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HomeMy WebLinkAbout042-1040-80-200 a O 60) oc g o x es c co� I v o vc ° 0 , N 0 M m O CD N M Hcc $ZL � o° E y m 0 c a3 m"-Z. c a y C Co ^c � f0 N @°\ I ti v @ o c cc N 'vim n c'-U 0 0 > o €o Cu Z m N N U O r 9 O SO LL C Y p N 7 T 3 a Crn CL oI Q J O 0.'t m Cl) N Z y I c LL V Z 04 a m ' o I o z v cmi v Z d Z c � H r N E U Cl) w •� (D c _ c 'p L Q z z O N co z d N y c d C', D O d L L m F�w Q O N N lA fFyA E v Z M > � 3 d Z O _ •Al R � � a a a Z y I IL CO C to J V 0 rn rn Z Cl) CD It co N a Y N co T E N CO m C d }� L N O CT N `o j- C4 C _� Q Z U) f0 Q C C m U rn N '7 j c N CO O 0) o CD CD m a N d N C3 w OD C co N " c Z A C N N i • 0 � rn O Z O Z H � fn V ` v� d 'm I E a I � •e L: �' • e� o• as m E E °% �1 A t� IL ', 0 U) c t Parcel #: 042-1040-80-200 01/31/2006 11:04 AM PAGE 1OF1 Alt. Parcel#: 15.29.18.235F-10 042-TOWN OF WARREN 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 Co-Owner DALE&CINDY GARDNER O-GARDNER, DALE&CINDY 'I 909 120TH ST ROBERTS WI 54023 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *909 120TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.845 Plat: 4348-CSM 16/4348 042/02 SEC 15 T29N RI 8W PT SW SW LOT 1 CSM Block/Condo Bldg: LOT 03 7/1816 NKA CSM 16/4348 LOT 3 5.845AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-29N-18W SW SW Notes: Parcel History: Date Doc# Vol/Page Type 07/30/2002 685389 16/4348 CSM 07/23/1997 916/122 07/23/1997 778/352 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 79200 264,900 Valuations: Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.845 50,600 163,400 214,000 NO Totals for 2005: General Property 5.845 50,600 163,400 214,000 Woodland 0.000 0 0 Totals for 2004: General Property 5.845 50,600 163,400 214,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 552 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON WI 53707 SW1%, SWi4, S15,T29N-R18W El CONVENTIONAL IU ALTERNATIVE State PlanLD.Number: (If assigned) , "Town of Warren ❑Holding Tank ❑ In-Ground Pressure Jc�Mound Hwy 65 NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: ;INSPECTION DATE: Dale & Cindy Gardner 409 South Divison Street, Roberts, 'nII 54023 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV: CST REF.PT.ELEV. r : Name of Plumber: Imp/MPRSW No.. County: Sanitary Permit Number Henry Nechville 3258 St, Croix 96021 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: ]TANK OUTLET ELEV.. WARNING LABEL ILOCKING COVER PROVIDED: PROVIDED: DYES ❑NO DYES ❑NO BEDDING: VENT DI A.: VENT MATL. IAHLIGAH RM UMBER OF ROAD: PROPERTY WELL: BUILDING: (VENT TO FRESH M. FEET FROM LINE: AIR INLET: DYES ONO EYE S ❑NO 111EARES' DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. 1P-Al MODEL. F WARNING LABEL JLOCKNG COVER PROVIDED: PROVIDED: ❑YES ONO DYES ❑NO DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBEROF PROPERTY WELL: BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FR0)N1 LINE AIR wLEr: PUMP ON AND OFF) 1:1 YES ❑NO NEAREST _,j SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing fORCE LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN soil is dry enough to continue.) CONVENTIONAL SYSTEM: " WIDTH: LENGTH. INC,.OF DISTR.PIPE SPACING. COVER .INSIDE DIA.. #PITS-. LIOUID " C TRENCHES. MATERIAL: DEPTH: PtT' GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL. N0.DISTR. UMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES. ABOVE COVER. ELEV.INLET.ELEV.END. PIPES. FEET FROM LINE: AIR INLET MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thr7pslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES ❑ meets the criteria for medium sand. TIONS MEASURED. NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES ONO DYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED-. MULCHED. CENTER. EDGES: YES ❑NO ❑YES El I1:1 YES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER. TRENCHES: 3 t ��fGlEnlf;1�3NS ° MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.: ELEV: DIA. ELEV.: PIPES: DI A.: HOLE SIZE HOLE SPACING: DRILLED CORRECTLY. COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. DYES LINO ❑YES 1:1 NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: 3iR PROPERTY ERTY WELL: BUILDING: 1-1 YES ❑NO ❑YES ❑NOIEARS70M' Sketch System on Retain in county file for audit. Reverse Side. ATURE: TITLE SBD 6710(R.01/82) SIGN Zoning Administrator INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanita,y Permit Transfer/Renewal Form (SBD 6399) ii be submitted to the, Bounty prior to installation; 5. Private sewage systems must be properly maintainedkThe"septictank(s) should be pumped 11,y a rice„tsed pumper whenever necessary, usually every 2 to 3 years; 6. :'f you have questions concerning your privat» sewage systern, contact your local code adrnin straf:or or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owners name and mailing address. Provid:> the legal description where the system Is to be installed; 11. Type of building or use served: If public is checked; indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; 111. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair, IV. Type of system: check all appropriate boxes depend'ng on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 81/2 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; dosing or pumping chambers; 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 manufac',urer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. --------------------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation i9 more cammonly known as the groundwater protection law. This change in statutes was the r result of over 2 years of steady negotiation and public debate. The groundwater bill Groundwater.- included the creation of surcharges (fees) for a number of regulated practices which Wisco ;W$ a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buriedre sure is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. 0 The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Fi>sources. These funds are used for monitoring ground- f ate.r, groundwater contamination in.estigations and establishment of standards. Ground;n.ater, >,'s worth protecting. 5vD-6398(8.03/86) DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm.Code S� ' �d/ �.,..a........�..,� STATE SANITARY PERMIT# 9 � –Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. ? _ –See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES Cn NO PROPERTY OWNER PROPERTY LOCATION &a I(f f 6-a H d Al S W '/4-9&r 1/4, S (-S' T 9, N, R E(or)W PRnPF4Tv OWNER'S MAIL Nr-ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME 4ax3. South Div lion Street, Roberts, WI 54023 CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK LLAGE: II. TYPE OF BUILDING OR USE SERVED: - D +`D vo Number of Bedrooms if 1 or 2 Family —�+ OR Public(Specify): Ill. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. NeNew b.❑ Replacement c. ❑Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. ❑Conventional b. ❑Alternative c. ❑ Experimental ,,,/� 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.[. Mound f. ❑ IGP In-Fill Tank V. ABSORPTI N SYSTEM INFORMATION: (Check one) 1. a. See a e Bed b. ❑seepage Trench c. ❑seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 7 3 74 F "� Feet Private ❑Joint ❑ Public VI. TANK CAPACIT Site in allons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tan r Holding Tank /2�� (,tJ%E��� Lift Pump Tank/Siphon Chamber 7SU oo ❑ ❑ I U ❑ 1 ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) M RSW Business Phone Number: Plumber's/Address(Street,City,State,Zip Code): Name of Designer: LS Cc1� 3 yoa3 GtC 6 ,•��fi VIII. SO TEST INFORMATION Certified Soil Tester(CST)Name CST## d6Eh � L6 �- i`e 1�7- ;Z y g-211 CST's ADDRESS(Street,City,State,Zip,Code) Phone Number: IX. COUNTY/ EPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial S charge Fee Adverse Determination )� D d �`� �� f�/V X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber APPLICATION FOR SANITARY PERMIT STC - 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/contractor, ("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 c Location of Property s ;4 s ' , Section `1 , T 2�N-RZL W Township �7 Mailing Address %U Z S , S7 /&9d 5"TS S5'at3 Address of Site �T' /� s�• lfe�r 7'5 Subdivision Name Lot Number Previous Owner of property C, r' (i n C Total Size of Parcel ,J fTct-,e Date Parcel was Created l d 7 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume 22-1— and Page Number 3S as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) ceAti.6y that at statements on thus 6onm cute tAue to the best of my (oun) knowledge; that I (we) am (cute) the owner(.$) o6 the pro peh ty dens cA bed in thins in4onmati.on 6oAm, by vi4tue o6 a wa Aanty deed %eco,%ded in the 06jice o6 the County RegisxeA o6 Deeds as Document No. 2,S' gyp; and that I (We) pnesentty own the pnopoz ed site bon the sewage dispozat system (on I (we) have obtained an easement, to nun with the above descAibed pnopenty, 4on the corvstnucti.on o6 said 4ystem, and the same has been duty tecotded in the 066.ice os the County Reg"ten o6 Deeds, as Document No. ) . SIGNATURE F OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) �J1_7 DATE SIGNED DATE SIGNED I 4 EtN[T P40. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA �f i `.'." OF WISCONSIN FORM 2-1982 C a 4256' 'fl 7 7R�a�,E 52 ---_-- rIGAsrRS officE 1' � yn: ST. CROIX CO., Wis, rv�n C Nilsen, a single man Reed for Reword this 15th - ----- ---------- -------- ---- ,I r - ------ -- - - dO'df Ma�_,�,_A.D. 1987 r: a --------------- --- 8:30 A & I' conveys and warrants to ___. �_ �. y YC�TL2Y------ --- �I _ and safe. _marital.survivars3 g-I oge tY--------• ' ----- ----- n -------------------- : n „.-__ -----------------____ __ __ ._._..__ .__.... _.-.. ._._____._..:.._-..__ RETURN TO .�e {•- Cindy /^ay�a. r '{ .. -----------------------__--------------------- f� 9( s �.7Lii.L711Gi . 710 '1lcrest, t. 2 ---_ --- - ---_ - ---- - Nr Ap St. C�_ A1x ------ Ba7;clw��, �1iI .54QA2 .'� County, - � ing' Oresc;�ibed real esta;e io. _. . ................................. , ` r Tax Parcel No: �n h ��1"cif' 'land, in the Sri of the SWk of Section 15,' T29Nr RIM described as � art,,sue -i of�� .fed' S�irt�ey Map recorded May 14, 1987 in Volute 7, Paces 1816, 'loo t #425669 the office of the Register of Deeds for St. CrOiX County, a. 'r FM V. +t ' } 4 , t - t a Y n p - i v« , �= •; This hainesiead property. A •^° "a, '4ie) (is 40t) Cd r T WTTH AND SU&TWr TO any other easements, Covenant, -Fxcept(o.i to,warranties: tiom oir restri..oticns of record, if any, but this shall mt be deemed to extend k othPx recxarded fiances beyond the term established by law therefor. of ,OatA _.: .14th - ------ day of -------------- - - - - -- -- ----------- May 19• a w ---:--(SEAL) I ENTq, r r Ervi n C Nielsen` „S ___ (SEAL) -------------------- --.-(SEAL) { A-UTHENTICATXON ACKNOWLEDGMENT ` ture(s) of Ervin C. Nielsen STATE OF WISCONSIN ss ;. n - - r - •= _ l ------------------------------------County. autl;�tntica thi -14�1a of-.__-..Md�i__ ___ 19__82. Personally ame before me this ____ __________da of ' y Y e �i'..c.. --------------------------- 19'- the above named --•- ------ ----• - -:--------4----------- ------ T3�3 : MEMBER STA`� S AR OF WISCONSIN k (If not, --- a - k,sut$orizet3 by § 706.06,Wis. Stats.) to me iinown to be the person ............ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY '{ - ��' tqh F Qwin, Gwirl & C�,rin ------- ------------------------------ --------- ----------- ---------- ----- ,. <. - --------------------------------------- - -------.r 9..2nd St.t Hl�C 9011 V�I 54016-------------- -- Notary Public ------------------------------------------County, Wis. ?n SWatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration are dirt necessary.) ' - date. ------- --- ---------------- •-- ------- ---------------• 19.-------•) � ,. , `n' �Npipaes persons signing many capacity should be'typed or printed below their signatures.' ti WA$RANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Thank Co. Inc. FORM No. 2— 1982 Alilwaokee. wis. ..� H z H a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT ►-� St . Croix County z OW N E R/-0-G4ER1 ROUTE/BOX NUMBER 7LJ 5 �I 01 9/,OA) c Fire Numb�er., CITY/STATE AIS"TS ��-S ZIP T C! Q PROPERTY LOCATION: 5-4J 5� /� Zy fg a� 14,QSection , T N, R W; Town of "� /� , St . Croix County, Subdivision Lot number e5­44e5­44-1 s &I y Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists 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 treat- ment stage in the waste disposal system. St . Croix. County residents may be eligible to receive a grant for a maximum of 60% 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 veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary) , 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. H 0 E I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set ' by the Wisconsin Depart- b ment 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 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 . INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate sail test,your report must include. 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; b. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; B. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; J. Complete all appropriate boxes as to dates, names,addresses,flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation)does not apply, place N.A.in the appropriate box; 11. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10") BR -- Bedrock cob Cobble (3- 10") SS — Sandstone gr -- Gravel (under 3") LS — Limestone *s — Sand HGW — High Groundwater cs — Coarse Sand Perc — Percolation Rate med s - Medium Sand W — Well Ts Fine Sand Bldg — Building Is — Loamy Sand > - Greater Than "sl -- Sandy Loam < --- Less Than *1 — Loam Bn - Brown sit Silt Loam BI — Black si — Silt Gy — Gray cl Clay Loam Y - Yellow set — Sandy Clay Loam R — Red sic[ — Silty Clay Loam mot — Mottles sc - Sandy Clay w/ — with sic — Silty Clay fff - few, fine,faint Ix Clay cc common, coarse pt Peat mrn — Many, medium rn Muck d — distinct p — prominent HWL — High water level, Six general soil textures surface water for liquid waste disposal BM — Bench Mark VRP - Vertical Reference Point T..1 THE OWNER: This s sot tee report is thaw first step in securinq a sanitary permit. The county or the Department may request c(( ficafi'o-n of dais soil test i n the field prior to permit issuance. A complete set of plan, for the private s vsge sysl�crm and a permit applicati€3rl must Ise submitted to the apps opriate local authority in order to r,n%pn ,j l �" rr�. TI)e sa€jitary permit nlust be ob ained and posted par for to the start of any cons-,-ruction, DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.0911)&Chapter 145.045)�r-A�f ---y LOCATION:4 SECTI N: OWNSHIP. LOT NO. BLK.NO.: SUBDIVISION NAME:�N.A�M E: /a /T4 cs-f , 6- - lam /a , R COUNTY: OWNER'S/BUYER S NAME: MAILINGADDRESS: , 5-1,zQga AA lgaS- mil,' GfiiPO�v�� yo � 5- ipivlS,Iia u YV, IP0 9& TS was. Syo2 USE / — Si — 33 DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTIO��4New (PROFILE DESCRIPTION E ATION TESTS: Residence 3 N,14 . ❑Replace i�J��. 2-2-- P� /S 2,P 8� �'ouury-&d—S�T� /,el Z�—lC�? - RATING:S=Site suitable for system U=Site unsuitable for system 7 CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: YSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) OS WU S ❑U DS ®U ISE]S DU ❑S E AaaW12 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: C`43-s Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS tfs si}7TiPE S'i� BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) ' ► /.D' FAVfil 2,0 glo c,Kr all, .O 04J. GA) . s ' bR 51 2.0' ORAS wi-11.. ko44L- -v (3AA10S OF .2" w�DE OI iUE Si'L B- 7 ' /,9Z . 70 A /./6 D ip.S• ) a. I ) 7 0 . Cou s B- 'I �'V Ta1 fiNE o&,K �'C--rE-WTEp S4.0 2. * AoV+CEI� S� B-,3 l.d 100,66 �aF gsk+ .iSAvD w'•1'li..l f4 f. oR-&COURSE.o 4-S /$' ' $a B-/ /,0'i /p' 41k. Si 2.3 ' BO. alack-y $0, 2.7 ' �a 80WP O 00,710 .3 S 5 w-tt, 41,_, ". 4a S VAJ C r OR -&Y' n O+,S - I i /,p' 3w IIa • Si1, .2 3 , Ba• 0100.& / .51/.1 /,? ' OR,13A""" IB-S 170 /by/0 7'lrf" 3. 6 S/ w �•1 f, ok-G . N D+S 2,0' o%ve-- . C Su 4,V CIZ-VhT/ONS OF }-PEJeC S PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLIN INTERVAL-MIN. PERIOD 1 PERIOD 2 PER1003 PER PER INCH P- l 2 /o/.s Z Z r& Z - 7 P- P-y Z /D/,S 30 P-_ P- vas D P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori. zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ,sa,V I ROC& /N-TER IrAC 15— _ /D Z j Q SYSTEM ELEVATION i.uvE�PT of /" o/S7R�so �pA., P,oE _ /!� 3 .o _ f } _ t r i I E 7"t I � 77 i?414? E . , g 1 i v --» l i v� Q s �1 s ptio systen _ laa - - E , I EC t�S R flh`�l G kA �O/l 00e G7. A QOM S Nv Ol ''fv SY•Gr � r�3A �lNt�- �-- {9d2.vl�/1 P�ieGh Epp. lli 9/�? &bf 7Z 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 WEC�P2�ON: /�4? ADDRESS: RT. 3O'NEIL RD.,HUDSON,IMS,WIG CERTIFICATION NUMBER: PHONE NUMBER(optional): ROBERT ULBRICHT . 33U7 WPM& CST SIGNATURE: 'INN.INSTALLER&DESIGNER LIC.NO.00663 DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — h6- REPORT ON SOIL BORINGS & PERCOLATION TESTS 115 PLOT PLAN Project I.D. ,die , X5- Z41� Gq,2D,�E12 Sw%ysw iy S/�� Ts�'ti, A°/0 w W4J eww %o/v-v s///0 noMESITE SEPTIC PLUMOING M LEGEND 11&O'NEIL RD.,MU090N,MIS.5416 ROBERT ULBRICIIT • = Ba ckh oe Pits MIS.LISTER PLUMBER UC.N0.3307 VIM MINN.IN9TALLER i DESIGNER LIC.N0.WA X - Perc Locations C.S.T. 2482 Q ° Existing Well � N V ertical Reference Point Top o f S u 2oEY0 'S pipe C 'AT Nw l T COMP,0E�Q - Elevation of Vertical Reference Point Lot Line BERT REF pf h No. /or /:NE �I SCALE ry • /"PrPE SET f/E f� r /D/,,j 2 Tot c.;uc � * ? • of � f ZS s6 -B �\ . Ga \� • Ptpr ser c'IeV.= /0/ ly V This test site NOT APP�t D OVE. . �. for a conventional septic syst 3 See explanation- sv. lo7r t.",e PAM. Cv0O Private Sewage System Plan Submittal Requirements 1) Review s. ILHR 83.07, Wisconsin Administrative Code to make sure that your plan is required to be submitted to the Department. 2) All submittals must include a completed plan approval application form SBD-6748(R. 8/85) and two complete sets of properly signed plans and specifications. Plans shall include: A. Plot plan showing lot- size and all lateral distances from the system to build y building, wells, water service piping, 1 9. ines etc. Sh watercourses, ow er p manent horizontal and vertical reference (benchmark) . Indicate direction and percent of slope or two foot contours extending 25 feet on all sides of initial and replacement systems. Provide system elevation and show area for replacement new conventional construction. Include all weather sericead for within ten feet of the service port on holding tank installation. B. Plan view of soil absorption system showing all dimensions, pipe lateral layout, pipe lengths, spacing, etc. Also show observation pipes and permanent markers when required. C. Cross section of soil absorption system showing system elevation; aggregate, cover material , depths, etc. D. Construction detail of septic tank, if site constructed, or manufacturer if prefabricated. Holding tank profile must show vent, manhole, alarm, and manufacturer. E. Detail of lift pump tank or automatic siphon, tank size, gpm, gallons per cycle, vertical lift, friction loss, pump, or s.iphon model and performance curve. F. Photocopy of soil test report by CST. G. Provide application for use of an alternative system (DILHR SOD-6413) signed by owner and notarized, county on-site, and verification form signed by county_ (DILHR SBD-6150). Note: These forms are required when* submitting plans alternative type systems (mounds and inground pressure systems). 3) The plan must be identified as a priority plan review. It is recommended to take a blank piece of paper and a marker pen of a brilliant color and mark on it, "Priority Review. " The date, time and reviewer's name should also be included. 4) If the plan submittal does not include all required information and fees, the plan will not be reviewed. It will then be the responsibility of the subm)tting party to reschedule the priority plan review appointment. 5) Mail in priority plans must be received by the Division of Safety and Buildings a minimum of 3 days prior to the scheduled review date. SBD-7778(R.3/87) Date:lX" o" l q7 T Bureau of Plumbing 201 E. Washington Avenue P.O. Box 7969 Madison, WI 53707 �4 In Person —Z • U)I..yam Mail In 17 1 t Plan Review Appointment Private Sewage {{ i Project Name:. Project location: %hA), City/Co. : Owner: Address. City/Co. : L[' j �'�����. • An appointment has been made for you to have your lan(s) reviewed on IVY at F�'� o P.M. by If you must cancel or reschedule please call (608) 266-9375. Please review the back of this notification for those items that are required for plan review .submittal n Thank You i a,Cf SBD-7778(R.3/87) ,� i . 1 PROJECT INDEX SHEET OWNER: � 1� el;goy ADDRESS: `�O .S. SITE LOCATION: TZh TOt✓,.j of (/�A�$E� ST. c Rai-X PROJECT DESCRIPTION: S-0 ACS[ S ' Ew -dAJ S Co. �Sa L � �i�.w.tT�o.v f3.,,, Zo,���$ fF D•�[��u i S7i�?it r�K Of ST• CPOCK Cov.vTy pEVt�L -PeR$AOt ff f3Or SEAS "ALL/ S;tt Dc-c- A-e i)RM op ..-A t f 4s PS�iM .� sire IS Svi T�iQ/� f4# MO Lw� S�.f -�,,•., Y PAGE 1 . PLOT PLAN VIEWS WAGE 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS PAGE 3. PIPE LATERAL LAYOUT PAGE 4. DOSING OR SIPHON CHAMBER CROSS SECTIONS PAGE 5 . PUMP PERFORMANCI,' SPECS OR SIPHON SPECS PLUMBER: SITE EVALUATER/ DESIGNER YHOMESIR SEPTIC IWO"Ca IT.3 0 NEIRT WIS.5400 013 %DTs W s EA� NO. 0o AL INsi DESIGNER .�NO.Ow DATE: T # SIGNATURE: RECEIVED MAY 111987 PLOT PLAN T� I^A)S B4oe#0F aoRIA)&O /or G��uEs LOT /UPON Str' Qy Su pUtyok �I&U. = /00. 0 16 iwae- L-CT o GSM 1p£N0IA6- S . o ACRES / /o%31 fIE�.of-row��a f�•♦ '> I i00,� PLUMBING -INN p P RKI� ' t F v ED )� n• 4 O i; T i= IP�..JSI'i�Y. ! '� h�0 Nu'r�F,t� iicLATI0N9 ✓ f- ,`f'7J!'d1SWW OF SAFETY PUliM, 99 0 60 •sir= C0RfxE9P0t"i�E- 1 0 �:'fv'.�I.A:Y.t.�'f1�.w•�.�M��M�7F �i 3 ✓' ..:. .:l e'r'r.-.ri4s+aY �R/ 1 s IS `r !aD of 3'� � 6a.46 3 WRA' STATU RPPROvO �QoPpSED �. I2.00�t/76-0 o �J 3 COMRiN/rTlov SEPTIC Pump ch,1KBeie IMMDEr Roc&, wiS k w GoT CO�PN�ie- S RECEIVED y MAY 11 07 k;. Page ? Of s Synthetic Covering Distribution Pipe Medium Sand S y fTeM c EW01W Topsoil 3 E y x Slope Bed Of Force Main Plowed Aggregate Layer D Ft. Crass Section Of A Mound System Using E /• 3 Ft. A Bed For The Absorption Area F • 7S Ft. G �_ Ft. L �►t ccre+•'--. _ ��. �: A Ft. H /. S Ft. B Ft. € K /O Ft. 1,J rri j �r EN, y, , , ";.�riF� Ft. ,.. W Z Ft. L � Observation Pipe—� 9 —K - AI•---------------------- ----------------------i W I° --T------- -------- Distribution Bed Of Zr 3"pI/G Pipe Aggregate �oRCe Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area , RECEIVED MAY 1107 PLUMBInC, P'Y1F-AtJ Page 0f ✓� hor lolE S up e'yti� foR pv,PiNb ��39�o DowN Perforated Pipe Detail / 0 End View )Perforated End Cop •� PVC P.pe • oion�ice �• � O�s�° � Holes located On Bottom, S Are Equally Spaced s e � PVC Force Main P . PVC Manifold Pipe ' c� Alternate Position Of Distribution Force Main Pipe Last Hole Should Be Next To End Cop End Cop Distribution Pipe Layout P 13 Ft. R �,. S 32- PLII+ li91 ` X 30 Inches Y Z/ Inches t Hole Diameter �`� Inch Lateral / Inches) l� �� � � � ti� r•, ,�r,.f Ft�lA7Yti�4 Di �tZS ,,.•.,,�,��,� i . , �.� ,P Manifold L- Inches i tl� I',i.i ( f GiYl�ii� : lt!' SAI°ci�Y-�NJ BiliLi}�1uS Force Main " 3 Inches t'tt COR,-4E P 0 N D 6 N C E #of holes/pipe A0 Invert Elevation of laterals /03•OFt. S�wv/�oC k S yS`rC*A E levATior3 102- ..-CO ,Nt vtif V%S lti Aid E A47F' .tt. �'�TE�� l.s �,.a.,�Q = 12 ,kf bo. 141 7 00/amc- -fob 40(�GE / 'V ECEIVED MAY 1L1987 Pt fM=JFj ADS v�ttMi►�t«w.a �Iwarlo« f PP�°X' � Ivoclnw. Cave � A • aNUC �.�..rwc 4" C.T. N+Arat71W1SPOW466 C.I. PIPL 3' Was~ lMMY�i vw IMM. O►i�ItLT• � .,<. mss.ht►, WF �•, ALA. Poe Ti sa. ii 4■,.7T ` •X is ?:T.. .�'� • `y Lit' WOW so �a� t�►��:1F;'r�'` '� sir. + LL SEPTIC ! 3PEGIFI'GA1�1�►ls 0069. �uiESE,e 4 t%t, .c �iQooaCl rtR a 3 TI�K� /''►IWUfACTURCA: '� 00N. PLR pm TAVK SIZC:/Z0O S91"'C 1SO PuNp GIgA•,Afl� �AL.LOMt OOA; NOLYMC -1,SO t 2'2'6$oj. i ALARNk M + G'�Y�ir: LTV / Al/tQM ox&m m at"ft Vs <Z '—' �iA►`�OYi IwOKL yuP.itR:��•L • capac w A.? Nm OR 3.�..WLLO�is &WITCH TNPt:,�l£RGV/g ]�/d�FT` 2- *awl of 3 0 GALLOWS PUMP AAUUFACTUR[R• -,'A f14j0 II S C•._.•_w[Ilts ox 7717 w►LLOUS A00CL NUMKR: - a• 1 �:•INGNEA oft "LLOMi SWITCH Ty/c: 4fyA4,e � �(/�� `/D�IIs j10TV PUMP AM&ALARM AR[ TO K MIWIMUA OISC%AR" CAT'c 7Z- �_ NVALL99 OW WARAT; CIRCYITA V[QTICAL 01/I[ MP ��OI ANO G4TRIWTIW KFtCT CS ' - too + AIMAUM 41CTWORK SUPPL51 PRt%SURC . . . . . . , _•jam rt[T o f apt(,. + �rE9T OF n acc pAIW x ��Y.!Xe ogftT"Mesa...�OS PuT TOTAL DV&^MIC READ •2.7., . «cT T OTA L �� T �• Ao IIJTERUAL OIMCIJ61011A O/ TAUK: LEM&TM ...MIOTH 7, .;LIQUID OCPTH .,. ,p p , q P o RTIo� L Ea o- SG w%Dtl�, 7 D Liowiv D�P111 50q loft RECEIVED MAY 1107 HEADI i CAPACITY 110 32 106 CURVE '°° - 2S eo- n " EFFLUENT 24 io MODEL and 22 75 RMODE 'n DEWATER/NG = �• U 2• FE z N�A 16 60 o 65 H /b MODEL 183 MODEL I� 11 46 108 12 W 35 — 10 MODEL 30 YODEL 137,1 • 11 SEWAGE and 25 DEWATER/NG 20 MODEL 15 YODEL 181 4 7 10 - u~i 2 MODEL F LL 5 53.55. 67.58 0 GALLONS 10 20 30 40 50 00 70 00 00 100 110 24 - — LITERS 0 80 160 240 320 400 75 — 22 FLOW PER MINUTE 70 20 G MODEL - - --- - - - 205 W 55 - = 18 V 50 - - Q14 MODEL 2 284 O J MODEL H 10 283 - - 4- I r-- MODEL H 30 256 - t - MODEL 6 20- - 282 15 - -- - - - 10 -MODEL - - --- ----- - 2 267,288 - -- - - - - u JIM ON AfNm Lww GALLONS 10 20 30 40 5o 60 1 70 60 1 00 100 110 120 '130 180 150 160 1'70 100 In P.O.Box 1CM7 LoL*vft Konhrcky 4010 LITERS 0 80 160 240 320 400 480 580 840 720 (50)""731 FLOW PER MINUTE RECEIVED MAY '1 1 1987 k ST. CROIX COUNTY WISCONSIN ZONING OFFICE 798-2239(HAMMOND) 425-8383 (RIVER FALLS) HAMMOND, WI 54015 May 5, 1987 Division of Safety and Buildings Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir : An on site investigation for the Dale Gardner property located in the SW 1/4 of the SW 1/4 of Section 15,T29N-R18W, Town of Warren, St. Croix County, revealed suitable soils at a depth of 3 . 5 feet, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office . Sincerely, / Thomas C. Nelson Zoning Administrator rc f STATE OF WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING P.O. BOX 7969 - MADISON, WI, 53707 APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM Location: TownshipAK&V9 SW �4 SW S 15 T 29 N/R 18 J)WW Warren Street Address: Subdivision: County: 409 South Division, Roberts, WI 54023 St. Croix Landowners Name: Mailing Address: Mr. & Mrs. Dale Gardner 409 S. Division Street, Roberts, WI 54023 I (We) , the undersigned, hereby make application for an alternative system on the above-described premises. I recognize that the above premises are not suited for a conventional private sewage system. If approval is granted, I agree to have the system installed in conformance with the Bureau's approval of plans and specifications. I further understand that an alternative system is more complex in nature than a conventional private sewage system and as such will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Bureau employes or other authorized persons to have access to the above described premises at any reasonable time for the purpose of inspection the construction of or monitoring of the system. I further agree to either personally or by my agent contact the proper county official to arrange the time and date to begin construction of the system. I understand that this application does not permit me (the applicant) or my agent (the contractor) to begin installation. If the system is approved, the Bureau will send the applicant a letter of approval which authorizes construction of the alternative system after all necessary permits have been obtained. I agree to give notice to any subsequent buyer that an application for an alternative system has been made and if installed, that the premises are served by an alternative system and further agree to give the buyer a copy of this application. The Bureau accepts this application subject to this understanding and subject to all the conditions and obligations set out in this application. Signature of Applicant Date STATE OF WISCONSIN Subscribed and sworn to before me SS. COUNTY OF St. Croix This day of 19_. Notary Public, State of Wisconsin DILHR-SBD-6413 (N. 05/81) My Commission Expires: WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS T DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location SW 1/4, SW 1/4, Sec. 15 T 29 N, R 18 J$W W Town Warren Street Address 409 S. Division, Roberts, WI 54023 Lot No. n/a Block n/a Subdivision n/a Landowner's Name: Dale Gardner The application for this site is for: © new construction use. ❑ replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: ❑ to have one of the first five approvals guaranteed for this year. This is number - - of those applications. (Use one of the first five quota num ers issued to you.) -lone of the applications needing a quota number. The quota number assigned to this application is 59 - 06 - 8 ❑for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. ❑for an application on file prior to February 1, 1980. ❑for a lot that meets the criteria for a conventional private sewage system. If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is replacing: Fla failing conventional . soil absorption system. ❑ a holding tank that was installed and in use prior to February 1, 1980. ❑ a privy that was installed and in use prior to February 1, 1980. If this is a REPLACEMENT SYSTEM USE and the lot meets the criteria for a conventional private sewage system, check here. I certify that the above information is true and accurate to the best df my knowledge. Name Thomas C. Nelson Signature County Official Title St. Croix County Zoning Administrator Date May 5, 1987 DILHR-SBD-6158 (R 12/82) OL 425669 CERTIFIED SURVEY MAP LOCATED IN THE SWI/4 OF THE SWIM OF SECTION 15 , T29N , RI®W, TOWN OF WARREN , ST. CROIX COUNTY, WISCONSIN. OWNED BY: E.C. NEILSON R T. 1 STONE LAKE,WI 54876. WI/4 CORNER OF SECTION 15, NOTE: BEARINGS ARE REFERENCED TO T29N, R18W (COUNTY MONUMENT THE WEST LINE OF THE SWI 14.(REC.AS N I FOUND). NORTH. APPROVED O rn II UNPLAT.TE0 .LANDS MAY 141987 x M I M ao' I 1° ST. CROIX COUNTY COMPREHENSIVE PARKS PLANNINO, N89059'15"E 581.00'. AND ZONING COMMITTEO ao.00' 541.00' W W•• • Y Y \�eN �• right-of-way line L 45' M -L f" � 5 O'C+7Ni1Lll f . -0 . I B+,pbtoa of Deeds _ . O o a . ME ��r M 3 LOT I 1 in , W W• W x HI O 5.00 ACRES ; F= 1- c (217,875 SO.FT.) I O yl 4.68 AC. TO R.O.W. O o Z (202,875 SO.FT.) Q J• Z 1L J Z F I �. W E _.. W ` t S W 3 • 40.00' _, 541.00' ..... ... . . . . . .. 1"• S,89059' 15"W 581.00' 0 (MEASURED AND RECORDED) I I UNPLATTEO LANDS. • • ••••• • • •• • •• •••- 45' 40' ItY I O e SET I"x 24" IRON PIPE WEIGHING Y 00 1.13 LOS. PER LINEAL FOOT. w M s� tr JAMES M. •n 1 n IRON PIPE FOUND 'f WEBER S- 1804 SPRING VALLEY to I x VVIS.• II SCALE - 1": 100, ; &1,�. /m ........ 13U 9 01 50' 100, 200' I.. ... . . . . . . .. . . . . . . . . . . . .� ._... ... JAMES M. WEBER•S-1804 ....... .. WEGERER, WEBER AND ASSOC. 1. 1 _ ••SW..CORNER..OF..SECTION..15,.... . . 1 .. . . . .. T29N, R18 W (COUNTY MONUMENT �' �' " I.� FOUND). SHEET I OF 2 87- 90 I Vol 7, Page 1816 THIS INSTRUMENT DRAFTED BY 685389 VOL 16 PAGE 4348 t KATHLEEN H. WALSH APPROVED ; ; REGISTER OF DEEDS ST.CROIX COUNTY 'A ST. CROIX CO., MI Planning 2orirn rya�,.�, r_M, •.., .JAN 2 0 20 RECEIVED FOR RECORD JUL 3 0 2002 1 ST.CROIX CROIX C 07-30-2002 9:45 AM OUNTY S(!RVEYOR'S RECORD CERTIFIED SURVEY MAP approval d e approval Sha;i 0t. '��� CERTIFIED SURVEY MAP COPY FEE: 3.00 PAGES: 2 LOCATED IN THE SW1/4 OF THE SW1/4 AND THE NW1/4 OF THE SW1/4 OF SECTION 15, T29N,R18W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN, INCLUDING LOT 1 OF THAT CERTIFIED SURVEY MAP PREVIOUSLY RECORDED z°z ^° IN VOLUME 7, PAGE 1816 AS DOCUMENT NO. 425669 IN THE ST. CROIX COUNTY o= n S REGISTER OF DEEDS OFFICE. u $ UNPLATTED LANDS OWNERS / SUBDIVDERS N a z I OWNED BY WARREN DALE & CINDY GARDNER CEMETERY ASSOCIATION 909 120TH STREET 5m: 45' 33' ASSOCIATION , ROBERTS. WI. 54023 zz 9°45'20"E 280.50' 3 00j 40.00' 240.50 BEARINGS REFERENCED TO THE WEST LINE OF THE SWi/4 OF SECTION 15, PREVIOUSLY RECORDED AS a AND ASSUMED TO BEAR N000 00'00"E ( NORTH ). 3v �I 40'I }' LOT 4 SCALE IN FEET I°= 150' a �� a 0 75' 150' 300' Im I m ~' QI in m `a °C <_ in to i" IRON PIPE FOUND N58 50'23"E 0.94' I FROM COMPUTED POSITION _N_ I q: r�B 1" IRON PIPE FOUND S61 38'38"W 0.89' cv LL 1n FROM COMPUTED POSITION. °? w! 1 CO 1" IRON PIPE FOUND S03 16'03'W 0.18' cu J� 30 j3 FROM COMPUTED POSITION. ° LEGEND u; oj cu mi ° g - INDICATES SECTION CORNER MONUMENT U00� a ( AS NOTED ) 40.00' �'. Z 0l g S89°4520"E 280.50' • - INDICATES 1" IRON PIPE FOUND ( SEE NOTES REGARDING IRON PIPES ) o w . 240.50' ' Lo X--E - - INDICATES FENCE LINES. $ o i (9 z° $ of m -�- INDICATES 1" X 18" IRON PIPE WEIGHING 3 I $ _j. 1.13 LBS. PER LINEAR FOOT SET. H' w Z° m N890 59'15"E 300.50' O Z �o LOT 3 I =)I o ; 254,614 SQUARE FEET ( 5.845 ACRES ) Lu z 45' cO• m SHED INCLUDING RIGHT-OF-WAY °o fDD I 234,353 SQUARE FEET ( 5.380 ACRES ) in o EXCLUDING RIGHT-OF-WAY r- cn in m 3 I * OS ' SEPTIC AREA o G BER i 'DWELLING S NEW H CHM D LOT 10F o s�% w1 ..�f z ®� CERTIFIED SUREY V MAP N =I 4tio's"""•� 40.00 VOLUME 7,PAGE 1816. ' 541.00' O © S890 59'15"W 58 1.00' 45' 40' I _ UNPLATTED - I UNPLATTED LANDS 0 I -LOT-2 -OF LANDS I •► CERTIFIED SURVEY MAP Q I I cn cn VOLUME 9,PAGE 2627. w LOT 4 CONTAINS: , S 130,681 SQUARE FEET 3.000 ACRES ) INCLUDING RIGHT-OF-WAY °0 112,046 SQUARE FEET ( 2.572 ACRES ) 0 EXCLUDING RIGHT-OF-WAY 0 z PREPARED BY: SW CORNER, SECTION 15 &RANBERLS .. MVEYIN6 ( i" STEEL SURVEY ' MARKER NAIL FOUND ) 1239 C.T.H. "E" NEW RICHMOND, WI. 54017 PHONE ( 715 ) 246-7529 THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG JOB NO. 02-016 SHEET 1 F 2]"g%o� Vol.16 Page 4348 �/�