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HomeMy WebLinkAbout020-1056-00-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No. 538761 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Kluck, Conrad I Hudson, Town of 020- 1056 -00 -100 CST BM Elev: Insp. BM Elev: IBM Description: Section /Town /Range /Map No: /!JD I G S T• 21.29.19.208C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV p / Q se tic Benchmark GX S� M Li T('Q. �lLip 6. Alt. BM Aeration Bldg. Sewer t Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet 5' ( 3 9y. TANK TO j /� WELL BLDG. Vent to Air Intake ROAD D!-nim 7 F.t L•.... i �. 7�� $Z 9 � 5b - iw 6� 5,15 5't . - rz �P1LA, `f7J&) Dy / �/ ' :7 �� � Header /Man. /Z.11 5($133 Aeration Dist. Pipe IZ •z, W•Z- Holding ot. System g 13. '9-7,Z5 ck Final Grade PUMP /SIPHON INFORMATION 4, Manufacturer Demand St Cover t Z. 0-7 �> � GPM 6�ew' es Mode umber 3• S TDH Friction Loss System TDH Ft 1& 3 96 . ! Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM It BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 Z- SETBACK SYSTEM TO � P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: � — /� INFORMATION CHAMBER OR .y n, A, Type Of System: Z7 /Z / /I UNIT Mod I Number: /f DISTRIBUTION SYSTEM We6i— 3z,t_eaf�►.Q� Header /Manifold // Distribution x Hole Size x Hole Spacing Vent tp Air Inca Pipes) Spacing �— N &r L Dia Length \ Dia �� \� ✓\. SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulc e� Bed/Trench Center w /. Bed/Trench Edges Topsoil " Yes No es ` ! No • Y � COMMENTS (Include c6db discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 508 County Road UU Hudson, WI 54016 (SW 1/4 SW 1/4 21 T29N R19W) NA Lot 2 Parcel No: 21.29.19.208C 1.) Alt BM Description = t I L_� 2.) Bldg sewer length - amount of cover J -- Plan revision Required? Yes No ' L_ c o s Sign re y 75 Use other side for additional information. I �_ _ — -- - - -_ Date -- - / Cert. No Insep SBD -6710 (R.3/97) s 0 EJ(/S�irr��radLelert U ca a Pro pe sed d 7 (l) a�3` x�4 �// G. � •, / a�i✓'Q- 5r „ C�io..�6�5 t� � O / "��/'C -/Tc�. .=n T-.•IV �[U�SC1.r�4CC. 2,I �'(�'^ �t t V S o. t Slop' L'onrQC✓ ty. /uee t y ` t EX /Stl n So& co. f'd. [,c Lt `, ; t t ` T``'aC- Y�'��.s a-� s XsD' Lo�.z, c,5..2 da•� c�,,o�. /sss; ee 5Wyj�Swj'y See -2 T. ,7 O c�svn Sb.G'Gi cc� �. f 4 C. r1 1t jp' CXi7�i� r y 0 {) /Kid cJeS n be.'rt 2. (o/ 4 CreS • t t � — 1 F - 7 XiS�� C, C�,, 1 36 l ip Prose -d d V¢rSiO n v �roPosed re�,�Se�Gnei'c PailG,� / - 525 0 3 /tor sd e oF' a rage �i SySfc -,-, a lev. , SB.Sb��• 3 r J P�- ,- oxdSy5 - 6 m filet/ = 87. 5 -ld 0 — P commercemi.gov Safety and Buildings Divisi County 201 W. Washington Ave. P 7162 St. Croix i sco n s i n Madison, V3N* Sanita ry Permit Number (to be filled in by Co.) Department of Commerce 5 3g - 7t Sanitary Permit Applictff State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental Project Address (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are submitted to the Department of Commerce. Personal information you Same purp oses in accordance with the Privacy Law, s. 15.04 1 m , Slats. R ((JJ I. Application Information — Please Print All Information Property Owner's Name Parcel # (/ ) Conrad M. Kluck MAY 0 3 � � � � 020 - 1056 -00 -100 2vz C ' ) �--� Property Owner's Mailing Address ST. CROIX COUNTY Property Location PLANNING & ZONING OFFICE 508 Co. Hwy. UU Govt. Lot City, State Zip Code Phone Number SW ' /,, NW '''A, Section 21 (circle one) Hudson, WL 54016 715 381 - 1290 T 29 N; R 19 E or W II. Type of Building (check all that apply) Lot # El or 2 Family Dwelling — Number of Bedrooms r 3 2 Subdivision Name Block # Park View Estates II ❑ Public /Commercial — Describe Use �! Na ❑ City of ❑ State Owned — Describe Use CSM Number ❑ Villap of Vol. 6, Pg. 1555 Ly'Town of Hudson III. Type of Permit: (C ecklonly one box online A. Complete line B if applicable) A. ❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List erev - ous Pe it Number and Date Issued Before Expiration Owner �� /� C3 // 74 40,65 IV. Type of POWTS System/Component/Device: Check all that apply) f ii ; Non-Pr e ss urized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component El Pretreatment Device (explain) V.Dispersal/Treat ment Area Informatio •32 In dtrator " ' standard chambers & 2 pr. do s, Wieser Concrete fi r canister w/ Pot Lok PL -525 effluent Mr Design Flow ( Design Soil Application R Dispersal Area Required (sf) Dispersal Area Prop o d (SO System Elevation 450 gpd 0.70 gpd/sq. ft. 642.786 sq. ft. 651.60 sq. ft. 87 ZS' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o New Tanks Existing Tanks Q c � a � /✓ / D 5Z 5 w U vi* y r7, w 3 Septic or Holding Tank Na 1,000 1,000 1 Mid We ern Precast X Dosing Chamber Na Na Na Na VII. Responsibility Statement I, the and reigned, assu a responsibility for ' tion of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' Signatu MP/MPRS Number Business Phone Number James K. Thompson MPRS 30021 (715) 248 - 7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, WI 54 VIII un /De artment Use Onl Permit Fee Date ssue Issuing nt S Approved E] ignat e F isapprove „ I n iven Reason for enial $ W57, 3 IX. Condit' n A rov (/Reasons for Disapproval . 0480 MW Wd dl sat ced mle;* be servilrc, / maintained as per management plan provided by plumber. 21 All 80.1back nxluiniments must.be_maintained Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD -6398 (R. 02/09) Valid thru 02/11 0 ti c •� EX�S�i�p�iaere elegy a faro po secl d i5��. 54 /Cam! /. % coo �.z) &- 6e,5 zs • Lo a63'r ra4'w //G CI D t � ` SG�o �i � 93so' �S ► ° � � �on r4c/rj. � /u��,oroiO�r{Y "ed. t4- it EX,3v� d,�Pa�sa/ �// flK "D/. 5 Tc,,a��n�4s C.5ti2 daP C, /ss ; s �. of /- l�..ds�/.,, 36.c t , + l �s 983e' EX/3fi�_q / c�XI ( � o (� nGld��es6ern be , 'n� ,z.Cog4c /es. \ rq q a �a5 � � 3 byrlrrbm d � n 1 �eS!der+CC ,, r/a i vy Co n c refs n ,� �roPosed ie),�Se�Ccner'e� (�arJG' - N V v // E/e da rn-� s Le Pro�oscd5ysf�+ d« = 87.5' P3 Conventional POWTS Index & Tilte Sheet Project Name: Kluck 3 bedroom Replacement Conventional POWTS Owners Name: Conrad M. Kluck Owner's adress: 508 Co. Hwy. UU, Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lot 2, CSM Vol. 6, Pg. 1555 Legal Description: SWIA Swim, Sec. 21, T.29N., R. 19W., Town of Hudson, St. Croix Co., WI. Parcel ID #: 020 - 1056 -00 -100 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 System Management Plan Page 6 Filter Specifications Page 7 Filter Tank Cross Section Page 8 Parcel map Page 9 Septic Tank Maintenance Agreement Page 10 Certification for Utilization of existing septic tank Page 11 Waranty Deed Attachments: Soil Evaluaiton Report Mater PI er Restr ted Service: Jame om son, De 't. of Comm. Credential #30021 Signatur . Date: ap // Page 1 Of 11 Design pursuant to In- Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD- 10705 -P (N.01101) S ca /e Z 1/0' c 0 0 .� A EXiS�inp�ia�c elet o�, � f ro po sack d;sP�s4 - cep /. % cvU �.z,� �'�nCl.�s • La -t Staff v ���re . �n>�'M!" _6ur {ace. e = ♦ �,( I. 5 Cat m j � t � = �1; tfyu - �ivP Sc.�r�ce �WYySwYy 5ee.� /,T ✓ Z9K j� /sc�? e /ev • t l _ \ �aM t 3b�� Praised C�iV¢rsiUn � `� t/a l vf- n Co n c refc. � Proposed t,e7r'�SenConei'c� (�arrC; _ {'I Can /"s w . ' Pad v � / Az - 5z5 v Ex :JZS'nq cae,rr v ° 3 � E/e va-6 on s / J Pr000scd5y5-E�rv+ ml� - 87..zs b 0 — P3.z�,�� DISPERSAL CELL SIZING CALCULATIONS 1. (3 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 450.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.7 gpd/sq. ft. 3. Absorption area required: 642.86 sq. ft. 4. Absorption area as proposed: 917.40 sq. ft. (45 chambers total) Infiltrator "Quick 4" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4" end cap (pair) = 5.80 sq.ft, EISA 642.86 sq. ft. — (2 pair endcaps)(5.80) = 631.26 sq. ft. 631.26 sq. ft. /20.00 = 31.57 chambers required Number of trenches: 2 P_ 16 chambers per trench Trench width: 2.83' Trench length: 66.00' Trench spacing: 9.00' on center Total system area w/ 5' trench spacing: 12.00'x 66.00' Pg. 3 of 11 I Soil Absorption System Cross Section k4" 0 Final Grade e p & ft Leaching Chamber 87.25 ft ♦— System Elevation 3, o ft (o, o ' ft Soil Absorption System Plan View (P ft 3.0 ft Co, 0. ft Leaching Trench 1 Vent Or Observation Pipe Chambers 4" Dia. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model "o_g'' EISA Rating ZO.O sq ft per chamber Soil Application Rate 0,7 gpd /sq ft 4 Design Flow z 0 ,7 Soil Application Rate + ZO.O EISA = 3 4 Chambers 2 rows of _�(� chambers each. Page of q0-PW Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01 /01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be <_ 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October - March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two -year schedule by use of diversion valve. Effluent to be diverted from new dispersal cell to old cell at 4 year anniversary of new system installation. Old cell to be utilized for a 1 year period. Afterwards, effluent dispersal to be alternated between cells to allow use of each cell for a two year period. Contineency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248 -7767 or the St Croix County Zoning Department at (715) 386 -4680. x � Filters PL -525 EFFL FILT ( MML " P3 C7A0 Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters.The PL -525 is rated for over 10,000 GPD Alarm (gallons per day) making it one of accessibility---- --_... Accepts PVC the largest commercial filters in its extension Handle class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL -122, the new Polylok PL -525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1/16 removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off 10,000 GPD the system so the effluent won't leave the tank. No other filter on Y the market can make that claim! Accepts 4" & 6^ SCHD. 40 Pipe'*** �r � PL -525 Maintenance: The PL -525 Effluent Filter should operate efficiently for several years under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If they installed filter contains an optional alarm, the owner will be notified 0 by an alarm when the filter needs. servicing. Servicing should be Gas deflector done by a certified septic tank Automatic shut-off pumper or installer. ball when filter is removed 1. Locate the outlet of the U.S. Patent No# 6,015,488 septic tank. 5,871,640 2. Remove tank cover and pump tank if necessary. PL -525 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL -525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure all solids fall 4" or 6" outlet pipe. If the filter is not centered under the back into septic tank, access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. /6, � W// 1 a32 D my m V) O— I D D D D Z D A I NmZ t/1 m r Z _On z m� D D r N N N 37 Z., z m--' 6,. W O rn m mr a r D= m D 0 Z o o F71 18 MIN. _m < r m mm N A I e \ D r p 37" o e 0 2 p, O m O m 7 o N m na � D � D D N TI Z Ll - -+ I r ND I N A N w m D r n fTl � ZD 0 � � m m Cm M D D m r 7 CA 0 O m m D D D z r O_ Z � Ln \ O = FILTER CANISTER DETAIL MIESER CCCCAETE SCALE:3 /4" = 1' REV N0. DATE: 7 r DRAWN BY:SWT � z SEPTIC MANUAL W3716 US HWY10. MAIDEN ROCK. W1 54750 DATE: JANUARY 2008 ° REV. JAN. 2008 800 - 325 -8456 FILE: SHEET 13 Apr -20 -2011 12:35 PM 5t. Croix County Plan /Zoning 715 -386 -4686 11114 CERTIFIED SURVEY MAP Located in part of the SW of the SWh of Section 21, anR39W, part of the $Ek of the SEh of Section 20, all in T29N, Town of Hudson, St. Cr oix County, Wisconsin; being Lots 1 and 2 of Certified Survey Map in Volume 6: Page 1555. OTnTNEIt N Corner of ~ " Section 21 ° . Arthur WindollF Rt. 1 V a W N Hudson, W1 54016 , co --- - - Fi Survey:---• • i Certified Survey ltap .,, � _--. - - - -- --- __..__•. - -•• -__..- _- p N P .N •fl o in Volume 8. Pago 1747 in Volume 6, Pug! _ . ACOAS — O .25' LANE.. ;6 N89 04 53 3$ 144.25' 241.08' J f O � m 98 9a04' 13 11 J 385 -'32 __0 I Z6 �. LflT LO .9.e;: "' 62.373 S4• 'f td., 1 .a r.1 ,n 944 52, 5a. 'Ft. a s • 1,4:) cres Tnelug R/61 op c ,7.4A. :.narn6. Ync].ud'ing R /li, o �' ti,,.: y.. 444444' 54,339 Sq. -Ft.• •:, ( �. Sq.'Ft.' '� j x,1.25 Acres Excluding•R /W ' 1:23 Acraa 6xcluding:R1 •^S +t I N8g 11' 4811£' U. y 241-00' 241.50' , _r{ I b i Ill i o. ci ' e I O , . • a _ - , , -� �°i ' p te a= i y C. 54;832 Sq': iFt. '• Q� N .54,746.Sq.•Pt. ,• w 1.25 dares , a 1.26 Acres . ' • 241 00' 241•. 5D' az �o' S89o13!.48 4 "w! , ,82 _ 50 ` i ° .• J � , y � n �. ' `.f w ' 3W Corner of LEGEND (,l Section Corner 2"1•� SCALE IN FEET • ill Iron Pipe Found' p _0111100111= • p 1" x 24" Iran Pipe" SO't.'ueighing' lbs• 0 50 100 200 per linear foot. This instrument drafted by Fran Oleskacek Proj. Mo. 84 -53 -190 Pg go7el/ Apr -20 -2011 12;35 PM St. Croix County Plan /Zoning 715- 386 -4686 10/14 SEPTIC TANK MAINTENANCE ACREEtiENT St. Croix County p rt OWNER/ BUYER „ a • Faze Number -S ROUTE /BOAC NUMBER - - a . • ZIP CITY STATE ��.� PROPERTY LOCATION , , , Sectictt�;,• T N, R-& W, Town of _, �._..,._.^ St. Croix County, Sub divi.s i.on Lo number Improper use and maintenance Of your septic system could result in its premature failure to handle wastes Prover maintenance con sists of pumping out the septic tank every three years or sooner, if needed, by a li we t'i•c tank um ex. What you put into the system can aTfact Me r Mn i ctl on o, t s s eptic tank as a treat- ment •stage in the va disposal system St. Croix County residents' be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system. w111c Was in operation prior to'July 1 ► 1978. St, Croix County accepted this program in August of 1980, with the requirement that owners of all new s sy C•ems- agree to keep their system properly maintained. The prop ar ty owner agrees to.submit to St. Croix County plumber, Zoing a certification farm, signed by the owner and by Count journuyman plumber, restricted plumber or..a licensed pumper veri.•- fying that (1) thm on-site wastewater disposal. System s in Pr a eratin condition and .(2)-after inspection and pumping ( if d scorn. essary), septi.c'.tank in less than 1/3 full of sludge an Certification form will be sent approximately 30 days prior to Chree yea r-expiration. ,a a I /WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal. system in accordance with CA ttla standards sae= Earth, therein, as .set by the Wisconsin Depart- Y ment of Natural Resources, Cexti.fi.cation form must be completed �y and returned to the St. Croix County Zoni.n c - i.thi.n 30 days of the three year expi,xation.date, SIGNED DATE - St. Croix County Zoning Office 911. 4th St. Hudson, W1 54016 386 -4680 Sign, date and return to the above address. ��. 9 0jQ/ ST, CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) 5-0 /, located at: '/4, � ' /4, Section ,-� , Town .,gg N, Range Town of /�s c,�,, , St. Croix County Wisconsin, Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. :.%Iost recent date of inspection or service _ 11Z Did flow back occur from absorption system? Yes No 4,-- (if no, skip next line.) Approximate volume or len th of time: ��, gallons minutes Tank Capacity: av Construction: Prefab Concrete i--� Steel Other Manufacturer (if known): i ) A ank (if known): /d s ermu umber (if known) p icensed Plumber Signature) (Print Name) . /0' 3cd (Title) (License Number MPRS (Date) Form to be completed bylicensed plumber (Dept of Commerce Chapter 5 aild s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin administrative Code) Rtv. 9/2008 P (m —. boo REGISM-R' DEED idari► rnr ��: a.-xd f31� DEED BY A PERSONAL REPH90MATM 1 � � �. M _ = _ t 9 [ ` � ! [ � t �� '1 %:. . _ - � _ c Wi ndolff, s_ -- _G rt_ _ _ Lt! -a. BY lEi:i� i�:��;U, chary Rt1R w+�,nQO�f� ore nti����cl., r,<rrc��:v��sh duly app =,a Anted, qua i fied ant-d act Pe:r Representative- -f t he _ Estate of Arthur F. Windolff, a /'k /at Arthur Windolff, deceased, grantor, hereby does grant and convey to Conrad M. Rluck, grantee, all of the right, title and interest of the decedent at the time of his death, and all of the right title and interest that the L .f•�,4� M fr Yr#arss axx3mgc�n Qrai I afx i3YQ ST !}T:JC:7' '$t63� f;f or otherwise, in and to the property situated in the county of St. Croix, Mate of Wisconsin: P art of SW 1/4 Bf SW 1 of Section 21, T 29 _.... North, Range 19 West, St. Croix County, ffisconsin described as follows: Lot 2 of Certified Survey Map f sled Jy 3G I95 valum 6 Page 15,55, as C ocument NumberL 403319. This is not homestead property. SUL)JeUL.- LU CObt:111C14V7, 1C;2Vi.VQ;e V14P £1241 l X41 }v�.LVita WA La�s.0 u :. - The undersigned, Mary Ann Windolff, was appointed the Personal T1......... ...........4....Lw...r,....w.4 A-U^ wn8.fl4.n i►/,?.._71v.�1.�1f7N..r ..W:t.n'4f%j::jP'P :.! %,IjrI9: Wirdolff, on the 17th day of April, 1985 by virtue of Wisconsin Statute Section 555. and has full and compl power to execute this Deed under Wis�ynair, lain. lyal.ec 1,uib I uax vi rXQY iW a.s . 1U1 1 F1$, MARY ANN WINDOT.PV FL STATE OF WISCONSIN SS too COUNTY OF ST. CROIXj Personally came before m@ thioill day of May, 1991 , the above named Mary Ann windolff, to me known to be the Personal Re aresenta ti ve of the Estate of Arthur F' Windolff, a /k /a Arthur Apr -20 -2011 12:35 PM St. Croix County Plan /Zoning 715- 386 -4686 12/14 DEPARTMENT o f REPORT ON SOIL BORINGS AND SAFETY & BU ILDINGS DIVISION INDUSTRY, PERCOLATION TESTS (115) P.O. BOX 7985 LA$IJR AND MADISON. WI 5370: HUMAN RELATIONS +ryy l {t ,e➢ �Y Ll -IA 85.179 {7) &Chapter 745) /4 L ! �Tz/ IL (o TOWNB 7 3�_ H Y: 6UOi VISION NAME: COI�NT OW S NA ,. f /�� / f•-✓ JJ� J l 1 E IONS MADE R PT10 ,.-�. esldonce mew ©Replace f RATING- S� Site srlita for System U•* Site umu [table for system 0 [ 'S ❑U ' - I S ❑� S ❑{� ❑ S - N -F LL O S TANK. REC D 6N DUO �T tloptionalF If Percolation Tests are NOT required DESIGN RA I if any portion of the tested area is In the y 1 under s. ILHR 83,08(a)(bl, indicate: Floodpli in, Indicate Floodplain e levation: AZA PROFILE DESCRIPTIONS t BOR"" A PTH AT6 - C SOIL WITH THIQKNES , A, TEXTU E. ANO DEPTH ' NUMBER OEPTH ELIIVATION g DROCK IF OBSERVED EE ASSRV. QN BACK.) / 'ri 6 r r � S' D e " &,. > �� , x r � $ri �. 6 7 ` ' f .�~f y��'e,rs� yr— U B- Z �; �7 �d B- . $�� /0.171 � > 7 13 . r .}7a : >3_ 37, 9z PERCOLATION TI_STS DROP IN WATER L NUMBER DEPTH AFTER IN L INTERVAL-MIN. V -IN HGS RA PERMINNCU`TE$ P. A 4 9 2 P_ 3; 1 7 ' 7 - iro P_ P- P- Pf,OT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Devc-ribe what are The ho+ aontel and vertical elevation reference points end show their location on the plot plan. Show the surface elevation at all borings and rho direction and pefen- of land slope. SYSTEM ELEVATION /f 4 ' a- 1. the undersigned, hereby certify that the 9o11 tests iepoFted on this form wera made by me in accord with the proceduraa and methods specified in The ftscons-- Administrative Code, and that the data recorded and the location of the tests are correct to the beat of my knowledge and belief. NAME L iam n TE5T COMP LETED ON: ADDRESSL CER IFi ATION NUMBER: PHONE 7 UMBERroptiomat:• VI/ DISTRIHUTtONi Original and one copy to Local Authority. Property Owner end Soil Tester. DILHRS80-8325 (R- 70183) i � ' S Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER t �,►i -� d� ��c� TOWNSHIP Al A d d.✓ SEC. ;Z [_ T _N -R W ADDRESS e0 /pd 6(e( ST. CROIX COUNTY, WISCONSIN SUBDIVISION A40000 V4 LOT ; 2 LOT SIZE 2 PLAN VIEW Distances and dimensions to meet requirements of IILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 1 4 ex, c. INDICATE NORTH ARROW Yvisconsin Department of Industry PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ` Safety and Buildings Division /pTTp n p�R l Sani ar ermi o.: GENERAL INFORMATION S W ' C I!tT `Z:'b A. UU 149688 Permit Holder's Name: ❑ City ❑Village [a Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Pa95 pT I NU -00 -100 TANK INFORMATION ELEVATION DATA 7112 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ,E CG GJ j Benchmark era ' Bldg. Sewer Holding St /Ht Inlet r � TANK SETBACK INFORMATION St/ Ht Outlet %" TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic �� (� ©� �d �A NA Dt Bottom D rng NA Headers , Aeration NA Dist. Pipe Holding Bot. System 'z 38 N INFO Final Grade Man r Demand y Model Number GPM TDH Lift Friction SVSWm TDH Ft L Forcemain Length Dia. Dist.Towe SOIL ABSORPTION SYSTEM in BED/TRENCH Width Length No. Of Trenches DIMENSIONS No. Of Pits Inside Dia. Liquid Depth PIT DIMENSIONS Manufacturer: SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING SETBACK CHAMBER Mo Number: INFORMATION Type of ev,�J $ ti OR UNIT System: "- DISTRIBUTION SYSTEM Header / Manifold Distribution Pipes} / x Hole Size x Hole Spacing Vent To Air Intake a r Length D Length � Dia. 7" Spacing /Z_ 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 a9 `� a Bed / Trench Edges — Topsoil ❑ Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) F v 4? Clf' ��- F/.,."✓,L,C/! t:. �,.7 r..�l J4. s � �� ' 1.. �,G,- , cam• -(-t. �1 �. -CJ ��" Plan revision required? C Yes El No Use other side for additional information. SBD -6710 (R 05/91) Date Inspector's Signature Cert. No. ' T APPLICATION DILHR SANITARY PERMIT cou In accord with ILHR 83.05, Wis. Adm. Code L STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than Iq Q'� 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION 4/ '/4 t�t'.I' /4, S Oq T N, R /1 E (or PROPERTY OWNER'S MAILING ADDRESS LOT # n BLOCK # ��{ s / - �C CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER N ROAD II. TYPE OF BUILDING: (Check one) ❑State Owned ❑ VILLAGE : ❑ Public [Al or 2 Fam. Dwelling-# of bedrooms A Ax N u B R( ) 111. BUILDING USE: (If building type is public, check all that apply) 4 ;2,0 . ®a► led 1 ❑ Apt/Condo 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 in line A. Check 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) ❑ A Sanitary Permit was previously issued. Permit # — 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 Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill Vl. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 1 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. ELEVATION GRAD REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) y ��C✓` "5 d O 6 Feet D.2. 'r• Feet Vtl. TANK CAPACITY Prefab. Site Fiber Exper. in g allons Total # of Manufacturer's Name Concrete Con- Steel glass Plastic App INFORMATION New istin Gallons Tanks structed Tanks I Tanks Septic Tank or Holdino Tank - 1 -1 F = o 4�E Lift Pump Tank/Siphon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) PRSW No.: Business Phone Number: 45 YP 3d` 3 Plumber's Address (Street, City, State, Zip Code): IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date I ssueo Issui g gent Signature (No Stam s) Surcharge Fee) L( — It , (?/ C� A�� Approved El owner Given initial / / C _. Adverse Det rminati X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD -8398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber APPLICATION FOR GARITARY PERMIT • 9TC -100 This application form is to be completod In full and signed by the owntt(s) of the property being developed, luny lnadoquacles will only result In delays of the pit ralt Issuance. •91iould this development be intended tot testlt by owner /contcectoti(spac house) thou a second form should b tttalned and completed vhan the ptopetty is sold and submitted to thls OLLlce vlth the appropriate deed rtcording. ------------------------- -------------------------------------.---------------- Ovn:r of property L " "a h9le-Aell-�_ ��� Location of property L0 114 SW 1 /I Bectlon TovnshIP i C ►falling address gJ View �2�' GA G/1� IrIA) • Ad dress of alto lS Co lvbdlvlslon nano Lot nuzb 1t `' 0��1— , r PzQVIouV owner of property Q2Thu -2 Wi+`�� Total site of parcel °?• S� �A.CR�S . e Date parcel was creat q All all cotnots and lot llnss ldsntitlablst -- , Yet � 0 9 Is this property being developed Lox resale (spac hou2a)7 Yes No Voln»t and Page Number _ an recorded vlth the RagIstec oL Deeds. --------....---run---..---..-..---....-..------------- --------------------------------- INCLUDE: VITH THIS XPPLICATIOH THE POLLOVIHCI X VAARKXTr DQID which Includes a DOCUfiRHT HUMIR, VOWKK AYD PAOt NUMBIR, and the svkL or Tim RBOISTRR 01 DHRD©. In addition, a cettlflad survey, If avallable, would be helpful so an to avoid delays of the tovleving process. It the deed description raLerencss to a CertlLlad lutvoy Nap, the Cattltled Survey Nap shall also be requlred. PROPERTY ONNER CERTIFICATION 469093 Ds=D by a sARMIM `f BY THIS DEED, Mary Ann Windo'lff Of , , duly appointed, qualified and GatbW VjWsjM t Estate Of Arthur F. Nindoltf, a /k /A ArthuIr grantor, here grant and by does convey to Conrad M. all Of the right, title and � 3st interest of the Of his death, and all Of the r s fight, title and estate may have subsequently acquired by operat Otherwise in and to the property situated in the Croix, state of wiscons _ in: r Part of SW 1/4 of SW 2/4 of section 21, ? k , North, Range 19 West, St. y described as follows: Lot 2 of C filed July 30, qty' c ertified 1985 in v Olusc 6, !s Number 403919. Page 3555, as t f This is not homestead 5' {�w� Property. Sub ject ec a. t0 "sements . reservations and restrict The undersigned, Mary AM Nindollf, use SWoiette¢ Representative of the et;tate of Arthur F. Nindolff, , WindOlff, On the 17th day of April, 1985 Statute Section 865.08 has full and and � vi � - '' couplets this Do" i under M sc�pnsin tar. Dated this s �_ day of May, 1991. STAT? OF WISCONSIN) , } COUNTY OF ST. CROIX) is , Personally ase above named Y befo this s day Representative of the Es or to se - " 'Tc 'ear to he uindollf, and the person who executed the foregofe ackm+ledged the sane. • ,. RY c wmklmion itant drafted b J P ^I STATE OF WISCONSIN ST. CROIX COUNTY, CIf?C'JIT COU7 IN THE MATTER OF THE ESTATE .OF ( INFORMAL ADMIN "" 7 DOMICILIARY LW i ERr j ARTHUR WINDOLFF i File No. i THE STATE OF WISCONSIN, to Mary Ann Windolf f I WHEREAS, Arthur Windoiff St. Croix County, Wisconsin, on March 30, 1985 i WHEREAS, you have been appointed personal representative and have fully qualified; NOW THEREFORE, these letters are issued to you, and you are required to administer thin i to law. IN TESTIMONY WHEREOF, I have s; L these letters and affixed my seal on (SEAL) -- -y«- -- cite 01W=onsin p:ojute R oy.ir. C;oQffty,ot,SL Croix I hereby 0%910Y that this dootxnent has been oprr�ered, by me; that A is a fuK, true and. . -�.-- ow ed' pay of the original on fife and of record _in rhy office; and that it 1,s Spll in full lord and effect. - 19 Abed geborg Bleier robate e _ �� In 11- INF,: ADMINISTRATION. DOMICILIARY LETTERS 8.865.08 DEED BY A PERSONAL REPRESENTATIVE BY THIS DEED, Mary Ann Windolff, of Hudson, Wisconsin, duly appointed, qualified and acting Personal Representative Estate of Arthur F. Windolff, a /k /a Arthur Windolff, grantor, hereby does grant and convey to Conrad M. Kluck, grantee, all of the right, title and interest of the decedent at the of his death, and all of the right, title and interest that estate may have subsequently acquired by operation of law, otherwise, in and to the property situated in the County of Croix, State of Wisconsin: Part of SW 1/4 of SW 1/4 of Section 21, Township 29 North, Range 19 West, St. Croix County, w! - s ions'r. described as follows: Lot 2 of Certified Survey Map filed July 30, 1985 in volume 6, Page 1555, as Document Number 403919. This is not homestead property. K% Subject to easements, reservations and restrictions of record The undersigned, Mary Ann Windolff, was appointed the Perr --. Representative of the estate of Arthur F. Windolff, a /k /a Art- Windolff, on the 17th day of April, 1985 by virtue of Wiscon�1:_ .Statute Section 865.08, and has full and complete power to execu( .:this Deed under Wisconsin law. Dated this f day of May, 1991. MARY ANN WINDOL STATE OF WISCONSIN ) ss . COUNTY OF ST. CROIX) Personally came before me this S day of May, 1991, above named Mary Ann windolff, to me known to be the P Representative of the Estate of Arthur F. Windolff, a /k /< _._nth Windolff, and the person who executed the foregoing instrument a4n .acknowledged the same. j- ��_ ,Notary St. Croix County, Wisconsi,. My commission expires This instrument drafted by: STEPHEN J. DUNLAP -'Hudson, Wisconsin St. Croix County Highway Department PERMIT FOR ACCESS DRIVEWAY TO COUNTY TRUNK HIGHWAY DISTRIBUTION: 1. White -Applicant 2. Blue - Township Permit Number 4 ! — !3 3. Canary - County Name and Address of Applicant Highway County e, . r. v V c� - -- - -- _ - - - - - -° -- own Village - City 4P 3 Type ofi Driveways Number of Driveways Proposed Land Use Completion Date Location of Driveways side of the highway �� r_ miles g 41_,@4A�`of J eLc4 _4- Quadrant :5 (A 6W Section _! Township � °/ North Range Required Drainage Structure I if No Drainage Structure, State why Description of Proposed Work (include special restrictions, intersection clearances, other details and reference to any sketches which may be attached.) Any driveways shall be constructed in accordance with all requirements printed on the reverse side, and any special conditions stated herein. The maintenance of the driveways shall be the respons,jbility of the applicant. Issuance of this permit shall not be construed as a waiver of the applicant's obligation to comply with any more restrictive requirements imposed by local ordinances. ture of Applicant Date Approved by St. Croix County Hi ay Commissioner Date g e rt SEPTIC TANK MAINTENANCE AGREEIENT p, St, Croix County p s ✓1/1 is n n. -01MER /BUYER ��ix�i? �rsic i� / y/ r o ROUTE /BOX NUMBER ' ' �(� ►�t�tu%y .�� u-' - Fire dumber d W CITY/ STATE ZIP �O� rt S S' "Ord C� �� PROPERTY LOCATION:' ',S� , Section 1-21 N, R� un t Town of . St. Croix Count Subdivision Lot number—. Improper use and maintenance of Yo r e ptic system could result in its premature failure to handle wa s sists of pumping out the septic tank every three years or sooner, if needed, by a licensed* 's'e t'ic tank pumper. What you put into the system can a ect t e' .unet on o, t e septic tank as a treat - ment in the waste disposal system. St. Croix County residents' be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whic was in operation prior to 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new s s_y t'ems agree to keep their system properly maintained. The property owner agrees to.submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on -site wastewater disposal system is iifproper operating condition and •(2)•after inspection and pumping essary) , t septic •ta be sent approximate ks les ful f slu an to certification form will three year-expiration. ly 30 days prior y 0 I /WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with Ln the standards set forth, herein, as.set by the Wisconsin Depart- ment of Natural Resources, Certification form must be completed 10 and returned to the St. Croix County Zonin five ithin 30 days of the three year expiration.date. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386 -4680 Sign, date and return to the above address. .. ... . ..... _._- ...- .............�- ..___� - k CERTIFIED SURVEY MAP Located in part of the SW4 of the SA of Section 21, and in part of the SE4 of the S of Section 20, all T29N, R l 9 , N Town of Hudson, St. Croix County, 2 of Certified Survey Map in Volume 6, Page 1555. s V n a y y N M OWNER W� Corner of s a, o m Section 21 —I . o Arthur Windollf °' y vk ° L o Rt. 1 d a) L L Hudson, WI 54016 _ M L O Certified Survey: m + Certified Survey Nap u, -- ----" "- - - - -- - crt ---- -- - -- oo . • v Ln -- --- N in Volume 6, Page 1147 e Page 1525 ° - - -- "----- -- - - -- -- Volume 6, 9 - ' -- - - -- -- m x ro LANE. JACOBS N89o04'S3 "E 385.25' - 144.25' 241.00' � 8906415311E 385. 2 `� — • o - 1 144.32' i 241 o ,. o o o a o M O .' t0 ' - - N L 1 LO 2,J o,.. OT - 62.,373 Sq. Ft:,. 1, ` tq. Ft. _ n v — 1, nores Tncludiing R /'W .. I .n N N co I.44,HCres including Rlk. : N f I] M '� 54;691 Sq. Ft. 9 54,339 Sq. "Ft. R /1J r. 1:25 �Acres'Excluding n , « -1.26 Acres 1 U �1 00 "'}t Excluding 'R /W NI 1 X- 1 -- I o W a, I c j 1 N89 01 1148111 1 ro l I. O M I j � C, 1 4 N89 ° 11' 48 11 E 241.50' r N { y I I W I N 241.00' r-i /i l ,.., 2 - a1 CO � '� N o N 54,746'`'.Sq Ft. N <°. 54;632 Sq. Ft. o �' N y z , 1.26 Acres 1.25 Acres 241.00' 92.,70' a S89011•'.48 "w' 482 50' �,�:���:cc�'�►, M o g`80011 48 "W 1 - DtPARTMENT OF REPORT ON SOIL BORINGS AND S AFETY &BUILDINGS DIVISION w IN GR P.O. BOX 796 HUMAN RELATIONS PERCOLATION TESTS (115 MADISON, WI 5370, (ILHR 83.090) & Chapter 145) LOCATION: S T N: TOWNSHIP Y: LOT NO.:BLK. N .: SUBDIVISION NAME: Su'/ Sw '/ 21 /T 2y N/ R/ sin-, 2- IV 1' CO NTY: OW R'S NA MAILIN ADDRESS: FT USE DATES OBSEprVATION9 MADE N COMM D S R PTION: PROF IP IONS: JPERCO ATI TESTS: [ *- - idence 3 Mew ❑Replace /7 5IF RATING: S= Site suitable f syste U= Site unsuitable for system O S TI� U . M� ❑U IN G� �� RE: S H STEM -ILL O� K: LDINN RECO %M E�N EI�A:(optional) If Percolation Tests are NOT required DESIGN RA If an G y portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) i , 7 / 7 Og gy 2.6I'/jhS y0/�hCS'�fys✓ S B- f167 �Pia- 17 G7 1 103r, 0 / 7 . L'�' /,09' `AVI, /.ZS,Bti 2,9Z `A* B- , ��i /03, 33. 7, V/ ,7S 6// /, /� rs.►l, 3 33 i?.� s 2. s r,O�- B- y /02 -.0 7 , /, 7 3 �» i y, 2S jJh f B -S (1 /O 70 !, ir 3 /l /! /.3 2.19Or - B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER AFTER LLING INTERVAL -MIN. PERT D 1 PERIOD 2 P E R PER INCH P_ 6 A4 Z 3 P- 3 o' W Z 6 I3 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the ho: zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and perce of land slope. SYSTEM ELEVATION //, 3, 3b �► 8z /��~ d am- �� S ��Sd✓ CCfw CC 2- 63 6 5 0 � a p c 1 � C FIL .9 1 98. B-T NIQ c o ) 4D APPROVED $► �,�„'�,' NOV 7 1984 s ( ST. CROIX. COUNTY unelatted_lands owned bY_Platter_ I `� o m >E t PAW PLANNING ---- -- c- v cn c ZONING COMMITTEE o =c o c g N00 486.381 ` o N c� z -t c-) U. r a ►+o o m 3.3 c m ►-. O O to z 3 r z z v o o m m m m Ln �. z N Go .-. O Zn - t0 1 W W S >E tU O N r n N n tp 7 N N le N I N ' N 7E ;.. rt rt o r co H OOO X O F O O o V Q n f") S 00 m v v /' Ln 1 z z n 1Ce 171 O O I let I p I im Id _ � 1 N k N00 486.87' b �.. I 433.87 33 h 70 70 1� Io r-+ O to ►+ Id 1t of V t7f Oo r 1 w r Ic N • K ke O _ I I A N N N I b co IN to ►+ C* t* IV n � h � on 7 = t t ze ' N N : N00 471.16 / / " ,. CD �. t° c 436.051 35.11 c-) .t w ca m N ... o v z w x o r f _, c c , ►. nor e) to co C) r CD r o -t cn to -c m to w ow o I by -1 eo H n of W r z cp z -1 z.� O A N <7 le N O / cn t N Z rt me rt • co G' H T z C` 65 / xaa p Ln o a f �� / a m l o C/7 0 `�S aS >F sc LID ell Parcel #: 020 - 1056 -00 -100 01/10/2005 02:46 PM PAGE 1 OF 1 Alt. Parcel #: 21.29.19.208C 020 - TOWN OF HUDSON Current XX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner CONRAD M KLUCK * KLUCK, CONRAD M 508 CTY RD UU HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 508 CTY RD UU SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.690 Plat: N/A -NOT AVAILABLE SEC 21 T29N R19W SW SW LOT 2 OF C.S.M. Block/Condo Bldg: 6/1555 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 21- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 901/388 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48042 282,400 Valuations: Last Changed: 10/29/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.690 33,500 185,000 218,500 NO Totals for 2004: General Property 2.690 33,500 185,000 218,500 Woodland 0.000 0 0 Totals for 2003: General Property 2.690 33,500 185,000 218,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 129 Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 27.00 001 -WATER SPECIAL ASSESSMENT 0.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00