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HomeMy WebLinkAbout430594 ommerce PRIVATE SEWAGE SYSTEM county: St. Croix in INSPECTION REPORT sanitary Permit No: 430594 0 JRMATION (ATTACH TO PERMIT) State Plan ID No: you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. te: City X Village Township Parcel Tax No: -i n Village of Star Prairie 182 - 1025 -95 -110 Insp. BM Elev: BM Description: SectioNTown/Range/Map No: X06 U D 0 JVI 07.31.17.311707 -ORMATION ELEVATION DATA MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark /t l 6 • ( / L90. 0 Alt. BM _V— Si NGr- °U tW f ,tion Bldg. Sewer ilding St/Ht Inlet TANK SETBACK INFORMATION St/HtOutlet TANK TO IP/L WELL BLDG. Vent to ke ROAD Dt Inlet ► � F 0 Septic _ ' V Dt Bottom Dosing He S p Aeration j Dist. Pipe 0 � aJ6 g 3 • Holding Bot. System / 1?2 Fin Gr ade PUMP /SIPHON INFORMATION I9 Manufacturer Demand St Cover y, li /•� O Model Number S (1�'t• TDH Lift Friction Loss em Head T Ft Forcemain length Dia. Dist. to We SOIL ABSORPTION SYSTEM / q BED/TRENCH Width Length No. f Tre c es Firr DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS —3 lloll Al' a4 SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING anufactur, :- INFORMATION Ty NG� CHAMBER OR „h /� Model Number. DISTRIBUTION SYSTEM �` 5 Header /Mbniif� { Distribution / x Hole Size x Hole Spacing Vent to Air In Len th Dia Len th Dia acin I ---- SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center f - r Bed/Trench Edges Topsoil (j � i Yes I�J No ;j Yes i No COMMENTS: (Inclu de discrepancies persons present, etc.) Inspection #1: Inspection #2: Location: 100 Jewell Street So�u Pra WI 54026 (SW /1' /�4�NW 1/4 7 T31N R�17YV) NA Lot 5 1.) Alt BM Description 2.) Bldg sewer length - amount of cover � Z' = �1�W".f"l Q . b � t � .,.� �'� / �(/���s�'� .i �4?����'U v� -�"`4g /�,,,GB'S�► T Plan revision Required t e Use other side for additional information. Yes � No , SBD -6710 (R.3/97) Date r Insepctor's Sig re Cert. o. y &7104- A RECEIVED n 2q Safe and Buildings Division County DEC V ��} W. W hington Ave., P.O Div Box 7082 ST, D I _ viscon I Ma isotf, WI 53707 — 7082 Sanitary Permit Numbe (to be filled in by Co.) CROIX OUNTY (608) 261 -6546 0 Department of Co mere Sam ary erm><t State Plan I.D. Number Application In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide g 4 5 y 31 may be used for secondary purposes Privacy Law, sI5.04(Ixm) Project Address (if different than mailing addryss) /0() jC"ZC /�ZL ST, L 1. Application Information — Please Print All Information arcel Lot # Bl,) # Property Owner s Name L L C — O I Z I C C04VE41r=AM _ -BRIAW CLot,.T E property Owner's Mailing Address Property Location 3l 1 Q Z 3_ �Z " 1 00 3 ew J O vIV SIJ� Y,, �W 'v., Section 7 City, State Zip Code � 71S Number Z �3 . 3 `�4� (circleo RR 4RWRIE WI Sy 0Z.(o T I N; o dWJ 1I. Type of Building (check all that apply) Subdivision Name CSM Number :1 1 or 2 Family Dwelling - Number of Bedrooms (�a 6 Public/Commetcial - Describe Use QW V rx N I 1, t `r � �' � � �d� YY IV hi -- -. � / ❑City wns Villa Tohip o C �,q ❑ State Owned - Describe Use 3 _P 1 T � STAR A R l E f OT - d 1 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) S J N ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. T e of POW TS S stem: Check all that apply) El - Pr essurized In -Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter C.,; onszed In- Ground Holding Tank ❑ Peat Filter Aerobic Treatment Unit Recirculating Sand Filter tructed Wetland ❑ Pressuri El ❑ Recirculating Synthetic Media Filter 0 Leaching ChaF ip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: / Design Flow (gpd) Design Soil Application Rate(gpersal Area Required (s� Disp ( I�A roposed (sf) System ElevatiO 11 IO S . S .7 1(o 6 6 a t ec] VI. Tank Info Capacity to Total Manufacturer Prefab Site Stecl fiber Plastic Gallons Gallons / /2. & �� —� Q� Concrete Constructed Glass New Existing �•l l Tanks Tanks wr Sept' or Holding Tank Z S 7.70 O ( (� 1 IV Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement 1, the undersigned, assume responsibility for ) Ilation of the POWTS shown on the attached plans. . lumber's Name (Print) P tier's Signatur MP PRS Number Ok- I ° Business Phone Number (Jt -T� c�+ 14S8(0 318 0 7/S•3S7- 3�/ ,�AI,o I c Plumber's Address (Street, City, State, Zip e) IO(o WE I PROS PEC T Au E I� 1. E tz A. �J ( S4 OS VII[ oun /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Is ued suing Agent i Stamps) Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Reason for Denial (J O IX. Conditions of ApprovaltReasons for Disapproval SYSTEM OWNER; 1 Septic tank, effluent filter and l,OYYWh 0 3 SZ ,,/ dispersal cell must all be serviced /maintained �������p�,�� as per management plan provided by plumber. (% v 2. setback requirements mus e � as per appl "cable code /ordinances. ��yZ � 6 L. /n1E f° Q 413 Attach complete plans (to the County only) far the system on paper not less than 91 s 11 inches In size SBD -6398 (R. 08/02) I f 1 • • Ctu"� r im " �Oftl >I �,p , 4 6, - ' . '�.t Q Z l ` n' Y r � ' " t �T� r V 3 Mil' 739890 3 �it.tl ct.e :111CJ , _ 77 4612 , L - oy VOL PAGE wt _ , _ O.7 KATH= H. WXESW - � - N 4 N 4 ......... a REGISTER OF DEEDS �•...., 0 a`U'H'tl� --I ST. CROIII CO.. MI ., .y. RECEIVED FOR RECORD CERTIFIED SURVEY MAP 09/12/2N3 02:45PH Located M part of the Fractional Southwest Quarter of the Northwest Quarter of REC 15.00 MAP I Section 7, Township 31 North, Range 17 West, Village of Star Prairie. St. Croix County.COPY FEE: Wisconsin. S: 3 M7R7HNFST CORAIID ATE AND COUNTY HWY. SEC: 7 —J1 -17 I SE7BACIC RESTRICTIONS + i i (FOY/WD SW WY MO R NAI I�TMPROVEMENTS— SEE i The Wisconsin Department ofTraesportation has granted a Special i 1 Exception to Trans 23 for one Public road access, as sho on thi ma 1 I A type B intersection m to be constructs at no expenw — UIW (,Q� N department. 'C ci n 1 W CERTIFIED SURVEY MAP UME 13 PAGE 3553 X11 CI 11 i - -- Lot 3 — r - - � �i j o I 1 I Sa934'S6'E 607. 01 li — ... _ 11 .. _ ... — ... — . . _ ... — ... _ ... —1 q 10' UTILITY EASEMENT (TYPICAL) n� F8 -1 1 o LOT 4 1 1 \ 5 ` o AREA s 200.563 SO. FT. a �i c 1 II 4.60 ACRES 1 of = 1 z1 Ld 1 A 3 rum L I F 0 1 -IC 1 i .. �. a .. S69'24 56'E 1107.71* 1 S I = 1 a A 5 • � � i {' O.1 I I b ZZ Z1 _ °; I' �� LOT 5 AM& 1 I I o L 157.993 SO. FT. c M z Uj q+ V 3.93 ACRES I 61GYPN w £AST]E71iT 1 _ _ • • • • SB9'24'56'E • .•607.62'.... 80M SWEET 0 0 1 vwrN�NN r n Na9 WIN (DEWARD YU RE max) Na9R4'S6 607.59' �-�, v �P 1 56�E EAST- - NEST 114 0V£ SE'CA 7 i NEST 1/4 CARNEJ4 - ----- - - - - -- NN24$6'W 5384.32' - -- £AS7 f� CQRNf1P SEC 7 7— RK NMI) �NPLJ!T? QS (FND. RAILROAD MWr) t FrFu D.O.T NO. 55 -65- 3776 -2003 County Section Comer Monument of Record 0 Set 1" x 24 Iron Pipe weighing Prepared for and at the request of: a minimum of 1.13 pounds per OWNER: linear foot. Brian Cloutier, etal O Found 1' Iron Pipe 2763 30th Avenue Highway Setback Una (110' from centerline) Osceola. WI 54020 — 10' Utility Easement (Typical) Dransd by: Ty R. Dodge Recorded as JOB / VA766SUS Prepared by iSa o 150 N TH T EO c GrOLA hG GRAPHIC SCALE Phone No (715) 246 -4319 SCALE IN FEET: 1 Inch - 150 feet Fox No. (715) 246 -3630 BEARINGS ARE REFERENCED TO THE WEST LINE OF THE P.O. Box 715 FRACTIONAL NW 1/4 OF SECTION 7, TOWNSHIP 31 N.. New Richmond, WI 54017 RANGE 17 W. WHICIi IS ASSUMED TO BEAR NOD'19'12*E. Sheet 1 of 3 Vol.17 Page 4612 Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: (608) 264 -8777 �sconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary December 01, 2003 CUST ID No.267841 ATTN: POWTS Inspector i DALE SCHLIEVE ZONING OFFICE CEC ST CROIX COUNTY SPIA 312 CONRO ST 1101 CARMICHAEL RD RHINELANDER WI 54501 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/01/2005 Identification Numbers Transaction ID No. 945437 SITE: ' TRIA J Site ID No. 665959 Cr Convenience Please refer to both identification numbers, 100 Jewell St above, in all correspondence with the agensco Town of Star Prairie, 54026 AP� �� St Croix County; Fire De t ID: 5502 SW1 /4, NW 1/ S7,T31N,RI7 DERTMENTOF FOR: 1 N OF SAFETY, Object Type: POWT System Regulated Object ID No.: 924356 e4 L Revision ......_..... SEt GORRESF The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: This plan a ction i s subject to designer comments on the plan. Key Item(s) • • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and ch. Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements shall take precedence. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation /operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. I I DALE SCHLIEVE Page 2 12/1/03 Sincerely, Fee Required $ 60.00 6Wesley Fee Received $ 60.00 Balance Due $ 0.00 C be Plumbing Plan Reviewer, Integrated Services WiSMART code: 7633 (920)492 -5613 , M -r 7:00 - 16:30, F 7:00 - 11:00 wgrube@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r November 11, 2003 RON'S PLUMBING 105 W PROSPECT ALMENA, WI 54805 To Whom It May Concern; The estimated consumer count for the Star Prairie Convenience Shop located in Star Prairie, WI, is approximately 200 per day. Sincerely, Brian Cloutier SYSTEM SPECIFICATIONS In- ground Soil Absorption Component Component Manual # SBD - I - 705- P E 01 1 1 Project Name: C. Co N � E 4 E t4 C E Distribution Cell Type Septic Tank Aggregate ❑ Non- Aggregate® Min. Septic Tank Vol. Rcq. 2 4_3 gal. Type of Non Aggregate Component Septic Tank Vo me Z S 00 gal. CEL1. S Manufacturer 14 U. F F 0,Lcrr l N C M a nufacturer 10T : i SYS TEM S I NC, Model STA N is (4 R b Effluent Filter Manufacturer Z A B E L Number of Bedrooms JA Model A - Loo Soil Application Rate (DLR) .7 gpd /ft (Designed Loading Rate) Pump Tank Wastewater Quality Manufacturer Treated ❑ Untreated ❑ Volume Model Combined wastewater: Number of bedrooms Distribution Component gal /day /bedroom x 150 Distribution Box ❑ Daily Wastewater Flow (DWF) = Hydro - sputter El Other Clear and graywater only: Manufacturer Number of bedrooms gal /day /bedroom x 90 Daily Wastewater Flow (DWF) = Cross section of distribution cell(s) Blackwater o nl S RovE � Number of bedrooms gal /day /bedroom x 60 Daily Wastewater Flow (DWF) _ Dispersal Area (Aggregate) - fe PVIJ� (DLR) / Dispersal Area Sizin ( on -A re ate P g� � g ) EISA Rating 3 I • L fe System sizing = DWF _ DLR =- EISA I( L&4. -. - .7 - 31.1 = 53 • Sq chambers (DWF) (DLR) (EISA) CS y u s a) Diverter valve ❑yes ®,no Manufacture 950 Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page I of ' iii accordance with Comm 85, Wis. Adm. Code !` County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ST cg, 1)( 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. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner e, 14. Co AI WAl l cl-1 C Property Location Ilv Aub 1 GLa7wr Govt. Lot 3 W 1 /4 1/4 S 7 T 3 1 N R 17 Property Owner's Mailing ress Lot !! Block Subd Name or CSM# 914 50wrH AVE Pe,C %A ?'Swt City State Zip Code Phone Number ❑City Vd ve . ❑Town Nearest Road li� 2 t q wl � S 7 „r Zb3 -34f 5rA-fL PAM21C /fwY 6S New C4n*uction Use: ❑ Residential / Number of bedrooms Code derived design lbw rate GPD ❑ �acement $1 Public or conwnerdal - Describe: - Go N Y” tENG `3 E b Parent material - aL *e-r A- L MESS Flood Plain elevation it applicable _ N . A . General cor ivnerds and recommendations: Pe Co mrA a M 6 A- S YyTEM 61.6V, BE'rwSClJ 9Z, I S 1 Zd 44 Z, 700 s, 4;01 /t4x= I fj4oce > , M s v f D Boring tc� Pit Ground Mace elev. �9.'> R Depth to limiting factor ! 2� f b f soli Rate Horizon Dominant Redox Description Texture Str u Lure Consistence Boundary Roots GPDW in. Munsd Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 i Z 3 -y./ s+.Sk -- �r .J , f'o C 3 YA G r s © 5 / Guy i . 7 /. Z 5rq-fo 7. rrA Z' -log Sorg -- Ls D -- .? 7. Ito Y -1 r rg - ©s l — . 7 T T Z Boring # ❑ Boring Pit Ground surface elev. 'r'i • y R Depth to limiting factor (r1. Horizon Depth Dominant Col Redox 'Sol nation Rate Description Texhxe Stnx�tue Consistence Boundary. Roots GPDIff h Munsell Qu Sz, Cont. Color Gr. Sz. Sh 'Efr#1 •902 1 0 -► Z 7, r y,� �' tj vta �►' e. 5 Z1C r S 8 7, t rX i/t Y S ©S • Effluent #1 = BOD > 301220 mg& and TSS >30 < 150 nV& • Effluent #2 = BOO < 30 Nam p - _ � and TSS < 30 mglL CsT Si ture CST Number Address - 7/ b / 8 FREDERICKS PERC TESTING I Dab Evaluation Conducted Telephone Number 2017 6%Z Street q -3 -o3 umbe an 1 54829 (715)822 -2996 Property owner ►�, , fon>EN�EN CC Parcel ID # Page Z ' of 3 ❑ Boring ft. Depth �9 -�— a Boring # Bo Ground surface elev. to Gmi factor / f' in. Soil A40i gtion Rate Pit Horizon Depth Dominant Col Redox pescripGon Texture Structure Consistence Boundary Roots GPDM In. Mansell Clu. Sz Cont. Odor Gr. Sz. Sh. •Eff#1 •Eff#2 iz u io Y� N e- fs Os PV' 1,2— 35 s9 -7,s ya G s of I r r, z— CS 0/ S ❑ Boring # ❑ Boring ti Depth to limiting factor h ❑ Pit Ground surface elev. sal lion Rate Horizon Depth Dominant Redox Description Textrre Structure Consistence Boundary Roots GPD/ft In. Mansell Qu. Sz Cast Cobr Gr. Sz. Sh. •Eff#1 'Etf1f2 E Boring # Boring Ground surface elev. R Depth to �g factor h• ication Rate ❑ Pit Redox Description. Texture Strucare Consistence Boundary Roots GPD1fP Horizon Depth pondnant Cd Gr. Sz. Sh. •E01 •Eff#2 in. MunseA Qu. Sz. Cora. Odor • EMuent #1= BOD, > 30 220 mg& and TSS >30 <_ - 150 nV& • Effluent #2 = BOD, 1 30 mg& and TSS <_ 30 mglL 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. N �b QR� r�aR�( B. rvt • � gV• 100, o rq I � I � (c.Q. GonruEN�ENG�� GSm 1 .4- 1 �r+ o� Sou FL 4 60 o Wy 0 _—_ -- _ — - - - ----- kREA veb Fob SU Ae - re N T onl bab , y No W15LL Offi fpopea -r{ 2 B _ 98 2' D4 W � �v o 6o 21 -� of �" 1 7;�JE. ivf Icy �ernW RECEIVED • Wisconsin Department of Commerce SOIL EVALUATION REP S F P 1 5 2003 Division of safety and Buildings T iri accordance with Comm 85, Wis. Adm. Code ST. CRpiX Pa of COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must limited and percent slope, scale or dimensions, noth a ow' and arrow, and d stance o near st road. ParceII.D. (�_VJ Lod' P /ease ant all Information, / Z �� _ ' 025- r' � p l Personal inform rY Pur ses Privacy evie by Date information you provide may be used for seconds Po (Privacy s. 15.04 (1) (m)). f Property Owner G, / Cort1 UEAI lE�/! Property Locati Prope Owner ' Malting Amress t Govt Lot 0 1/4IVPJ 1/4 S 7 T 51 N R Lot # 7 Block # bd Name or !p Sou-` City p State Zip Code Phone Number ""t"a L' -7 t� ;xt / � A lv/ �'fOD - City P ge ❑ Town Nearest Road c ���'�) z6 3 -3�fyy STiq -(L P,4/kt/Zlf< fffd✓Y 6S New Construction Use: ❑ Residential / Number of bedrooms ❑ Replacement Code derived design flow rate _�_ ,$� Public or commercial - Describe: r o Nt Ent i AI E 1 5 - r o R a GPD Parent material 44*e -rA-I_ ��urw/tst{ lor=SS General comments Flood Plain elevation if applicable _ Al, A• . and recommendations: AE e o n' M F - N 6 A- 5 Yy71F'M EGE V, BETw�i:f�l fL Z-1 t44 : Z,7DO s� t^F /tfn:/ sf4ace G�OS r 4 �..,.plo par ski � ed R�f,a a 0 Boring Boring # Pit Ground surface elev. it. Depth to limiting factor_ t Horizon Deptfl Dominant Col Redox Description Texture Structure Soil Application Rate In . Munsell Qu. Sz. Cont. Color Consistence Boundary Roots GPD/fF Gr. Sz. Sh. / 0 -13 ,sr L- 1 '01#1 'Eff#2 / 3 -L•`/ - 4r e.s Z Z -Falk- .re 'Fr s Guy D r►.r ! _ w -o r 7. 7. rrA Boring # [] Boring • 7 1. Pit Ground surface elev. Depth to limiting factor 4 Horizon Depth I Dominant Color Redox Description Texture Structure 'Sol Application Rate In. . Murrell Qu. Sz Cont Color Consistence Boundary Roots GPD/fF Gr. Sz Sh. , Eft#1 'Eff#2 �� ✓ vcr 7r e 5 �7" 5 8 Z - Z -7L /p /L � __ � I r 2 �bk -�.� , ►f u -yo .s M 4 r 5 .,.� I cu, r 7 o V0 - � r S-y/y3r� 5 S Os .,,,� /o y¢ � - .7 /. Z c s Ds w` � � .7 1,4 Effluent #1 = -7 �, Z CST Name Pleas rint SOD > 30 < 220 � and TSS >30 _< 150 Effluent #2 = BOD 30 ff < c n 1 Si lure KA and TSS < 30 nV& S Pr l` �S CST Number 'address FREDERICKS PERC TESTING ?l 6� 8 Date Evaluation Conducted Telephone Number 2017 6% Street Cumberland WI 54829 (715)822 -2996 Property Owner �1"� faNEN)E/� Parcel ID# Page Z' of 3 l Boring # Boring f Pit Ground surface elev. ft. Depth to limiting factor in. Soil Applicati Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff 'Ef 042, YQ N L YX F-1 Boring # ❑ Borg Pit Ground surface elev. It. Depth to limiting factor in. Sai ication Rate Horizon Depth Dominant Color Redox Description Texdxe Structure Consistence Boundary Roots GPD/ff in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Boring # ❑ Bo M . Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil ication Rate Horizon Depth Dominant Color Redox Description . Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 <_ 220 mgll. and TSS >30 _< 150 ffKA ' Effluent #2 = BOD, 130 mg& and TSS < 30 mg1L 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.6I00) i 5jz�w�aky B, m gLgv. = loo, o' 'rm4.� ►" P� ?f- Imo! c�f�e.r 0 e � �' b � CLaNfIE�C /�•t Pk�6�� -fY I i perd'„ e-sm i o+ I (�( o4 W 2 0� Vt o 54xr Trbir a F ob m /xo WEu. gm fpopea-r( oy2 w 0 30 6o ,,r / D r �P q 7;�p of i" ��� 4 104- e�o J e-r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P-0r 1 Gl oa t i -r` - ✓ t�P- �A-i,? -I 5 �Ro +��� /�hY�T h16 11�"s L C,C-1 Mailing Address DL 7 6 3 3 o yo -A Property Address 1 & 0 J14t. w'aA (Verification required from Planning Department for new construction) V tgd& a C i t y / S t a t e S T v t r P r cq `' e i Z L4J t Parcel Identification Number ,%�o 6 6 Ft O F w � oFSu J$oiNVJ f v0zL7 fn��Mst,t�31 lvorM, R*,N�ei /7 u✓+�r Vil/ty� ert: Stagy P�a�'�ie„ 5t Croc'k Evon� ph L EGAL DESCRIPTION �� %i4 Spa r Property Location S W V4, �1 `4, Sec. 7 . T 31 N -R 17 W, �f 311 0 Z - -6 5 - Subdivision . Lot # io 3 Certified Survey P Ma # 7 3 R Volume . Page # / J - ` Warranty Deed # a y 3 (� , Volume �y� . Page # , Spec house 0 y es (2( no Lot lines identifiable dyes 11 no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owaer(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed POWTS OWNER'S MANUAL & MANAGEl1AENT PLAN of FrLE N :C MATION SVS EM e '3�1 DYL— E C RC0 J 4 E 4 C E BR i s rJ CL cuT i e R septic T alc Y 7— O al 0 NA R P A 4S/Sy3 3 D T ank � C 7`T I U C O NA DEWN PARAMETERS I Effluent Filler Manufacturer Z A BEL 0 NA Number of Bedrooms KNA Effluent Fier Model A — to o 0 NA Number of Public Facility Units zoo PpT. 5 1= D 17 NA Pump Tank Capacity al MN A Estimated flow (average) y EMp 717 Pump Tank Manufacturer R( NA Design flow (peak), (Estimated x 1.5) 11 gaLMay Pump Manufacturer ANA Soil Application Rate 1 ,"'] g aUdayfle Pump Mode 'ANA Standard Influent/Effluent Quality Monthly average' Pretreatm1 n Unit O�NA Fats, Oil & Grease (FOG) 530 mg/L 13 SxxUCwave Filter 0 Peat Filter Biochemical Oxygen Demand (BOD.) 5220 mg/L 0 NA 0 Mechanical Aeration 0 Wedand Total Suspended Solids (TSS) 5150 mg/L 0 Dbinfecili n 0 Other. Pretreated Effluent Duality Monthly average Dispersal CON(s) 0 NA Biochemical Oxygen Demand (BOD.) 530 mg /L 0 In Gran (g ravity) 0 In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L 14 NA 17 At -Grade 0 Mound Fecal Coliform (geometric mean) 510 cfu /100ml 0 Drip -Lire 0 Other. Maximum Effluent Particle Size Y. in die. 0 NA Odd- O NA Other: 0 NA Otl�s: 0 NA "Values typical for domestic wastewater and septic tank effluent. Other: 17 NA MAINTENANCE SCHEDULE Service Event Snvice icy -- Inspect condition of tank(s) At least once every: 3 (0 0 meant jls) (Mauaiurnum 3 years) O NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y,1 of tank vune _ok 0 NA Inspect dispersal cells) At least once every. 3 (Q 0 s)(s hum 3 Yeas) NA Y Clean effluent filter At least once every-, 0 month( sl 0 NA 1 2 0 year(s) Inspect pump, pump controls & alarm At least once every: 0 month(s) J(NA P 0 year(s) Flush laurels and pressure test At least once every: 0 month(s) )0 NA 0 year(s) Other: At least once every: 0 month(s) 0 NA Other: 0 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 tank(s) to identify any missing a 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 collie) 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 -d*d (Y 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 pressurized components, pretreatment units, and any servicing at intervals of 512 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. GMW (4/01) 'lam START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) 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 cell(s) in one large dose, overloading the cell(s) 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 properly 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 system. 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. T si has not been evaluated to identif suita�cement �Upon failur f the POWTS oil and site ev I ti must p rformed o 1 ate suitab ro r1�Sra nt ar is av ' le a h ding tank m be i talle as a I t r ortto replace the fails ❑ Mound an 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 c jt?STE►M ALE VA - TLoal Ta 8E PL O,CeD A a 5 .0 J:0&_ IQEPLA eE►'►'►'e EN q E Al -- /3 POWTS INSTALLER OWTS 9AINTAINER Name 0 � L QI 2 �-�- e Name Phone I I S - 3 5 7- 31 1 Co Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ST C� Phone Phone S g This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. U 2 13 744326 1 ( STATE BAR OF WISCONSIN FORM 1 - 2000 KATHLEEN H. MALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., NI RECEIVED FOR RECORD This Deed, made between Brian Cloutier and Lori Cloutier, husband and wife and Arlen Rud and Jannis Rud husband and wife and Todd Rud 10/21/2003 09: 45AN and Sue Rud husband and wife Grant an ar rairie Property WARRANTY DEED nvestments, LLC, a Wisconsin Limited Liability Company Grantee. EXEMPT # I5S st eration, conveys ran ee e o owing 11.00 REC FEE: described real estate in St. Croix County, State of Wisconsin (the "Property") TRAMS E: (if more space is needed, please attach addendum): COPY FEE: CC FEE: The S outh 660 feet of the West Half of the Southwe�± n��a�P� (w �� of SW /.) PAGES: 1 of the Norwest Quarter (NW V4 f Section Seven (7), TownshipThirty-one (31) ort 1, ange Seventeen (17) West, Village of Star Prairie, St. Croix County, Wisconsin. Recording Area Name and Return Address C C, Bakke Norman, S.C. 900 Main Street PO Box 54 Baldwin, WI 54002 Together with all appurtenant rights, title and interests. umber (PIN) This is not homestead property (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, highways, utility rights and reservations of record, and will warrant and defend the same. Dated this ?-Pday of October 2003. An * Brian Cloutier, on Clout' * Todd Rud, Sue Ru * Arlen Rud Jannis Rud AUTHENTICATION ACKNOWLEDGMENT Signatures) Brian Cloutier, Lori Cloutier. Arlen Rud. STATE OF Wisconsin ) Jannis Rud, Todd Rud, Sue Rud ) ss. St. Croix Countv ) authenticated this Z day of October-- , 2003 Personally came before me this day of October 2003 the above named * ��1 -GYYt �+'S Q • S C 44 At14- ft L TITLE: MEMBER STATE BAR OF WISCONSIN (If not. to me known to be the person(s) who executed the foregoing authorized by &706.06. Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Maureen A. Weeleitner. Bakke Norman, S.C. Baldwin. Wisconsin Notary Public, State of Wisconsin My Commission is permanent. (If not state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) • Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655 -2021 www.infoprofonns.comSTATE BAR OF WtSCO WARRANTY DEED FORM No. 1.2000 Computer Number: 182 - 1025 -9 6-11irst PROPERTY ASSESSMENT AND TAXATION SYSTEM Type Last Name Name .No PRIMARY OWNER STAR PRAIRIE PROPER < 0 /6 LCLOUTIER BRIAN CO -OWNER INVESTMENTS LLC SECONDARY OWNER RUD TODD & SUE F10 - Exit Use Arrow Keys to Move Between Names, <ENTER> - Select Name LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE VILLAGE OF STAR PRAIRIE COMPUTER NUMBER 182 - 1025 -95 -110 Parcel Number 311707- 23- 02 -00 -00 -000 OWNER NAME: First % CLOUTIER BRIAN Last STAR PRAIRIE PROPERTY PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 7 TOWN 31 N RANGE 17W '/.160 '/.40 Line Description Line Description TOTAL ACREAGE 9.000 PLAT LOT BLK 01 SEC 7 T31 N R17W S 660FT 15 02 W1/2 OF FRL SW NW VIL STAR 16 03 PRAIRIE FKA PARCEL 2198 & 17 04 EXC PT /HWY PROJ 8936 -06 -21 18 05 EXC COM W1/4 COR SEC 7;TH S 19 06 89 DEG E 657.87'POB;TH S 89 20 07 DEG E 67.27';TH N 00 DEG E 21 08 660';TH N 89 DEG W 68.37 ;TH 22 09 S 00 DEG W 660'POB 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, 178- History, F10 -Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE VILLAGE OF STAR PRAIRIE COMPUTER NUMB - ER - 5 -1 _ Parcel Number 311707- 23- 02 -00 -00 -000 OWNER NAME: Firs RETIRE Last CLOUTIER PROPERTY ADDRES se /2 PD -- Street Name -- Type SD Apartment SECTION 7 TOWN 31N RANGE 17W 1 /4160 1/.40 Line Description Line Description TOTAL ACREAGE 10.000 PLAT LOT BLK 01 SEC 7 T31 N R17W S 660FT 15 02 W1/2 OF FRL SW NW VIL STAR 16 03 PRAIRIE FKA PARCEL 219B & 17 04 EXC PT /HWY PROJ 8936 -06 -21 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit GENERAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR01 REAL ESTATE VILLAGE OF STAR PRAIRIE COMPUTER NUMBER 182-1025-95-110 Parcel Number 311707- 23- 02 -00 -00 -000 Claimed Date Re- certified / / Relate Number: OWNER NAME: First % CLOUTIER BRIAN Last STAR PRAIRIE PROPERTY CO -OWNER INVESTMENTS LLC Mailing Address 2763 30TH AVE ... More Names City OSCEOLA State WI Zip 54020 - PARCE L VOLUME & PAGE HISTORY TYPE VOLUME PAGE DOC# NOTES . 0 2440/134 744326 CLOUTIER BRIAN ETAL TO STAR PRAIRIE PROPERTY INVES ..WD 1584/ 199 638138 SPLIT TO ADJOINING OWNER/CRISDHOME FARMS ..WD 1508/ 78 622413 MARK ABRAMSON TO CLOUTIER BRIAN RUD /ARLEN /JAN/TODD ..QC 1500/ 227 620655 DEBBIE ABRAMSON TO ABRAMSON MARK ..WD 1258/ 30 0 ..WD 1172/458 0 Use Arrow Keys to Select, F7 -ROD, F10 -Exit 1508PAGE 78 • 622413 Daeumeat Number STATE BAR OF WISCONSIN FORM 2 -1999 REGISTER OF DEEDS WARRANTY DEED ST. TER CO., WI RECEIVED OR RECORD This Deed, made between Mark D Abramson, a single person, RECEI F 10:15 RM IIARRAIM DEED EMVT I Grantor, and Brian Cloutier and Lori Cloutier, husband and wife; EMT COPY FEE: Arks Rud and Jannis Rud, husband and wife; an Todd Rud and Sue fEE: 166.50 Rud, husband and wife, DING FEEL 10.00 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Record.ng Area The Sout 660 feet of W 1/2 of SW 1/4 of N W 1/4 of Section 71' ownship 31 Name and Return Address North, Range 17 West, Village of Star Pralne, St. Croix County, Wisconsin. S&C Bank P. 0. Box 128 New Richmond, WI 54017 182- 1023 -93 - p Num (FIN) This is not homestead property. 00 (is trot) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this !V) 44— day of April _ 2000 A ar) Q6 ,. • Mark . Abramson r • AUTHENTICATION ACKNOWLEDGMENT O /X1�nlwe^�D-t.. STATE OF WISCONSIN ) Signature(s) ��t k ) ss- /� n St. Croix County ) authenticated this-30 ay of r 2 1_ � U Personally came before me this day of �� -- April 1 2000 the above named Mark D. Abramson, a single person. TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the persons) who executed the foregoing (if not, instrument and acknowledged the same. authorized by ¢ 706.06, Wis. Stats.) — THIS INSTRUMENT WAS DRAFTED BY Attorn Krisu 'aa Oglaad Notary Public, State of Wisconsin —_ _ _ —• - -- My Commission is permanent. (if not, state expiration deer (Signatures may be authenticated or acknowledged. Both are not necessary.) -- — d or printed below their signature. • Names of persons signing in any capacity must be type STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2. 1999 1584 199 ra STATE BAR OF WISCONSIN FORM 2 -1998 638138 KATHLEEN H. WALSH Document Numbw WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Brian Cloutier and Lori Cloutier, RECEIVED FOR RECORD husband and wife, Arlen Rud and Jannis Rud, husband and wife, and 02-07 -2001 9:30 AR Todd Rud and Sue Rud, husband and wife, Grantor, and Crisdhome WARRANTY DEED Farms, Inc., Grantee. _ EXEMPT I Grantor, for a valuable consideration, conveys and warrants to CERT COPY FEE: described real estate in St. Croix County, State of CRAY FEE: Grantee the following tY. TRANSFER FEE: 9.00 Wisconsin: RECORDING FEE: 10.00 PAGES: 1 Recording Area Name and Return Address Judith A. Remington REMIIVGTON LAW OFFICES P.O. Boa 177 New Richmond, WI 54017 t7 PIN: Part of 182 -1025- 95.100 This IS not homestead property. A parcel of land described as follows: Commencing at the West Quarter corn ction Seven 7 ,Township `� Thirty -one (31) North, Range Seventeen (17) West; thence Sou 4'56" East along the Eas -?E s quarter line of Section Seven (7), 657.87 feet to a fence line which Es the point of beginn ng; nce South 89 ^ ast 67.27 feet; thence North 00°2548" East along the as line of the West Half o the Southwest Quarter of the ort west ua er W1/2 of SW1 14 of NW1 /4) 660.Op feet; thence North 89 0 24'56" West 68.37 feet; thence South t� 00 0 25'48" West 660.00 feet more or less to the point of beginning. --- Exception to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this t y of February, 2001. 'B_-- r_J, BRIAN CI.oUTIER RI CLOUTIER 4z" eq(,j ARLEN R 1rn��' UD 1 " A ' J RUD 1 ■ TODD ACKNOWLEDGMENT ACKNOWLEDGMENT STATE OF WISCONSIN ) STATE OF WISCONSIN ) sa. ) as. __ COUNTY ) sT Cte11L COUNTY ) ,( Personally carne before me this _day of the Personally came before me this My of February •101# toe.' .. above named above tamed Brian (]cutler, Lori Cloutier, Arlm 104 "Rod, V` to me known to be the persons(s) who executed the foregoing instrument Todd Rod and Sure Rid to me known to be the pereon(a) W atl acknowledge the same. the foregoing instrument and acknowledge the same. •J f 0 Notary Public, State of WlKvndn. th A. Remington j 'ell My Commission is Permanent. N&iq Public, State of Wisconsin. ' (If rot, ante expiration date .) My Commission is Permanent. THIS INSTRUMENT WAS DRAFTED BY (If rot, sate expiration date: ) Judah A. Remington, REMiNGTON LAW OFFICES P.O. Box 177, New Richni nd, WI 51017 Tdephooe: (71S) 2463422 -Names of persons signing in any capacity should be typed at whad below their sigmmrcs WARRAMY DZED STATE RAR OF WISCONSIN FORM N. 1.111111 a w"hon Prdaask w. Company Fond du Lac. YYaeontn 800666-021 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE V R PRAIRIE COMPUTER NUMB 182- 1025 -90 -10 Parcel Number 311707- 23- 01 -00 -00 -000 OWNER NAME: First Last CRISDHOME FARM INC PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 7 TOWN 31N RANGE 17W %160 NW 1 /440 SW Line Description Line Description TOTAL ACREAGE 24.230 PLAT LOT BLK 01 SEC 7 T31N R17W PT FRL SW NW 15 660 ;TH N 89 DEG W 68.37';TH 02 EXC W 1/2 VIL STAR PARIRIE 16 S 00 DEG W 660'POB 03 FKA PARCEL 219A 17 04 ALSO PT LOT 1 CSM 13/3553 18 05 DESC AS COM W1/4 COR SEC 7; 19 06 TH N 00 DEG E 660.01';TH S 20 07 89 DEG E 726.42'POB;TH N 00 21 08 DEG E 659.54';TH S 89 DEG E 22 09 TO NE COR LOT 1;TH S 00 DEG 23 10 W 660.29';TH N 89 DEG W 24 11 68.37'POB 25 12 ALSO COM W1/4 COR SEC 7;TH S 26 13 89 DEG E 657.87'POB;TH S 89 27 14 DEG E 67.27';TH N 00 DEG E 28 F1- General, 1 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit _'X�Gi: 7 3 9 8 910 o VOL 17 PAGE 46'1 1 KATHLEEN H. V I M °? REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD CERTIFIED SURVEY MAP 0 9'12'23 0 Located In part of the Fractional Southwest Quarter of the Northwest Quarter of REC 15.00 MAP Section 7, Township 31 North. Range 17 West, Village of Star Prairie, St. Croix Cc nty.COPY FEE: Wisconsin. TION: S: 3 NOR7NNEST COPAER ATE AND COUNTY HWY. SEC. 7 -J7 -17 WW= RESTRICTIONS INT IM i (FOUND SE RWY MURK NAIL) SEE SHEET PROVEMENTS- The Wisconsin Department of Transportation has granted a Special Exception to Trans 233 for one public road access, as shown on this map. i A type B 1 intersection in to be constructed at no expense to the � department. cl nl lK �i I CERTIFIED SURVEY MAP VOLUME 13 PAGE 3553 Ut� ' f�l 0 a I ( 58934'56'E 607. Lot 3 10' UTILITY EASEMENT (TYPICAL) i LOT 4 I , 3 o UREA; 30 °i� ,� 1/►' I o Z ' 200,563 5Q. FT. 4.60 ACRES I I H of 1 ii I$ I I ~ ACCEM T MI. 3 w lI 5' �I f17R LOT 4 all ZI SI =I ll (E a. 5 •I lI �\ z1 ' W I I j\ i e 11 � CX I� W I d V' 157,993 SO. FT. ( I .. W v 3.63 ACRES g LIGRAIW EASE I&NT •S69'24'56'E.- 607.62'.... W I I ` l�- f awlE11N Y TED 7D 7lAE PrA9ClCJ B9'24'S8'W � 4726. M . - -- ! _ .. y �. N89 '24'56'W 607,59' v Y '56 1r�E EAST -NEST 114 UNE SECValf 7 I I - - -- ----- - - - - -- N89'24'SeW 5384.32' -- - ----- - NEST 114 CQRNER EAST f� GARNER SEA 7 -31 -17 Up p�M�OS SEC 7 -31 -17 (FOUND SURWY MURK NAIL) (FND. RAKROAD SPIKE) D.O.T NO. 55 -65- 3776 -2003 1 FGEND : County Section Comer Monument of Record • Set 1' x 24' Iron Pipe weighing Prepared for and at the request of: a minimum of 1.13 pounds per OYMER linear foot. Brion Cloutier, etal O Found 1" Iran Pipe 2763 30th Avenue ....... • •Highway Setback Line (110' from centerline) Osceola. MA 54020 — � � • — 10' Utility Easement (Typieol) Drafted by: Ty R. Dodge R- Recorded as JOB # VA766 ,� o ,50 NO TH Prepared by. J ZO Cwxft GIOR GRAPHIC SCALE . (715) 246 -4319 SCALE IN FEET: 1 inch - 150 feet Phone No Fax No. 246 -3830 BEARINGS ARE REFERENCED TO THE WEST LINE OF THE FRACTIONAL NW 1/4 OF SECTION 7, TOWNSHIP 31 N.. P.O. Box 325 RANGE 17 W. WHICH IS ASSUMED TO BEAR NOO'19'12'E. New Richmond, Wl 54017 Sheet 1 of 3 Vol.17 Page 4612 1 2450 P 002 745763 Document Number KATHLEEN H. WALSH NOTICE OF NONACCESS TO OR ACROSS A S T. CROIXOCO. , EED WI CONTROLLED - ACCESS HIGHWAY RECEIVED FOR RECORD Wisconsin Department of Transportation ED100t 697 11/05/2003 09:30AM Pursuant to the provisions of x.84.25 Wisconsin Statutes, the Department of Transportation has established a section of S.T.H. 65 in St. Croix County, as a MISCELLANEOUS Controlled- Access Highway, designated as Controlled- Access Project 1540-08.29, EXEWT Ji effective on and after 602003; as recorded in Vol. 1906, Pages 206 -210 as the REC FEE 1 1.00 Document Number 681112, of the St. Croix County Deeds Registry. TRANS FEE The Department of Transportation having in accordance with said Finding, COPY FEE: Determination and Declaration controlled the access between said highway and the CC FEE: lands of the owner(s) in the PAGES: 1 SW6 -NW6 of Sec. 7, T31 N. RI 7W, Village of Star Prairie. in the following manner: No Direct Access This space is reserved for recordina data Return to: a ns, a•/ does issue this notice of nonaccess to or across the said Controlled- Access Highway for Wisconsin Department of Transports_ tion the following reasons: District 6 A ccess will be via South Avenue, a public road in the Village of Star Prairie. 718 W Clairemont Avenue Eau Claire, WI 54701 -9903 THIS NOTIFICATION, superseding all prior Notices or Authorizations, is issued to the following owner(s) of the above- described property, the heirs, successors and assigns. Parcel Identification Numbedrax Key Number 182- 1025 -95 -110 Brian & Lori Cloutier J nnis & Todd & ue Rud a S (Ow Name) (Owner Name) 2763 30 Ave. Osceola. WI 54020 27633& Ave. Osceola. WI 54020 JAM MU) sa Wisconsin Department of Transportation y 1pst ricl Director nature a Thomas J. Beekman ^ ems State of Wisconsin )) GAa C44;AX County ) as. On the above date, this Instrument was acknowledged before me by the above -named person(s) or officers. A saakm a ., M 9 Jeff J. Abboud f t L: rrint or Type Name, Notary Public, Sists of - Wisconsin) J 2005 (u CXPWW) Sheet Number 26 tp Project ID 1540 -08 -29 This inatrume by Wiecpnr iMphrtment of Transportation Parcel No. 254 .��� Qom- \,`g / <Z /A S' anti. 6 ,-- - — ti cr _> b E j� \ AVE ti ow flage .................... .................... ................... I P H H � AVE n �I I aa I � X nv3 y m STANTON PLAT T -31 -N . R -17 -W I V mom= See Page 112 For Additional Names. ` (Landowners) POLK CO. 1 _ t 2000 1 * TOWN RO 1 _. _. IZ _ I s� � MM D 1 Er na Y ra.a N cr0.3 lanawa a d N S TAR Attsen Inc WIWam r IRI cc "- Du ar PRA m _ • � -- 236 � o 85 s 90 155 O � g 235th 8 L AVE D William D,n.r. arsr �u Lolamae u,y, J Hammes ben+.. u� Fonks p a Robert 40 Margo & � ,y asr Leo & co I ',�' A .�m3► )� 11 160 S 3 W u.anv l� a $or],e Jr I R 1~,•a Hammes 158 1 70 ° 120' H son3a aa• ry.,rr mt y wnp� p n H 279 ms .o Ame Gary do $ U10 R 4n� Materials Arlene 1 40 40 �j Theodore Howard & I „k 80 Gerald & & Sue Margaret , 40 40 X 110 ` a Charlotte Irk p 80 Krueger � Donald e $ x.s3- l adtm Croes Hansen 15 Dubois 9 1 Z UI 120 1 Steven , 12 Elmer 160 _ IAMON 1 Hall an 5 80 1 Dittman KE 20 y g 3j a L - 83 OA RIDGE. A 89 441 eo o , q Richard *, State & S' l Qf Ze 77 sar 5751 Ka i Kellen 69 . 2 Derrick 120 w es 3�3 3 s 1 0 o 158 8o V lkert 158 c m Robert ^' AVt: , 1 Dua Mar lys R t a Steven 7 Tama Craig I T 39 w Knopp r Halleen a 1 David & Er Alfred I Lowell Crlsdhom! �66 Guy & 118 ] 70 k 0 I Larso 120 65 V Karen Farm Inc g1 Deena 155 I V ` . 190 � • Peper 82 30 204 VAIRS I Leo & j 169 Todd Savadge MerBn & Margo 120 Howard & v m f] a w m )uae 36 Ric & 6 g g 79 K evin archow f rank G & J t� Robert 19 Robert e � w Derrick ,�p - a °° S q Tamara& 160 ' 239 Halleen 80 210th AVE 256 z p' ~ 206 t frank 80 O 0 9 1 g 92 r Rabat ,n { to 70 t 152 c 0 F 1 A$IIim�D I ^ g5tl> 4 2 4 �df °D o..wa �.. Guy& ^ gdl Steven 4 N viola ({ 31x4 3r a Arlen! 1.8 lleen unze 1 ' Janic! & K Hag 79 Walter & 9 3 Gordon •b p an n Ha itita l w 1 1 Pe�terson h Anderson 75 -.s G r n lilt 155 QOfx 156 iso' cr d 2 �iforls & Dn a I 161 S� 77 ro 154 5 21 David W � Richard Gleason E3 � Crlsdhome w nl 0 $ Fuller Gayle 120 ' & Lori & Janet & Allan Farm Inc Q B 184 4o Wkken" OShea Krampext 5 I Fritz Vehrs amb$ Bonnie 1601 2& 35 Friday / 1 G G M.NNamara 160 Johnston Boy 160 3 116 i• 40°d Taut 140 , 200th AVE r Lo retta C 208 u 4 a ' o.a. a h R -1 i Richard Thomas & n Bethke 246 Pamela Gage 1 H.U. simon Neal ' x.� 40 40 40 anet McNamara 4 & Joyce Krampe ILewerenz m°-`e. 3t MCBy Darren $ 40 160 1 I Neal & 120 erld 57 _ u 4:c 2 s r � Il�II00000yyyyyccccceee .e.+ �elby pptt Gottfried Amy 11 4 40 Bethke gO Steven & & Emma N• s —. 166 « I .. a Krumm la Lamers , Gillis m 118 r lwaa A $ � Oal°°°w m 316 Trust 157 � ,c n a� V 80 z70 ga 2 � chael r James & - Daltoon 88 N bS G Rklard u N Arliss / L 1 i! 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