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HomeMy WebLinkAbout026-1056-30-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety rind Building Division INSPECTION REPORT Sanitary Permit No: 488017 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, a.15.04 (1)(m) Permit Holder's Name: City Village X Township Parcel Tax No: Basel, Glenn I Richmond, Town of 026- 1056 -30 -100 CST BM Elev: r Insp. BM Elev: J BMDescriptlon: % Section/Town /Range /Map No: CO.0 •a 2 , CST 0,W ( 19.30.18.286A15 TANK INFORMATION V LLILEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benc mark 4-�u FF�. avo ��o 66 4 s: 100 • o' Dosing Alt. BM Aeration Bldg. Sewer Holding St1Ht Inlet 0 .30 • S(S ,. TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet / Septic > r QO r Dt Bottom ff Dosing Header /Man. / Il 5 g8'•6o Aeration Dist. Pipe N•S$ foC /1-10 ' Holding Bot. System S L) 12� $x•39 Final Grade PUMP /SIPHON INFORMATION Manufactur Demand St Cover {' Model Number ST o mor g 0 ,5O TDH Lift Fri 'on s System Head TDH Ft I Forcemain Len Dist. to Well SOIL ABSORPTION SYSTEM WD R NCH idth 3 Le r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM D'S Q4. CZ SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manuf tu / INFORMATION CHAMBER OR ��c41 r� _S Type Of System: / n 6 f > -is UNIT Model Number: (, O u n n DISTRIBUTION SYSTEM 44o �f�C Header /Manifold IDistribution Hole Siz Ix Hole Spacing Vent to Air Intake w Pipe > "1L r Length Dia Length Dia Spacing "1 L 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 Bed/Trench Edges Topsoil Yes �t No t"f Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ID 04, / 2vy Inspection #2: -- — -- Location: 1462 95th Street New Richmond, WI 54017 (SE 1/4 NW 1/4 19 T30N R18W) NA Lot 1 Parcel No: 19.30.18.286A15 n 1.) Alt BM Description = N1 4 L O e ,Q. — Lr - W'( ' �S• (' a"•� "`^ 2.) Bldg sewer length = �\ �=VCiS �"� Ay� �1[�� 1 - amount of cover = ! _ ,_ � q"6� 6. StTC. W�t;L0. �°�► Z k*AAA I I I 3 Plan revision Requiredh a Y s E No Use other side for additional information. u SBD -6_ � � 710 (R.3/97) I Date Ins Signature Cert. No. WZ Q V+V S ^ . Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7162 C_ y' O l /� is Madison, WI 53707 – 7162 Sanitary P�eymt Number (to be filled in by Co.) ennsin Department of Commerce (608)266 -3151 v 01 q Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, sI5.04(1)(m) P 'ect Address (if 4ifferent than mailing address) I. Application Information - Please Print All Information i ) - 3 Property Owner's Name Parcel # .,, of # Block # /� - ��, — �, ) Property Owner's Mailing Address Property Location Section City State Zip Code Phone Number " A_1�212 /C-1 cle p r r f1/ l ^ r�Z 19 7 T SON, RjeE II. Type of Building (check all that apply) �— �1 or 2 Family Dwelling - Number of Bedrooms ,7 CSM Numb ❑ Public/Commercial - Describe Use S� J?? ❑ State Owned - Describe Use ❑City_ ❑villa ship of �/IiI d III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ❑ New System eplacement System g p Y g Y ❑ Treatment/Holding Tank Replacement Only El Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a I A on - 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 Pipe ❑ Other (e V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rat Dispersal Area Required (sf) Dispersal (sf) 7 Sys E on fir - Vl. Tank Info Capacity in To tuber Manufacturer Prefab Site Steel Fiber PI ash ic Gallons Gallons of Units td ��a QAL_/tQ Concrete Constructed Glass New Existing "- Tanks Tanks 1 Septic or Iding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plu is Name Print r Plumber's ature MP /MPRS Number Business Phone Number t��dress (Street, City, State; Zip C e ` � r /�_ /J r Vlil. County/ e artment Use Onl X Approved ❑ Disap Sanitary Permit Fee cludes Groundwater Date Issued Iss ng Age t Signature (No S amps) Surcharge Fee) El wt n Reason Denial ©� IX. Conditions of pp`rov r' � �---- SYSTEM OWNER: 3,�'l 4o 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinancets. Attach complete plans (to the County only) for the system on paper not less than 31/2 x 11 inches in size SBD -6398 (R. 01/03) PLOT PLAN PROJECT Glen Basel ADDRESS 1462 95th st. NewRichmond Wi. 54017 SE 1/4 nw 1 /4S 19 /T 30 N/R 18 W TOWN richmond COUNTY ST. CROIX `,ice �� MPRS Byron Bird Jr. 220527 ,�`' DATE 12 - 04 - 05 BEDROOM 4 CONVENTIONAL XXX AdGrade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1600gai Combo LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28 BENCHMARK V.R.P. Base of siding ASSUME ELEVATION 100' ❑ BOREHOLE O WELL IH.R.P. Same as BM Vent SYSTEM ELEVATION T -1 =88.0 T -2 =87.9 UV� AT' Bio Diffuser with 31.1 ft ^2 per chamber 6 " Long 34" Elevation e-- PL ' O ob pipe BI 88' � 95th S B2 BM 75' 45' B3 arage Driveway PL 201 15' 65' 4 Bed House Tanks to be pumped and filled 140' Well .l PLOT PLAN PROJECT Glen Basel ADDRESS 1462 95th st. NewRichmond Wi. 54017 SE 1/4 nw 1/4S 19 /T 30 N/R 18 W TOWN richmond COUNTY ST. CROIX ' 17 �is�� MPRS Byron Bird Jr . 220527 _ DATE 12 -04 -05 BEDROOM 4 CONVENTIONAL XXX - Grade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1600gal Combo LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE C3 LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28 BENCHMARK V.R.P Base of siding ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H,R.P. Same as BM ✓ AT' nt SYSTEM ELEVATION T-1 =88.0 T -2 =87.9 65 — ' Bio Diffuser with 31.1 ft ^2 per chamber Long 34 Elevation PL ' O ob pipe B 1 88' 45' 95th S B2 65' BM 759 Lj , B3 45 arage Driveway PL 2W 15' 65' 4 Bed House Tanks to be pumped and filled 140' Well l A Snj' C"N REPORT K.; Page e B kdi -t in accordance -mith Comm 85, Wis. Adm. Code County A�Z mmiem s -!ZrI or: parr rct less thar 6 'rz x 1 4n&-es :n, s!7--. Plan must G Y'O l:m.�ed to: venica-and horizontai, re-faience point (Br / d irection ;.,dud-e bL AM, d: e-jon and Parcel 1.D. used to 5. an �;cfio a n. nd dfstan�— nearest road. E Scale 0' wlrnisnsi ns. n or a.- Phease prIFA all Ishfa d ca ir m.addn. Rje;v�i d Date by Person a!-M.fc stlic-r-. you prvi-de rney -z-- e-cordary purposes (P.--vaq/ -La%1. s. 1 15.CA( l) (m)). 1 D V I- l h / : ' Gow... Lot S T 20 N R E "o Lot Block # Subd. Nam or CSW Sk z Gode Phone Nunber C i u!age f9jo Nearest Road Rezidenval'. 1� of bedroomis Code de.tved design flow rate GPD 'be: --- - c!a - : - Des= a-; n 1--wation F, applicable Flow- P lai 9 47.7 P; Ground s -;e udace-' v. ft. Depth to Hmiting factor Soil ADprication Rate -cmir-ant Ccicri Redoxx Des: .rui=n exture i Structures Consistence Boundary Roots L GPDr. •unsel" Qs. Sz. Cont Cc-,r,- 1 Gir. Sz. Sr. - Eff#1 - Eff#2 e� G; ft. Depth to limiting Wor n. Soil AoPlication Rate mmant Coo: - I 'i ucture F Rc-d-,-x Desviptio. Texture Stru Consistence! Boundary Roots Sz. Clont. '-C-ior Gr. Sz. Sh -U - s-s:: 1 *Ef,#1 GPD/f *01# V L A 0- 49� I 06 t (0 T 2- 1- 1 --- ! I Effluen =C-D- > n < 22Z3 mVL and - SS >30 < 150 mmn- El,.-jeint #2 = BOD. < 30 mgL and- T SS :5 30 mgrL Pli CST Number -$a. .. 'el loop' Dale Eva luation Conducted Telephone Number Z i — f c WA - RA _ �'•- � - - • • �[,`,, .`�77�ft` +- '1]i - + rte - [[ Jr! - ����,..�, ;' � . � ±1 :' �r� ` j Jr:iYri� • �. C :i�i 4` L ; : �r : i II,�� Lr -r '» l� �.�� _ .�� �2.�.:.L;s�� «:.tii ,111 'i � . � . ti � ^' e ! - � • 1 t +." t -' to Y Soil Test Plot Plan Project Name Glen Basel Byr Bird Jr. Address 1462 95th St. 1462 95th St. NewRich Wi. 540 C M #220527 Lot 1 Subdivision Date 1 2/4/1905 County- CROIX SE 1/4 NW 1/4S T 30 N /R W Township Richmond Boring Q Well PL Property Line# Alt. BM ,BM or VRP Assume Elevation 100 ft.Bas of Siding SystemEJv T -1 =88.0 T -2 =87.9 H.R.P Same as BM SCALE 1" = 40 ` Unless other wise Noted PL ' BI 45' 95th S 65' (B 75 45 45 B3 Garage Driveway i PL d t 65' 4 Bed House 140' Well I I POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page L of Z FILE INFORMATION SYSTEM SPECIFICATIONS Owner �� 5 �e Septic Tank Capacity j c n O a l ❑ NA Permit # 8 ©r� Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 6 ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units A Pump Tank Capacity al ❑ NA Estimated flow (average) al /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) al /day Pump Manufacturer ❑ NA Soil Application Rate al /day /ft2 Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L $4,n- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510° cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ❑ year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 0 yea�(sj(s) (Maximum 3 years) ❑ NA L 13 month(s) ❑ NA Clean effluent filter At least once every: FLU' 3 ❑ year(s) pump, pump controls & alarm At least once every: ❑ month(s) Inspect NA P P ❑ year(s) ❑ month(s) A Flush laterals and pressure test At least once every: ❑ year(s) Other: At least once every: 11 month(s) NA ❑ year(s) Other: [ANA 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 or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (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 <_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) 1 Page of START UP AND OPERATION 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. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH. MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name `nd /"+ Name Phone �� Phone j 3 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name E M ra r Phone S 4 t rz;' 2!j 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. 81'. UXO1X COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer �,e c 5 / Mailing Address Property Address r (Verification required from Planning & Zoning Department for new construction.) City /State Parcel Identification Number /o LEGAL DESCRIPTION �•R Property Location �c 1 / 4 , e� �j , Sec. 42 , T 3: o N R I 2r W, Town of Xf C_ Subdivision , Lot # Certified Survey Map # � �,� , Volume f � , Page # Warranty Deed # �3 Volume / o Page # Spec house yes neT Lot lines identifiable <::!�) no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 wastewater disposal 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms _ Jak SIGNATURE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) >m...i _„_._ +w .v.8�'3n.t u.t "".m._ =.+i is �.'llu .r✓lt_ -rV. .5_- r;.ir+e�arrc:'u=, iw ... t.,_-- ._.-e..+..... . ..c ..: -r. - _ - ._..a_`= -c :.. _.:- ,:�T;3- «W -x ._ - �.'. -' f R OF W[SCON3tN –FORM 3 OOCUME I NO. STA^L HL VOL fi I:� 04 CLAIM DEED 411;; # J ` 47 IHtS SPALE H.SERVED FUR RECORDING DATA REGI &TERS OFRCE Clifford - . Ba s el ani Gloria B asel, hus band and J Si. CR04X CO., W:S. wif as joint tenants Recd. for Record tWs_19th Glen Basel a Karen Baseh, husb and and . . day of Mal AD 19 80 quit- claims to.. --- — - _ -- wife as joint tenants �__ at 8:3 t heir Lna3i S 911 Ls�1 ntPrest_in a.Ql.tr04 068d the following described real estate in _. is �;r01 Y _____�_ _._ ._ County. _ `t State of Wisconsin: aET�1N rc, The following described property ALL located in Section Nineteen (19), Township Thirty (30) North, 'Range Eighteen (18) West: 1. The Northwest Fractional Quarter (NW _fr' 4) EXCEPT the following described parcels: (a) A Tax Key No. parcel of land located in the Southeast Quarter of the Northwest Quarter (SE4 of NW;), of said Section Nineteen (19), described as follows: Commencing on the East and West Quarter line of said Section Nineteen (19), at a point which is 2160 feet East of the West Quarter corner of said Section Nineteen (19); thence North 21° 50' East, to a point on the centerline of Town Road and the Point of Beginning; thence continuing .North 21 50' East along the centerline of said Town Road, a distance of 264 feet; thence North 82 23' West, a distance of M feet; thence South 5 10' West, a distance of 237.16 feet; thence So"ith 7 "' 20' East, a ;distance of 226 feet to the Point of Beginning. Saic: parcel containing .1.47 acres including Town Road right -of -way. ( b) A parcel of land or tract of real estate located in the Northwest Quarter of the Northwest -Quarter (NW; of NW;) of said Section Nineteen (19), described as follows: Beginning at a point on the North line of said Section Nineteen (19), 2065.00 feet Westerly of the North Quarter corner of said Section Nineteen (19), said point being the Northeast corner of the parcel to be herein conveyed; thence go Southerly perpendicular to the North line of said Section Nineteen (19), a distance of 300.00 feet; thence Westerly parallel with said North line of said Section Nineteen (19), a distance of 333.00 feet; thence Northerly perpendicular to said North line of said Section Nineteen (19), a distance of 300.00 feet; thence Easterly along said North line of Section Nineteen (19), a distance of 333.00 feet to the Point of This .L s not homestead property. cis) (Is not) - -- Continued on Reverse Side - -- r Dated this 14th _day of ray _ — 19 80 Ci a / (SEAL) (SEAL) Ciifford Basel (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT S ignature, authenticated this _ __ _._ _.__day of STATE OF WISCONSIN 19 'tt ss. S Cro County.i Personalty came before me, this 14th —day of _ Ma 198 the above named TITLE: MEMBER STATE BAR OF WISCONSIN Clifford Bas and Glo Bas Of not, authorized by J 706.06, Wis. Stars.) This instrument was drafted by to me known to be the person S who exec�Ge+fhe fdre� R einstra, plan Dyk Nee dham, S.C. going ' nstrument and ac o ledged a sirme.`;.''' �' Attorneys at Law_ New Richmond, Wisconsin 54017 L. Glaser (Signature *s may be authenticated or acknowledged. Both Notary Public _qt-- Crn x County; W are not necessary.) My Commih� ion is permanent. (If not, stc(e` expiiation ' date 4 - 1Q - __ —��, 19.) QUIT CLAIM DEED —STATE BAR OF WISCONSIN. FORM VO. 3- 1977 ,{ VOL 612 �Peginning. The above described parcel containin(j 2.293 acres, more or ess, including that portion being used for public roadway. `,'2. That portion of the Southwest Quarter of the Northeast'. Quart,2r (3 i E NEB) lying West of the Willow River. 3. The Northeast Quarter of the Southwest_ Quarter (NE'; of ,f ir,.{ ,'est of the Town Road; and 4. The West Half of the Southwest Quarter (W� of FW4), iyincl :vest of the Town Road, EXCEPT the following described parcel: Part of the Southwest Quarter of said Section Nineteen (19), descried as .'ollows: Commencing -it the intersection of the East and West Qua line or said Section :'inete «gin (19), and the centerline of the Town Roac_ presently laid and travelled, said point being 2143 feet East of the West Quarter corner of said Section Nineteen (19); thence proceed South 29° 18' West, a distance of 1067 suet to a point on the centerline of said Town Road, the Point of Beginning for parcel to be described; thence proceed South 29° 41' West, along said centerline of Town Road, a distance of 503.40 feet; thence proceed "i'orth 68° 49' West, a distance of 89.80 feet to an iron pipe; thence proceed North 9° 21' West, a distance of 198.50 feet to an iron pipe set on corner of fence; thence proceed North 10 54' East along said fence, a distance of 214.50 feet to fence corner; thence proceed South 87° 47' East along intersecting fence a distance of 325 feet to Point of Beginning. Said parcel containing 2.25 acres, including Town Road right -of -way. - ' 725+96 VOL 17 PAGE 4539 KATHLMN H. ALSH REGISTER OF DEEDS RECEI VEDxFOR f4EC RD CERTIFIED SURVEY MAP N04 e6 1At15AM VOLUME 17 9 PAGE 4539 CERTFF�URVEY JJAP PART OF THE SE 1/4 OF THE NW 1/4, AND PART OF THE W�WN OF SW 1/4, SECTION 19, TOWNSHIP 30 NORTH, RANGE 18 WE RICHMOND, ST_ CROIX COUNTY, WISCONSIN. — N2759. 2759. 54 "E — — 91' UNPLATTED LANDS NORTHWEST CORNER y1 ORTM. 1/4 CORNET SEC. 19. T30N. R18W 4j� SEC. A'9, T30N, Rtf FOUND ALUMINUM S7)2 P,O_B, FOUND'. ALUMINUM COUNTY MONUMENT 54f 3 /y 371 COUNTY MONUMENT . 08. 95 p8. f ,^ / � 3 / / 33.00' Existing Buildings 33 33� UNPLATTED v AN D S / ck / 4 LOT 1 z /� RONAL INCLUDING R -O -W JASPERSON •mo o, 426,262 s -f. > ' 0-2564 •�0 9.83 acres NOT INCLUDING R -0-4 ° o DURANDr . ti 392 355 s_f. "� rA be -- WJS. 2 9.0f acres �/ h � UNPLATTED o LANDS g APPROVED i ST. CROW COUNTY Plannirq zonirq and Pafm Committee / V) JUN 1 2 2W3 H / If not recorded wifflin 30 days of / SE/NW approval date approval stlall be null and void ,�• , — T s WEST 1/4 CORNER 3215 �s? 7 NE SW 3 SEC. 19 T30N R18W 9S 33 O . 00 s 19- 0 FOUND 3/4" IRON PIPE 8 J e L NPLATTF.D LANDS CURVE DATA TABLE CURVE RADIUS ARE CENTRAL CHORD CHORD BACK FORE SOUTH 1/4 CORNER NO- LENGTH LENGTH ANGLE BEARING LENGTH TANGENT TANGENT SEC. 19, T30N. R18W 1 -2 6117.00' 411.24' 03 520 "W 411.16' S22'17'30"W 518130'06 "W FOUND 1 1/4 REBAR 3 -4 6250.00' 413.42' 03 520.23'48 "W 413.34' 522 "W 518.30'06 "W 5 -6 2552.00' 96.57' 02'10'06" 523 - W 96.56' S24'22'36"W S22'17'30"W 7 -8 2585.00' 97.82' 02 S23 22'33"W 97.81' 524.27'36 "W 522'17'30 -W Z to J r N SCALE: 1" = 200' oo a OWNER /PREPARED FOR: W� Glenn and Karen Basel �- ° 1462 95th Street 0' 200' 400 o ' �, c, New Richmond, WI 54017 oy,U, >- LEGEND PREPARED BY: ��� o .........Government Corner (as noted) a —aoc� Cedar Corporation M, 3: x 604 Wilson Ave o .......... Set 3/4" x 24" rebar weighing c3 Z5 Menomonie. WI 54751 1.502 lbs. /lineal ft. Cr� v • .......... Found 3/4" Iron Bar W4. v DRAFTED BY: oa„ Ronald D. Jasperson Sheets 1 of 2 Vol. 17 Page 4539 o ® ' ° 2 e■ 7, 7 z z \# co m OK) 2 _ 7 q 1 c E@ 0 = w. - . E £, E E e$ 2 2 ■ ` ) ƒ E m ® S � o � \ ( / [ 2 k § a 0 #� � (n ■ E @ z > CD e \ \ > \ R § U o k m CD C ® $ I" (; z § § n r CO) o D o m■ o c a' 7 � / 0 0 0 [. 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