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HomeMy WebLinkAbout020-1365-11-000i I I c7 fD fD N C1 S < G C ~ ~ d ~ ~ ~ ~ N N C N N Q `+~ N N N Q Q O ~ay C C C1 ~ O m c ;. ~ =~ A N ~ ~ o ~ 3 ~ O ~. ~- -, o ~ .» N ~ c I ~' a I o ~ ~ n ~ C I o' ~ ~ ~ I m I ~ N fl- d OZ =h _O O_ ? ~ ~ ;C1 C W (D ~ d ~ 2 ~ I C7 = _ ~ n N O 7 I I I ~ ? D I m ~ ~ o °-' ~ V O 7 ' ~ N -p N ~ ~ ~ ~ O 7 f~l~ ~ fD 7 (D ~ (D 7 ~ N cD Q. LU N ~N~r N N a I g I ~ I o I ~ i o O I °o n n N Q ~y 'U (~ O y F C ~ O ~ ~ O W C ~ n N ' '., 3 3 .~ x~ :.. ' ~ _ O O •D ~ = V1 N W C7 '.. d N O ~ I Vi ~p W p ',. ',, j W CD m ~ O ~ ~ N ~ j ~ W ~ O C ~ O 3 N d O N C ~ ... fD y ~ a O. ~ .. n N ~ ~ N N N O O 7 ~ O O (~ ,, f Jl O C ~ o c ~ m :.. ', ~2 c ~ ~ N ~ N N ° ~ vo = `D :° m d v _ ~ v ~ m ~ 3 m o ' v 7 O '~ w N Z ~ z i D =' ~ I m ~ ' O m ; ' ~ = C (Q N S (D Q N j (~, O ? Z n ~ C ~ ..a ~ ~ .+ 7 Q ~ m ao~ 'j ~cn a 3 ~ z c ~ Z ~ o : ~ . N , ~ 'i ~ .. z ~ ; A W ~_ T C O. /* Wisconsin Department of Commerce pRiVATE SEWAGE SYSTEM Safety-srxf Buildings Division INSPECTION REPORT ' GENERAL INFORMATION (ATTACH TO PERMIT) __~ a_s...r..u.......... +.. wns. m•~v ho ~ ~csu1 fnr cwnnnslarv ro umsac fprivarv 1 nw c 1 S M /1-/m17 P r ~t Holder's Name: ^ City ^ Villa a Town of: ~~ ~Gollova, Y Hudson Township fST BIVI E~lpe,,v.•• ~ Insp. BM Elev.:f BM Description: I 'o " ~F2 • ~' ~ 3.1-5'~~ CST- $ -M.~ 2.. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~ Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~~l '~ r -~' NA Dosing NA Aeration \ NA Holding PUMP /SIPHON INFORMATION . Manufacturer Demand .,,\ Model Number GPM TDH Lift ~ Ion SYStem T Ft Forcemai n Le th I-f ist. To Well ELEVATION DATA Count Sit. Croix Sanitary Permit No.: 383983 State Plan ID No.: Parcel Tax N 020-1365-11-000 STATIO Z BS HI FS ELEV. Benchmark~'~ . ., ~ f ~ , Alt. BM ~. ~ 9 ~. ,p~' BIdg.Sewer rte""' -~ s' b 92.i'Q St/Ht Inlet S,(PO .~ rj2.~{~-~ St / Ht Outlet ~ -b ~t 2 • Z~ I Ot Inlet `--- -----~ Dt Bottom r>; Header /Man. r e Dist. Pipe ~' o ~ (- ~ ~'" Bot. System ~• 3 L . ~. Final Grade . 3a ~ / over I • zJ `~•8~1 tnll AR~nRDT1Ati1CVCTFM ~il~_ h I _ //___..,Q h d BED /TRENCH Width / Length 1 N . Of Trenches PIT No.Of Pits Dept Inside Dia. Liqui I E I N 68 •~S Z 1 N I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manu adurer: SETBACK CHAMBER Mo a Num er: INFORMATION Type ~ ~ I OR UNIT System: nrcroror ~rrnwr cvcrcwe Header / Ma i pld Distributi ipe s) x Hole Size x Hole Spacing Vent To Air Intake Length Di Length Dia. Sp ng SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over rr Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center j'f 'D 'r' Bed /Trench Edges Topsoil Yes No ^ Yes ^ No nspec lon :~/z2 o nspection #2: ~--- / COMMENTS: (Include code discrepancies, persons present, et . Location: 978 Katner Court, Hudson, WI 54016 (NE 1/4 NW 1/415 T29N R19W) -15~919~2171 Rivew~k Meadows -Lot 11 ( ~ ~~(( '~" 1.) Alt BM Description = ~y ~"'~Gr-~6rt~ ,~ > w~#1.. sor }~ • 2.) Bldg sewer length = D ~' S`(S'~"^^.'.~,t t"`s '`'~ '~C.~ -amount of cover = ~--- ~ ' I ~~~''""" 3 pp fi D~Sa~v Je.~"" ~ w,. c~.,~ 2~&'~~6.ar- •~•w.w-.~r~ S '~ ` ~ !_'« Plan revision equlred? ^ Yes ~~o a . . Use other side for additional information. I2. OS ~ ~ Date Inspector s Signatur / ~ dC~ N~ SBD-6710 (R.3/97) a 1 n ~ ., r~-~ r-A q ~ ~i~TI~1Z. T /c.~ - a ' ~'~- ~ aatety at csuuatngs uw-swn , Sapitary Permit Application 2b- W" W o Btox 7~oi ~r ~~~ In acorn'd with Comm 83.21, Wis. Adm. Coda Madison, WI 5370?-73112 Departmem of Commorao Poraonal iaformatii~tt you provide may be used for aeoondary ptuposos (Submit completed form to county if not (tsrivacy Law, s. i5.04(,l~m)) state owned.) Attach ate w the coon onl nbt less then 8 .1/2 x ! l ir~has in size. Camty ~ ` State Sanitaay Permit Number m+isem`to-ass apptiostian Stale Plan I. D. Number v' • ~, b A lion lnformattion - IP kase Ptrint sl11 its!o ti ~''~ ~''• `~~ r ` Location: ProF+a~ty tkvrtor Name Pro}x~rty I.ooatinn Property ownret'e Mailuttt Addreia ~ ~ ~ ~ r.1 ~~~~ I.ot Number Rlook Number ~~~ City, State l..ip Colt ' t?hotte Number `'• 5ubdivisian Name at C>3iN Number ccG~S'a.rJ ~ , ~ •., . 5" !J! ~ <,, - t . - , ;" - •e Y ~%~G Jj1~~ou~S 11 Type of BuildiaS; (check anej ~ / a,c S o city 0 1 x 2 Fantily Dwelling w No. of &xi<ootns:~ ~„~ s. ~~ _ O FnbliclCommercia! (describe use): t ~'~~ O State-owned G ~S c.,rJ 111 Type of Permit: (Check onty one box on !it-e A. Check bax on sine B if applicable) ~~ ~~ ,d ev ~"~ A) l , ~°IVew System 2. Q liepiacematt 3. ^ Replacernant afi 4. O Addition fo Pared 'fax Number(s) Svatent Tank nni S ~ -^ ~ ~~ S-~ - Q 00 a / ~ / 8j Pr~rrnit Number ~5 aq . / q Date lasued . . D A Sanitary Permit was vioust issued ~V. Type at PO'WT SytlteQt: (Chock alt thae apPh') -~ {~-- LOb _ ~ ton-proesra~izad in-grwmd CI Mound O Sand l=ilts O Constrtr~ed Worland b _ hesstaizcd [n-grated D Holding Tank d Slagle Pala ©Drip Line Q At-glade ^ Aerobic Ttttat+ment Unit O Racit~cuLtting ^ Ot!-or: V D VTreatment Area Information: ~ ~~ u~. w~ e,- ~ ~( v t Y 1. Darigur Fiuw 14pd} Z. 17iaixxsaiAtva 3. t?iapertat Arta 4, 5oit 1lppticatron 5. Pm+cnfatioa Rare 5. System Iitawticxt 7. Finat tirade tieyuirai t3roptised hate (t3ats./dey/aq. fl.) (Min.finclt} ~S+ S d ~E'levavon ~~d ~y~ ~' ..~ ., 7 ~ ~. ~ o ~o, ~v Vl Tank Capacity in Tote! # of Matwfacturar Prefab Sits Steel Fiber- Plastic lnfarmation Gallar» Gattans Tactics Con- Con- glace New Existing creGe stritcted 'Far>ks Tanks $c ~l'v l1D~ ~ l/.,~-- D ^ ^ D O © 0 O 0 Yll t~tespotasibiiity Statement the ttrtdorsi asswne 'bilit for installation of the POWTS alt 4te attached lane. Plumber's Name (prim) Pltatibar's 4iiptature (nor riatnps): 8 No. t3uaineaa i'bwre Number ~,-a~ .~~~~~.~ ~ ~a~ ~ a ~~s-3~~. ~~~~r Ptumber'e Add<naa (9titxt, City. 3tate . 7»ip Cade) yy ~~ ` VIII COnetty/Departenent tfse {~!~ O Disapproved Sanitary Permit ree {laoiudea Groundwater Date Issued [ ' g Agmnt si (Nu starty>s) ~ipprOVed Q~01~ Initial Adverse 3`Bn,LZS ~ ~ ~ - t IX. Conditions of Approv /Reasous< for Diap royal: ~~ ~;~.~.. ~-.~.~_ ~~ ~ ~ ~-~~ , om ~ t- . t . o.,,,. ~5 ~ ~ ~ ~ --rte ~ .,-- v~~~ . ~- +~ s~4~I ~~, ~ ~~ - ~ va,w~c.~! ~o~r Jel~ ~k. ~-, W . L ~ c~CN~;,,~,e ~IQD!-S~ '~.C,Q-^~fl_. S. s~~ ~ ~ ~ l5 ivip,~~rt`n2~ '~~ "~~ To: Bill Schumaker From: Jon Sonnentag Fax: 715-386-3121 Pages: 3 Phone: Date: 05/23/2001 Re: Elevation changes CC: ^ Urgent ^ For Review ^ Please Comment ^ Please Reply ^ Please Recycle • Comments: Here are some elevation changes that were made to a soil test by Adam Schumaker. Some mathical errors were made resulting in incorrect elevation differences between the benchmarks and borings - in most situations the elevations should be nearly the same since the BM's were at grade and close to the borings. You currently have a permit pulled for this lot, so please be sure to adjust your elevations accordingly. There are several other soil tests for River Park Meadows where this error was discovered. However, there are also several lots where the elevation between the BM's and borings correspond correctly. If you have any questions please give me a call. Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page ~ of Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and - Crol ~( percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. # APPLICANT INFORMATION -Please print all information. R iewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~~ Property Owner Property Location COIILI Govt. Lot 1/4 1/4,S T ,N,R E (or) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# ,(~ ~ I l ~ e r r~ s City tale Zip Code Phone Number ~ Nearest Road ^ City ^ Village Town ~~n I ~-'! 151-t~icn I (~!5 )J`~1-5977 -~-~uc~<n~~ I New Construction Use: Residential I Number of bedrooms 3~-I Addition to existiny building Replacement ^ Public or commercial -Describe: Code derived daily flow 00 gpd Recommended design loading rate • , bed, gpd/ft2 ~ trench, gpd/ft2 Absorption area required ~~bed, ft2 ~5(~ trench, ft2 Maximum design loading rate • ~ bed, gpd/ft2 ~ trench, gpd/ft2 tJP~Pr LCW LYE Recommended infiltration surface elevation(s) ~ ~' n r~ ~ ~/ S O ft (as referred to site plan benchmark) Additional design/site considerations ~aPOe r $ S, U U L-v w e r ~ S , ~5 O Parent material /1!)~(,~r15~-~ Flood plain elevation, if applicable 1~A ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ®S ^ U ~ S ^ U ~ S ^ U [~ S ^ U ^ S ~ U ^ S ® U SOIL DESCRIPTION REPORT ~~o, . ~ ~~ , ~$n _ ~ ~ b ,.Qt, ~ .'~~ 1 : _ Boring # Ground elev. SS ~-Oft. Depth to limiting factor / Zt> in. Boring # Z Ground elev. y~ft. Depth to limiting factor ~ win. Horizon Depth Dominant Color Mottles T xture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color e Gr. Sz. Sh. ry Bed ,Trench I D-l5 l0 3 1 ---- r I l rr~ bk ~ ~ ~ - 3 ~-, w - rr~5 o i cs - . ~ ' . g Remarks: ~ 2 , 3 r fr 'ri g ::._ ~; ~ , ' ~~~~ ~~ ~~ ~~ r ~F. , ~~ ~, ~ ; ~--~~" ~~~44 ~ `;:> ~~~ ~ 9 ~ ~ ~' , Remarks: "~.,t.`~_ ~.==-_--~ :ST Name (Please Print) Signature Telephone No. ~c~am Schu e ~~ ~i ~L~f~-yo address Date CST Number 4U8 ~c~a~ 5~ . ~"f 6m~r^ ! 5 0 l1- 8 - 253~`i PROPERTY OWNER ~O ~~U U~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # ;> Ground elev. ~y. iY~ ft. Depth to limiting factor ~in. Boring # ~~ Ground elev. $~ft. Depth to limiting factor l Lein. Boring # 5 Ground elev. ~~~ft. E Page ~ of Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench J D-12 ~ 3/ ~ r rr~ib r c IVl . Z ~' 3 ct:P$S : S+~ ~ ~Z.y ~.~ Remarks: l o-LI l r 31 i ' 1 1 ~ 1 v~ . Z;. 3 Z ~-~i lv ~ r y I`) S~' Z cS - - 3 '-i4~z 1(~yryltD mS US mi ~s - .1 ~.~ G~'8~{- Sa ~ , Remarks: Horizon Depth Dominant Color Mottles T xt Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color e ure Gr. Sz. Sh. ry Bed ,Trench ~ 0-9 _3 l i ~-- . I l mr:~.b~- mfr CS I v~ . Z .. 3 2 ~-~ 0 10 r y ~ ~ ' ~ Z m-~; ~-S - . 5 3 -~z ~ 0 y i m o rn Depth to limiting factor ~z in. Boring # Ground elev. ft. Remarks: Depth to I limiting factor in. Remarks: SBD-8330 (R.9/98) r • PAGE OF NAME ~- LOT # ~ LEGAL DESCRIPTIONSc.y-SuJ-1U-2~(-/S/-w SCALE ~~1 "_ (w BM ELEV. ~S' ~- ~ia0 D~~ES~~CRIPTION- dr,P a-~' I "Our p.pe lu+h wc~c~ ~BM2) ELEV. 9 3, 7S 'DESCRIPTTON-- ~, cs I" ~ e k.-~-hw r-ia upper 6awer SYSTEM ELEV. ~. , UU FS`/~ U U ~d { ~" Gover ALT. ELEV. g6,~j $5,50 CONTOUR ELEV . j1 Q {~ ~ ,~ ~Gl-~- n e C' C Gv r'~ 6Z 61 s ~C ~-f e 6`~ ~~~ \Sc~~ $3 ~3S ~, `~~ a Z Private C}nsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) sha{I 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- T~hls a. c..e+DM npeinn Specifications ~, ~av~~ ~• vjvw... ~..~. Sancta Permit Number ~.. .r-- Number of Bedrooms Desi n Flow -Peak ( pd} Estimated Fiow -Average ( pd} 3~ Se tic Tank Ca acity ( al) Soil Absorption Component Size ftz} T pe of Wastewater tsa0 ~~ 3 Do estic Table 2: Soii Absorption Component -Limits of Reliable ~ station Septic Tank Gomponent Soii Abso tion Co Design Flow -Peak ( d) c~fl 3 ~" 2_ q Maximum Influent Particle Size (in) 1~8 Maximum GODS (m 1L) 220 Maximum TSS (mg/L) _ 150 T bi 3• Maintenance 8cheduie J ., a Se tic Tank Outlet Fil#er e Inspect and/or service once eve 3 years Inspect once a year and clean at least once eve 3 years Soil Absorption Component inspect once eve 3 ears Seatic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Sta#s. The contents of the septic tank shall 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 se and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet felt shall be cleaned as necessary to ensure proper operation. The filter cartridges ou no be removed unless provisions are ma e o retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously, intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed 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 shalt 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-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being In full compliance wifh OSHA standards for entering a conffned space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm $3.33, Wis. Adm. Code when the tank is no longer used as a P®WTS component. it A r tion Com on t 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 reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erasion should be identified and reported to the owner for 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 conditions improve. In general, soil compaction aver this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic slogging of the soil. 2 . ;° Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly. over of within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the event of system failure, a new system could be installed in an altemate area. With the installation of a divertet valve, the existing system could also be reused after a period of three to four years. It is the property owners responsibility to maintain the altemate area free from any planting of trees, shrubs, etc. in case of failure of the original system, the altemate area will be needed. If any trees, shrubs, etc. have been planted on the altemate area, they will have to be removed at property owners expense. fl aiternate area is destroyed, there are other alternative systems that can be used, in which, could result in added expense to the property owner. Any tank abandonment shall be done in accordance with Wisc. Code 83.33. Any questions regarding this cads, please contact your local Zoning Office or contact the installing plumber. ~, (~ E"~- ' w 1 Ll~ l ~t-wt. ~~i~-t.~l, w1 o4~-tC.rc f2 ~~ ~ 31 Z S'1' CItO1X COt1N'1'Y Sf?I'TIC 'PANIC MAR~I"I'LI~ANCI? AGRLI?MP_N'I' AND OWNP_RSIIIP CI:RTIPICATION rORM Owner/I3uycr IJ. ~ . l ~ (~ ~~~ E s --~ N ~ f!/V~ Mailing Adrlress -7C~:.~ w • ~ ~ . C' /w'su.v ~V :~ .5 ~-c~ 1(~, Properly Adrlress Cf (Vcrificatian required from Planning DcparUncnl for new conslnrclion City/Stale ~udSi}!~/' ~'~~ I'arccl IdcnliCtcalion Nuntbcr LrGAI. I)rSC12I1''rION NF_ ~L°HO Properly Location /I W '/,, jV E '/,, Scc. ~s , `I' ~~ N-R~W, 'town of f~t,~SoN Su6divisiatt __ /'~' 1 <<E2 ~j Lot i! ~_. Certified SutYCy R'Iap 1E Volumc Pa~c ~E '~'S'nrrauly Dccd 11 t!n 0 (v ~ Gam''` j ,Volumc ~_, Pale f~ Spec house Q yes~ito I_ot lints iclcnlifia~l~cs Q no ~S~ SYSTrl1~i 117AINTI!,NANC~ Intpropcr use and tuaiulcnagccoCyour septic syslctn could resull iu 'tls premature failure to handle wastes. Proper mainlcnai cousisls of pumping out Ute septic tanl: every three years or sooucr, if needed by a licensed pumper. What you put into tl-c sysl~ tau a[Tcct the firnclioa of the septic tank as a lrealnrcnt stage iu the waste disposal system. 'iLc property owucr agrees to submit to St. Croix Zouing Dcpartma-l a ccrlification fonu, signed by flit owucr and b~ urasterplunrbcr, journcyn-an pluu-bcr, restricted plun-bcr or a liceuscd pumper verifying drat (l) the on-silt waslcwalerdisposal sysl is in proper operating condition al-cVor (2) aQcr inspecliau and pun-piug (if necessary), the septic tank is less than 1/3 fi-II oC sludE Uwc, the uudusigncd have read the above rcquircn-cuts and egret to maintain the private sewage disposal system with the slanda set forth, herein, as set by the Deparlmeut of Contrncrce and lire Ucpartnrent of Natural Resources, State of Wisconsin. Cerlif-cat staling drat your septic syslctn l-as bcctt mahttaiucd must be completed and returned to tl-c St. Croix County Zoning Ofticc within day -c c car cx r'ralion daft. SIGNAT[.JRI? Or APPLICAt~I'1' 1)A'I,Ii oti~Nra cr:,~i`rrrrcATr~rt I (wc) certify that all slatcntcnts on this fotn- arc true to the best of my (our) knotvlcdgc. the described above, by virtue of a warranty decd recorded in Itegislct' of Dccds OIY'ice. --- ` GNA `[1R . Or APPLICAN'L' I (wc) ant (arc) ll-c owner(s) /~9-i o f DAT't: ~ ~'rt++ Any information that is ruffs-represented may resull in Ilic sanitary pcmttl being revoked by the Zoning Dcparlrnenl.' *'' ~+ Include rvllh Ihts applicalfon: a stnn-tscd warranty decd from the Ret;islcr of Dccds o(Yicc a copy of the ccrti[icd survey map if rcfcrcncc is made in the warraaly decd ., ~ ...... .... ....r, ~,,., iy STATE DAR OF \VISCONnIN FORh1 2 - 1982 V4ARyRA(((;-~7'y DEED DOCUMENT N0. 'alp. 1'J~JPa6C Li~2 n3 Maz~orie Malernee, Frances August and Paul K.atner as tenants n cummon a/k/a Francis _ Au&usC cunvc;s and wsrnnu lt: P.~. Cn_ oVa 8u Cere, InC. , a . Nlsi:ousin Corporaticn ~ - ;~.; I ...._. 606267' KA711LE6N H. UALSH kEG[STER 0p DEERS ST. CkOIX CO.F U[ RECEIVED FOR RECORD 01-06-1994 9:10 AA YrtRRANTY DEED E1p:1DT tl CERT COPY FEE: COPY FEEF TRAhiSFEA FEfF 13!0.!0 kECCROIIG FEE: 12.00 PAGER: 2 ' _-_ _ TI::! ~•ACC nCS[!rvlD tOn NCCO110sr:0 DATA the (ollouing dcscrilxd :ul rnau :n t . ra x Cuunry, CAVII ~ J, E57RE~;\1 Sluu of \Vuccncin: ;j04 L ~ICUST . • C. SE 1/4 Sb! 1/4 See. l0-T29N-R19W excepting therefrom Lot ~ HUDSON, U1/~ 54~ ~'] of Certified Survey Clap recorded 1n Vol,7 of Certified Survey nape, page 2089 as Uoc. No. 447307, also excepting 02U-1010-20 the raflrcad right o£ i,a~. 02n-1024-90• 07.0-1025-90 I LIE t/!~ NW i/4 Sec. 15-'f29N-R19W excepting therefrcm l.ot 1vAnctluEUUrlceTiovNUUStA ; of L'ertified Survey flap recorded in VaJ. lU of Certified 1 Survey Mapc, page 2701 nc Uoc. yo, SC7i28. ' 2(u L/b NE 1/4 Sac. 15-T29N-R19W i 'I it II This is nnr htxneac~d proprrty. --Jkl- l's noU Fx:cptlon to •u]asnlies: • /~ ~j l Dared IMs ______..1=_ dsy of .Tune ,'. , lg 99 -~ :l. • X21 ~r~t~ a a t~.z~n .'~~'".''csr~At ~ ---~ L ~ • Frances Au ust ugus~f ~;,••s\~'~. , Paul iiatner ,j • ' -~ ,(15,111} :iy F (iF..\U ' , tN• • I •~farloK~ .:alernee ~iMti; .`'-::;u~..~l•r, - { I~ V AUTHENT1CATlON ~NN1s1~ ACKNO\VLEDGh1ENT ,I ' h ton S8E nTT1%HBD~; Sig,alnrc(s),_•__ State of 1Vk5Cq, EAII ID IT "A" ' 1 s s. 1 ----- King COU[Yy aruheudcsad Ihls dsy of , :9_ Ptlsoaaliy came bc(ure me tlds 26 Ch day of :j Juno lv 99 _. tl'~c abot•c nan:al 1' - _- i TITL°_: \1EhiBER:TATC 0.9R DF WISCJNSIIV Francae Auguct j (If hut, _ _ ~- • awhorizcd by 5706.06, Yv'is. Slau.) to rrc knuwr. to b he Ptrsen_ who esctvlul the kregdrg ' ins! 1 ar r n wledge sar e. T.-119 1'v3TRUlAF.trl Cls.S DRA:TEf: aY Hevs]oDd b Car_ 9.C. b Walter aodynaky 204 LocuaC St., P.O. 1)cx lY5 Ha son, (I 54015 Kln Nobry Public, K _„-_..__„ County.-iltb.- {:A fSi~rD:crts usuy bz nua'e~dcaeed ur acknow.cdded. N,ilh sre not hly co.nmiuian Is ptnnmem. ;If net, alase eKpuahm dmt: ' ncccsxiry) ~ Septeuber 1. 2001 ~pq_____ ) aomn of proem nigmny u. ,nr npoa~y d•onld by q•~d or pnnud blow mar si~rmwts. • sR\it0.nNh DEED S7ATE 8.1f OF WISCCNSfN w:xman lepaDwx CU.. sra Form Nc. ] - 1981 sWtunou. Yi3, f~uul 4,91 84. ,'~ V~• -~ ~ 8 ,~ } ~ h ` ~I ` - ~_ AN 33 -- E ' ~ ' ~`~3• S3?°30' 15°11/''---_ ' . . I; , ~ ~ ~s __----- 84.49'. ......... I •••""""""N89°58' 22`E 362. 63'"' ~/ , ~- ., • ......... i ~._O I ~ ~ ' O i ~ ; ~ 50 I ,' 50' ~ i ' Q ~ I ~~ I I Y 114 ~ ' Q ~ i !~ 25 , ~' I `I LOT 13 ~~ LOT I 0 ~T ~ ~ ~~ io 3. 10 ACRES , , \ 135, 198 SO. FT. ~ 2.80 ACRES ~ • ~ . ' \ . 7-" 122. 055 SO. FT. • ~ ~ ~ ~ W o ~ N ' ~ °' ; N ~ ' - __~ I ' I I I i i I 1 ._ N , , o :M ~ ~ HIGH WATER ' \ ~~;I ~ ,'O ~' ARE< ' 0 o ELEVATION= 913.2 a O O I ~ •, ~ ', _ • . ..,~6, ••. ~ n - _ ' I ~ 3 • . 2 YW \ . 1 22r~ "' . ' .~' .••;' i i .... ,••c''~ , ''396 I I ~ / ~ / / J / I \ ) • 1 , 1 I ° ~~ / . ~~°` ~ / W ~' ~ ~ : / ~? ; ~ t LOT 12 ~ ;~ ~ ~ I o ° ~~'. 2. 99 ACRES I • : LOT i I I-'~ _ ~ m ~\ \ \ 130, 229 SO. FT. 1 I 1= .' 3. I7 ACRES o ~ ~ '• -~ , ~~ ' ~ ' DR ~ _ ~ AINAGE ,~ ~ 138, 027 ~ SO. FT. I = ~ ~- ' TER ~ ~ I i~ , i i -- ~ o ~,,, ~ . H 1 GH WA ELEVATION= 913.2'-~ i ~ ~ IZ ~ M ` ' ............. ' .................. ~` . N ............... 1............ .I.. ............... •~• • w .~ '~ ~ ~ H I GH WATER .~ _ ,' g -\ ELEVATION= 913. 2'I AREA cc` `` - --_= I------------- ~M----------------- 485.46'- =c=~_ -_ S89° 47' 32" W 348. 99' SOUTH LINE OF THE NE l i4 OF THE NW ! ~ S INSTRUMENT DRAFTED BY JIM WEBER S89; -------------- 384. 74' a• - ~ Mc CU T CHE ON _ _ _ -- 3 I _ _ _ _ _~ _~ _~~ 4 N coo I ~ J _ ~~ ~ ~ M I u7 O Z ~ SOUTH QUARTER CORNER SECTION 15 -FOUND ALUM 1 NUM M~ONUMEN .___ -- ~ + ~ i 1 `~~ / ., ~ - ~ N N :N . 16 ,j + 1 1 1 + •. ~ . . ~ :M ~ / co • ~ HIGH WATER ~~, i •~ ' .•, ~~ , `t ~ ELEVAT IONa 913. 2' ~ ' O O O Z ._ ,. ~~ • y v ' '~j • y W \ 1 •~ •'~ 1- .... ~••~ / j ~ / • + 03 / / 1 k- Z ~ `_ 1 / I ~ ~ ~~~ i i ~ / ~ ~ ~/ 1 F=- / LOT - ~ ~ ~ 1 : o ~ : ,' 3, ~ 7 ACRES I ~ . Z ~ - ~ -' 027 SQ. FT. + _ 138 . , + = DRAINAGE . / 1 ~- w 1 r ~ ~ ~ i ~ IO -.~ • / 1 1 ; Z ~ ~ 1 ~ ......... ~ ...... ............ w ..... ~ ~ ~ ~- HIGH WATER I c° $ ~ ELEVATIONa 913.2', AREA ~, _ f~ _ ~, 1 `- ~- ti ~•___ -- _ 1 co ------ - ---- 485.46'--- c ~- ~M ____-_ Mc CU T -_ -~. SOUTH l 1 NE OF THE NE 1 /4 OF THE NW 1 / ~'~STRUIVENT DRAFTED 8Y JIM WEBER S 89 °^4 7' 32 ~~ W 348. 99' -~-, r -~~ ~- ~~~ '~ . 4 Nc°po+~~ = r` of ~ OMI ~ O v 2 ~---- SOUTH GUAR T SECT ION 15 ALUM 1 NUM MO