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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 P4+� a L q2� t laoo 60 C� h. or •� 3 i 3� 45' 800 ° 30 � �a 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: 3 ,,.. s.«. -» ., a.. ; .....s. e. ._•..e.. .. �v ......m „a.-., A .. £ E E E c a t e E s � s o S � I ( E � f � .m...... ,e .. .:... m. x'.. .ems. 1-44 ,. ...... ....v. e.: ,.,:...,:... . .....�. ...... . .. -«.. m e fft r � t 4 ., av 3 t t _ J. __. .� ,. + ++. I a E � _.... d...,... .._..___.. .._.. ... �.e „_.ar�, rw.,a . .. 1 1 4- 1 TO s 7 F a i w� t 2 x r t e F T ° 5 ,...�, .., ,. ., i 9 3 ..e e. .m .. � " 5 3 f v � ) S e } a 3 � 4 --: - - --- --- 13 . .... ---to ! / `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 M • • "•" Pump Effluent PUMP Submersible :�`... A r, , faua I 1 Emuenl I' y q. i tens reef- ._..._._ •- MODEL: 3872 MI [("S Ilfl 1 ; MOD 388 110 I I ' s Mr lD�. 1 I , u F. C3 I I v op ,. J •.,, .,SfP�I i — I I i 1--- IP 115 ' SU 6 0 0 6n: 1 IF M I 0- 0 0..... ...10. .... 7U 70 40 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 O F w � /V lop 3� 3' ry �� U � f �e � r, R t �� � .rte � _ ,,�.�► �� � � �% �... � �r r � 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' � / /