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HomeMy WebLinkAbout020-1034-60-300Wisconsin epartmentofCommerce PRIVATE SEWAGE SYSTEM Safety and wilding C;vision INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Scobe , Perr Hudson Townshi CST BM Elev. Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic bU~ Dosing Aeration Holding TANK SETBACK INFORMATION ~~J-~ ~~~v TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ /()~ > ~~ ~ ~ 5 ~ /~ ~ I Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift i S st Hea TDH Ft Forcemain Leng Dia. i . t ell SOIL ABSORPTION SYSTE n County: St. Croix Sanitary Permit No: 453022 0 State Plan ID No: Parcel Tax No: 020-1034-60-300 Section/Town/Range/Map No' 17.29.19.149A30 ELEVATION DATA STATION BS HI FS ELEV. Benchmark ~l 3,LV /bZ, ~, .~. Alt. BM Bldg. Sewer Z / `~ SUHt Inletlnlet ~O,c ,~ 2 - y~ StlHt Outlet to .6~ a _~-g Dt Inlet Dt Bottom -~ Header/Man. Dist. Pipe s' (f, ~ ~ 9l. Bot. System Svc r I~.Z~ U' ~ Final Grade 4 Jr 1/~% 9 !~y St Cover ~ ~ .~ ~r . BED/TRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS zl %~ it ~ _ ~~ SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: /~, (~/J Type Of System: ~~ ~ ~5 .3 ~ r / ~. ~ !JO UNIT Model Number: DISTRIBUTION SYSTEM ~''~ Header/Manifold Gif/ ~~ Distribution Pipe(s) x Hole Size x Hole Spacing Vent to Air Intake Length I/ Dia,_ Length Dia Spacing SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Only Depth Over Depth Over ! xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ ` ~ j ~ f!J Bed/Trench Edges ~ L~• ~ t" Tops ' es I o Yes No ~~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/~(/(.i Location: 957 Trout Bro~okvR~oad Hudson, WI 54016 (NW 1/4 SW 1/4 17 T29N R19W) NA Lot 2 Parcel No: 17.29.19.149A30 1.) Alt BM Description = ~`~" ~~~ C~~ 2.) Bldg sewer length = ~'S1 ~~ ,~,~`,,,,,,,,,~ -amount of co, veLr = ~ 7 (~tSU~'l Plan revision Required? Yes ~No ~ ~ V J O , r ~]„ _ 'l~~'"_" "~ _ ~ ~ 1 Use other side for additional information. ~( __ ~(/~ __ ___ SBD-6710 (R.3/97) Date Insepctors Signature Cert. No. ~ Safety and Buildings Division County s " ~ ~ ~ ~ 201 W. Washington Ave., P.O. B . f / D / k SCO~SII ~ Madison, WI 537 (~ ~ 'tary Pter/m~it-Number (to be filled in by Co.) d Z Z Department of Commerce ~ TJJ Sanitary Permit Applicati n ^~RQ .~ 01. ~ sta Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, pers C nal informati ~4Mrs N ' G y F~o\x~~F ( (m) may be used for secondazy purposes Privac Law, s15.04 pr G ct Address (if different than mailing address) ~ S~ I. Application Information -Please Print All Information 9~ ~' !uf gook f~~ Pro Owner's Na me Parcel # Lot # Block # 9 - ~ ~_ Prope Ow s M ailing Address P ro ty Location per ~~ / • / ~'b 'k S i /y Gll ~ Ci Stat , ,~ ect on ty, e J ~~ ~~ ff ~ ~ ZipCo/~de ~Plhone Number - i GIJ lrit/ .~7'0l / ~~ °3~~'lp/ ~ rcle e) (c T ~~ N ~E ~ II. Type of Building (check all that apply) ; R o 5 ti~ 1 or 2 Family Dwelling -Number of Bedrooms CSM Number c~ O/ ~~ Or ~~ ~ `~~ 3~Z _ ^ Public/Commercial -Describe Use - vuo ~aep~"~~ / ' ^ State Owned -Describe Use ~. ~ ^City-^Village Township of~~~ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ~z0 . p7, _ ~ ?jOa ~ - A' New S stem y ^ Replacement System ^ TreatmenUHoltiing Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner ~t / IV. Type of POWTS System: (Check all that a ly) 2~ ?C Z,~ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pi ^ Other ex lai V. Dis ersal/Treatment Area Information: (~ Desi n Flow (gpd) `~s ~ Design Soil A lication Rate(gpdsf) ~ Dispersal Area Required (sf) ~y3 Dispersal Area Proposed (sf) ~~y System Elevation ~- $rt.2 ~ .~ ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank r / ~ ~ s V Aerobic Treaunen[ Unit Dosing Chamber VII. Responsibility Statement- I, the undersigtted, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si tore MP/MPR S Nu mber B iness Phone Number u s ~ /j ~ / ` ~ / Plumber's Addre ss (Street, City, State, Zip e) io 70 ~~ ~~~ ~udsr~ ~ t~~ ~"~/~ VIII. Count /De artm nt Use Onl Approved ^ Disapproved Sanitary Permit Fee includes Groundwater Date Issued Issuin Age Signature No ps) ^ Owner Given Reason for Denial Surcharge Feey ~~ r_ ~O IX. Conditions of ApprovallReasons for Disapproval \ -l~ ~ u SYSTEM OWNER: 3 1 1 r~~-2.5 11~~-f 1 Septic tank, effluent filter and ~ ~ Ib Io u_ , „ 11 ~ ~ S ` dispersal cell must all be serviced /.maintained / °~~°'`-~- as per management plan provided by plumber. 2. All setback requirements must be maintained CSR.. as per applicable codelordinances SBD-6398 (R. 01/03) nttacn complete plans (to the County only) for the system on paper not less titan 81/2 x 11 inches in size v /` .:.~~~ -~ ~ ~~~ y.~:.f _...... _..._.___ ..._. _ .~~~ .~. _..... _.._..__ _._~.___. f ._._ Vic. o~ - --..._......._....._. 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Gip' ~j. __ R~ 5~~~~ BY ~~ ^ '~ ~(P ,\ sl~~~ B~ F~ ~UOOyn~ ~~-', ~ W~h~luU~~ Ific1C ~~ "---__ ~- ~~~ is 3 d m . -~ ~ J U d35 s ld ~~ 35~ o0 (~ ~~. ---- _ ll ~ 4 BQN~I, ~~~K _ fop ~ ~~~. a- ~Kfln,C.tw S RQI~Ar( ~slUIY1?D 3x(8.75 ~1-rv ~ 1o~-V as c~,o~l~~.s I, ~hcn,~-oK ~?cz ~rtAruc~ (elf Q.ma~.X Np~ 1 ~N Pia Cb~ T~~ ~l~v ~9.`1y ~ // ~/ C ~iNe) l~(~p~ ~ f S~ _~ ~ ~ n '~~. ~~ ~, N ~~ o~ ~~~ ~~~ ~~~G ~ ... _`~_....._ . _..._ _ ... _ ZCC7 ~ ~ /~e~~ 1/~~ ..i'•~ ~ r I,I A/~ '' ~ ~' . ~ ~ // ~ ~ r .~ 1V ~~ h. 8 x - ,, , .~ a~~ ~ t t~ ~'/c> ~ ! ~/ !~ «~kC _S ,~ ~l ~, uJi ncle r.s . ._._ Vic. o~ _ ._..._......_....._. /.1~,~%iMl` ... _ :'n:~_. ~~u.m.~.e~ der.. .. . .---... ___._~Jc~ds ~.._ - ~ _.... _ ~~b.. ~ ~ ~y. y _ _. i~ 8s ~~~e~^ std/~ e S la as c~,o,~n ~.s l ~ I1 ~hp~~K PP2 ~K,eNCh ~/ Al l~ Q, mp~.X Np~a 1 - ~, ~vo C~~ Tr~-~ ~I~v g9. 1y ~ tiuaoyn ~ ~~'~ c W~p~~~u~~~ 1~~~ a35' j lktr Qa o Yv~ 35' Ib OO~~ }~omv -- , ~~, _ B~NC,~, M~~~ : lop ~ ~~ a I~N~~ s (~'e~Art ~ssum~o ~ (~~ 3 x (~ ~.7 S . ~ 1~ev - -o u~ h- Q~~~~. ~P~~ ~ N ~f~ ~r~~ ~ I N ~ ~~Q~ C C N 9 ~; s ~ ~~ ~~ ~~~ .~ i~ III,I~a~~ C // ~ ~ lU ~~ ~ ~ .. ~. x ' 1490 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm ti5, Wis. Adm. Code AC.E. Sal & Site Evaluatia~s County Attach complete site plan on paper not less than 8'/: x 11 inches in~ize. Plan must St. Crouc include, but not limited to: vertical and horizonta reference posit (BM), and Parcel I.D. percent slope, scale or dimemsions, north arrow, and loc8tion'and distance;to n est road. 020-1034-60-000, ID#17.29.19.149A Please print all information. gy Date Personal information you provide may be used for secondary puryoaes (Pm~acY ~ s.15.04 (1) {m)). ~ Q Property Owner Property Location Robert & Barbara Oestreich ;°~ ~ ~~ NW 1M SW 1/4 S 17 T 29 N R 19 W Property Owner's Mailing Address ~,, ; ;,fit, Lot # '~ Block # Snbd-Naree S !cg ZJ 955 Trout Brook Road '~~<,?~~'. ~~ City State Zip Code Phone° ~' ., } City J Yllage Town Nearest Road Hudson ~ WI 54016 715-386-3492'' ~ Hudson Trout Brook Raod ~ New Construction Use: R~,;~ntia / Nurr~er'a' bedrooms 3 Code derived design flow rate -j Replacement Public or commercial -Describe: Parent material Glacial outwash Flood plain elevation, if applicable General corrnr~ents and recommendations: Install 2 trenches using 22 high capacity infiltrator chambers at system elev. = 91.00'. 45U vNu na goring # ~ Boring ~/ Pit Ground Surface elev. 95.45 ft . Depth to limiting factor >93° in. Sal Application Rate h D D i t C l Redox Descri tion Texture Structure Consistence Boundary Roots G P D/flz Horizon ept om nan or o p "Eff#1 *Eff#2 1 0-8 10yr3/2 none Is 1 fsbk mvfr as 2f,1 m 0.7 1.2 2 8-30 7.5yr4/4 none Is 1 msbk mvfr gw 2fm,1 c 0.7 1.2 3 30-49 10yr4/6 none s Osg dl gw 1fmc 0.7 1.2 4 49-93 10yr5/4 none s Osg dl - - 0.7 1.2 r ~9/. o s3 • y ~l• Boring # ~ goring ~ Pit Ground surface elev. 95.32 ft. Depth to limiting factor >97~~ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 Dlft2 *Eff#2 1 0-5 10yr3/2 none Is 1 fsbk mvfr as 2f,1 m 0.7 1.2 2 5-24 7.5yr4/4 none Is 1 msbk mvfr gw 2fmc 0.7 1.2 3 24-50 10yr4/6 none s Osg dl gw 2fm,1c 0.7 1.2 4 50-97 10yr5/4 none s Osg dl - - 0.7 1.2 ~_ --- ~~ * Effluent #1 = BOD ~ 30 <_ 220 mg/L and TSS > < 1 W mglL ffl =GODS < 30 rrg/L and TSS < 30 mglL CST Name (Please Print) Sign CST Number James K. Thompson 3602 Address A.C.E. Sal 8~ Site Evaluations D e Evaluation Conducted Telephone Number 340 Paulson Lake tine, Osceola, WI 0 10/29/01 715-248-7767 property Owner Robert & Barbara Oestreich pare ID # 020-1034-60-000, ID# Page 2 of 3 Ong # Boring K .'~ Pit Ground Surface elev. 92.12 ft. Depth to limiting factor >86" in. Soil ppp6catiar Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 Opt 10yr3/2 none Is 1fsbk mvtr as 2f,1mc 0.7 1.2 2 4-30 7.5yr4/4 none Is 1 msbk mvfr gw 2fmc 0.7 1.2 3 30-47 10yr4/6 none s Osg dl gw 2fm,1c 0.7 1.2 4 47-86 10yr5/4 none s Osg dl - - 0.7 1.2 4 ~n9 ~~ # ~ Pit Gnxind Surface elev. 90.01 ft. Depth to limiting factor >80" in. Sal lication Rate APP Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Effit`2 1 0-5 10yr3/2 none Is 1 fsbk mvfr as 2f,1 m 0.7 1.2 2 5-19 7.5yr4/4 none Is 1 msbk mvfr gw 2fmc 0.7 1.2 3 199 10yr4/6 none s Osg dl gw 2fm,1c 0.7 1.2 4 49-80 10yr5/4 none s Osg dl - - 0.7 1.2 I S I goring # ,-.-1 ~n9 I ~ Pit Ground Surface elev. 93.42 ft. Depth to limiting factor >89" in. Soil Application Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-4 10yr3/2 none Is 1fsbk mvfr as 2f,1m 0.7 1.2 2 4-27 7.5yr4/4 none s Osg mvfr gw 2fmc 0.7 1.2 3 27-41 10yr4/ti none s Osg dl gw 2fm,1c 0.7 1.2 4 41-89 10yr5/4 none s Osg dl - - 0.7 1.2 * Effluent #1 = BOD 5> 30 < 220 rnc,~IL and TSS >30 < 150 mg/L * 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. r 7"~o u.~ n~~'r,~ ~o ash 1~~~: ~ r y9o ~~ • Ele dQ u~ a~ ySOZ ~ . pio~te~ /ot Carne .c,r uye~ ~O~ LOeS~i'2i~QlJr~ io ~ i, c.~, ~~ /i ~ 3is ~7,j y. ~I 23S ~± C \I ~ \ 0 0 O ~ q1. ~ _ o of ~ ~ °~ $~~ . ~ ~ ~ °~; ® ~ ~ w ~ /, ~ o L ~+ _ a ~$3 ~~. ~' _ ~~ 4y ~ Slope. ^ .i ~: _ 1.~. : Yla; ~..ib.da~e fed 0~ flee. 9R 7y: ~. 3 ~.~ Private Onsite 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) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number p Z Number of Bedrooms ~ Desi n Flow -Peak (gpd) $~ Estimated Flow -Average (gpd) 3 ~~ [7 Se tic Tank Capacity al) V ~ i1 Soil Absorption Component Size (ftZ) Type of Wastewater Domestic Table 2: Soil Absorption C~n~i ltt,- Limits of Reliable Operation Septic Tank omponent Soil Absorption Com onent Desi n Flow -Peak (gpd) c56D i a Maximum Influent Particle Size (in) ~ `~ l8 Maximum BODE (mg/L) '~~~ 220 Maximum TSS (mg/L) ~ L'- 150 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once eve 3 ears Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank 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 septic nk and outlet filter shall be assessed at least once every 3 years by inspection. The ut et i r shall be cleaned as necessary to ensure proper o ep ratan. The filter cartridge shou not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the 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 1/3 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 shall be sealed watertight upgn the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than S-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 with OSHA standards for entering a confined 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 may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component 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 erosion 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 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. 7 • Management Plan fora Septic Tank and Soii Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the . component should be avoided since root intrusion into the component may obstruct wastewater flow. •, When system fails, will re lace with another em at owner's expense. Alternate area must be left undisturbed.. St Croix County Zoning Office 386-4.680 Boumeester & Sons Excavating 386-9020 S'1' CKUIX CUt1N'1'Y Shl'"I'IC; 'TANK MAIN'I'eNANCn A(3RI?LMLN'1' AND OWLN~ItSllll' CRRTII:ICA'1'IUN t~ORM OwnarJBuyer r C c? // ~ y' Mailing Address Property Address ..~ (Verification required from Plsnrring Uepartrnent for new cvnalruction) CitylState _ ~''VU ~ 5~a~ L~UJ~ Parcel Icfenlification Number D~;(O - ,•, ~ ~/ -~O - •300 Property Location ~/G(~ %., SGL~ '/,, Sec. f~, '1'~_N-R~_W, 'Town of 1~~ '' S' ;, Subdivision •- __._____ , Lol !/ ~. CertiliM Survey Map # __ ~~ ~~ Volumo ~ (o ,Page # ~3 ~ Z. . Warranty Dtaed # _ 7'S~.~ /1 _ Volume _ •.:,1~'~~ ,Page # ~~5 ~5~ Spec house ^ yes ~ no Lot lines idetttifiabie Ll yes O tto ~: larpr+oper uss and malntenanceof your septic system could result in its premature failure to handle wastes. Proper mainlenanoe o°a°riata of pwssplo~ out the septic tank every Wcee yeah or sooner, if needed by a licensed pumper. What you put into fhe system caa aRa~ Ws tlnreNoo of the septic tank u a treatment stage in the waste disposal system. ~~ rrarbe owner agrees to submit to St. Croix Zonhrg Department s certification loom, signed by the owner and by • p . joruneyraan phuaber, restriotedplumber or a licewedpumper verifying that (1) the on-site wastewaletdispoaat ayalsna It In proper operating condition andlor (T) ~ ~iecNon and pumping (if necessary), We septic tank b lep than 8/3,'tAaU of ehrdjs. Vwe~ the waders ' :~'~~ee Igned have read the abov , wand agree to maintin the private sewage disposal dasdards set ~ heaein, u set by Nre Department sal the Department o[ Natural Resources, State ofMoorWOaNMwMoe ~~ Waf your septic system ~ been du must be co leled and returned to the St. Croix County Zonios OlNas wlWhs 30 days o the three :.' ~ °u' year exphaNon date. ; ~~, r ~ ~ ~ ~ ty' ~y/ ~ ' Slt)NA P APPLICA DATE •• wq~ 1 :. ,. 1(we) cerN~ War all statement on~tlt~ forte are true to the best of my (our) knowledge. 1(we) am (are) Nre owner(s) of We described above, b virtue of a,w~rraty deed recorded in Register of Ueeds Office. ',f,lj • ~~., ~S .: .. ~+~-~ .•, . ~s:. .' DATE •'••" Any information that is mis-repr tresult in the saaita rmit bein revoked b the Zon rY Pe B Y ing Depaatraent. •••••• •• iaclade Mth this ippllcallon: a sts ~~~~.~~;~,,:.='. • mt'~•d-~~rN,y deed from the Register of Deeds office a copy of d1e eertitled tnrvey rnsp if reference is made in the warranty deed _ U 2yy5P 255 STATE BAR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED Document Number This Deed, made between Robert E. Oestreich, a/k/a Robert Oestreich, and Barbara A. Oestreich, _ a/k/a Barbara Oestreich, husband and wife 1 r0 rt , Grantor and Perry John Scobey, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate In St . CrOlX County, State of Wisconsin: 7 4 ~ 1 ~ Sr KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CD. , WI RECEIVED FOR RECORD 10/29/2003 09:30AM NARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 96.00 COPY FEE: CC FEE: PAGES: i Recording Area Name and Return Address Stephen J. Dunlap P.O. Box 129 Hudson, Wisconsin 54016 Lot 2 Certified Survey Map Vorlume_,,16, Page 4312, D~cu~tent Number 681428, located in P t of the NE 1/4 of the SE 1/4 of Section 18, and Part of the NW 1/4 of the SW 1/4 of Section. 17, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin. 020-1034-60-300 Parcel Identification Number (PIN) This 1S riOt homestead property. (is) (is not) Exceptions to warranties: Subject to eaements, reservations and restriction of record. Dated this day of OCtOber 2003 (SEAL) Signature(s) AUTHENTICATION Robert E. Oestreich and (SEAL) Barbara A. Oestreich authenticated this ~ day of ~ .,.. TITLE: MEMBER STATE BAR OF WISCONSIN (~~~~ I~,c,Q'~~, ~ ~ (SEAL) ROBERT E. OESTREICH a Ro rt O~.streiQ ~X o~ (SEAL) BARBARA A. OESTREICH a a Bar ra Oestreic ACKNOWLEDGMENT State of Wisconsin, ss. St . Croix County. Personally came before me this day of October 2003 the above named Robert E. Oestreich and Barbara A. OestreicN to me known to be the person S who executed the foregoing ~ ~: APPROV~® ST. CROIX COUNTY Planninn 7nninn and Pa rks Committee ~ uN o 4 zooz If not recorded within 30 days of L/ approval date approval shall be null end void CERTIFIED SURVEY MAP ~~g ~z~ 6_, -~ ~~.~~~r?~3iz) LOT I CERTIFIED SURVEY MAP VOLUME II PAGE 3169 LOCATED IN PART OF THE NEI/4 OF THE SEI/4 OF SECTION 18. AND PART OF THE NWI/4 OF THE SWI/4. OF SECTION 17. T29N. R19W. TOWN OF HUDSON. ST. CROIX COUNTY. WISCONSIN I. LYLE L. ELLIOTT. REGISTERED LAND SURVEYOR S-1300 DO HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF LOT I CERTIFIED SURVEY MAP VOLUME II. PAGE 3169 LOCATED IN PART OF THE NEI/4 OF THE SEI/4 OF SECTION IS AND PART OF THE NWI/4 OF THE SWI/4 OF SECTION 17 T29N. R19W. TOWN OF HUDSON. ST. CROIX COUNTY. WISCONSIN AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: BEGINNING AT THE WEST QUARTER CORNER SAID SECTION 17. THENCE N88°54'S4"E ALONG THE EAST AND WEST QUARTER LINE SAID SECTION 17 945.02 FEET: THENCE S01°07'36"E 595.20 FEET: THENCE N88°58'23'W 477.43 FEET: THEivCE Si~'S3't9"c 34~.~4 FEET; TlriEii;E iw~v2'3~"W 275.34 FtET: THENCE N29°08'S8"W 922.70 FEET: THENCE N54°36'27'E 185.37 FEET: THENCE N88°40'S4'E 11.35 FEET TO THE POINT OF BEGINNING. SAID PARCEL CONTAINS 15.82 ACRES MORE OR LESS. AND IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. I HEREBY CERTIFY THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF SECTION 236.34 OF THE WISCONNIN REVISED STATUTES AND THE ORDINANCE OF THE TOWN OF HUDSON. AND ST. CROIX COUNTY IN SURVEYING AND MAPPING SAME. EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE. COUNTY AND TOWNSHIP LAWS. RULES AND REGULATIONS- (i.e. WETLANDS. MINIMUM LOT SIZE. ACCESS TO PARCEL ETC.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING OFFICE AND THE APPROPRIATE TOWN BOARD FOR ADVICE. ANDEPRIOR TOECONSTRUCTIONLOFAAENEWNACCESSPANOEROSIONTCONTROL PLAN WILL BE SUBMITTED TO THE WATER CONSERVATION DEPARTMENT. PRIOR TO CONSTRUCTION AN EROSION CONTROL PLAN MUST BE SUBMITTED TO THE COUNTY PLANNING AND ZONING OFFICE ON EACH LOT THIS SURVEY WAS MADE AT THE REQUEST OF PERRY SCOBEY LYL L. EL RLS 1300 DATE : .._~o~ a~~~ / UI i __. _ 345 CO. RD. A HUDSON. WI. 54016 I-715-377-6131 ~dtaaa.ir;t,~~~ ~,E:~.t,~orvs, ~, ,::yes . I . -~1 ~' ;LYLE L. ELLIOTT~'~ e w S-13Q0 _= ~~ HUDSON. WI APPR~V~1~ ST. CROIX COUNTY Planning Zoninn and pgr~s Committee ~uN o 4 zooz If not re~pf~ 3U da s of _ aPPlpVal d asha I bo '' ,o~lh~n Id,• ~' , '-.~` ~ 1 O ~ ~ ~ O - '~z Cq~ • • . 1' ~ , t . t9 `~ ddd1111111 ~ I- O ~w z C --1 o N ........N ~ N ~~ m e~ O o N W O 1 7C ... 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