HomeMy WebLinkAbout020-1353-60-000 ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner �( rZA e
Properly Address v
City /State teop S ,9 , 0 1 3
Legal Description:
Lot 6?0 Block Subdivision/CSM # 442 0
' /a, Sec. ,T -RAW, Town of IN # ® c 1 5 - c�
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer Gtd
f ><ze ST/PC AOCO 2�Setback from: Housd i' P/L
6
Pump manufacturer . Model r 514)
Alarm location 't
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: b "4 11 � Width _ Length �s Number of Trenches
Setback from: House? — P/L Vent to fresh air intake o) S' tT
ELEVATIONS
� J
Description of benchmark / !mil Elevation o0.
p
Descri tion of alternate benchmark ? Elevation
Building Sewer ST/HT Inlet ST Outlet PC Inlet
PC Bottom 6 • d O Header/Manifold Top of ST/PC Manhole Cover
Distribution Lines ( ) J,r
Bottom of System () ! ( ) ( )
Final Grade O O O
r
9 n
A
Date of ><nstallation�� � Permit tuber State pl a R n umbers . �" _
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Plumber's signature License number /y v bite A"
, i.Vtl l� f
Inspector 1 ZCV4INGOFPC.E
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 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)). 353136
Permit Holder's Name: []City ❑ Village [R Town of: State Plan ID No.:
J ames Town of Hudson f2 441 q2.
CST BM Elev.—.— Insp. BM Elev.: 7M Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic , ( Benchmark �.z a
Dosing Alt. BM , 05' B -,Z O
Aeration Bldg. Sewer s$ / `� 9 g, Po
ll,
[ Holding St/ Ht Inlet lZ • ba 2'Gn 99 .2-4
TANK SETBACK INFORMATION
TANK TO P/ L WELL BLDG. Airi to ntake ROAD
Air
Septic > / av ' 13' NA Dt Bottom lG �{� �� , 2, o
Dosing 1 < < 8 / NA Header / Man. .w cam, (, 3
Aeration NA Dist. Pipe B ��/, 63
Holding Bot. System b 2'C 1, pq
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand St cover 91!�
Model Number �3 a?j GPM 3-SGT ( 78.20
1 �3 TDH Lift � l Friction oo System TDH ,J t
'1 e ,
Forcemain Length Dia. Dist. To Well
SOIL ABS RPTION SYSTEM 1 or �� f _T
TRENCH Width ( Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMEN -- ---�"' DIMENSION
SETBACK
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION Type O` I CHAMBER i Model Numb
System: 1 3�j �— OR UNIT
DISTRIBUTION SYSTEM ,^, (� � � twit (s "
�(b Header /Manifold Distribution Pipe(s) v x Hole Size x Hole Spacing Vent To Air Intake
Length -— Dia. Length Dia. 2 Spacing [� a H ��
S
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: /i /ay/ q`T Inspection #2:
Location: 627 Hillary Farm Road, Hudson, WI (V1 /4 SW1/4, ection 36 29N -R19 ) - 36.29.19.2060 2 . 3 5�
800 64% - elm
3 A .� �UM e+ 0. �I ✓M 6tA�0� , M-� �"-. �-a-rn h e� t ile
� }� b,�2. `j AA-0tyk X ' pQ . �p w� �l(�t 2 is ..t,-4
Plan revision required? ❑ Yes g No l ( �� S z �o
se other sid for a4ldit al information.
®� S �I a0 I�A.KNW4 , Inspector's Signature Cert. No.
S D -6710 (R.3/97)
t �
ADDITIONAL COMMENTS AND SKETCH
0 �
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
* SANITARY PERMIT 201 W. Washington Avenue
sconsin ANON P O Box 7302
'Department of Commerce In accord with Comm Madison, WI 53707 -7302
• • Attach complete plans (to the county copy only) for t em, of less' Count
than 81/2 x 11 inches in size.
• See reverse side for instructions for completing this (ica bn;" ;State sanitary perm Ny�mber
Personal information you provi maybe used f r onda urpose15`r ;, (IRcIX =❑ Check if revision to previous application
(Privacy Law, s. 15.04 (1) (m)]. �— '' � f�lJN
�Q� ZCIi TY State Plan I.D. N mber I
I. APPLICATION INF ATI N - PLEA E PRINT NF L _ q 3 ` .
Property Owner Na a _> . Property tion
m 1/4, S 3 T , N, R �Ebrl1
Pro y Owner's Mailin Address Lo umber Block Number
Ci State — Zip Code Phone Number Subdivisio m r er
II. TYPE ILD NG: (check one) ❑ State Owned ° c it y Nearest oad
Public 1 or 2 Family Dwelling - No. of bedrooms ° v ows o
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 4( SA - �� ro O
1 ❑ Apartment/ Condo �. ( "' CxD®
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) I. XNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existin 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 C&Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pre s re / q 42 ❑ Pit Privy
13 E] Seepage Pit /' X l S '�'�^ 4s�1 43 ❑Vault Privy
14 E] System-In-Fill
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.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
q Feet b,2,4 Feet
VII. TANK Capacity
in gallons Total # of Site
INFORMATION Manufacturer's Name Prefab. Con- Steel Fiber- plastic Aper.
New Existing Gallons Tanks concrete strutted glass App.
Tanksi Tanks
Septic Tank or Holding Tank Inco 10 Va ' � Q ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber b El El El ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
P u ber's Name: (Print) Plumber's SSignature: (No tamps) MP PRSW No.: Business Phone Number:
2a
Plumber's Address (Street City State, ipCode):
IX. COUNTY / DEPARTMENT USE ONLY
❑Disapproved S nitary Permit Fee (Includes Groundwater ate ssue Issuin Agent Signature (No Stamps)
Approved ❑ Owner Given Initial Surcharge Fee) O r
Adverse Determination `/
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
Q P /u, , = O&Y,4_ Q,
SBD -6398 (R. 4199) 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) -W be submitted to the
county prior to installation
5. Onsite sewage systems most be properly maintained. The septic tank(s) must be pumped by alicensed pumper Whenevef
necessary, usually every 2 to 3 years.
6. If you have questions concernih'g your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division,40 , 25151. - - -
To be complete and accurate this sanitary permit application must include: i
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 8 112 x 11 inches must be submitted to the county. The plans must
include the followin §: A) plot plan, drawn to scaMrlb?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.
Safety and Buildings
2226 ROSE ST
LA CROSSE WI 54603 -1905
TDD #: (608) 264 -8777
isconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
September 29, 1999
CUST ID No.5176 ATTN.• Rod Eslinger
ZONING OFFICE
RED CEDAR PLUMBING & HEATING ST CROIX COUNTY
4792 STATE RD 25 1101 CARMICHAEL RD
MENOMONIE WI 54751 HUDSON WI 54016
RE: CONDITIONAL APPROVAL Identification Numbers
APPROVAL EXPIRES: 09 /29/2001
Transaction ID No. 249342
Site ID No. 181461
SITE: Please refer to both identification numbers,
Site ID: 181461 above,; in all correspondence with the agemcy,
St Croix County, Town of Hudson
NW1 /4, SW1 /4, S36, T29N, R19W
Lot: 60, Cottonwood Ridge
James Krueger residence
FOR:
Description: New 3BR Mound
Object Type: POWT System Regulated Object ID No.: 492976
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Adm. Code.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation /operation.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, DATE RECEIVED 09/21/1999
FEE REQUIRED $ 180.00
FEE RECEIVED $ 180.00
Dennis R. Sorenson BALANCE DUE $ 0.00
Wastewater Specialist
(608) 785 -9336
dsorenson @commerce.state.wi.us iMARTq .7
M James Krueger - Mound
Transaction
11 99
440 49 o ��
Location: Lot 60, Cottonwood Ridge
NW 1/4, SW 1/4, Sec. 36, T 29 N, R 19 W
Town: Hudson
County: St. Croix
Date: September 17, 1999
Owner: James Krueger
Address: 509 Third Street
Glenwood City, WI 54013
Plumber: Kevin Lannon
R
Signature:'
License # MP 224229
Attachments: 6748 -Plan Review Application
SBD 8330
page 1: cover
2: d calculations
3: plot plan
4: system cross section
5: plan view, lateral detail
6: pump tank exit detail
7: pump curve
page 1 of 7
System Calculations
One family residence bedrooms
Loading rate �' gallons /sq ft per day
Depth to ground water 33 in
Depth to bedrock �° in
Cross slope %
Force main length 3 ft of Z in
Manifold /header length Nta ft of in
Drainback `S Ct gallons
Lateral length @ 9 0 ' `) ft o f Z in
Lateral elevation ck 4 '� ft (bottom of pipe)
Lateral hole size , �q in @ 60 in ( 5'o ft) spacing
1 q holes /lateral, \C( holes total
Lateral volume ilk 6 gallons
Total lateral-discharge rate gpm @ ft head
Elevation difference � ft
Friction loss ft @ ' gpm
Total dynamic head ft
Pump /sipbon 26 gpm @ \ 8 ft of head
„ „_, , �c
S� �3
� Manufacturer �"" - /��` �.�• �' , Model #
Dose volume >> �' gallons
,,�� J Y a..,�� ►wo -�� a v
Lift /si�on tank G ��� g allons
Septic tank , 1 gallons
Measurement pump on & off C t in
Height alarm from tank bottom in
Reserve capacity 3S } t gallons
calcs page of
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DIVISION OF SAFETY AND BuHU t s
SEE CORRESPONDENCE
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� 6 .iVATE SEVVAC; S'YST
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onditionally
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SEE CORRESPONDENCE
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WL ? ��
Performance Data - -.A
32
Pump Characteristics
Pump/Motor Unit Submersible
Manual Models SW25M1 SWUM t o 24 I. ' �� - � I I I I
Automatic IYlodais SW25A1 SW33A1 < 111, 1/3 HP
i
Horsepower 1/4 1/3 2 to
Full Load Amps 8.0 10.0 1/4 HP
Motor Type Shaded Pole (4 pole)
i
R.P.M. 1 SSO o e
Phase 0 1
Voltage 115
Hertz 60 0 0 10 20 30 - 40 50 60
CAI ACITY -U.S. G.P.M.
Operation Intermittent
Temperature 120OF Ambient Total Head (feet) 4 6 8 10 12 14 16 18 20 22 24
NEMA Design A 1/4 HP 44 41 36 33 29 26 23 18 12 6 0
Insulation Class GPM 1/3 HP 47 45 43 40 37 34 30 26 22 16 10
Discharge Sire 1-1/2 Nf'T
Dimensional Data
Solids Handling 1/2"
Unit W*bt 30 lbs. 1. All dimensions in irsches
Power Cord 18/3, SJTW, 10' std 3 5 �/s 2. Component dim m em may
(20' optional) 4 1n t I/8 inch
Not
3. Na fa onslr
cucpan purpose
1 -W NPT uR6%cedified
31/2 DISCHARGE 4. Dimensiom and weights ate Materials o C onstruction apploximate
S OR/ON level adpnsaNe
Handle Steel 6- we resave the right b
3.1 moke revmm to our
Lubricating Oil Dielectric 011 Wodactw awd d"
Motor Housing Cast Ira Ko1 wr,�oal mt�e
Pun Cusm Cost Ira I
Shaft SjW
Mechanical SW Faces Carba /Ceramic
Shaft Seal Sold Bode: An" Steel
SP*: Stainless Steel 11 -1i8
Bello Baa'N PUMP
ON
10 -1/8 � 9 -1/2
Impeller stir
Upper Bearinj Braze Sleeve DISCHARGE
HEIGHT
Lower Bearing S Row Bd
3 -1/2
Strainer /Base Plastic 3 PUMP
OFF
Fasteners Stainless Steel
• AURORA /HYDROMATIC Pumps, Inc. w �-
1840 Blaney Road, Ashland, Ohio 44805
(419) 289.3042
Wiscongin Department of Commerce sow b s1 *EAEOLUATION
Divisiori of Safety and BuildingsPage � of
Bureau of Integrated Services in acco )4an. wit s.AHR 83 (J9, YVis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal referenc *4t (BJQIP&eagn ant,�� (,
percent slope, scale or dimensions, north arrow, and locate nand distance to hearestvreAd Parcel I.D. #
l ." C-R y r ;
APPLICANT INFORMATION - Please print all i a�10h. Rev wed by lD Date
Personal information you provide maybe used for secondary purposes (P�Cy )t'aW s..,75.Q4 (1) tm)�.
c
Property Owner y Location
r ( S �—� Govt. Lot &Af 1/4 S 1/4,s 36 T Z l ,N,R I q E (or) /)
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
13 --,_ 4u k e r . 0 Co r, w moot r -e-
city State Zip Code Phone Number ❑ Ci ty [:1 Village ® Town Nearest Road
e
U d-S r\ 1 W 1 I S_Y0 ► 61(715 If Ud C'GffB r ^.
•
New Construction Use: R1 Residential / Number of bedrooms 3 Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow (90 gpd Recommended design loading rate bed, gpd /ft� • / o trench, gpd /ft
Absorption area required _ /06 bed, ft 1407 trench, ft Maximum design loading rate bed, gpd /ft gpd/ft
`,
Recommended infiltration surface elevation(s) 1 D � 0 ft (as referred to site plan benchmark)
Additional design /site considerations ! 7 90 C0YLfyct r el e✓CC4r o ✓\ I1
Parent material (Y (CL G I�Ci- lL o V 4WCi. -S Flood plain elevation, if applicable AV TT ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system S [A U X S ❑ U I ❑ S K U ❑ s E9 U ❑ S ® U EIS X U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench
0 _ 1 Z_ 1 0 r ;2 mci 4 yrt S ' S o
a tv r r^ C - .S • ro
Ground ! U 4 6 r 1 7. S S L 3 S V C 4
elev. ,
9 7 .94 ft.
Depth to
limiting
factor
Remarks:
Boring #
z r /3 - 5 % rna
3 3y 3q U r Fi 7.S i 6 � r! r►-r trt �t' ti ti ia
Ground
elev.
9799a ft.
Depth to
limiting
factor
3�Lin. Remarks:
CST Name (Please Print) Si ure / Telephone No.
101 cfi>� �G�U e . -- / — z
Address Date CST Number
y CecC so t sS = 9 e-52 -30
PROPERTY OWNER SA-cj+ SOIL DESCRIPTION REPORT Page — 9-- of 3
PARCEL I.D.#
Boring Horizon Depth Dominant Color Mottles Structure 2
9 Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 1 -
Ground iU l i- 7 s r V16 S L 3 m C ti N
elev.
Depth to
limiting
factor
-2 in. '
Remarks:
Boring #
.:.................
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R. 07/96)
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ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
/ OWNERSHIP CERTIFICATION FORM
Owner/Buyer A E5 K iZ yEc
Mailing Address 3 Vzp S i w - = .S i3 .
Property Address i ll vii"
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number — O rd O
A -lcc o to G
LEGAL DESCRIPTION
Property Locatior /a, ` /a, Sec., T_eo_N -R W, Town of
Subdivision Lo ovex%^j-aesd�► , Lot # �.
Certified Survey Map # Volume , Page #
Warranty Deed # 6 Volume , Page # �-
Spec house X yes ❑ no Lot lines identifiable X 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 wastewater disposal 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
days y expiration date.
<,_, / / r q
SIGN O LICANT 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 pro de ribed above, by virtue of a warranty deed recorded in Register of Deeds Office.
llql qq
SIG PPLICANT 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
779 71 777 7 1 - 7 7 7 K; r
VOL
1455 132
STATE BAR OF WISCONSIN FORM 1 – 100 610018
WARRANTY DEED KATHLEEN H. WALSH
REGISTER OF DEEDS
DOCUMENT NO. ST. CROIX Co., YI
This Deed, trtrdc bet cn _RICHARD a.- STOTIT anti 01. 01-19!! 9 :3b IM{
t�wrsnr QMUT, husband And w fsa, s
in
Grant- Mff CM Fffs
CM
and J AM PS * KRUP - GL+ a _�Eran]3. an TNM a marriedd '
l WER 111,71
JENNIFER T HRITEGER_ _ A marr�ipA K= FEES 3.0
Gmntee,
�3
Witnesseth, That the said Gmn=, for. valuable mrrodrrntion
conveys to Grantee the following described real estate in S t . Croix THIS SPAC4 RESERVED FOR RECORDING DATA
f County, State of Wisconsin: NAME AND RETURN ADDRESS
Lot 60, Plat of Cottonwood Ridge, Town of �,� $t w k.
f Hudson, St. Croix County, Wisconsin.
i A2f1_1110- 20 –DDd
PARCEL IDENTIFICATION NUMBER
3 9
i
I
This is not homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging,
And Ric n- Atnut and Janet P_ Stout
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
i
easements, restrictions, rights -of -way and covenants of record,
i
and will warrant and defend the same.
6
Dated this 31st day of August ,19
Janet P. Stout
Richa O. Stout - (SEAL) _ (SEAL)
RX
j (SEAL) (SEAL)
!
I !i
AUTHENTICATION ACKNOWLEDGMENT
j !
Signature(s) State of Wisconsin,
ss.
St. Croix County.
'� authenticated this day of 19_ Personally came before me this 31 s day of
Aug ust 19 the above named
Richard O. Stou anc��anet
!� • P_ Stout
TITLE: MEMBER STATE BAR OF WISCONSIN
I� (If not,
authorized by 1706.06, Wis. Stag) to me known t d the foregoing 7
instrument - "" AS
THIS INSTRUMENT WAS DRAFTED BY
Janet P. Stout
i 1
H Aston - 54016 NotaryA kic.,. Count),`Nis.
{� (Signatures may be authenticated or acknowlec'Ked. Botit are not My c r „Wion per arerc. (lf not, state expirat
necessary.)
1+ • Names of perxms signing in any capacity should by typed or printed :.•low their signatures
STATE BAR OF WISCONSLN Wwwgin Leo ew* Ga” trtc
i� WARRANTY DEED Form No. 1 — 1482 Mia,ea,e.• WK.
li
115,640 SQ. FT.
416.66'
2.690 ACRES
,l ' _ 117,157 SQ. FT.
I r•
20' DRAINAGE
_._._._._.�._. m EASEMENT H.W.L 1036.0 �•} 5' TYP,
'---------- ---- -- • S88 "E 582.42' ~
�� I - - -- -- -- -- -- - -- -- -- -- -- - -- -- -- -- - - --
• j I _�_ 1�'l�f� e _ __ __ __ __ __ __ __ __ __ __ - -- - -- -- -- -- --
90.00' x-10' 5' TYP. A
-•-- •-- •-- • - -• -- • - -• -1
5' TYP. i 58
Q 2.360 ACRES
. 102,812 SQ. FT.
T.
N89 "E 380.00'
Q �-- - •-- •-- •-- •- -- - -•- -- - -- -- -- -- -- -- -- - - -�
' LL --
- •- •- •- •- •-- •-• -•-
12' TYP. —►i G-- 12' TYP,
390A0 --- - ---- - -- - i Q �
---- - -- -- -- -- - -- -, � ; 59
G7 �Gr
' 3 ! O 'ili ; �cb
_ 2.034 ACRES % %o
°
88,604 SQ. ' FT.
o b 2.193 ACRES
Z I �° 95,508 SQ. FT.
i i
N89 "E 272.79'
390.00' J I L _ . __ �_•__•__•__-__•__• - _ -_ -_ -- -
lip
50 . i I 60 .^� Ass
2.012 ACRES
87,647 SQ. F T 4% .
33 133 ni i IQ
1 ICU
cu 20' DRAINAGE ; i �n 61
.. I ' EASEMENT ! I "'
' ` 3 2.042 ACRES i
L
i ! 1 , 88 956 SQ. F1'', 1
!2, I CENTERLINE � i •
TYP, i i i , i i: \ Q
-
. 58 . I ( 24 '�� C
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S77-2
4 - 'E �. i' i i o co Li i
�. i ch .• 33'
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COiJ ` ` �' 1ID 10 TM 2 � 51 �39" 'J 1jp9, S >>�25 3 „ Z
NTy TRU x`577.24• E P UB(lC f 16373, - q• •; E S83.29_15 "E
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