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HomeMy WebLinkAbout018-1090-63-000~'s0Of1~' °~`""~" °~ COfi"1ef`~ PRIVATE SEWAGE SYSTEM .safety ati~l8u'Idings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal Infonnafiott you provice may be used fa secondary Purposes (Privacy Law, s.15.o4 (1 xm)]. Permit Ho er s Name: ^ City ^ VillaglC ~ Town of: ~ nte, Ron Hammond Township CST BM Elev.: Insp. 8M E v.: BM D1escription: CPS . c~ I C7a • i] ~ \ vM. ~rvL ~'e- = c,ST B ~ •~" TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ,~,~ Z ~ Dosing Aeration Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. vent to Air Intake ROAD Septic '` 1 }~' (Z` NA Dosing NA Aeration NA Holdi g ounty: St. Croix Sanitary Permit No.. 384275 State Plan 10 No.: -~---- Parcel Tax No.: 018-1090-63-000 ELEVATION DAT A STATION BS HI FS ELEV. Benchmark z , oZ- t~ , I It. BM . (o q~ . 9S' Bldg. Sewer , /O ~Sp I St/Ht Inlet .~ cj3•g0 St/ Ht Outlet .O,S 93 • SS" I Ot inlet Dt Bottom Header/Man. `13 •~S ~ Bot. System S~ Final Grade I°~ vrr< ~. Cover 3. 0 a'~ PUMP /SIPHON INFORMATION _. ufadurer F ~ O and Mode umbe GPM TDH Friction System Ft Forcemain Length Fi oist.Towell SOIL ABSORPTION SYSTEM ) C 8C'I~J Width 1 Length QI EN N 3 `fog • Sy ¢«• SEBACK SYSTEM TO P / L INI=ORMATION Type O ~-~_ r System: 19~+ DISTRIBUTION SYSTEM Of Pits BLDG WELL LAKE/STREAM BEACHING CHAMBER 1 7 ~ /~..-1 OR UNIT o,....a......... e Num c He:der / Mani old Distribution Pipe(s) x Hole Size x Hole ~paang ven~ . i .+~~ ....a..~ Length Oia. Spacing ~3 SCIIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Oel~th Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched f3ecl /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons presentJp~eCtion #1: lo/ oZ/ o Clnspection #2: -1~~ Location: 1767 96th Avenue, Hammond, WI 54015 (SW 1/4 NE 1/416 T29N R17W) -162917728 ~,,, Pheasant Hills 1st addn. -Lot 63 ~ ~~ __~,~~--5~ Sy~s_„~' 1.) Ali: BM Description = '~~Q c.~ ~~^^• G'am'' 2.) Bllig sewer length = l`E ~ S S ~^^ ip1~`~ ~''~"~• o -`tz `t5 S . 2S= 1`7a •3S ~( -amount of cover = ~~ u k , p• ~ = ~2• o l~ • "l~ =`i0 3~1 v~co~. ~~~ wo~'1~ Ih,,,~ tl.s<z~So.9B 2 ~ 43 =8~- Pl.an revision required? ^ YcNo \ U!~e ther si ~ for additional t'nf rmati8n. Z ~ ~' /~u~ ~~~ ~f GN~~ o~'c ~•~• Oate Inspedo~sSignature Cert No 1 R.3P97 ~~~~~~~~ ~ __ - 5ait:ry and $uil~:ings Division ~__ Couari ~~ 201 W. Washington Avo. , P.O. Box 7 S 62 ( S ~~ L' Yo ~~ X- ~~~~~~~ Madison, Wl 33707 -1162 Sato Adera.9 t)e artment Of Cammerae ~,( v-~ Sanitary Permit Application s,:si~- zN Ia aoeatd with Comm if.23. Wis. Adm. Code, pet,toeal itttbnmatioa you provide a Clseck if &evisIoa ~ Frivac tsw 1 . l Z. Apptk+stlat Iatotmatloa - PLW Prlat A11 InGormattoa Stsoe Platt I.D, Number Property Owoer'a Name Paroei Number PZr~I;, N ~ P. ~ P~to~ Lacedoa ~ .. C~i'. Star! Zip Code Phase Nuabor Lot Number ~ ~ Block Nupaber _. i ~ ~ ~ ~ 1 ~Q~' w ~~; , ! ~ , Subdiviaioa Nama CSM~tumber ~ ,,ii / t, ~+F13') ~ ^~ty i ;2~-y Dwe ~ t of Bedrooms ~~ "a Per P (ar S 6 ~ 6w, ~-f~z d ~ ^YlUage I ^ Pu - Use ~wt:slti o yrl-o•~/C~ f ^ State Owsrsd Nearest Hoed ~~ ~ ~ III. Typo of Fet'ntits {Check amly one box sm tine A (ntrmbertttg :chetne for lr~terttal tree}. Co snptete titre 8 ft applicable) A. I ew 2 C Beplaoesaeat System For County use / ~,' - / l~ p ~- - d o C 3 ^ Repiacemeat of 6 G Addition to nom Task Qnl Bxlada S stoat ~ G> , ~ `~ 7 8. ^ Chile if Sanitary Permit Previowly Issued Perrdt Number Date Issued 1 I N. of Ftiemit: (Chaos atl that apgly)(nutaberiag scheme is for interaai ass} 44~ WPtessurited In.Qt'ouad 21o naoam 47 ^ Sand Filter SO ^ conatnestad Wetland 22 Q Prasntrited Itt-tlrouad 4I ^ Noldiar Tuilt 48 ^ Simla Pw Sl ^ Drfp Liss 43 ^ At-Orede rti ©Asrobie Treatment i3ait 49 ^ Racircula 30 ^ Otber V. Die Area xnt~sat iont Daal;a Flow Diapetaai Area Diapertasi Area Soil Appiicadoa Percoladan lists Sysoem F.kvation Final Grads , Requited / Propose d ~ ~ Rata(aa1s./DayalSq.Ftt.) (M4r./It:eh) ~ ~,~ ~ 3levadon Soo ~ / ~/I'~ ~ ~ (l rV ( J ~//f~ ~(~J{ f~~~! p/ VI. Tank tarttfo Capeaip~ its .Torsi Naarber Marsufact-uer Preftb Sita Steal ~ Fiber Plastic Qaltoce t3ailoai of Tasks I Coaerete Cotserucred ! Cilsss ~ Nov j epdts oe ~~ ~ ~ i i i VIL $ Statrtnatt• i, thr ssesome bus elttse POVYTS shows as the attached It3 Number PluazSer'e Name (Prlnq Plumber's 8i;oatetre Bnsiaeas Pboaa Nuanber ~ GJ'l(,a~ s~lamtl~~lr ~~?~Iyp ~ls'-3~'~-3/~! Pluttrhar's Addrew r;Sttent. Cla, Stsa, 7,ip Cade} i ~ (~ ~ SG t l ~ Sd ~ ~ !L ~ !~ l ~ VIII. artmeat UN Approved ©Diaappsaved taty Patmit Fee ( lodes t+roesadweter Data Issued Lsutng Aget3t 5lgttaturo (xo 5tartys} 1 ^ owasr Gtvea Iaidal Adveru. ` ~~7 d ~ ttaioadott Z l~ . ll Z L~ ~ ~. Canditiom aiApptovaUt~eom for Disapproval ~ ~r Sys, br <cw.. may re's ~c iR`~aP~PC~ ;«. i' i~av~~3 0~' ~..r~ ~3~ ~D~~t~ b~ ~C 3(~" ...~row~ 9r~9~k.c~~ S (l ` ( / ~ 9rA.GC ~ o~vOid q,y„v Pc5/lt'd~t ~ih~L/i~iU-iO--S L~k< ~o' ~nt hndt~/~, .~to//iLrr,., / / p ~/, ,f, / ~ ~ ~ G0 TP'/ N TIC 7CS '//BN1. {Jro~OGr1~s, ~rl.C yb t VOl Q~ C?~787'~I ~ !/Gf/d~G#' 20 ~' s y S~LM S~ ~~ ~ C //~ S ~dE ~~rd~ -~- t<P ~ a ~ a ~~. i dY~ t~ ~ e . Tip ~ d euawea amnptae >~ tm me sroaav ~ tar tae system oe peptt w test rasa ern a u scow m aQe 6c µ set~al_ ~~.~~°~>;'SBD»6398 (R. 03!01.) y~ ~D,l) 4`.'pN~ ~o~ to .? ~~~tSad7`~i~.'//.T Q~~ ~U~ .~~ ?D1v,J off ~~ n'' ~ :.~~ y F ~ S'Ga ~-~ 1 ` ~ SQ' ~~ ~.1/.~.1'/..v y "~LM~oe~G /~ou S~ .s, -~ '"''~ ~ ~ k ~ s~~L ~ ~~ ~Y~ ~~ ~u'~ ~ ~~ '~~ .3X f/Y ~c.~~Ma* ~~ G/~~ /ylr~aa af9O G~S`o~ W ~n ~ ~~ `\ ~--„L G iaanul N j b a O ~ ~ - ~ Q V.. (~ v Z -~ .U c 0 ~ ~ .~ a~ a~ c ~ ~ c~ c ~ ~ ~ ~_ ~ ~ ~ c~ }. c ~ ~ ~ O"-+ ~~•~ ~ ~ O ~ O J+ •-- OU ~ O ^`` Y W N ~ 'p ~ ~~`~~ ~~_ ~~ ~ ~ ~ U f O O ~ cd ~ Q f j, ~ - ~ U O O J Q j, ~ !~ O ~ c ~ ~ ~ ~ ~ ~ ~ ~ U ~ A~ ~ ~ ~ ~ j C c C ~ -O aS ~ cd > ~ ~ U 7 ~ -~ U L~ ~ Q- ~ ~ O= J O cn J in ~ ~ • • • ~ yr 3 a~ w co i ~ 'I r I C'7 I ~ x~~I.Q D ~ _~ J L 1 _ (~ T x i ~. ~ ~ N U ~Ir o c ~ I I O ~ . ~ ~ i, ~- U C :~ U ~ fl.. U ~ ~ Q = '~ ~ U XI I J, , ~ m x ~ a~ i ~ _ ~ ~i~ i ~ ~ _ N~ O~ N ~!~j~ .~ 3 `. i ~:~ l:. ~, ~; v: - ~.~ u n :7 ~ H ;~ ~ 0 ~ y~ ", U ~ O LL ~ ~ t ~„ ~ M x q ,. r; G „ ~N ~.~ W O N [L O ' w c ~ O } ,. Li / Y `° `. UJ ~ ~ .F '~ ~~ UJ O GJ ((J C W M N m ;~, ~- s,noepartmentotc«nmerce SOIL EVALUATION REPORT Page,,,~of~ 0m~rln of Safety and Buiidings m accoraanoe vwar wrran ~, was. rwm. woe County • Pl t 1 i ~ i ue ' an mus nc fes n s . site plan on paper not less than 81R x 1 Attach oompletie inctude, but not limited to: vertical aril hor¢or~l reference Point (BM), direction and Paroei I.D. . percent slope, scale or dunensions, north arrow, a ni~dia~enoe to nearest road. ~ ! ~ `; ~ Please ptiRt 8/t , , ` . M! Date Personal formation You Pia ~Y ~ used ~ , ry n~ (r' Law. s. •a 5.04 (7) (m)). ~ d party ~~ r,,' ~ Property t.ocation `~"7r Gov4 Lot s~ 1/4~f/~114 S /~p T ZQ N R / ~ E (or~ Property Owner's Mailing Address ~ i X Lot ~ - Block # Sutxi Name or CSM/f ~ .~.~ ST CR01 ~- _ ~ 1 11~ OFf1CE { ~Y Zip ~ ^ Ylllage ~ Town Nearest Road r~ ` Fi~.t, ~ \ Rj New Construction flee: (~ Residential /Number ~ Code derived design flaw rate did d GPD ^ Replaoemerrt Put>~c or commercial - Dascrbe: Parent material i Flood Plain elevation if R General comments S'y~6 m t/•cd - 7~P92-Sb~~ ~ 'e '^ `~'Z • o G and recornmenda6ons: ~Sj G~. G~~ I`• ~P 9'/. ~ p l.c~ w -+e ~^ ~(~ .,$~O ~~ # a Q ' ~ Pit ~,rra surface elev. 7~,.QQR Depth to tar~rg factor 9!~ in. soa ~ Rate Hor¢on Depth Dominant Cob Redox Description Texture Structure Consisbenoe Boundary Roots in. MunseN Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Effa1 ~ • 10 '^ (Vl 3 ~p ~ ms ml _ _" • .~ ~ . z..~ z ~~ ~~' Z ~ Bonng Pit Ground surF~e elev. 93.3 tt. DepU~ to limiting factor ~ ~~ in. ~ ~ tlrnizon Depth Dominant Redox Description Texture Stnudure C-oe Boundary Roots GP D~ in. MunseH Qu. Sz. Cont Cobr Gr. Sz. Sh. `E~1 'E~ ~ ~ --, ., Z < ~ , ,~ ....._ L5 ~g .... / , 2/ ..- * Effluent #1 = BOD > 30 < 220 mo/L and TSS >30 41 50 mo/L ' Etliuent #F2 = BOD. < 30 rr1glL and TSS < 30 mglL -- CST Name (Please Print) CST Number e aS Adder Dale E Conducted Telephone Number 2~~3 ~~ S~-. Somef'se~ ia~~ 5`-10 In-I~-~Y> 115-~I~-yoog r property Owner Parcel ID # ~ 2 ~~ Boring # ~ ~~ q5 eft. Depth to I~nitin9 faces' f ~Q in. 4P pit Ground surface elev. Soil Rate ri tion De R d Texture Structure Ccesistenoe Boundary Roots GP D!(t? Nor¢on Depth in. Dominant Color Mansell sc p ox e Qu. Sz. Coat Cobs Gr. Sz. Sh. "E~ ~ 1 -- Z 2 `-~ ' 8 ~' • ~ ~ •~ ,r d'3•Ny y z.,r ~o" GG ~ . ~~ # U Bonng ^ Pit Ground surface elev. ft Depth to I~nitmg factor m. ~ Rate tbn D ri d Texture Strudune Coru~sterroe Boundary Roots GP Dlit= Horizon Depth in. Dominant Cobr Mansell esc Re ox p Qu. Sz. Coat Cobr Gr. Sz. Sh. `Eff#1 'Efi#2 ^ Bonng # U Bam9 ^ Pit Ground surface elev. ft Depth to limiting factor in. Soil Rate Horizon Depth Dominant Cobr Redox pescxiption ..Texture Struc~trre Consisbenoe Boundary Roots GPDlfP in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BODS > 30 < 220 mglL and TSS >30 _< 150 mgll ' Effluent #2 = BODS < 30 mg/L and TSS ~ ~ 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 alternate format, please contact the deparlmertt at 60&266-315 f or TTY 608-264-87'7"7. SBp-8330 (R07l00) ,~ PAGE ~ OF 3 NAME Qa~~e LOT# Co~ LEGAL DESCRIPTIONSE '/,UF_'/4,S~Io T~Q,N,R1? E (or~ SCALE: I "_ ~Q U BM I ELEVATION ~(~j. d BM I DESCRIPTION-1Qi ~ i•~ ~ •~ P~~ BM 2 ELEVATION SOD • 6 BM 2 DESCRIPTION {1a ~ ~ ~ ~ Y ~ L ~ v~^ SYSTEM ELEVATION lap qZ• Sd G-o~,,.,er Q~. od ALTERNATE ELEVATION-~P q/. U/U LoW-er gCASa CONTOUR ELEVATION N/~' P~~~y s~xa,~~ ~-CS~~b Q,re~- ._ 1 ~ 1'` -~" ~ l~C DATE ~ ~ .~ Private Onsite Wastewater Treatmont Systom Man ~ Component Septic Tank And Gravity In-t3round So11 Absorptfo P Pursuant to Comm b3,54 Wis. Adm. Code ee~ ~ro~s far maintaining the system withint System {POW'f'S} Shall inciuds information and pro the parameters of Comm 83 and 84, and the conditionsfof spst~~arey o~ flie atatrt!'~e Duna Yom' or governrrsentai unit. The approved pians and permits Y zoning or health department. This management plan complies with Comm 83`n5ra4s ~i a~ rea~~nt Syst ms SBp nd Soil Aasorptlon Component Manual for Private Qnsite 10587-P (R.6/9g}. The septic tank shaft be maintained by an indink shat be~di~sPosed of in acxordar~c~ ~h under s. 281.48, Stets. The contetrts of the septic to Pumping Chambers, L~rease NR 113, Wis. Adm. Code ($eS icing e P ~~ Seepage Trenches, Privies, ar Portable Interceptors Seepage Bed . eepag Restrooms). The operating condition of the septic tank and Uutxtcaetaned aisbnecegsary~to etnsure once every 3 years by lnspedtior~. The outlet fitter she proper operation. The niter carMdge should not be Whe~etnoved f~i~s enra~oresure~ if the retain solids in the tank that may slough off the filter .•. Management Plan for a Septic Tank and Soil Absorption Campanent filter Is equipped with an alarm, the filter shall be serviced if the aiamt is activated continuously. frrtermittent filter alarms may 'sndtcate surge flows or an impending continuous alarm. The septic tank shalt have its contents removed when tns 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 romoved at the time of an assessment, maintenance personnel snail advise the owner of when the next service Heads to be faeriormed to maintain less thar, maximum scum and sludge accumulation In the tank. Manhole risers, access risers and covers should be Inspected far watertightness and soundness. Access openings used for service and assesstt~ent shall be sealed watertight upon the completion of service. Any opening deemed unsound, de#ecilve, or subject to failure must be replaced. ,Exposed access openings greater than S-indtas in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No ores should enter s septic or other treatment or holding- lank for any reason without being !n lull compliance with OSNa standards for entering a conflnad space. Tho atmosph~ro within the septic or other treatment of holdlnp tank relay ~onbrln Hlha! ~rsea, end rescue o! e parson fl-ntn the Interior of the tank may be dttrtcult or Imposstbte. Tank abandonment shs11 be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a ROWT8 component. ~-il A~so~~l~rt Camnonent The soft absorption component serving this structure is des'~gned to accept domestic wastewater from a residential facility. The ilmtts of operation of this component are shown in Table 2. The longevity of a sot! absorption component depenas greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practises by ail 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 Yea~• Ttte inspection shall include recording the levels of ponding, if any. in the observation pipes. and a visual inspection for any evidence of surface seepage ar discharge from the component. On steeply slopir>g ac~esdischas oe adoomest'cuwas ewater or sewage reported to the owner far repair. The su ~ from the system is prohibited and considered a human health hazard. Traffic around or over the soli absorption component should be avoided particularly d:2ring vvinter man#hs. The compaction ar removal of Snow cover aver the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or imaosslble to repair unttiiffusioneofondi enninto thevsoil and dispen;ai~ ~mwhich maYeieadl o component wilt reduces d xyg mare intense, and eer4ier, organic clogging of the soli. 2 r tl+lanapem~n! Plan for a Septic Tactk and Boil Absorpuan Component Ptar~inga of deep{Doted tact and ahruba directly owr of within ten hat of the component ~houtd ba evoidad a&ae coo! intnuwn into the component may obsitruot but tiow. Corttinpency Pian is1 ttu avant of syasnt faltun, a new ~yaKam oauld be lnt~tiad in an eltatt'~e area. With tt» irutalletivn d' • dlverter valve, the existEng ayaim Could also be »ueed sfter a period of throe to fora years. k fe the property owners ntapor+rlbitlty to rrtsintaln the aitamate area f'raa from any planting of tract, shrt~ba, ei7c. ter case of teilurs of the ortQ(net eystarn, the alterrsa~a area wlit be nsaded. tf arty trees, ehrttbe, etc, haw bean planted on the altamata area, they will haw to be rwttawd at properp+ owner experts. it altarrleta area it destroyed, there era other a~.matlvt tyetems that an be used, In whid'+, could result in added expense to the property owner. ram th i code, pleats ~ntaat your boil Zoning OtNta or conta~ot q~e inttall~ngyplaumber. t d,v j`yy 38'~ ~ ~~ S'~ O ST CROIX. COUNTY SEPTIC TANK MAINTBNANCE AGRBBMENT .AND OWNBRSHIP CERTIFICATION FORM . C~~~ ~~~' ~ S~. W7 yo ~- ~ A~ (Verification requited from Planning Department for new constcuetion,)~~___=_ ~ ~~ S r S ~ ~~Y ~~ p` W~ Parcel Identification Number Q ~~ _ ~~~ ~ ~ 3'~ Q~ ~A,I, g~SCRIPTION j~,, j 'on '/s ~'/s, Sec. J ~ . T ~ N-R I? w, Town of I ~ G~.1'Y~h/k~ ~~ ,~- ~- Survey Map # -, Volume _, .Page # Deed # ~ciy ~Q S °~ .Volume Page # T SPCC hose ^ yes ^ no Lot lines identifiable ~! yes ^ no ~[~ AIN' . 'NA1Vt;G rimer use and maintenance of your septic system could result in its premature failure to handle~watstyou ~ into ~ system oousists o pumping out the septic tank every three years or sooner, if needed by s liocnsod pumper. pol the function of the septic tank as a treatment stage in the waste disposal system- property owner agrees to submit to Stw Croix Zoning Department a ecrtification form, signed by the owner and by a nP jmuneymaaplumbe~ restrictedplumber or a iicensodpumper verifying mat (I) ~ on-siLa wastcwaterdisposai aY~em ~ ~ operating condition amUor (2} aRer inspection and pumping (if neassatY~. ~ optic tank. is Less than II3 foil of sludge. M maintain the private sewage disposal system with the standards Vvre. ~ have road the above requiu~nts and agree ~ fir, i0. as set by the T:klsartment of Commerce and the Department of Natural Resources, State of w'sc°nsin' t~rtrf' nation ietcd and returned to the St. Croix County ~'~ O~x within 30 > t your tic system has been maintained must be comp ,days of three year cxpiratio data ~ X0`7, O I - DATE crc~tiA OF APPLICANT Z Chi R'TIFICATION am are the owncds) of (we} acrtify that all statements on this form arc true to the best of my (our) knowledge. I (we) ( ) ty descn'bed above by virtue of a warranty deed recorded in Register of Deeds Office. ~~ DATE ~(}Np OF APPLICANT «*«*«« ~•ssss Any information that is mis-represented may result in the sanitary Iscrmit being revoked by the Zoning Department. *~ Incl~de with tWs application: a stamped waaanty deal from the Register of Deeds office a copy of the certified survey map if reference is made is the warranty deed 05/07/2001 12:55 FAIL TIS 884 2824 FNB OF BALDNIN ~. ~52Q~ 93 ~.. STA tE 8AR t?i: W2St.ONSIN FORM T . ll94 t)ocuatcrst N>tta~cr TRUSTTsE`S DEED Rat7art 1_ R~ebardsos us~Truata of iCYSikk Ciarila6k Rcaraiwdcr Uaitrast ereatdl t1lay la, 2106 Yor a vatusblc considctatios coovcys without warranty to RaaW G Bosh asd Ckns ICaadtsoa G-astcc, the foUawing dcscrlbcd rte! cststc ;Ert St Cfoix f:ounty, Stale of Wiacc~nsin (if more sisacc is r+eacicct, plcoye uttaCh s+dJendum): NIA 'l., txcepr tha toibwa;y/ pareras: (i) East 38 rods of dtc North 32 rods of S$% NE! (2) South ! 9 nrc(,c of tho Est: t 38 +tx>s of NIE~ N£y (3} tvortb 461 t'ttt oCtht F.aat 1334.31 Yam IzfN'h T31i'1, (4) Lot 2, Vol. "2", {'ertiftCd Survey Map, page, 4t 7,lfcittg part of the Sri'/. N1r'/, A21 in Section 26.29.17. Ip~uvz ~' ..f ~~ 6.250ta KATHLEEN H. {iALSH REGISTER flF HEEDS ST. CROIX CQ., WI RECEIiIED FtOt RECORD Ob-19-2000 9:3Q AM TRt~f9 iE>ED CERI' QIBY FEEL CBPY FEE: TIOIi1SN:R FFEs 9e0.00 RE(.'ptDIN& FEES 1~ Ob RABESI: 1 keeord~g Area Novae la+d Rettmt Addrass-~ _ . - - THOMl1S A. McCQRMACI€ Attorney at Law 1.020 10`'" Ave. AO Box 212(1 Baldwin, WI 54QQ2 otato~-so, o[a-Ins-ott-[os, ms-tort-[o,u~o Pan;ct ItirntiftcatitmNtattber (PMI ' Aalad this ~_ cloy cal' .irnc . _ ..__ .2000 Trustee AUTHtNTiCAT20N Si~nature(a) RotKrY J. L2ieRardson uuthenticatctl this IL. clay of 3art:~ ~,_~, ZOtM *_ ~l~OJrlA$ 12• SC#t1aP7A+~~'fZ• TITLE: 14(EMBF.R STATE BAR C3F WiSCnNSIN (if not, autix:r-ixed by TOfi.tf(. Wis. S-atx.) 7yus nvsTRUaAeN-r was 2NtAFTE[! 11Y Thoaaas R SdYamathsr Bakke Narmttte. SC (Si~natar~ may tpe autttenltcMevl M aieitnawicd~^e!(. Rc>U+ ava not nao~csary.) ACKIVUW LEDGM~NT s'rA'~~E or' wlr~otlsin ) ss. St C.rois _ t.'.ounty 1'usoaalty caa+e befrnti me this day of Joss ?000 tha above natnad Robert J. Richardson to me imown W be the person(s) who executed tho foregoing instrutnrmt and uckr-c+wtctlgril the same. Notary I:e~hlk, Stetc of Wpcassis ~_... ~.... My t_'ocntnission is pertnanent_ ( not, state axpc~on ate: ..___.~... . _. _. •j Natncs u[ptasorts signing in atry c~aCrty must be typed or ptitNcd bckrnrn their ai - - -- -_ __ SRilt-IrC. PrarNNW1M! ~>A~. fM9 QL L-G WI I1CO~a59-_'b2S ~.wArt~ tswxar wlscau~suv 7'RUti7EF.'S Ate'F.t) FORM No_ ~ - t9lN3 t HE E T t. • t t PT. TS -.._ 2, ' ` -- ro ~. -_.. -O L EGEIVD ~ - FOUND !" IRON PIPE • - FOUND 2' IRON PIPE O - SET 2' X 30' f RON P f PE WE 1 GH I NG 3. 65 L BS. PER L 1 NEAR FOOT MOTE: SET !" X 24` IRON PIPE WEIGHING I. 13 LBS. PER LINEAR FOOT AT ALL OTHER LOT CORNERS (N - UT t L I TY EASEA~ENT (TYP. ) --T--- ••••••••••• SETBACKS ® - DR ! VEWAY L OCA T 1 ONS ( ) RECORD DATA HWE - HIGH WATER ELEVATION -YR 100 - 100-YEAR FLOOD ELEVATION 1 1..~ O G ~ Co 7" '~ ~ s oZ ~~)~t~R~3 bF~'K~ ~ T 6 1 sr„c~t~X gyp, R~adt #~.oor 8 dok ~'~~----- RD ~QQ Y ~µ8~ ~ " ------- - BEARINGS REFERENCED TO THE EAST-WEST QUARTER LINE OF SECTION 16. 14~ASUREO AS S88°2T' !T'E. t ST. CROIX COUNTY COORDINATE SYSTEM? 100 O 100 2D0 300 GRAPHIC SCALE -FEET ~ ~ w 1 ~~fs LOT 54 ~3. T! ACRES ~'" 161, T00 S0. FT. A LOT 55 A ~ m 3.54 ACRES ~ D 153, 984 S0. FT. .~ °' °' T~ U N 2 A~ Nl UT-L NO POLE OR BURIEO CABLE LOT 5 6 INSTALLATION wtwLD DISTt ALONG ANY L OT L i NE OR S THE O I STURBANCE t7F A SUf SECT101V 236.32 OF WISCOh SET FORTH ARE FOR THE U~ HAVING 7HE RIGHT 70 SERI ......... t rNE ............. ................. ~- ~~~~ 13 i4 O Q - n T S HE E ... ........ .- '.--'.. _ _- , _ ______ _ _ _ _ _ ____ _`!06 ' ~~ '~ ®104.6T __ _ g1.21 88. - 95.32•- T BENCHMARK ELEV.• 1127.78 .31 - - 332. B6' -- 78• q I' Zq. ~ _... ----'~` -----....~,~ ~~S' fp,£ ~ ..,._ 2s3. sp. M - - ~---_._ - _p--..._ _„_,__..~_ - ~''~ 185.88 ~ ~ • 24. W 332.86' !'~ Q TS 41' - ~ - ' NT9" ~- - -~ _ g5' f p. ~ ~, M' 27 32' ~ '' l _ 3T9. ~2 ~ .._ -~_ _ '' '° -~.",-- , Z26.6T'___ - ""0 S _-jg8.56 ® . 52. ~ 89____ - - ~ 3T9~f ''~-- ® ~ -- ---' ~ ® - : J 226.43. _' ~ ......... ..... . . ..........~~. _O L07 64 ' '. 30 ACRES i, 021 S0. FT. x q 2 $ A u .~ A 7`63 ~: LOT 62 U ~ ~ 2• ~ 2. s 1 acRES ~ Z 02, 70T SO. F T. A f 13, 732 S 0. F T. nl L 0 T 6 1 A W ~ ~ ~ i W ~ _? ,•.,~ ?5. 05' O!' N88°2T' t 7"W 22T7. Ol' (TO SE COR. PLAT) 5302. 04' (TO EAST QUARTER CORNER ) NOTE: GRAOlNG THAT WTXlLD At TER THE CAPACITY OF THE STORM WATER SHEET I OF 3 DRA 1 NAGE AREA I S PROH iB f TED. T 0 NOTE --I--- c1• f+wf 1t70-YR L~oc ~' to ~f'f Wc.~~s~ 8E~ our as coc 100 GRAPHIC