HomeMy WebLinkAbout020-1359-12-000 I I.aCasse Custom Homes �0
town Hudean sad
lot #12- Parkwood Meadows
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as show
as permanent lot lines were not established,at the time the test was conducted.
00
1 1 "=40'
t�— za. -t9, 1t08
HM.= top of NE lot stake @ el. 100.00
Alt. BM.= top of NW lot stake @ el. 98.90
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WisconAin Department of Co m merce PRIVATE SEWAGE SYSTEM Count y
Safety and Buildings Division
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 353146
Permit Holder's Name: ❑ City ❑ Village EkTown of: State Plan ID No.:
Town of Hudson '
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 0 ZO 600
too . w . o ' l a* S4-1 . p endin g
TANK INFORMATION ELEVATION DATA lU, Z94 f 9� �to8
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic VV (!, l-Z�( Benchmark 5-q3 40•�
Dosing Alt. BM O
Aeration Bldg. Sewer T- 11 - 5 T60.7
Holding St /Ht Inlet ,2(.
TANK SETBACK INFORMATION
TANKTO P/L WELL BLDG. ventto ROAD
Air Intake
Septic >s-0 r NA Dt Bottom I • 9',2, lie
Dosing ? 5-p' r ` 3 NA Header/ Man. S. `� �cst` (0 �, �/�.
Aeration NA Dist. Pipe vt , ag
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
It Manufacturer 00 1 S Demand St cover 5T 'It V 9 e:Q- at 9
o C�,adQs
Model Number V GPM
TDH Lift,,,9O
Friction 9 System .._. TDH $•$ IFt Head
Forcemain Length Cj Dia. 2 it Dist. To Well
SOILABS RPTION SYSTEM C � 0 � 4„�, s
5W&jRWjCW Width r Le h f No. f T riches PIT No. Of Pits Inside Dia. Liquid Depth
DIMEN IONS
S DIMENSION
SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING' rer S ,
INFORMATION Type O i _ CHAMBER Model Number:
System: J ' `�� 7 b� OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold y I Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length - IL Dia. L t Leng Dia. Spacing 1 If 00 �
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.) Inspection #l: 1 "Inspection #2: �-
Location: pending, Hudson, WI (SW 1/4, NW 1/4, Section 16 T29N -R19W) - 16.29.19.___
nn
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. 1 10 1 12— 1 1 1
'yc SBD -6710 (R.3/97) Date Inspector's Signature Cert No
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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! / `afe�t nd Buildings Division
SANITARY PERMIT APPLICATION 201 W. Washington Avenue
Wisconsin * P O Box 7302
Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 81/2 x 11 inches in size. �5 CA_4 r
• See reverse side for instructions for completing this application State Sanitary Permit Number
_753/46
Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION
Property Owne Name Property Location
(y( /a A jja1 /4, S 1 (p T a , N, R l ,d'(o
Property Owner's Mailing Addr Lot Num k Number
Ci St at Zip Code Phone Number Sub4i�lisi me or CSM N tuber
f/
II. TYPE BUILDING: (check one) E] State Owned It llage
r st Road )
Vi
Public 1 or 2 Family Dwelling - No. of bedrooms own of 1 /w�
III BUILDIN U E: (If building type is public, check all that apply) Parcel Tax Number(s) `
020— 13 5 4- la -000 11 2-7
1 ❑ Apartment/ Condo
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. Ep( New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
-__ it .System ________ System_____________ Tank Only______________ Existing System ________ Existing System
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 JX Seepage Trench _ J L E] In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill � X _ �! —a of _ 1,Q rM
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Ele Final Grade
quire . ft.) P oposed (sq. ft.) als/day /sq. ft.) in. /inch) �levation
(P eet A0 ;� Feet
Capacity
VII. TANK in Ca allo Total # of r Prefab. Site Fiber- Exper.
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing strutted
Tanks Tanks
Septic Ta vr- W D0, El El 1:1 11 11
El 1 ❑ 1 ❑ ❑ 1 ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite s wage system shown on the attached plans.
Plumb
? )w), �� 1 N e' (Print) Plumber's natur (N 5t M /MPRSW No.: LBusiness Phone Number:
0 3- 1S
Plu b is ,
Ad ress(S re ity, S
t 7s t
IX. COUNTY / DEPARTMENT USE ONLY OIL
❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps)
❑ Approved ❑ Surcharge Fee) Owner Given Initial /C
Adverse Determination 4 ���, ( (c7 Guy'
X. CONDITIONS OF APPROVAL/ REASONS FOR DIS �� PPROVAL:
MWRT
SBD -6398 (R. 4199) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS ;
1 . A s a nitary permit is valid for two (2) years.
2. Your sanitary permit maybe 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 bya licensed pumper wfiPnever
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 -guildingsDivi4iea, -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 isto 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 is to fill in name, license number with appropriate prefix (e.g. MP, eta.),
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 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following:' A) plot plan, drawn to scale or - With c *Mille - re - Z irhensions, 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
i
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;
m erf rmance curve um model and um manufacturer D cross section
elevation differences; friction loss; pump p o , pump p p, .,,_, Z_
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROADWAYEWSURCHARGr
r
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which'cari
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
PAGE GF
f PUMP CHAMI;ER CROSS SECTIOIJ AMD SPECIFICATIONS
VCKJT CAP
'i" C. I . VENT PIPE
WEATHERPROOF APPROVED LOCKING
ZY FROM DOOR,
JUWCTIOM BOX MANHOLE COVER
WINDOW OR FRESH 12 "MIU.
AIR INTAKE
I
GRADE
I y" MIW.
18" m I m.
COUDUIT ` -- _______
18"m MI. �,�� ---- - - - - --
IMLET PROVIDE I - - - --
AIRTIGHT SEAL I III /
* A I I
I III ALARM
Js I ii.
i
*APPROVED I I oW
JOINTS WITH
ELEV. FT. APPROVED PIPE
3' ONTO PUMP J OFF
D SOLID SOIL
GOWCRETE BLOCK _
RISER EXIT PERPI11TED OWLy IF TAWK MAIJUFACTURER HAS SUCH APPROVAL
SEPTIC E SPECIFICATIOKJS
DOSE L
TAWKS MAWUFACTURER: I\IUMBER OF DOSES: —PER DAy
TAILIK SIZE: JaCO " POO GALLOMS DOSE VOLUME
ALARM MAWUFACTURER: IWCLUDIWG BACKFLOW: _ GALLONS
MODEL IJUMBEK: 224 Ll CAPACITIES: A = bC/01 CRES OR G kLOIJJ5
SWITCH TYPE:
B= _C1 IIJCHES OR 3 GALLOWS
J
PUMP MAMUFACTURER: C= r� INCHES OR - ? � 0 TGALL0M5
I MODEL WUMBER: IEPIO D- INCHES OR 20 - GALLOWS
j SWITCH TYPE: c MOTE: PUMP AMD ALARM ARE TO bE
MIMIMUM DISCHARGE RATE _ GPM INSTALLED OM SEPARATE CIRCUITS
VERTICAL DIFFEREKICE DETWEEW PUMP OFF AMD OISTRIBUTIOW PIPE.. _.cs.L_ FEET
+ MIUIM,�M METWORK SUPPLY PRESSURE ✓ .. , , , .. , � FEET
+FEET OF FORCE MAIKI X /•� /ooFLFRICTIOU FACTOR. - S FEET
TOTAL DyWAMIC. HEAD — FEET
IUTERKIAL DIMEMSIOMS OF TA K: LEKIGTH ;WIDTH ;LIQUID DEPTH
51GUED: LICENSE WUMBER: AiP 2ol03s( DATE:/
7
M
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• • "•" Pump
Effluent PUMP
Submersible
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tens reef- ._..._._ •- MODEL: 3872
MI [("S Ilfl
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MOD 388
110 I I '
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y 7O 10 1 I I ° 7 CAPACITY pp
' io ,]O iio 1A0 U.S,f.ITd t•7
° '° '° 40 '° Fn C1 Fn Pump Si,ecificationc Features and
Benefi
v cif z� •Glass tilled, thermoplastic voiter
HP impeller with stainless steel
Pltt ns eatures and Benefits , t 75 GPM insert and pump out vanes for
'h through 1'/: HP • All models feature silicon carbide Up mechanical seal protection.
Up to 130 GPM mechanical seal faces for superior Maximum head to 18' • Rugged glass - filled thermoplasl
Maximum head to 123' abrasive resistance and extra Discharge size 2 "NPT casing and base design provide,
long Solids: 2" inaxiinum
Discharge size 2" NPT g superior strength and corr
Solids:' /. maximum impeller iron semi- urnp -out vanes Motor osioi
resistance.
Motor impeller with pump All motors feature ball *Cast iron motor housing for
All
protection.
motors feature ball for mechanical seal p bearing construction. efficient heat transfer, strength
bearing co
• Rugged cast iron volute type casing Single phase:115V
nstruction. y Materials of Construction and durability.
le for slide rail systems.
Cast iron *Corrosion resistant threaded
Available in Single and adaptab
Three Phase 115, 200, • Corrosio steel resi thr
shaft. Thermoplastic stainless steel shaft.
, • Available in auto"' 460 and 575V. stainless and man
All single phase models .Motor is fully submerged in high Stainless steel models.
mod
eve ca ricilor start motors. quality oil for lubrication listed models available.
h� I •CSA
t ransfer
Materials of Construction Oplioil� Isiliconlbronze impeller
Clint iron available.
f. , f• �. , 1 7 f
,,tainlr.s: .,h•i.
• CSA listed models available.
u� Underwriters Laboratories
All Models are designed for continuous operation and feature stainless steel hardware. � O
d
IaCasse Custom Hanes, Inc..
SANWk S16- T29N -R19W
townof HudCOn
lot #12- Parkwood Meadows
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shown
as permanent lot lines were not established.at the time the test was conducted.
1 "=40
EM -= top of NE lot stake @ e1. 100.00
Alt. BM.= top of NW lot stake @ el. 98.90
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Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of _'i
Labor areHuman Relations .
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix
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 neare d. 020- 1029 -00
RE EWED B DATE
APPLICANT INFORMATION— PLEASE PRINT 1�MAtTI;QN h _
PROPERTY OWNER: w ., PROPERTY LOCATION t
LaCasse Cus H Inc. GOVT. LOT 5W 1/4 IOW 1/4,S 16 T 29 N,R 19 K(or) W
PROPERTY OWNER':S MAILING ADDRESS ``' -j�p! LOT # BLOCK # SUBD. NAME OR CSM #
521 McCutcheon Rd. c: na P
CITY, STATE ZIP CODE "PHONE NLW1 %. v ❑CITY ❑VILLAGE MOWN NEAREST ROAD
Hudson WI. 54016 -
[ New Construction Use ( ] Residential / ef.bedrooms z> '';� ( ] Addition to existing building
(] Replacement [ ] Public or commerc * e"s ide
Code derived daily flow 600 gpd Recommended design loading rate .7 ed, gpd /0 - trench, gpd /ft
Absorption area required 858 bed, ft 750 trench, ft Maximum design loading rate .7 ed, gpd /ft - , trench, gpd /ft
Recommended infiltration surface elevation(s) 98.30 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material outwash Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem W S ❑U W S ❑U W S ❑U ®S ❑U IR S ❑U El 13U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch
r
.. .......... 1 0 -10 10 r 2 2 non
2 10 -20 10 r 4/3 none si
Ground 3 20 -30 10 r 4/4 n
elev.
10 ft. 4 30 -88 ms OSQ ml na na .7 .8
Depth to
limiting
factor
+ 88
Remarks:
Boring #
1 0 -10 10 r 2 2 none 1 2msbk mf
L . 2 10 -21 10 r 4 3 none sicl 2msbk mfr w 2f .4 1.5
.........
3 21 -31 10 r 4/4 none sil 2msbk mfr cfW if .5 �.6
Ground
elev. 4 31 -90 7.5yr 4/6 none ms OSg ml na na .7 1 .8
Depth to
limiting �.
factor
+90"
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200
Address: 1554 200th. AqV, New RichmonqnWI 54017
Signature: Date: 7 -7 -99 CST Number: m02298
i
PROPERTY OWNER LaCasse Custom Homes SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D. # 020 -- 1029 -00
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
..................
in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed !Tw&
.................
1 0 -9 10 r 2Z2
2 9 -23 10 r 4 3 none si 2mshk mfr crw 2f .4 -9
Ground 3 23 -31 10 r 4/4 none s'
lO 2
ft. 4 31 -90 7.5 r
Depth to
limiting
factor 2
+90"
Remarks:
Boring #
1 0 -15 10 r 3
4
2 15 -31 10 r 4
3 1 -88 7.5 r 4/6 none ms I oscf ml na na 1 .7 .8
Ground
elev.
102.2 ft. —
Depth to -
limiting
factor
+88"
Remarks:
Boring #
1 -1
5 =' 2 5 -24 10 r 4/4 none sicl 2msbk mfr Qw 2f .4 .5
Ground 3 4 -35 10 r 4/ 4 none sil 2inghk t mfr CM if
elev.
4 5 -45 10 r 5/4 c2 7.5 r 5/8 sil M na w na n .2
1 3 ft.
Depth to 5 5 -90 7.5 r 4/6 none co s Osa ml na na .7 .8
limiting
factor p
+90
Remarks:
Boring #
Ground
elev. j
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel LaCasse Custom Homes, Inc. 1554 200th Ave.
CSTM2298 sANA s16- T29N -R19W New Richmond, WI 54017
MPRSW -3254 townof Hud$sn (715) 246 -6200
lot #12- Parkwood Meadows.
This soil evaluation was conducted to satisfy a zoning requirement, it may or may
not be suitable for your use. The location of the test may or may not be as shown
as permanent lot lines were not established at the time the test was conducted.
1 =40'
BM-= top of NE lot stake C el. 100.00'
Alt. BM.= top of NW lot stake C el. 98.90'
J p
1 0lo
f
13 �
�4�
n .
461%
2 ` l
Gary L. STeel
7 -7 -99
ST CROIX COUNTY �
SEPTIC TANK MAINTENANCE AGREEMENT /,-Q ure- dry -c"
AND L(9 ► G L- ,� C
OWNERSHIP CERTIFICATION FORM
- 130 1 %, 4'
Owner/Buyer Ls
Mailing Address 1 L av (-
sly
Property Address -:5
(Verification required from Planning Department for new construction) Q
City/State _ a 4 . d Ss U Parcel Identification Number
LEGAL DESCRIPTION
Property Location - 4to '/4, _I '/4, Sec. / 6 , T_ZJ_N - R ±W, Town of
Subdivision s,) no ,C V? Ir!e 1e n VS , Lot #
Certified Survey Map # , Volume . ,Page #
Warranty Deed # S `1 �3 %� , Volume Page #
Spec house ❑ yes f�no Lot lines identifiable [dyes ❑ 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
wastewaterdi osal system
lumber, restricted lumber or a licensed um er ver that 1 on-site sp y
master lumber journe p p fyrng ( ) the
P .J YAP P
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.
Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the a ear expiration date.
<ZI.; 5 1
S GNA F 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 owner(s) of
the roperty desc led above, by virtue of a warranty deed recorded in Register of Deeds Office.
2 (1) a Y
GNATURB F APPLICANT DATE
* * ** ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * **
** Include with this application: a stamped warranty deed from the Register of Deeds office
PP Pe tY g
a copy of the certified survey map if reference is made in the warranty deed
. m 8
V OL 1404 9 c 1
STATE BAR OF WISCONSIN FORM 5 - 1982 ( 5981 17
KATHLEEN H. WALSH
PERSONAL REPRESENTATIVE'S DEED REGISTER OF DEERS
DOCUMENT NO. ST. CROIX CO., WI
i
_ RECEIVER FOR RECORD
Howard LaVenttre 02 -19 -1999 11:30 AM
!� PERSONAL REPRESEMATIV
!I as Personal Representative of the estate of EXEMPT M 17
Atha LaVenttre CERT COPY FEE:
COPY FEE:
iI TRANSFER FEE:
('Decedent "), RECORDING FEE: 10.00
PAGES: 1
r for a valuable consideration conveys, without warranty, to
IiCasse Custom Hares, Inc., a Wisconsin Corporation
i;
Grantee,
! the following described real estate in St' CLb 17C County I THIS SPACE RESERVED FOR RECORDING DATA
State of Wisconsin (hereinafter called the "Property"): . ;NAME AND RETURN ADDRESS
li
Heywood & Carl, S.C.
!I
Box 125
Hudson, WI 54016
i
SW i of NW ' of Section 16, Township 29N, Range 19W, St. Croix County
Wisconsin. - 020- 1029 -00
THIS PROPERTY IS IN THE WELL ADVISORY AREA.
I
I ATION NUMBER
i I
I
p i d s is n partial satisfaction of a lard Contract dated February 18, 1999, Recorded in Vol
I
i
Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately
prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired.
Dated this 1auI day of February 19 99
(SEAL) (SEAL)
Howard La Venttre
Personal Representative Personal Representative
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) Howard LaVenttre StareoEWisconsin,
County
authe icated this 18 ay of February 19 99 Personally came before me this day of
19, the above named
SatnleI R. Ca
is
TLE: MEMBER STATE B OF WISCONSIN
authorized by 5706.06, Wis. Stats.) to me known to be the person who executed the foregoing
instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
I
I Banc 125
He & Cari S. C.
I
Heywoo �
j c
Hudson, WI 54016 Notary Public, County, Wis.
(Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: i
I
necessary.) 19 )
It • Names of per:nns signing in any apacity should be typed or printed below their signatures.
STATE BAR OF WISCONSIN Wisconsin legs Blank Co.. Inc.
PERSONAL REPRESFNTATIVE'S DEED Form No. 5 - 1981 Milwaukee, Wis.
CORNEIt
SECTION is
T'". R11W
(BERNTSEN CAP) PARKWOOD MEADOWS
>r LOCATED IN THE SW 1/4 OF THE NW 1/4, THE NW 1/4 OF THE SW 1/4, AND THE SW 1/4 OF
THE SW 1/4 OF SECTION 16, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN.
LRCLATIEQ LAtp§ 1N tx C TH sw 1/4 OF 1Nt Nw ,/4
— or - - — — — — — — ' R
S 59.41' 00 t 127620'
I ' FAt
!494 w , aP NOTES: 1. ALL LINEAR IEASlIRE1.ENTS NAVE BEEN
7
" " " " " "4110•!6' Od' E' .... ...... = t1sJ110 MADE TO THE NEAREST ONE HUNDREDTH
54 Rout OF A FOOT AND ALL AN(IULAR
77 is s NEARES
ME ASUREMENTS FFI�VE KCCONOS TEE
3 2 [ HOwH
I 6 5 4 07 To THE VALUES s.
e ACRES 2316 APE 2
S 15 ACRES 2.319 ACRES 2J16 ACRES IWp7 2M4 ACRES
12 21 &F. Imtfe u. = loom 6F. 1 002" fF. � 100,1" v. 2. ��l1GEH: LOCATION MAP
I I tao LACASSE CUSTOM HOMES. INC. SECTION 16. T29K R11W, TOW
I
521 MCCUTCHEON ROAD HUDSON. ST. CRODI COUNTY, WISI
4
w HUDSON. WI 54016 (
F
I N W 46' 00• W 1261.40' R I Nw- wt NE-*W
SE-NW
I
or IF 3"Aw
I
tr4aaoo• 8 8 E 1
.��' —
$41 $ _ '" ' I NE ARKWO,
I w — EADOW'
1 6 N
ZM71V "
o11A�ua ' 6 10 11 1 13
I= °1R lo 606 tz: v EA71]EM FOR Y
$4� := 21166 ACES „°°� ss cu- ot-sAa u 6� et SCALE. 1" 2000'
8 130 v. ma zY vACA
I ,,+ 014i6A8F s UPON sn6 [F
M \L� ANE _ Nom; LEGEND
2u �N ,6. A a
I :o FOLD T SE CT ION CORNER MONAIE
(TYPE OF MONUMENT NOTED)
6A : tar , 9 2" X30" IRON PIPE NEIGHING
_ 13' . 20.1 _ {1 �_ ° 3.68 //LINEAR FOOT. SET.
i" �• E / I 6a --- m 1" 2 4 "
I NF.ARR FOOT I C A R T I ALL
�a / ' . .: • W OTHER LOT OORNERS.
- = CRESRE I&W F� . 1" IRON PIPE. FOUND.
�� "
-BUILDING SETBACK LINE (WIDT
$ 2 9 I T ' SI DE 1 OF T LOT
2.M ACRES
I
I 'z9 a E I •••.. .....DRAINAGE EASEMENT.
I 28 ,, „ N A w OUTLOT 1 (R- ) PREVIOUSLY RECORDED INFORIAATIO
1 ACr W : 10.720 ACRES
1 31,367 S.F. 7� -N EXISTING FENCE.
se 100' 0,1111m E it 15
µ
I U' orm.R4•.N.. ...... t�j � � I • GROUND WATER MONITORING WELL.
I iDi.13........... ,app ,
A16•tlS'2e'FW I :� I --a- PROPOSED DRIVEWAY LOCATION.
I 27 A • 10ow SCALE IN FEET
r
'
101p66 v N W ' ;�aK : eo' 1 0 75 150 300 450
I" 16
�
31 1 01,11117 ^ iCURVE TA13LE
I : � CRE I :
71 26 s: W i b 10. N07 MDIUe J ANLE LDIM lCOM KARIW IN
N
4e• w
74• w
101,140 IF . t ' W = ct a io.aa "•21 76• a.ie' ZZ . N 4 4 40 0. 6y t ` w "•1Yib" w f 1
I N: N W p f 447. 7. 7146' 46; 2ee,w 211: N i/� if: 6' [ N Of M' i t i
= 1
1 M 0C{7 10 m•p�pyy 3 1 48' ii• N.m 04. N N 01• N" t N 1
I I Ce 11 00' 11'74' n ppp 70' 1 w 7pp7�� `` p Mf1 W" t f I
_ b li N.w 126;6f'N• 136 :M' 1 {!: N•�'�: • [ N M•�62• [ f 1
72A u _: iiiSSS CJ 2N.00' 60 37YY fY 410.3Y 377. I •e�T • N 00" N 1
32 �. " Ce 16 w 16.22 07• w.m 6{. 4C r. • w 00 t t So 10 wee Gtr 71.1 71• 144. "• 14y 1 • N 1 W w f'
S 11.67 u• E : e0 A c10 zo ia:or 71.00'02; la. u' 104: � ��o ;: * w � 4 14 w 31
104 sd 14444. c11 1 05.00 a• 76 u."' 22.64' 1. • N 66 •". w N i
25 cu foo.W 1o•s�r 11• 71 w 2b0: N Z4• �:: w N �o 62 2 1 : , i
I 2324 ACRES I C13 H 1•ov 77.77.49" 2.41' 7 70 N w • 1
I �Q Cf4 2e 4a�J.OD 3'42'ei" 6Y 2ti• • 12. • f M• 39" w 6
101217 u. s M N 6PeT 39' • C1 037.00' 71.46.46• 216.0 !11 7 w. .0' , 1 • 6 1M•fC N i
C17 Zt 6 2"i't 2M :N 267:4 t 6' :0' M f O' ia rm" w N IF
b p 18
2
I N PP' 9 212 ACES
a I 13
1u ar.
1 2Z7
� 33 � , _
:s 2.007 ACRES
• 24 1 ,6 9
I 10 ,
eel /I
�p� /
10Ltt6 V.
100' _
I 16a01� 7T\ 0.70' 110.Q0' � / /