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HomeMy WebLinkAbout040-1147-20-200 Wisconsin De ; WAGE SYSTEM Count Safety and Buildin pRlup►T I8t. Croix Com merce tNS� PION REPORT GENERAL vim p j s:%n •.�. �.:H TO PERMIT) Sanitar,�p.4��l0.: Personal information... A SlnN secondary purpose [P rivacy L (1)(m)]. p osVH°�tsi& p 11 City [] ve ft 4flowh%9iip State Plan ID No.: CST BM Elev.:. Insp. BM Elev.: BM Description: �� J �c Parcel 147 -20 -200 tA TANK INFORMATION ELEVATION DATA TM MANUFACTURER CAPACITY STATION BS HI FS ELEV. i Benchmark 7 , EIM Dosing 82 Aeration . Bldg. Sewer Holding St /Ht Inlet 49$ 1(0 0Z TANK SETBACK INFORMATIO St/ Ht Outlet 2,p9 S 61 TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic > SID f NA Dt Bottom r Dosing NA Header/ Man. Aeration NA Dist. Pipe 4 12' 99 a t y. T ir Holding Bot. System I't -19 93• 17- / PUkAP / SIPHON INFORMATION i Grade - 4 , 90 71 - 80 , over Manuf turer De nd SI- , 30 op .1 Model r M T944 Lift riction I System TD Ft I LOSS orcemain Length Dia. Fi To wen SOIL ABSORPTION SYSTEM �a BED/TRENCH Width, Length / ►)to f Trenches PIT No. Of Pits Inside Dia. Liquid Depth D IMENSIONS 3 `I 3 - DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manu rer: u ` SETBACK CHAMBER �� - s��sw�' INFORMATION Type O z t o e Number*. System: ,,,,�� OR UNIT a. DISTRIBUTION SYSTEM �� L Header / k4Anifold �� Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length �' Dia. Length Dia. pacing 7 S� 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 1 13St)ectioni ❑ Yes Q No No / CO MMENTS: (Include code discrepancies, persons present, etc.) Location: 297 Salishan Drive, Hudson, WI 54016 (SE 1/4 SW 1/4 13 T28N 20W) - 1328 05766 -Lot 2 1.) Alt BM Description = "C���.Q,�Q�,��. --.*" T -C� 2.) Bldg sewer length = �5; - amount of cover Plan revision requir ed. - E] Yes tdNo Use other side for additional information. 0 f`� o ( �5 SBD -6710 (R.3/97) Date Inspector's Signature Cert No oairty m Uuituuigs vivision 9 �- S.'� -lS t� +� D R • Sanitary Permit Application aye 201 W Washington Ave. ` . PO Box 7302 isconsin In accord with Comm 83.21, Wis. Adm. Code Madison; WI 53707 -7302 Department of Commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1) state owned. ` `Attach com lete lans (to the count co onl for the sttt,• 9h ` riaf less t an 8 -1/2 x I 1 inches in size. County State Sanitary Permit Number ❑ Che , pk \ qg is "ion to applicaiibn State Plan I. D. Number I. Application Information - Please Print all Information ` ' / ��, Location: Property Owner Name_ ; 1 _ ;Property Location 1/4 '--' 1/4, S 3 T,2 ,N,1 W Property O er's Mailing Address ` 1 �.,9 ='Lot Number Block Number ? C e ltd �,° a City, State Zip Code Ph C l� dMber Subdivision Name or CSM Number Ou d 5uo II Type of Building: (check one) ge O I or 2 Family Dwelling — No. of Bedrooms: Town of Public/Commercial (describe use): Tr LA ❑ State -owned 1 III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road A) 1. New System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) I I 7 System Tank Only Existing System — a0 – 0 B) Permit Number Date Issued ❑ A Sanitary Permit was p reviously issued �, 5 (� U IV. Type of POWT System: (Check all that apply) — fact, Non - pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade r t ❑ erobic Treatment Unit ❑ Recirculating ❑ Other: Z x V Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Prnnosed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation 6 3 '5 /./7 1 73.6 9 .7 VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks li /E� /6� f I (,��,stlr ❑ ❑ ❑ ❑ // ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement I, the undersigned, assume responsjW1ity for installation of the POWTS shown on the attached plans. Plumber's Name (print) Pl e s ignat re o stamps): MRIUR&NO. Business Phone Number TAU I, ,r � 1 .2"? 45- - ! 7/5- ya S- SSgq Plumber's Address (Street, City, State, Zip Code) 8 `h ie r ais -5 0 22_ VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved 1 ❑ Owner Given Initial Adverse Sur arge Fee) Determination 23 080 IX. Conditions of A{'p1r_oval /Reasons fgr Disapproval: .4 )NrAC& o,Qe So i l -I�Steec 0 0. tnrau.4� roe._ .� " S i t or kk. to +! �� 6t�� �iu!a ev S YS4ut �'--1- ; � "��� � ,, -.�} eD otn. ft 0- P11 0 JAI+ Q-6, 1 r wzozlm&� > 5� � Gee_ modes f ozaQt>1awtCes. r W Department of commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code t County ST , tZZO l K Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal refereppce poitlt (BM), direction and Parcel I.D. `1 percent slope, scale or dimensions, north arrow, and location , an d1d"nce to nearest road. L` O - t `11- •Z D _ Please print all information a d by Date Personal information you provide may be used.for.secondar�" ��'"'" (Privacyt:ayt,6. 15.04 (1) (m)). Property Owner ''° Ctoperty Location Sv M U S ? _Gpvt. Lot 114 O 1/4 S t3 T Z� N R � E (or)1N Property Owner's Mailing Address G� Lot # I Block # Subd. Name or CSM# 2� 1� . GCtou e�o�? oF�" z - �S► V ut_ �>ftsl? 3 68 L City State Zip Code 1 :Phone r ' ❑ City ❑ Village ffl Town Nearest Road SLl =`., `TZ� S'�LLS!-tRFJ tip New Construction Use: ® Residential i Number of bedrooms J Y Code derived design flow rate O O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material G �-f" CL `prl. ow T 1R0r4 Flood Plain elevation if applicable N p1 ft. General comments and recommendations: 1 w gTft - Z I- E c 3' X '7 3 , S w l 1 S v >v tt 5 0 1} L G N CAP -t�l^1 SloC1`J)�v� Ltz- 1+ 0 — ffAk -t(3L,� - ro t'� L, Lam' ueu . q 3.5 ' a Boring # ❑ Boring ® pit Ground surface elev. 9 ft. Depth to limiting factor g in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 1 o -to to�tlz �/z s I Zbk m`Fl- cw -S -8 3 Z3 �. 5�rf2 -Yl y� - lob toy c2 L1 - S o S bz•y W•y _. ❑ Boring # ❑ Boring © pit Ground surface elev. �8. $ ft Depth to limiting factor in. Soli 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 - Eff#2 1wi %a -•3 YA fr- 0-L4J 2 e12`( LOS- lfZ3C6 1 gj1 ZwtShk 3 ,q-So -- ).s -? j2-VI ` �S � 1 CSbk wtu cS so -Ito dta. m �3•� C1 �• Effluent #1 = BOD > 30 < 220 mg/L and TSS , >330�0 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ���„'1AftiliSign�ture � t — S S CST Number Arthur L. Wegerer �� 220254 Address N e g e r e r Soil Testing & Design Se rvice Date Evaluation Conducted Telephone Number 421 N. Uain St. River Falls, WI 54022 3 — Z3 — I 715 -425 -0165 1 Property Owner M 1JS Parcel ID # O40 - I q - ZZ - ZO O Page 2- of 3 ❑ 3 Boring # ❑ Boring ® Pit Ground surface elev. 9 9 - O ft. Depth to limiting factor � 11 0 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 `Eff#2 lu-LIZ 3lz - gll Z`FSbk .5 t3 3 2S -5& 1 -S 1V-Y/ 1O-SOt VA \1 cS • y •6 -ito 12- - s p ss F-1 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 GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 1 'Eff#2 F-1 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 GPD1ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 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. SBD -8330 (8.6100) PLOT PLAN Page 3 of 3 ✓kale 1' =4p' �IJ - - l am _ Br1L� 5t4�. - I to 9,3;1,5' O & a �Dv-"� .i O �y N J J 0-0 Goa 8" WGtf, 3 10' 'De 6 nq t �TL:. -: t�S = 0� cam► 't op =mac► 37` --------- - I 715 425 - 0165 220 CST Signature Date Telephone Ito. CST No Job NO. PLOT PLAN Page of 3 Scale V =4% FL P�'1 . ,.CC1►�7'�v 5 NV ' - :f ALLC Su . L�/�'11ek - Z t 3r'1� Sub IZr AWE laT 1 3, O r o_ �(1 9.3:ZS � - Joao /Gao sue- iv« � c�Cee'TrE -- ( ( v t3I - CZr- tBjA/A'pojJ 71►MzW /►"MOfl - - -- O _ 0 o N J r J :WI_L�ti _. mi -- ��t�Tti f - PLOT PLAN Page of 3 t Scale 1' =gyp' N��T3T lcT LwE f p_ 3 0 qq C 1O' q3 :1 S' k000Aao SP w�e3 CQE�1� ��-q5 _ e a J r � r —�� --,-- GC . ....t . Pr - • 4'� P u C F- rtCµ.� S�'rtC. Zit i L4 -' ` D II S�'R.UUhJ 1?L�� C- q M\ 13 ve �arv�s G „ 9,q $ at3 . S, L 1�(�C�1�(hLIIL'RS �`I 1:� F �1'fUR S`i37U'��S, liuc. 1� O o r— 3 r CD — — L f= " W rs �p a rn C h N s, o C, a p a 11 CL a S uJ t (D To • fi ` S E. N ;a J C' �z0zrr ° o. II it; t / T � �/��. C I lid Jii LL \ V w/� J •/ I J t ` r— < m T � ' X -a �'' m � , v CD - 0 0 CD cr ; < n CD K 3 m �I ID m �� A n CD Q wca x 5 a3� ry to ID I . cn x m 5- 3 CL • C a a : i 0 a p7 t 5 CD w N I s 00 �— Invert 11 53 m (D � S I . r Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567 -P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number 3 S Number of Bedrooms Design Flow - Peak (gpd) o:b Estimated Flow - Average (gpd) UO Septic Tank Capacity (gal) Soil Absorption Component Size (ft) bd r tit Type of Wastewater Domestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tan and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filte shall be cleaned as necessary to ensure pr_ppgr peratinn The filter cartridge should not be remove un ess provisions are ma e o retain solids in the tank that may slough off the filter when removed from its enclosure. If the, Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. filter alarms may indicate surge flows or an impending continuous alarm. The Intermittent ter a y g p 9 septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 I _ Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ST CROIX COUNTY SU'TIC TANK MMUMNANCE AGREPMP_1 AND OWNERSIM CRRTIFICATION FORM Owncr/l3uycr Mailing Address -- 2- 1. "i Grow` Zoe vJlso-s Property Addres? q ? s5a- Zvi 1/e u® oN (Vcri(ica(lOn rcquirrd from Pluming Dcattmcat for new construction) c ty/Scatc dSO,t , GLJ Z' Para! ldcntificafioa Number OS/ - /N-7 Zo - Z.00 J jI AL DESCRIPTION Propaiy Location ( %, — ' /<, Sec. t3 T b N - W, Town of �ro H Subdivisioa a Lot 11 - c,eriii'cd Stctvey Map # Volume Wat - nmty Deed ff ,� 1(. - 6 3 7 61 L 3 3 $ Volume 1 y 1 p age it 33Z t 33 q . Spec House ❑ Yes no Lot lines ideadfiable yes ❑. ao �YS'IENi M Il�I' LIANCG - tz9e and . � ... Canemft o out �Y lewast�cs.Fnoper die vqac tM*cTMY d= ocs0Mw. if iucdr�d aI'r what can affcd the f mic"6M of tim septic tzmk a ti=bMrat cute is the waste � tp�, � � mLo the tystrm 11tc pw pertY-ow=ag=t0 sabmit to St CLck 76dn D k catifuxfioa foan, tkned by the aw= and by a ��P�a�cyaraaplamlxoy ��dptambaor i P��Y� tt�at(1) the oaaitc �rastcavxtcrdisposal sYstcm is in I'tnPa' opccatimg condition aadlor (2) niter meson and permpirig.(if'n�sagr�. tl�c ccgtictxakis IcsY ![Gan I!3 full of 3dudgc. tfu =&mkw& firm =d the abort rNdrammt tad agme to tzahxh a the private tewagne disposal rYsG �, b�r,tis set tfrc an with tbn srxmdanis - by De�tmcmt of O wd the Dc�rtauat of IZaburtl R,aoaaoct State of Wiseoasin.- Cutifcahoa thai y�aur i.�tic r�tcin bas b�maiafaim�cd days of the tlttoc mnst be oompictod:nd gaud to the St QoiX.County Zoning Oilier withia 30 Yrar aq iatioa data �^ Oaf /o3 /cf G OF VP ICANT DATE OWNER. CTRTMCA.TXON I (we) certify that tll ctat'"'cnts oa this form are trac to the best of tay (our) Imowledgc. I (wc) am (ere) the owacx(s) of Mr. Pr od above, by vatuc of a wum(y decd tcootdod 'rot Registct of Dcods Of lice. of ArrfiCANT °y /03/0) DATE ***044 Any information tlntt is tnisttptCscnf od may cmlt is the unitary permit being ncvokcd by the Zoning Dcpacbm«tt. • Indude wi(h this appticutfoa: a ctunpM wamaty dood faomt the Register of Doody ofTroc a copy of the certified eurvcy tmap if tcfacaoo is MAde is the warranty dcod X I STATE BAR OF WISCONSIN FORM l - 1998 Ea 16336 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI Document Number { 1.'. _! RECEIVED FOR RECORD This D ed, made between The ThaMS E. and Edn D. 01 - 03 - 2000 8:30 AM Carpenter k�otmdation, a Mlrutesota nonprofi cor WRRRANTT DEED - -- EXEMPT I Grantor, CEBT COPY FEE: PY and .ate H Mott and "band — TRANS 363.00 and wife _ RECORDING FEE: 12.00 PAGES: 2 Grantee. . Grantor. for a valuable consideration, conveys to Grantee the following described real estate in St- Croix County, State of Wisconsin .� cc orc,nq A:cn (tile 'Property Ii See Exhibit "A" attached hereto and made a part hereof. NaIhmn . "g andt, E sI• M , Conlin, White & Brandt, PA 18 Piper Jaffray Plaza 4 Cedar Street i D�fO - /,l yG - jam Parcel tdanlificatron Numbef (PIN) This is not homestead property. (is) (is not) 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 Dated this__ day of DeC43nher 1999 The Thomas E. and Edna D. Carpenter Foundation, a Minnesota profit rporation (SEAL) (SEAL) 4ice Daniel /Greenwald res ent (SEAL) (SEAL) . President AUTHENTICATION ACKNOWLEDGMENT Signature(s) E+y: a reenwald State of Minnesota ss. J. Daniel Baasen Ramsey Count authenticated this day of DeCef(lbeZ 1 9 Peroet 11 ame bef re me this day of t e above Warned B Dane ree w a B y , a el Baasen ITS' President TTR• Vir•e President . John E. Brandt, Esq. - #1002750 TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known o b the person who executed the foregoing authorized by §706.06, Wls. Stats.) ins rum tan ac ledge t same. THIS INSTRUMENT WAS DRAFTED BY - John E. Brandt, State Var #1002750 Murnanp C=lin e Whit & Rrandt P_A_ - 1800 Piper Jaffray Plaza, 444 Cedar Street Notary Public. Sta a of. Minnesota St P MN 55101 _ My commRIP" +dt+erK iratlon date: (Signatures may be authenticated or acknowledged. Both are not J : AF'( nK•! .:; IBtJC- MIKiE6C1TA necessary.) MV _OMMI8810N Names of persons signing in any - pxay muse b. typed or prinsed below tt it s,gnatum IyIN/_i: +AN. 31, 200a STATE BAR OF WISCONSIN gat Blank Co., Inc. WARRANTY DEED FORM No_ I - 1998 MAw6uk9e. WIS. PART OF GOVERNMENT LOT 1, SECTION 13, TOWNSHIP 28 NORTH, RANGE 20 WEST AND PART OF OUTLOT 1, PLAT OF SALISHAN IN THE TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: LOT 2 OF CERTIFIED SURVEY MAP FILED JULY 13, 1999 IN VOL 13, PAGE 3686, DOC. NO. 6W767. TOGETHER WITH A PRIVATE ROADWAY EASEMENT AS DESCRIBED IN VOL 1413, PAGE 279, DOC. NO. WW26 AND IN VOL 1413, PAGE 280, DOC. NO. 600027. f - - u011L. '' .. 334. A-1 f State BallEdf 11M68 1 Document No. UIT CLAIM DEED 616338 Kevin J. Anderson and Linda K. Anderson, husband and wife; and KATHLEEN H. REGISTER Of DEEDS DEEDS Steven G. Cudd and Gail L. Cudd, husband and wife; and ST. CROIX CO.,, MI Timothy P. Deis and Laura A. Deis, husband and wife; and Andrew KMIYU FN KM J. Talbott and Lisa A. Talbott, husband and wife; and Thomas R. Springer and Stacy Madden Springer, husband and wife; and Robb It-03- 000 Is30 M S. Neuenschwander and Laura V. Neuenschwander, husband and WIT UN Kp wife, and Jeffrey P. Cudd and Nancy Cudd, husband and wife, quit - EMPT 8 13 claims to Joseph H. Mose and Marsha G. Mose, husband and wife, !' H 0t FEEs the following described real estate in St. Croix County, State of TWOU FEE: Wisconsin: See attached Exhibit A. NE131R1116 FEE: 11!.40 This Space Reserved Aiding Data P Name ar4 Return Address: This is not homestead property. Jo randt Mulnine, Conlin, White & Brandt, P.A. D ed is y of December, 1999. 18 per Jaffrey Plaza Avenue St. 'n Parcel Identification Number K Mderson ACKNOWLEDGMENT 040- % /4 --60 Stare of Wim=ia jSS 40M a emp County of St Croix ) fteK Personally came before me this t" � as 12. 'ngcr Kevin J. Anderson and Linda K. Anderson, husband and wife, to me known to be the person(s) who executed the foregoing S en Springer ACI� knowledged the same. State o isconsiu N c, Stat f Wisconsin, my commission ' County of St. Croix )� O/NNS!N b, � � Personally cant before the this� of December, 1999, Thomas IL Springer and Stacy Madden Springer, husband and ,I wife, to me (mown to be the person(s) who executed the ' fore t�r nt and acknowledged the sank. S C i e,,s tale o onsin, my commissi n+t Gail L. Cudd ACKNOWLEDGMENT N yiA IAco- S► State of Wisconsin ) )SS DjltiF? County of St. Croix ) Personally came before me this OV. w der Steven G. Cudd and Gail L. Cudd, W*lf 1A6%61 a,,.(�,� to be the person(s) who executed the foregoing instrument and Neuenschw AC MENT ack a to same. State of Wisconsin ) ha � — )SS N�(K Wisconsin, my commission irpereraaterrG County of St. Croix ) Oi �N Personally camx before me this y of December, 1999, Robb S. Neuenschwander and Laura V. Neuenschwander, i--� husband and wife, to me known to be the person(:) who executed the fo ment and acknowledged the same. Tknoth y P DAI ' h ate of Wisconsin, my c o mmissi Deis ACKNOWLEDGMENT �) LLY ;A State of Wisconsin ) SS County of St. Croix ) Personally came before me this FF Timothy P. Deis and Laura A. Deis, w e, w me tt known to be the person(,) who executed the foregoing instrument Sam. an C CKNOWLEDGMEN ac State of Wisconsin ) 40M a � Nom lb�ic at�gWi m, my commissio`o,. )SS /[ Q4' /J E t�.; / q hL� County of St Croix ) 9q SiN L' Personally carne before me thish c��J Jeffrey P. Cudd and Nancy Cudd, husband and wife, to me known to be the person(s) who executed the foregoing instrument J.Talbo [y and the same. Lisa A. Talbott ACKNOWLEDGMENT Notary , State of `&consm, my commission ' t. State of Wisconsin Q Q• E'�i'fRS � a AS County of St. Croix ) c tY IS INSTRUMENT WAS DRAFTED BY: „.. Personally came before me this y of De�'tt>�F,'4�401 C'n,S Joohn E. Brandt, State Bar No. 1002750 and Lisa A. Talbott husband and wife, to me Andrew J. Talbott Murnane, Conlin, White & Brandt, P.A. ' known to be the n(s) who executed the foregoing instrument 1800 Piper Jaffrey Plaza and the same. 444 Cedar Street yIIG St. Paul, Minnesota 55101 #400900 t. sad of Wisconsin m commissio r - HL 1481mc; -335 , r i w f� yam, PART OF GOVERNMENT LOT 1, SECTION 13, TOWNSHIP 28 NORTH, RANGE 20 WEST AND PART OF OUTLOT 1, PLAT OF SAUSHAN IN THE TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS' LOT 2 OF CERTIFIED SURVEY MAP FILED JULY 13, 1990 IN VOL 13, PAGE 3886, DOC. NO. 80M7. TOGETHER WITH A PRIVATE ROADWAY EASEMENT AS DESCRIBED IN VOL 14A PAGE 279, DOC. NO. 800028 AND IN VOL 1413, PAGE 280, DOC. NO. 60=7. I� 61 6� 1481PAGE 332 REGISTER of DE Document No. ST. CROIX CO., W1 OECEIVEO FOR OECORI QUIT CLAIM DEED 81- 03.801 1:30 0 so t3.Alli IEE1 EIEIOT O 13 CERT COPT FEES Edward J. Harrison III, an individual CM F�,R'tffi quit- claims to Joseph H. Mose and M INS FEE: 12 .00 Marsha G. Mose, husband and wife the following described real estate in St. Croix County, State of Wisconsin: See Attached Exhibit A. This space reserved for recording data. Name j / return address: AVi ho E. Brandt, Esq. 9 ane, Conlin, White & Brandt, P.A. 1 Piper Jaffray Plaza Cedar Street t. aul, MN 55101 .w nyy - /rat -� a Parcel Identification Number This is not home tead property. Dated this day of December, 1999. By: EdwanV. K amson 111 ACKNOWLEDGMENT a; STATE OF _ z ) ) Ss. County ) Personally came before me this day of December, 1999, the above named Edward J. Harrison III, an individual, to me known to be the person who executed the foregoing instrument and acknowledge the same. 9 9 l > Nota Public o� ' "OFFICIAL SEAL" This Instrument was drafted by: RUTH MASER Notary Pd*, Stale of NUrwia John E. Brandt, Esq. - State Bar No. 1002750 EVkft OVn2Ml Mumane, Conlin, White & Brandt, P.A. (551) 227 -9411 •fit a.r l I y6.1481NG.333 y PART OF GOVERNMENT LOT 1. SECTION 13, TOWNSHIP 28 NORTH, RANGE 20 WEST AND PART OF OUTLOT 1. PLAT OF SALISHAN IN THE TOWN OF TROY. ST. CROIX COUMY. WWONSIN DESCRIBED AS FOLLOW`k LOT 2 OF CERTIFIED SURVEY MAP FILED JULY 13. 19®9 W VOL. 13. PAGE 3686. DOC. N0.606767. TOGETHER WITH A PRIVATE ROADWAY EASEMENT AS DESCRIBED IN VOL 1413 PAGE 278. DOC. NO. 800M8 AND IN VOL 1413. PAGE 280, DOC. NO. 800027. 5 - N: as C ONO ~' O O W iZ w o w NE CORNER o, m SCALE IN FEET SECTION 13 T28N, R20W o o --1 (BERNTSEN CAP) Z uj 0 50 100 200 W Q N (n En Go �]WQ NN O o 00 O O SLOPES > 12% UNPLATTED LANDS P L A T OF — _ - - r - -- S_A S 8918'32" W O U T L O T 1 ~` N 6000' K 00.1 E 548.22 lo: 340.07' POINT OF 431.06' �W 130.42' \ 7.73' \ BEGINNING N% A \ \'-'t BLUFFLINE 3: D ull -I J \0 \ BUILDING � I �o o� ��.o < SETBACK Z I N �Z u I ti � � 10 3 Q I o� �- 0 LOT 2 00 W Z F \9 3.004 ACRES N 130,872 S.F. M o o ( J O F— 0 M 10 J N QI O 0 00100 J O N PLAT OF SALISHAN 3 00 0 z LLI LOT 10 3W � Z� a W ZQ ON N u' o to 275.05' w ° S 90 0 00' 00" W o 66' GOV. LOT 1 I 0 I UNPLATTED LANDS) I ZI n t� EAS�M�n't 130' — — — � — — — E 1/4 CORNER �� Roadwa I I I SECTION 13 on Lot St 14101(olu�7 I 1 T28N, R20W 66' WIDE PRIVATE DRIVE (2" IRON PIPE) )481- I E - ASEMEN1= ff >_6WN R - GA fs I VOL_ 1413, PAGE 279, I I DOC.# 600026, — AND — I I VOL. 1413 , -'AGE — 280 , DOC_# 600027 I I LEGEND I I COUNTY SECTION CORNER MONUMENT FOUND, TYPE NOTED. 1" X 24" IRON PIPE WEIGHING OWNER AND SUBDIVIDER 0 1.68# /LINEAR FOOT, SET. STANLEY E. POND, JR. 9600 COLUMBIA AVE. SOUTH • 1" IRON PIPE, FOUND. BLOOMINGTON, MN 55420 (R— ) PREVIOUSLY RECORDED INFORMATION THIS INSTRUMENT DRAFTED BY DANIEL P. KUGEL PAGE 1 OF 3 Vo1.13 Page 3686 l a � IHL EAST L I NL Ur zA I U UUVERNMLNI LUIS 1 ANU L; IHLNGL �) b1j '1d',5L" W 431.06' TO THE POINT OF BEGINNING; THENCE S 00 °00'00" W 352.00'; THENCE S 90 W 275.05'; THENCE N 00'00'00" E 62.75' ALONG AN EAST LINE OF LOT 10, PLAT OF SALISHAN; THENCE N 47 °16'50" W 370.00' ALONG SAID EAST LINE OF LOT 10; THENCE N 86 °00'00" E 548.22' TO THE POINT OF BEGINNING. THIS PARCEL CONTAINS 3.004 ACRES, MORE OR LESS, BEING 130,872 SQUARE FEET, MORE OR LESS. SUBJECT TO EASEMENTS OF RECORD. I CERTIFY THAT I HAVE MADE SUCH SURVEY, LAND DIVISION AND CERTIFIED SURVEY MAP BY THE DIRECTION OF THE OWNER OF SAID LAND, THAT SUCH MAP IS A CORRECT REPRESENTATION OF ALL THE EXTERIOR BOUNDARIES OF THE LAND SURVEYED AND THE SUBDIVISION THEREOF MADE, AND THAT I HAVE FULLY COMPLIED WITH THE PROVISIONS OF CHAPTER 236 OF THE WISCONSIN STATUTES AND THE SUBDIVISION RULES AND REGULATIONS OF THE TOWN OF TROY AND ST. CROIX COUNTY IN SURVEYING, DIVIDING, AND MAPPING THE SAME. DATE: MARCH 24, 1999 REVISED: APRIL 23, 1999 J4&S D. FILKINS S -2246 JOB #98 -2355. REGISTERED LAND SURVEYOR OGDEN ENGINEERING COMPANY ,NC�Oip4!11 113 WEST WALNUT STREET �.S hl RIVER FALLS, WISCONSIN 54022 JAMES 0. FILKINS = OWNER & S U B D I V I D E R 8-2248 = STANLEY E. POND, JR. RIVERFALLS. 9600 COLUMBIA AVE. SOUTH ,, -y w� �QQ BLOOMINGTON, MN 55420 su NOTE: THIS PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY, AND TOWNSHIP LAWS, RULES, AND REGULATIONS (I.E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC.). BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING OFFICE AND THE APPROPRIATE TOWN BOARD FOR ADVICE. PAGE 2 OF 3 Vo1.13 Page 3686 i i Parcel #: 040 - 1147 -20 -200 07/23/2007 08:58 AM PA 1 OF 1 Alt. Parcel #: 13.28.20.5768 -20 040 - TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MOSE, JOSEPH H & MARSHA G JOSEPH H & MARSHA G MOSE 297 SALISHAN DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 297 SALISHAN DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 3.004 Plat: 3686 -CSM 13/3686 SEC 13 T28N R20W PT GL 1 BEING LOT 2 CSM Block/Condo Bldg: LOT 2 13/3686 EZ -IE- 1481/306 -311 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 28N -20W Notes: Parcel History: Date Doc # Vol /Page Type 0811012001 653532 16971412 EZ 01/03/2000 616338 1481/334 QC 01/03/2000 616337 1481/332 QC 01/03/2000 616336 1481/330 WD More... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/23/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.004 72,600 415,000 487,600 NO Totals for 2007: General Property 3.004 72,600 415,000 487,600 Woodland 0.000 0 0 Totals for 2006: General Property 3.004 72,600 415,000 487,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 A Wisconsin Oe partrnent of Industry S(6 AND SITE EVALUATION REP R T Page / of I, abor and Human Relations Division of Safety s Buildings in accord with ILHR 83.05. Wis. Adm. Cod COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 5 7 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORM ION REVIEWED BY DATE PROPERTY OWNER: c PROPERTY LOCATION EY e . GOVT. LOT / 1/4 1 14,S 1,3 T Z 8 ,N,R ZO E (afjg> P PEATY OWNER':S MAILING A00RE vn. LOT # BLOCK # SUBO. NAME OR CSM # .!�ov 600 �0fd /if low &. 5ovT � 2 — C.S• /�!. Iva' r ArE4a'edq TY, STA E ZIP CODE PHONE NUMBER 7CITY ILLAGE HrOWN N EST ROAD MAI 5:5 (6/2! ¢8- o TAo X &,9.6 T W New Construction Use pQ Residential / Number of bedrooms ¢' [ ] Addition to existing btnkbng I ] Replacement (] Public or commercial desaibe Code derived daily flow & gpd Recommended design loading rate _ bed, gpd/f! trench, gpol(t Absorption area required 9 s bed. ft 'SO trench, ft Maximum design loading rate Q bed, gpd1ft 0 Ljtry , gPdft Recommended infiltration surface elevation(s) 838. #- /N /r ¢ 41 ft (as reterted to site plan benchmark) Additional design / site considerations SSE /Vo TES 4 A 0 9 16 ' Parent material ' 44zdy ivll'y Flood plain elevation, it applicable /l/• fi ft $ s $Ultabt@ for SyStefTl CONVENTIONAL MOUND IN�GROUNO PRESSURE AT-GRADE SYSTEM IN FILL HOLDUVG TANK U. Unsuitable for syst E s ❑ u Cg s a U s o u Q S (Zu ❑ s u o s � SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistent Roots GPD /ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 9ottndary Bed Trn3rxtt Z3 D_/3 / Lr 8 3-3 Z 0 6k AV Ground C g /O}�/Z ¢ — r,s s /N / _ Iv� 0� 7 �. S elev. 7 ft. Depth to limiting factor >Sa Remarks: Boring # Z B Z 3/ oY� ¢ to s/ Zma k ✓H ✓�/' Q w Z4elc 0.5 O• G' -v fo /oY 6/6 — rs Qo /e/ — p Ground elev. ' e'6 1 ,5 ft Depth to smiting faglor Remarks: CST Name — Tease Print JAMES b. FILKINS Phone: (715) 425 -7631 I Add res& OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 54022 I f � 7� Sgnabue. _ Date: 3 Z� P 9 CST N"mbar222952 PROPEATYoWNEA /L�Y ^/� SOIL DESCRIPTION REPORT Page Z of - PARCEL 1.0. • Depth Dominant Color Mottles Structure Roots GPD /ft Baring # Horizon I Texture ��� ��Y in. I Munsell I au. Sz. Cont- Color ( Gr. Sz. Sh. I Bed ITrerxfi D -/0 / P v4 Z Z — / ,W 6 m r I Cw ✓ f D. 510. 6 w Ground 4 S �o DY/� 9t s b,e ✓ti ✓;r a w I Depth to e Z Z BZ /D Y/Z 6 d 5 QS /� / I Yf 0.7 0.9 firrdting.. Remarks: Boring # /¢ e o D YE 3 ¢ 5 Zlylsb,fy �'1� G'GV Yt -f d• aY2 s/ We-,'r cw Ground /� / a W /Y A 7 D. $ elev. C / 35-4 /DY2 "n 5�G �Sq 8¢LZft ez Z 8a oY2 6 Depth to limiting Remarks: Boring # Ve,4- G Ground efev. 8/ /o rrz 6 G — �s D� ,y// — /df D• D. 9 9¢ ft. Depth to li Remarks: Boring # ; ;dam Ground elev. ft Depth to limiting factor --- Remarks: SaDAMO(F AWIM f I, PAGE 3OF3 SITE PLAN SCALE: 1 " = 40' r S LcPE 5 � I ,B'3 ® Go Z o ; 75' i4LT. /?�'�''orylrrl�iv�EO ■ 8�/C.y/YIA.eE'� Td P off' /Kos/ ( 1 iv07 - /.enpN 2 ,�►� yam/ -9 I �,rZjvE I To "5AG /,5�lhN OGDEN ENGINEERING CO. JA ES D. FILKINS, 222952 Civil Engineers & Land Surveyors 113 W. Walnut St. River Falls, WI 54022 DATE: (715) 425 -7631