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Parcel #: 020 - 1392 -01 -000 04/10/2007 02:57 PM
PAGE 1 OF 1
Alt. Parcel #: 16.29.19.2385 020 - TOWN OF HUDSON
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 - LEE, HOWARD D & CHARLOTTE L
HOWARD D & CHARLOTTE L LEE
N4659 455TH ST
MENOMONIE WI 54751
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description " 921 A MEADOWOOD LN
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.916 Plat: 2180 - MEADOWOOD LN CONDO 1 &2 020/01
SEC 16_T29U W PARKWOOD Block/Condo Bldg: LOT UN 1
,—MEADOWS 23 NKA ME DOWOOD LANE
CONDOMINIUM UNIT 1 1.916 C Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
16- 29N -19W SW SW
Notes: Parcel History:
Date Doc # Vol /Page Type
09/25/2001 657418 1725/040 WD
08/31/2001 655479 1/41 CONDO
10/20/1999 612351 1464/348 WD
10/20/1999 612350 1464/347 WD
more
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.916 75,000 147,700 222,700 NO
Totals for 2007:
General Property 1.916 75,000 147,700 222,700
Woodland 0.000 0 0
Totals for 2006:
General Property 1.916 75,000 147,700 222,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 020- 1392 -02 -000 04/10/2007 02:54 PM
PAGE 1 OF 1
Alt. Parcel #: 16.29.19.2386 020 - TOWN OF HUDSON
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 - ELLSTROM, GREGORY A
GREGORY A ELLSTROM
921 B MEADOW LA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description 921 B MEADOWOOD LN
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 1.093 Plat: 2180 - MEADOWOOD LN CONDO 1 &2 020/01
SEC 16 T29N R19W PT SW SW PARKWOOD Block/Condo Bldg: LOT UN 2
MEADOWS LOT 23 NKA MEADOWOOD LANE
CONDOMINIUM UNIT 2 1.093AC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
16- 29N -19W SW SW
Notes: Parcel History:
Date Doc # Vol /Page Type
07/02/2002 683280 1921/206 WD
08/31/2001 655479 1/41 CONDO
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 10/25/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.093 55,200 147,700 202,900 NO
Totals for 2007:
General Property 1.093 55,200 147,700 202,900
Woodland 0.000 0 0
Totals for 2006:
General Property 1.093 55,200 147,700 202,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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IF
• Wiscor%in Department of Commerce PRIVATE SEWAGE SYSTEM Count
Safety and Buildvigs 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)]. 353191
Permit Holder's Name: ❑ City ❑ Village 10 Town of: State Plan ID No.:
Town of Hudson
E lev. : , Insp. BM Elev.: BM Description: Parcel Tax No.: l/W
3 3 5 spit, f�Vl �'
020-135f23 00 Z 1
J
TANK INFORMATION ELEVATION DATA /7 0�
TYPE MANUFACTURER CAPACITY STATION S 2 S LE
Septic Benchmark Q� '� O r
Dosing Alt. BM q&
Aeration Bldg. Sewer
Holding St/ Ht Inlet
TANK SETBACK INFORMATION St /Ht Outlet ��Y2 10,38( . 0 l y
TANKTO P/ WELL BLDG. Ventto ROAD Dt Inlet - - �---�
Airintake
Septic a 3' NA Dt Bottom _
Dosing NA Header / Man. It - If 6 13. 3
Aeration NA Dist. Pi e
Hol g Bot. System Z ' r �JZ:Z
PUMP/ SIPHON INFORMATION Final de T
M cturer emand cove
Model Number GPM 2 Yi S-Z-' / Yz
TDH Lift riction TDH Ft
Loss ea
r
Fo main Length Dia. Dist. To well
SOIL, PTION SYSTEM �Z
TRENCH Width r Length ( No Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIME N 3 3 DIMENSION
SETBACK SYSTEM TO P/ BLDG WELL LAKE /STREAM LEACHING "u r. -
r
INFORMATION Type O r AMB Mod Numb
System: C o ow, -5 �fl OR UNIT �;
DISTRIBUTION SYSTEM '1 4- Ste'-- PIt,
Header/Manifold � Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. a. Spacing > `lo
S 1"OV x Pressure Systems Only xx Mound Or At -Grade Systems Only �d
Depth Over / 1 Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑Yes [] No E] Yes El No
OMMENT (Include code discrepancies, persons present, etc.) Inspection #1: 11 /c Inspection #2: l 1
f 01
Location: 921 Meadowood Lane, Hudson, WI (SW 1 /4, SWI /4, Section 16 T29N -R19W) - 66 211�ri
No A--,.ksr ^
5 l ��a+�� tt.D lZ�z
tt oo�r3 «
3� t.o5
Plan revision required? ❑ Yes D 4101 /
Use other side for additional information. t �
SBD 6710 (R.3197) Dade Inspector's Si ature Ce o.
I 1
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
SANITARY PERMIT AP 20 1 W. Washington Avenue
NO s cousin In accord with ILHR 83.05 s. Adm_ * � . P O Box 7302
Department of Commerce Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the sys tn;%'on pa�1<I,�ss ty
than 81/2 x 11 inches in sizL.
• See reverse side for instructions for completing this apple n r State nitary Permit Number
�` �S _ _35 l
Personal information you provide may be used for secondary purposes ®'�' G�iC7i„ l] � k if revision to previous application
(Privacy Law, s. 15.04 (1) (m)]. ✓� COUN rY ,eta- Plan 1. D. Number
Z r e
I. APPLICATION INFORMATION -PLEASE PRINT ALL I ATION
Propert Owner Name oae t c` tia
,S gy
V% r �14 ro T 2 N,R �
Property Owner's Mailing Address Lot Numbe Block Number
bor \I]eLo
Cit h � ate Zip Code Phone Number Subdivision Name or CSM Number
t ude. on W z 5L+01 tc (7is )3131 L 5
11. TYPE OF BUILDING: (check one) ❑ State Owned Nearest Road
Public al or 2 Family Dwelling- No. of bedrooms `� /� n QC - d
Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) C2 Zj , 13S9 vZ3 — OO O
1 ❑ Apartment/ Condo 1(O'2-91 11 X1 101
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. gl New 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
______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 9 Seepage Trenc f"i r'¢10 r 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit f A 43 ❑ Vault Privy
14 [] System-In-Fill k __.
VI. ABSORPTION SYSTEM FORMATION: fi (�pW 51D97
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. inal Grade
qOO Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min- /inch) EI a1
ion T Feet Feet
Capacit
VII. INFORMATION in gallo Total # of Manufacturer's Name Prefab. Con- steel fiber- Plastic Exper.
New Exist'n Gallons Tanks concrete strutted glass App.
Tanks Tanks
Septic Tank or.4eWinj4awk- f p — /6 99 ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamberl I ❑ ❑ ❑ ❑ 1 ❑ 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) PI er's Signa ur : (No Stamps) MP/ NO.. Business Phone Number:
Pte- O..s �,n�r � � aa y51 ?ls 4 1C9 5 u
Plumber's Address (Street, City, State, Zip Code) :
IN ?R,30 94 41-, vl✓ -- krver Fct 60 _T 5 0 7- Z-
IX. COUNTY/ DEPARTMENT USE ONLY
❑ Disapproved S nitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signat a (No Stamps)
Appro Surcharge Fee) f►
pp ❑Owner Given Initial
Adverse De termination
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 is to 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 8 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, dfawn 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 the county; 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.
r -
~ ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
/} J
Owner/Buyer Z!54pF Z is o��' (���s7,2UcTiO
Mailing Address
Property Address l aZ 1 V lkn. r�t
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number
LEGAL DESCRIPT N
Property Location � ' /•, V., Sec. b , T 2 2 N -R _ L - 1 W Town of 1
2
Subdivision 2,�GVvot� ,�IO w S Lot # .
Certifled Survey Map # , Volume Page # _
Warranty Deed # (a t& 35 - - - -- . Volume Page #
Spec house 0 yes 0 no Lot lines identifiable �l yes ❑ no
SYSTEM E
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 p lumber, restricted plumber or a licensed pumper verifying that (1) the on - site wastewaterdisposal system
,
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fuU of slu ge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
e and the Department of Natura
set forth. herein, as set by the Department of Commercl Resources, State of 7onwg Of'fi�wwitliln 30
sc that your septic system has been maintained must be completed and returned to the St. Croix County
days of the three year expiration date.
� ,�a � QjQAL5T. C D t3y Zf l 9
Si v
DATE
SIGNATURE OF APPLICANT
O_WMR CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of
the property describ above, byy �virtue of a warranty deed recorded in Register of Deeds Office. AWS
APPLICANT
�/ DATE
SIGNATURE OF
eat.
4444** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Depsrtm
** Include with this application: a stamped twarranty e iee�ey ma p if reference i made in the warranty deed
WmcoruinNpartmentofIndustry. SOIL AND SITE EVALUATION REPORT Page - �L of 3
Labor and Human Relations
' Wision of safety a Buildngs in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include. but ST • CW�1 k
not limited to vertical and horizontal reference point (BM), direction PARCELID.#
irection and %of slope, scale or ��_ IOZq- •
dimensioned, north arrow, and location and distance to nearest road. ' d
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OW, NER: \R, tCM7Mp \-h UMS g PROPERTY LOCATION
1 StIUL V Ou\Ar ca dew -EeT S►v 1/4 SW va.S 16 T 7-q NR tq Et w
PROPERTY OWNER'S MAILING ADDRESS. LOT # BLOCK # RMY093--) UBD. NAME OR CSM #
at) �t�lz Vi�v t�'Ptv - pMtV*'v u�1 meflvbaw S
CITY, STATE ZIP CODE PHONE NUMBER OCITY OVILLAGE ®TOWN ' NEAREST ROAD
SON IAJI SL101 (, (7lS }381 - 5195 - hJflSb1V � L.
New Construction Use (3q Residential / Number of bedrooms 6 ] ] AdditiQn to existing building
(] Replacement (j Public or commercial describe
Code derived daily flow o1 n° gpd Recommended design loading rate bed, gpdl2 -6 frees gPdIR
Absorption area required \Z b 6 bed, ft \ \ Z 5 trench, ft Mabmum design baling rate •, bed. gpd/ft2 ' trees, gpd1ft2
Recommended infiltration surface elevations) � C'k iE 3 It (as referred to site plan berximark)
Additional design / site considerations 111=5, Cttc *7S'Lm'6 wAiAGtV e�q PACt't`f Zm'Et'W bER umm Cft"amr
Parent material S�'54 e V TW hSt1 Rood plain elevation, if appficable MA It
I S = Suitable for system CONVINIONk MOUND NRROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U=U Rs o u > s❑ u ®s D u ®s O U as o U o s (9U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Motdes Texture Structure Consistence Bw dary Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Traxh
>�r
( _ • S
Z 10 - 3i 1ta�1.tz 31L . L : Zm SD .. yvt�.: c S
Ground 3 37_91 L n L ( ff 6 -S (� S) Wt •� '�
elev.
g ti:.1 f
Depth to
limiting
factor ,
Remarks:
Boring # ' o -1; \% -L tz Vn 0-S - • s
Z
3 23 -98 k t �(t S �S9 1vl� - '6
Ground
elev.
°1� fL
Depth ID
lam
cls
fimitirtg
w
• Remarks:
Name: - Please Print Phone: .
- 425 -0165
Arthur L. We erer 715
f e gerer Soil Testing & Design Service- P:O...Box 74 River Yalls,WI- 540
e• CST
' nadue:
Date. Ntxgher: .
99 - 136 -Z3 6- is-�
2 20254
9 .
ti3ui tr2 � `�.
PROPERTYOWNtR StwiejL ZLpciZ- 04%jsr. SOIL DESCRIPTION REPORT Page Z- of 3
PARM W. # o Z.p - loZq _fib
Boring # Horizon Depth Dominant Color Mottles in. Munsell Qu.Sz.Cont.Color Structure
Texture Consistence Boundary Roots GPD /ft
Gr. Sz. Sh.
3 '�'' - Bed Trench
€ - tart �2 ZCZ ►-
9-VS - S 1z -)
}3
� g
9 1
Ground 3 IS_ ocl I O Y rz
elev. S CJ sg
0 13 S ft:
Depth to
limiting ,
factor
I
I
Remarks: IM
Boring #
41'Ft
Ground
elev.
9 3•S tt,
i
Depth to
limiting 1
. j
Remarks:
Boring # L
t $ 0`112 Z Z`Fs�,lz Yr1`�1^ CS
3 3s -9 Z 1 04 P_ V/6
Ground
elev
X 6.9 ft.
Depth to L
limiting
factor ,
Remarks:
Boring #
.a {
r L. ", .:a €?,}
i
Ground i
elev. '
Depth to
limitin
factor
Remark _ __
PLOT PLAN P 3 of 3
s •
SCALE 1 "= 60'
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erg `�] - �-- lUo . 0 � 0►-� �" tt�.► Pt P E' L��' COR�YZ . --
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CST Signature Date Signed Telephone No.. CST #
9 9
- LOT - - P LAN Page 3 of 3
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o �
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( 715 ) 47A -0169
CST Signature Date Signed Telephone No.. CST #
Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page-),
- Labor and Human Relations
t • Division of safety& Buildngs in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST • CR-4 1
not fimited to vertical and horizontal reference point (13M), direction and % of slope, scale or PARCEL I.D.
dimensioned, north arrow, and location and distance to nearest road. 0 2A— 110Z9� O
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVI 0 B DATE
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PROPERTY OWNER: Vj- g LOCATION
sewn_ R41)6e CONA'r, c0, StV 1 /4SW 1 /4,S 16 T Z9i ,N,R 19 E( W
PROPERTY OWNERS MAILING ADDRESS. LOCK It SUBD. NAME OR CSM #
all lit7lu�ir_ %\1 1ZAPSD -- Ptwp092D — pPCRkwcub S
CITY, STATE ZIP CODE PHONE NUMBER []VILLAGE ®TOWN ' I NEARESTROAD
SON IAJI S401(� (7lS)3$I -5u95 1 J�SUTV b �-
New Construction Use Residential / Number of bedrooms b j) AdditiQn to existing building
[ j Replacement [ I Public or commercial describe
Code derived dairy flow 15 ,M1_ gpd Recommended design Wing rate bed, gpd/ft • trench, gpdtft
Absorption area required NZ8 6 bed, ft2 Z S trench, ft Ma)dmum design loading rate bed, gpd trench, gpW
Recommended infiltration surface elevation(s) SZ`E_ @k 1� 3 It (as referred to site plan benchmark)
Additional design / site considerations MM 3 i' - w/WCtL CAIP VG r SIDE Ww DEr Vet` * Ct4f "Bel
Parent material S et_A�`-f o VTW its u Flood plain elevation, if applicable W A It
S = Suitable for System cONVENTIONAL MOUND "ROUND PRESSURE AT -GRADE SYSTEM IN FILL I HOLDWG TANK
U =Unsuitable for system IRS [1U I gS ❑ U I IRS ❑ U ®S ❑ U as ❑ U ❑ S [3U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bot - day Roots GPD /ft
in. Munselt Qu. Sz. Cunt Color Gr. Sz. Sh. Bed rer�
' J o —LO 1o`LR— zt L vlF 3 b1� e S S
Z tb -3Z 10KfL 31(, - 1_ Zwt S Dk .. Yn'�- c. S . 5
Ground 3 3t -q 9 S
elev.
q 'z_l fL
n �
Depth to eo
limiling
Jot ?
factor 9C) Q n�
Remarks:
Boring # .
o - f; to v - Z L 5bk art - • S
Z_ Z g� 3 �•SYIi_ — 1S IJS9 tivt� cs — .`� .8 I
Ground
elev.
°t fL
Depth to
6rttiting
factor W
Remarks:
CST Name - Please Print Arthur L. We erer 715- 425 -0165 '
-,egerer Soil Testing & Design Service-P.O. Box 74 River - Falls,WI.54022 ,
Sgnadxe: Date: CST Number:. I
' 9 -Z3 �a SSA? 220254
PROPER UER Z�p�� rsr_ SOIL DESCRIPTION REPORT Page Z of
PARCEL W.# OZ) — lOZ9_tFb
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft
Boring Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence BourKk�ry Roots
Bed Tmr
Z () -VS -1 •S `fz 31
Ground 3 ►S a-I 10 o sg �n 1 - •Z .S
elev,
° l3.S ft.
Depth to
limiting
factor,,
Remarks:
Boring # 4
t
1 -t0 tt,4 V 71Z
1 y
3 - �b l0� R V1� — SS y►t I — ,� •8 E
Ground
elev.
q 3•S ft. }
. i
Depth to
limiting
facto
f
Remarks:
Boring # t
2 L Z�Fshl wt`Fh cs
-3S
3 zs-a . , 'tt ti' (/A —
Ground S S3 1N► — '� •�
elev.
Depth to
limiting
factor
?9Z`�
Remarks:
Boring#
I
Ground {
elev.
i
ft.
Depth to
limiting
factor
Remarks: ___ _
. PLOT PLAN Page 3 of 3
SCALE 1 "= 60'
� �n t�nt✓ y tzo� — _ _
0►-j t" kv wa
a �Vov3E m %E Rr Ult ZZ V Tl
S
1
'I t gL
J I i3.a � av ti �.ali�G S�gp�e1
v
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L ��ceN C�a LA �
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tNSZ'iC - V\W-I� ei{-eS . 1!$" 'Tt�. SZ" DLZ.P +Rfi
C L;�rhl _`5 ( 715 ) 425 -D7 E,5
CST Signature Date Signed Telephone No. CST #
/o
` k Vo;-1464PAGE347
STATE BAR OF WISCONSIN FORM 1 — 1982 6 1 2350
i WARRANTY DEED KATHLEEN H. WALSH
REGISTER OF DEEDS
DOCUMENT NO. ;I
I'
ST. CROIX CO. WI
ii
RECEIVED FOR RECORD
This Deed made between Howard LaVenture, three — fifths 10 -20 -1999 9:00 AN
(3/5) interest in and Arlene LaVenture, two — fifths WARRANTY DEED
(2/5) interest in, as tenants in common.
EXEMPT D 17
Grantor, j CERT COPY FEE:
and TACA44P Cjictnm Hnmoc Tna COPY FEE:
TRANSFER FEE:
RECORDING FEE: 10.00
i! PAGES: 1
Grantee,
• i�
h That the said rantor, for a valuable consideratio
Witnesset G n ;;
conveys to Grantee the following described real estate in St. Croix !! THIS SPACE RESERVED FOR RECORDING DATA
County State Of Wisconsin: NAME AND RETURN ADDRESS
ii
I I �v/ 1 a`✓ �S
LOTS 22 & 23 OF PLAT OF PARKWOOD MEADOWS, TOWN OF
HUDSON ST. CROIX COUNTY, WISCONSIN !
�i
- irk TTl TATS.+T��
PARCEL IDENTIFICATION NUMBER
Ip�9 k7o
3�
i;
This deed is given in partial satisfaction of certain land contract dated February 19, 1959
and recorded in Volume 1404 Page 616 as Document Number 598116 which was
subsequently assigned by assignment dated May 28, 1999 and recorded in Volume __1 1 ,
Page 352 as Document Number 604323
This is not homestead property.
( (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
I!
And Grantor
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
all liens, covenants and restrictions of record, if any and any liens or'
encumberances created by act or default of the Grantees
and will warrant and defend the same.
Dated this 1 day of October 19 99
(SEAL) (SEAL)
* * Howard LaVenture
(SEAL) -2A A.-, _ (SEAL) i
* Arlene LaVenture
AUTHENTICATION ACKNOWLEDGMENT
i
Signature(s) State of Wisconsin,
55.
County.
authenticate of October 19 99 Personally came before me this day of
19 , the above named
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing
instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Heywood & Cari, S.C. by Walter Hodynsky
*
204 Locust St. PO Box 125 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:
necessary.) 19 )
Names of persons signing in any capacity should by typed or printed below their signatures.
STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc
WARRANTY DEED Form No. I — 1982 A Milwaukee. Wis