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Home My WebLink About020-1388-04-000Wisconsin 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)t. Permit Holder's Name: City Village X Township La Casse, Richard Hudson Townshi CST BM Elev: f Insp. BM Elev: ~ BM Description: - 6' t ` ~` c70. O J W . O i ' ' ~ =, x,57 TANK INFORMATION " ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic t,~~ts~~ J OD Dosing Aeration Holding ~fANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~~'t ~C ZZ t -~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Num r TDH Li 'ction Loss System Head DH Ft orcemain Length Dia. 501E A ORPTION SYSTEM RENC Width Length I DIMENSIONS 3 A q3,~-~ Of county: St. Croix Sanitary Permit No: 399661 0 State Plan ID No: Parcel Tax No: 020-1388-04-000 STATION BS HI FS ELEV. Benchmark • ~.~ r Alt. BM ~-. ~D JD~.6 ~' ~ Bldg. Sewer ~ O r ~ 9~- 3 SUHt Inlet °I, $3 , 1 98.97, St/Ht Outlet ~ ~ ~ .~Z, Dt Inlet Dt Bottom Header/Man. lZ •3 ~ °J'6 • yZ Dist. Pipe 12 • ~,i6.3 Z Bot. System j13, ~O 9S• 2 , Final Grade St Cover s~C raeQ¢ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STKtAM LtAl:t111V1a nnanura e . INFORMATION CHAMBER OR ~ - S ~ Type Of System: 1 t UNIT M I Num er: DISTRIBUTION SYSTEM la~.~.~- D/L. ,.,...0~.,.~-I~ a:~" ~tisote~sm.. •(i~e..L~ia.u..,,a~. Header/Mani Distribution x Hole Size Hole Spacing Vent to Air Intake u ~,~e~ Pipe(s) Lengti~F/' Dia Length Dia Spacing SOIL COVER x PI'PCSIIrP_ SVRYP_mS (~nlv xx Meund Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~„~~ Yes ~,,r J No ~ ~ Yes ~_~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: s~~/ Z3 /~~ Inspection #2: ~"f'-7-' Location: 946 Sadie's Lane Hudson, WI 54016 (SE 1/4 NE 1/4 14 T29N R19W) Field Haven Lot 4 Parcel No: 14.29.19.2378 1.) Alt BM Description = ~~-~^"~^'~ 2.) Bldg sewer length = Z2 ~r - amount of cover = Z~} + - --- I ~ ~ ~ j -~ n revision Regwred. v~ Yes No _ y~_~_ _ s.~'_u`' Use other side for additional information. ___ `~ 3~ Z __ __~ ------ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) •r .. Safety and Buildings Division 20 County ~ ~ 1 W. Washington Ave., P.O. Box 7162 ~ ~ ISCOOSIO Madison, WI 53707 - 77162 ° Site< A p C~ Department of Commerce ~ $~ a ~~ d~`~~~ ~J Sanitary Permit Application mit Num ber S~~y Per 9 J / In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check rf R 'Gis~it ma be used for second u ses Privac Law, s15.Q4(1)(m) e I. Application Information -Please Print All Information State Plan I.D. Number Property Owner's Name i ' Parcel Number , y, Z ~ i 9, z 3 ~~ t , ~ ~ ..:-1w.. _ ~, /~ ~ ~ ~ ~ t~ Property Owner's Mailing Address ,. i •.y ~ ;;~~,- operty Location City, State Zip Code hone Number ..Lon N Block Number ~~ S fo/ T ~~} ~`•~/~,~ ~ ~ $ii divislQn N CSM Number l ~y / - II. Type of Building (Check all that apply.) ~ ' •:, t .~+, .,! ti, ~l or 2 Family Dwelling -Number of Bedrooms °k ~~, ~~ ' City ~ ~ ^ Public/Commercial -Describe Use ^ Village ^ State Owned Townshi n _ ~ ® ` G~~ c _ ~~ ~ _est R~ ~ fi, / III. Type of Permit: (Check only one box on line A. Numbering s for internal use.) (Compl ete line B, if applicable.) A. 1 New S stem 2 ^ Replacement System 3 ^ Replacement of Tank Onl 6 ^ Addition to Existin S stem For County use B' ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued 1V. of POWT System: (Check all that apply. Numbering is for internal use.) 44 Non -Pressurized In-Ground 21 O Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^Aerobic Treatment Unit 49 ^ Recirculating 30 ^Other V. Dis rsal/Treatment Area Informat ion: 3~ ~ m ~ c Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Requirs00 '~ ~S~ / Rate(Gals./Days/Sq.Ft.) (Min./Inch) ~~ s- i Elevation VI. Tank Info Capacity in Total Number Manufactwer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank ~~ __ /~ ~U J Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for ' lion of the POWTS shown on the attached plans. Plumber's Name (Print) ~ ~ ~ Plumbe Signa e ~ P PRS Number - Business Phone Number ~ ~ ~r~ , ~ ~~~ ;.~ ~ s- ~~~ -- ~ Sys Plumber's Address (Street, City, State Z' Code) lC~ ~ U ~-~~ ~~ bo VIII. Coun /De eat Use Onl Approved ^ Disapproved Owner Given Initial Adverse Sanitary Permit Fee (' cludes Groundwater Date Issued Iss ' gent Si lure (No Stamps) Determination Surcharge Fee) ~ Z Z S ~(~ l i Z UU 1X. Conditions of ApprovaUReasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. The system elevation was lowered to 95.5 to ensure that the chamber louver will be installed in soils with a soil application rate of .7. 3. Any filling or grading that will affect the capacity of the HWL retention area is prohibited. wWYre~ P~ l-o We a,uuary onryr nor me sys[em on paper ho[ re33 than 81/2 x 11 inches ih size isga "~~- 1~ - ~a° ~' ~, -~~ ,~~, iv ~ ~ ,, - y9, ~ 5 T~ °~ /~ ~~~~ '~' ~'i o S~ ~,~- 9~-s° , /~~ ~ ~ 26357 /~-ice - S - iF-io !1" r H~ ~'~ v ~` ~a ~a ~~. ~ - ~aO ~ N ~~,p,~p ---~~ ~ 3 ~' ~~ ,,, , 99,GS T~~ ~Y i ~r~-a i3µ ~~ ~ ,~-~~ _ s l ~-~o ~ , a6~57 1~ ,_y~ ~xL+ Wis%onsin Department of Commerce Division of Safety and Buildings ' SOIL EVALUATION REPORT in accoroance wim Comm ua, vvis. Nam. was ` Couniy ~ Pl st i i 11 i h h 8112 t n s ze. an mu es an x nc tach complete site plan on paper not less t A 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. Re ~ ~~Y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location e Govt. Lot SE 114 ICJ E 1 /4 S I y T 2 9 N R 19 E (or~ Property Owner's Mailing Address Lot # Block # Subd. Name or CSMlf ~ ~ ~ i eld awe City State Zip Code Phone Number ~ city ^ village ~ Town Nearest Road n 5 J (J ) 81-5`Io5 t-~ c! a 1`1e C l~" (Z]C New Construction Use: ® Residential / Number of bedrooms 3 - ~/ Code derived design flow rate ^ Replacement ^ Public or commercial -Describe: Parent material Oc~ ~S 1~ _____ Flood Plain elevation if applicable General comments 5 y5f~•+1 •~,1-e V • 9G • ~~ and recommendations: /¢ G>`- e 1 e v • `~ g' S ,1F Z Fov-~- Rule i4PP(i~5~or- Ncr;Zon 3 0.. Bow;~ ~' Page ~ of ~~ ft. ._ •rr ~OUN?y ~;. I~ ` Boring # ^ Boring ''..,; " ® pit Ground surface elev. /D/• d ft. Depth to limiting factor' I ~ ~o in. ~~ ~. oil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots yGP D1ft? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 - o-U Jo -- Si I 2 c.5 ~v~ .5 ~ .~ ~ 3 3y-Sb Jp- rSl~ CzP - ~ L 3m b m-~r' ~s - i 9/ ~,~- 9 6.S sy~ Boring # ~ Boring ® pit Ground surface elev. /~Z•ZV ft. Depth to limiting factor ' I1 in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/it'- in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 l ~ o-t2 10 - Si ~ 2m CS 2~ .5 ~ ~ 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mglL ' Effluent #Z =Bolls < :30 mg/L and 155 < 3u mgrL CST Name (Please Print) / Signature CST Number slam S~h,1~ 11Pr ~t~~-- ~~ ~-~__ 25330` Address Date Evaluation Conducted Telephone Number Zli3 ~~ ~ ~a~5e-~ Ll~~ ?ID2~ 3-i -a/ 7~5~Z~E7-y~D~Y Property Owner ~-Q ~SSe. Parcel ID # Page ,~ of 3 Boring # U Boring 3 ®Pit Ground surface elev./0o • Sc) R Depth to limiting factor ` II(~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 *Eff#2 i - I Z. ~ ~ Z ~~ ~~ -~ . 5 ~ , g 3 ~o -I I l (~ ~I ~ m ~ I - - . -7 ~ I • z ~ ~ 917,Sd, ~~u y ,, Borne # ^ Boring l..__...J U Pit Ground surface elev. tt. ueptn m ummng racmr m. Soil lication Rate i H th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl? zon or p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 *Etf#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl? in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. "Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 ~ 150 mglL ` Effluent #2 = BODS < 30 mglL 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, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07Po0) SCALE: 1"= YD BM I ELEVATION X00 ~ y BM 1 DESCRIPTION ~vp o~ 3/N ~co~r P'De wi H~,~ BM 2 ELEVATION 9`f G S BM 2 DESCRIPTION ~bp Q L -3/a eoo0sr~ s JO e. t,.t/ f=ly SYSTEM ELEVATION 9C~ .S~ ALTERNATE ELEVATION Q $ ~ 5 O CONTOUR ELEVATION ro(.o ~ /oL. a PAGE_~OF 3 NAME ~,~G ~~ LOT# ~ LEGAL DESCRIPTION s~ '/aN~'/a S iy~Ta9N R 1`tE (or)(~~ 8' 'I ~' '~ x •~ ~~ ~G-4V"~ fob S1ticaQc `s } .~ ~ w a ~ ~ c-s ^ ~ ~ • N $~a 4 ern ~ C ~ .G 3-~ -o S'1' C1tOlX COUN'1'1' SLI'7'IC '!'A1J[C MAIN'T'ENANCE AGItI?LM~N'I' AND UWtJI?ItSllll' C1?It'1'lI~1CA'I'ION I~OILM Owner/Buyer Mnilins Address I'rol)arty Address (Vcrificalion requited fiunr 1'launiug Ucparbncnl-fur new cunslntclior City/Slate ~ S~ 1'urccl Itlenlilicatittn Nuntlrcr Do~(~ 13 ~ ~ b~~~ LrGAL DrSCRII''I'ION Properly Localiott ,~_ I/,, ~ t/~, ,~~~_ 1 ~{ , 'I' Z ~' tJ-It 2~W, 't'own of ~t,~.Q,~-.~ , SuUdivision ~c..c~.~ 41},.x_ I.ol ~l _~_. Ccrlified Survey 111np ~~ Volunlc , 1'ttgc ~! ~- Warruuly llced # ~~~ ~L/ , Volunlc v 1'ni;c # ~ ~ . Spec house yes l7 no Lot lines idcntilialtlc I~I'ycs U no SYS'1'l+.'.M MAIN'I'I!:NANCI~ Improper use and mainlenanccuf your scplic syslcnt could tcsult iu i1s ptcntalutc failure to handle waslcs. I'ropernrahrleuancc cousisls of puutpiug out the septic look every Ihtce ycors or sooner, if needed by a licensed pumper. What you put info the system can affect the function of the septic lank as a tteatntent stage in the waste disposal syslent. The properly owner agrees to submit lu Sl. Croix Zoning Dcpat(tucut a certiticalion fumy, signed by rho owner and by a ntastCrpluutbcr, joumcyman plumber, resit iclcd plunrbcr ur a licensed punytcr vet ifying II-at (1) the on-site waslewaterdisposal system is in proper operaliug condiliou amUor (2) allcr inspcclioo and pumping (if necessary), the septic tank is less than 1/3 full of stodge. I/we, the undersigned have read the above tcquitcnuuts and agree to mainlaln the privalc sewage disposal sysletn wltL lho standards set forth, 6erclu, as set by the Deparlnrcnt of Cununcrcc and the Ucparlnrcnt of Nahtral Resources, Stale of Wiscoasln. Certiticalion stating that your septic system has been maintained nutsl be cunytlctcd and tcluutcd to the Sl. Croix County Zoning Offtce within 30 da ho llrree car pirallon dale. S[GNAT'URL~ O APPLICAN'T' 1 / 3/ v ~'-- DA'I'Lt o~~YNrR criz'rrl~rcA'rloN I (we) cetlify that all slalcntartls on This (inns utc Inic lu the bcsl of n-y (our) knowledge. I (wc) out (are) lire ow»ct(s) of lit terly described ove, by virtue of a wauauly decd recorded in Rcgislcr of Uccds Oflicc. SI NATURLt Or AI'PLICANI' 1 / d 3/ G '~ llATE •~r~t* tt**tt Any infonnalion that is utis-tepresenlcd Wray tcsult in II-e sanilaty pcunil being revoked by the Zoning Deparhtteut. •'' Lrclude wtlh this Appllcalion: a stamped wattauly decd from the Rcgislcr of Uccds otTice a copy of the certified survey Wrap if reference is made ht the wattauly deed POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION Owner ~ ~~„~~. Permit # DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units ^ NA Estimated flow (average) (}® gal/day Design flow (peakl, (Estimated x 1.5) gal/day Soil Application Rate 1 al/day/ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) <_30 mg/L Biochemical Oxygen Demand IBODS- <_220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BOD5) <_30 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Coliform (geometric mean) <_10° cfu/100m1 Maximum Effluent Particle Size Ya in dia. ^ NA Other: ^ NA *Values typical for domestic wastewater and septic tank effluent. nneuuTCNeNr•_F cr_WFn~n F SYSTEM SPECIFICATIONS Page of Septic Tank Capacity ~ al ^ NA Septic Tank Manufacturer ^ NA Effluent Filter Manufacturer ~ ^ NA Effluent Filter Model ~ - dQ ^ NA Pump Tank Capacity al ^ NA Pump Tank Manufacturer ^ NA Pump Manufacturer ~._ ^ NA Pump Model ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Cellls) ~In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA Service Event Service Frequency Inspect condition of tankls) At least once every: ^ earl 1 s) (Maximum 3 years) ^ NA Pump out contents of tankls- When combined sludge and scum equals one-third IY31 of tank volume ^ NA Inspect dispersal cellls) At least once every: ~ ^ yea~lsl s) (Maximum 3 years) ^ NA Clean effluent filter At least once every: ^monthls) year(s) ^ NA p p p, pum controls & alarm Ins ect um p At least once ever Y~ ' -'-- ^ year) -Is) ^ NA Flush laterals and ressure test P At least once ever Y~ ^,._..,_ ~ ^monthls) ^ year(s) ^ NA Other: At least once every: ^monthls) ^ 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 cellls) 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 one-third IY31 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 pressuria~d components, pretreatment units, and any servicing at intervals of <_12 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 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cellls). If high concentrations are detected have the contents of the tankls) 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 cellls) in one large dose, overloading the cellls) 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 shall 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 property 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 ystem. 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. ^ 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. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ 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 POWTS MAINTAINER Name a -~' Name Phone _ ~ Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Phone Name 5 ~'_ ~}~, Phone -'>~ j ~ ~- L ~ ~~ This document was drafted in compliance with chapter Comm 83.221211b11111d)&If1 and 83.54(11, 121 & 131, Wisconsin Administrative Code. M ' von 1612P~f,,:414 ~~' STATE BAR OF WISCONSIN FORM 2 - 1999 641954 a Y.A74LE_N H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between John W. Moravec an_d_ Mary A. Moravec, husband and wife, Grantor, and LaCasse Development, Inc._ _ - Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described teat estate in St. Croix__ _ _ County, State of Wisconsin (if more space is needed, please attach addendum): E1/2 of SEl/4 of NEl/4 of Section 14-29-19, St. Croix County, Wisconsin. kECEIVED FOk RECORD 04-03-P001 2:30 PM WARRANTY DEED EXE!'IPT N CERT COPY FEE: COPY FEE: TRANSFER FEE: 924.00 RECOkDING fEE: 10.00 PAGES: • 1 Recording Area Name and Return Address The RiverBank 880 Sixth Street North Hudson, WI 5401b 020-1020.70-000 _ __._._ __ Parcel Identification Number (PIN) Phis is _ homestead progeny. (is) (~atOQ Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~a _ day of March AUTHENTICATION Signature(s) _ . _.._ .-. --. -..-- authenticated this _",.day of _ __ _____ 2001 • J n W. Moravec _ e~.P ' i « Mar A. ravec _. ACKNOWLEDGMENT STATE OF WISCONSIN ) - - ) ss. -" -- St_Croix __ _ County ) - - Personally came before me this ,~t?J~_ day of March 2001 _ the above named -- - - - --- -"" -- "- - -- John W. Moravec and Mary A. Moravec, husband and wife, - TITLE: MEMBER STATE BAR OF WISCONSIN t~>.tf authorized by 0 706.06, Wis. Stats.) '34 THIS INSTRUMENT WAS DRAFTED 8Y _; !~~ Attorney Kristina Ogland --.- _,__ _~ rh)t~ Hudson, WI 54016 bly (Signaares may be authenticated or acknowledged. Both are not necessary.l~,r `°_ Names of persons signing in any capacity must he typed or printed below theirs ~ WARRANTY DEED STATE BAR OFWISCd FORK No. 2 - 1999 he the person(s) who executed the o~rtowledged the same. f'.r'" .- ~Pu lie, S.z ~ of Wisconsin ~n,tn~^sior, is pcnnanent. (If not, state expiration date: •-~c Vic' ,~ ~ , ~~) Informatim Prolesstonals CarnOany, Fontl eu Lac, WI _ _ _ a~a•b55.2021 ~- ~, N t•HIN THE :ONSTRUCTION N ~ W Z W w~ ~w wo O~ zW ~~ ~ ~~ I ,~ ~ ~~ 2.120 ACRES 2.433 ACRES ~ I `~~ I. `~~ ~ 92,338 SCE Ff ~ 105,987 SCE FT I I ~~~ \ `~, \•. to •1 \ `. \ `. ~ `. ~~ `:. \ `~ , ~ '\ ~,\ ~ ` N00°15'1 ,. ~3 •~ ~~~ 89°44'43"W 160.14' ~ ~ ~' ~ ~`. S89°44'43"E 16014' ~~ •' ~ ~ _ • ` ~ ^i.~, ~ .--.-- •~ ` '-~ 1~ .. _.. _.. 5L I ~l- w I O 3 ~~ P~ONOINGA~ERA ' 0~ 2.859 ACRES ~ ~~ 124,520 SCE FT O~ 4 ~ ~ ~ I ~O °a~ 2.674 ACRES ~ \~ ~ ' c*i ^~~ 116,492 SCE F~ l ~ ~ ~~ I N ~ MINIMUM FIRST FLOOR ~ ~~~ ELEVATION OF 938.00 ; // ~~ ~ 1 I I H.W.L ~ 934.00 ~ DRAINAGE EASEMEf 15'+ 463.81' ~-'""~~ \ N89°43'52"E 191.94' 288.82' 63.1T 111.82' 4625.66' o +~ I N89°43'S2'E 655.75' ~ ~~add ~~~ tv I - - - -5281.31'- - - - ~ ~ ---------- I EAST-WEST 1/4UNE ° c+~ ~+ ~ . ~ ~f~L~ldd `~ ° s C~4 ' CURVE DATA TABLE CURVE LOT RADIUS CENTRAL CHORD CHORD ARC T~ NUMBER NUMBER ANGLE BEARING LENGTH LENGTH BE 1 233.00' 33°59'35" S16°30'03.5"E 136.22' 138.24' SC 2 167.00' 33°45'08" S16°37'17"E 96.96' 98.38' S~ 3 233.00' 90°00'00" S44°44'43"E 329.51' 366.00' SC 2 233.00' 25°50'03" S12°39'44.5"E 104.1 T 105.06' SC 3 233.00' 50°42'48" S50°56'10"E 199.57' 206.23' S2 4 233.00' 13°27'09" S83°01'08.5"E 54.58' 54.71' S7 4 167.00' 90°00'00" N44°44'43"W 236.17' 262.32' Nf 5 233.00' 33°45'08" N16°37'17"W 135.28' 137.26' NC 6 167.00' 34°16'51" N16°21'25.5"W 98.43' 99.92' N~