HomeMy WebLinkAbout020-1355-05-000 ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner - S ✓ ,, 01 Ltd A
Address t , 2. A r�tT 4 t.. F
City /State 4,-16-f nl u--
Legal Description:
Lot S Block Subdivision/CSM t 'LLA
'/4 SE ' /, , Sec. T?�- N -R/_9 V, Town of 41 c,� t) 5 0 A.l PIN # d Z6 - 13
SEPTIC TAN -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer ` / Size ST/PCI� Setback from: House2 Z Well SS' `P/L Z d
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: U� Width Length s�' z Number of Trenches Z "
Setback from: House 39 Well �� �� P/L ! Vent to fresh air intake 90
ELEVATIONS
Description of benchmark 1 � r ;'fff /47 / j� L.CP,1VFA V5 Elevation f 0 00
Description of alternate benchm Elevation o 2 ,-0 3
r
7 ,ze4 1�► g4,77
Building Sewer — 7 " ST/HT Inlet C O.O Z .� ST Outlet ��` PC Inlet
PC Bottom - Header/Manifold Cs S x ` " of ST/PC Manhole Cove t 6i :7 7
Distribution Lines ( ) IC , 5 t " ' t '' 3 () (G `� �(✓, ( )
Bottom of System
Final Grade ( ) "�� 0 (� .: t ( ( ) 7, �d % l l S ( )
Date of installation / ��ermit number 34 q5 State plan number
Plumber's signature 01c License number 2z e) 3 ° Date 1�//
Inspector
Complete plot plan
I �
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
Show alternate benchmark, if applicable.
PLAN VIEW
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INDICATE NORTH ARROW
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Wisconsin Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y
INSPECTION REPORT X
GENERAL INFORMATION (ATTACH TO PERMIT) sanitary,PErmitNp.:
Personal information you provice may be used for secondary purposes [Privacy Lsw, s.15.04 (1)(m)].
Perjp LiQlde�s Na %� El Citv._ V ❑ L1gil Town of: State Plan ID No.:
CST BM Elev.: 7 Insp. BM Elev.: BM Description: 1YY1 vU11vV Parcel Tdz 1355-05-000
1 .0 cTO.O' e� E COWW AQQnn1r1A
TANK INFORMATION 0 E EVATION DATA
TYPE MANUFACTURER CAPACITY STATION 85 HI FS ELEV.
Se �,J, kl" t7CrD Benchmark 4.34 106,33 LUD D
Dosing . 41- U cr
Aeration Bldg. Sewers
Holdin St/ Ht Inlet %. g
TANK SETBACK INFORMATION St/ Ht Outlet %
TANK TO P/ L WELL BLDG. Air I to ntake ROAD
Air
Septic 7 1 5 1 D NA D+ 13840FA
Dosing NA Header /Man.
Aeration NA Dist. Pipe
5 I •2G
p 0 -bS
Holding Bot. System S «' ' (m
PUMP/ SIPHON INFORMATION Final Grade
Manufact er and 5F— (0.20
Model Number GPM
TDH Lift L Iction S stem TDH Ft
Force n Length Dia. t. To well
SOIL AB RPTION SYSTEM Igs
#j&t Width t Len h No. f renches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 • 2-5 a - DIMENSION
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Ma of tur r:
INFORMATION Type Of $ �� f CHAMBER Mpdel Number-
System: ^ OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold u Distribution Pipe(s) x Hole Size x Hole Spacing I Vent To Air Intake
Len th Dia- Lent Dia S acin 7 d
9 �� � 9 P 9
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched
Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: HU SON 21.29.19.2071 815 GRANT AVENUE — HOMEPLACE LOT 5
ob* *%?I
Plan revision required? ❑ Yes ONo
Use other side for additional information. 1 /2- 1 � C t I f -1 1:74
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
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ADDITIONAL COMMENTS AND SKETCH ,
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
y SANITARY PERMIT APPLICATION 2 1 Washington Avenue
Visconsin
Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Box
Madison, WI 53707 -7302
i Attach complete plans (to the county copy only) for the system, on paper not less County
than 81/2 x 11 inches in size.
See reverse side for instructions for completing this application State Sanitary Permft Number
3WO Y
Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application
[Privacy Law; s. 15.04 (1) (m)]. < F 1 S— G) r, /� State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALLINF / ` RMATION
P2p rty ner am � IC P_ro4e4 Loca
1/4, S Z. T 1 , N, R E (or W
Property Mailing Address Lot Number Block Number
Ot , State Zip Coe Phone Number Subdivision Name or CSM Number
11. TYPE F B ING: (check one) ❑ State Owned []C il Neares Road
Village
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF O IV CAR NT �v�
III BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo d a Q "" \ -1 S S
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 9 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check b c ' e B, if ap
A) 1. New 2. ❑ Replacement 3. ❑ Replace of R F Re. 1 ction of 5. ❑ Repair of an
____ ystem ________ System _____________ Tank O ___ ____ �/ c- xi 'I 'System ________ Existing System
-- s _�
B) E] A Sanitary Permit was previously issued. Permit ber 0 1 1,.__ Date Issued
V. TYPE OF SYSTEM: (Check only one) t X 1'
Non - Pressurized Distribution Pressurized Distributio N� &gSenmen �" Other
11 Seepage Bed 21 C] Mound 1P 30 S 1 ype 41 E] Holding Tank
12 Seepage Trench or?- 14 22 E] in-Ground Pressure 42 ❑ Pit Privy
13 Seepage Pit As /N F1LT"AATv 1Z 43 ❑ Vault Privy
14❑System -In -Fill Jjt 'S4 FT` "SIDE / O& C It 'o
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Prop osed (sg. ft.) (Gals/day /sq. ft_) (Min. /inch) Elevation,
�l q. S % L 1000 Feet
VIVII. Ca aclt TANK in altos
g Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App
New Existin strutted
T nks Tanks
eptic Tan i,f ❑ ❑ ❑ Cl ❑
Lift Pump Tank /Siphon Ch amber ❑ 1 ❑ Ill I ❑ I ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber' Signature: ( tamp MP /MPRSW No.: Business Phone Number:
Plumber's AOress (Street, City, State, Zip Code):
0 U "' R014D
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater I D ate Issued I n Signat ure (No Stamps)
[�A roved surcharge Fee)
pp ❑Owner Given Initial Adverse Determination C p/ / �
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11 /97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
, r
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, 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 o(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.
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'Wiscoosin Department of Commerce SOIL AND SITE EVALUATION Page _ 1_ _ of 3 -
Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code
A.C.E. Soil &Site Evaluations
Attach complete site plan on paper not less than 8 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal �t (BM), direction and St. Croix -
percent slope, scale or dimemsions, north I im an`tlttistance to nearest road.
,,_:..;._ Parcel I.D.#
e � '" ///}�� 020- 1056 -90 -000
APPLICANT INFORMATION - Pse t p � rint 11 infor►il ion. - -
Date
Personal information you provide may be r sewn es (Privacy w, s. 15.04 (1) (m)). Re 2W d
Property Owner Property Location
Miller, Sam ` ,;' > Govt. Lot SE 1/4 SE 1/4 S 21 T 29 N,R 19 W
Property Owner's Mailing Address , ,^ r Caa i Lot # Block # Subd. Name or CSM#
Box 151 Trout Brook RoadP. �� c>�.r x ���� 5 NA � Home Place
City S e LipC;06vk� Imb L_�City L Village "_]Town Nearest Road
Hudson W 5 ,6 (715 _ -8 9 Hudson Grant Avenue
j New Construction Re3"Idsat l+ er of bedrooms 3 UAddition to existing building
Use:
1___'i Replacement Public or commercial describe
Code Derived daily flow 450 gpd Recommended design loading rate •7 bed, gpd/ft .8 trench, gpd/ft
Absorption area required 643 bed, ft 562 trench, ft Maximum design loading rate .7 bed, gpd/ft .8 trench, gpd /ft
Recommended infiltration surface elevation(s) 95.00' ft (as referred to site plan benchmark)
Additional design / site consideration
Parent material outwash s & gr. Flood plain elevation, if applicable NA ft
S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U= Unsuitable for system j ❑ S❑ U ❑ S❑ u z S❑ u ❑ S ❑ U ❑ S ®U ❑ S u
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure G PD /ft
Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consisten Boundary Roots Bed Trench
1 1 0 -13 IORY2 /2 N one sl 1 thin p mvfr as 2f 0.4 0.5
2 13 -17 10Y None sl I thin pl I mvfr cs 21], Im 0.4 0.5
Ground � -- - - -!
elev 3 17 - 23 10Y R4/4 None sl 2ms mfr cw 2f, lm 0.5 0.6
99 .93'ft 4 23 -34 7.5YR4/6 None sl 2msb mfr cw if 0.5 0.6
Depth to 5 34 -123 10YR5 /4 No s & gr o sg ml - - 0.7 0
limiting - -i- - -- - - - - -- -- --� - -- - -� - -- --
factor
>123" Sq f CIS ,tt.
Remarks:
1 0 -10 lOR /2 None sl 1 thin 1 m vfr a 2f 0.4 0.5
2 -- -- - - - - -- -� -- - - - -- —� - - - - - —
p -- -
2 10 -14 1 /3 N one sl 1 t hin pl mvfr cs 2 lm 0.4 0.5
10YR4/4 None sl
elev - , -- -- - -- __. -- -- - -- - _ - -
Ground 2msbk mfr cw 2f, lm 0.5 0 6
- - T -
100.02 ft 4 25 -35 7.5YR4/6 None j sl I 2msbk mfr �- cw if 0.5 0.6
-_
Depth to 5 35 -121 10YR5/4 None s & g
r o sg ml - - 0.7 0.8
limiting T
factor - -� - - - -- - - ❑- - - -
>121" N -
Remarks: - -- - - -- -- -- - - - — -- — - -
CST Name (Please Print) Signatu / Telephone No
James K. Thompson 7 15- 248 -7767
Address A.C.E. Soil & Site Evaluations Date CST Number Ref #
340 Paulson Lake Lane, Osceola, 54020 5/6/99 3602 1017
PROPEVYOWNER: M iller, Sam SOIL DESCRIPTION REPORT Page 2 of 3
iPARCEL L0.# 020- 1056 -90 -000 A.C.E. Soil & Site Evaluations
Depth Dominant Color Mottles Structure GPD
Horizon In Bed Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. nsistence Boundary Roots - -- , - -
Trench
1 0 -10 lORY2 /2 None sl ! 1 thin pl mvfr as 217 0.4 0.5
2 1 10 -16 1OYR3 /3 None sl 2msbk i mvfr cs 2f, lm 0.5 0.6
Ground
elev 3 } 16 -27 1 OYR4 /4 None sl 2msbk mfr I cw 2f, 1 m 0.5 0.6
- l- f
100.34 ft 4 j 27 -36 7.5YR4/6 None gr. is osg mfr cw if 0.7 0.8
Dmp,ngto 5 36 -120 10YR5 /4 None s & gr. o sg ml - - 0 7 0.8
- - - - -- - - ------- -
factor
> 120"
Remarks:
I
4 1 0 -8 l OR Y3 /2 No A 1 thi pl m vfr as 2f __L0.4 0.5
2 {� 8 -12 10YR3/3 None sl 1 thin pl mvfr cs 2f, Im 0.4 0.5
Ground ----- -� - - -- -- - -� -- - -- - - -.. _ - --
elev 3 j 12 -21 1OYR4 /4 None sl 2msbk mfr cw 2f, lm 0.5 0.6
t -- - - -- - - -- - -- - - - -� -- 99 .91 , ft 4 2 - 33 7.5Y R4/6 None gr. sl 2msb I mfr cw if 0.5 0.6
- - - - - -- - - - - -- -
Depth to 5 33 -123 10YR5 /4 None s & gr. o sg ml - - 0.7 0.8
limiting - - - -- - -- - -- - - - -- --
- - - -- -- - - - - -- - - --
factor - -- - -�
>123" {
I I
Remarks:
1 0 -11 IORY2 / None sl 1 thin pl mvfr as 2f 0.4 0.5
5/ - -- - -- - --
2 11 -22 10YR3 /3 None sl 2msbk mvfr cs 2f, Im 0.5 0.6
Ground - -- - - - - - -- - - -- - -- - - -- --
elev 3 22 -30 1OYR4 /4 None sl 2msbk mfr cw 2f, lm 0.5 0.6
100.39 ft 4 30 -36 7.5YR4 No ne gr. Is osg ml gw if 0.7 0.8
Depth to 5 36 -120 10YR5 / None s & gr . o sg ml - - 0.7 0.8
limiting - - - -- -- -- - - -- --
factor
120" -- - -- - - - . --
Remarks:
Ground
elev
Depth to
limiting
1 -
factor 1
Remarks:
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5�. Croix
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address -
Property Address
(Verification required from Planning Department for new construction)
City/State H UQa t k, i f Parcel Identification Number O Z - - �� - 42 0 0 c
LEGAL DESCRIPTION
i .. 1 /a Sec. T ;? N -R l ; Town of
Location .� /.
Property _�L1 �'
zSubdivision D M F L A?' f__ c , Lot #
Certified Survey Map # IoO 5 ? 7 2._.._ , Volume Page # SS"
Warranty Deed # SS N (e , Volume 1 � , Page # l y
Spec house )(yes ❑ no Lot lines identifiableV yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site 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.
Uwe, 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
da f the ee yep iration date.
7 /Z -
ATURE OF APPLICANT DATE
- 4- OWNER CERTIFICATION
1 !(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
described�a e y virtue of a warranty deed recorded in Register of Deeds Office. C
`7 / 3 I�
A OWNPP 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
L
• �. �0 c. +J' K
' J � S ii G4 VOL 1.361 Pact 11
Document Number WARRANTY DEED '
•y This Deed, made between, - r
Robert L Rohl
i! Grantor,
and.
Sam E Miller RECISfiE S O�FIC€ f '
a single person Grantee. ST, CROIX CO., WI
Witnesseth, That the said Grantor, for a valuable consoeran e dollar and on of on IM 1 4 fw Mea+l t
other valuable consideration conveys to Grantee the below 3escnbed real estate in OCT s "
St. Croix County, State of Wto v sm %
This is not homestead property. 9 ,3 M
sk
Together with all and singular hereddaments arc appurtenances thereunto fly fig of oaei �!
s belonging; r
And Grantor �
},� warrants that the title is good, indefeasible in fee sarpe and free and clear of
encumbrances except Recording Area ;t
easements, covenants, and restrictions c f record, Name and Return Address ,
r and will warrant and defend the same. San Z. Ha ller
ca
R
iPar JentifipUon Number) F0 Boa: 151 ;
020- 1 056 -90 Hudson tiff 54016
is tie .
A parcel of land located in the SE 'A of the SE ' . of Section 21. l R 19W, Town of I ludson, St. Croix
r County, Wisconsin, described as follows: beginning at the SF comer of said Section 21; thence N 89 °23'i 1 "%k
1319.10 feet to the monumented West line of the SE 14 of the SE !'4 of said Section 21; thence N00 °51'33 "W
980.0 feet along said monumented West line of the SE '/4 of the SE '/4 to the North line of the South 30. of
the E '/S of the SE '/a of said Ses. ion 21 as calite out in that documentation found in Volume 838, Page 252 of
the St. Croix County Register of Deeds; thence S89 "T 19"E 626.85 feet along said North line of the South
30 /80ths to the intersection of the monumented 5:•uth line of the Certified Sure% klap filed in Volume 2• Page .'
484 and the said North line of the South 3040ths of said E of the SE ' /a; thence S89 °23' 10 "E 31.88 feet to a
found I" iron pipe being the SW Corner of said Certified Survey Map: thence continuing S89 °23'10"1: 660? •i
feet to the East line of the SE '/a of said Section ' l : thence S00 °5 1'50 "E 982.41 feet to the point of beginning.
containing 29.725 acres including rigl.. of %%a% t _8.006 acres excluding right of %%a% ).
a Dated thi .� da of ,s9_ T AtoFER
Robert L Rohl
• r
•
t AUTHENTICATION
ACKNOWLEDGMENT i •'
+ Signature(s) STATE OF WISCONSIN �`► �
� COUNT, ST. CROIX t
nall narrrter obert L mRohlday of car- �� the
above authenticated this _ day of a
. t me known to be the to
� person(s) who executed the foregoing • -'
:y signature i nns nt / and acknowledge ( same. �
tYDe or print name
L�t / (/ , 1` I �► t
spiwve
p C L = -
�f type DnrM rime V
TITLE' MEMBER STATE B%R OF WISCONSIN Lary Public County.
(If Trot. Y PV om is sion a permanent (M not. state expiration date `
g• ' auMorind byg706 06, Wlrts Stats.) - 3 S )
0
THIS INSTRUMENT WAS DRAFTED BY 2 'N a rsons signing in any capacity should be typed or
Robert F. Wall YIIL>im tin their signatures
(Signatures may be authenticated .. acknowledged Bo are
j necessary.)
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1101 Carmichael Road
Hudson, WI 54016
Phone: (715) 386-4680
Croix County
Fax: (715) 386-4686 Zoning Department
Fcix
To: Tammie From: Shawna Moe
Fax: 386 -9281 Date: December 6, 1999
Phone: 381 -5000 Pages: 2
Re: Inspection Report — Homeplace — Lot 5 CC:
❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
*Comments:
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
p p p p p p p N p ST. CROIX COUNTY GOVERNMENT CENTER
_ " " ■ ", 1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680
December 6, 1999
First Federal
Attn: Tammie
201 S. 2 nd Street
Hudson, WI 54016
RE: Septic Inspection for Sam Miller located at 815 Grant Avenue,
Lot 5 of Homeplace, Town of Hudson, St. Croix County, Wisconsin
Dear Tammie:
A septic inspection of the above referenced property was conducted on September 28,
1999. This property is located in the SE'/ of the SE'/ of Section 21, T29N -R19W, Lot 5 of
Homeplace, 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