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HomeMy WebLinkAbout020-1307-70-000 t t ST. CROIX COUNTY ZONING DEPARTME 9 AS BUILT SANITARY REPORT % Ip Owner � N... Property A dress 3p Ur Icy City /State & aT Legal Description: s' Lot -2 Block Subdivision/CSM # S ' /4, Sec. 42, T N-R-14W, Town of f d�. SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer 1,&e t to ' Size ST/PC 1060 Setback from: House 3c.,J Well 9^5 P/L 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: C 44^6 -� Width 3 C Length Number of Trenches 2- Setback from: House _Co Well 100 -f P/L J/ Q Vent to fresh air intake j'cV ELEVATIONS Description of benchmark l �To/� �� �o Elevation Description of alternate benchmark .S J"�.. � / .� -)U4^ Elevation 10 3 Building Sewer 1,03 • a.1- ST/HT Inlet 10 /- 4 7 ST Outlet 101. PC Inlet PC Bottom Header/Manifold 9 -G `/ Top of ST/PC Manhole Cover [0, - YC Distribution Lines () 9 q - q y () C/ • 3 q ( ) Bottom of System () q7 -9 Final Grade O /0 2 t/ ( ) ( ) Date of installation / 1 ? K1 ? `Permit number 3�47.1 / State plan number Plumber's signature ' License number :2cG�' �1 Date Ins ector (r^- Complete plot plan i Dr t w + wQ / w 5 (� 1 fed'` Iva u c c a 5f 5f s 1,7 r �51 /941 a� --- ---- -_ ��/ 7 -- — 12 WIDE UTILITY EASEMENT 'J IJ-"' ............. 50' ROADWAY SETBACK LINE 7 31 PONDINO AND DRAINAGE EASEMENT " MIJM I-ill_L.S RlJ O I "x 24" IRON PIPE SET, WEIGHING I icr + A_ l_ I C) N d° NOTE CONSTRUCTION OF DRIVES, STRUC"+ 1 . F IMPROVEMENTS PROHIBITED IN DRAINAGE EASEMENTS. BENCHMARK = EM CORNER .r .+ ' ^•� SECTION MONUMENT) EL EV�at'IUr O EI /4 CORNER EL = 1003 ?Q�+ `� SECTION 27 .S45 50 00 W LOT 31 / 86.82 - -- -- HUMBIRD HILLS ZND o S44 10 00 E ADDITION i 66.00 S f � 46 , 3./3 33. 1 I 19 t a�, L T 33' = EL 1005 /� L V 1 62 1 l i / 2.30 ACRES / 100,072 SO. FT. w co tit �o J N° LOT 61 ® ,p 2.62 ACRES - -- _ _ i v i W { SOS* 20'47 "W 265.16' to 1 2 LOT 59 ' e W I r} g81° 04' 48" w 2.30 ACRES • $„ J (� t J00,066 so 1 4 i t�0` 60 Wisco�r'sin Department of Commerce PRIVATE SEWAGE SYSTEM ' Safety and Buildings Division Count yST . CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary ft -: Personal information you provice may be used for secondary purposes [Privacy L s.15.04 (1)(m)] x PetA�it I c� Is N Ej ftANllage []Town of: State Plan ID No.: CST B / M Elev.: Insp. BM Elev.: BM Description: f ' Parcel T®Zf- ,;1307-70-000 < ro l v o f P /W/ TANK INFORMATION ELEVATION DATA A9800611 TYPE MANUFACTURER CAPACITY ATION BS HI FS ELEV. Septic WA �/� b enchmark Dosing �'►'� /d S a 3 Aeration Bldg. Sewer 2_2 /v3 . Lz- Holdin Ht Inlet e 6 NK SETBACK INFORMATION Ht Outlet al, 3� TANK TO P/ L WELL BLDG. vent to ROAD D t Ai r TRt31!'� Septic � 7 0 3 / NA D tom Dosing Header / Man. .8 C? Aeration NA Dist. Pi e T Holdin Bot. System C T I %o - Q PUMP/ SIPHON INFORMATION Final Grade o3 ,0 C Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Fi Dist. To well SOIL AB RPTION SYSTEM * 1 BED / 4ZENC11,1f Width ( Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION -ZS_ DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEAC G M ufact�er c e INFORMATION Typeo t / � o elNum er: System: 4h v 7 p 7 S s OR UNIT , DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) n x Hole Size x Hole Spacing Vent To Air Inta � ?� ke Length Dia. Length IDia. A)A Spacing A'A- 7 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©SQN 17.25.19,SZ,SE '735 ORIOLE LN — HIUMPIRD HILLS LOT 62 U 3v' d), �v cf �cw✓ 5/ y �asf �F (n jG►�,. , - ��� -de (,-, J � - Z GLv� 16. W Of 6oi,' S r j Plan revision required? ❑ Yes ❑ No Use other side for additional information. Z9 SBD -6710 (R.3/97) Date Inspector's Si ture Cert. No Safety and Buildings Division Vi sconsin SANITARY PERMIT APPLICATION 201 W. Washington Avenue In acc or I P O Box 7302 Department of Commerce d w t LH R 83 05, Wi s . A d m. Cod e 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. , r • See reverse side for instructions for completing this application State Sanitary 'PerimittNNumber I Personal information you provide may be used for secondary purposes &eheck it revision ° n to previous application [Privacy Law, s. 15.04 (1) (m)]. 73 0";OIC Lane State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATI N Prop rty Owner m Property Lo ation & ,J 1/4, S Z7 T , N, R /Y E (or N Pro erty O ner's aili Add re Lot Number Block Number CCfc City, t to ' Zip Code I hone Number Subdivision Name or CSM Nu ber o7r ,�' > 3 f II. TYPE OF BUILDING: (check one) ❑ State Owned Itr Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms C] Tow OF G�/' 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) n 7. c3 n 1 F1 Apartment/ Condo i 07� A 9 /�, /J 7 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. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an ______System ________ System __ Tank Only______________ Existing System ____,___ Existing System B) OA Sanitary Permit was previously issued. Permit Number 2 q7.a Date Issued / l 4� 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 WSeepage Trench 22 ❑ In- Ground Pressure /; 42 ❑ Pit Privy 13 []Seepage Pit f v' CO 4 aaVault Privy 14 ❑System -In -Fill v^1 : Z -),Y ,.ZJ VI. ABSOR PTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade �,Cr�r�, URefed (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation C y `� 1 � 1 "2 . .g V�1_0 Feet Arlel Feet Capacity VII. TANK in Ca allo g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks isT k (P� ( ® ❑ 1:1 1:1 1:1 1:1 Lift Pump Tank /Siphon Chamberl I ❑ I ❑ 1 ❑ 1 ❑ 1 ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb is ame: Print) Plumber's Si nature: o S mps) MP /MPRSW No.: Business Phone Number: P um ber's re s (Street, ity, State, 2i�� hpc� VOL-41— r IX. COUNTY / DEPARTMENT USE ONLY C � Disapp roved Sanitar P rmit F (includes Groundwater ate ssue Issuing Agent nat re (No Stamps) roved F1 Ow err Given Initial y ee Surcharge Fee) I f Adverse Determination �"`/ X. CONDITIONS OF APPROVAL / REAS S FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber 10 scons i n Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce 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. SE. C ✓b % l, • See reverse side for instructions for completing this application State Sanitary Permit Nuumber you provide may be used for seconds �� Y p Y secondary purposes Check if revision to previous app licati Personal information on [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Propert Owner Na a Propert Location 1/4 1/4, 17 T ; N, R /t'E (or) W Property Owner' Mai Iin dre r . Lot Number Block Number ZZ C /'C City, Stateww* Zip Cod r � Phone N Subdivision Name or CS Number Oz ` ( ) II. TYPE OF M (check one) ❑ State Owned ❑ Cit Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms [3 Town OF r� 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0,;?_0 — /30 T - zo 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. ;& New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of S. ❑ Repair of an ------ System ________Syr em_____ ________TankOnl�r______________ Existing System ________ Exlstln�System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM (Check only one) lb CA&A,d -/?) 7 Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Weepage Trench ✓ 22 ❑ In- Ground Pressure CC�1� �y � 42 ❑ Pit Privy 13 ❑ Seepage Pit 3�X 43 ❑ Vault Privy 14 ❑System -In -Fill 31 System-In-Fill -2f VI. ABSOR PTION 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 4 1 .S6..2- r 56,2 - S l Gl - Feet /&Y Feet Cap acit y VII. TANK in Ca gallo Total # of Nm Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin strutted Tanksl Tanks p Ic Tan D, H v 1 d I v i y T c i i i k K 1 00 1 tAll CuE n 1:1 1:1 Lift Pump Tank /Siphon Chamber ❑ ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ 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: (No Sta ps) MPIMPRSW No.: Business Phone Number: / y 1 21 - Zr/ 170 ' q Plumber's Address (Street, City, State, m ode): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permj Fee (Includes Groundwater ate I ssued Issuin e t Signature (No Stamps) f Surcharge Fee) [J Approved 171 Owner Given Initial /� Adverse Determination !J X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber I -- -- __ -1- El- .__. __ -_' . __� . _ _' __. ___ ,.�.�--- �--� -- -� -- �__.__ _ Cam_ � •- ; - - i I {, / I[p� rte!• i i I _ I i I , , I ' I I - I , 11 , I El-I 12 WIDE UTILITY EASEMENT !J !! I�"' . ............ 50' ROADWAY SETBACK LINE +T� LOT 311 PONDING AND DRAINAGE EASEMENT O liUMdlRiJ HILLS 1")( 24" IRON PIPE SET, WEIGHING I I II� 2ND 'C�' lea NOTE O��i �f ►1 l CONSTRUCTION OF DRIVES, STRUG?i.l / IMPROVEMENTS PROHIBITED IN D': ";i DRAINAGE EASEMENTS. BENCHMARK = CORNER (4 "r +' � SEC'T'ION MONUMENT) EL EVATU;ih • �E l - = 1003 EI /4 CORNER A�i / �.�_ SECTION 27 / 1 / /S45 W OT 31 �'''' 86.82' ^ -- -_ HIUMBIRD DILLS ZwI) I S4 00 E ADDITION / 66.00' S 76 46 3.13 i S6 EL 1005 f Ir i loon r y LOT 61 A 2.62 ACRES LO /�/� • N aL �- c� Sag* 265.16' �Q5 1 , W r I t.. r • 59 ' ii- 14. I r } 61 "� 4, � ••w ACRES 100 SO. 1 ' r• e 3 #- a Y /E • r I ,,1t Wisconsin DepaMient of Industry SOIL AND SITE EVALUATION REPORT Page l of _3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY S Ge or X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.O.11 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE EATE TY OWNER: �U,t�� /,PD �filS �ti� O PROPERTY LOCATION 4/L 04/110 — GL , Ar.P.y y GOVT. LOT 5E 1145L 1/4,S Z� T 2-,V ,N,R I f (a) W TY OWNER':S MAILING ADDRESS rz�8 /yip vea a/u LOT # NAME OR CSM # y) �� Ri X17 H Il�S (Ptins� 3 zip CODE PHONE NUMBER CITY [aP6WN NEAREST ROAD �IvG �1N 55/0/ 2- 2- �}uDSo� New Construction Use (v1- Residential /Number of bedrooms ' °'P -3 [ 1 Addition to existing building [ 1 Replacement [ 1 Public or commercial describe Code derived daily flow Sao gpd Recommended design loading rate � bed, gpolft2 P trench, gpolltt Absorption area required bed, trench, 11 Maximum design loading rate � bed, gpdAt trertch, gpdm Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations WS £ �'��`' S o.�, S o -/ y'op Parent material Sc5 �° v�'llLi �Y/1 T S/ Flood plain elevation, if appliFabie S - Suitable for system CONVENn NAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U- Unsuitable fors stem O S ❑ U ❑ S a U [IS o U [IS ❑ U [IS 11 U [IS ❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. rBed tertctt [3 9 // /o riP 3 11 S/ =7 2- , S G 2 //- yo 140e 3 10 s/ z f sie m7 tie Ground 1Z 0_ D 7 S Vie y C', S d S . d.1' ^ 7 IF �o � el ft. Depth to limiting factor Remarks: Boeing # /oo 311 S/ 1f,S'6& �F� �3 cs o, S d 3 - - •� Ground elev. cj 7A.2 ft. Depth to limiting factor Remarks: CST Name: — Please Print Q E T �,(L� ( C (� Phone: 715 _ _ 3 P6 Address: (� S CJ� Nt i '� D �UP-SO A ) 4v / s / -S y csr-y 1 y�i Date: CST Number: Signature: �. ORIGINAL This test site APPROVED for a Conventional septic system. PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of ` PARCELI.D.! L-Of CeZ— Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bcurd3y Roots GPD /ft In. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. gam) n 3" / o -/( 1010 S 77 7 4 v x 25 i ,s Z (, - 7 , 5 y`� C. S . 0" S5. CS , 7 Ground 3 3Z%D /D Yid -4-1 �C ete } JD�r 5 ft. 3 Depth to limiting factor y Remarks: Boring # es 10ye 316 0S If i� Y 7S YR S/ `441 Ground �ylv. 7SyR y �s ©,s - •� �� Depth to limiting factor > Remarks: Boring # O /O a Me 3�� S/ 1fS,6iC +,fie C'S" S o zF 7, S yPy`� e �s 4,s �� S ,� •8 n -0 Ground Z� /O y 5 G'S l�. 5 Gf�C 7 i elev. I /OS O ft. ; Depth to limiting � Remarks: Boring # _ i I i Ground elev. ft. Depth to limiting factor Remarks: cep eoonro namm • No , Go r L , , ' L D T (o �- = J3.4� iE��oe P/7-5 N LO S CAI��: /3i 83 I =30 o / 0o Sve vt yo,p 's , /fYfiribv / Do• p i3 • /,3� J ' 0 3 � f< 131 2- ' s 6 6 /3 /o% Sy' A// 64- PI .3 of 3 N °30'10 "W 664.12 S 9 /GOO y6o per,; S45'50'00 "W -w.c 86.82' t 6i S44 °10'00 "E 66.00' 46 3.13' �I So S9 Eli S� \ 3 \� S� S89 ° 30'15 "W 9 42.42 r DEC- 4 - 98 FRI 1:31 PM SURVIVAL ENGINEERING FAX NO. 6128907792 P. 3 From: Todd Kssthorstons To: JIM AOUL"U D.ts:12mm Tims:10:66 Pap 2 of 2 , ..SEMIC , TANKUMNT$NANCE AGR1& `- 0VMRSFiIP 'CBRTNFIICATICN FORM = Owncr/uya NVU( ►g Addmu .- Pi v Address S 6r1 I g y IL _ .. .. . (VatQcation tcgwrc d Raga Planning Dcpart ns* far mw aonmrnadlm City/Stuc _ Au4c �C,�S PWWl ldetntiiie Won Number — / �G7 Z v NLRCIAIt, t��C�tTPTION r Propm(y Location y,, '/ Soc. . T2jD;- W, Toaiit - of . Subdivision AL. Z,, v, Al t s Lot # CertWed Surrey NH#F # — . Vohtmo - Page # Warranty Deed 5 volvme3 ( Page # ? Spec house 0 ye+s is DO Lot tines i dgafif ble; (Xye s ❑ no �l�rttsamdt�ilmxaaaxof . ; "• -.... .. , . -, .:;.. ry ..... ; . .: .... �..:•• � s, ,._�; . .., atpticsyst toaldsas�tltinitapiesiaiittafa> tarotolae�lle�ves6es .piopee�mDe�iofce CW5isp of PuMing oat the UP& tank Ova ty them yeas or soomc6 if waded by s lfoe xind tr ow. What you put into do trnbem can affect the fo mfm of ties repot milt as a htest>arxaat dw to .d o watt diWoW system. no property owner again to s< bmjt to SL OWk Zoning Dqtictmetd a cettifieatoni Cara, signed by rite owner tmd by a naastexpin:nher, jc�aneeyraae,plptgber, retRriCtedplpmdxrora liexasedpumpex vrti(yiag that (l) the tm�iaswwstewaterdisposal t3ysDept is in Vmper operating cottdidoe andlor (2) aver ialp=ft and dipec P�P�B t' �'Y ?. dte egytic ttlnlc is.las than l/3 f+ui1 of �ndgo. Vwe, the undersigned have rend t6 above ropkewals &W agree to maintoin the privats a msp disposal syamm alth.dee Wadude set Wk hmiq m act by rhea Depmttcr4W of Cammem aid Ste Department of Nabeu d Remmmok Smic of Wieaeasia Cettifimbon stn of d thresh yar � beta mah0miiaod umst be eompleled and z to iho St.- Cmk C,otmty zming oft* WWm 3o ATUR>3 OF XANT DATE I (we) 0W* thst 4111 deans oiu this farm ern that to tho bast of m out) know y ( ledge. Y (we) stn (4m) Am oriiner(:) of the property dessmbbed a by virtu of s evatrat 4 deed needed in Resg6seer of Dee& atfce. 71/1 /x g 'NUR$ OF LICAM DATE S to Any inbrmatiem drat is mil -sq*96"d may realt in W msi" pramit being i+evaioed by the Zwft Depatfiacu - rt +ss+» ra Iat lndt witb We application: a atampod wamn r deed Am t1>e Rc&W of Dacde office a copy of tbo certified mmy trap ff r'eferems is nose in the w erRrimty doW VO > 117 WARRANTY GEED STATE LIAR OF W IS(_C; <. i:: FORM 2- 1982 j Humbird Land Corporat on, a Minnesota Corporation i 2EGISTkR'S "OFFICE ST. CR IX CO <, WI • !! Rac !n..tseo cunvt• >s and warr;ulls to Brian..yl.. and MOnlc,d ,C, Kdmrte MAR 0 2 1998 - 8:00 A M Al L) 4 the following de.ierdted rest! estate in ... St Croix _ _. - -- - -- =- Stale of Wisconsin: County, { l N Parcel o:........... Lot 62, Humbird Hills Third Addition, Tax .......... - - -. !) Town of Hudson, St, Croix County, Wisconsin l+ <0.3RY FER f I This i n ot ! �! + I ...... -. -- homestead pioperty. , 6i7(k (is not). Exception to warranties: Easements, restrictic -s and rights of record, 'f any Dated this 24th ..... - day of February 19 98 t s -... it - - - -•!U�!B I RD LAND CORPORATION _ .. ... .. ........... ... ._(SEAL) _..._..._..._.... ... - _ Austin J. Baillon, Its President _ ..... .. ...... ..... ...... ........ _._....(SEAL) �. (SEAL) ..._.._ .... ...... ........ _............... .--------- _. .. ? y s F < AUTHENTICATION ACKNOWLEDGMENT` Signature(s) __ - . ..... ..... ........................ ._ . STATE OF N"" 09M MINNESOT L. 3r xsey . - County. aui)leniicatcd ibis .. day o= 1J..- f. r: e; came before me this - 24th - -.•- a,_ „ t + ;ebruary 9 .......... 8 .... tt� the above named ! } ••... Austin J. BailTon President of n: _ ir'bird Land Corpora *_ion TITLE: MEMBER STATE BAR OF WISCONSIN .- "" " " "' ........ ......... (If not . ..... ..... -...._ - authorized b .. , ­­ - Y $ 706.06, Wis. StatsJ .. ...... _ ........... ........... .. .. .. � . 6nown to be the person .. -- who executed the+ C�oir.g- instrument and acknowledge the sgn� THIS fNSTR UM E<1T WAS DRAFTED BY H mbi rd_Land Corporat ion �-- .... >cul A. Balllon 1 C",NrTY -, �•n 3+ zf�cfl .. .. -- -- : r+ PuhIic W N , (Signatures may be authenticated or ack;•owledged. Tlotll ('� Is ;:erm,tnen ?. ! If n are not ot, state exluratlon ! ( I # r _cessary.) Jarwa 3 "000) 'Na of person.. <ignm¢ in any o r'oC'ty sh.mld he tyP d , r pr , t•, r . - - - -- _ I C am• q = PART OF THE SEI /4 OF THE SEI /4, ALL IN SECTION 27, 'ONSIN. OWNED BY LEGEND HUMBIRD LAND CORPORATION ALUMINUM COUNTY SECTION MONUME 1218 PIONEER BUILDING 336 NORTH ROBERT ST. 2" IRON PIPE FOUND ST. PAUL, MN. 55101 0 2" X 30" IRON PIPE SET, WEIGHING 3 1 NOTE: ALL OTHER LOT CORNERS MOi J IRON PIPE, WEIGHING 1.68 LB! I — - - — 12' WIDE UTI LITY EASEMENT ;J ••••••• • • • • •• 50' ROADWAY SETBACK LINE 1 O T 30 — PONDING AND DRAINAGE EASEMENT T( HUME31RJ HILLS 2ND I" x 24" IRON PIPE SET, WEIGHING 1.6E Avvl ION �y 7 ��, NOTE CONSTRUCTION OF DRIVES, STRUCTUF IMPROVEMENTS PROHIBITED IN DESI / DRAINAGE EASEMENTS. �\ BENCHMARK = EI /4 CORNER (ALUf 6 SECTION MONUMENT) ELEVATION EL = 1003 O � EI /4 CORNER \ SECTION 27 / 0 1 n \ / /S 45 �.; . 50 00 W O 31 86.82 - -- v- I-IUMBIRD HILLS e o. S44 E ADDITION g 66.00' - -- - -- S w 20 76 o cu 2� ►4/ 8 m s X 19 �• 2 s> 33 '33 ` EL = 1005 LOT 62 f 1 1 / 2.30 ACRES 100,072 SO. FT. cNn �•_ _� co N LOT 61 im 0 4 -A 2.62 ACRES rn rn ± 113,914 SO. FT. ^^� C V Z p V 0 m rl CAI ! (A S89 20'47 "W 265.16' y w cn f tC >f 33 LOT 59 7.62 1 t: *04!49"W � `, S81 2.30 ACRES 1 CD r, 100 ':S f1:`.. cn 0. 1 j� 1 � a I LOT' 60 ZAl-W 3 a lour, a Krnlrry 2 `f L u t,A, t2abr� Alt&ai- 3 (67�t ' 1-3� /� �� c,� }�► Stye 9 1101 Carmichael Road Hudson, WI 54016 Phone: (715) 386-4680 Croix County Fax: (715) 386 -4686 Zoning Department Fax To: Dyna Anunson From: Shawna Moe Fax: 715 - 386 -6651 Date: June 29,1999 Phone: 715 - 386 -8207 Pages: 2 Re: Septic Report — Humbird Hills Lot 62 CC: ❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle -Comments: F ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r N N N p M ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road �.;. Hudson, WI 5401 6-7710 (715) 386 -4680 June 29, 1999 Century 21 Premier Group Attn: Dyna Anunson 706 19 Street South Hudson, WI 54016 RE: Septic Inspection for Jim Rouleau located at 735 Oriole Lane, Humbird Hills III, Lot 62, Town of Hudson, St. Croix County, Wisconsin Dear Ms. Anunson: A septic inspection of the above referenced property was conducted on June 24, 1999. This property is in the SE' /4 of the SE'/ of Section 17, T29N -R19W, Humbird Hills Third Addition, Lot 62, 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, on So tag Zoning Technician /sm I