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HomeMy WebLinkAbout020-1055-60-000 ST. CROIX COUNTY ZONING DEPAR 9 Z ' 70&J AS BUILT SANITARY REPORT Owner 01 (L c. , R Property Address -f s , TAI O CT ? 1 9 aX City /State 14 a P s a t- \S) SCOUNTY ,':- . FFIC� �� �pNINGO Legal Description: Lot / Block Subdivision/CSM # eo S " 7G u r 1 /4 1 /4, Sec. z/ T Zq N- R Town of PTIC TANK DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer W 6 ! k— Size(O�C / Zz - o/ Setback from: House `O Well ?o - P/L /fo Pump manufacturer Model '— 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: LF A C, 9 Width 3 Length Number of Trenches z--' Setback from: House 69' Well as ?' P/L - 7©` Vent to fresh air intake o s ELEVATIONS Description of benchmark To P O 1 *( La7 - ::7k Nc)&aNF9., F l -:� Elevation 00 - ' Description of alternate benchmark - T P J Elevation Building Sewer �� ST/HT In ?,1 5 - ST Outlet PC Inlet PC Bottom Header/Manifold ! Y 00 Top of ST/PC Manhole Cover S = Distribution Lines( /V `� �' (00 40 # �`' " (/ ( ) Bottom of System ( ) f 2 0 22 ( ) Final Grade ( ) U 7 Date of installation ° / Permit number S 3 7 State plan number Plumber's signature �nyr tyl `c •+ � x-t License number Z Z �'' ? ' Dater! 0 / 2 1 f 9 - Inspector D( Complete plot plan � l 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. i • Show alternate benchmark, if applicable. PLAN VIEW A y�A 1'F �Dd.00 I ICE Nr N E' 3 X -. uw-C-L N4� H5'f ' I y- To 7 A L WF C 4eA64 I i T ° C f P INDICATE NORTH ARROW ,r ` 'Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County 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)]. Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan ID No.: & – RAM To ofHu son E le v.: Insp. BM Elev.: BM Description: N �o s� Parcel Tax No TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic - Z J T d Benchmark _ep Dosing Alt. BM Aeration Bldg. Sewer -5. © y Holdin St /Ht Inlet 0- 3 /UZ. TANK SETBACK INFORMATION St/ Ht outlet d? 7 3 /a Z U TANKTO P/L WELL BLDG. Air to i ntake ROAD Air Septic 7 �f NA Dos' A Header / Man. /,0 Aerati NA Dist. Pipe L Z /a, Z. ,Y too . '3 olding Bot. System T - ' , Q 9, PUMP / SIPHON INFORMATION Final Grade -TL lo. 3 0 /o C/ Man ufacturer D nd St cover y�9� / 0 Model Number GP kFcemainLength Friction tem TDH Ft Dia. Dist. ell SOIL ABSORPTION SYSTEM fZ BED TREN Width / Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DiMemstofis 3 S' DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufaj rer: SETBACK CHAMBE ¢ AA 10 INFORMATION Type Of y Nk Mo Num er: System: i DISTRIBUTION SYSTEM Header /Manifold f Distribution Pipe(s) t x Hole Size x Hole Spacing Vent To Air Intake Length 1 — Dia. Length Dia. -/� Spacing L�0 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 #1:0 /az/ff Inspection #2: Location: 535 Stagecoach Trail, Hudson, WI (NE1/4, SW1 /4, Section 21 T29N -R19W) - 21.29.19 6lM Plan revision required? ❑ Yes ❑ No Use other side for additional information. G y2 Q (, SBD -6710 (R.3197) Da a spector's Si re Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: Safety and Buildings Division Vi PER 201 W. Washin Avenue n P o Box 7302 Department of Commerce In accord with ILH `A5: Wis. - e .! . , � Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for th system, n paper nqj, ss ' 6�unty • than 8 112 x 11 inches in size. r °' as , �' ' c A Ztite Sanitary P • See reverse side for instructions for completing this ap�llcatiort �� t y ermit Number Personal information you provide may be used for secondary purp " �753 p ty1� Check ifTevision to oses previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL I N 12 ' Property Owner Name ert y Location 1/4 y_.) 2 1 T 2. % , N, R / 9 E (or)CE� Property Owner's Mailing Address Lot Num er Block Number Ot , State Zip Code Phone Number Subdivision Nam or C M Number II. TYPEOF BUILDING: (check one) ❑ State Owned 3 it Nearest Road Village tJ(� Q J` /7 " 7 1 or 2 Family Dwelling - No. of bedrooms Town of Public fl �'i Ill BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo G Zo - to SS —O 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 rsr1 2. ❑ Replacement 3. ❑ Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an ____7'- 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 [R Seepage Trench 11-P 22 E] In-Ground Pressure 0 ' 42 ❑ Pit Privy 13 E] Seepage Pit rA /N F/L'tK 4 T0k �aX 3 5 43 ❑ Vault Privy 14 ❑ System- In -Fill'a l /` [( P/(L!T'►' •E(4dst�k� 6F, :111 54 .}'C; F C VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per D 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade e red sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation . 7'e-1 P 19 f �j . 00 Feet /03, S Feet VII. TANK Capacit in allo Total # of Exper. Prefab. Site fiber- INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks 7 ,,t ,,u Tank Holding Tank 2 SO k/�f s El ❑ C1 1:1 mp Tank /Siphon Chamber ❑ ❑ 11 El 1:1 E] RESPONSIBILITY STATEMENT the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumbers Signature: (N Stamp I MP/MPRSWNO.: Business Phone Number: Plumber's Address (Street, City, State Zip Code): Io v - r & 16 (4jE � , I4i.AS QN w 5 YO IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved jo nitary Permit Fee (Includes Groundwater j D atel ssued j 1ssuinO Agent Sign tur (No Stamps) Approved E] Owner surcharge F Owner Given Initial Adverse Determination a° Z S. 0 l X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: r4n(` SBD- 6398 (R.11 DISTRIBUTION: Original to county, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 'v 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. if. 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. 12 11 in m h county. Th' plans Complete tans and specifications not smaller than 8 / x inches must be submitted to a cou t e a s must p p p Y p 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 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. _ 1 7 1 60 � PE, 6 , T o f 0 C ir o N f1l 61 L L E It � �~ � g or s r A k F �, = loo, ' L o? 1 �R�� x /07" c7 kAep r U �O- IO r S' - d - o® >----- - --�s"' 7 el ®O 1_rnr> Ic 7 �zgTos ��c,u r6T,a� Sf�SQ �,,,�" Tea ► r - ------- - � .�v.Al Fl- i f4 Ow S�ta r: p � (A. ., Tor La+ i , Wisconsin Department of Commerce SOIL AND SITE EVAL[!AtION _ ' ,, Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.0$ Adm. Code A :- ACE. Soil &Site Evaluations Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan mint s ?11 County- '\ include, tart rot limited to vertical and horizontal reference point (W), direction attel \ St. Croix percent slope, scale or dimernsions, north arrow, and location and distance to t r APPLICANT INFORMATION - Please print all information x 020 /05s'_40 Personal information you provide may be used for secondary purposes (Privacy Law, a 1'6.94 (1) (m)) t ' Y Da Property Owner Property .:: Q — Miller, Sam Govt. Lot NE j SWA /4 S 21 T 29 N,R 1 W Property Owner's Mailing Address Lot # ` , Block # Subd,Ndme or CSM# P.O. Box 15 _ _ 1 Proposed Plat Of Raider Estates City State Zip Code PhoneNumber ❑ City ❑ Village ❑Town Nearest Road Stagecoach Tr. Hudson WI 54016 715 386 -2769 11 Hso ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 []Addition to existing building ❑ Replacement ❑ Public or commercial describe Cafe Derived daily flow 450 gpd Recommended design louring rate .7 bed, gpd/W .8 trench, gpoliF Absorpfion area required 643 bed, ft 562 trench, f? Maximum design loading rate •7 bed, gpolf'tz .8 trench, gPd/W Recommended infiltration surface elevation(s) 99.0' ft (as referred to site plan benchmark) Additional design / site considerations Inst all trenches using high capacity infiltrators. Parent material Outwash s & gr. Fl plain ele vation, if a NA ft S - - Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ®S ❑ U M S U ® S❑ U N S U ❑ S M U ❑ S M U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure Consistence GPDIft2 Boring# Horizon in Munsell Qu. Sz, Cont. Color Texture Gr . Sz Boundary Roots B� Trench 1 1 0 -7 10yr3 /2 None sl 2msbk ds cs 2f 0.5 0.6 / 2 7 -12 10yr3/4 None sl 2med.pl dsh cs 2f,lm 0.4 0.5 Ground 3 12 -22 10yr4 /3 None light sl lmsbk ds gw if 0.4 0.5 elev 104.12 ft 4 22 -60 1 Oyr4 /6 None s Osg dl gs it 0.7 0.8 Depth to 5 60 -125 1 Oyr6 /4 None s Osg dl - - 0.7 0.8 limiting factor >125" i Remarks: Z 1 0 -6 10yr3/2 None sl 2msbk dsh cs 2f 0.5 0.6 2 6 -16 10yr3/4 None sl 2med.pl dsh cs 2f,lm 0.4 0.5 Grou6 3 16 -28 1Oyr4/3 None Is Osg ds gw if 0.7 0. 8 elev 103.86 ft 4 28 -66 1 Oyr4 /6 None s Osg d1 gs if 0.7 0.8 Depth to 5 66 -122 10yr6/4 None s Osg dl - - 0.7 0.8 limiting ��rr factor >122" Remarks: CST Name (Please Print) Sign re: Telephone No. James K. Thompson 715- 248 -7767 / e Address A.C.E. Soil & Site Evaivations Date CST Number Ref # 340 PauLson Lake Lane, Osceola, W1 54020 10/7/99 3602 1114 PROPERTY OWNER Miller, S am SOIL DESCRIPTION REPORT 1114 p 2 of 3 PARCEL LD.# C. � - ------------ A.C.E. Soil &Site Evaluations Depth Dominant Color Mottles Structure GPD /ftz Horizon Texture nsistence Boundary Roots - - -- -.- - - - -- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -6 1Oyr3/2 None sl 2msbk ds cs 2f 0.5 0.6 2 6 -14 10yr3/4 None sl 2msbk dsh cs 2f,im 0.5 0.6 Ground - -- _ elev 3 14 -21 1 Oyr413 None Is Osg dl _ - gw I f - 0.7 ! 0.8 103.63 ft 4 21 -59 1Oyr4 /6 None s Osg dl gs if 0.7 i 0.8 Depth to 5 59 -124 1Oyr6 /4 None s Osg dl - - 0.7 0.8 limiting ____ factor >124• Remarks: - - -- -- - -- - - - - - -- - -- - - - - _ -- 4 1 0 -16 10yr3/2 None sl 2msbk ds cs 2f 0.5 j 0.6 2 16 -24 1Oyr3 /4 None sl 2msbk dsh cs 2f,tm 0.5 i 0.6 Ground elev 3 24 -40 1Oyr4/ None Is Osg dl gw 1 f 0.7 0.8 101.4 ft 4 40 -62 1 Oyr4 /6 None s Osg dl gs i f 0.7 0.8 Depth to 5 62 -118 1 Oyr6 /4 None s Osg dl - - 0.7 0.8 limiting factor - ---- - - - - -- - -- - -- - - -- - >118• Remarks: - - - -- - - - - - -- - - - - - 5 1 0 -9 10yr3 /2 None sl 2msbk dsh cs 2f 0.5 0.6 2 9 -17 1Oyr3 /4 None sI 2msbk dsh cs 2f,lm 0.5 0.6 Ground - - - - - -- - - -- _ _ elev 3 17 -28 1Oyr4/3 None Is Osg dl gw if 0.7 0.8 102.06 ft 4 28 -54 1 O yr4 /6 None s Osg dl gs I f 0.7 0.8 Depth to 5 54 -117 10y r6/4 None s Osg d1 - - 0.7 0.8 limiting _____ __ __- factor >117" Remarks: Ground - - -- elev Depth to limiting factor Remarks: __- AoLcrKed ¢IeJs /W.lD' .Sctm /!1 jLt,�r A 0 ,Loca�� ,Cep/ of'�O�o�OaSed J� /a� o�'�Qa,cl2r' ESS /IEY�ScJ/'y SP�e,2/,T.29i1.,�. - 7 — x . O.' //KclsOn, 5L- Crbit Ce., &04 io8 iS. �ry 83 r slope a- �� ■ as 7s' 9- - ALL, 8.rl. Top o- lo-I Del �'� /0/ 7/�9 � ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM O wner /B uyer S r4 f 'j t Mailing Address ' 0 K. Property Address 5 (Verification required from Tanning Department for new con ction) City/State y 5 o Parcel Identification Number D �-� — I 0 S — Go - e ra LEGAL DESCRIPTION Property Location N E L ` /., S W 1 A, Sec. Z/ . T 7 N - R I W,/ Town of "Subdivision ' D fie- F 5 Tj5- , Lot # Certified Survey Map # . Volume . Page # Warranty Deed # 07 S3 , Volume �� , Page # �S 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 masterplumber, journeyman plumber, 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 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 St. Croix County Zoning Office within 30 days of the three year expiration date. q !o / /( F PLIC DATE WNER CERTIFICATION +.: 1'(we) certify that Al statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of � BA t ry,.described above, by i e of a warranty deed recorded in Register of Deeds Office. TURE 01; ' LYC 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 c CL 6 �Q t '. w � m M n Ot CD a e. a , Z� CL �+ j n }. S 1 , 1 ® 1 ` hu 0 cr IL ^ ® • . �Y. o JU � a b a �r 0 3 ® ® ® ® TZ e e e e n c 2= 03 - nay r a ': m o< N W ' (D c a cri n CD CD x ~ (A 3 0) cD b' x m o n C: loo CD cr Cl) wo � 3 '. e C N N N ' 01 N < `G Q. N Ul ��� ? fD o m W Q 1 Q " r DOCUMENT NO. WARRANTY DEED STATE QA WISCONS.N FO M 2— 610753 R leas I KATHLEEN H. WALSH i' .. ,.. _ ..yon 1458 p � 65 REGISTER OF DEEDS _.._ . ST. CROIX CO., WI s' Humbird Land .. Corporat . . . io . n, .. a . Min Cor oration RECEIVED FOR RECORD ............... ... .... ...............P............... ......................... r' .............. ............................... 09-22 -1999 3:30 PA 1� .......... ......... . ..... .. ................ WARRANTY DEED ...... ........ ............ ............................I.. EXEMPT N cnuveyx and w,yrnultr to ........... S! _•• Mi ller CERT COPY FEE: "•.•..- COPY FEE: ...................... ............... ............................... •................. TRANSFER FEE: $17.50 ...... ............................... RECORDING FEE: 10.00 . PAGES: 1 ... ... .... ....... .................... ............................... .... ..................... RfTUnN TO .............................. the following described reel estate in .....S.Cr..Croi x County, ............................ State of Wiscunsin: The East Half (Eh) of the Southwest Quarter (SW%) EXCEPT parcel Tax Parcel No: ../��° ............. .. conveyed to Alfryd L. Ekblad in 'volume 498, page 484; and EXCEPT parcel conveyed to Leslie L. 5—son in Volume 498, page 504; and EXCEPT parcel conveyed to Donald F. Johnson in Volume 500, page 515; and EXCEPT parcel conveyed to Donald R. Jordan in Volume 580, page 354; and EXCEPT parcel platted as wells Fargo Station in Volume 5 of Plats, page 89, as Document #478658, ALL in Section 21 (21), Township Twenty -nine (29) North, Range Nineteen (19) West, Town of Hudson, St. Croix County, Wisconsin. Subject to unrecorded agreement sated October 12, 1991 by and between Donald R. Jordan, Gail ,iordan, John A. Elbert and Eric J. Lundell regarding future land transfers and roadway conveyances. Subject to covenants, conditions, restrictions and easements created by preliminary plat of Wells Fargo Station First Addition. Subject to easements, restrictions, reservations, and rights-of -way of record, if any t This ......... ... 1:crresiead p roperty ;. I (M (is not) Exception to warranties: As noted above Dated this .. .... . 20th .......................... Jay �: .... -.. August 99..... .......... ............................... 19... _ ..... ............................... (SEAL) HUMBIRD LAND CORPORATION (SEAL) O ............ ° .................................. ............................... ............... Austin J. Bail)on, Its President ........... ........ .............. .. ........... ..... ............... (SS'AL) ..................... .........................(SEAL) • ................ .. .... .................... ................. :.... AUTHENTICATION ACKNOWLEDGMENT Signnture(s) ....... ....... STATE OF X1MOUSIN MINNE50T ss. Ramsey . ....... Count a•.imeniirutxd his .' .a s� 'r.... .•...... ...... -------- f�•rso :r•'iy c:.mc beia•o me this 20th day of August . ............................... 1n99 •- the above named ........ ............................... . ............................... Austin J. llon resi dent of .- .- .... l o n o..P..resi .......... ............................... l ............................."•--"-- •• ..••- -•-- - --........... - - --- ........ humb.i-rd.. land ..Corpocation.................................. .. .. TITLE: MEMBER SLATE BAR OF �Y[SCQN5I11 . . . . ............................. ............................... (It not . ................................•-•---- authorized by b 706.OG, Wiz. Stab,) ""•'••••••••••••••••••• to me known to be the person ............ who ecuted the foregoing instrument an ecniw. THIS INSTRUMENT WAS UR.kF'FD BY 19- A. S IA(LLON Humbird Land Corporation "-' "' " •••••. �~ iC :.tiV :Ad OiA ,. .: ............ .. r.�rt jl 1TO '....?au,l. A.e. 00A AI.V rt....... .." rA G.. ; :.,,..+ : ,� •.3.... ....................... ............ .......... i'lot:u•y Public Wdshin tdyr "ywvww. :wvr ,� Y:0 9..... ............... ^ ^CeBfrt4; 1 1N (Signatures may be authenticates ncknawledtic..�. 3ov, �l�' Commission is permnn ent.([f not, ..state expiration are not receitsary.) Januar 31 % lames of rersom s;nn(r,R in nny ca n;iy s4..AJ De li;`. , .i• tc,; L ±'`thy it •nalnrcv - -__'— I I L � j_. 1 I V 1 -ry -r I cm Q N 18 14 w I P 8 FA RGO ST - - - 342 i STAGECOACH 1244 - NE //4 - 5 W 114 _ � M 22 v 3 3 206 A 2 1243 N 21 12 342 )5 8 M1 i 1242 _ - cy1 20 ' 872/134 Q1 I' EXCEPT a 1 6 361.58 dj 1 R� W LOT 11 � � I Q 1 194 M �I 458 '9 1 a' 1 1 193 LOT 10 N 405.74 -.___ W}I >1 E //4 -SW /%4 N 1 192 o f I LOT 9 v �� N 209 C 209 A a: 2 Wl UI o a T 7 208 G S �• LOT 8 !T 208 H 209 B . _ $ 209 D $ • 1 346.77 \ 255.74' _ 150.00 255.74 192,2 ST. CROIX COUNTY WISCONSIN ZONING OFFICE " " " "� "■ - norm ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road "• - - Hudson, WI 54016 -7710 (715) 386 -4680 Fax (715) 386 -4686 May 31, 2000 First Federal Attn: Tammi 201 S. Second Street Hudson, WI 54016 RE: Septic Inspection for Sam Miller located at 535 Stagecoach Trail, Town of Hudson, St. Croix County, Wisconsin Dear Tammi: A septic inspection of the above referenced property was conducted on October 20, 1999. This property is located in the NE '/4 of the SW '/ of Section 21, T29N -R19W, Lot 1 of Certified Survey Map Volume 14, Page 3796, 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, Kevin Grabau Zoning Technician cc: file r � I WELLS FARGO STATION Lcrt 23 L0T 19 LOT 7 I / LOT 8 LOT 14 I N 22' E 50.00 FT S 78• L - -- r : f 27A97 F STAGECO CH TRAIL Z ! t I N 89'01'59' E 420.75 FT Q A 41 i r i O W Z N OJ V U 0 z _ , U 04 N F s 0 .. ; 889. FT O W p Q 1 . 275.98 FT J J C p l Y I cn o ( � t� a = I g g l t o� Nd C4 ( e v A I I N Zx X 4 °t = j N/ ( $s r a Y' cr 0�� xx W � N 0 P N In ci V) Ia= N z N LLJ p a 0 ° — -- (� N z -- -- In x U N z 474.33 FT ix Z x J S 89 W 408.58 FT I ? J a O (5 co V) Z o z m < N aN U J V ZWg z 0w N wz� . 1 444 I °z ago � I z 0. s I 0. o g =� _ z I x N \� S 8902'22' W 255.74 FT C5 N La o -- wC5 1 ( I ow I c , a vi � z� D 0 cn 2 rnc°�o� 3 Go jE con S I 3 I X C4 MPt a: OWMzv I �° V) ,* z o I I $ N C , r------------ - - -- -, �ta I w z w I I I w FNZO a0 _ S2 F 0 0 y 0 O S BSvr22 w 240.50 FT V1 F- � l� to CT. H W w � ¢ y�j FI I I O=< (F� - N 47 I I F_ N L G.w P CL ---- - - -- ' Q� p ZO Z< A 1 IQ I 1 z �Ln O C3� 1 I I �a z I I a o ' K I I I z I --------- - - - -J UQ O