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HomeMy WebLinkAbout042-1086-20-200 I ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner I � Property Address Z City /State ^ ST -, �,; Legal Description: � z o Lot _3' Block Subdivision/CSM # c '/a q(y� ' /a, Sec., �N -RAW, Town of P - �i SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC� / Setback from: House c Well P/I, 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: �,J Width 3 Length S�h_ Number of Trenches Setback from: House — Well - P/L Lam/ . Vent to fresh air intake ELEVATIONS Description of benchmark Elevation 1� Description of alternate benchmark _ Elevation I&I, Building Sewer _4rl Z ST/HT Inlet 9 ST Outlet _ Ll PC Inlet PC Bottom Header/Manifold ,� .li ' Top of ST/PC Manhole Cover 9992 Bottom of System Dg Final Grade Date of installation Pe it number . 3 State plan number �^ Plumber's signa ure License number Date Inspector Complete plot plan W i o r 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. i PLAN VIEW I o� S i N I / i I I I INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y: Safety and Buildings Division Count INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sani3ry3222itNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: Potts,_ Jim Town of Warren CST BM Elev. Insp. BM Elev.: BM Description: Parcel Tax No.: O� O" a.dlC tv.peq,k _CST 042 - 1086 -20 -200 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S �� Benchmark 5, *2, p.S, j ovto r Dosing Alt. BM G- Aeration Bldg. Sewer Holding St Ht Inlet 8 g8, yc TANK SETBACK INFORMATION St Ht Outlet TANK TO P/L WELL BLDG. Ventto ROAD Dt Inlet ----- Air Intake Septic > 5 S _ NA Dt Bottom ---- Dosing NA Header /Man. rg. Z '?2.06__ Aeration NA Dist. Pipe 0 13 •� 9 .0 Y1 Holding Bot. System q. Z PUMP/ SIPHON INFORMATION Final Grade Man facturer and St cover Model ber G M ��' o A 4y `� TDH L' Friction I System H ead ce TDH Ft main Length ell SOIL ABSORPTION SYSTEM 1WD X11LEbLo Widt r Leng I N Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION G I DIMEN I N SYSTEM TO P/ L BLDG WELL LAKE STREAM LEACHING Man,N actur r: � � ' SETBACK CHAMBER INFORMATION T pe0 /� / Model Number System: I�oMJ. Z. ' �' OR UNIT 4 DISTRIBUTION SYSTEM i� Header/Manifold ry Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length �fli Dia ength Dia. acing -d 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: V/ / 11 /oo Inspection #2: —��-- Location: 905 Alex Lane, Hudson, WI (S N1 /4, NW1 /4, Section 31 T29N -R18W) - 31.29.18.482A -20 r a 1.) Alt BM Description = 1 of 2.) Bldg sewer length = -L r.0 - amount of cover = Plan revision required? ❑ Yes 4 N Use other side for additional information. l t3 oi a 1 00 ( 6 SBD -6710 (8.3/97) Date . Inspector's Signature Cert. No 7C r Safety and Buildings Division Vhiconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue Department of Commerce In accord with Comm 83.05, wis m. Code P O Box 7 De p ~ . r , � Madison, W 53707 -7302 • Attach complete plans (to the county copy only) for the system on papergot less ' C. my than 8 112 x 11 inches in size. r-„ Ole 9taY2 anitar Permit Number • See reverse side for instructions for completing this application y 3S 5; Personal information you provide may be used for secondary purposes d Ch k if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. GTO � � L 7 CRUX SL�te Ian I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL NF r X111131 Prope y Owner me Property o Yip \ - tL4.•.• : T , N, R V E (or& Property Owner's M Hi g Addr ss N mlb�r Block Num r City, St a Zip Cod Phone Number Subdivision Name or C mber Al 14); 1 , I ( ) . TYPE BUILDING: (check one) ❑ State Owned ❑ !t Neares Road ❑ Village t,,� /1 Public 1 or 2 Family Dw elling - No_ of bedrooms �_ Town OF 111. BUILDING USE (If building type is public, check all that apply)C61A61 Parcel Tax Number(s) IS 05 P 1 ❑ Apartment/ Condo ® o? — / — — 0 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 jZ New 2 ❑ Replacement 3 ❑ Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an ------ SLrstem ________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 j8 Seepage Trench 22 ❑ In- Ground Pressure 42 E] Pit Privy 13 []Seepage Pit C� t �'Z� 43 ❑ Vault Privy 14 ❑ System -In -Fill S - — 4 Y 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. /' ch) Elevation ,? s' Feet Feet VII. TANK Capacity INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- steel Fiber- Exper. Gallons Tanks Concrete glass Plastic App New Existin strutted Tanks Tanks eptic Tan ❑ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I I I ❑ I ❑ I ❑ ❑ ❑ ❑ Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for in!LA Ilation of the onsite sewage system shown on the attached plans. Plumber's , me: �ril I Plumb is S ature: (No ita V MP/MPRSWNo.: Business Phone Number: Plumber's Address Street, Ci , State, Zi Code): IX. OUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwa ate Issued Issuing Agent Sig ature (No Stamps) \ Approved ❑ Surcharge Fee) a -- rA Owner Given Initial Adverse Determination / J i ao X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: i SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber c --5c - ,via- see �� - io7ll✓ - �JS� ep Gf� -54•� l�l/s� 5��� Sac ssb7' ' Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with Comm 83.09, WI Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in'size. Flan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to ne *rest road.: parcel TD. # APPLICANT INFORMATION - Please print all inhbijilation, el gevl we by Date �f Personal information you provide may be used for secondary purposes (Privacy Law, s. 15. (1) (m)). f Property Ow r Property Eocg1idn G�04"-Lot"'` 114 11,S T N,R E (or)p Property ner's Mailing Address Lot # Block# Subd. Name or CSM# 3 J � ` c City State Zip Code Phone Num ❑City Village own Neare t Road New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 gpd/ft Absorption area required Z -�/3 bed, ft ft Maximum design loading rate - bed, gpd/ft trench, gpd/ t Recommended infiltration surface elevation(s) fa,_?S' ft (as referred to site plan benchmark) Additional design /site considerations Parent material aCC4 Z':� / Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system fx] S U M s ❑ U [OS ❑ U I 0S ❑ U ❑ S O U ❑ S L( U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /112 a ..... 0,1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench iW / 3 Ground -3� L , Depth to limiting factor ,/,O -in. Remarks: Boring # / Ground elev. �� ft. Depth to limiting factor min. Re arks: CST Name PI se Print Signature Telephone No. Address Dare CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER Page i�--2 of ' 3 PARCEL I.D.# ? fJ 4 f� Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench r Ground ft. r Depth to limiting factor Remarks: Boring # - ' Ground elev. Depth to limiting factor 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 y� elev. Depth to limiting factor Remarks: Boring # Ground elev. i ft. I Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) .A Tlosr ,d2rr � �f��� -� as ,5' All p� J tat' /I/ i ys s SSA ' Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s k $3 09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in tan m" ^� County include, but not limited to: vertical and horizontal reference point (B tk,6ction and f 0 r percent slope, scale or dimensions, north arrow, and location and di tange to nearest road: Parcel I.D. # APPLICANT INFORMATION - Please print all infor in. �; .;. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy�4aw 15 ^ >f , `r 1w Property Owner �/� I- I / Property Lo on K l (� 1ClY CI ���(�t G� vt� tot � i/4 6cj1 14,S j/ T 7c( .N,R 18 E (or)� Property Owner's Mailing Address Lot # glOCk# Subd. Name or CSM# 5 ee - Tr. c m 0 G City State Zip Code Phone Number ❑City ❑ Village "9- -Town Nearest Road C j-1aI3/ Cu�#+nwwcl a/'. �Iew Construction Use: 64Residential / Number of bedrooms J I Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow Do gpd Recommended design loading rate r bed, gpd /ft trench, gpd /ft Absorption area required R T7 bed, ft2 it Maximum design loading rate g g bed, gpd$ trench, gpd /ft Recommended infiltration surface elevation(s) 9 it (as referred to site plan benchmark) Additional design /site considerations � /, 60 �l Parent material �� lLf l ! �u 4l cjaS`1 Flood plain elevation, if applicable /!!!51 ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank U = Unsuitable for system gi ❑ U 01 S ❑ U 19S ❑ U ® S ❑ U 0 S U EIS O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench I ► 6-0 ltJ r L 5 L 1 r b 1 30 f =r (_3 y. 5 Ground r- q! (c C46 CS elev. t0 ft. Depth to limiting factor m in. `d� • f ' , Remarks: Boring # v JD yr 31 Z- ---- I nx1bk n4 t C,S :.5 2 0 Z to-so !V Yr y/ InyAbk M f r GS ..::................: 3 3"w JD ��l� cas os mt C's Ground elev. S;10 ft. Depth to limiting factor IZO in. Remarks: CST Name (Please Print) Signature Telephone No. ch u wyak 1- t! - S 2 -/ 7 - yvay' Address Date CST Number D Ce & `f �4ry2 er o f `fD — - /S -9 9 2� 33Q • ! A� SOIL DESCRIPTION REPORT PROPfi:RTYOWNER S ufi Page Z of '3 ' PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. �+ Beed Trench 3 ( 0 -11 10 r 1 L `rrabk- rn� t- cs 1� - . 5 2 - 1 11 - 34 r '4 ry-v, bk h r C S elev. Grou -3 Z-a zu 1 6 r 4/(0 ` GO 5 9-. ft. Depth to limiting factor 120 in. Remarks: Boring # i � - i I r3I L Imabk r L l�' 4. 5 3 , 4- 1 z) /U r L 4 S b ml �� g Ground elev. gG• ft • Depth to limiting factor Iz/ 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 # a- /3 0 3/Z 5 Z !3 - 33 ` wta b/" wwr ' C- 2 3 S3 -124 Cos 6s 7 FS Ground elev. Depth to limiting factor (26 in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) /laF i n 12' Coo. d �( Aca; l t�', IL'•o..k M Z I crv, «. P�• pro Cl. is V .S, ;t �P Y T N i A ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _..._ SO PO w Mailing Address . Property Address gD� iVcr►fuauon rcqu.rc�l fiat)) l'lannln4 Dcpartnlrnt for now construction) e i •� A. �Y�'9 ci,tytstate Parcel Idontification Number t LE GAL n� tP r �t T IJN•R 1 15 W, Town of C� l� Y 2 V1 • Property Location Sec. � ' /�, ' /., _.....- Subdivision lam) 0r7 % Lot N „ �._ _� � Volume , Page N ". �Certilled Survey Map M ( 2 r I 1 r- � � Warrant Deed 4 _ Z/� 9 y ,"_ , Volume _/y 7 Pag4 0 Spec house 0 yes Po Lot litres identifiable *yes 0 no S,YSTFM MAI WIFE -Y Improper use and maintenance of your sr�ti, syarm could result in its premsturc wastes . fail lte to handle . Proper matntenaaca ;,.` consists of pumping out the septic tank every agree years or sooner, rf needed by a licensed pumper What you put into the system. >,; Can affect ttic fulctton of the Sep tank as a ttcatmcnt stage in the %vaste disposal system. , The property owner agrees to s0mit to St. Croix Zoning Department a coriificetion Corsi, signed by the owner and fur. waster plumber. journeyman plumber, restricted plumber or a licensed pumper verifying that( 1) the on -site wastewater disposal sysi � . ra in proper optrotinp condil anNor (2) a!tcr w%pection and p;1mp ns (if necessary), the septic tank is loss thar. 1/3 full or studEr'. 1'wc, the undersigned hnve rad the above rcytr Pcnicnts and agree 10 nlarrltain the private sewage disposal system with the standards; set forth, heroin, as set by the Department or Commerce and the Department or Natural Resources, Start of Wisconsin. Cen1f cattosn stating chat your septic system has beer ma'.ntatncd must be completed snd retuned to the St. Croix County Zoning Office within Yo- days or the thre y ar pifatten date, t � , � _ ll SIATUR •. or APrLICAN DATE CN ` i OWbF.R CFRTIFIC O I (we) certify that all statements on ti form are trite to the best of my (our) knowledge. I (we) am (are) the the party d cd above, by virtue of a warranty decd recorded in Register Of Deeds Office. D 1 N,ATun or APPLICANT 040 Any informA that is m,s•rtprescmcd may result in the sanitary permit being revolted by th0 Zpaing Department• ••• "' •• Include with this 8001Cat W a stamped warranty deed from the ittgister of Deeds orilce t a copy of t114 certified survey map if reference is made in the warranty dead -w te•d +aT024VzQT4 9NII"A 3ISI139 wa 01:01 66 -£1 -4138 " STATE BAR OF WISCONSIN FORM 2 - 1998 612976 WARRANTY DEED KATHLEEN H. NALSH REGISTER OF DEEDS 1 c , ST. CROIX CO., WI Document Number ' .:.,- ....... Vol. VO( PAGC 1t).Q... _ !, RECEIVED FOR RECORD This Deed made between RTCHARD n GTfJUT and 11 -01 -1999 9:30 An TANP.T P RT011T hughaanr3 and on fP ,._ .— YARRANTY DEED -- - - - --- DERPT N Grantor, CERT COPY FEE: and - - - - - -- an N ° . -PvTT.r, -- COPY FER leA.70 �nri RECORDING FEE: 10.00 - -__ Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in S G County. State of Wisconsin: Located in p art of SW 1/4 of NW 1/4 Sec. T29N, R18W, Town of Warren, St. Croix Name and Return Address County, more fully described as Lot 3 of CSM recorded June 30, 1999, in Vol. 13 of Certified Survey Maps, page 3678, as Document No. 605977 -78. Parcel Identification Number (PIN) This t5 KOr homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, rights -of -way and covenants of record. Dated this ?9th day of October 1999 Rirhar O. $tOtit (SEAL) (SEAL) (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, lI St Croix ss. County. J authenticated this day of Personally came before me this X 79 day of n tnh 19 9 9 , the above named — Da c:h.;jr- Q. QtQ34t R1114 Janet P TOILE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be t� the foregoing authorized by 5706.06, Wis. Stats.) instrument and acknow ed a t �aftSE. THIS INSTRUMENT WAS DRAFTED BY Janet P. Stout 1353 Awai-nka Tr Hudson, Wi. 54016 Notary mi State ofW sin My mmi on is permanent. (If not, state expiration ate: AMU (Signatures may be authenticated or acknowledged. Both are not —.) necessary.) ` Names of persons signing in any capactty mum be typed or printed below their sigruwre. STATE BAR OF WISCONSIN Wisconsin Legal EtWk Co., M. WARRANTY DEED FORM No. 2 - 1998 Miwauk Wis. e FILED � L JUN 3 0 1999 KATHLEEN H. WALSH 6059'77 � �� � � N C0 C Z Z N ~ �z Ir Z m I w N zr < r a r BEARINGS ARE REFERENCED TO THE X c ❑ z ° WEST LINE OF THE N W1 /4 OF SECTION � a; W 31, ASSUMED TO BEAR NO1'16'38 "W =-� c- X 0 -z w 1 mr �n Nwmz p 00 00 00 N OD OD :C7 t1 ( ' Z O D Z o C) 00 D m mz Lot 46 z� �m m 000000" �'" V'° I I � rl m ° m COTTONWOOD RIDGE I S I -p- M o ON N 4 N t7 01 Z . m n \ — — - —° — — — — U W 4 4 W 4 m ❑c r rn w cn N .4 �: � 2Z <� O 1D n 1 i D i oI ro 4 ro �? 00 D � o �� w � WEST LINE OF THE NW1 /4 I im I r D V o V V a D m t A z 71 z w V o N01'16'38 "W 703.09' N01 '16 1917.2W 20 d 637.07' 16 0 1917.28' c < o, w r rq' MI6 Z w Z o = t� rn ry o co O �•I m z z z z 00 v) (7 r - [Z] m w O D —i CI (n ::j C7 0 A OD ON N w 2 Z t7 • i0 N n (J1 ' `i j 10 I C O 0 �D �D W N o d Z C (n p f z z i cD I z fTl w ro w w w w oo ° r i t 0 NOl'16'38 "W 640.74, v) N Z - tJ c' ;u Z -1 ° '�i N m r p - c a n ~ c a n Lnn LA ui a m a v1 180.00' ry 460.74' m 10 (D cD m Z �o , - z N LA c11i 33 3 OD ON N N O O OD Ln N I O 00cnwm�- n g `° U) ON I IDIZ p , W o �' W= C N Tt m N m ° m an d !O Z �S � w� p ,989L£ r I� L , z 1m O m `D ro n w ,tr6'£9£ 3 „£T,iZ.SOS , �. O o 1;u � + D m° w m to N -{ m U) Cn N O1 CO m z S I ao I-< . m I H ru `° w r 0 ti� E/2 O N Q'w6CnoN c7 D;r vUl vw pm N �Z! ;� iz aF-ri cn cn ry w :o r D w - to N I Z -7C) � J 0o 0% w m = Z 'm 0 r•i -�'+ �' m r n y Z C) m V �� IpID �c>l� -1 (7) Q 271.53' w"0 b F '3 _ = I� 188.34 , CO I D x:w„� "Sb1'57'36 "E 459.87' I m z z v9 N '. Z : Z D r i m W I� I� H N V CO 00 00 V o V v Z co I m llD OUIw(n . L7 O iD co tj C IN Cz N A W o N N ZI 00 N Ln ry N VOL. 1, PG. 221 1 11 Im Ln y O r IV OWNED BY OTHERS ; ,° � � ----II (4 z z (4 v, z c_ — — — — — — -- --- - -- 00 N V 00 w N V V . . 1D V y� e • • • e • w Ur z ���� -- O C!I O NrU�WON I "gyp ry ,. N Ln m -i m O t' ..� O D n IzZ'Dd 'I 'A 'W'S'O O Z n0 JO 3NI1 1S3M ?'�b.Z• m D y z O -�'m i m , O • O ' v z ry r O - «vgty, N X O o, O r- m -, O m 10 ni r c� S ;u x 0 c K ,D 01:: O z O O r O �z z �N ooN Z r c n z m e o , V O -1 cn Q - z K SCI Om m O D D z Ze mo m O� ? m r V) r rnn E n m r-0 O z z v O 1 C7 ❑ Z Z C p-1 O m m I > z m � D r^ t _ N O m -i m n X cn m \r I OO N D z 0::E O p N C11 -1 m -i f*I z D rn O O 0 "'•• ..................• '' m O m Vol.13 Page 3678 ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r x n r n x x s ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 February 11, 2000 Hartman Homes Inc. 905 Alex Lane Hudson, WI 54016 RE: Septic Inspection for Jim Potts located at 905 Alex Lane, Lot 3, Town of Warren, St. Croix County, Wisconsin Dear Mr. and Mrs. Peper: A septic inspection of the above referenced property was conducted on January 11, 2000. This property is located in the SW' /4 of the NW% of Section 31, T29N -R18W, Lot 3, Town of Warren, 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, 0� 6'k- kvu� Kevin Grabau Zoning Technician /sm 1101 Carmichael Road Hudson, WI 54016 Phone: (715) 386-4680 St. Croix County Fax: (715) 386-4686 Zoning Department Fi To: Chad From: Shawna Moe Fax: 247 -3090 Date: February 11, 2000 Phone: Pages: 2 Re: Septic certification — 905 Alex Lane CC: ❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle -Comments: