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HomeMy WebLinkAbout018-2003-28-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety ~d Building 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 P.C. Collova Builders, Inc. Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: ~~a ~ D /oo.o ~~ Su.r~ >h TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic :~ / ~~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~~ / ~p~ ~~ Dosing ~ ~ ` ~ ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer .y~_ _ ~ ~/~ Demand GPM Model Number ~ ~ ~ ~~3 n ~-~ or TDH Lift Friction Loss System Head .~ 1 TDH Ft Fcrcemain ~3gX f. Leng>~h Dia. ~i Dist. to well a ~~- ~~zr SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 430043 0 State Plan ID No: Parcel Tax No: Section/Town/Range/Map No: 18.29.17. ELEVATION DATA STATION BS HI FS ELEV. Benchmark 345 1o~.y ~OD•D Alt. BM 8 ~~~ ~ ~ ~ 1 ~ i . a5 Bld ewer "~, , 0 ~ SUHt Inlet '~ ~~. a SUHt Outlet Dt Inlet Dt Bottom ~• / C V Header/Man. Dist. Pipp I nko c~~ ~ , Bot. System •(os ~•~D D Final Grade ~~l-S ~ ~ . St Cover .(e~ l D `l ~ . BIYI - r~ ~ ~ ~ • ~~ !03.6m D . - ~ 98. qe.- /qq i~ i /vc BED/TRENCH DIMENSIONS Width ~ ~ Length ~ ~ No. O Trenche 2 PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth -~ ~ D (~ X ~ ~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufa urer: "Q ' D ~ {-~ !~' u . T e Of S stem: yp y ~ ` ! 2~ ~' ~y ~ UNIT Model Number: ~~~~~ ~ I/ ~~ // DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Sracing Vent to Air Intake Pipe(s) / ~ Length Dia Length Dia Spacing ` SOIL COVER x Pressure Systems Only zx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil - i Yes ~ No ,`~ Yes ~J~, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspectio #1: / ~ / Location: 977 158th St Hammond, WI 54015 (NE 1/4 NE 1/4 18 T29N R17W) Crick Bottom 28 ~ Parcel No: 18.29.17. 1.) Alt BM Description =TAP, I~ ~' ~~ ' " °~ -^ ~ay~ Fw~ rti~ s~~ .-_ n,~ C vLGvj'~-~ 2.) Bldg sewer length = '3(0 L ~y~ - amount of cover = p lF~ 4 ~ Gv Vet',-ir "' X72 ~ t ~~ ,~ ,w ~lctnrl-- ~iia; Qt~l' tPl a~ d ~ ~ „~ P ~wrrz t~t ~ ~IN,N~~ ~`~ t ~ n ~ ~- . ~ - Q -- _ ----- -~----- -- - ------ 1/~ ~ 5 - ~- --; °~ - Use otherls de for ar ditwnal rnforma N li ~_-._- _~ I ! y--_~_l I!_-- _- __ -_ -_- ~ -_ _ __.--- ~~-_-- - -I~' IL~I-~~~~_ --' ~ f... Date K ~ ~ ~In e~pctor's S' na re ~/ Cert. No. SBD-6710 (R.3/97) ~ `C.~ v~-~C. ~'~^~ 9/~~0 ~ ~ ~I V~+"__~ ''~~' ~ 1 ~ ~~' ~~~ ~ ay°f-363 ;; ~,>~ ~ / Zot w wAve-, P.O. Box ~2 _ ~7 = s~/~ E~1'fll3l~ i ~ ~~-~ SlanoagrPerm~Nember~baSHodinbyCa) ~ l~ Department of Commerce (6118)26i-6546 ~,3 p b % 3 Sanitary Permit Applicaiaon ~` ~°° '~°` ~' reaec~ ~iatco~rs~u, ~.aa~t.codsr~+a ~ e~ msgr tensed fa aeoo~ey 1 Privacy Iaw, s15 00(1X) Pry ~~ ~ ~ B~ ~/ ~ S~ ~ ~ ~~ ~ C AllW ~ Pl f P i ¢R EO " a ar ease r nt ea- T. AppGtatieaIaforamt Propetlyt)Wrea'sN~nte ~~:~`~ 2 9 2003 ~ i~~1.o~s ~t~ P~eyr~r•Si~~wa~ sr ~;.~oix cou~~~-~ ~r ~ ~il~l'~ ~~ 01=r- lCE ~`'01~`r n/-i ~ /J/~~ ~~ VL ~ may, ~ ~ Tg Cade P1+ooc Nnmbat e,~ cdtedc a~ f'~ ably) ~ T ,~ ~ ~ ' ' onrla~e CSirll~ba e~-xe~~aeatn~ - ljlDweH ar2Fmm ~ ~ D -na~vsc / ew ~ ^smceo~ed-~ ~ T2~1/~~3 /S .,~~-- ~i Lis IIL Type stYera~ (CLeek ~y eae box sa lie A. Coate ~ S it'appii~) ~ y~ ~] xsyanm Q T~'itonkR,eptse~cO~' ~ or6erMooatoE>d~~ s. }~ Peam~Heaewsl Betoaa Ewan ^ Pemtit Q C.~at' CIP~Traes6er~uNew o~ l.;slrr~talxne~e:aeaa~el~erd Tv e~ro~vzs ~ ~ -Prima le-ca~a O ~ttd>_~;e. ~ soa Q Mamd <24 ~,. e~sti~ile ~ D ~u-c~a~ O she r~ s~a>~ D Paessarizea ~ 1'aolc ~ teat ~ ^ Aerobic T,mt~t tl~it ~ s~ Fier 0 - a tFNar t~eabar - Liee r~eava-k~rlye Od+a(«r~is . J' ~ ._ _ ~ '~ De~~ soc DispmsAl Area R+ed (st) _ i~ ~ (~ ~ vT. Taak Tats ~ _ r rtes > Total c~ limber eri>~s ~/~z~~ ~ Pte~ab c rte c. Tic t~ Pft~ic Tads Tana SepfcorHoldm~7aelc .rl~ AecaUie 7tealneat ila3 DminSClaa$c VII. SYatemmt ; tlae rsapsaaibiyity ferbnaa a[t4e POWis a~ oa the aimtdted pint. ~~) MPJMPRS 1 IittsmasPitoee3lttmbc ~~~ ~. o ~~ iiroc(dat3 ~ ~ ~ S ° ~ O 6 03 ~ Gt:~liy7 O owmerr~rcalts~oe fari~t T~~~~,~ ~ ~~ ~ ~ „ ~ ~P~u/73 ~y~-P ~ ~-~~,c.P~.P2-~~~2a u~oGe---Gr~ f ~~' ~ 3 • SZ ~u.~ ~i~-R-- 7~~- z ~~rn~ v~u~"~~~:~ G~~~ Vl ~/~ ~ ~ d ~. vu173 / ~~ , ~« a....a.. fnn . to f..f... f~ .~ n~ ~i~"o a ..c w~..-a --v - --~----- - r. SBD-6398 (R 08102) • PLOT PLAN PRO,~ECT P.C. Colbva Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 1 / 4 NE 1 /4 S 18 /T 9 N!R 17 W TOWN Hammond COUNTY ST. CROIX 5/28/03 BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL IN-GRO D PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE 630 gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 ,BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 97.7/97.5 2.5' Below Grade Alt. BM Top of 2" Pipe @ 100.0' Plans Designed Using Conventional Powts Manual Version 2.0 RECEIVED SEP 1 7 2003 ST. CROIX COUNTY ZONING OFFICE Pro 3 Bedroom House >6" of Cover ,Vent 6' Lona.~,l l " Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area Huffcutt Combo Tank at System Elevation 150' Area of Vents Soils not suitable for convention , al system 5 B-3 1 50'll / / / 2-3' X 94' Cells with >3' Spacing 364' Property Line N 0~ ~~ `` ~ ~~ 1/ Vents B-2 1% 95' 0'. B-1 50 t SEPTIC TANK S PUMP CIiAMBER TION AND SPECIFICATIQNS f"tEAtHERPR00f y++ OI 1t ENT PIPE 12" MIN. ABaVR GRADE £ J~SNCTiON $OX > 45' FROM D04R, WINDOW ORWITH CONDUIT FRESH AIR INTAKE ~ FINISHED GRADE _ 6 ni.~-. ..... Zya ~ N C.z. aD~Rwtpa - ~. Q. ,; ~ i8" IN. ~1t! ~ + + INLET t '. + ' GAS- ~ ' WATER TIGHT SEALS , "~'"' ~ 1 TIGHT ~ A sEAL ; FILTER _ ~,_ r', ppPROYEfl e -,F.-. - ' r•' PIPE 3' C t ' At11'o SOLIQ FT -~"" SOIL PUMP OFF ELEV • D . OSS APFROV ED MANHOLE COvER W / PADLOCK ~ WARNING LABEL. " MIN. t9N M1 N• aot~n's uITII aPP~or~o PIPE ~' 01iT0 SQLIO SOIL 3" APPROVED BEDDING UNDER TANK \ FAD CONCR SPECIFICATIONS ~~~~"~ SEPTIC ~ FACZVRER" lL'~~~~ TANK MANU / GAL. TANK SIZES • DOSEIC` ~Gz~s~ GAL. ALARM MAI+NFACZZIRER MODEL. MlMBER SWITCH TYKE pUMp MAIdtJFACTURER MODEL NUMBER S'IwIITCH TY'P~ 7'~ GAL INCHES =3~ ~ GAL. g 2 INCHES = GAL. INCITES =I~GAL. C ~~ D _ INCITES =~„~J----GA1. • - ~ 3 wAc M WIRING AS PER ILHR 16.2 PUMP ~ ALAR FEET REQUIRED DISCHARGE RATE ~~ G~'M FEET ERTICAL DIFFERENCE BETWEEN gSURE FF .AND •DISTRIBU'fION PI OR. ; FEET + MINIMUM !iE'I'WDRK SUPPLY pR£ FTC 104 FT. FRICTION FACT FLET + ~ FEET F4RCEMAIN K f - 3 TOTAL DYNAMIC HEAD ~./ .__-- 1?U MP TANK : LEI+iGTH INTERNAL DIMENSIONS O LIQUID ~e~ s~----• -. SIGNED: LICENSE IQi,IMBER DOSES PER DAY =_ `__._-- DOSE VOLUME FLO BAC CAPACITIES: A = if88 ~, HEADICAPACITY CURVE - EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feet TDN. TOTAL DYNAMIC HEADICAPACITY PER MINUTE • s7-ss w S- F- pil ERIES ~ 31.31 11 177473 110N1t0 16111161 1611167 ~ 1pSw 163 11LHI3 1pNHp3 16L11p1 ~ ~ ~ Y: WL Ltr>t.,. WI. Les: WL. L1n C+1. , Llrt WL Ltr. Wl.ltri Wlltr+ I C.I. ..LVt GII. 1ln. G+1. •Ltn. C.I. ltn: GIL Laa. s 14 10 42 is 13 20 26 40 13 ~ w 38 12 w w 12 70 36 to flS~ 123 3l,: ]! 17t:~ T) li(:I 62 1710 5! '2ST" -T~ 1 J6: U rl31'. 11 260 57 Nt' I I :i~ 37 SOt:. p5 2R 53 :..163 1)1 SSt3 110 530 IS 1T1 121 :N1 ' ill ~-.503 /S -: 173 111 ' AI 127 ~7i1 /! 176' 191 72 1St'; : 1 31 110; 1! 1T1' 11 10 2Tf7 ' too .-id» a ur- 21 n 1a ur 34 tto ;<u.ro 7 /e 1 7°' So tu> 110 20 ',n uo nsl 105 t7o ..»-u fo is 32 L«-na.: 2t.r ~ tr t3ss lr is /s s6• ar Ir 7r ++s Is nr ur 100 30 95 28 90 186 26 418 85 165, 24 BO 4165 75 22 ~ 70 x ~ 20 ~ 65 0 18 60 163, 4163 55 !- 16 50 14 45 40 12 140 35 ~ 41 10 30 8 137, 25 139 6 20 15 4 10 2 5 _ _ 189, - 4189 188, 4188 185, 4185 0 ., .., 5759 98 4661 U.S. GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 :rrER3 0 140 150 160 80 160 240 320 400 0 480 560 640 ' FLOW PER MINUTE 009922 ote: For Head Capacity on Model 112, industrial column-explosion prooof pump, see FM0219. YL ~ YLA PROJECT P.C. Colbva Bldrs. Inc. DRES P.O. Box 489 Somerset Wi 54025 1 / 4 NE 1 /4 S 18 /T 29 N 17 W TOWN Hammond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE5/28/03 BEDROOM 3 CONVENTIONAL XX)C IN-GROUND SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambe 30 ,BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL •H.R.P. Same as Benchmark SYSTEM ELEVATION 97.7/97.5 2.5' Below Grade Alt. BM Top of 2" Pipe @ 100.0' Vent >6„ Standard Biodiffuser/ of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 1 Plans Designed Using Conventional Powts Manual Version 2.0 at System Elevation Pro 3 30' 0' Bedroom T House t ~ ~ 3' ~ 4'pCell ~ i 3 S acin 95' 5~ ~o~ 1 364' i~ L 100' Vents B-2 1% Vents COPY • PL F PROJECT P.C. Colbva Bldrs. Inc. D 1/4 NE 1/4S 18 /T 29 N 17 ~P.O. Box 489 Somerset Wi 54025 W TOWN Hammond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATES/28/03 BEDROOM 3 CONVENTIONAL XXX IN-GROUND SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambe 30 ,BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 97.7/97.5 2.5' Below Grade Alt. BM Top of 2" Pipe @ 100.0' Vent Plans Designed Using Conventional Powts >6„ Standard Biodiffuser/ Manual Version 2.0 of Cover Leaching Chamber with 31.1 ft2 of Area 11" 6' Long 3 4" Grade at System Elevation - o~ . °~ Pro 3 30' Bedroom House 364' Property Line 2-3' X 94' Cells with >3' Spacing 100' Vents 30' B-2 1% B- 95' 50' 0' 30' B-1 Vents 50 Maintenance and Contingency Plan for a Septic System ~~3ao`f3 Maintenance Plan ~~~~ 1. Septic Tank is to be pumped once every 3 years. ~--, f_-° 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P. C. Collova Builders, Inc. Mailing Address Property Address (Verification required from Planning Department for new City/State ,~i,~ nr~ t,.~ -. Pazcel Identification Number ~~i~~~ LEGAL DESCRIPTION Property Location %,, ~ %., Sec. ~ T~N-R,~~, Town of Subdivision Lot # ~. Certified Survey Map # Volume ,Page # Warranty Deed # ~,~ ~ "y~ Volume ~~~~_, Page # Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result is 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner. and by a masterplumber, journeymanplumber, nstrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposalaystem is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St Croix County Zoning Office within 30 of1t1he three yeaz` expiration date. i~ ~n / ~ ~/ -d IGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge I (we) am (are) the owner(s) of e p perry described above, by virtu f a warranty deed recorded in Register of Deeds Office. ~'1~`l~ IGNATURE OF APPI:I ANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** r .` ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed P O Bow 489 Somerset, WI 54025 wrsoorrsin Depardment of Canmerce SOIL EVALUATION REPORT Page l of ~ Division of Safety and 8t61dings " in accordance wwith L;omm ts5, wrs. 'wm. was ~ O I Attach complete site plan an paper not less tlran 81/2 x 11 inches i size. I V E ' indude, twt not Nrrdted to: verticel and horizontal reference pant (8 , scale or dimensions. north arrow, and location and ercent slope di to nearest road. Paroel I.D. ~~ p , P/ease print all ir~formatfon. MAY 0 1 20 (m)) 04 1 15 ~~ ~~j~~, ~' ' ` °a//~ ~/ Personal iMonnaOon YW P ~Y be used for secondary Pw~~ t . ) Lew. s. . vf 2 Property Owner ~ ~ ZO I N G E 1/4 S ~ T N R E( W , Or Q~+~ ~ ProP~Y OwMr' ~~9 q ~ Lot # Block # . Name a CSNdI ~f+ State Z~ Code Phone Number ~ ^ ~Y ^ Viflage Town ~~ ~ New Constrtrcdon Use: esidential / N of bedrooms Code derived design flow rate ~ ~ GPD ^ ~ ^ ` or - Descn~be: Parent material ~' Flood Plain elevation if appflcable N ~ ~' ft- ~: Sy~f~.~ ef~~~ y~~ ,9~- r ~ a .~' ~~~ ~~ ~~~ ~ ~. Pit. Ground surface elevl !/~~ t-fi. Depth to fxniting facxor ~ " m• c~ Rate i ti D Texhue StrucUxe Corrsisterrce Boundary Roots GP D/ff Horizon D~ in. DorNnarrt Murrsefl on escx p Redooc Qu. Sz. Cori. Cobr Gr. Sz. Sh. 'Eff#1 'EB#2 2 /2 ao ~ ,-s/ ~ .r - ~/ f ~~ ~~~ # ° Pit ~" ' ~ De~Fr to timiturg fadoc / ~/ in. saa Rana crotmd surface elev. ti n i D d R Texture StnxXrne Consisterrce Boundary Roes GP DAF Horizon Depth in. Dorrrinartt AAtuueA escr p o wc e Qu. Sz Corrt. Color Gr. Sz. Sh. 'Etf#1 'Efftl2 a r~/Z _ l S ~~ ~ U r rO~Z F ~ - ~ti ,~ ~ r ~ N ~ s ' ~ ~~ ~ ~ 'Effluent #1 = BOD > 30 <_ 220 m~L and TSS >30 ` ' Effluent #2 = BOD <_ 30 mglL and TSS _< 30 mgll. CSZ~~~ ~~ t~T Nrrrreer 1 ~ Teleptrorte Nttrrtber Address Date Eva~lion Conducted ~a..,~ rte, ~ ~ _ _ w ., .. ; . _ /~_ _ ~,>s .u~! ~ is -y .~ ~~f-a ~6-s..r~ ~' L~ ,~-~- Z ParcellD # Page y~,L ~~j `-' ~~ # ^ Boring /.~~ ~ Pit Ground surface elev. ~ft. Depth to tirniting factor ~,C~- m. ~ Ram ti i D th mi nt D Redox Description Texture Structure Consister~e Boundary Roots GP D/fF or mn ep in. o na Munsep t1u. Sz CoM. Cdor Gr. Sz. Sh. 'E1f#1 'Etf#2 . 3 ~- ~ - ,~ Y =~- ~s a~ , ~ ^# ° ~ ^ Pit Ground stxface env. ft. Depth to I'xniting factor et. Sod Rate tiorizort Depot Dominant Redox Oesaiptiort Texttxe Structure Consistence Botmdary Roots GPDAP in. Munse9 Qu. Sz Cor><. Cobr Gr. Sz Sh. 'EfF~1 'EfFli2 ~~ # ^ Boring ^ Pit Grotmdsurface elev. R Depth bo 9 factor in. Sod Rate Floriaon De tlt Dominant Redox Desaiption Texture Sfnxtrae Consistence Boundary Boats GP OVfit p rct. Nlur~ - Qu. Sz Cont. Color Gr. Sz Sh. 'Etf#1 'Ett#2 ' Effluent #1 = BODs > 30 < T20 mglL and TSS >30 < 150 mglL ' Efrluer>t #2 =BODE < 30 mglL and TSS _< 30 mgR. 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 department at 608-266-3151 or TTY 608-264-8777. sen-eawt~l Soil Test Plot Plan 3 Project Name P.C. Collova Bldrs. Inc. Shaun r Address P.O. Box 487 Somerset Wi 54025 CS #226900 Lot 28 Subdivision Crick Bolton Date /4/02 1 /4 N E 1 /4S ~ 8 T 29 N/R~ 7 W Township Hammond Boring (~ Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Survey Iron System Elevation 97.7/97.5' *HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 100.0' ~~~ ~~~ ~~~ ~g24~ ~~ 100' i ., ~ ~ B-2 364' Property Line 101' ,, °,, / n ~ _~ B-3 ~ i ~ ~ ~i r ~0 ~ r ~, ~% 5 0' -1 50 _.~ ~~ ~S Alt. B.M. B.M. U L95QP 528 I STATE 8AR OF WISCONSIN FORM 1-1998 wARwwTY OeEO Husband and wife .Grantor, and P C Cdlova Bu7dere. Inc. .Grantee. Grantor, for a valuable consideration conveys to Grantee the idlovdng descxiged real estate to St Croix County State of Wisconsin (the "Property'): t~f 687242' KATHLES9 N. MALSN REGISTER OR OEEDS ST. CROI7f CO.. MI RECEIYfiO FOR RECORD 08-16-2002 9:00 AM EYODT ii ~ REC FEES 13.00 TRANS FEE: 1155.00 COPY FEE: CER7 COPY FEE: PAGESt 2 Sw Exhtblt A attached hereto rtewm nwreca P CoNova Builders. Inc. x Avsmrs mood , WI 54016 O)8-1039-20--000 / 018-1039-LO OC 018 1039 80 000 Parch Wentltirvtlon Number (PIN) This la not homestead property. (Is) (Is noq Together with all appurtenant rights, title and Interests. none Grantor warrants that the title to the Properties good, Indefeasible In simple fee and free and clear of encumbrances except Dated this 15th day of August. 2002. (SEAL) hn J. Iton (SEAL) (SEAL) arolyn G. alton (SEAL) • q~C ~; iatE OF vlnsco~ Signattue(a) authenticated ttlis NO 3~C TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stets} THIS INSTRUMENT WAS DRAFTED BY Cddwell Banker Bumet 1301 Coulee Road Hudson, WI 54016 22470 (Signatures may be authentkated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT State of Wisconsin, ) ss. St Crohc County Peroonaliy came before me this 1 ~ day of August. ~0~ the above med a a I D 1 n nd WK W Lv ~kz ~ Notary Public, State of Wisconsin My commbsion is pe enenL (If not, state expiretbn date: ~~is ~~ .) • Names of ones In In an ca moat be or rlnteo Below tnelr s nacre. STATE BAR OF WISCONSIN Wluconein Legal l3fank Co, Ina yyA~AMY pip FORM No. ! -1998 Mihxaukee, WIS. C2~~ ~~ ~U E ~Lb OK ~ of 2 .. ~.. .I~.. 1-9 S:O~P..5..2~ •A•. ..` ti...M.i.wYl,yiwfi+'1/i,~i'$,YTI'.j}YAWwM~M'Ir ••'........ t .. ~ ~. ~. '.' •O~"~ .. ~ `~i .:.;^.: ~. ;. i.. A part of the NE'/. of the NE ~ and In part of the NW y. of the NE'/, and in part of the SVd"/, of . the NE Y. of Section 18, Township 29 North, Range 1T West, Town of Hammond, St. Croix County, Wisconsin and more partlwlarfy described as; Begittttirrg at the Northeast comer of said Section 18; thence S89.33'31 "W 372:01 feet along the North Une of the NE '/. of said Sectlc>n 18; thence S89'33'31"W along the North line of the NE '/. of said Section 18 775.94 feet; thence S00'52'23"E 250.00 feett thence S89.33'31'IM 968.24 thence S89'33'31'W 528.Q0 feet: thence S00.52'23'E alor a North-So ~th Quarte Section Ilse of said Section 18 1311,77 feet; thence N89'33'39•E 626,33 feet; thence N00°31'25°IN 330.23 feet; thence N89.33'24"E 692.78 feet; thence N00'S2'23"VI/ atgnq the East Iine of the SW % 9~ NE '/• 330.31 feet; thence N89.33'24'E along tho South Nne of the NE '/. of the NE '/.949,09 fast; thence N00'S2'24'VI/ 1321.19 feet to the Potnt of 8eginninq. c~ ~~ g~~M 6V~.~v~ 2 or- ~, . ,~ , ~ I '~;, ~- ~ ; /~ ~ fE ~' ~~~ CERTIFIED SURVEY MAP VOL ME 16~PAGE 42~' R.A. = N 00'31'19" W S 00'52'24" E LOTS 3 LOTS 4 1321.19' - 1288.19' 378.42' 332.93' \ 160.00' ~ ~ M ~ Op0 a 0o W 38.82' ~ W MM O W ~ O>> W ~ V ~ W.Q.. N YJa ~ Q ~ ~aM w ~ U Ni .M ~ ~ ~ ~ ~ Q m~ Woo ~''~ 6'~n O O ~ ~ _ w ~ -., ~ ~ _ 'S'ic ~~ 0 p°, ~ 2 ~ / ~ ~ ~ Z ~ ~ Q / ~ ~ v cri N ~ ~ / ~ Q \ ~ N CO ~ ~ ~ E-'~ O ~ / \ ~ ~ \ © ~ ~~ ~ O ~ ~ ~,~~ ~ ~ ti1~ ~ /'~ / ~ ~_ ~ .~~~',~ ~ Cat a 3 \ O ` ~ ~ QU !~! OS6s cy~v> O ~ N 3..0£,92 ~ \ ~ ~ ~ _~ 0 X66.12' ~ ~ \ ` OO °`~' ~ ~ '9p ~ "' z<<Z°~. ~ ooh/ / \ 4~, ~'1s\ =?a' Judv Kahler Subject: PC Collova-Crick Bottom-Lot 28-430043-S.Bird (next to first one) Start: Wed 9/17/2003 4:00 PM End: Wed 9/17/2003 5:00 PM Recurrence: (none) ~J i ~' ,~ ..%