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HomeMy WebLinkAbout020-1019-20-200Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and 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)]. ermit Holder's Name: City Village X Township Van sness, Michael Hudson Townshi ST BM Elev: Insp. BM Elev: BM Description: 0 .3 re 'ANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY Septic ODD Dosin on Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic .}.. _ i ~ _ S ~ / '_._ Dosing Aeration Holding PUMP/SIPHON INFORMATION nufacturer Demand Model Number TDH Lift ction Loss System He TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt DIMENSIONS 3 ~ INFORMATION DISTRit3lJTION SYSTEM Dia. OR Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake '/ i S ~ Length - Dia 7 ng Dia pac Length SOIL COVER v Drn~~~~rn Rvc4nmc Anhi YY Mn~~nrt Ar Ot.Crade Sv5teM5 OnIV 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: 7 /~/ 4 ~ Inspection #2: / / Location: 993 Tanney Lane Hudson, WI 54016 (NE 1/4 NE 1/414 T29N R19W) NA Lot 5 Parcel No: 14.29.19.91D 20 1.) Alt BM Description =5~q,~ ,~,~ `+'v~~~.T QQppr ~~ ~ ~uC /I ~ ` ~r"~f " ~ ,f 2.) Bldg sewer length =/~y ' ~a~ 0~ 4~ S~. ~ (;p~ i~jv~. /IMYGy S~(`~~~- - amount of cover = ~~ p~n 3 ~ B~O ~ertio~'~ ~- p tit s ik s~at9j/~o~ %~ L u ~ro+ri z'aMie` n~ct! r ~ Plan revi o~ulred? ~] Yes [ No i ~i Use other side for additional information. I__! t~ _ ~ ~. ate Insepctor' Si ature Cert. No: SBD-6710 (R.3/97) county: St. Croix Sanitary Permit No: 395115 0 State Plan ID No: Parcel Tax No: 020-1019-20-200 STATION BS HI FS ELEV. Benchmark `~ Z / !~ /a / 3 Alt. BM S. Z. Z Bldg. Sewer Q S rPZ 9 9, 2 S Ht Inlet G,zo 99 z Ht Outlet /,~ 9~: 9 Dt Inlet Dt Botto Header/Man. Q p, A a`, S~ / Dist. Pipe •~'O ~ Bot. System L < O_ S.S , Final Grade d y0 6. !~-q 0 y St Cover Z , %6 D ~~2-S 5~ '~ s-/ /Uz_s l~ '- . _,a ~ ,. ~3 z ~-~ ,. ~z' . Safety and uIldings Division County - _ 201 W. Wasbir-gton Ave., P.Cl. Box 7162 ' ~C y~ ~` u ~scQ~~~~ Madison, WI 537fl7 - 7162 Site Address i De artment of Commerce ~ ~ 93 Sanitary Permit Application ~~' Perm:t N/umber 3 9 ~~( In accord with Comm ffi.21. Wis. Adm. Code, parsoml hsto:mstion you provide ^ Check if Revision ba wad for Privac Law sI3. 1 m Y. Application Iaformstioa -Please F:'bst All Information Stara Plan I.D. Nwnber Property Owner's Namo Parcel Ntunber Z - ~ ~~ ~ z o t p~ 9 - y0 - z vr7 r e a~ S f Property Owt>ar's Mailing Address ~ ~ ' ~ Property Location ~7l G- ~~ . ~ !4 LA'S T~ N R E ~ City. Star Zip Coda , '._ Phox Numbers Black Number 1 i i t ~ ,1 ~ ~~~~ __ 'vision Nana CSM Number ,~ S-~/aiGt ~~ ; ~ s? c~X ~ _ CS i~ ~ yp II. Type of Bufidittg (check all that aPPIY) FiCE -'-- Ci ~1 or 2 Family Dwelling -Number of BedT00rit8 ~ ~ ~, fn._ Z ~'C ~0 s {,,ra ~ , ; ~Qyillage ~ ~ '' ^ Public/Commercial -Describe Use , _ ~ % ` ^ own9hi ~ So.~ .~_~., ^ State Owned Nearest Road cL,dN ~ Ct.y -~ III. Type of Permit: {Check only otte box att line A (numbering scheme for internal use). Complete line B iP applicable) A' 1 ~, New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition ro ~ For County use # Svstem Tanlt Otil P.xistin S stem j B. ^ Chtxk if Sanitary Formic Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that appiy)(tnunberia$ scheme is For internal use) 44 Non -Pressurized In-Omuad 21^ Mound 4? ^ Sand b'ittar 50 ^ Constructed Wetland 22 ^ Pressurized In-Qrotmd 41 ^ I~Iolding Tank 48 ^ Sing[e Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aembie Treatment t3nit 49 ^ Recirculating 30 ^ Other v. t ment Area Informat ion: as s.'d~ W .~~ ~~ Gila ~ b s v s Design Flaw {gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade I Required Proposed Rate(Gals./DayslSq.Ft.) (Mitt./Inch) Elevation I ~Y3 ~ y 3 ? ~~ 2 ~~ , ~ • Z. VI. Tank Info Capacity ix .Total Nttmber Mattufactunr Prefab Sita 5tee1 Fiber Plastic (3sIIona Gallons of Ttttlts Concrete Constructed ~ Glass ~ New l~tiatin; Tattles r SepBcorHoldingTaak _ /add / ,`ester r3asing Chamber VII. R ilf Statement- I, the undo ~ asatmte reapottdhiltty for Lion of the PdWTS shown on the attached bras. Plutnbar'a Mama (Prhul PIttnabar's Sig:tature RS Ntwtber Business Phone Ntunber Pittmber'a Address (Stre~ ity, Stun, Zip Coda} t, C t ~ ~~ SG o~y' /`-~ d ~ `t~~ G' VIII. Coca / De artmeat Use Approved ^ Disapproved Sanitary Permit Fes (iacIudes Groundwater Date issued Tm Agent Signaturo (No Stamps? - Surcharge Foe) en !atrial Adverse . ' ) ~ z ZS o Determinarion U • IIC. Conditions of AppprovaUReasotts for Disapproval r.~g s~r„~ ~ be Kr f ~.~`~t;w for/ /cs>~ Sor/ >!~f{ ~~vrr~s a u~r rrt~t rreQ 5o ~ ~r /s i ~ y p , . c y ~~ a r r u r ,rrr~ ~r r ver(' Grhiy~o rl~., `` ~~ // / '/ ~ ~/ 2') etti~l Yr /OllVPt . JIhR// iX il~~t ~'C4 i h r ~ 's0</~j . // ~ C/ r 1 r ` r Li ` w~cn campuxe papa tea we comsy oay7 rar tas ryitem on paper net leq ttaan eui : as ware m rtte ~s~'SBDy6398 (R 05!01.) `.;< ~ ~~~ ~1c~,~~dre ss i. a 7TS G ~ r'~ , ~u/,d dam" ,r,~k J.se~ ~~t . ~;~ r ~~ o ~ p~~ `~~ ~ s ~ ~~ ~ a ~~ ~~ ~ ~~ h ~ /~ .~s ~ ~ o ed,'t~ Zob.~ ~ ,~ ~IJQ ,. _ ya , ~~~.,r ,~ o~ 6 ~~p,;o ~ / 0/37 r i u y ~ N 5 ^~ W d a tSS ~ ---IIL L alenu~ --/~ ~ 4 y cn 3 j ~ ~ ~ C ~ + -d G ~ N y ~ (~? 4 ~ I ~ r ~~«.~ t0 x!p)~ ~ ~~ I I I ~' ~~ G7 ~ C~ T ~'~,A O 3 ~ O 1 I I CNO ` i.+ j I ~ E { ; ~ Q. ~ a. ~SC3 V ~~~ i ~ V ~~~ ~~ y a 1 O ~ Ali ~ ~ !~ ~ ilj I~il ~ ~ ~ ~ C ~ ~,} J~ 3 ~ I i'n u1 '> ~ . m '~~ ~ I ~ t I a. . . . . ;3 «~ !'' Ia ~~ 'f ,iil I a i iE.~! ~ I ~ i I ~ U\ 1~~ 7 /'~~ ~ ._.. ~,~i j 1 1 ~. ~ I ~l Q f i r , I ~+7i 3'wj S ~~ I S R I~ ;~~; ~ ~~ -~ ~ ~~ , I ~ ~ ur ~ ~ n ~ ~ I ~x ~i~ ,, t1 _~.-~..~4 , , f '~ I r ~ I I ~ 11~ ~ j , ~ ~ ~ Ji ,c ~~ cO I ~ ,~ a.. ~ a- ~ ~ '° x ~ , r .~ t I ~ ~:`~ C A ~~ WA L ~ ~,,,~: ~ W '` It, ~ 0. ~ ' p wwf i i ~ j III 1 ~ ~ ~; ,~ ,• Wis'.~siri Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page ~ of rn accordance witn Comm tso, Wis. Ham. ~,oae County S ~ • ~ r 0 ~ t Pl i i an mus n s ze. Attach complete site plan on paper not less than 8 1/2 x 11 inches include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R ~ b `_ Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Prope~jOwner ` I ~ ~ 1 rc 1 Properly Location J G 1/4 ~£ 1/4 S I~ T 2-1 N R ~ 9 ~E{er) W N I ~ 0 ~~ - . ~ .. ~ ~ e Govt. Lot ~ Property Owne s Mailing Address ~ Lot # Block # Subd. Name or CSM# U 0 S~, Gvn 5 re e C'ty State Zip Code Phone Number ^ Ciry ^ Vllage Town Nearest Road ~~ S o In1 ~ S U( ( ) ~~ ~ l a n n e j~' New Construction User Residential / Number of bedrooms ~._ Code derived design flow rate ~ 0 GPD ^ Replacement ^ Public or com11mercial -Describe: Parent material ~ 0 Q S S e J e /•'tl k T (.I G S In ~4 H ~ Flood Plain elevation If applicable ~ ~' ft• General comments and recommendations: Boring # ~~oring "t ~. l Yf ~ ^ Pit Ground surtace elev. ft. Depth to limiting factor 7~ in. Soil lication Rate th i t C l D tion dox Descri R Texture Structure Consistence Boundary Roots GPD/fP Horizon Dep in. nan o or om Munsell p e Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 0 1 0~ 9 I d r3 Z ~ $11' :11+r1 S bK tr,~r C w ~,~ . S/ ~ ~ 2 g-16 to r>~ - s+ I ~rhsbk rr-~r Cw 1 F . S •Y~ a-~ 9 .r ,~ ^ 9 Boring # 7 12 • ~ ~ 23 n j 2 / in. ft. Depth to limiting factor ~ • Ground surface elev. ^ p t or to Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Bound Dots GPD "E 1 ` 2 0-lo Ib- to r;~t to ry - - St T gll r-SbK 1r1 k M~r •~r C ~ ~.~ I ,$ .~ 4, " 3, x.4-97 • S r~ - S s ~ Z INGpFFI ~„ 8 ~ -~1'~ / 2~ 30 "Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' tmuent r><z = tsws ~ ov n~~ a~ ~~ C8T Number ` CST N^ ame (Please Print) Signatur ~2? ~ 8 7 Address Date Evaluation Conducted Telephone Number t`f32 t2o~.~-t Sfi l`(Qc,J~(r,c,~l~-~h~' ~l-of-oo 24G-l.yS~,l ~~ ~ •~ . Property Owner Parcel ID # Page 2 of ® Boring # ~ Boring ^ Pit Ground surface elev. _~00 • ~8 ft. Depth to limiting factor 7 ~ V in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ~ ,. ~o ~ ,~ 2 ~- S t d 2 6' r C w z~ . S '~'' ^ Boring # U Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in• Soil Ap lication Rate i on H De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff or z p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil lication Rate th l i t C D Redox Description Texture Structure Consistence Boundary Roots GP D/ff Horizon Dep in. or om nan o Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L `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 format, ptease contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(8.6/00) . ~. 1 ~ o ~ t fZ. ~~ -e. -C ~. ~ l ~C. 2 h, ~- `ly ~ e~y s I y i z 5 ~. ~ ~~ w a~~ a~ t1~.Qso~, d r11 lop o~ ~ b ~' e.o n..n e rL. ~~ ,~ e l u a a r~2 1 o P o ~' t2 e, b~~Q~c.p~ ~•~ tot ,S 7 ~~ ~~.I$ t33 to v . ~8 t s r C~ 1'~~ ~~~e J ~ 0 4 2~} ~m i Sw (o~ Coen s ~ .~---~ <~ ~ ~ . Private Cinsits ~fllastiswater Trsatimant Sys#®m iVlanagament Plan Septic Tank And C3ravity In-Ground So11 Absorption ~amponsnt Pureuant to Comm 83.54 Wis. Adm. Code each Private CnsiM Wastewater Treatment 3yatem (P©1NT9} ehail include information and proceduros far maintaining the system within the parameters of ConRm 83 and 84, end the conditions oi~ approval by the department, agent, ar governmental unit. The approved plane and permits br system are on Elie at the county zoning ar heatth department. This management plan complies with Comm 83.54, W(s. Adm. Code, and the in-around gall Ab-sarptivn trampanertt Manual for Privets Onslts Wastewater Treatment Systems 88~- 1058?-P (8.8199}. Table 1: 9vatem Deaian 8oeclnoations anlta Permit Number --- - - ' Number o rooms es n ow - d ~ Es r~attd low -Ave a c Tank a i Sail o tlon ant ~ ~ of Wrater ~ i3omeetic Tabta Z: 8eii Ab~orotion Cornn~onent - LlMlts Of L~ellabl0 ~gp~r~tlan S+1 tic snk Com onent ! n Com Went D n Flaw -Peak d aximuM n cent article ize in 118 AAaximum O m ~~ Maximum t Th8 septic tank shalt be maintained by an individual certified to eerw'~ septic tanks under s. 281.48, 3tats. "fhe contents of the septic tank shall be disposed o¢ In avaardanca with NR 113, Wis. Adt~. Code (~ervicirrg Septic or Noiding Tanks, Pumping Chambers, ®rease lnterceptore, Seepage Bede, Sos-page Pits, Seepage Trenches, Privies, ar Portable Reetroarns}. 7ha ops~rating cpnditbn of the septic tank a~~d outlet filter shaft be assessed at 1®ast ones every 3 years "~y lrsspectian. The outlet ilitsr shall be caned se nec~sasry to ensure proper operation. The filter cartridge should not be removed unless provisions ern made to t~etain solids it- the tank that may slough off the tiller when removed from its enclosure. if the *~ Management Man for a Septic Tank and Soii Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated ~ntinuousiy. Intarmlttent filter alarms may indicate surge flows ar an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in th® tank exceeds 1/3 the liquid volume of the #ank. If the contents of the tank ere net removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service n®eds to be psrforvned to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. ,Exposed access openings greater than 8-incthas in diameter shall be secured by an effective locking device to prevent accidental ar unauthorized entry into the tank. No one should enter a septic or other trratment or holdlnp tank for any reason without beingr In full compliance with D.SHA standards for enteNn~ a confined space. The atmosphere within the septic ar other tr+eabnent of ho/dln~ tank may conb)n lethal gases, and rescue of a person from fhe tnterlor of the tank maybe dilYlcult or Impossible. Tank abandonmen# shall be in acxordance with Comm 83.33, Wis. Adm. Code when the tank is no !anger used as a POWT3 component. Boll Abs~,~ptlon GomnoD_e11t The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of rellabfa operation, Good water conservation practices by ail occupants and the instalfatian of water conserving plumbing fixtures are key factors in extending the useful life of this companent. The loll absorption component's operation moat be assessed by inspartion at {east once every three years. The Inspection shelf include recording the levels of ponding, if any, in the observation pipes, and a visual inspection far any evidence of surface seepage ar discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner far repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather oonditians improve. !n general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 .~ ~ ~ 1 _ Manapemant Pisn for a Septic Tank and Soli Absorption Component Plantings of deep-rooted trees and shrubs; directly over of within ten feet of the component shook! be svaided since root intrusion into the component may obstruct wastewalat flow. Contingency Pian In the avant of system failure, a new system could be installed in an alternate area. With the instaltatlon o! s diverter valve, the existing system could also be reused after a period of throe to four yeantF, k is the property owners respoHSlbility to maintain the alternate area fra from any planting of Yeas, shHibs, etc, In case of failure a< the original system, the aitamat~ eras will ba Headed. N any trees, shrubs, etc. have been planted on the alternate area, that' wits have to be romoved st l~l»hY owners expense. N alternate area is destroyed, there are other eitamatiw systems that can bs used, In which, oould result in added expanse to the property owner. Any tank abaHdonmant shell bs done in accordance with Wisc. Coda 83.33, Any questions regarding this Dods, please oontact your local Zoning Office or contact the installing plumber. Zo os ~ iv ~ 'D~ ~c,.~., ~1 t S) 3 $ to -' ~ X08 4 ~ck,~..~. a.1F~,... ~ c~ (`t t S) 3 ~ b - 3 ~ a L rt ~ ~. r,~n, b ~ N ST CROIX COUNTY SEPTIC TANK MAINTENANCB AGRBEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer l lJ~ 1c.~ ~- Mailing Address ~~ ~ ~~ 1 ~tl.~Sor~ (,J ! ~ ~ D 1 C..~ Ptoparty Address ` (Verification required ~~~ Planning Department for now City/State ~t ~ 5(?rl ~ c.~ ~ Pazcel Identification Ntunber ~a~ - l D l ~' -~-0 - yov LEGAL DESCRIPTION r c. S CSI~Si~t' - n~e~ '~Y~.~ce'`1 pipperty i,ocation ~ ~ Ya, ~ 'ta, Sec. ~~' . T~,_N-R ~~ W, Town of ~~~'~ Subdivision _ .Lot # _~. Certified Survey Map # _ Voltune ~ .Page # ~ (~~ ~ Warranty Deed # . Voitunc ~ ~.A33 .Page # U f Spec house ^ yes l~{ ao Lot lines identifiable ~ yes ^ no ,SYSTEM MAINTENANCE Improper uu and maintetutace of your septic system could result in its premature failure to handle wastes. Proper maintenance wnsists of pumping out the septic tank every three years or sooner, if needed by a licensed pumpec. What you put into the system can affect the fuacaon of the septic tank as a treatment stage in the waste disposal rystem. The property owner agrees to snbmii to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the ou-site wasoewaterdisposal system is in proptr operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is teas than 1/3 full of sludge. Uwe, the undecsigaed have read the above requirearents and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Deparmteat of Commerce and the Department of Natural Resources, State of Wisconsin. CertiRcu~oa stating that your septic systpm has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of three year rraHoa daft. `' - ~"`~`'~ ~~ 3rd / SI OF APPLI DATE OWNER CERTIFICATION I (we) certify that statements oa this form arc true to the best of my (our) knowledge. I {we) am {are) the owncr{s) of the p descn'bed , by virtue of a warranty deed recorded in Register of Deeds Oflice. ~-- IC1NA OF APPLIC DATE **•'•• Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning D mot, «««««« cP~ •' 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 l~~ STATE dAR Uacumtnt Nualber It WAl 1~1 4 ORM 2 • i999 D ED This Deed, made lxtween E. Hetchlee, a eaASSisd rsort -~-- --- Grantor, and Michael D. Vao mess afid Theda A. Van aess, husband aad wife ~sasteee. -- -- Grantor, fur a valuable consideration, eonveys to Grantee the following described real rsrate in St. Croix County, Stare of Wisconsin (if more space is need, please anach addendum)' Recording Area 644634 KATHLEEN N. YALSH REGISTER OF DEEDS ST. Ck01X Ci).. YI RECfItrEp FDR RECORO OS-0)-200f B:30 AB YARAaIii'1 DEED EXEMT R CERT COPY FEE: CODY FEE; TRRNSFEQ Fi:E: !26.00 RECORDING FEE: 10.00 PRGES: 1 Lot 5 of Ccrtified Suurvey Maps fled March i 4, 2UUS in Volume 15 of h"1T° and Room AdMess Cepified Survey Maps, I'6gc 4049, as Document No. 64Q387, being al) of ~® ~~ A ~~~~ 7 r'rL~ Lot Z of Ct:rtifird Survey Map Volume 4, Page 1079, hxazed in the NE ':. +~ O D $ , a„t,~(, t~~ /,3 of the N'E'/, of Section 14, T29N, Rt9W, Town of)ludson, St. Croix ~~~n( ~~ ~p~(. Coumy, Wisconsin. ~• ~~~ fl ozalot9.xt>.Ix)o ~SP1•"t-naw pe~~.1 Parcrl hleneifietuion Number (PIN} This is not homestead ProDem Exceptions to warranties: Easements, restrictions and rigttt~-of--way of record, i [any. a1 (rs not) Dated this f Q K day of March 2001 --- - ' • - _ - ' IEEa~er E I~eta0.4v AUTHENTICATION Signalwc(s) authenlicalcd this _ day of '~ "l'tTl.£: M£311$£R S"4'A'Y1r. 8AR OF W1SCpN51N i)fnot. _ _ au[horized by ~ 7p6.Qti. Wis. Slats.)` i- TN15 INSTRUMENT WAS DRAFTED BY Attorney Kristian Ogland itodsoa, 16 (Signatures may be authenticated or atknawtedged. Both are not rrecessary.) 'Names orPersorts signing in any capacity must be typed or printed below thei ACKNOWLEDGMLrNT STATE OF WISCONSIN ! ss. _.~ix __ County ) Personally came before me this f 4 r`" daytof March __ 2n01 theahovenaned Roger E. Fietchkr, o married person tome (nown y he the person{s) w o xecu[ed the foregoing ins men pU acknowledge t ze. _. ~/ Notary Public. Statc of Wisconsin --- My Commission is permanent. (tf n t, state cxp ration date: Iahtre. alo,wwuer, v„r...,,,,w coin WARRANTY UE EU SPATE SAR OF W tSCON5IN a^°' ro.r a° ~°` `a aooess-:m, } FORM No. 2. 1999 apls gay}o gas asea~d CERTI F1 ED SURVEY MAP BEING ALL OF LOT 2 OF CERTIFIED SURVEY MAP VOL UII~ 4, PAGE 1079, LOCATED 1 N THE NE I ~4 OF THE NE 1 i4 OF SECTION 14, T. 29N. , R. 19W. , TOWN OF HUDSON, ST. CR01 X COUNTY. W I SCONS 1 N. PREPARED FOR: ROGER HETCHLER NORTH QUARTER CORNER NORTHEAST CORNER SECTION 14 -FOUND SECTION I4 -FOUND ALUMINUM CAPPED MOWUIYENT ALUMINUM CAPPED MONUA~ENT NORTH LINE OF THE NE I i4 2645. 74' (s88.4/' oa•w) (f3PP.85' ) ~ N 89° 26' S 1' E 1322.87' - - - - S 89.28 _51' W 1322.87_ - - - _ - - ~~ -. Jlr- - - r - --~Ir- 1 NW CDR. i 3 a (. ^NE-NE LOT 3 CERT I F I ED .SURVEY, MAP ' APPROVED ~ ~ • • ' ' ' ' • r VOL UHE 4, PAGE 1079 ST. CRUIX COUNTY a~ h~p ~ • • t Planning Zoning and Parks (;nmmif+°° $$ M -n ~ .. ~ yyil q I ~A{~ 1 3 201 (N88.41'08'E) (393.37') ~ Z I N 89.35' 00' E 393. SQ' ~ !f not recortlan wiu~sr; 3U Cays or Q: 43.34' 550. 18' ~` approval date approval shaft be J I (4P. 8'S') z !850.5P') J~i~! mrtii acsrJ ti.~'ti ' 2 2 ~ ~~ Q w Q z ~~ J a: ~ j: 6' ~ ,` ~L . ~ ~ SHED J0~' .,~~ a~j-~ ° LoT 4 yes N M ~ ~~ ~ ~ ~ 3. P I ACRES • `~ '' ~ ~ ~ 'r' ~ m: 139, 90! S0. FT. ~ ~ `~ I~ ~' ~' I ~ ~ ~'' 2.96 AC. EXC. RiW ~ `~ .. I 100' vWi; OR 1 VE 128, 807 S0. FT. .. W h Itl~ +ZZ: mot: ~~? ~-,~ZI~ ~ ~I ' 142.46' j ~~ 408• ~'- a 2' 22' E ~~148.82' ,. N 81 ' IW.. w I NS I h "' -o ~' ~ g~ ~~ z.. ~I 33'1 (41.35') },`. I ~ it 41. TB' ~,P N 88.27' S3• E~~~ LOT S 191.28' J~ 3.00 ACRES 130, 837 S0. FT. Q 0 ~ 2.81 AC. EXC. Ri1V ~~ 122, 307 S0. FT. ~ \~ _ ~~ (550.05' ) r~ 349. T8' S 89.38' 39' W 58 f . 32' (389'41' 08' W) ! 391.40' ) z2' 3 3 Np h W '~ N ~ N H 0 ~~ QP LOT. 1 CERT I F 1 ED SURVEY• MAP .VOLUME .4,..PAGE. 1079. LEGEND O- SET I" X 24' 1 RON P 1 PE WE 1 GH 1 NG 1. 13 L BS. PER LINEAR FOOT. • - FOUND 1" IRON PIPE RECORD DATA BEARINGS REFERENCED TO THE o J~ W; Q: Z~ ~: rn)rn~ ~~SC~NSti' _„_ JAMES M.