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HomeMy WebLinkAbout161-1093-60-000 C o v a c > 0. 0 t o 0 N O N i (D h N i N L 2 ro C) O � C N L ro LL n _ N N Q . 3 Cl) v o Z a N +' 0 w p Z a a c2 CN u�i , a m c c C9 O Z dt c 00 � p to ►•- r O O Z C 'Q O N M ��V N O 3 � . N N N C • *•Il � L .0 O C C O co o N o Z H Z o Z N C y C O N d — 41 O }� y O Lo V .O N 0 a' C O O U O O G d .0 N O E U � H H O cL ~ c o a a a C � N o c N 'D co a) Z O .J N N U O m CL U N � c 0 o p d Q �� is w I '� - N C0 3 w 'V C✓ O (� y 0 E co 00 O © CC O O N U C ".� 0 0 O N N O O O Z E E m �e°'7. N N N L M O O O C N C Q ` N CO .� O N L w ti5 O L" O N (00" N 'p LlJ '. N • �'� O� U N t N O O & U L > O M O Z Z Cn O � £ 1 d L �✓ � d N � #t EL .. o. w ST. CROIX COUNTY ZONING DEPARTMENT RECENEQ ` `t AS BUILT SANITARY REPORT /o$^ cc A S �' !al ? 1999 Owner sT cAax Propert Address as y 5 couNTY City /State f�say1 / GcJ�' ZON Legal Description: Lot Z 5 Block A/k Subdivision/CSM # S 0 t /4 S0 /4, Sec. i 2, T 2`? -R 2,0 W, T-owwof IVtl a -afs6n PIN # /h/ - 773 - ;�, V, /l <f aq 9 1 V i SEPTIC TANK DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer C-� C, O Size(6)PC lGL Setback ftom: House — 2 - 1 ' Well Z' P/L '" / ' Pump manufacturer /dam Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road & 4 Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Width 3 Length 51 Number of Trenches Z Setback from: House W` Well 9 4 P/L JV , Vent to fresh air intake wd' f 3' ELEVATIONS Description of benchmark T p �� / ���� f' s: ° =: l� G �rz� Elevation / 6� Description of alternate benchmark Elevation Building Sewer 16 3 ST/HT Inlet jO, d ST Outlet g y; �J `l PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover 16 Distribution Lines (n 7 ( Z) y 7� ( ) Bottom of System O , 61 . ( ) Final Grade O Z/) f, l 3 Date of installation 5/l 7 11'9 Permit number 3 z 5�6�� State plan number 1� R .�pp / Plumber's >< nature /[ G' =s License number Date / 7//`' Inspector Complete plot plan 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 _ I m e • lJe it i 11P- lk1 INDICATE NORTH ARROW S /juin L Ito Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County Safety and Buildings Division INSPECTION REPORT S T _ CROI X GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar PermitNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. y324695 Permit Holder's Name: Cit ❑ Villa a Town of: State Plan ID No.: OCHS, T OM % HU '0N CST BM Elev.: Insp. BM Elev.: BM Description: ' Parcel T x o: �t��— . 1793 -60 -000 TANK INFORMATION ELEVATION DATA A9800585 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic_ I DD O Bench I �5 I bc7 Dosing P 1 V , � Aeration Bldg. Sewer �� /� S 2 I� 0 , - 7 Holding S ,M4 Inlet c'lo% ST57 /00, 22 TANK SETBACK INFORMATION Outlet TANK TO P/ L WELL BLDG. A ir ir I ntake ROAD Dt Inlet Se tic - 7 ( Z 2� NA Dt Bottom Dosing A Header/ Man. �.Z" CD f ��1 •� Aerati NA Dist. Pipe Holdin - - - -- ------- System 7 (o' `7 PUMP/ SIPHON INFORMATION Final Grade y, w' �f 3 ) o r . ► 3 Manufacturer _ pegiond f,4 V�aV i l� ( a 1 (- z' ?j �4- /o .Ua Model Numb GPM TDH ift Friction S TDH Ft FOrcem_a g Did. Dist. To well SOIL ABSORPTION SYSTEM BED EN Width Length No. Of Trenches PIT No. Of Pits Inside DIMENSIONS 3 5(,. DIMEN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type CHAMBER Moe Number: O � �/ Syste :ar rev i y�j �5 OR UNIT '. < 12 DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length. 7 5 , a 34" Spacing �J7 � �'✓ cc _ , � 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.) LOCATION: NORTH HUDSON 12.29.20,SW,SW 224 STATION LANE — LOT 15 , ;L �A)A V5 IA E � ,>>�� . I V\ �a, Plan revision required? ❑ Yes [R(No Use other side for additional information. R (fz P SBD -6710 (R.3197) Date Inspector's ert. No. ADDITIONAL COMMENTS AND SKETCH • SANITARY PERMIT NUMBER: e°t Safety and Buildings Division 201 W. Washington Avenue Vi scons i n SANITARY PERMIT APPLICATION P O Box 7302 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 8 112 x 11 inches in size. � • CW6 • See reverse side for instructions for completing this application State Sanitary P- ermilt�PNu/' /�m�ber Personal information you provide may be used for secondary purposes ❑ Check if revis ion to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Proper Name Property Lo ation 75.4" C Gila W 1/4, S / Z T Z�1 , N, R Z4 !,(orG Property C re Lot Number Block NuF per l " 1 _ �/'� 440 y, tate Zip Code Phone Number Subdivision Name sr CSM N m5ler. 111. TYPE OF BUILDING: (check one) ❑ State Owned ity Neaar st ao Village Public VS 1 or 2 Family Dwelling - No. of bedrooms Town OF III BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 16 17IY3- 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. ;g New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ______System System Tank Only 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 12P Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 0 - 5. ILS4O -Zov ZdeuJlOU6,0 C x ❑ Vault Privy 14 ❑ 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 ? // � 1 Z Feet O 2. &0 Feet Capacity VII. TANK in Ca allo Total # of Prefab. s Name Concrete Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holdi Tank 4W c, ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb 's Name: (Print _ Plumber' Signature: (No S mps) MP/ Business Phone Number: .ems 7/67' - 772 3x/ Plumb 's Address (Street, City, Sti3te, Zip Co d� : 6�/L/= IX. COU DEPAR USE — ONLY ❑ Disapproved Sanitar Permit F e (Includes Groundwater ate Issued Issui A t si ture (No Stamps) Approved ❑Owner F ee) Given Initial / /� (JV Surcharge F .3� aa8 Adverse Determination ! V X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber JOB ­7, /" OcIls TIMM EXCAVATING SHEET NO. - - OF Route 1 Box 192 .77 WILSON, WISCONSIN 54027 CALCULATED BY DATE Zl (715) 772.3214 (715) 386-5443 CHECKED By DATE MPRS #3224 WI MPCA #696 MN SCALE .......... ........... ........... .................. ........... ........... .......... ........... ........... ........... ........... ........... .......... . .......... .......... ........... ........... ........... ........... ..... ... .. ............ .................... .......... ........ ...... ........... .......... ..... ........ .... .... ........... . .......... ........... .......... ............ .... ........... .......... .......... ........... ........... ....... if ? ......... ............ ........ ........... .......... ........... .......... ........... ........... ........... ........... ........... .. ...... . ......... ........... ........... ........... ........... ............ ........... .......... .......... . ....... .......... .......... ........... ........... . ...................... ............... .......... ........... .......... .......... ........... ........... .......... ........... ........... ............ ........... .......... ........... ........... ........... ........... ........... .......... ........... .......... ........... ........... ........... . ..... ....... ....... .......... ........... ........... .......... .......... ...... ...... ........... ........... ........... ...... .......... ......... ........... ........... ..... ........... .. ........... ......... .. ....... ........... ........... . .......... ....................... ........... .......... .......... ........... ........... ........... ........... .......... . .......... ..................... ........... . ........ .......... ........... ........... ............... ...................... ..................... ........ ......... .......... ........... ........... .......... ......... ........... ........... .......... ........... .......... ... ........... ........... ........... ........... ...... .... ........... ........... .......... .......... .......... 6,0 0 : .... 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T ................ .......... . .......... ............... ............... .......... ............. .......... ..................... ........... ............... ................ ........... ...................... .............. .......... .................. .... .............. .................. ............. . .... ......... ........ fl .................. ........... ........... ...................... ........... ........... .......... .......... ............... (7 e z .. ........ PRODUCT 205-1 Inc., Groton, Mass. 01 471. To Order PHONE TOLL FREE 1-800-225-M JOB Al TIMM EXCAVATING SHEET NO. — OF Route I Box 192 -7:7 WILSON, WISCONSIN 54027 CALCULATED BY DATE (715) 772.3214 (715) 386-5443 MPRS 03224 WI MPCA #696 IVIN CHECKED BY DATE SCALE ........... .......... ............ .......... .......... ..................... ........... .......... .......... ........... ........... .. ........... .......... . ....... .. .......... ........... ..... .......... ........... ........... ........... ........... .......... .......... ............ ................................. ........... ........... ........... ............ ........... ........... .......... .......... ........... ........... ....... ........... .......... . ............................................ ........... .......... ...... ...... ........... ........... ........... .......... ........... ...... ........... ........... .......... ............ . ....... ........... .......... ....... .. ....................... ...... . .......... ........... ........... ........... .................. ..... . ............... ........... ........... .......... .......... .......... ........... .......... . .......... . ........ . . ......... .......... ........... ........... ....................... .......... ........... ........... ........... ....................... ........... ..... ........... .......... ........... ........... .......... ...... .... ........... ........... ........... .......... .......... ......... .......... ............... ... ................ ........... .................... .......... .......... ........... .......... ................. ...... .... . .. ..... .. . .... ........... .......... .......... .......... .......... . .................... ....................... .......... ........... ........... .......... ........... ...... ........... ............ ........... ........... .. ........................ . .. ........ .... ............ ........... .......... ........... .......... . . ..... ........... ........... ........... — ........... ........... ........... ........... .......... ........... ....... ... ........... .......... ........... ........... .................... . .. ... ... . ..... ........... . ................. .......... ........... ......................... ............ .......... ........... .......... ........... ........... ........... .......... ........... ........... ........... .......... .... . ............ .......... ........... .......... ........... .......... ........... ........... ...... .... .......... ....... ... .......... ........... ........... ........... ........... .......... .......... ........... ..................... .......... ........... .......... .... ........... ........... ........... ........... ........... .......... ........................ .......... ........... ..... ..... ........... ........... ........... .......... ........... ........... .......... ........... ...... . ........... .......... ..... .......... .. ........... .... ............. ----- ........... ........... .......... ........... ..... ...... ....................... ......... . .......... .......... ........... ........... .......... ........... ........... ........... ........... .......... ............ ........... : ........... ........... ....................... .......... .......... .......... ........... ........... ........... ........... .............. .......... .......... ........... ........... .......... ........... .......... .......... ---------- ........... ........... - 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PRODUCT 205-1 Inc., Groton, Mass. 01471. To Order PHONE TOLL FREE 1-800-225-6W • . • .o ��v�"�P � � sf / /£P : ��I�v �.Pic�Sov , f�UD<S'e� . 4� � ' S . Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY r Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and a ka of slope, scale or P # dimensioned, north arrow, and location and distance to nearest road. ,�`p�' - � IEWED BY ` TE APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION PROPERTY oil 13 vyE S - PROPERTY LOCATION ?a i? I"ACIX OaS GOVT. LOT S,U 1/4 5 s s/k�s 1 2 T �4 ; ;' 01 ?N,R Ld ' ) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. WM:4 , c F - 3,C i 57: 4 T�7%� c CITY, STATE ZIP CODE PHONE NUMBER ITY ILLAGE OfOWN U P_S'd� , w/S Sc/ ore (715) Sf/y- 6112& EIC ii3 oip v [pK ew Construction Use (k] / Number of b6drooms [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe i flow loo° ' ° IV 07 ' Code derived daily gpd Q�e, &4Pg-T Recommended design loading rate gi bed, gp0 - � trench, gpd/ft Absorption area required -'58 bed, ft 75U trench, ft Maximum design loading rate /^ bed, gpd/ft trench, gpd/tt Recommended infiltration surface elevation(s) S- P It (as referred to site plan benchmark) Additional design / site considerations 6%v D ' (wow - 1 0 wi ywti - Parent material ff f/v/3,9 beD .S' Flood plain elevation, if applicable V1 k ft S = Suitable for system CONV-PuI UL MOUND, Q U IN GR PRESSURE AT -GRADE SYST IN FILL HOLDING TANK U = Unsuitable for system �r.• $S 2 G� 11 U Gam 0 U �YS 11 U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch n[Z'.'-. -0 - 9 /Oy� 2 / 2 - �� s 2 7 Ground 3 /o I 31 y,�� `��y s- s �-e C �v — • 7 elev. /o . 52_ ft. $ aS Depth to limiting factor if >_ Remarks: Boring # 3 F lore L �s i I L LO 10 yp_ Ground elev. /O D, Z ft. Depth to limiting factor Remarks: CST Name: - Please Print Phone: 71s 3 o S Address: L�_ rJ asT�Z y P.)_ Ulbricht � Associates t': --- p sewage Consu ltsints n , ,• rQT Khimkar I • • PROPERTY OWNER SOIL DESCRIPTION REPORT Page 2_of 3 PARCEL I.D.# Boring# Horizon Depth Dominant Color Mottles Texture Structure Consisten Boundary Roots GPO/ft2 . ce in. Munsell Qu.Sz.Cont Color Gr. Sz. Sh. Bed Trench 0MM / f /0,;e 212_ / fie 441 Zi6e -IC - 7 • 8 ktmdi' 2 7- 23 /6,)//e 5/)-- fe 4 if or;e s 17c 7 • 6' ,/egfie-,/y A1-40 Ground 3 1•3- 7,5 yle 3/6 - 5. kr e-er-r- ,)6 elev. /Oa 7/? ft. Depth to limiting factor >fr# Remarks: • Boring# / / %441 44Wr,e 4i5" • -7 • 0-/0 /49y/e 2/2— 3-74 07 1- /D-2.0 /D Vie /5- /411 ge V-1/ -2-c_ -P Z11.4 .)/46-6-. Sg d - Ground elev. /6 5 g ft. • Depth to limiting factor /I Remarks: Boring# 3 / /OR 2/4„L_ /441 14.1 v-roe 1_5 2. 7 -2 „„„,,AL., /oy,e 3/D__ — c /411 f/e 4",-,ce i"F'c._ • -7 de 0 sA 6tP,Q. 7p Ground elev. /hA-410. S. 3/6. fao/tver.//y 41 (9 Ge—e_ — Depth to limiting factor 7 V Remarks: Boring # Ground • elev. ft. Depth to limiting factor Remarks: , . _ p . 3 of 3 ST- cRO'rx ' vE R r ' - 1/02 y 5.71 'p S Ik-") 5c.+c&- : / 36 � I > 0 vEP� �7 �7 a 7 )-° "/� • = 84(t roe /9,7-5 6/E vA-Trok) S — ce'Y' j344,f .. TS1 /0 3,Si 4;,� 2 / .7p rovAv /1 L \ 5 /400.7g ' 13 y ioa s� / v�t-r�o,� C�t,ee7t- 8 - �I- 3j �o� •lvd yl`, i I /6o 100 nM = Foe,,,/7, 1v/VEyO4 'S /" 1-/- . ,7 ../ ' . - /DO. O 3 (3 if Fov.,D ,z' 9o ' ,. qy .p ," tf N 1 \ \ Qg v, •• �5 L oT" 5 o w �° yo 51• CC0( ) 0 H '0- . - - --- Pa --------• /3 , rt 0Z I m 5 `"N bX'ti( pips (f) 33 CI- — CL Sr4r/o4) L,l . C aNM� %.oRO I N 1F LOT 1 OF S L D "I IV' GOR OF OCATE: 1 /4 0 r THE SW1 SE TI'ON 12, AND WA R. - SHORE LINE ON 2%lo/ -; :OF SECTION 13 T 'Y"= 2.9�IN . R 2OW, V NIGH 100H 693, - WATER ELEVATION 674.' - - U.S.G.S. 1929 DAT - . - - tr LA�'OS - - - - - -- - - -- - VILLAGE -- - 6 74 :5- APVROXIM ATE' IOW ' ^ - _ , __ _ -:- -- - , - _ _ 1. WATER ELEVATION '-" - 1169.54` g-'p 57►'14 .S • ,� 1 .. 7N1RD ,AVCNUE AS, PLATTED IB93,. P(:AT OF • NM ENO -4r,9.07 674 T -WATER ELEVATION ON --- - ..- - '- -!c D1' _FE /RUARY 16,1977 171 . 22 !' ►•� 1, b ll �3� ,905.11' I!2 110 .47 1� ,IS'. 362 27 A 7 . 6 , ! e r} { Y 'a 166- ACRE Se i/ 6 , . Ito •N 1 `.� ? :.S r.' • ; :0 108 :Op ) $! AC�ES� -� N . f -r / r / _ ..A. I W iACRES N . _ ss ]t '• 2a• NYi Ky. M F 111. �r n71 �i• :.i Sl.. ?:' (� t b , ?23�• " i ,�.� / tM•pl9Y QNT2RL IN - �? O oo w i� / (4l 1 t9, !Y w' 20 eRANy@g OF * n . .0 :' �. c d :: �'� N ,� � �.. xr•'"Y'�•a•+Lvy..• �j.. �� /iiifll l �., ,� I �. ^YIi•7ty rc, �> c�' -, u�J ;L e+• j 1�� ii 1 - t.60 ACR 't � � : 1. s `{ k• �' i :: Y� �r rx 4 �... i. ... N N a.a W..- D z N 73• !r ;'2ro•b' 1SI j' ' •� � � � Ld• ` 9• I 'E G 3 23. .�/ a. B9.•, 00. :a.. 66 - :•i•ar33' , : �,.. - \ `` ,AS ,♦;rf 1 8 M e t} 1000p• ! w� \` � \" ♦ ♦ �`r � ACRES N • O 128 ! ♦ I t s r y �� a�.,t �, r.. V. U 0 . F 1. II dE.,l b W }. 1 (. r\ \� - •��" rt '�f'` /i'T�X + w W ` ` 2 'e, °:. i :.er � +l 1 + r:! ,r.10; � $ �`' ,-r�2, 3� • y, :F �` '� �s-�.� *,. � s " , t4 0) n AP 06 ACRES i. , •� :: a e7 t Iy r 1t N B 6+ �1.49ACRES r - -a y 1 `e: •• � .i � y f.p6 �. . ! I Z3.00 i s •...._ � �,� poi = tIA�• Iv. y - :� • a :.� i .. '' ` - " 911crl t r� • 00 Y ~ Gy • ' 4? yf x t . O L ,l .b.•� f ' 3a✓,:. 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( 7 `� � JI 2 ,, •�v 35 .SE 119.7,4- Its - 03144.1 , 100.00 0 1 `, - �20.C3D r k o136� 1 IT 1.43' 1 ` %` �. m• '"` 10 gg TLOT o , `.��•� 'ro1o1:7s 378 1 �`�28 '. .20 \ : LgACRES '" . . 0 i :. 04 N e8. 40'18 \ ` ` =h t I', Ipp olrr ey N O \ 11 ! `. `� z I ACRES ,°,r n tOP_ACRBS' C DI o r0 16 ; ,yr•ly� 17 \:: yr r -, j'" gZD.csU t . • A s • I t�2�ACAE5 �`�•� 19 -Hxl /2 G.9 S 9 0 / �. . 4' - 7 S e IV Jr 10 40 039 ?`f' y q^ 'r_ sg� - a ae ` rt,` l a i- - Qr F`WLI� TeT.00' s 8 _ r >o ,6 ' . r e J 0v /� a $. °L' - - - g- Ifi.Sar t ��._4 �Q 11, ti EA •, ('iii Py "!7 ,�,, ...�I r , /., .�'ph O �tq� r.J "4W 04 :; 'S w 1r L` h1 w Q • ' ul 1.97 ACRES ♦• /� 18 a 01 19 •- o I l 20 . g 1.02 ACRES `'- N lOT ACRESh1r L01 2 N: • Y I' [d A6ftE5' f z AI tz y / r SW. 0 PLK' N> • AO AA 6 3 4' W K/C. / �e ~ 9Q ;. ,' VACATED•PLAT`O ; NORTH•. k'Na -•+ ls.r L. e, e� `.327, 21;: :.:�j9� 21 Sl 265.01 220.00'.. .22000'. ;. 2 1rr.2r : z : r`, 1368,52! N OW34'W: 4 55 N 6G• yy !!.!r • , 16E4Y35' ISO. ,. r',,... ..., • -?: ;° ' ;,.;. ,. .1 . SW:1 .. � SOUTH ' UNE OF' THE UrPLATTED... CA1109" _ SW CORNER SECTION 12 J�GEND T29N R20W SCALE IN FEET $' ..COUNTY SECTION CORNER MONUMENT FOUND, eE1TNFTSEN CAP N/4 W N PiE WEK,4N6 2 .27+ /LINEAL FT. FOUND^ 1 IRON PIPE wE16HNG L$Bd• /LINEAL FT. FOUND' 200` 100 O 100' 200 0 - 2X30 R N PIPE wE10MN6. 3.65do /LNEAL FT. SET . ALL OTHER LOT CORNERS STAKED WITH- C Z4r IRON PIPE . V#tjo l6 I."wAjNEAL FT, EXCEPT ON- "* "91"DER' UNE, NOTE ALL LINEAR MEASUREMENTS HAVE BEEN MADE TO THE WHICH ARE 1 X30.IRCII PIPE WEXNINO'I"/UlWAL FT. NEAREST OW -404TH OF A FOOT; ALL ANOU.AR _ • MEASUREMENTS HAVE e[CN MADE TO THE NEAREST 4WENTY i _ 1 *X.24 'IRON PIPE WEIGH, Ne.a 6s*bl L(NBML FT S OWS AND COMPUTED TO THE VALUES SHOWN.. SET - ON: 41NE' PLAT CONTAINS 60.4 ACRES MORE OR LESS. - _-_• .UTILiTr EASEMENT, WIDTH SHOWN: - S+ STONE MONUMENT: FOUND ' �,p.. ,.., , y ... �.- ... _ ... ;v . i+, � „sN .�t�31•�* �!r`':,"1'r+ .. ., .. ... +S"i ..If"7`� :r `AI�1S+ -.. .`�' t . ST CRGIX CC UNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer / -V- / c- ko�. oc Ar Mailing Address / / � 6 3Gn /LI, Property Address C39 S /1A A ',ri Z_-� I.AL eu� J, Ii E/� (Verification required from Planning Department for new construction) City /State e -- Parcel Identification Number f LEGAL DESCRIPTION Property Location Sac/ %,, S AJ 1 /,, Sec. /Z- , T 29 N -R 21.::► W, T-e of /vim Aa��_ Subdivision S �a�z. , Lot # s Certified Survey Map # , Volume , Page # Warranty Deed # Z �,� / Volume //7_7 , Page # 7 Spec house ❑ yes X no Lot lines identifiable N yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintena consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the sys, . 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal syste;; 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standarc+ set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State. of Wisconsin. Certificatio, stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 3 days of the three year expiration date. SIGNATURE OF APPLICANT 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 owners the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. `x'12 1 ock'e,' // / 19 / 9o SIGNATURE OF APPLICANT DAZE * * * * ** 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 o4 %18 98 THU 15, 33 FAI 1 715 388 8580 ZILZ # ZESTREEN Z oo, , Ap r GA24 3 1 WARPUNTY DEED Document N'um r va 1173P= =175 --w- . Return Address APR 19 1996 �• 11::00 A.l� Parcel T.D. Number: 161 - 1093 -60 William Hannan and Laura A Hannan, husband and wife, conveys and warrants to Marcia Ochs, a married person, the following & scribed real estate in Su Croix County, State of Wisconsin; Lot 15, St Croix Station in the Village of North Hudson, St. Croix County, Wisconsin. This is not homestead property. Exception to warranties: Easeme•,ts, restrictions and rights- of -way of record, if any. Dated this / ?T- day of .Xpril, 1996. 2vz c l � � u� (SEAL) / 4,,, ,t,t A, -//,,v,+,4&; / %, (SEAL) William Hannan La� A. Hann AUTHENTICA -ITON Signature(s) William Hannan mid Laura A. Hanna -, TRANSFER husband an+d wife, authenticated :his (. -� _ day of April, 1996: S Kdstina - gland TI E: ^ ME%9 ;ER STATE IAR OF WISCONSIti THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristina Ogland Hudson, WI 54016 ' 116't 0 � 1 10 .47 ► / i • G� a 352.27 0�3 0 Q° 281.69' s p• �`5oll'W 12 Qb1 1.0 ACRES6 �� ; 48 1.53 ACRES °� W Q � 2 /oo S Z 13 Q 4o , pr 'hR� 4, l'fi 4 V �, x ,`., " �S�, • , / • h M iF / 41 v� 1.60 ACRES 2 ' 1 i \ \ 75 ° I1' z� °� 1 ; \ 9 5.8 9 32$, 0p IN 45 42 \ �� ,, 6 151 \ s co / 00 0 9 . , 4� d`cQ p /2 g • I / ' O a CO o, �o -o LLJ � 0 4 ., �����b 30 o 4 N 5 ( s + y � ^� � M �° 1.56 ACRES 1'.49 ACRES I'�- 4y d V 2 ; N 70 a3 3 / N �CK os 325 00 W �rn rn t �g ° li'w /oo h, / 0 Q V 6 2/52 Q� Ids� �o a m =� O Q , \tv s w ° W 0 co o l s / 29 -�-0 z J U (5 208 °19'12" N 0 9c Q A. `�\ / 126 °le'so° 1.06 ACRES °- W cam' J N cv 1.63 ACRES / `�o \\ z WQ ti z ff \ N 86° 40 ` �\ \ \ \ S 82 °OS W Q . 358.52 \ 25000. 185 003'44" 0 13 8.78 ' 100.00+ 119 .74 - �` \ 1 (D -6 OUTLOT 11 171.43' 11 1 \�\ \ \\ w- (D 106.77 0.0 O \\ \ \ _ O 2' � \ 378. \\ 40 18 E �� �� LOI A\RES\\ o 0 N 86° — In �o i` 1.8 2 ACRES 39029'2�M I7 tY ,; 4 2 4' •. �� p p 2 �, 3 co 3 \ 4 3 F h V6 L � . 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