HomeMy WebLinkAbout020-1346-30-000 ST. CROIX COUNTY ZONING DEPARTII"�T -' -� Z 1 0
AS AS BUILT SANITARY REPORT
Owner L L(1.
Property Address 0 O ez
City /State 1-11 �_ 011 ' °
Legal Description:
Lot 1,2 Block `° Subdivision/CSM # O Vh F ST Fp4 b
S V4 UJ V4, Sec. f 1 , T?IN -R&W, Town of 4y ZDN _ PIN # ca ' (3 '1 b' 0- C "
C!! EPTIC TANK DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer /S �. Size T C 000 / P, Setback from: House 2 2 Well S 1 P/L '3d
Pum p manufacturer Mo el
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: LA C Width Length S ; 2 Number of Trenc4es Z
Setback from: House � " Well I Z-4 - PAL - �t t;" Vent to fresh air intake 1 2-7
ELEVATIONS
Description of benchmark IR cx e d ,C ' TR c E W/A 10 I � `0 tj � i I ® Elevation _
Description of alternate benchmark e Q F B (0 114 FO I t' N 'B Elevation OZ 0 7
Z-
i
Building Sewer ' STjHT Inlet `a - S 3 - i q 1 ST Outlet $ t S t PC Inlet
PC Bottom �- Header/Manifold 1► 4 2 `' Top of ST/PC Manhole Cover
Distribution Lines
Bottom of System 103 5 9
Final Grade () 6 -7 .� �� • � ' ( )
c �
Date of installation � / 2 ?/ f lPermit number S State plan number
0
Plumber's signatur _ �4 License number Z Z50 Date /,30/
Inspector
Complete plot plan �
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
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INDICATE NORTH ARROW O
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM county:
Safety and Buildings Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) S 344
IX
3445 6
Personal information you provice may be used for secondary purposes [Privacy La I s.15.04 (1)(m)].
Permifi lold ;s,Nam@ E] Cit)k9d( 6V Town of: State Plan ID No.:
CST BM Elev.; is D Insp. BM Elev.: BM Description: uJ lIJJ1PVI Parcel Tq ,L k- 1346 -30 -000
ru#�2 �'b4 W t U
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic - O� Benchmark#2 6 99.
Dosing Z oN-, s, ii, 101. 90
Aeration Bldg. Sewer Lgs��,. E+�
Holding St /Ht Inlet 9.5 ,?.T
TANK SETBACK INFORMATION St/ Ht Outlet FA 9(p. f5
TANK TO P/ L WELL BLDG. Ventto ROAD
Air Intake
Septic 0-,5' S" / , NA
Dosing Header / Man. 5 - j$ :$8
Aeration NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Ma c urer De nd )4' , 19A4 ` 3- lol.pb
oriel Number GPM 1 COD. ZZ-
�, T Lift Friction S TDH Ft
Forcemain Length Dia. Dist. To well
SOIL3A.S,QR1PTION SYSTEM -I tK0., .L,
�E� TREN width i Length No. f T enches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS (c .25 DIMENSION
BLDG WELL LAKE /STREAM STREAM LEACHING Manua urer
SYSTEM TO P/ L pp
SETBACK CHAMBER �� _ J�
INFORMATION Type4 Moe Number.:
System: 2 — OR UNIT du
DISTRIBUTION SYSTEM
Header / anifolcl << Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Leng Dia Length Dia. Sparing
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 ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: PUDSO 1.29. 9. 863,SE,SW 1008 LABARGE RD- HOMESTEAD LOT 13
lam' omt *1 V� 1 L
L11 u `
Plan revision required? ❑ Yes Ig No k Use other side for additional information. 1 3 D
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
If isconsin SANITARY PERMIT APPLICATION 201 Box Washington Avenue
Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, W1 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 1/2 x 11 inches in size. . Crp /
• See reverse side for instructions for completing this application State Sanitary Permit Number
052
Personal information you provide may be used for secondary purposes ❑Check if revision to previous J ppikcation
(Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
I. A INFORMATION - PLEASE PRINT ALL INFORMATION
Pro erty Owner N me Property Location
(L�„, s ,1 /4S 1� 1/4,SI T ,N, R tj E(o W
-SAM Pr9perty Owner's Mailing Address Lot Number Block Number
Ot State Zip Code Phone Number Subdivision Name or CSM Numbe
7;E"
II. TYPE OF BUILDING: (check one) ❑ State Owned it � ,d earest Road
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF H 01030 IV
1111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 E] Apartment/ Condo d Z.0 — / 3 1 16 - 30 — 000
2 ❑ Assembly Hall 6 ❑ Medical Facility / Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1. IR(New 2 ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
"System ________ System____ _________TankOnly______________ Existing System ------- --------- - ---------- --
B) B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non- Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12$[,Seepage Trench 22 ❑ In- Ground Pressure 42 E] Pit Privy
13 E] Seepage Pit jA //V F14 Tit ATO I X. ,� X 3 X .l �t ZS 43 [] Vault Privy
14 ❑ System -In -Fill 1 '2' H 1 CA P C T%/ [ 1�M 8, c�:.. 3 1 t �4 Fr FWN
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min./inch) Elevation
I'l-6 0 I $ ?-- 0 41 tO Feet 98#Io Feet
C
VII TANK apaat in gallons g Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App
New Exist in structed
Tank Tanks
Septic Tan c -- ❑ ❑ I Cl
Lift Pump Tank /Siphon Chamber ❑ ❑ I ❑ ❑ I ❑ 1 ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber' Signature: o Sta s MP /MPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
IX. COUNTY/ DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuin nt Signature (No Stamps)
VApproved ❑ Owner Given Initial rchargeFee)
a�
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11 /97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS -
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 266 -3151.
To be complete and accurate this sanitary permit application must include:
i. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair:
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber isto fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only_
X. County/ Department Use Only.
Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;_
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) .cross section
of the soil absorption system if required by thecounty; E) soil test data on a 115 form; and F) all sizing information:
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3
Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code
, Environmental By D esign
Attach complete site plan on paper not less than 8' /z x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.#
APPLICANT INFORMATION - Pie nt aii information.
Personal information you provide may be u > n Law, s. 15.04 (1) (m)). v
(Privacy v c�
Property Owner Property Location
MILLE SAM Govt. Lot SW 1/4 SW 1/4 S 11 T 29 N,R 19 W
Property Owner's Mailing Add ss i f E I- I Lot # Block # l Subd, Name or CSM#
TROUTBROOK RD (O f t Homestead
City :.(State' "Yip C de umt'e ITown Nearest Road
Hudson 1 WI ST CRON6 -8691 Labarge
® New Construction U MWWAlytI ber � I to existing building
Replacement flow 450 ub)l�4c 9Re -� F. r 1 U K. �/�
� 9P dlfF. 9P
Code Derived daily �/ / r`. �E � trench, d/f 2
-- . �l l 1 v � bed �
Absorption area required 1 7 1 bed, ftZ375 trench 1 �� � A .2 bed, gpolftz j • 1 - tr ench, gpd/fl?
Recommended infiltration surface elevation(s) - l ' a (as referred tD site plan benchmar
Additional design / site considerations II
t material Loess over acial till G' h A Flood lain elevation, if applicable ft
ble for system Conventional Mound In -Ground Pressure AT -Grade System in FGI Holding Tank
itable for system ❑ S ®U S ❑ U ❑ s ® U ❑ s EIS ®u ❑ S ® U
OIL DESCRIPTION REPORT
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/f12
Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ' Trench
1 1 0 -17 1Oyr4/3 -- sil 2msbk mfr cw 2f .5 .6
2 17 -27 10yr4 /3 - sil 2msbk mfr cvv if .5 ! .6
Ground 3 27 -39 10 6/3 - sl lmsbk mvfr cw if .5 .6
elev
4 39 -50 10yr6 /3 - sil 2msbk mfr cw - .5 .6
Depth to 5 50 -60 7.5yr7/4 f2f5yr6 /4 sil 2msbk mfi cw - -- --
limiting 6 60 -100 7.5 7/6 - s Os ml - - 7 8
factor g
Remarks:
2 1 0 -28 10yr2 /1 - sil 2msbk mfr cw 2f .5 .6
2 28 -32 10yr3/3 - sl lmsbk mvfr cw if .5 .6
Ground 3 3242 7.5yr4/6 - s Osg ml cw - .7 .8
elev G
4 42 -63 7.5yr5/4 - s Osg ml cw - .7 .8
Depth to 5 63 -71 7.5yr6/2 f1f5yr6 /4 sl lmsbk mfi cw - - -
limiting 6 71 -100 7.5yr6/4 - s Osg ml - - 7 8
factor
Remarks:
CST Name (Please Print) Signat : Telephone No.
Thomas C. Nelson 715- 246 -2454
Address Environmental By Design Date CST Number Rert
1432120th Street, New Richmond, WI 54017 8/19/98 227387 66
w ate`
PROPERTY OWNER: MILLER SAM SOIL DESCRIPTION REPORT ® Page 2 of 3
PARCEL I.D.# Environmental By Desi
Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots GPDtW
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ! Trench
3 1 0 -9 10yr2 /2 - sil 2msbk mfr cw 2f .5 ..6
2 9 -12 10 fh 3 ,� ) rti S(� rl vT r
Ground
elev Ti 1 v %i r S 4 I S 1 r`► S b r 1 vir
30. 1 OyrSlU IF5yr y I 2 r Fr C W n n
Depth to 7- G — S S n
limiting
factor
Remarks:
2 "a7 1 0 r qjq I r1 S b �^� h1 v� r C 1` . , (�
Ground o
elev 3 7 -S 1 n 1 ? y / S � rr► I w 1 , 7 u
l 4 3 - �' 10 y e s I f Syr 1 ► r� 1, -Fr C� ►v P n P
Depth to 5 * 1 •s r (, S f''1 I -- i C�
limiting
factor • 6
Remarks:
5 1 - r z ► 5 A 6 {,'
2 M l- nv fr r ,5
e ev nd 3 511 I'1 S �.' I�l r' C 'J 1 , S �v
n7__30 4 7 l r S S 1) M S 6 k m -�'r C
ID m p h to 5 a l d r s f 1 f Syr G 511 r, b V f`if r N
9 �1 O
facto V
6 ��. rte/ +^- S C rn V
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
E B Y DE
1432 120 STREET, NEW RICHMOND, WISCONSIN
715 -246 -2454
PROJECT NAME ffOM£ST£AD PAGE 3
DESCRIPTION SW 4 SW Y4, SECTION 11 T 29 N, R 19 W
TOWNSHIP Hudson COUNTY St. Croix
l�a+ �L
9z.
Lot 1 3 �
k
� 12
r
SC I"= q 0 Tom Nelson
BM 1. C O 0 - n t ), d s r 4o P i` v n V CSTMO 2605
BM 2. r, tM. r
jc�
Wisco6sin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3
Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code
Environme By Design
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Cr
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.#
APPLICANT INFORMATION - Please print all information. R By Date
Personal information you provide may be used fbr a u rivacy Law, s. 15.04 (1) (m)).
1 ..
Property Owner i Property Location
MILLER, SAM . r' Govt. Lot SE 1/4 SW 1/4 S 11 T 29 N,R 19 W
Property Owner's Mailing Address Lot # iB lock # Subd. Name or CSM#
.'t
TROUTBROOK RD i,. 13 Homestead
City IS Z60ode Pt Mn er L ❑ City ❑ Village ❑Town Nearest Road
Hudson 3 $69 Hudson Labarge
❑ New Construction Use: Rt t�pl! kilo erb(be rooms 3 ❑Addition to existing building
E] Replacement ❑ Public or commerciai(desbribe
Code Derived daily flow 450 . g p�' . 'Recommended design loading rate .7 bed, gpd/ft .8 trench, gpolfrz
Absorption area required 643 bed, ftz 562 trench, fl? Maximum design loading rate .7 bed, gpd/fi? .8 tr ench, gpolfl?
Recommended infiltration surface elevation(s) 94.6 ft (as referred to site plan benchmar
Additional design I site consideration This is additional imformation being added to a soil report that was completed on 8/19/98
P arent m aterial loess over glacial outwash Flood plain elevation, if applicable na ft
L U = Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank
= Unsuitable for system ®S ❑ U ® S ❑ U ® S ❑ u ❑ S ®U ❑ S ®u ❑ S ® U
SOIL DESCRIPTION REPORT
Boring# Horizon
Depth Dominant Color Mottles Structure GPDM
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bed ; Trench
1 1 0 -9 10yr3 /2 - sil 2msbk mfr cw 2f .5 .6
2 9 -23 1Oyr4/4 - sil 2msbk mfr cw if .5 .6
Ground 3 23 -80 7.5yr5/6 - s Osg ml - - .7 ! .8
elev
98.19 ft
Depth to
limiting
factor
>80 �� o
Remarks:
2 1 0 - 1Oyr3/2 - sil 2msbk mfr cw 2f .5 .6
2 12 -37 10yr4 /4 - sil 2msbk mfr cw if .5 .6
Ground 3 37 -90 7.5yr5/6 - s Osg 7 8
elev
97.94 ft
Depth to
limiting
factor
>90 � u
Remarks:
CST Name (Please Print) Signature: Telephone No.
Thomas C. Nelson 715- 24 -2454
Address Environmental By Design Date CST Number Ref#
1432 120th Street, New Richmond, W1 54017 9/14/98 227387 64
N BY DE51GN
1432 124th STREET, NEW RICHMOND, WISCONSIN
715 -246 -2454
PROJECT NAME HOMESTEAD PAGE 3
DESCRIPTION SE 1 /4 SW Y, SECTION 11 T 29 N, R 19 W
TOWNSHIP Hudson COUNTY St: Croix Wisconsin
aere5 __..
u
0
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s
3
0
I
d� J lope
Q�
SCALE I"= 4o — Tom Nelson
BMI. LA CO2n I UD 22738 -7
BM 2. bt e of 'Fief w pj 6bon °6,90
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer SA W ( 4–
Mailing Address R C) X * /'° –
Property Address 10 a 140 13/4 1? !2� F- 90 4 _
(Verification required from Planning Department for new construction)
City /State 4 V 0-SC N Lk jT–.. Parcel Identification Number C' z 0 ` 3 y6 -
LEGAL DESCRIPTION
Property Location ' /., ' /4, Sec.
T22 -R , Town of H&
Subdivision [(..1&r �' , Lot # -
Certified Survey Map # 3 , Volume 7 , Page #
Warranty Deed # -- - - Y � � , Volume G . Page # Z
Spec house yes ❑ no Lot lines identifiable yes ❑ 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 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 St. Croix County Zoning Office within 30
days of the three year expiration date.
/yy'l I 0a, P /
�� /9
ATURE oP;kPPL DATE
R: 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 owner(s) of
th rop".liescribed above, by virtue of a warranty deed recorded in Register of Deeds Office.
ATUREVF ' LICANT 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
I�
' -TATt. ISAIt IIh WISCONSIN FOR11 1 19132 "' �• ` " "c" PC :0 w.. OAT
WAJFTjl' DE?
This Deed made b, tween ,1011.1 I c L. 1: i l 1 i e and
`aohi. R. Uil l ie husband and ,
h� h R
Grun:•�n
10: 10 A. '
.old Sam C. Miller, a sin4le p.e>:sou
, Gr'In[ee,
r
�4ltnesseth, That the :aid t.raawr, for a valuable cunsldcrrt.un
p(IUhh rJ
co.!v.',.+ t•, t;rantee the fulluwn.g desslbcd real estate in 5.t., Croix
C.uot�, State of Wisconsin:
See attached description.
Tax ! arcel No: ... ............................... .
TRAN5FER
FEE
This is not.. . homestead property.
( 1h) (is not)
Togi,ther with all and singular the heredltaments and appurten -races .:.creuntu bt. , nging;
And Ronald L. Willie and Naomi R. Willie
\.arrant. that the title is good, unlefe:,..Ib:e in fee simple and free aiw clrar „i eneumbr:,a.es vx:cpt
easements, restrictions, and rishts -of -way of record,
.,od will "pri"nt and defend tle came.
uatcd till. �'� day of `larch 19.96
(SEAL) �t�t Icy c t �� L�crL (SEAL)
Ronald L.. Willie
(S -AL) /' jacav� -- e /_`GLcL (SEAL)
. Naomi R. Millie
AUTHENTICATION ACKNOWLEDGMENT
Sibrnattiare(.) ..... STAATE OF V ISCONSIN
. .. ........ .. ......... . ...... ' sa.
St. Crn>Lx ...... 1•oanc }•.
authentie:xt,d this . .....day of _ .._..., 19.... Person:,,, came beG.re me this .....day of
j�.41 h.0 h., 19. 9.6.. the above named
.......Row W.A.,..4 .1 Ue ... ala ....................
• _ ........ _......... Naomi. RA..wiIlie ...............................
TITLE: NIENIRER STATE B.11t OF WISCONSIN ............. ........ ......... . --- ........ _.......
Elfnut, ... _. __ ...... ....._. - --- _.... ... ..
authorized by ; "NW.C4, %V ii. St:,t.,.) to me known t„ i,e the person .$.. .... who executed the
foregoing instr .went and..q}',k>?o\vlcdge the same.
THIS 'V arRUSILN'r WAS C •F .E.J NY (`
C. L. Gay.l.ord,..A.tto.r.ne.Y. _ - . el r'e����"
•
River Fa p�
141 540,22 _ ... (• ��X
11 S, \t., c I il„ � --t,T. :� - "S• Countv, Nis.
! �! rrl:,tl•r. a :.p he ult},cntic:ae;l or :ai.mn\lcu cd. I"'th 111N CumnllAi?n is j1krtU(%hHt. (If ttdt, .tute expiration
r, out Lorr :arp.) V fy /�rJ . 19 4 l )
date:
cc AKA \T\' DEED �f •..: I. �It OF Nl�al \nIN .. !! L. ':.I I::.,..1 C.• Io.c.
A parcel of lano located in the SE -1/4 of the SV -1/4 an± in part of
the S"I 4 of the SV -1/4 of Section 11, Township 29 !north, hr,ngc 19
We_t. IL n of Hudson, being further descrited as follows:
beganrainE: at the S -1/4 32 corner of said Section 11; thence
2 29'G3 "�;, along the South line of the Sk -1/4 of said Section 11
23)b.39 fEct; thence NO2 2E'06%, 1322.62 feet, to t}1E '�crth line
of LhE S -1 /1 o f the $1,' -1/: of Section 1l ; t�E'EE o th e�c rt
Said North line, 2446.:. feet to the -North -_cuth 1/4 line ofsaid
Section 11; thence S00 34'16 "'a, along said North - South 1/4 line,
1325.65 fEEt to the point of bEg,innint. Parr-El contains 73.32
acres (3,1y3,614 Square Feet) and sub�Ect
record. to all Ease-,Ents of
Together with and subject to an easement for ingress and egress
located in part of the EW -1/4 of the SW -1/4 of Section 11 and in
part of the SE. -1/4 of the SE -1/4 of Section 10, all in Township 29
Kurth, RanpE 19 West, Town of Hudson, being, further described as
folIow: Commencin�. at the S -1/4 corner of said Section 11; t} -, E .
NE9 29'03"W, along the Sgath line of the S4; -1/4 of said SEct %_..
2376.3 fErL; thence NO2 26'06 "►: 1256.54 feet to the point of
bLiinnini; thence continuin1 NO2�26'06 "1:, 66.06 feet to the forth
lint of the S -1 of the SW -1/4 of said Section I1; thence
N69 351501,W, along the North line of the 5 -1/2 of the SW -1/4 of
said Section 11, 179.26 feet to the NE corner of the SE -1/4 of the
SE -1/4 of Section 10; thence N69 41'39 "W, along the North line of
the SE -1/4 of the SE -1/4 of said Section 10, 1316.24 feet to the
Wes a line of the SE -1/4 of the SE -1/4 of said Section 10; thence
S00 25'39"1.', along said West line, 66.00 feet; thence S69 "E,
on s line being 66 feet distant Southerly and parallel to the North
line of the SE -1/4 of the SE -1/4 of said Section 10, 1316.32 feet
to the E line of said SE -1/4 of the SE -1/4; thence 569 "1;; or.
a line bcinz 66 feet distant Southerly and parallel to the North
line of the S -1/2 of the St. -1/4 of said Section 11, 162.54 feet to
tEc oint of beginnint. Parcel contains 2.27 acres (Q5,9..6 Square
FEED art is sutiect to right -of -way for town road c a
subject to all easements of record. (Scott h.oad) and
"'•. fnre�ri. EdcE'. =. _
d
I
1 0).61' . 21 111.11'11 WAS 07.lr' Iw 160111W, r 1 Ill.w' Is 71'43• .
1 1U.'". 21 lU4S'U.SM 11.11' 161.M' 1 " 61:01'13 a a 11.71 t 1{1.61' 1141'11
! .61' U%6*w /U•N'61.Y1 "." 61.21' 611.71.11'1 V44 1.1 71.11 to Ill. 05
20
! 111.". 61lume 1101'11,5'1 Irl.Q' 161.0' U4 1" • f 171.1' 11.11'11
1 111.61 1101 oft 171.0' 6110' 01 16141'61'1 1 111.61' )5
1 111.1!" )70410' 111.21'1239 161.11 OLO' WOU 1/1.11 e / IILN' m
1 2016 . MIt'U 1002'3!.39 61.61• N.N "1W'61'1 161.1/ • 7 ULM' I N
1 3)),M' 0 7C1.22'tl.S'/ 132.21' Im.U' bwowls IIN/I'614 S 7 433.11' 4141'54
3 2) w H% Wli'Ud9 0.61 U.N. w%va'/ DI.31'17'1 j 11.0 1 U).N' 3301'17
1 271.1/ SMri'22 10h1 1".11 mu 17101'0.2 oft'll'1 33.77 1 16131 11
1 MOO 61.61'1 13492'12.39 U1.1' 10.16' 310% 141.0019 111.11' "
1.. 11).141 6014W 126 61!.61 SN.61' !11.11 611
f :.'=A a "'1 owtsuab U.12 U.12 3041 "1
1 W w 1PSP3!' 8{•1'21.59 22!.11' 161.741 "601'619 UN04S'l
w.w ) Imm, 610171 SU•11'21.)9 211.11' 21.21' U PS1,14 '1 1 1 1
3 4,21,3101
18.M' 13.21')1 8611!'259 US.11' US.1S' 615$1'119 7101'1411
UNPLATTED L ANDS
Na1TH LIIE OF T 149 evt of RR ewlm sew 3S' S0'( 2448.54'
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LA S , a &W ACRES IN e ACM �� V j 4 a �• !1¢ _..._._.__ -___ 131.432 so. 7T.
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A 412.080 21. IT jL. 1 90&Dl Al ' i r1cJCS I s 1
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U NPL ATT ED LANDS
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LOCATION SKETCH
1101 Carmichael Road
Hudson, WI 54016
Phone: (715) 386-4680 St. Croix •
Fax: (715)386-4686 Zoning Department
Fm
To: Tammie From: Shawna Moe
Fax: 386 -9281 Date: October 12, 1 999
Phone: 381 -5000 Pages: 2
Re: Inspection Report — Homestead Lot 13 CC:
❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
•Comments:
ST. CROIX COUNTY
WISCONSIN
rmpr� 1
ZONING OFFICE
II p p p N 11 N ■ ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson WI 54016 -7710
(715) 386 -4680
October 12, 1999
First Federal
Attn: Tammie
201 S. 2 nd Street
Hudson, WI 54016
Road a
RE: Septic Inspection for Sam Miller located at 1008 LaBarge ,
Homestead Lot 13, Town of Hudson, St. Croix County, Wisconsin
Dear Tammie:
A septic inspection of the above referenced property was conducted on September 29,
1999. This property is located in the SE'/ of the SW' /4 of Section 11, T29N -R19W,
Homestead Lot 13, Town of Hudson, St. Croix County, Wisconsin. At the time of the
inspection, this septic system was found to be code compliant for a three (3) bedroom
home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
Sincerely,
iL glo , t_�
Kevin Grabau
Zoning Technician
m� �