Loading...
HomeMy WebLinkAbout040-1040-70-001 p °» o m_Y o � SrnN N 3moS O C n d _ r 0 N X S' € O N O N LL w N fl. N � oivE I pOj N p N (n O O O 0- N c N (1 N d N-0p .@• N c J� O � f6 U U tC C Z O N.CD LL C '2 C N t o �'` 3N3 C w L Y N N E Q °c Oln� O V 0_ E co N = C � � E Z a m I O z c CC (D E _�V N Q j N N I� N 0 0 0 N O N N N z z zzo co z N m N a N Qj Q O M N z > a z ,L" N 0 a a a a 3o (n a to J U ,� rn rn } �.l "' Co 4-- m °O w — a E N m 0 a N 1 �1 •p N Q } (n N a N i+ O O O 2 C O E 0 p c 0 c) co M Z' N c c Ct a 0 00 @ W N f0 N N y 0 v °2 \f c 6z N c N y.y N N 00•� w 7 E E O = ;75 f6 U � .r ►' 4k O. 0) a •V u a •�' a v C C u C �1 A U as 2 O N U �J Sfl`IWWlU 5:lNIb"S'O�'MN1M Sfl'IM'XIOZIO1NIt/S OO�cZd Xb�989t'988 [L 910tl5 IM "NOSOnH 'ObO&73VHO 1W2/dD 10 l l 631N301N3WNH3AOO MIND XlO&j 1S i SL9b- IL :133HS M3AOO JNlon`lONI `S3oVd Jo a3ewnN Bun aw t� LL9b-98£- tiy�ado a� — � :m3ewnN 3NOHd 989V-98E-9�l :m3ewnN XVJ sum a :w omxi ?1vzu,iojui pUV7 089b-98£-SIL �► °? �� - fi :m3ewnN XV,q 11pt'"llup6'apoo :01 SO ( -E' 1 :31VQ Ow3w xvd T'IF:lr 14 x1oH3 i Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 41 TOWNSHIP , d/A_ SEC. TjICN-R / W ADDRESS 16, �! ST. CROIX COUNTY, WISCONSIN 2-7 903 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IMF. 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM. N 3► � .6 r�� r�5 i'11 .AIL �u �qo3 INDICATE NORTH ARRO BENCHMARK: Describe the vertical reference point used Elevation of vertical reference oint: P /ye)- 0U l Proposed slope at site: ,X;z SEPTIC TANK: Manufacturer: Liquid Capacity: 0e:::, 'wt-to Number of rings used: -- ..Tank manhole cover elevation: AW. 3 Tank Inlet Elevation: 90f- 25"' Tank Outlet Elevation: � 5;�_*. 5/ - Number of feet fro nea�..r�e,4�s- t Ro <�r�L �...�c., � Front,�ide0 Rear, O � feet From nearest property line Front,0-Tide10 Rear,0 79 feet Number of feet from. well. 7/ bilildirry . 1 L ,,,�,fitc tank. Z PUMP CHAMBER Manufacturer: _ Liquid Capacity: ' pump 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 from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building:_ (Include distances on plot plan). SOIL ABSORPTION SYSTEM / Bed: Trench: !� r ?© Width: � Leniih: � Number of Lines: A Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, elide, O Rear,0 pt . Number of feet from well: � r Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: _ Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box U or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• Dated: Plu er on job: r License Number: 3/84:mj F RI-#NT Of INDUSTRY, INSPECTION REPORT FOR SAFETY dE BUILDINGS R & tAUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION OX 7009 : BUREAU OF PLUMBING MADISON,WI 53707 SW,:L,4 i SW3;4 1 f Sec. 15 T29-R18 ❑CONVENTIONAL ❑ALTERNATIVE 8tetoPInLD,Numbor: I11 Town of Warren Lot 2 ED Holding Tank 1:1 In•Ground Pressure El Mound eetl9n etll 12 NAME OF PERMIT HOLDER! ADDRESS OF PERMIT HOLDER INSPECTION M _b -7 101 W. Ma le , Roberts , WI 54023 �(a� - 3:30 BENCH ARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV,: CST REF.PT,ELEV.-. Name of Plumber: MP/MPR SW Nn. Cnunry Sanitary Permit Number: hville 3258 St. Croix 135396 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER C PROVIDED: PROVIDED: 2 V d N�YES ONO I DYES NO BEDDING: VENT DIA.: VENT MATI HIGH WATER N1.fMBF»I3 � ROAD, PROPERTY WELL. BUILDING: VENT TO FRESH .,,,� ALARM FEET FROM LINE. a AIR INLET OYES NO CL ❑YES NO NEAREST 4.1 DOSING CHAMBER: MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP MOUE I. IPUMP;SIPH101NMA NUFACTUREH WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES El NO I EIYEJ ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL 14UMBER OF <PROPERTY WE L BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) OYES 1:1 NO NE11REST--�^�1► SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing I f iTH IIIIAMI TEI1 M T( IA A D MAR wG or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAiN CONVENTIONAL SYSTEM: WIDTH LENG 7H NO OF UISTH PIPE SPACING, COVER ,INSIDE OIA 3t PITS _r LIOUIb BEO/TRENCFI , TRr ykHES ► MnTERInL PIT DEPTH DIMENSIONkI of V L 59PTH FILL DEPTH UISTH.PIPE UISTH PIPE DISTR.PIPE MATERIAL NO D, f NU OF RO E TY WELL BUILDING. V NT TO FRESH BELOW PIPES ABOVE COVER EtEV.INLF f ELEV.ENU PIPE' LINE AIR INLET: to It a, 3•o1 � obS. � NEAREST— MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ❑NO SOIL COVER TEXTURE 11111111ANINI n9AHKFHS RVATION WELLS DYES ❑NO OBSE❑YES ONO DEPTH OVER TRENCH BED DEPTH OVER TRENCH HEO =TOPSOIL S()UUF I) SEEUFO IM ULCHED CENTER EDGES ❑YES. ❑NO ❑YES ❑NO DYES 0 N PRESSURIZED DISTRIBUTION SYSTEM: ECt/TiNCIIM; WIDTH LENGTH TRENCHES: LATERAL SPACING GRAVEL DEPTH HE LOW PIPF FILL DEPTH ABOVE COVER - 'GPI+►A�II�IF��I F�MS7M��F";:. MANIFOLD PUMP MANIFOLD DISTR.PIPE IMAN11OLDMATEHIAL NO UISTH UIST R.PIPE DISTRIBUTION PIPE MATERIAL&MARKING � -ELEV.. ELEV. DIA. ELEV. PIPES UTA.. ELEVATION AID€# nISTRiBUIICfI� HOLE SIZE HOLE SPACING L'RILLEUCOHHECTLY COVER MATERIAL VERTICALLIFTCORRESPONDSTOAPPROVED INFOF�MA7IOI� , PLANS OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NLIMI:R - PROPERTY WELL: BUILDING: T, �F'PE ,FROJ LINE: / J [:]YES ONO OYES 1:1 O III k9 t. 0 � "j Sketch System on J 7 Q` Retain in county file for audit. Reverse Side. TITLE: SIGNA DILHR SBD 6710 (R.01/82) 70nlln 1 - r SANITARY PERMIT APPLICATION O ? 'LNR In accord with ILHR 83.05,Wis.Adm.Code COu STATE SANITARY PER IT# —Attach complete plans(to the county copy only)for the system,on paper not less than /3 �J'` 7n l/�1, 8%x 11 inches in size. ❑ CHick if r_e n to pPevious application —See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. PROPER OWNER PROPERTY LOCATION /In axa,_14f� SuJ%S&/'/a,S /S- T -2 N, R l E (o W PROPERTY OWN 'S MAILING ADDRESS LOT# BLOCK E C TY, TATE ZIP CODE PHONE NUMBER SUBDIVISION NA OR CSM N BER D�3 /_ 7 3'✓37 II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑State Owned ❑ ILLAGE —] Public 1 or 2 Fam.Dwelling—#of bedroomg— PAR ELTAX N MB ( ) III. BUILDING USE: (If building type is public,check all that apply) _ X�V, 7 a-c�66 1 El 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 onl one in line A. Check line B if applicable) A) 1. ❑ New 2. M Replacement 3. ❑ Replacement of 4. ❑ 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 16. SYSTEM ELEV. 7. FINAL GRADE REQUIRED(sq. PROPOSED(sq.ft. (Gals/day/sq.ft.) (Min./inch) ELEVATION �.Sr� al 7Sd 7 , D,� f . 1W Feet 164111 Feet VII. TANK CAPACITY site in gallons Total #of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank /M Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): �j I // �' Plumber' Signature.(No Stamps) M ^� W NoQ.: Business Phone Number: 11 -wAl� �/l41, �7 V 745-- 7f?-Ja= Plumber's A dress()rest,City,State,Zip Code)- u-' 4' S !)D hfS S'lr0 -3 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee(Includes Groundwater a e issued Issuing Agent Signature(No Stamps) / Surcharge Fee) Approved F-1 Owner Given Initial `/e- Adverse De erminati n a 1 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety 8 Buildings Division,Owner,Plumber ' r INSTRUCTIONS 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: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. , IL 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 on 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 8% 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; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required bya11e1�ounty; 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 monitoring groundwater, ground- water contamination investigations and establishment of standards. i SBD-6398(R.11/88) i APPLICATION,FOR SANITARY PERMIT 8TC - 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/contrsctor,(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. --------------------- ------------------------------------------- Owner of property Mary E. Thoen See tached 14&11 Location of property __.1��! � Section Township Warren Mailing address 905 - 120th. St. Roberts, W1 54093 Address of site same . Subdivision name Lot number N/A previous owner of property Mar aret Grasell Total size of parcel 3 acres Date parcel was created unknown Are all corners and lot lines identifiable? _x an No Is this property being developed for resale (spec house)?_Yes x No Volume and Page Number _ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEAD 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(ve) certify that all statements on this form are true to the best of my (out) knowledge; that I (we) am (are) the owner(s) of the property described In this Information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. ; 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 Register of Deeds, as Document No. ) • � e .,.�� sign tore f Owner Signature of Co-Owner (If Applicable) "? -- Date of Signature Date of Signature doom"ml�to ...St... t-.«•-»..... � ,, � a! saw r pp�t BoCtia�rt: ll�Dt r um Ao • distaaa of 8i4.+0�' •diotan�s of i� .QO h 2�' 4'4s"H a di me of OE said sntim h $ s9�'!9'lS"ti • y/� /� " � 1Ni1R1/• , N # cA Mw�MMri saM s w, stump, a" biomy t pct: 4** to of VMUWM d! ... ........w...�+ •.wwf�''H.f. �� }, yt..V � 1 f Gk�• «.i.-.+...----... w .........». y y t, .r sir::owno■ Aosxowr BSOUM W @L ».ate" ...... y il..w. am b iI••AW�..... ss c' ' Fti �•:may� * w ww» ».»M.. w.N....w.w»w.w��•.'�•.•.ww..W •»» ..�► r WA"MR OF W oOOum ...»....»»....................«.»..... ...S..,r,►`.... .......»..... . ...w.«.«..«............................N....•.« � !M K WIL Ob".) N am how"r w 69 palm ..f bps le.tr.r...R d .ek...w« { irrrt was om►r=BY ... .. ; ..�s.. .Mm Fi�llsiwYl»SriO?.2« .. .w lid"ltiilir . . ..�:.�.. r M ..soiCrwM •� Mt C 0WAWM"r pawamat (U �.�at&% w a, .4 . STC - 105 1 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Mary E. Thoen ROUTE/BOX NUMBER 905 - 190th_ Sr_ FIRE NO. 905 CITY/STATE Roberts, WI 54023 ZIP see attached legal PROPERTY LOCATION: 1/4 1/4, Section , T N, R W, Town of Warren , St. Croix County, Subdivision N/A , Lot No. N/A 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 ✓ C% DATE St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 (715) 796-2239 or (715) 425-8363 Sign, Date, and Return to above address GEPARTW' ENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS y INDUSTRY, LABOR AND PERCOLATION TESTS 115 DIVISION 1 P.O. BOX 7969 HUMAN RELATIONS t ) MADISON,WI 53707 (H63.09(1)&Chapter 145.045) ATI SECTION: M t°tt.._-�.:1`.L.L:Y: LOT NO.:BLK.NO.: SUBDIVISION NAME: S W 1/4 V�/ �s �T24 N/R/O�(o w TOWNS ) 0S M COUNTY: OWNE S MAILINU ADDRESS* STCeoix M412`C 7;4o MAPLe Qdlga2rs S4oZ3 USE DATES OBSERVATIONS MADE NO.BE MS.: COMMERCIAL D R PTION: ,/�/ R NS: PERCOLATION TESTS: Residence �—� ONew IC>/Replace I OC�. 2 0 Q d w /Qv / 76b �p 1 lS lL tti'� LS j I ��/ 0 RATING:S-Site suitable for system U-Site unsuitable for system O�ST�U•IMOUND:�S DUI 'IN-G�S �U . SYSTEM-IN-FILL S aU �SG A K:RECOMM�DEDo�EM:lop�nal) If Percolation Tests are NOT required DESIG�j RATE: If any portion of the tested area is in the ,� //� under s.H63.09(5)(b),indicate: C:l1QSS Floodplain, indicate Floodplain elevation: /�/l� dcFt PROFILE DESCRIPTIONS BORING TOTAL ELEVATION PTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR,TEXTURE, AND DEPTH NUMBER DEPfH{� OBSERVED HE TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- 9" L-r5 2/" a,,S,L zege,,irs xp�rdQ+_p 733 99.9 lE 7,1,3 _ &< r6T //'�LCTS 16''84'1 B- �- q47 1 163. 7-a WNe > C67 B- 7 3� hIC > 10. /O�BLL� 17��BQN S C 4/,.�f�t4RN FS G IZ Gvl°dS,SI_ �2 b✓rIT�S B- Q- ' ZS lot.1Z a>v ? .Z< e) ' Cns 9 StL 2�` I�$ rS �o' tws i2" WAT B- B- gmtR W_ I PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER J402M AFTERSUt1ELLING INTERVAL-MIN. p I PERIOD PER INCH P- Z.3o nitL� 00. /D P. Z ssc> 0-N t✓I)a3. D I I 1 / P_ of /0 /' z Z 6. P- ELiLVaT () �RL P. -- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil a Indicate sc or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show surface elevation a 11 borings and the direction and percent of land slope. SYSTEM ELEVATION 97-70 _ P-3 p� Q�aca�►tKQI�_ n>P of I - q° Cowc I P-! AD AReA �E�1ST�D �l�t'6��V ,QAAITIONaI Sots ��RIN4 To ;vcAANA SYSTEM: ErEV �a„s co�2R��Tet�, 1,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(print): TESTS WERE COMPLETED ON: I A &Y JoNnlso�, KuSCN_Su�v��/tic� /NC K 1981% ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(opt iol): 407 5�.�,oNe S; /���soN I�✓/ s4c) 34e4 na3 6- ova CST SIG TUBE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. ')ILHR-SBD-6395 (R.02/82) --OVER -- _ Alz,i a4- �✓�'724,(1 X/fr td S41 500582 500582 CERTIFIED SURVEY MAP Located in the SW 1/4 of the SW 1 /4 of Section 15, T29N,R 18W , Town of Warren, St. Croix County, Wisconsin, Surveyed for: Mary Thoen 101 West Maple Roberts, Wi. 54023 and W I/4 CORNER Gary Sukowatey SECTION 15 c/o St. Croix School of T29N, R 18W LOT I Dance Q51 TIFIED_SURVEY MAP 905 120th Ave. N I VOL. 7s PAGE 1816 Roberts, Wi. 54023 CD —cli 40 1 N N (N 890 59 ' 15"E) N 890 59 ' 11 "E 415.88 _ - _ N 45' 39-99"' 37 5.89 W t-I FRAME t� 3.a West W1 3 BLDG rj =o line of I cr I o LOT 2 W F-o N N 67,601 SO. FT. ( 1.552 AC. ) Oct co the �I p INCLUDING RIGHT-OF-WAY SW 1 /4 I w o 60615 SQ. FT. ( 1.392 AC.) ;3 ow ° EXCLUDING RIGHT-OF-WAY wX N O O �- 7 / U T CO- z zIt O O M 2 w\ coo S 89° 59� II "W 358.31 ' P �� c 3 M 0 40.01 31 8.30 0 Z U_ OOII w Z -X NOTE BELOW m M a� wz 3 t =O _ LOT I �/ N<-O ti �� N 61889 SO. FT ,(1.421 AC.) _j/ Zoo of co INCLUDING RIGHT-OF-WAY 2 W o N p SE 45700 So. FT. (1.049 AC.) d j wZ0 -� C 'n EXCLUDING RIGHT-OF- (D mJZ o WAY O — South line of the z 266.78' S89°59'11 "W _ SW 1 /4 2378.68 -- S 890 59' 24" W 295.93 ' ro �1 SW CORNER U. S. HIGHWAY " 12" S CORNER SECTION 16 - - - - - - - -- SECTION 15 SCALE IN FEET 1" = 100' LEGEND o I 200 300 - - Section Corner Monument +r��PRE soc 1" iron pipe found0 1"X24" round iron pipe weighing 1 .68 lbs . /lin, ft. set.N89059'E)Previousl recorded information Previously U R`I�����' 1�//111/N0� NOTE: The 40' Easement shown on each lot is for a sanitary sewer. The sewer(s) may be placed across lot lines. This was the only _ found suitable for a septic system on the lots . VOLUME 9 PAGE 2627 Uj JAMES O'CONNELL yb „ Register of Doods SL Cro ix Co.,W1 i w C� v' This instrument was drafted by: TWG 488-1477