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HomeMy WebLinkAbout020-1347-60-000 n s § \ - 7 � m m E z o § E ƒ q E # � e , 2 / / I § § k 2 K k § ® co 8 2 E m §]ƒ O ���` 2 — k % §} �/� C ; = m g e � / � § k �� / © S J n r co S � § % z 0 00 �- . � 2 _ § \ � § ° E ^ CA (a ca , CD ca (D � ` E ( CD � § 2 N) 0 r _ § % 0 o � }k %(D [ 2 z (D a 2 _ ■ ° ® a � 9 / I ® § z k t ® 7 / z . \ CA) 2 k . � 7 \ �(D /�k �)® � 7 77 oCD : 0 ƒ Bo _ . a . f §/ § ? % . � . ° \ < w : \ƒ �\ ST. CROIX COUNTY ..� ..:.w WISCONSIN PLANNING & ZONING F G O FICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 i August 8, 2005 Roy Goldbeck, Jr. 1003 LaBrage Road Hudson, WI 54016 RE: Remodeling/bedroom addition, Town of Hudson, St. Croix County Parcel # 020 - 1347 -60 -000 - Computer #11.29.19.1876 Dear Mr. Goldbeck: You have requested the Zoning Office review your remodeling/addition project for compliance with the state sanitary code COMM 83). When remodeling or adding onto a dwelling, you are required to examine whether or not the planned modifications involve an increase in design wastewater flows to the Private On- site Wastewater Treatment System ( POWTS). I have reviewed your remodeling plans for the above residence. The project involves finishing two additional bedrooms within the existing structure. The septic system was designed and installed based on wastewater flow for three (3) bedrooms with a maximum occupancy of six (6) persons. This project will increase the total number of bedrooms to five (5). Technically the POWTS will be undersized for the number of finished bedrooms within the residence; however, current occupancy does not exceed the design wastewater flow for the POWTS. An Occupancy Affidavit is required to disclose the disparity between number of bedrooms and septic system sizing to any future owner(s) of the residence. This affidavit has been submitted to the St. Croix County Register of Deeds office to be recorded against the deed. The original system was installed in December 1998 by Mike McDonnell and was inspected by zoning staff at the time of installation. The system was found to be code compliant at that time. Inspection report, as- built, and sanitary permit documents are on file with the zoning department. The system was last pumped in April 2004. To prolong the POWTS lifespan, the septic tank should be pumped at least once every three years or when the tank becomes 1/3 full of sludge and scum. In addition, water conservation measures should be implemented, for example repair /replacement of leaking plumbing fixtures, reducing shower time, running the dishwasher only when full, avoid using a garbage disposal, using a wash machine with a suds -saver feature, etc. The long -term function of your POWTS is dependent upon proper maintenance of the system. f ` I If this POWTS should fail at any time in the future, the system will be need to be Y inspected b a licensed p plumber or POWTS maintainer to determine if it requires replacement according o state code requirements q p g q in effect at that time. The proposed remodeling and room addition project must comply with all applicable building codes. Please contact the Building Inspector for the town of Somerset to obtain a building permit. Should you have any questions, please contact this office. S' Pamela Quinn Zoning Specialist Cc: Brian Wert, Building Inspector (fe-,G ) file j; ?r 6 0 842567 �\ KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Oognnent Tide ST. CROIX CO., WI RECEIVED FOR RECORD St. Croix County 08/08/2005 09:50A11 Occupancy Affidavit AFFI EXEMPT # REC TRANSEFEE: !!. @@ V `� COPY FEE: Na rife — (Owner) Typed or printed CC FEE being duly sworn states under o tha • PAGES: ! g Y � � oath, t. 1. Helshe is the owner/pan owner of the followitiLparcel of land located in St. Croix Co Wisco ' recorded in L// only, Haul, Volume Page (p 3 2- Number /S t. Croix County Register of Deeds Office: ReoonfimArea �l / l N and Return Address A parcel of land located in the % fir of thetf� V. of ift T_ N— R_ W, Town of j-I �DSd . St. Croix L a County, WiwonsK being duly described as follows (include lot no. and /� subdivision/CSM or detailed legal description): 020-/3 '7- 60 -006 4,0 Parcel lderW i�cadon Number (PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a bedroom home, or a design flow of = Upd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently occupants living In this residence; occupants are permitted based on the design flow. Therefore the septic system serving this residence is code oompliariL However, l understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to scoornodate an increased wastewater flows and/or contaminant loads. I also Y acluxWedge that 1 will make this information available to any future patties interested in purchasing this property. , Dated this _ r day of � v S M, Signatures) AUTHENTICATION STATE OF WISCONSIN ACKM •� too* •# +' �• , :.gyp. audnenitcated tt s day of St. Croix County.) , t Personally came before me tt:is 8t: 2005 the above named TITLE: MEMBER STATE BAR OF WISCONSIN (if not, to me known to be the persons) who executed the toregdng authorized by § 706.08, Wis. Slats.) Instrument and aclmowAedge the same. THIS INSTRUMENT WAS DRAFTED BY 1� � Gel b ec * PAULETTE ORF Z! Notary Public, State d wisconsi (S"Uxes may be sudmoticated or acknowledged. Both are not My C Nn"`I slots k N not, state o�kadon dale: ne cessar y) Dal i z / 31 06 'THIS PAGE IS PART OF THIS LEGAL DOCUMENT — DO NOT REMOVE" V* k tlO n arbn mug be oar~ by &Am fter: dmimmi , Hams b roGrnrt eddress and (MrvQtdnsd). 0UW k bmudon such as d+e greni ft dauaa& isso dssa0dorb eft may be phad on Mb brat pop of tot dommg army be phosd on adA bnW pmt of ft doounmrt WL Use of ft cover~ adds one page to your document and W 0ffl& n Slatufs& 69 - 517. r - • a. 6 ST. CROIX COUNTY ZONING DEPARTME ,. . AS BUILT SANITARY REPORT ti. �? PIC Owner # 19 Property Address / o c 3 4 .# I1 A 2 `t /� �+ X1,7 , , c� x City /State 14 OD-540 N t.y I 4r 114. �. -0 =�cE Legal Description: Lot aG Block Subdivision/CSM # I'VOM Z 5 7/ND JE t /a Ju! t /a, Sec. I_ T-jjN-R!TM Town of H0,PJ JIV PIN # il/h e E PTIC TAN -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer WEI- 466L Size ST/PC 1 049 / Setback from: House 3 Well w PAL ! I S Pump manufacturer Model '------ Alarm location ----w- (HOLDING TANKS ONLY) Setbacks: Service road — Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: �VA40 lzrxO Width 72i— Length .r6 Number of Trenches 2— Setback from: House 7 7 , Well «a " P/L A9 Vent to fresh air intake / 3 0 ELEVATIONS Description of benchmark I I L @T - P 1PE 15 Elevation l ootoo Description of alternate benchmark To P o F 14o jS E Fc7yN6 ,Tto 111 7 Elevation 2 Z 9 -'qj r Inlet Z 9 ' ST Outlet / Z P Building Sewer l3 �/ � S T/HT Inlet (4� 1 PC Bottom Header/Manifold , � Top of ST/PC Manhole Cover 1 S q �- E A ST LJ E S T` Distribution Lines O I L t 0 -L q ,73 Bottom of System( 1 7, t ,§' �� () - 17, 7 S = S 3 A+ ( ) Final Grade () 6 • d a = ?, ? S ( ) . DO'S $�, 7 s( ) Date of installation � ! Permit number 3 2 4 State plan number `-- Plumber's si nature ,te License number � S` U0o Z ' i'IwA -c � 04"y /� � Datel / Z'3! 19 Inspector c 1 Complete plot plan * 1 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 S c 04 AS UVFLL N° N N AV a� it 5(c t B- r / y S 7' m 3 0� Y � h I � !0 INDICATE NORTH OW ,vo.4-TH LOT`- LINE Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ' Safety and Buildings Division Count y ST . CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary3Pmti`9.: Personal information you provice may be used for secondary purposes [Privacy L X, s.15.04 (1)(m)]. P.ecrx�iLl�.plder's9 [� k §Ilage C] Town of: State Plan ID No.: MILL1,� , CST BM Elev.: Insp. BM Elev.: B Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9800546 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. S= ti ldj� Bench 1,2 D lo/ Dosing Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. q;ake ROAD Dt inlet Septic N 1►4 — 3o NA Dt Bottom Dosing NA Header / Man. t� Aeration NA Dist. Pipe Holding Bot. System /b Y PUMP / SIPHON INFORMATION Final Grade n $� Manufacturer and }, Model Number GPM S° y� � C TDH Lift Fri = Ft Forcemain Length Dla. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ,Zo DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING l + nuf p INFORMATION Type M CHAMBER o e N ber: S st OR UNIT ( c. Y DISTRIBUTION SYSTEM Header J ! M / anifAId Distribution Pipe(s) �// x Hole Size x Hole Spacing Vent To Air Intake Length ��6 Dia. , Length �rP Z � Dia. 3`Y Spacing t 9644", "3 l la {� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only [ Depth Over TDepth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed / Trench Center d / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 11.29.19,SE,SW 1003 LABARGE ROAD — HOMESTEAD LOT 26 wa-( ( K,-F drl7� ; r ; p-�e� 01 M -TAP db PP 06W/ kv4a �iw[ I - z� •Olg _;:9 Plan revision required? ❑ Yes -Q No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Sigbature Ce No. Safety and Buildings Division Visconsi SANITARY PERMIT APPLICATION 201 B Wa in Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. ' 54. cmux • - See reverse side for instructions for completing this application State SanitaryPer Number Personal information you provide may be used for secondary purposes ❑ Check if revision to pr €vlous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Na Property Location - � I S1/4 1 W1 /4, S �� T Z , N, R E( W Property Owner'&ULailing Address Lot Number Block Number O City, State Zip Code one Number Subdivision Name or CSM N mber ( W Z CA HD ll. TYPE OF BUILDING: (check one) ❑ State Owned ❑ it Nearest Road ❑ Village 1 $ !' Public 1 or 2 Family Dwelling - No. of bedrooms - Town o f V ir" 111. BUILDING USE: (If building type is public, check all that apply) Parcel TaxNumber(s) 'P.&"crj/tloV O /IA9. i9. /97& 1 ❑ Apartment/ Condo a o -- l3 4 - 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. NeNew 1 ❑ Replacement 3_ ❑ Replacement of 4, [3 Reconnection of 5. [] Repair of an ystem ________System_____________ Tank Only______________ Existing System Exi sting 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 X 1 Seepage Trench Sf 0SWIVD fie 22 E] in-Ground Pressure / 1 43 E] Pit Privy 1 ❑ Seepage Pit �IA/�/ r; I}/ ►L Z 3 JC25G * 7 � 43 E] Vault Privy 14 ❑ System -In -Fill A ,� it VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System El v. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) ' Elevation 12 y�U S c!� �.- • •�► Feet A vO Feet Cap acity VII. TANK in Ca ns gallo Manufacturer Name Total # of Prefab. Site . Fiber- Exper. INFORMATION Gallons Tanks Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank k ❑ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ 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's Signature: o Stam ) MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Co e a IX COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater E-0 Issued Issuing Age Signature (No Stamps) r V Surcharge Fee) A o ed r ov � pp ❑ Owne Given Initial /�( c� J� Adverse Determination "v /oa X. NDITIONS OF PPROVAL / REASON ,�/ FOR DISAPPROVAL: SBD- 6398 (11.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber l PA sje �/a,27 t�T [ N11� `ia 8. 9Y �iVC Sc; iix rj 5/ PEA' �.. /ll f t EN I ® SINE T2 � -4b 4 N Q Z. NIA Pilvf WAY 'Ago. Ci Ire(✓ , i r d t i i � fV/ co x -� c a) c — In _ ca D to C O ~T cam O N ( Q cu a to M r i E v. C O C O m N D p tO 2L- V V C C D O N> a. 0) O L a) E O cn _ Mi Q Q J 4 cC > ca C _ — U ... N p C U C 'O `_ Ct Y f a) O .� co p 9) 5 O a p 0) Cp j Q L J cif LL E O = U 'o (j c u CL • • • §5 Q) 1 b b \ "t3 $ cli v ® o V H o a m L U� 1' n co ® U J M . v W i Cl) rn E • N h (C) u , O Z3 U CL OD OD O W U O O ca i . E c `� w Cl co � N W co N� Cl) = N J a `WisconsinDepartmentofCommerce SOIL AND SITE EVALUATION Page 1 of 3 'Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Environmental By Design 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 reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please pnation, Date Personal information you provide may be used for (Privacy iaw, s. 15.04 (1) (m)). Property Owner `,' „ Property Location MILLER, SAM Govt. Lot SE 1/4 SW 1/4 S 11 T 29 N,R 19 W Property Owner's Mailing Address I :f I Lot # Block # Subd. Name or CSM# TROUTBROOK RD `' 26 HOMESTEAD City Statt L ­4p Code PO Nu i City E] Village ® Town Nearest Road Hudson WIC - 2 Hudson LABARGE Z New Construction Rbntial I titer edr ms 3 ❑Addition to existing building Use: [] Replacement 0 kc,occ�rr t l es Code Derived daily flow 454 gp '—L --' Recommended design loading rate 1 7 d, gpd/fF 1 $ trench, gpd/ft Absorption area required bed, —B3— trench, ft Maximum design loading rate � - 2 bed, gp tr ench, gpd1fF Recommended infiltration surface elevation(s) as 3 w ft (as referred to site plan benchmar Additional design / site considerations l � Parent material 8 (l Flood lain elevation, if /L applicable /t ft S= Suitable for system Co ventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system S ®U S IC U El ®U ❑ S Z U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistent Boundary Roots GPD/fl? Boring# in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ! Trent, 2 0 23 /0 3 4 1 .2P)5 A' f( 64) Ground 3 3 -•37 7,S'i r S S n i C Ld ele l� a 7 7.S r .2 M514' rj fr C L,/ r N %V/� Depth to $ ~ '�� 7o5 y f (, (7S m v limiting e(J f � acto � r 6 . 7 Remarks: 2 1 b i o R 3 3 /m S'a k rio rr CW Z F s • t: 2 i��3� /� �f `� S l M S6 v f r Ground 3 t.,. 7•5 1" elev a Depth to 5 limiting factor 6 t �A 7 Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C. Nelson 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New Richmond, W1 54017 8/19/98 227387 53 PROPERTY OWNER: M I.ER, SAM SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D.# Environmental By Desi Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots GPDtfts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ! Trench 3 d a /0 o .51 Ground P elev 3 - 0 2 S p �� S r 1 Ji'7 S 6 /�l J �/•' E' v'� 4 ' S / Depth to 5 limiting ,facttoor�� 6 Remarks: 4 ' 6 -30 10 X13 Y d ? " "Ir co 2.F 2 , /o (r 5I — j r 1 2 M S G A I r C tit S fwo elev Grou 3 4 4 T S f (- Si 1 2 M S )`►'I -F 4 Depth to 5 limiting factor 7 Remarks: 5 1 r1 �i 4 . 2 31 �� / r y� - S� p?.�S6Al S C&J �, S Ground I o elev 3 �7 D/ 4 ! Depth to 5 limiting factor 6 7 Remarks: Ground elev Depth to limiting factor Remarks: E NVIgONMENTHI BY DE51GN 1432 1201 STREET, NEW RICHMOND, WISCONSIN 715- 246 -2454 PROJECT NAME HOMESTEAD U11126 PAGE DESCRIPTION SE % SW %, SECTION 11 T 29 N, R 19 W TOWNSHIP Hudson COUNTY St. Croix Wisconsin 1 - "K' 00(4 3 i l ` A Q R�` �. SC I _ Tom Nelson BM 1. �--a'� (gi n l b 227387 BM �. - tic,. �,,, wl y 4 872-5 y _ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ' OWNERSHIP CERTIFICATION FORM O /Buye L" Mai li ng Address 214DV PrO pert Y Address 1 0 tol (Verification required from Planning Department for new construction) City /State #VLLS 0 14 4 Parcel Identification Number LEGAL DESCRIPTION tt 1 u .' � Pr perty Location /,, Sec. ( , T�N -RW, Town of b� 1 . subdivision i4 vE ,sT - A_b , Lot # Certified Survey Map # . ,5_q © j 3 . Volume Page # .� Warranty Deed # ��' X40 � Volume ! 2 - 3 D Page # b 2.. Z Spec house )J yes ❑ no Lot lines identifiable X yes ❑ no S YSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance cc-sists of plunping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system car, affeet 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 rZa rc plumber, journeyman plumber, restricted plumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal system is ir, proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Pwc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set : orth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification statvlg that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 the thr e r expir 'on date. SIG. TURF OA APPLICANT DATE t N vN ER CERTIFICATION i'(Nve) 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 t'r'y ed abo virtue of a warranty deed recorded in Register of Deeds Office.� \A UR : OF PP LTCANT DATE *" , * * Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * "" k ` I^.cludc 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 55865' STATE BAR WA RRANTY WISCONS DE D hl I - 1 t42 DOCUMENT N _- - O _ IEGISMR'S This Deed, made between Susan R. And erso n, a s i n o l e ST CROIX CTY., W person APR 30 and Sam E. Miller, a single person _ �'ranttc• qT 3:25 P. M - V,04l. N U J" I — .twt{� .r o.aly Grarttc. Witnesseth Mat the aid Grantor, for a a1ualAe arwdrratu o f o n e _ dollar and other valuable c conveys to Grantee the following described real estate in St C r o i X TH SPACE RESERVED Fr,A RECORC DATA County, State of Wiscon.�tn: ...ME AND RETURN AD Dr SS Sam E. biller Sam !tiller Construction Trout Brook Ro Hudson W1 54016 0 32- 207 -90 -110 - WACE1 IDENTIFICATION NI /MBER Part of the NE 1/4 of SW 1/4 of Section 1 3, Township 33 North, Range 20 Uest, St. Croix County, Wisconsin described as follows: Lot 2 of Certified Survey l:ap filed August 8, 2985 in Vol. "6 ", Page 1559, Doc. No. 404156. � -�� �; s not This i homestead pntperty. FEE tls) Its not) Together with all and singular the hereditaments and appurtenances thereunto And Susan R. Anderson warrants that the Title is good. Indefeasible In fee simple and tree and clear of encumbri:. _: . •.cept easements, covenants and restrictions of recor:! if any, and will warrant and defend the same. Dated this 'x 6v day of _ ly tSEAL) t < (SEAL) • Susan R. A d erson tSEALi 6EAU AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of 141seonsin, S:. - Un[} authenticated this __ day of — 19 i; _ Pers w v - .� Tn J/ before me this- 11 " ' y a f abo !!tune Susan tt_ Ande rs - on e I ITLE MEMBER STATE BAR OF WISCONSIN ul authorized by 1706.06, Wis Stats) to me iukwr. :o :rr the pers,m '44) eueute"AAli ^ f,p2gou- t ; instrume� ^ the same v THIS INSTRUMENT NAS DRAFTED trr Robert F. "a ll - -� 1 Hudson WI 54016 - - -- -� 'r - -F- 441 , L--- -- _ St. -- - -- — �_.�._ - -- Nutart� r a.. �._ Croix _�- - -- -- - -- Count ?•, W'Is Sl.naulres mac Ix x1dw:'.t:.atcd or ackno"ledhrd 8t(h -ire not My . m —i: — s permancni If n c or. ,I.n 01pira1100 date Ilect•iia StArr. BARD! V. ISCONMN •• . _ =ia �en..:c Inc I t1;1RR.iSfY' Pt[D Form %0 1 - 1982 ST. CROIX COUNTY WISCONSIN ZONING OFFICE a a x n M ■ B N ST. CROIX COUNTY GOVERNMENT CENTER _ ■� ■�, 1101 Carmichael Road Hudson, WI 54016 -7710 _ (715) 386 - 4680 April 9, 1999 First Federal Attn: Tammy 201 S. Second Street Hudson, WI 54016 RE: Septic Inspection for Sam Miller located at 1003 Labarge Road, Lot 26 of Homestead, Town of Hudson, St. Croix County, Wisconsin Dear Tammy: A septic inspection of the above referenced property was conducted on December 23,1998. This properly is located in the SE' /4 of the SW' /4 of Section 11, T29N -R19W, Lot 26 of Homestead, 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. Since el y, d Eslinger Assistant Zoning Administrator /sm w a M �JN Sooa31'16•w o u ] 1325.66' N ala,ee MOM - SOt!►N Id SIN[ �'f es.ao a :Lao I I 324.00' Ift $' ,11 a� o• �` w 4 oa \ 8 N Z Q� ; :]• fit• a se° ` O •4 •�,. pl eb ./ N In N b In W O N 0 l,l1 �1 I� t (3 • N w ♦ O �•� N i N Lt I JI `• � to � qI J n J rs ^ I = w•1 8 A •�p,�d ®I � NQj as :.1!• vii h Y w te e• w 401044 'erg � ° /' •I •� 271..1' - w I �l1 r.as• \ \ r I � g Y � � N CSI � ♦ ��` to CD CL w � e N cr) y er r t ,: ° Noo- ooroz•r .zz.ze• I �i \ �1 O ' • I t I W Z o'li 10 \ \':i `O \\ •8 M01a le • 20 I c 1 C7� U- � I = 0 0 ♦♦ r uc I e A N y 0 ♦ � � ^ O O I W + O N � ♦ '�\ «Q b 9 1 N o S ' w ♦• I O N R 1 33 IV T c s � w I 100'00'02'W - Wii. Is '. ,\ It \ N w to A, m r•e' r � •mss• It cn I w ui W e ` •]a le f r ^ 1 ~ br • ~ � 4 WI 01 N Q >` � , , � M m A � Y I. a « m 0 w I N m N00 j N at r I u • ���' •ray ,/ \ N b -�'�•.�/ I x �J 8 � 4 � ♦` w Avy a� O Li c M a 4 Z A o z 1 O A r •, w � y 1 to i1 •w � N � •aq Q _ N f N O b ato.00 aae 00 ]a! . et' 1322.62 wox• 213 06'w r S iC v_�p;AT-E� _ aycs ' ! s 7w A NN