(~.~~ ~(') '~~~ ~~ ~ `^"' Property Owner , U n T t Parcel ID # Page L ~ 3 Boring # U Bow Pit Ground surface elev. 95.3oft. DeP~ ~ ~~9 ! Sim- in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistienae Boundary Roots GPD/tia in. Mansell Qu. Sz. CoM. Cobr Gr. Sz. Sh: *EtT#9 *Etf#2 2 2 - ~ ~ _ ~ g~ ~/o~ ~~ ~ ^ ~s # U ~~ ^ Pit Ground surface elev. tt. Depth tD Iwnniting factor in. Soil Rate ¢ th D Dominant Cobr Redox Description Texture Structure Consister-oe Boundary Roots GP D/fF on Hor ep in. Mansell Qu. Sz. Cont Cobr Gr. Sz Sh. *EtT#1 *Eif#2 ^ Pit Ground surface elev. ft. Depth b limitbg factor in. a# Soil lic:ation Rate Horizon Depth Dominant Cobr Redox Description Texture Strudcre Consistence Boundary Roots GPD/fF in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Etli't1 *Eff#2 ` Effluent #1 = BODg > 30 _< 220 mglL and TSS >30 <_ 150 mglL * Effluent #2 = GODS < 30 mgt and TSS < 30 mgll. The Department of Commerce is an equal opportunity service provider and employer. if you need assistance to access services or need material in an ahernate format, please contact the department at 60&266-3151 or TTY 608-264-8777. SBi)-8330 (R.09N0) PAGE~OF 3 BM 2 DESCRIPTION i~ ~ a ~- z ~C o~n c~ U ~ ~ SYSTEM ELEVATION R~'Uy ALTERNATE ELEVATION~Z'3U CONTOUR ELEVATION ,,1/~~ NAME ~~~~- LOT#y~ LEGALDESCRIPTIONSw '/4NE'/4,S~~DTZa,N,R/~E(or i SCALE: 1"= ~Od BM 1 ELEVATION ~~ . y ~ BM I DESCRIPTION rtu~ ~ ~ n 12",~-~~,bc~ ~ l vv~ ~ t X BM 2 ELEVATION QS O S // / ~ saw CUB ~ k ~~, ~ g~2 ~ 3 ~~t \ Bi Pr~~ az p9 1~ -~- .. 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: Svstem Design Specifications Sanitary Permit Number Number of Bedrooms Design Flow -Peak (gpd) Estimated Flow -Average (gpd) o fL1S Septic Tank Capacity (gal) Soil Absorption Component Size (ftZ) ~ Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soif Absorp 'on Component Design Flow -Peak (gpd) Maximum Influent Particle Size (in) NA 1/8 Maximum BODS (mg/L) NA 220 Maximum TSS (rng/L) NA ~ 150 Maximum FOG NA 30 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Should inspect once a year and clean 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 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 Management Plan for a Septic Tank and Soil Absorption Component 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 tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the sepflc or other treatment 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, Ws. 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 al( 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. 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. 2 System Management ' tv~anagement of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the homeowner, and the homeowner must be provided with a complete set of plans including this management section. I f problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235- 2644, or the Brlrnr~~o~tmty Zoning Office, 715-~3.1.48i, should be contacted for assistance. 57'crotlc 3gly _ ~IbSD General Proper functioning,of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the bener and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . I f the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. ;. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6 No paper products other than tissue should go into the system. 7 No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. I f necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. ;. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended, and a licensed plumber should be notified ifeffluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. I f the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within ! 5' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. I I . Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comrr~-8..54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, 6ttd/or installation of additional treatment components or conversion to a holding tank may be necessary. OCT-22-2001 14 38 V ~ IV ~e space ~~~~ ~~~~ P.01/01 e` ~ o cJ e --}-he ~ A ~ -~ 5 ~ ~ S J ~ S ~ S~ z~g ~e ~~ ~•~ ~rS ~h~e ~.r+vvS S ~,vc~-~ r~ ~oss ~ ~ /e se~~~ ~''~ ~l~-e t S ~vJ ~ ~t-c~ ~ ~2 ~ ~ ~2 -~ ~ d s 5 y ~ ~P 20 d ~ T~ l~ e, v~- o~rL- c~,~1d~t~ ~ ice. ~``s~ Sp,~~e ~~ ~ ~~~.~~y o~i~ ho v 5 '~ S -- K~~~s ~~.il ~i~^ss ~ -L~zi~ TOTAL P. 01 ST GROIX COUNTY SEPTIC TANK MAINTBNANCS AGRBE •-AND OWNERSHIP CBRTIFIGATION FORM Tnn ~'-d ~ ear Kyrai s ess ~'~'~ ~I e.,r, I~ac~ N~~ ~r-I- , M ~ 5 ~ c~S Z inh~^ Sf. tom{- ~'`y ~ l'1 roporty {Yerif~cation requited from Planning Department for new 0. YYl I~'1 Q ~ ~~ Parcel Identification Number ©I `~ ' ~ O ~ O ' ~' 1 - D c~ ~ ~ropetty 'on ~.Y., ~ E '/., Sec. ~ ~ , T ~z`1 N-R~W~ Town of _~- n ~h~q~~.n-F- N ~ l~s Lot # , ~1 iubdi Survey Map # ,Volume -,.Page # , Dced # Ee5 ~~~ Volume „~`~ Page # ~Jtv~ _____; -----~ Spec ~~~ ^ ye$ ~ no Lot Lines identifiable !14 yes C~ na s~ -~~~ I roper use and maintenatux of your septic system could result in its premature failure to handie wastes. Proper maintenance out the septic tank every three years or loaner, if needed by a licensed Pumper. What you put into the system cansisK o ~ pm the f{enction of the septic tank as a treatment stage in the waste disposal system- s ccrtif cation form, sigticd by the owner and by a Property owner agrees to submit to St. Gtoix Zoning D~ that {1) the on sits wastcwaterdispasal system m~ journeymanplumber; restrictedplutnber or a liowsadpua~SrYCrifYinB ~ tank is loss than 1P3 full of sludge. is in operating edition and/or (2} after inspection and PumFing (if y}~ ~Pac to maintain the private sewage disposal system with the standards >~ ~ od have read the above rrquiretncnts and agree of Cotnmercx and the fkpartment of 1Qatutsl Resources, State of Wisconsin- Certification ~ f~, as set by the ~kgattttrent Office within 30 stating t your septic system has boon maintained must be comgletod and returned to tha St. Croix County Zoning days of year expiration dot . .~''~ 6 ~ DATE A OF LICANT O R G rRT I+' GATION I {we} certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (arc) the owner{s} of ~ d'bed above, by v' a of a warranty deed recorded in Register of Deeds Office. / ~~' DATE APPLIC~-NT «**•*« lessee Any information that is mis-regresantalmay result is the sanitary permit being rovoked by the Zoning Degactu-ant. ss Ittel~Cde with this applicatlan: a stamped warranty decd from the f fide in the warranty deed 11 a copy of the certified survey mag . l~~ STATE BAR OF WISCONSIN FORM I - 1998 ' WARRANTY DEED Uoc,v,.enl Number Vt1i_ 1714PaGE 3S1 This Deed, made Ixiween Ronald C. Bonte and Glenn A. Knudtson - Grantor, and Timothy G. Kraus and Kerry M. Kraus Husband and Wife, as survivorship"~ marital ~rooerty Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate In St . CrolX Counly, Stale of Wlsconsln (the "Property'): Part of the SW ~ of the NE ~ of Section 16, Township 29 North, Range 17 West, St. Croix County, Wisconsin described as follows: Lot 47 of Pheasant Hills First Addition filed May 8th, 2001 in Volume B, Page 48, Document #644952 EsSS9$9 -:_EcM H. WALSH ~3' t)F DE`t"Dt'i :c:cTUcu ~t1B KcC~Jk4 .--4~.-200i :U:30 RN wAkkRNTY GEED i:x~vnP1 It CEkT COPY FEE: COPY FEE: :,>iraSFEk FEE: 148.00 nECunGING 'r EE: 11.40 flecolding Area Noma solId Return Atldresa Land'(i~-(~ I~UrJ s;lve~ IzKt- R~~~ su~~e J.~~ New Br.~k+rrn~ MN 5~'li,. 018-1090-47-000 Parcel klentNlcatbn Ntanbar IgNI This is not homestead property. (Is) (IS not) Tosether with all appurtenant rights, title and Interests. Grantor warranU that the title to the Property Is good, Indefeasible in fee simple and free and clear of encumbrances except Easements, licenses, zoning ordinances, and restrictions of record. Datedt~~hi~~s ~~~~((~~3~~1S~to dar~yof AuQUSt 2001 ~~~CJt`c5~~d13'-- ~ . It~ (SEAL) (SEAL) Ronald C. Bonte Glenn A. Knudtson (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature{s) State of Wlsconsln, lI } ss. - Gt Cray X County. JJJ authenticated this day of Personally came before me this 31 S ~ day of __AUgust _, 2001 ,the above named Ronald C. Bonte • _ G eon A, nu s ~~ TITLE: MEMBER STATE BAR OF WISCONSIN +.+! r to (If not, me known to be the person ~ -~tecG~ed'the foregoing authorized by §706.06, Wls. Scats.) Instrument end acknowled l6 ~ :'~S v ~~° ~ ~ THIS INSTRUMENT WAS GRAFTED BY ~' ~ J Ronald C. Bonte 1011 170th St + ~~y ~ ~¢,~''~ Hammond, WI 5401 5 (71 5) -796-5240 Notary Public, State of Wlsconsln rte- My <om salon ten . (If not, state exptragon date. (Signatures may be authenticated or acknowledged. Both are not f ~e ) necessary) ' ' N+m<, o! Penam slanlna In +ny opacity musl tx ryp.d or prlnl+d Mlow Il,ek +la,uo,rc. WARRANTY DEED STATB BAR OP W15CONSIN wuconrn L+pai &anw Co Inc FORM No. l - 1988 Mlweukea wla . wf '1;~ L OT~'l9 ``~~` ~, , :~ :_ I'T1 :~ LOT 18 n :y Z z ~ O ~ y ~, g ~ a t0 y ~ g cs J,•LOT. ..12. m ~ m a ~ ro W - - - - - - UB L.. I C ~, W A (M _R.OAD __w LOT 1 1 WEST QUARTER CORNER SECTION 16 -FOUND 2' IRON PIPE S88°27' 17'E ''-----ti----- 2650. 29' A ,ao-, -~~-j ~. p LOT 48 2.43 ACRES 105, 871 S0. FT. l0 U 0 L OT 49 2.48 ACRES a~ w 108, 160 SO. FT. \m ~' ~hp~ _ P ~~ 2~'/ ~~ ® ~, ~ LOT 50 3. 14 ACRES 136, 692 S0. FT v 3/"M DRAINAGE m N p , ~® r ~ ~ S88°25' 24'E 243. 68' ~ ~ i ' LOT 51 2 81 ACRES ' \~ ~ . ~ < ~ 122, 531 S0. FT. ~ j ~ ~ 3 ~ 6 \ ~. o? o ©, • • 39 0 ~ `rid. ~`O C d'~ `ria. 2° p6, I !' E v~ R A a~ .r~,° c~ ` t N `~ NO L07 47 ~~ ~ \ DRAINAGE AREA m 3. 62 ACRES ©~~ ~ ' \ 157, 840 S0. FT. ~,\ ~ ~~ DI \ ~ 8 ~, ; D ' ~® LOT 52 h ao' ~ 33' 133' ; 2. 34 ACRES "' , DRAINAGE AREA ~ Z y ~ 50' 101, 983 S0. F /' Ne9.3T39•E r o o I Hwi 100. 00' '• A • ~~//f/, , e': SETBACK LINE ~ A " • A A g• ..............: rv W ~. ~o~o.o/ ~ . w N ' ............................................... ......... ---- --- --- 9 ~ W S88°25'24`E 418. 33'PUBL I C L ---------- S88° ' " - -------- ----- ----~- _ ~ 25 24 E 352.78' ___ ___ w sro•or'~e•w ~ - _ _ _ 34, rr' fV88 ° 25' 24' W 834. 44' 66.05' _ -_ ~- _ rr>'.oa -- ro3,oo•_-- /// 23 .00' ~r+we- toeo.o a j .....296. 05' --- 240.00'--------- ~ ® o -------- 240.00' -----___ 8.39©--____ ti ~ ~e 4 DRA 1NAGE AREA m ~ R .. .. . ............................ .............................................. SETBACK .......... " ""~••••• r A m ~ g~d~ y g l i ~ Z DRA 1 NAGE AR! e 11 Al i ~ '' O O ~ 2 p ° z $ a BENCNM4RK ELEV • 10 97 36 ~ LOT 6~ ~ Cnl i ~ . . ! A 2. 43 ACRE m -i >; ~ ~ ; ~ ~ ~ ~; ~, 106, 002 S0. i A ~ LOT 68 ~ ~, LOT 67 ~ LOT 66 ~ rn ~ ~ ~ 3. 17 ACRES rn ~ rn 2. 57 ACRES +' m 2.57 ACRES A y co 138, 1 12 S0. FT. ~ 2 46 A E ~ 1 1 1, 927 S0. FT. O1 1 1 1, 895 S0. FT. a . C. a XC. EASE. - i 107, 293 S 0. F T. at °D a ( ~ i 00' a ~ o ~ i ~ 66' ~ ~ DRAINAGE AREA 286. 05' 66. OS' 230. 00' ' ~~-~ / 1697. 36' (TI 240. 00 toe7•s 39. 99' i CENTER OF SECTION 229.2 1 i I2 O ~ L 1 NE