HomeMy WebLinkAbout030-2139-11-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit N
463274 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
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 Parcel Tax No:
Miller, Sam I St. Joseph, Town of
CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Ragge /Map No:
0 L z-j C //, 23 ( 04.29.19.
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic I Z \ Benchmark � �� � /0 Z 2 3
sU � o D.
Dosing Alt. BM ID i/ S 7 (p5 �2 -
Aeration Bldg. Sewer
of V f �l�� /1.3� 0.
Holding St/Ht Inlet P
7.Z St/Ht Outlet
TANK SETBACK INFORMATION l
TANK TO P/L WELL B Vent to Air Intake ROAD Dt Inlet
Septic (bb / 3 Z r Dt Bottom
Dosing Vj_ s Header /Man.
Aeration Dist. Pipe
Holding Bot. System g �S 3 r7
Final _p��,`_
PUMP /SIPHON INFORMATION G(X `t y S 1
-Ie�. r7l 1
Manufacturer Demand S Cov er S /cow! r �p
v 'I- Z 2. a
Model Number
DH Lift Friction Lo System Head TDH Ft T 7
Forcemain h Dia. Dist. to Well
SOIL ABSORPTION SYSTEM (3
BED/TRENCH Width Length IV No. Of Trenches PIT DIMES No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 1 9 1 3 7
SETBACK SYSTEM TO u P/L BLDG WE LAKE /STREAM CHAMBER CHING M � j P cturer:
INFORMATION O b 1 4 •5T
Type Of System: I / ( l c6 / Model Number:
DI IBUTION SYSTEM f
eade anifold Distribution I lr� - x Hole Size x Hole Spacing R r Intak bA_ 4 4 Length Dia Length ` Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over l Depth Over xx Depth of xx Seeded /Sodded xx Mulched
Bed /Trench Center (,ts „ �) Bed/Trench Edges Topsoil F Yes „';. No � j Yes 7r
COMMENTS: (Include c screpencies, persons present, etc.) Inspection #1: s l Inspection #2:
Location: 1159 56th Street Houlton, WI 54082 (SW 1/4 NE 1/4 4 T29N R19W) Park Hollow ,Loott 11 ParceF o• 4.29.19.
1.) Alt BM Description �� s ��
2.) Blda sewer le ngth
- amount of cover = 'f
Plan revision Required? Yes No
Use other side for additional information. - -
Date Insepctor's Signature Cert. No.
SBD -6710 (R.3/97)
Safety and Buildings Division , County
` 201 W. Washington Ave., P.O. Box 7162 S Cr C
isconsin Madison, Wl 53707-7162 Sanitary Permit Numbcr (to e filled in by C_ ;
be artment of Commerce
(608) 266 -3151 7
Sanitary Permit Applicatio State Plan LD. Number
in accord with Comm 83.2 1. Wis. Aden Code,-personal informati o vide
may be used for secondary purposes Privacy Law, s►5. I t Project Address (if different than mailing ad _ss
I. Application information - Please Print All informal on RECEIV t
Property Owner's Name P I q t q Bla:
5`R itl erz DEC 2 7 200
Property Owner's Mailing Address Property LocStion
�Cx ST. CROIX COUNT'r Via' �' t
%, Section
Cry, State Zip Code �= _
-7 j (circle v�
11. Type of Building (check all that that a 1 ' T � N; R�E or T m
Subdivision Name CSM Numbs
11 1 or 2 Family Dwelling - Number of Bedrooms
❑ Public/Commercial - DeseribelJu
o AD w
� ❑State Owned - Describe use
3 (� "I"2E C r S X a1D ❑City_❑VillageKownship of —�
g �!l
F- ,
Ill. Type of Permit: (Check only one boz on line A. Complete line B if applicable)
I A. �,/'
21LNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System
b 11 Permit Renewal C1 Permit Revision 11 Change of C1 Permit Transfer to New list Previous Permit Number and Date issues
Before Expiration Plumber Owner
I IV. Type of POWrS System: Check all that apply)
_
K Noo - 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 Tmatatent Unit ❑ Recirculating Sand Filter ❑
Rtwculating Synthetic Media Filter Leachin tuber ❑ Np line ❑ Gravel - less Pipe ❑ Other (explain)
V. Dis ersal/freatment Area Information: ( R1e, . C).
Dr p Flow (gpd) Design Soil Ap lication Ra f) Dispersal Area Required (so Dispersal Area Proposed (sl) ystemvElevation _
�Z /�
O . Sa
1. Tank Lnfo Ca acity in Total Number Manufacturer Prefab Site Steel Fiber
Gallons Gallons of Units Concrete Constructed Glasi
New Exiting
Tanks Tanks _
S:rix or Holing Tank
L,_roblc Trcarmcot Unit Off .
C�/ zA Q lQ . r
Gering Chamber
V ResponslbUlty Statement - 1, the undersigned, abunse responslbWty for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Numba
Z Z S- -0 3 s.
j Plumber's Address (Street, City, State, Zip Code)
l D ? 0 14 - t+ 6./ 2, u, D --ev" Lt> Sao i
ILL Court /Dc artment Use nl
Approved ❑ Sanitary Permit Fee (includes Groundwater Date lssuq4- Is Agent Si at e (.Nu S.an.ps)
Surcharge Fee)
❑ Owner �m Reason for 'al 2 � "'- .�
I.N. Conditions o p rov
SYSTEM OWNER:
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 /ordinances.
Attach complete pleas (to the County only) for the system on paper not loss than 8112 s 11 lathes In size
SBD -6398 (R. 01/03)
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Wisconsin Department of Commerce JAN 16 ARL E *ALUATION REPORT page 1 of 3
Division of Safety and Buildings in accordance with Comn185, Wis. Adm. Code A.C.E. Soil & Site Evaluations
ST. CROIX (,O,)I'J County
Attach complete site plan on not lesT gI$}�cQ1 - O in size. Ian must St. Crooc
include, but not limited to: vertica tion and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D.
Pending from 030 - 1014 -50 -0
Please Plitt all intvrmation. R viewed By Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m))
Property Owner Property Location
Sam Miller Govt. Lot SW 1/4 NE 1/4 S 4 T 29 N R 19 W
Property Owner's Mailing Address Lot # l ( B k # Subd. Name or CSM #
P.O. Box 151 °Y2_ X71 Park Hollow
City State Zip Code Phone Number City Village ✓ Town Nearest Road
Hudson WI 1 54016 1 (715) 386 - 2769 St.Joseph I River Road
✓ New Construction Use: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD
Replacement Public or commercial - Describe:
Parent material Glacial outwash Flood plain elevation, if applicable na
General comments /
and recommendations: Install three trenches at elev. 88.50' using 39 leaching chambers. CS`
❑ Boring # Boring
✓ Pit Ground Surface elev. 92.47 ft. Depth to lim ing factor >98" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fl
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 0-12 10yr312 none sil cr mvfr cs 2f,1mc 0.5 0.8 t
` 2 12 -22 10yr5/4 none sil 2fsbk mvfr cw 1fmc 0.5 0.8 tp
3 22 -31 10yr5/4 none grsl 2msbk mfr cw 1fvf 0.5 0.9
.(p
�� (0 4 31-40 7.5yr4/6 none gr I 2msbk ds cw - 0.5 0.8 (
5 40 -54 10yr4/6 none Is 1 csbk ds gs - 0.7 1.2
6 54 -88 10yr5/6 none S 0 Sg dl gs - 0.7 1.2
7 88 -98 10yr6/4 none s 0 Sg dl - - 0.7 1.2 ,
Boring # Boring
✓ Pit Ground Surface elev. 92.64 ft. Depth to limiting factor >99" in, Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2
1 0 -9 10yr32 none sil 2fcr mvfr as 2f,1m 0.5 0.8 (
2 9 -37 10yr5/4 none sil 2msbk mvfr cs 1fm 0.5 0.8 .
3 37-43 7.5yr4/6 none gr Is 0 Sg ml cw if of 0.7 1.2
4 43 -81 10yr4/6 none s & gr 0 Sg dl cw 1vf 0.7 1.2
5 81 -99 10yr5/6 none s 0 sg dl gs - 0.7 1.2
Effluent #1 = BOD s > 30 < 220 mg/L nd TSS >30 < 1 L ffluent #2 = BOD < 30 mg/L and TSS <_30 mg/L
CST Name (Please Print) Signat CST Number
James K. Thompson s____ 3602
Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number
340 Paulson Lake Lane, Osceo , WI 54020 11/132003 715 -248 -7767
Property Owner Sam Miller Parcel ID # Pending from 030 - 1014 -50 -000 Page 2 of 3
a Boring # Boring
✓ Pit Ground Surface elev. 95.69 ft. Depth to liming factor > 123" in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
1 0 -10 10yr32 none sil 2fcr mvfr as A 1 mc 0.5 0.8 (�
2 10 -19 10yr4/6 none sl 2fsbk mfr cs lfmc 0.5 0.9 (p
3 19 -23 7.5yr4/6 none gr Is 0 sg ml cw 1fm 0.5 0.9
4 23 -55 10yr416 none s & gr 0 sg dl cw 1f 0.5 0.9 .
5 55 -89 10yr5/6 none s 0 sg dl gs - 0.5 0.9
6 89 -123 10yr6/4 none s 0 sg dl - - 0.5 0.9
H#'s 4, 5 & 6 contain 118" -1 /2" bands of 10yr4/4 Is at 4 -10" intervals. Loading rates reduced to reflect reduced permiability associated with banding.
F Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2
F-1 Boring # Boring
Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Raie
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2
* Effluent #1 = BOD 5> 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD -S mg/L 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.
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner w, L L E!L Septic Tank Capacity g al ❑ NA
Permit # 4 JL 3 2� Septic Tank Manufacturer ' s �-.r ❑ NA
Ll.� O-
DE Effluent Filter Manufacturer
SIGN PARAMETERS ZA $ "' ,L ❑ NA
Number of Bedrooms t�( ❑ NA Effluent Filter Model A _ a 0 ❑ NA
Number of Public Facility Units NA Pump Tank Capacity al PA
Estimated flow (average) ��'d al /da Pump Tank Manufacturer A
Design flow (peak), (Estimated x 1.5) p O g al /day Pump Manufacturer 1 rNA
Soil Application Rate D, al /da /ft2 Pump Model A
Standard Influent /Effluent Quality Monthly average* Pretreatment Unit �DA
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 A ln- Ground (gravity) O 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 tanks) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
ear(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: ❑ month(s) (Maximum 3 years) ❑ NA
2' year(s)
Clean effluent fitter At least once every: ❑ month(s) ❑ NA / - 2 Xyear(s)
Inspect pump, pump controls & alarm At least once every: ❑ m onth l(s) '4 NA
Flush laterals and pressure test At least once every: ❑ month ❑ yeaarr(s(s) ) ) NA
Other: ❑ month(s) �A
At least once every:
❑ year(s)
Other:
E>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 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 dispo$ed 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.
, / UP AND OPERATION Page o f _
"new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
fiat may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tanks) 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
repl;� ent system:
suitable replacement area has been evaluated and may be utilized for the location of a replacemen
system, The replacement area should be protected from disturbance and compaction and should not be infringed upon t 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
alua ' `
b e ofe �RD}�14 �rO-Q- ��J61 CON37l UC'l p tank
❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat a 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 Wt� ,floNL LL Name
� q r
Phone 6 t z. 0 6 S f / Z Phone / 2- L
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name
Name
Phone
Phone /r _ 3 �C0 - (o cD
nistrative Code.
This document was drafted in compliance with Chapter Comm 83 .22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Admi
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
• OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address 43 0 �5
Property Address f ( S1 S�`� -f>T E F T
(Verification required from Planning Department for new constriction)
City/State &fd o rr Gv Parcel Identification Number
LEGAL DESCRIPTION
Property Location S Uj '' /,, , '/,, Sec. T � N- R_('71QTown of S'�• �aS - .
Subdivision P -e k- H O LL O w . Lot #
Certified Survey Map # :2 3 ! , Volume y , Page #
Warranty Deed # 7 z , Volume z Z / V . Page # 6 0 3
Spec house 0 yes ❑ no Lot lines identifiable Xyes ❑ 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 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 sttrdards
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.
SV3 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 owners) of
the property dL=qnibed above, by virtue of a warranty deed recorded in Register of Deeds Office.
M zLd ( / -1 /��
ATURE ICANT DATE
00 **** 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
4 2 2 14 P 0 0 3 718249
KATHLEEN H. WALSH
STATE BAR OF WISCONSIN FORM I • 1998 REGISTER OF DEEDS
WARRANTY DEED ST. CROIX Co., WI
Document Number RECEIVED FOR RECORD
This Deed, made between James E. Ebbe, an adult single man and 04•/21/2003 03:00PN
Thomas A. Ebbe, as custodian of Theodore A. Ebbe, a minor, under t he
Wisconsin Uniform Transfers to Minors Act WARRANTY DEED
EXEMPT 1
Grantor, and Sam E. Miller TRANS FE E: 1
COPY FEEL
CC FEE:
PAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in St. Croix County, State of
Wisconsin (The "Property
Rec Arca
Name and Return Address
Sam E. Miller
P. O. Box 151
Hudson, Wl 54016
L ,
The SW 1/4 of the NE 1/4 of Section 4, Township 29 North, Range 19 West, St. 030 - 1014.30.000
Croix County, Wisconsin Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
r
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
continuing easements and restrictions of record, if any.
Dated this 17th day of April , 2003
L,040, q4), 1 1L'� a
ames E. Ebbe . Thomas A. Ebbe custodian for Theodore A. Ebbe
AUTHENTICATI(�f'P(�e4C ffr STATE OF WISCONSIN , O ) ss.
Signature(s) �" St. C roix County. )
EBO i Personally came before me this 17th day of
authenticated this day of �, P April, 2003 the above named
James E. Ebbe and Thomas A. Ebb*
-
TITLE: MEMBER STATE BAR OF WISCONSIN to me k own to be the person(s to executed the foregoing
(If o4 ins t nd acl o ge t
authorized by § 706.06, Wis. Star.)
THIS INSTRUMENT WAS DRAFTED BY
William J. Radosevicb, Attorney at Law
502 Second Street, Hudson, WI 54016 Notary Public, State of Wisconsin
My Commission i rmanent. (if not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
'Names of persons signing in any capacity should be typed or printed below their signatures
WARRANTY DCLD aTATa aAR Of W IaCONsIB
FORM " 1.1551
INFORMATION PROFE331ONALS COMPANY POND DU LAC, WI 800455.2021
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Preliminary Pl�,It of Park Hollow
I , St. Joseph Township, Sf, Croix County, Wisconsin
UNPLA LAND.
�� Cro Ce er ing�rfn �vp<r. .
h
LOT7
TOTAL AREA• �� n \ �" LOT d
131,359 aq.N. sa;_ TOUL ARFi1: LOTS
J. 02 aces 1,X1,700 eq. 1l. TOTAL AREA:
NET BUILDABLE AREA! .100 acres IJ1,OO6 salt.
_. 93,762 sq.2 9 011 Srwm nor NV RVLOABL£ AREA 301 acres
2.15 acres �� c °nc°.,"'o! .' 99.862 sq.fL NET BUILDABLE AREA!
LB.0. =8630' KILL �. Z29 acres 101,201 sq.ft.
e+1.0' \ 232 oeces
doMr c.,c ,.
09.0.= 884.5' 54.
5. '
L G� OP fas me r 1a 1'
_ �\ r" Sro•m r�
J7 Ulrr !p Cosem er,l� '' e � 5' o "r
L
TOTAL UT RE -
- ARE .
- ._..- 131.708 sG ft
J.02 acres \
NET 8 AREA:
LOT IF 77. ;1 sq. R. ° / _S. r60 1'
.. TOTAL AREA: 1'
144,722 sgft. LOT6 ). ?9 Dees `' Q 6 • '` ?,� �[`�_ >., \.,.
3.32 acres
N£T BUILDABLE ARE : 12r5t5�IL
10.9,369 eq.lt. �' + Ham -
2.49 acres 3.04 area - �, ro.m wore
NET BUILDABLE AREA: v s e7ei.5' .'
11Q860 a•q. ft. v U g`! fosemenr
255 aces 1 L o
ilf6 r` 11
F Sr.
LOT 9 '' "
TOTAL AREA:
130.907 sq. ft. LOT V I -
,101 ocr -s
NET BUN. "4BLS £A: r i TOM AREA
IM
3.00 acres -
2.05 crass NET BUILDABLE AREA: I -
1.71 a ll.
acres
rses ,
H. WE
LOT 2
mrQO' TOTAL AREA: �o.,r o,;,s.o� ..Ups 1 ,�e..�." 61•
v c
132 OJ9 sq li.
c: M
h
,
7
J
.OJ o
- ale9
\ \ C
- NET BUILDABLE AREA:
r. �m 7Z915 aq. /0 ^ K KEz
L 57 noes ' / LOT it a—
LB. O.><Da80' 70TAL AREA: • `jN i n
131.457 sq. fL�
1 .102 acres 's•y irL•Oy
T BUILDABLE AREA: Lor J "'a_,
124,398 sq.ff. TOTAL AREA•
LOT 1 2.86 acres 1.31,306 aq. /t.
?` a� TOTAL AREA: . R. I 01 aeree
'" 131, 25J s Fiapasea DnVe.oy
4 --� I-- 12' ( /l.a 3 ily Easemen[ NET BUILDABLE AREA:
d.01 ores [ocalion (llpirol) II 66,355
NET BUILDABLE AREA: L� a
cres
79,M6 sq. /t• L.B.Q =881.5' 11.74
1.83 acres
LBQ =8680' .
i!R
• 12 Lot Development
• Lot and Home Packages available starting at $270,000
%4iller Homes and Home Realty
Leo Draveling Broker Associate
HOMES
Hudson, Wisconsin
Direct Phone /Fax: 715.531.0714
Email: millerhomes_wi @yahoo.com