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HomeMy WebLinkAbout020-1393-21-000Wisconsin Depaftment of Commerce .~ PRIVATE SEWAGE SYSTEM Safety and BtiPlding Divis~un 3g`~~ 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 Jl Township P.C. Collova Builders, Inc. Hudson Townshi CST BM Elev: , Insp. BM Ele~ : BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~ tCZ~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic > ,~ ~ i ` , .~fC ~ t -~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Numbe TOH Lift ction Loss System Head TDH Ft Forcemai Length Dia. Dist. to w SOIL ABSORPTION SYSTEM - a,: ~ (1.... L.~~~ ..,o... ELEVATION DATA County: St. Croix Sanitary Permit No: 399401 State Plan ID No: ~~ Parcel Tax No: 020-1393-21-000 STATION BS HI FS ELEV. Benchmark • 2 v oS. Zo , 0"0 ~ t7 AIt.BM ~~~ 99•~~I Bldg. Sewer ~ ~ Z ~ ' I $ t St/Ht Inlet ~,$9 9~'3 f r SUHt Outlet $ .Z ~ ~.qSr Dt Inlet Dt Bottom Header/Man. G~ 2 ~ ~ ~(o •0 Dist. Pipe S • ~~ D .Ov •/o 9S. 20' Bot. Syste ,ftL '~ (O• t: I1.18 .oz' Final Grade -~(~ n r St Cover 3SS ol.~Sr Width No. Of Trenches Length PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 r i 93 ~ 1. SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING • ~ Manufa rer• INFORMATION CHA UNET OR S ~` , •d(!t(" E't o - Type Of System: M~m~ber: I M d DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ~.e' u ' Pipe(s) ' 3 3 Dia Length CS Length D Spaci - SOIL COVER x Prnesuro Svstoms Anty YY Mnunri Or At-Grade Systems Only 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:~/~/ D Location: Pending Hudson, WI 54016 (NW 1/4 SE 1/412 T29N R~19LW) Moonbeam Ridge Lot 21 1.) Alt BM Description = ~q,~+~~ ~~~~ ~bLHncYa..ti~-~~ 2.) Bldg sewer length = 2 p' -amount of cover = ? ~ ~ f. 3 ~~2 A-I~sv Ff~%~'Ner aw.a, R.en,Qc,,uw~,a, P n revlsion~ R q ired7 ~ seY ,~ No Use other side for additional information. 0~ Date Insepctor's Signature SBD-6710 (R.3/97) Inspection #2: ~---~ Parcel No: 12.29.19.2394 it yew S Cert. No. _.-._..~....~..~..~ Safety and liuilwin~s Liv;s;t~~wr 2A: ~+ ~ IoJI 33787 -~'~I~x `f15Z rlii:~/l,~~/~ ~ r mrn'r i Comb roe Sanitary Permit App cation Io ao00t'd wltt CamuO iS.7.1. Wit. AIm. Cody. pertouetJ ioloetaulort you provide \~~ ~ ~~~EIVED ``\ ct .` l ./ 11r OrrtMr't Aalthrll r ~ ~ ~ ~ ~,~?~, _.. _ ~ ~ ~ /•;, +~, 0~ i~~ {Ci~e~ tlii {~ 4pp1.~9 ~ J +<-s ~ S w wK~ cwtS. ~i ar 7 Femur ~ - lrtr>»ba at 8edrroo,ms ~ PubliorL~»rnrrcltd • Dtttoetbe ~M G Sntta owaetf Z 3~ x 93~~s'' 1i1. Tyiw o!' Ott {C'heclr ooiy ooe hme as line A tawabtxia~ tcitens+t for iAtertu! wlt). C A, 3 U Be lteatotar of 6 G Addit#ett to ~ °~ Ci 3 New 3 G 3taplea~ iysans >? p ~ S xem 8. Q Cb1ok U a-ealnury petYaie Previoutiy lst~d ~ c Ntuaber Yv. 'Type ~nrmits {Ciwlk fiat xpply?G~wmbe~~ echeltl+e ~ for iuteraai iw) ~, ~ ~Pret+rrtrlnd Is~tkotlod ~:© bloaad d7 L7 Surd Filter }~ C 8eestnttltetd l~t3rovAd dl D ii0ldit>r Taco df 0 SittsIe PRII . _ :-, . _ .,_..., us (•1 wi~oM~'!`rumeac ilvit ~49 0 Aroit~tladtt~____ Detlia 1Row {,~ "~~'~) ~ ~~~~~ Rrreta Y~~ 9 ~~' 94D ~ , ~~ TtWk a .tr 7aai Number f E-:r_~--~^r*+~ '""~ Foot of Ts,afw .~~ ~ 1/;Q .~ i,/ i ___, 399~oi iN (1 Check f' Ae ca ~ ~ 1.D, latwaiber pu 1 Numb+r i 2.29 • r 9.239 ~_ ~, OZO- 1393 ~z/-at0 I /vl.~/ 3Q 5 G '~' S T sr it ~ ~ },~ a! $lacY T1tIFll~br ! a a t//u~~ne CSM Nusatbor~ ~B~~Y/~d~ Q-- ~5 QViISUe ........~..... r _ i i it trte ~~ Q Cotsad~trstrd Worland 5l Q Drift Lisa ~A n ~~ rslSq.Pt.~ j {Mlu.ltochl + ~ y~'~ S ~, ~ ~~ 9~~ auiscturer Frtttis ~ltp t;ooas+ete Coatttuaad ~~ ~~~~ K:r>ai C~rada ' 8ttvatfon is ~• s ~a ~, a a 1 lritatr Pltsti~ Glass e -s~~-3«I ~A O ~ ~~~ r Fes) ~ ~~ ..~.----- - 0 0 onvatar Ghee ~nidei Adve:a • 2 2~ ~ f g 200 ~~,_.a. ,,,.c xx. C A ~ n r _^A~ za.Qs~- c;~aol~•~ces a ,,,t,,, ~« ~ ~ : , ~~:~~~SBU}63~8 (R. 03t01~ %~ O S ~V ~~`~~~ i ~(` ~~ ? 3x l~l e ~~ 3.z ~ M ~ G/ ~<n~ /~4~ ~ 7~9~~ 3 j ~~~ 7/G~ .~. r A J 'v ~sG~-G l "- ~. D ~h''h~T~ . x~~ ~~.~~~Y- 9Z~/ ~ a ~~ilil.2 /dp O~?fii/!Js_~~~r .o `/~~ v S ~ o /+t ~ yyy ~~.\ `p1\ ~~ I 1 // ~U\ ~ s V `~ ..ll~ 1~au5 ~ ~ ~ 5ff-~ '~9y 7'y- ~ ~ ~ V d s j k ~ M ~^ J Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~.._ of 3 Division of Safety and Buildings in accoraanre wim wmm uo, vvis. Nam. wue must Pl 11 i i i h 8 1/2 h - County ~• 1 an nc n s ze. an x es Attach complete site plan on paper not less t include, but not limited to: vertical and horizontal reference point (BM), direction and pa,~ I.D. P percent slope, scale or dimensions, north arrow, and location and distance to nearest road. t h ; Please print all information. R 'awed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). I ~'t er Property Ow Property Location n _ ` -y- PrC • W ~ ~^•O V V •' ~ ~ r 5 -L rL Govt. Lot ~ (J 1/4 ~p ~ 1/4 S ~ T p1 N R ~ E (or Property Owner's Maili Address ~ Lot # Block # Subd. Name or CSM# st R~cl it- 7b5 E aZl W~eon eq e, rD City State Zip Code Phone Number ^ City ^ ~Ilage [Town Nearest Road pR~PoJ~n ~v~soah ~= syoi (7-5)a9y-says -~ b~.~o4 oaF New Construction Use: ~ Residential / Number of bedrooms __,~ Code derived design flow rate y S Q GPD ^ Replacement ^ Public or commercial -Describe: Parent material ( A. ~ O y't' W G~. S ~ Flood Plain elevation if applicable ft• General comments ~ ~ and recommendations: (~'I Qy ~ 5 va, g ~e, 5 "~' a _ 5 ~( 9~ T r GrG he s Fo ~" t a1• C ~^ 5 %'I' t- - • ~ ~ J ~ Pr.tM~Mr ~ T. I (~ , yc~ 1 ,,,~, . T.3 (910.0 • T.a ~ ~, o,~ RQp 0.«~,~~ r.y C s.~.a' ^ Boring Boring # (~ pit Ground surface elev. _ 9~ Qa ft. Depth to limiting factor 1 ~~ ~ in. Soil lication Rate i H D th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft? or zon ep in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a- i ~H R~/~ 5 ~ a F ~, ~ d ~ - -~ ~ .5'IR.'~ ~l S L a 5 k ~ ISM F a~.yl a,5`(IR'~ y ~ ..~.~.~.-.w..~_~_.- s - s w, I~ e(.~a F 1. 5 `//- 5 7.5 Y ~23fY ~~~ ~5 o ~ ~S ~ ~ r G w ~' • 5 • v ~J f ,J /~ 1 r.~ ^ ^ Boring r ,,, , - •; Boring # pi( Ground surface elev. _ / o ~, ft. flepth to Iimit~rGtor ~ in. Soil lication Rate Horizon Depfh Dominant Color Redox Description Texture ~ ~, S~ructure ,_ Consisteride Boundary Rests GPD/ff in. Munsell Qu. Sz. Cont. Color Gr> Sz."5~,; i `Eff#1 'Eff#2 3 7.5 `I R,. _ .__,_.._.~ ~ ~ m ~ r t es ~ 5 37-y ~,5'1Ryf ----------- - 5 rL. c - 7 !. ~. y~-~a ~.sMte Sl ---.~._ _. s ~o - s ~ ~. t:w -- ~ . ~ 7 ~r„ C~/ / 7.51 ~/ ~ FS a -s I'~u ~ -- J . 5 Effluent #1 = BOD, > 30 < 220 my/L and TSS >30 < 150 mg/L v tTRUerli roc = wus _ ou nyr~ ai ~u . ~~ _ .... ,,,y,~ Name (Please Print ~ ~ ~.. Signature ~ ^ ( , .t.~„~ •,+,f ate Evaluation Conducted Telephone Number a~`'~ a nP°,~ ~, S~ o ..15 r b 7J •~ y8-35$$ ~Ew ,~ - Z ~ f - Property Owner ~,~ . ~~ uDl1C~. i,7t9, I~Q/t5 Parcel ID # .„~_ Page ~ of _,~,_ 3 Boring # ^ Boring ~ pit Ground surface elev. _1 dJ ~ ft. Depth to limiting factor ~ ao in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots •3`78 ;Z 3 IS-.~~ 7,5'1Q.y ~ '..~...~..,.-.--._.-~.. ~`"`~' ?~, S b 4, ~ ~ Cw a ~ '~ 7-3 7r5y YJ~ 5~. ~iL ~~r ~~~` (,~~ ~ 5 3r;-s ~.syQ ~J ~------, sL aF55~ -~">~-~ c ~ - S , ~~3~~. Z ~ s~-i ~ ~,s ~Q Fs aFS m w -- ~` ~ , 9 ^ Boring # ^ Boring ^ Pit Ground surface elev. _____._ ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color __ Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cunt. Color Gr. Sz. Sti. 'Eff#1 "Eff#2 ^ Boring Boring # Ground surface elev. _ ft. Depth to limiting factor _ in. ^ Pit Soil A Ipp icaGon Rate Horizon Depth Dominant Color Redox Dascription Texture Structure Consistence Boundary Roots GP D/ft` in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 'Effluent #1 = BODb > 30 < 220 mg/L and TSS >30 < 150 mgiL 'Effluent #2 = BODS < 30 mg/L and TSS ~ 30 mg/L 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 furmat, please contact the department at 608-266-3151 or T"fY 6U8-264-8777. Soil Application Ra GPD/fF "Eff#1 "Eff#2 S , .5 ,9 SBD•6310 (R.6I00) . ~ ~PC . ~a ~lo.~a. ~~:1~.e.~rs,~"ruc.. 'Pa: c 3 3 Nw~~I~ S~`ty SGC, ~~~ T~9~, I~tw l~ ~Sea~,~E,, ~ ~~_ yo ~ a ~ 5 a.cr c- CS-Fr~ ~?.~`7W ~ ( ~D} Qrt1~- I.~t I.ht .___.._.. ~ C 7 ~ Tap ~. bs..t n'1I s+c~ ~~r~t Aaa~ ~ ~ T a p ~ stcc~ + ~r Q ~aa~Rr~t„ ~,~; PR®Q~~~t~ s ~.~a-~ -~ ~~ J ~ f~._". fly: ---_ ., _ ~ ~ ~ ~ ~ _-- _ _ ~ . o ---~-~-= -~. i -~- - - - \ r-; , ~ ,, ~ ~s . Q • ~$~ ~' ~~ ~ j So+• i i .~O'~~ ~- ..._._ ____ ____ - P Re pas E ~ Ro~-O _._- -- _.~. ._.. ~) 1bo.oc ~ vc~-~, ~ 4.or:z. 4$ 90 ~'~ ~ 0l.$4+.' r ~ F ~.-4~ ~. ~. ~~~ q~.tq ~t.s ~~ 9~,1s } ~` Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity fn-Ground Soii Absorption Component Pursuant to Comm 83.54 Wis. Adm. Cade each Private Onsite Wastewater Treatment System (POWYS} shad include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanity Permit Number Number of Bedrooms Desi n F'iaw -Peak ( pd) Estimated Flow - Avery e ( pd) ~ Septic Tank Capacity ( al} Soil Absorption Component Size ( ) 2- - i ~ Type of Wastewater Dom stic Table 2: Soii Absar tion Component - Umlts of Reliable O eration Septic Tank Com onent Soil Absorption Component Design Flow -Peak ( pd} t~ 2- ccs ~h Maximum Influent Particle Size (in) 1/8 Maximum BO®5 {m II_} 220 Maximum TSS (mg/L} 150 Table 3: 1Naintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once eve 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shat! be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms}. The operating condition of the septi ,and outlet filter shall be assessed at least once every 3 years by inspection. Th utlet fi shalt be cleaned as necessary to ensure proper oon. The filter cartridges not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the c~ cc cQ(~b~+ - Management Plan for a Septic Tank and Soi~ Absorption Campanent ~ 'filter ie equipped with an alarm, the fNtor shall be serviced if the alarm is activated r~ntinuoualy. Intermittent filter alarms may Indicate surge flows or an impending continuous alarm. The septic tank shall have its oontents romoved when the volume of soum and sludge in the tank ®xoeeds 113 the liquid volume of the tank. lithe contents of the tank are net romovad at the time of an assessment, maintenance personnel shiaR advise the owner of when the next service Heads to be performed to maintain less than maximum scum and sludge accumuletian In the tank. Manhole risers, aces risers and covers should be Inspected for watertightness end soundness. Acoess openings used for service and assessment shall be sealed watertight upon the completion of serolc~. Any opening deemed unsound, defectlve- or subject to failure must be replaced, Exposed soars openings greater than 8-int~tes in diameter shah be secured by an effective locking device to prevent aoddentsi or unauthorized entry into the tank. X10 one should yenta a septic or other tro~litment or holdlnQ tank for any resaon without beM~ !n full compllaacs with OSHA standards lbr entering a oonflned space. The rtmosphen within th snd~reacue o es trrottment o/hold/nQ tsnk mty conb~tn htha! des, person fratn the tnt+ertor of the tank relay be dltrlcvit or Impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no Igr-gsr used as a POWTB component. The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operetion of this oomponent are shown #n Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, end system use within or betaw the limits of roilebte operetlon, Qood water conservation prectic~s by al! oxupants and the installation of water cx~nserving plumbing fixtures ere key factors in extending the useful Ilfe of this componeni~ The soil absarptlan c;omponent's operation must be assessed by #nspecticn at least once every three years. The Inspection shall include recording tho levels of panding- if a»y, in the ob~ervelton pipes, and a visual Inspection for any evidence of surface seepage ar discharge from the component. On steeply sloping sites, areas of erosion should be Identified and r®ported to the owner for repair. The surface discharge of dorr-sstic wastewater or sewage from the system Es prohibited and cons#dered a human health fiaterd~ Traffic around or over the toll absorption com snnaw caverlover the ca~mponei~may lead during winter months, The compaction or removal of to hydraulic failure by freszing• This type of failure is usually temporary. but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over thin companertt will reduce diffusbn of oxygen into the soil and dispersal cell, Vvhicfi may Isad to more intense, and earlier, organic clogging of the soil. 2 f`~ a Aaena~oment Pier3 fora 6ept~o Tank wnd $oI! Absorption Corr~an~t Ptentlr~r of degrroo~ed tnor tnd ~rubt dlrwtly over of within an tMt ~ the component shor~id be woldrd rlna root Intrusion ink the component may obrVua wa~iwaur fiadw. Cor~Inpenay Pan "~ i~ 4he *verot cf system hdlurs, • new •yrtem ~ufd Ot ln:twllld in en aiterra~e enw. With the It'~tiillltlc~'! of w d~'ter vwlvw, ~ exltdnp ty~hm could use b~ rwild 1 !~ ~ dues t~ bus' ywn. ~ li; it the pro~ty owner responrlblllty to rnefnteln file •Iternete eree free from sny PIS o~ VMS, •hn~, s-tQ, tr+ ofiiiq at iai~,rs of the onppinel , the eleem~ •ne wit! be needed. N ~y Veee, st~rvbs, uto. htw been canted on the aitarmwte ara~, thy wlil hrvs to be rl~ad at ~ ownKS ~~~ N ~ one is destroyed, there w other elteer+wtiw iyrtsrr-r thtt own be uad, in which, oouio sewn In added e~+N to sM property ownar, Any ~rrtk wbdndonmel~ rr+wll ice daM in waoardenaa with IIVIta. Cade i3.33, A+ry gwrtionr r~sp~irp'N'11e code, pINN Ot~lFtwOii ya~,r #OOwi Zonlnp or ~ontwo~ >i~ lrtstwlilt'p plumper. ~~+~s~~~ t;~~s tci,. ~"'! t5~,~~ it ~ ~ ~p$ 0 R. ~,. Vr M 4f 1 Ni S'I' CItOIX CUUN'rY Sl?P'I'IC 'TANK MAIN'1'L~NANCL AGItLI?MC?N1' AND OWN~RSIIIP CLRTIrICA'fION rORM Owner/13uycr ~. ~ . l ~ ~ ~ ollA Q ~ ~~ rl S -~ti ~ _ (% ~dna ~~~w~ g~Er2) Mailing Address r7v~ ~v . ~ c~ . C' ~~vasu.v l.v :~. .5 ~-ca ~ (~, 1'ropcrly Address / , (Verification required front Planning 1)cparUnent for new conslruclion) ~-~ ~ ~-~ ~ '~ Ciiy/Stale N~JdI Sp /1( w~ Parcel IdcnliCcalion Nunlbcr 1,rGAL, nrSCRY1''rION Properly Location ~/,, r/,, Sea ~~ , T~N-R ~ ~ W, 'rowli of Qoc. ~oSLIS"t (v. ~lR (04 , _ 9/iz/o~ ~~~ olsa~J ~°~t~f-z Sulldtvtslon A / I(~(,~~ f~~cj ~ ~ / C~d i •~•/vN Lot # a f CcrtlCcd Survey I1~Iap FF Volume _ Pa~c FF '~'Ylu't~;tnty need # __ ~~ 7 7 7 ~ , Volunlc ~ S~O~ Pale IF sU Spec house Q yc~lo Lot Iiucs irlcnlifiable~. yes ^ no SYS1Tl1~i MAIN'rI!,NANC~ Imptnpcr use and nrainlcuanccof your septic systcln could resull in Its premature failure to handle wastes. Proper alainlcnal caruisls of pumping out the septic lank every three years or sooner, if needed by a licensed pumper. What you put into Q~e syst~ eau allcct the function of the septic tank as a lreatrucnt stage iu the waste disposal system. 'ILe properly owner agrees to submit to St. CtOlx Zoning Dcpartnunl a cettiftcalion form, signed by the owner and h; mastcrplumbcr, jounrcymau plumber, restrictedplurnberor a liccnscdpumper verifying that (1) the on-site waslcwatcrdisposal syst~ is in proper opcralinJ; condition and/or (2) aQcr inspection and pumping (if necessary), llrc acetic tack is less than I/3 full of sludg Uwc, the undersigned have read Qic above rcquircureuts and agree to maintain the private sewage disposal system with the slanda set forth, herein, as set by the lleparUnent of Commerce and the Department of Natural Resources, State of Wisconsin. Certit}cal'. staling Urat your septic systcui lras been rnauUaiucd must be completed and rclutncd to the St. Croix County Zoning OfGcc tvitl-in d s of lire rec year expiralioit dale. a SIGNATUIi~ Or APPI.[CANI' ~~ °~ ©' DATC nWNrR CI,I?`rII+ICATInN I (we) certify that all statements ou this form arc true to ll-c best of my (our) knowledge. the property escribcd above, by virtue of a waaanly decd reconlcd in Register of Dccds Office. 44 ~ t SI NA7Z7R~ Or APPI:ICAN'C I (wc) any (arc) the owner(s) /~~/~ DATr: •'~'~~+ Any iufonnalion that is mis-represented may resull Lr tl-e sanilnry permit being revoked by the Zoning Dcparlnrenl. "" ~'~ Include wlllr this applicnllon: a stomped warTauly decd front the RcGislcr of Dccds of(-ice a copy of ll-c certified survey map if reference is made in the warranty decd BTATR DDOK_ ~~uPAGEstS~ RM 9-1lR1 rd 11 I Ifetchler Husband and Ord ~ Rtttt.Xd ~ 6th ...Rae.~r....~.....€>.:....':.ary:....- ~ ......................t...........-........................ ..-'~1~~'.g .................................................................................................. i~r A.D.1486 ............... of Oct. 1 conveys--and-warrsnb•to.......1)~1.?~.~~1..f(.•...-y~.-1Ci..K,ln~i7er11r-..A.t.......~... I ~ I ... ,..hu-st,ard...and.-site.....aa.-toaz•11:e.7...r.r.~.R~xt:i...... I . . IIe er. ....wSth-.ri~Jzta..ot..aurvi.vcrshlp ............................................ :~ .~ r . ............................. ................................... ...................... ... .................... I _ .._ _ _ .............................. .................................... ......•---.............-..-.................. ~~ a[TUNN TO ... .... ...... ............-.......-...............-..................--. ..-..-...... ............-........... it . ........................ .............................. C.......... .-.......-.-......-............-. ...-..-. the following described teal estate in t • CC01X•---•-•---•••-•••••-•••-County, -- _..__. __ . _ .. _ ...... _.. _. , State or Wisconsin: Tax Parcel No : .............................. SEir EXHIBIT "A" 1 t' ~• ~•rF' This -~S...SiG.`~ ............. homestead property. (G) (ia not) Exception to warranties: $l1ti~eCt t0 EBSGL:E'r1tS, reservaticns and restric+icr.s cf reccrd. Dated this ..~.hi.rd .................................. day oI ...----~c.tc5er:. ..--.....-.................-...-......., 19... E. ft. ....................................................•---....-.......(SEAL) ~~. .. .. .. .... ._ .. ...(SEAL) --Roger--.-E. Hetchler-.------„--_.,-.---_„ .............................................(SEAL) .-. ~""""""~-....- ....-....(SEAL) • - .....Ma ..............etchler..-....... . ADTHBNTICATION 9lgnatare(a) ...................................... aothentleated thb ----....day of ........................... 19-...-. TITLE: MEMBER STATE BAR OF WISCONSIN (If not . ............................................................ authorised by 4 708.08, Wis. 3tats.) T INaTRUM CNT~/WAa DR~A(F~T CO aT (Slgnaturea may be aathentlcated or acknowledged. Both are not necessary.) ACBNOWLBDOMBNT STATE OF WISCONSIN ____ _-St,--Croix--.-...-.-ceancy. 1 ~- Personally came 6etore me this ..3rd-_...-.day of ----------October------------------- 19.a6--- the above named .........-Rager...~.-..Hei;~h ter.--and ............................ -.---.--.Marx--)v.-.-He tch der--------------------------------------- to me known to be the person S-.......... who executed the foregoing instrument and acknp '~1 a saple. .~ ,~ ~ ... ... ...... .. .... .......... ...._ ~. ......,.,y-...--... Notary Public ............. ~r.~r -....• ") CophA•j Wia. My Commission i ennm~t,(IQn~, ~j tc.r~ijtation - --r~,2g-..q .'asf~ •IGuw[[ er ~[n•rw dxn:nt Is nnr n0•[Ib [hould M trD~l or Orinled below th.4 dxnnlurd. T/AI.ltAlRT DGED a7ATE BAR 0/ W19COHaiN wl.c[n[In t.ta[I alnnk 1'u. Ise. TORN N•. t- 1/Ir /lil+•uMe[, wh. _.. .,_ '__~-... C:•: N ::: •. iT::•.3w'. .. .. •. ..i:: .rl !~ 7 ~ / R '~ JIB F. t~.;r~ eou~ ~ 56FA6E 51 ' EXHIBIT A The W~ of the SE}, except the East 33 feet of the Soath 264 !cell and a parcel In the F.} of the SE}, described as; Commencing at the Southeast corner of Section 12; thence West 462 feet! thence Norty 264 feet! thence West 582 feet to a steel pest and the Po{nt of Beginning; thence West 276 feet to the West line of avid E~ of SE}; thence North 2,367.05 feet to the North ilne of said E of SE}; thence East along said North line 276 feed thence South to the Point of Beginning; and the South 53 rods of the SW} of the NF.} and the East 74 feet of. the South 53 rods of the SE} of the NW}~ except the follow.ing described two parcelst i) Commencing at the Northwest corner of the SEf of 5ec- tlon 12; thence Enst 763.1 feed thence South 1,980 feet; thence West 103.1 feet! thence South:resterly to a point ' 165 feet East of the Southwest corner of the SF.} of said Section 12; thence West 165 feet; thence North 2,640 feet to the Point of Beginning, together with a non-exclusive 33 foot wide right-of-way easement from this parcel to the Town Road. 2) A Pparcel of land located in the SW} of the SE} and the SE{ of the SE} of Section 12, more fully described as follows: Commencing at the South quarter corner of I said Section 12; thence South 89°56'43" East (assumed bearings referenced to the'monumented East line of said . SE}, bearing North 0°05'01" East), 165.00 feet along the South line of•said SE} (previously recorded as East), to Lhe ^uinr of 13::~tnnia„ th°nce cnnt.~np~n~ Rnpth R9°5'43" Eas[, 1.071.32 feet aluug said line; thence Enstf•rly, 20.78 feet along the Northerly right-of-way line of an existing Town Road on a 603.00 foot radius curve concave Southerly, whose chord ber+rs North 80°33'37" East, 20.78 feet; thence North 81°32 " mot. 46.72 feet along said right-of-way line; thence Norc+: 253.55 feet along the F.osterly right-of-way line rE a proposed town road; thence Suuth 89°57'L6" Eest (previously recorded as F.ast), 301.06 feet; thence North 0°02'46" East. 475.00 feet; thence North 62°l5' West, 838.00 feet! thence South 16°08'29" East, 499.45 feet; thence North 88°32'38" West, 343.31 feet; thence South 36°55'27" West. 821.47 feet to the Paint of Beginning. Together with a non-exclusive easement for ingress and egress over the drive and cul de sac as presently laid out and traveled, located id exception (2) above; and also an easement for ingress and egress over a parcel described as follows: Commencing at the South quarter corner of Section 12; thence South 89°56'43" East, 165 feet along the South line of said SE}; thence North 36°55.27" East, 821.47 feet; thence South 88°32'38^ East, 343.31 feet; thence South 16°08'29" East. 147.56 feet to the Point of Beginning; thence North 16°08'29" Weat, 147.56 feet; thence North 88°32'38" West, 75 feet; thence South 16°OS''l9" East to the cul de sac above described; thence Northeasterly along the curve of the cul de sac to the Point of Ieginning. All that part of Lot 4 of the Certified Survey Map filed and recorded in the Office of the Register of Deeds for St. Croix County, Wl.sconsln on'May 8, 1984 in Volume "5". Page 1417, Docu- ment No. 793111, which lies North of the centerline of the 66 foot roadway easement as shown on sa[d Map. Together with an easement to use the 66 foot roadway easement shown on said Certified Survey Map as an access road and for utility lines located so as not to interfere with its use as a road. Sec. 12-T29N-R19W. ------- I • -- m b~ 1 ~ ' ~ 1 ~-ova °~on i~o a~a~91ra °~°s~°a ~ ; ~ a ~ ----o-- i '-----' Uunost $ b09 ,rL•oec M.eaLO.oos ~ u~cou - - -_________ sa~o.oos~- - `. - ~ --- '` ~\ FZ N ` `` I I T r I O I ~~7SQW O N ym' O~~ ``` t~ ~ 100 I W J N O V `~ I^1 !nl LL I ! 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