Loading...
HomeMy WebLinkAbout018-1073-50-000Parcel #: 018-1073-50-000 ou2si2oos 10:34 AM PAGE 1 OF 1 Alt. Parcel #: 33.29.17.512A 018 -TOWN OF HAMMOND Current ' X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current CaOwner O - IG4UTZ, JAMES M JAMES M ItAUTZ PO BOX 162 HAMMOND WI 54015 Districts: SC =School SP =Special Type Dist # Description Property Address(es): /~= rimary~ ltJ~ Gt- ~ ( SC 2422 ST CROIX CENTRAL ~ ~,, , SP 1700 WITC ,~ ~~n /G 7 7~~ Legal Description: Acres: 35.00 Plat: N/A-N T AILABLE SEC 33 T29N R17W NE SE EXC PT TO HWY & Block/Condo Bldg: EXC PT TO CSM 6/1730 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/20/2004 769324 2620/325 EZ 11 /03/2003 745456 2447/533 EZ-U 06/25/1 7 561461 1247527 V~D ~... 2005 SUMMARY Bill #: 90731 Fair Market Value: Assess~h: Use Value Assessment Valuations: Last Changed: 08/24/2005 Description Class Acres Land Improv Total State Reason RESIDENTIAL G1 2.000 26,000 133,500 159,500 NO AGRICULTURAL G4 21.000 3,000 3,000 NO UNDEVELOPED G5 12.000 9,800 9,800 NO Totals for 2005: General Property Woodland Totals for 2004: General Property Woodland 35.000 38,800 133,500 172,300 o.oo0 0 0 35.000 38,800 19,800 58,600 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount /V v %h~ Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Dapartment of Commerce PRIVATE SEWAGE SYSTEM Safety aril ESUilding `Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Kautz, James M Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: retit~ wcntznnertnti ~t GveTinnl Here TYPE MANUFACTURER CAPACITY Septic F G D'C7p ~atr0 Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ? ~~ 1 Dosing ~0,~-~ ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ Demar `~ pR.O W`I4rTtC.- GPM `,~ odel Number _ (p0 F Q Hl ift O Friction Loss System Head TDH Forcemain Length Dia. ~ ,r Dist. to well ~1 N J SOIL RPTION SYSTEM RRENCH idth Length ~ No. gf Trenches 21 county: St. Croix Sanitary Permit No: 420741 0 State Plan ID No: Parcel Tax No: 018-1073-50-000 Section(fowNRange/Map No: 33.29.17.512A STATION BS HI FS ELEV. Benchmark (.O X01.0 8O•t7l Alt. BM r Bldg. Sewer I - G •ZQ I fit' St/Ht Inlet Is• bo g'S`. y0 St/Ht Outlet Dt Inlet Dt Bottom ' ~ ' ~ r Header/Man. (T (o• ~p 9Y•~/ I Dist. Pipe Bot. System Final Grade ~ S R S. 30 St Cover \ e J PIT Dia. (Liquid Depth INFORMATION CHAMBER OR `' `f:'rC~O/ Type Of System: I UNIT ~v • ~ ~ ~ C~~ _ Model Number: Zu DISTRIBUTION SYSTEM n..... ` P /_ ~ S Header/Manifold u Distribution Pi x Hole ze x Hole Spacing Vent to Air Intake ~ h s) h Di i L S 7 p~ / a , Dia Lengt engt ng a pac SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only CON~IAENT (Includ code d' .cr en ies persons rese t, etc.) Inspection #1: ~G'C./• l~'+/~ Z =i Inspection #2: Location: 634 Cty Rd T Hammond, WI 54015 ( E 1/4 SE 1/4 33 T29 N R17W) 35 acres Lot o: 33.29.17.512A f ~~~~ ~~ ~~ ff~~~~~~~~,, 1.) Alt BM Description = ~ mP Ofr 1f'~+~+'r`~~"~ . ~ S 2.) Bidg sewer length = / -amount of cover = > S, 0 r 50~~ ~ ~ • (~ • ( ~- 20 = 9~•pvr Z ~ • ~° " ~3 ' 3~ 1 n ~, ,, , ,~, 3) p+~.uu',o u 6 io --~t " .~.~I'I~""~'~ ~~ ~ 3 $ • ~ 9 2 .~ ~ Plan revision Required? ^~ Yes ~ No ~- t }' 2aD3 ~ A _ ~ ~ ~ (S-Z. ~ er side for dditional i omiption. Us o ~~^ KJ'6`-~ ~ ~ ~~ ~ - o ~ ~ C i ~V ~ _ Insepctor's Signature - Cert. No. SB 71•• (7 .1 . r • r ~ l j ~ ~~ , S ~ 1 K~.c~rAllt+ ~ 5 ~"~ r r `lam h~- w-+-~'6u,/ / O-.Q Sa:Q.S . ~b l ~ r~u,.; •~-rr~ {-d,, t~p~^. Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No ~ Yes ~ No RECEIVEQ A `R ' Safety d Buildings Division County I, - DEC g 2~~8/~ Wash gton Avc., P.O. Box 7162 5 ~ Madi a, W 153707 - 7162 Sanitary Permit Nunrbcr (to be ll d in by C Oscan nST CRO X COUNTY ) 263151 ~~/ Department of Com rce Stau Plan tD,Number Sanitary er tion x ~ r/1T In accord with Conan 83.21, Wis. Adm. Code, personal information you provide maybe used fnr secondary purposes Pavacy Law, s15.04(lxm) Prgect Addrzss ddiSerent than mai'ing mess) low ~o~~ tY JG~V` T 1. Application lnformatioa -Please Print All Information ~~O Parcel N Lut p Block n Propert Owner's Name /~ ~ 35~~° y~ t R V I ~/ property Location ~i~ Property Owuer's Mailing Address (~t„~p T ~~ ~,., ~~~,. Section 3~ Cit State T Wd- Zip Code Phone Number -791x'5333 .,~ p ~r^ _ T !/-( N; R~~(cE oe~W ) J I Z- ~ 1 11. Type of Building (check all that apply) ~ ~~ ~~ ~ Subdivision Name C M Number ~~ ~ ^~ , Ja ~ ^ I or ? Fanrily Dwelling - Number of Bedrootru /_ ~ ~ 3a (Q D PublicJCommereial -Describe Use _~~ ~~~s / ~ ~ ~ 1 ~ ~µ-d ~ /'~ ^City_^Village ownship of D Stale Owned -Describe Use e of Permit: (Check only one boi on Ilse A. Complete line B if applicable) p 111. Ty A' ,. y JO New System ^ Replacetrrent System ^ 'IyeatmenUHolding Tank Replacement Only ~ ^ Other Modification to Existing System ~1 list Ptnvious Permit Numbs end Date Issued B. ^ Permit Renewal Permit Revision - ^ Change of mber Pl ^ PermitTransSerto New r Own q 7~f / ~~N ~~ 03 Be Core Expiration u e IV Type of POWI'S System• (Check all that apply) Pressurized ln-Ground ^ Mound ? 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ~l ^ Sin a Pass Sand Filter D ^ At-Glade gl on - D Constnrcted Wetland ^ Pressurizod ln-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatrneat lJnit ^ Recirculating Sand Filter Cbamber ^ Dri line ^ Gravel-less Pi Other lain Recirculati» S thetic Media Fiber V. Dis ersal/I'reattnent Area lnfor Design Flow (gpd) Design Soil Application Rate(gpdsf) Disp~~ lea Required (si) Di I A r~ ~ posed (sn S stem Elevation Y ~~ ~ ~ Prefab Site Steal Fiber Plastic V1. Tank Info Capacity m l Total Gallons Number of Units Matt acttuer ~ .'~~~_ ~~ ~ Concrete Constructed Glass Ga Ncw ons l Exiwing ~~ „Q(L~ (~ ~/~ $c~~ic ~e~ pVp (/VV ' ~ Aerobic Trca~mcnt Unit DwinK Chamber O(~ OV VII. Res nsiblll Statement- I, the under d, ass nslbW for lnstatlatlon of the POWTS shown on the attached lens. MP RS Number Business Phone Number Ptun,}xr~ ame (Print, Pl : signal ~,o /396 Z ?/~slz3S- ~ ~,f,z Plumber's Address (Street, City, State, 7~p ~/ Lli_ n q ~n r' .A~/f_ /~~l~l D11i1 ~?1 /~ 1~r ,S'~? V111. ount /De artment Use Onl Sanitary Pcnnit Fee (includes Groundwater Date Issued Issuing A nt Si rur wimps) ~ proved ^ Disapproved Surcharge Fee) ~ //~ /~ jot/G 5 (J ~~ _/ Q ^ Owner Given Rtasoo for Denial lX. Conditions of ApprovaUReasons for Disapproval DGm~~~~ZG~~ Ll~ ~YSTEM OWNER: -n - y,/ 1 Septic tank, effluent filter and ^~~lX j dispersal cell must all be serviced /maintained ~J~~U as per management plan provided by plumber. ~ Q~ ~ G'~ as per applicable code/ordinances. Attaeb complete plans (to the County ooly) tou~~~~ on r oo Asa tbatHlR x 11 In ~ • e ~ ~~ ~~ ~,(~~~~~/mot-s~.~ ~/~Q/j/ft Qjjjy /~, t SBD-6398 (R. 01/03) /~ ~- ~/~ •~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building [hivision , ` 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: Kautz, James M City Village X Township Hammond Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: $t. CroiX Sanitary Permit No' 0741 State Plan ID o: Parcel Tax No: 018-1073-50-~8@' Section/Town/Range/Map No: 33.29.17.512 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Onlv 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 discrepencies, persons present, etc.) Inspection #1: / //_ Location: 634 Cty Rd T Hammond, WI 54015 (NE 1/4 SE 1/4 33 T29N R17W) NA~t ot~~ 3S~~v'~~' 1.) Alt BM Description = 2.) Bldg sewer length = -amount of cover = Inspection #2: / / Parcel No: 33.29.17.5128 : S~ Z A Plan revision Required? ~J Yes ~~ No i- ~ ~~ --- i IIr~I ~ j~ _ '~ ' I~L 1 Use other side for additional information. i i___ __ SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. T.L~ . Sinz Plumbing. Inc. E5609 708th Ave. ~~'~''~ ~~TZ PCo T ~~''-~ Phone: (715) 235-2644 Menomonie, WI 54'751 N~ 5 ~ 33 Z9 ~ 7 ~ Fax: (715) 235-2592 Tom ~ oG ~-fi~w~ o.~ r~ c f w~~.,~ ~ ~. FRC;M .: 'CERT 1 F I ED SOIL TESTING FHX N0. 715 233 03'~~3 Tun. 14 2072 1=~5 : ScAP'I P3 .. ~ -~ - f-1 n ~ ra w ~ aYN E R PROp>= LOCKING GOVfiR JUNCYtor+ &xr~ w,,ryssa.wa ,c A~E,4 . 4u~cK A~acc.~.cact~--y r r ~~ b" _ ~ ti 4u }'y ~ s ~ ti _ ~ i J7~'i7T•'i~r7 '1 ~~ pIQ~ ~~ I ~ p"`' ; p ~DSSTuR2E0 II '"' j SOIL 24" ~.A. ~ - •- 4 ~ 4" 40 ~ ~f I a v~ev~i t~1~tu4LT ._. ;- - . ; ~..-`- L.~ ~.. . J ~ ~~ ~ AP+'RWtD ti ~. ~, cET .Y3~S _T.~_ ~AFFL.E ~- ~Li II 3' ar'o KE6TlOTLS ` ..wf 'C et. ~? ~ ~ ', ~ ~ ~ ~-`•OUuo ~z~ . ~ J ~rv1P ;; Q ~ `~ f towri..!'.f'7'~ '.- rrv . i t - -- - - - ~---- --------- - - ~ _ _ boo C+C ~ j E ~ ' ' GIFI GA IUIJS t SEPTIC E _~P oa s E ~ Y~- ~ `~ k ,~ TA-..I..S MA-JUFAGTIJRC~: IJLSMBER OF paSES: PF.h CAS TA-JK ~tz~ : l ~~ ~ ~~ t+AL.Lp-JS • .DbSE VOLUMC ~ ALARIA M.AalUFAGTUR~R' ~ `~ L~~a,~,.~-rte IWCLUCIAJG ~AGKPL.OK: ~ GAttO-~:5 nQdCL >.SUthb!`R: . 1 0 ~ 1-4 ~ CI~PAU7IES: ~ ~ ~~ UJCNCS CK ~/~ c~r.~'..ou~ ~~. wl ~ti.'1TGH TypC: gc 2` II.iGN£S OR Z~ '~' LhLLV+.:j ~UI'~P Ml+1.VUFAtTURGR~ _ 1,,,~ ~' ~'"'"~ ~ S'-' C ^ ~+ULnES Oit 9 D L~~~ %~..'~ MOO£~ -JUMDZR: ~ d ~ D~~Scs~HE,;oR ~Q~rGh,,..c,~~ .,.~~ JWiTCN TkiPC: ~GLNw.y A.~vTE: ~JMa' .RJ+%D ALa~rt ARC Yo 8E MIlv1V!'1Ui"~ Q15CKAKCa~ ~.I~TL~G-1~s INSTAI.t~£D pu SEPti0.ATE '.'~KC~ `_ VERTICAL DtfFElCCJItG[ bEf~,,f=tu p~Mp O~- A110 OfS7Rlbt37l G1J PIPE.. _,,,,.,~_ FEE7 + M+-..llr,Uht -a£1"W4RK SUPPL,y PR~>:LURti; .. - - - SECT + 5S f C f T of FORtt f"1AItJ X,1-~_~/op «iGKtcTlau fAGTO1l_ ' ~ fEET ~ Z~ ~ ~~,.•, -__ ~'"C3T/l(. D~I.IJ~MIG. Ftf AD = ~ 3~7-- ~>~.C T ~- „ - £ J ,~~ ~~ ~ „ ~~ Rr' JT AL AIME3..taip-.1C 4P T,i~r'C: t.~.~1bTN -, -;W,OYN ;1<IQUIO DCPTH • tea ~.~ 6 ... ~ 40 30 W 20 IL 10 0 Shef4 0 Pe rfo rma nce & Dim ensi ona l Da ta SHE f40 1 ~, 10 20 30 40 50 60 70 GPM s-7/s" s-5/8" (1x8.27) 1.AIl dimensions in inches. (Metric for international use). (98.42) 5" (127) 2. Component dimensions may s-7/8" _ vary ± 1/8 inch. (98.42) 3. Not for construction purpose 1 unless certified. 3_7/g~~ DISCHARGE (98.42) 1-1/2" NPT 4,pimensions and weights are approximate. FLOAT SWITCH S.We reserve the right to make revisions to our product and their specifications without notice. ~~ HYDROMATIC® 10-3/16" (258.76) ~ . ~ 3-5/8" (92.07) 7 0 ~, A ~O 0 0 _~ 00 m O m O D D 0 Z Z G~ m r 0 O C _~ Z G~ O Z T~/ / v C J ~_ O Z O Z r D Z m i rn _~ ~T V Y c m rn rn rn v rn O rn 2 rn c 0 N v c Z G7 0 rn I n m io_ W V~ C v_ Cn O Z v~Z ~m one O Z ~ w0 r 'ri ~ -il 00 r O n .~ r c 00 rn 0 z rn b ~ Z d ~ r C7 N ~. ~ ~N O ~y ny 1~`--10~-1 C ~ y C N= ~~ ~ q~ N~~ VV ~ N N ~ V 7 ~ ~ 7 7~~ C d 7 ~ ~ N N»~ N~~ N d ~• o rn 3 n~~ n-~ ~ oo ~ O1 ~ m r~'~~$ n~ o,~ °, -+ ~, 'm'~ ~ a o ~ ~~'+ ~~ N ~ ~ d d•z 3~ J {~ - °~ n ~ o io ~ -'O ~_ 3 a ~i ~C S ~ ~ ~ ~ ~ ~ ~ ~ ~ N n Q io ~ ~ ~ O A ~ N N la y~ N ~~ ~ ~ ~~f. m 7 m'~ d o ~~ v ~a °1 ~';a °. o' g ~ ~ a a C7 m N a m N N 'n m ~ ~ rn~ m ~ z Z r C ~N "' Z C~ o ~ ~ ~ 0 t - ~ -~ ~ ~' Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 County ~T ~t'b i C ~~~~ Madison, W1 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ,~~~ (608) 26031.51 Z ~ ~~ Department of Commerce lication it A P it S State Plan LD. Ntunber / pp erm ary an , ~} ersonal information you provide C d Ad Wi 32 o e, p m. s. 1, In aceord with Comm 8 ProjeiK Address (if dill t than mailing address) maybe used for seco>Ytary purposes Priv b 3 ~( ~n ~/ ~.d - T 1. Application Information -Please Print All lnforma n S , 0~3 - So -ooa - Prope Owner's Name '~.~ 11 -~^ Z ~IaIA/t ~ Wl 1 ~- ~ Parcel # Lot #k _ Bloc ~l~ Property Owner's Mailing Address ZONING OFFI ~E Property location CrSM (0 t `t ~ ~.t-* (o~~ o to D T - o ~ p - ~o ~ - so ~ . s/ a a u~ ~~ti ~ ~~., section ~3 Ci ,State Zip Code Phone N I~LOi'VO ~~ ~ d) ~ 9~v"533 p, T Z-I N; R~~ Eo?~) • S~ Z 11. Type of Building (check all that apply) 3 Subdivision Name ~SM Nturtber I or 2 Family Dwelling -Number of Bedrooms _ - 1. J ~ /1 /'~ ^ PubliclCotnmercial - Descsibe Use / 3 ~ ^Village~'I'ownship of N.~ ^City / ^ State Owned- Describe Use _ ti 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A" ~/ New System ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ er Modification ~s System B. ^ Permit Renewal ^ Permit Revi ' ^ Change of ^ Permit Transfer to New st and Before Expiration Plumber ~`ng 1V. T e of POW'1'S S stem: Check all that a I Non -Pressurized ln-Ground . ^ Mound ? 24 in. of sui a soil ^ Mound < 24 in. of suitable s ^ At-Crrade ^ Single Pass Sand Filter Constricted Wetland ^ Pressurized In-Cttound ^ Holding ^ Peat Filter ^ Aerobic reatment Unit ^ Recirculating Sand Fitter ^ Recirculating Synthetic Media Filter Irxhing Chamber Dri ^ Grave)-less ^ (exp V. Dis ersaUTreatment Area Info 3/ ~~ - Design Flow (gpd) Design Soil Application Rate(gpdsfJ Dispersal equired~t3' Dispersal Area Proposed (sf) ti Sa . ~ / Z / 2/ Z 9~~ 3 Vl. Tank Info Capacity in Total Number ~M~~a~nQ er Prefab Site 1 Fiber Plastic e~~r~'vl ~ Concrete Constructed Glass Gallons Gallons of Units - , / / Ncw Existing [~(J Tanks Tanks septic oekLiWiie~%nk ~D ~ 'OD~ ' ~ ~ 1T ~~ Aerobic Twatmert Unit Di»ing Chamber V11. Responsibility Statement- 1, the unde ned, a sponsib' ' for installation of the POWTS shown on the attached plans. Plumber~slame (Print) Pl 's ~ MP/MPILS Number Business Phone Number Plumber's Address (Street, City, State, Zip ~ S6o ~8 ~' ~ ~wc~t.t ~ ~~~s-~ Vll Coun /De artment Use Onl Sanitary ermit Fee chides Groundwater Date Issued uing ent Si a s) Approved ^ Disapproved Surchar Fee) ~ ~ p ~ ~ al J J L l 0 0 3 ~l~Wh 2 ~/ / ' a! ^ Owner Given Reason for Denial IX. Conditions of ApprovaUReasons for Disapproval Lam n ~ ~ ii ~~`~~// ~.~ ~~~ ~ rx, ~ ~~~tiu2,r,Gla-r ~'~ ' e ~Y r~b 4 ' ~ - " ' - . G ~i ~ f (.f .C ~ ~~~l'p~t/ y~'cCc~.2 ~ ~/Gbp~,j- ~r~P~~ ~ ~pLUTS ~~ ~-P~i . Z ~ il nttacn co^mp~cu~piua~s t-w .nc ~.om ~ ..,. ~..: s.a.e.,...,. w~..., ..... ~ - - - - --- /1/, _.~-~ rte- , ,wn a..e_J,~l,,~l,v-1~ ox- ~`" a ~~ ~ p~ ~ Py,4, ~ar--,.,~.. ~'3, ~3- SBD-6398 ~R. 0 /03~ ~ /°'~~l G~~~~~-(.~-_ /~"_I ~~:~.2uc~~L-~~ Si-c-~/z¢,pa~4.tOn- 3~/3/~3 -rw 6-k~ 2v-a,c~ T.L. Sinz Plumbing Inc. E5609 '708th Ave. ~~ '~"~ ~ohCTZ ~'~o T ~-~ Phone: (715) 235-2644 Menomonie, WI 54'151 N~ ~~ 33 Z9 ~~ `'`~ Fax: (715) 235-2592 Tom ~ o ~ ~--rtm wi o,.~, p C v-- N!-n "~ r n / ~ POWTS OWNER'S MANUAL & MANAGEMENT PLAN. Page I of 'l/` 3,._ FILE INFORMATION Owner ~,~ ~ Permit # 2 D DESIGN PARAMETERS Number of Bedrooms ~j ^ NA Number of Public Facility Units $MA Estimated flow (average) ~ p0 al/da Design flow (peak), (Estimated x 1.5) t.~..sp al/da Soil Application Rate I ~ al/da /ft~ Standard Influent/Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOD5) 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ~NA Fecal Coliform (geometric mean) u/100m1 Maximum Effluent Particle Size Ya in dia. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity OtaO al ^ NA Septic Tank Manufacturer ~~ T ^ NA Effluent Filter Manufacturer -(pp ^ NA Effluent Filter Model Z,yE.t-~ L~ O NA Pump Tank Capacity al .8'NA Pump Tank Manufacturer ,0'NA Pump Manufacturer ~0"NA Pump Model ~ 8NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ~ ^ Peat Filter ^ Wetland ^ Other: ~e'WA Dispersal Cell(s) -Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA •IAIGITCw1 A111 /~C CPLICIII II C 1\IMII\ILI\f11•VL VVIIVVVLI. Service Event Service Frequency Inspect condition of tankls) At least once every: ~ ^ ear( ,Isl (Maximum 3 years) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third (Y31 of tank volume ^ NA Inspect dispersal celllsl At least once every: 3 ^ month(s) (Maximum 3 years) ear(s) ^ NA ^monthls) D~ iE5 ^ NA Clean effluent filter At least once every: ~B'year(s) ^ monthls) ^ NA Inspect pump, pump controls & alarm At least once every: ^yearls) ~ ~l l(si ^ NA Flush laterals and pressure test At least once every: yea s Other: At least once ever y~ ^ month(s) ^yearls) ^ NA Other. ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a'visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals on„e-third IY,1 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and' disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. } ,'~ • Page "~of y START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s1. If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal ce(lls) in one large dose, overloading the ce(lls) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist~in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shah be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or•must be taken, to provide a code compliant replacement system: ~A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. D A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. L ~ T e site snot been evaluated to identify a s 'able replacemen ea. Upon failure e a soil and site 'v f " ev lua on st be pe m locate a 'able re m rea: If replace t area is available a holding tank ma a install ast resort to a the failed POWTS. O Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name ~'(.5(fJZ 1..T3Lr t~~- Phone ,~ S Zb nA~A/TC AA Al1UTA1NFR r V~~ ~ V . Name ?.` 5l ~ ~'L(~ b' N i... Phone ~'~ 2~ ~t.{~t.~ SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name ST (~ ~0/1C C° D 7~ Phone -- t.~(o p This document was drafted in compliance with chapter Comm 83.22(211b)11)(dl&(f) and 83.54111, (2) & (31, Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTBNANCB AGRBBMENT •-AND OWNERSHIP CBR1'IFICATION FORM tailing ddress ~ ~a ~ ~ ° ~ ~ 2 f ~~ ~ mpor'ty ddress ~ 3 T (Verification roquired from ~~epadment for uaw coast<ucNoa) p,,rn ~ ~~ Parcel Identification Number ~ g `- ~ ~ ~ ~ , ~~ ~~~ ~ty/stat - 3 Sh. 1~ JJ` 1.7C~~Jli~~ / , _ ~ W Town of~~• 'ropCrty 'on=.'/., ~ /., Sec. ~ T~N ~ • . Lot # ______: ti_L.1S.w ~~ ~ ~ Survey Map # , `f ~ 5 ~Z .Volume ~ ~ .Page # ~~ y(p ~ Volume ~~ Page # ~~ ~ Deed # - Spec hose ^ yes no Lot lines identifiable ~ yes ^ no ~, ~ - - Proper use ~ mamteoanceof your septic system could result in its premature failure to handle wastes. Proper maiatenancc eoosists p~P~B out ~ septic tank every three years or sooner, if ended by a licensod pumper. What you Put into the system can the function of the septic tank as a treatment stage is the wastie dlspo~ ~~' a form, signed by the owner and by a property owner agrees to submit to S't. Croix Zoning Department that ~i) ~ on-ci~ wastewst~ ~~ msz~ ~ journeyrnanplumbe~ rplumber or a lioensedpumpetv~Y~8 ~ ~c tank is loss than I/3 full of sludge. is is operating condition and/or (2) after inspoction and pumping (if wry), to maintain the private sewage disposal system with the standards i~ ~ Nava read the above rogrents and agree of Natural Resources, State of Wisconsin. Cetiification sd forth. as set by the Department of Commarce anal the Depa to the St. Croix County Zoning Office within 30 da~g t your 'c system has boon maintained must be completod and ret<uaed Sys, ~ three oxpiration date. ~~ ~D_3 DATB p R C R~CATION our knowl e I we am are the owner(s) of I (we) certify that all statements on this form are true to the best of ear of ~~ OPFce. • ( ) ( ) ~ descn'bed a ve, by virtue of a warranty deed recorded is Regist ?/ p 3 DATE ~ OF APPLI Any information that is mis-representedmay result in the sanitary permit besng evoked by the Zoning Department. «'*'«s ssssas « Ind do vrith this applicaQon: a cramped warranty deed from the Register of Deeds office dad a copy of the mod survey map if refer ~ made in the warranty ,- r RECEIVED MA~ 1 3 2003 V~ftsconslnDepartmmtotCornmetve SOIL. EVALUATION REPOR Pag¢ ~ ar 3 Divis+on of Salefy and Bulidings 57. CR M aocordenco with Comm 85. Wls. Adm. Cad C3Gk~ING OF Attaoh complete Nte plan on papw rat less than 8 1!2 x 11 inches b srze• Plan muse ~ ndude, put not Nmlled to: vertical and horizontal rnferenc6 point {BM), directbn •nd Peel I.D. D/ (I_ /0 ~ 3 - SU W ~ . percent ebpo, scale of dimensbtu, north ertow, and Ioceelvn and dlsto~ce b nearest road, Q ' Please print A!I Uformatlon. ~ by Date Peroonet InMnnation you Drovlda may Ds vaed for sraeondJry Durpases (Privacy Law. a 15.04 (t I lm)J ~ f'U V Property Owner Property Locatbn _ .~I M Govt. Lot 114 114 S T ~ N R ~ (o~ Property Ownefsldeiiing Addre a ~ Ld 8 Block p Subd. Name or CSMM P. U . /~,ax ~(~ Z T/ City tale p Code hone um r ~ City ^ Village [~ Town Nearest Road 794-5333 [~ New Consrrudbn Use: ~ Rosidentisl /Number v1 bedrooms ~_ ~ _ _ Code derived doslpn Aow r7tD9 _ ~G53Z~f! t7 ~ ---- GPD ^RePtacernent ^ Pubbcoroommorcial-Desulba: _-_-_~___.--_-_--_ -.-._-- Parent materiel -~~~- --,__-------___---- Fbod PIOUI elevation rTepplk,3ble ___----~,~~- -- g. ~~ r ~i ~'~,~ ~6: sy~~Ce rr~ ~ ~e~ . veP 9' y 3 0 Gaw~f 93~ f10 r--~ n ., Boring K Pk Ground suiface Wev. ~ ' ~ ~ ft. Depth b Ymiting fgptor __~_5._ U ,_ b. Sob ic9tlOn Rate I - tionzon Depth Oomtnant Color Redox Oescrlptlon Texture Shutture Consistence Boundary Roots GPDItt' in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'E}f111 'EffM2 I ~ -~2 ~ z i ~) . a z iZ~ZB ~kl'+ s ~ e . ~ 4 ,--- ~ ~ k, . e 5 -- . o . 9 Boring N I~~ Bonng l~ Pit Ground aurtace elev. ~~ K. Depth W 6nMing factor _~~ ,_ tn. Rna anntir-ntinn Rata Horizon Oupth Dominant Cobr Redoz Ooacription Texture Strudure Consistvnco Boundary Roots GPD/ft= In. Mansell Qu. Sz. Cont Coby Gt. Sz. 3h. 'Ei1M1 'Et5Y2 _- ~ ~~ ' Effluent Nt = 80D > 30 _<220 mg/l and TSS >30 < 150 mg/L ' EIRue - 800 < 30 mg/l. and TSS < 30 mgfL CST Name (Please Print) nature % ~~~ , ~TNumber it ddress Dale Evaluation Conducted Te4phone Number r _ - 4 ~ _L~G!rT_ ~ Parcal ID p - Property Owner _._ _ ____..-- _~__----•--__----- Pew ' ~ ~ ~- 3 ^ Boring Bonn9 # ~ plt Ground surface elev..~~~ tt. Depth to liming factor S /~-~ ~+ Sod A GceCOn Ra Horizon ~ z 3 ~-i Depth ln. 0-rz 11.2g z$-s~ 51-(.U Dotnln2nt Color Muncell Ip 313 1 o ~.t r 31 ~•o Redox Destxiptbn Qu. Sz. Cont. Cobr -'~" --- ~ . 5 `~ Texture Si I ~~i '- L StNLtUR Gr. Sz. $h. 2 k Orr• CAnSi6tenae •~ ~~ m ~ .~ Boundary c ~ ~ S ~' Roots •E~GPD lv . S ~ ~ ~ '- ' 3 .-. ff4Eft112 . ~ 9 ' S Bourg # ^ Boring ^ Pit Ground surface elev. -T--_ R ~DW ~ In9 facsor .----- in. SOd ~ adon Ra Ho~aon Depth Dominant Color Redox Oescrlptivn texture Stnxture Consistence Boundary Roots GPO/tf in. Mansell Qu. Sz• Cont. Cobr Gr. Sz. Sh. I •EffAtt •EtfA'2 Boring Boring K Ground surface elev. ,._______ ft. Depth to limning factor _~__~__ ~• - ^ Pit Soil A dfcadon Rate Horizon I Depth Dominant Color Redox Ooscription 7estune Structure Consistence Boundary Roots 1tY in. Mansell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'EriN1 I 'Ettle2 ' EMuent kt ~ BOD, > 30 ~ 22A mglL and TSS >30 < 150 mg/L ' Etlluent u2 = BOD, < 30 mg/l and TSS < 30 mglL 'fhc Department of Commerce is an equal opportunity sorvicc provider and employe. if you need nesistancc to access services or need material in an alternate fumtat, please contact the department at 608-266-3151 or TTY 6U8-264-A777. sYD~U)OIP.Vl/VD) Sd WdZZ:80 Z00Z iZ '1~0 'ON Xti~ WOd .,~ , PAC~~,(~F~ ~ /~~ < < NAM . ~a.f.'.t.~ I~/~~' ].~(~T#..._.. f F(;AT D .S . I~IUN rls ~~F~ .S3`j.1 ~ 9 _N_R, ~ ,(o --~- SCnJ,L I"= y0 ~ IIM 1 IwI.LvATION /GD. o DM 1 DCSCRIPT1nN.}t,p v~ ~ ~~ Waad S~kG BM 2 h:I.F.VATIONs~' Kp _.._._--._... ~~ ~ 3 BM 2 UESCRIP'!'InN.~~ b~ ~ ~ Wood t-~o~~t ~ SYSTEM F.LEVATION,~-~ 7~ 30 ~=~3..~0 ~ (~ SYSTEM TYPF, (~ ~ n ~'4-~~3~s n J ,~ + --- . C(~NT(~TJR FLEVA'TIUN~S'~=Py. 3d * N.a,s~ ~ Sled or 14d~o'^'"~ PR'P`~+7 .~ Pro p•r 1y }o C3 ¢ D ~ v «1e d -~ 8ry 6~~ ---~ ~ ~ zd wdez:e0 z0ez iz •z~o ^ ~-9 ~-- ~ _. ~oN xd~ ~1d° ~ X10 k~ V :.,eC 02/25/2003 21:31 FA% 17152352592 TLSINZPLLTMBING T.L. Sint Plumbing Inc. E5609 708th Avenue Menomonie, WI 54751 FAX TRANSNIITPAL Date: 07 to D Phone: (715) Z35-2644 Fax: (715) 235-2592 No. of Pages: (including cover) To: ST ~ ~ ~~ t 1~ C pc-~-~T'~ .4ta~: From: ~ ~ c Z~ Subject ~}i~CcS c ~ ~~ 1 -" ~ d~ ~"~ ~. ~' 5~, ~ -~=~ ~~-~5 vas ~- ~~ 31 ~ ~~ ~ 3 c,~~ ~ -eft ~~ r ~, ~`~.' Sigiature: f~ o i • DOCUMENT NO. YOL 1690PAGE109 652463 KATHLEEN H. WALSH kEGISTER OF DEEDS ST. CkOIX CO., WI RECEIVED FOR RECORD 07-30-2001 9:30 AN REAL ESTATE MORTGAGE SATISFACTION WESTconsin Credit Union, Iocated in the County of Dunn, State of Wisconsin, does hereby certify and acknowledge, that a certain mortgage, made and executed by JAMES M KAUTZ, now held and owned by the credit union above named and recorded in the office of the Register of Deeds in and for St Croix County, in the State of Wisconsin, to wit: Description provided below: NE'/~ OF SE'/.OF SECTION 33, TOWNSHIP 29 NORTH, RANGE 17 WEST. NOTE: THIS PARCEL CONTAINS CSM IN VOLUME 6 OF CSM, PAGE I T30, AS DOCUMENT 418552, ST CROIX COUNTY, WISCONSIN. Mortgage dated ti/16/97recorded in Volume 1~ of Records, on Page 527Document No. 561461, is fully paid, satisfied and discharged. The Register of Deeds of said County is hereby authorized to enter this satisfaction of record. State of Wisconsin Dated: 7/30/01 County of Duan This instrument was acknowledged before me On: July 30, 2001 By: Gregory Kaiser As: Real Estate Loan Supervisor `````~~s~NEt~'~tr,T~~~' By: Tconsin Credit Union _ O~ • , .2 * ~. ' oAnne L Lutz !.,,tt` AUB1.~G •,,~'~' Notary Public State of Wiscoify~ • .. ~p'.~•' My commission Expires:3/3f ~~~ ~~}',;~" SATISFACTION EXEMPT M CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 10.00 PRGES: 1 RETURN TO: WESTconsin Credit Union 444 Broadway Menomonie, VYI 54751 18-1073-50-000 - 3 ~~ WESTconsin Credit Union By: ' Gr ry Kaiser Title: Real Estate Loan Supervisor This instrument was drafted by: WESTconsin Credit JoAnne L Lutz/ RE Loan Processor /op`k( Y', • . 5TATE BAR OF WISCONSIN FORM 1 - 1983 ~"'' 56141 I WARRANTY DEED ~~• ~ ~ ~~~ DOCUMENT NO. ~, i ~+ ~ot_3~47PacE5~7 __ t ?~~ fiEGISTERS 0"F1.E w This Deed, made between Robert H. Cunningham and _ ~CHCIXCTY.,w} ';~ Joanne L. Cunningham husband and wife as ~~~++ s- "~` survivorship marital proverty ,JUN 2 5 1997 ~i ,Grantor, µ}~- and James M. Kautz, a sinele person ~~ 9:30 A Rfl r i fluplsWr ur DeeJa ~ ~ ~ ,Grantee, ,•~~' - W}tnesse [h, slut dx said Gtantar, for a valtuF'e coruideratian ~ _ . _ ... __._ ' `i `~'' conveys to Grantee the following described real estate ut St. Croix TNIS SVACE RESERVED FOR RECOROINO DATA i ;'~ ''~~". COOn[y Stale Of WiscORSrn: NAME ANO RETURN ADOREaa ~ ~'~~ ,~. Northeast Quarter (NE}) of Southeast Quarter `~ C"ft_ '~j yT1 (SE}) of Section Thi``~~ty,Y-(33), Township Twenty-nine yyU ~ ,'i .4~, (29) North, Range 5~5'ttltEeen (17) West. YV1,1,y~.Q~.r~ti u/r~Y~Sf `t~ NOTE: This parcel contains Certified Survey "~~ Map in Volume 6 of Certified Survey Maps, page -- I 7 173J, as Document Number 418552. ~ 5/Z ~~~•! 18-1073-50-000 " .5; SRcres -3 i . 2pl • 17. 512 g D ~ C~ fo 73-Sa_~ ~ fARCEL IOENTIFICAi1pN NUMBER - Ncr--Yti o-F (031 c-f y •7 k ~1 ,w ~ ~~ ~d~~ 7~? :. _r~~ ~5,~ ~~~~ ~ ;~~ ~,#-~ Th's is homcstcadpropctty (b) Q(d4i6t1 i~ ~•1~ Together with all and singulu the hercdiumenu and appunenances thereunto belonging; :, t{ And Crantnra ,~' wartants that the title Is good, Indefeasible in fee simple and free and clear o(encumb:ances except Easements, Township and Zoning Ordinances; Recorded Building and Use Restrictions; Covenants and Real Estar.e ,` Taxes levied in year of closing. and wiU warrant uid defend the same. , , '.. r~. Dated this __ ~ ~ day of Tana ~~~ r,~ i .19_.9.L_. i r~ / / ~ ~~L• (SEAL) ~~wt /ldr~•/ (SFi1L) ~ s ~,.~ b :~ .. '~ c 1 , (sEAI.> (SEAL) . ~f {; i AUTHENTICATION ACKNOWLEDGMENT ~a ,'~ { Signature(s) State o[ Wisconsin, ~• ~: as. _ .3C.Cro,X ~`~ ~~ authenticated this day of , t9_ Personally nme before me [his ~/ ~n day of t •~ `, June , 19 97 , ~ above named y~. i.': Rohert H. Cunningham and Joanne L ~.~~_s ~"' ~ Cunningham, husband and wife as ''1~i `!~ TITLE: MEMBER STATE BAR OFWISCONSI Q~~j ~~ survivorship marital pro ert d f •~ (If not, ~ p y Y. ~ isr`. '}s authorized by;706.Oti, Wis. SutsJ ROTARY 9 to me o to be the person s who executed the [orcgoing ~'if1~i ~-- ... rostrum and atknowkd the same. ? THIS INSTRUMENT WAS DRAFTED BV * pUBUC * C'~---~ ~'-~~ MUZA b MUZA LAW OFFICE ~ .~ . T~ ` ' I Menomonie, WI 5475 L ~ ~ ~ ~ ~~~ e ~ ~ - NotaryPulic, -SE•Qro;A, CountgWis. ~~i :p (Stgnaturcs may be authenticated or acknowledge of My commission is permanent. (If not, state expiration date: .''li ~s necessary.) • Namq o(prnons signing in any apxlty should by lyprd or pinged lxlow th<ir siglulwn. ~~.•. WARRANTY DEED STATE 9AR OF WISCONSIN WfyoMin Logy &uW CO yc y^{L_+~ Form No 1 1982 M;,a,~w ~ ~-~ w.aa Ft/oBa U 1 9 6 7 P 4 1 4 ~rAl,,~,p ' QYI.mMl+e.nM.n AgocWion 1969 DOCUMENT N0. SATISFACTION OF REAL ESTATE MORTGAGE - BY LENDER The urxiersigned Lender certifies that the following Is fully paid and satisfied: Mortgage executed by James M Kautz and Suzanne M. Kautz to Lender and recorded in the office of the Register of Deeds of st. Croix County, Wiscons(n, as Document No. 650055 ,in yoT ume 1672 PaQea , - - Naums/Page/Fxa 531- 546 ,covering the real estate described below: 6 8 96Et1 A. YALSH REGISTER OF DEEDS S7. CROIX CO.. YI RECEIVED FOR RECORD 09-0~-2002 1i:30 A)M EXEIPTA~7ION REC FEES 11.00 TRANS FEE: COPY FEE: CERT COPY FEE: PAGES: 1 Recording Aroa Y Name and Retum Atldrue Loan Proeesaing The First National Bank PO Box 187 Hudson, u: 54016 oa ~csr! (gt{n ~UUn~.j i~- T o/8-X1073-50-200 5~ Parcel k:sntifler No Lot One (1) of Certified Survey Map in Volume Six (6) of Certified Survey Maps, age 1 , As Document Number 41655Z~ire~in -St. Croix County Regis er o ee s Of ice Octo er 27, 19 6, Being Located in Northeast Quarter Of The Southeast Quarter (NE 1/4 of SE 1/4) Of Section Thirty Three (33), Township Twenty Nine (29) North, Range Seventeen (17) West, Town of Hammond. Subject to C.T.H. eT" right of way. St. Croix County, Wisconsin. ^ If checked here, real estate description continues or appears on attached sheet. STATE OF WISCONSIN Dated AUGUST 26. 2002 , County of St. Croix The Firat National Bank of Hudson NAME O LENDER This instrument was acknowledged before me By On AUGUST 26. 20Q2 Title Senior Vice President by Alan N. VanDenBrceke and Alan L. Kollenbach ~~an H. VanDenBroeke ~~` (NameB d person(s)) /n~~"~~ aS Senior Vice President and Vice Preside loon Attest 1~~`°"' -- - f (TYPe d aultariry, e.g., Icer, t 4,,~ -' The Fi rar Na Tonal Ba k _ ~ a~a, Tj(le Vice President of ... _ _ _ ..._ rr ~~_..._...: 1 v • Z * .3. • i. • ~erv~ R. Daniels %~- • nt~v _ T /~ ~ .. Notary Public, Wisconsin '''qp,,,,,,,a~ My Commission (Expires) ps) 7/2aJas +~ Alan L. K~~ ha -h This instrument was drafted by: FNS Hudson/Cheryl Daniels m~PwNn *Type or print name signed above. i, ,... ~ ~ Hrl_,~; i~i/i%~s~ ~,~~ .~ ~ ~ / (,r,.J ~ i o/~~/o ~3 - ~o -~~b this instrument was drafted by Douglas Zahler job no. 86-32 0 0 o n -• E n rn m O o rt o to ~ nI o --~ r = -~ • -n o -n ~ - - rn _ unplatted lands owned by platter ~' s '" x c~ c ~ rn --------- ----------------------- ~ ~. n N rn 7 ~ In tp y z a rt n ~ -_ B O -ry N 't, C NO1°39'54°W a "~ ~• ' rt ~ fr r• d o 7 ~ S 330.00' ~ ~, ~ ~ rn rD v c o ~. c = ..~ S ~ to x rl.• ~ 3 •+• K Q' E f") O ~f 3 ~ N r~ • O , C "'0 * d m 'v ~n s ~ rt rt s O- r • •G tD i~ N Cl1 ~ ~.+• C N 7 O ~ !n tD O .--• W aD N O d O N O, N n O n O n O N ~ O ~ ~ ~ j fD N tD N r O i--~ N N fA d N .C rt C T N Q' ~• • N fD tD N 7 f7 rt rta ..h ~ O_ ~ +• rt rt N ... .* v m o o cn o ~ m rr N ~ W I c n n of ~ ~~• w 1 O Cn r r ~ O 7 I V OD C C ~ ~ N -t I~ -' O O ~ - I C ~ rt d N I d O H H 1 7 O LQ 7 t0 Irt N z z I~ ~ !y z I rt O O O I~ t0 ~p -ry I tD _ ly D. O p Id o ~ ~ Irt o ~ I S \ \ ~ z I rt S~ rt H - ~ S O I N K C .. v ~ ~ O I a v ~ O I rt N ~'{-~ V ~~ --~ N (n '~ N !D m c0 n z .rt- ~ -~ c 0 0 ~ ~~3~ ~ v w ~ . ~ w 1 a I N I 10 IE 17 1 to 1 d I I ~' IK I 1~ O I t-• O~ la o Irt Irt O IO O I ~ O, 0 O O ~~ 0 S O fD M O c rt O' n ea fA Q b N I ~--~ S O t9 O I W ~ N rt 17 N O I 2 N (n rn I w r*' - I o rn m Io ~ I E (~ ~"' O 1 ~ ~ K I fD O O 1 a ~'• O X 01 I Q' O1 1`G (7 7 o O ~G iv c O I ~--~ 7 N ° ~rt ` ~ A PPROVED Irt m - I N I ~ U C T 2 4 1886 NO1°39'54"W 330.00' o ~ ~ 4<0 ~~~~ b`4 ~ o - C.T.H. "T" ~~ - 525.22' SO1°39'54"E 330.00' east 1• a of the SE ~ ~ O p unplatted lands owned by others ------------------------------- ~~. i .. ~,: J.N.'Wt. .. /•\ i _~~ o o c~ rt o C~ ~ • ~ 3 _~ N 7 ~ ~ rt rn r rn a _ ~ , t, ST. C:;~X ~ ~U.~TY COMPREFIcNSIV~ ?ArcKS NVh~HNG AliA 20rrING CO.•ni.v11EE .r --~ cn m N tD rl-• ~O Cl .•• z rt n -~ . /• O 0 0 ~ ~ ~ > > m v v w ~ • f w ~~ ~Q ~ «7 )986 ~ ~t a ~~~ \~ ~ ~ Y », ~ytv, iw; ~'bwn of Hamm°nd, St. Croix County, Wisconsin; further described as follows: Commencing at the EQ corner of said Section 33; thence SO1°39'54"E along the east line of the SE 4, 525.22 feet to the point of beginning of this description; thence continuing SO1°39'54"E, along the east line of the SE 4, 330.00 feet; thence S88°20'06"W, 660.00 feet; thence NO1°39'54"W, 330.00 feet; thence N88°20'06"E, 660.00 feet to the point of beginning. Above described parcel is subject to right-of-way for County Trunk Highway "T" as shown on this map and all other easements of record. That this Certified Survey Map is a correct representation of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 Wisconsin Revised Statutes and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. +•.,- .. i. Ait• :: _ _ .., n,. ~. I l~r ^J~.~v~ °. ~~~~~~~3~33Z~`°~. ~`olume 6 ~~~,.. e ~ o , ~ 8 Allen C. Nyhagen date Pale ].730 Jessie I~ye - Subject: Location: Start: End: Recurrence: -0 1073-50-000 33 .17.512A Sinz, Kautz, 420741 Hammond Wed 12/17/2003 2:30 PM Wed 12/17/2003 3:30 PM (none) ~~-( (~ ~~~