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HomeMy WebLinkAbout020-1220-60-000 ~c 030 M 0> N N C 4 O O ~ I I o I I O N I I 0 oii I I ,.p N A ~ C II I y O y C O yy N j Z N y Z p c Z c S '5 1i c 3 LL N 3 0~ I ~3 0~ I Q N c M > Cl) Z m 00 _ OO Z a m n z ! a m ~ I o I i co z c c w ~ ~ o ~ I o w o I c°n' H aci c' v E a~ E co N N N N O) m 01 O CL N N N a C •N c c 0 *Qa Z co z Z H Z N Z c co c N - cI I N L) E O R E N W G R CO A C .LD CL W d N N n d N U c G IL .n L 0 0 d '0 a .m o v> j o > IL r' (D rmr w UM) 0 3 3 n w 0 2 z •ti _aaa a aa u, > o m v)J() yrnCD 4m I r rn a) rnrn z° ~ ~ ao I c a-5 5; 2 N 0 ;.N O O - 0 Z~ 0 o o _ 0 CD a5 E C O Q j N ~ ~ N J m N m Crn (n a) 1' U? CO Q Z to Q co d Q (D U) W p N C (p N LO E O O CD O N V C V a p Q N~ O O p O C C, C, L m y ~ N a~i z y o w m a, c (D *4 co E •O 0 2 O Z C FO- O N O Z C Z (n t~' ~ ~t ~ = E I ~ II ~dt a €a 4a • a m L c d d c m 6+ E c c c t A 0CL2 0 OtnC> t I ! , Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER {9~ ALL TOWNSHIP SEC. T !2LN-R. ADDRESS Poe >,.f 2 ST. CROIX COUNTY, WISCONSIN G./pct. Jjr S~c,) SUBDIVISIONS ~'t u JS LOT LOT SIZE ` Z 3 Cdr S PLAN VIEW Distances and dimensions to meet requirements of ItHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM f 75 Sc~ - lO l i S LI, s houS K 0 , as'xys ` ~ ~ z/'~r 3 2 h N INDICATE NOR ARROW PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Low Uwn'~"io,,~~ Trench: Width: ZZ Lenjth: ~Z Number of Lines:_ Area Built:4Z~Zj Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, Rear,0 Ft./S Number of feet from well: ZZ- - Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: DEPAF`rME7Jl**OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LAEOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL ❑ALTERNATIVE State PlanLD.Number: SW 4SB 4, S17 , T29N-R19W ❑ Holding Tank El In-Ground Pressure El Mound (If assigned) Town of Hudson N R R: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: 1" 0 Sam Miller BOx 282 Hudson, WI 54016 'a Iir BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber. IMPIMPRSW No.: County Sanitary Permit Number: Dou las Strobbsen 5432 St. Croix 128644 SEPTIC TANK/HOLDING TANK: BEL CKING COVER MANUFACTURER. _ LIQUID CAPACITY TA'N/~~K/ INLET ELE V.. TANK OUTLET ELEV.: ITYES- ING A PROV L'~~ ES: IDED: ~1,va~ / ~ v ❑NO ❑YES NO ~ J, BEDDING: VENT DIA.: VENT MATL.. HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: LINE/i~ / I AIR INLET: / FEET FROM Y iJ( ❑YES NO ❑YES %0 NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL JLOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: FMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUI EDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENG1 H DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH. NO. OF DISTR. PIPE SPACING. !NO. OVER INSIDE DIA.. *PITS: LIODID IT DEPTH: DIMENSIONS BED/TRENCH TRENCHES / RIAL: HNEATREST GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: ISTR. R OF PROPERTY WELLBUILDING: VENT TO FRESH BELOW PIPESABOVE COVER ELEVINLET EL9'/.3 EEV. EENDL IPES ROM LINE p / 4/9 AIR jN bS i 2- O'Z / /7•// Q MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED. JOYES ULCHEDCENTEREDGES❑YES ❑NO ❑YES ❑NO ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.. ELEV.: DIA. ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL PLANS. ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: u, l'I ❑YES ❑NO ❑YES ❑NO NEAREST L Ls Sketch System on a in in county file for audit. Reverse Side. SIGNATURE: - j TITLE DILHR SBD 6710 (R.01/82) / ARY PERMIT APPLICATION SANIT EZO: ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY SSANITARY PERMIT ~ -Attach complete plans (to the county copy only) for the system, on paper not less than TAT8% x 11 inches in size. ❑ application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION 5/1/4 SF t4, S T 2 , N, R E (Or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # c,JZ CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER & 4sv0 rc~ S 1J f° 3g Z7~ F •tf~S ' NEAREST ROAD II. TYPE OF BUILDING: (Check one) ❑ State Owned 0 CITY * ROGi. ❑ Public 01 or 2 Fam. Dwelling-# of bedrooms-3 PARCEL AX NU ER III. BUILDING USE: (If building type is public, check all that apply) L Z -7 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.E1 Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 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 VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (s q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION Sp S o-~ Z L 3 9/- 7 Feet '79- /O 'Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank 1060 / c r S c ✓ 1 L-1 Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: Plum is Address (Street, City, State, Zip Code): L-F 9- --1' s- k,, R ; c A m w I s- o IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: I SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber t ~ L INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes ir: ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted io the county prior to installation. • 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to film in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) Sa 1`\CL r Pa. F V1 4 W S l O S ~O 1 # 'tc 4 }7e.``~T' C SSU A\ = 100.0• N°~ 1~_ lot I; v.a~ 4 gova~~3a<~k )K[^Ponr1,,1R.I I I I 1 0 ~ ✓ C S 0. / C 0.$ 2 VV% A1+ S Sc ~a blo Q~cs. it sco~fm ~y - lo" Svrtew IY• _ `I y Ar~ WA ~A ~ ~ i I 1 2c, T I BZ in ID 1 ~ 1 374' i , I , 314 I i y l :e X v8" -G, ~ n- ' x,,.11., 0 0 L4 YSyI ~ ~ (off L~ l $s 8`1 7 i 7 i i i N8 ' DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDI~°STRY, DIVISION LABOR AN . P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TEST'S (115) MADISON WI 53707 (H63.090) & Chapter 145.045) LOCATION: S SECTION: OWNS HIP/ OT NO.: BLK. NO.: SUBDIVISION NAME: S11 1/4 IIiI`Z /T,79 N/R/ (o T a i " lJ'ew ggk& COUNTY: OW )/BUYER'S NAME: MAILING ADDRESS: 6v;_-)C yam Gr u. A06 K. S. 1-1104 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 7~ERCOLATION TESTS: Residence ~ /y/aNew ❑Replace I /Q , p(J v 3/ Q? ~`j S ~6/ S-, B/- ~P /Ci~Ar1p~~ r Oa~~ RATING: S= Site suitable for system U= Site unsuitable e for system uI' 3 CONNVnVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-I N- ILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) 2 IF If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the w ` under s.H63.09(5)(b), indicate: zq~ i Floodplain, indicate Floodplain elevation: /`e P FIE DESCRIPTIONS BORING TOTALi ELEVATION DEPTH TO GROUNDWATERS CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH,,W, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- LS .9' dike- 7 •S' 44 015/ , 4 sl 40 0,"S .0 On gc B- 7r S' . 0' 110.t14, 7 ~5~~ nS~ n S S S B 3 9.S-' g1,5/ . si .6 If i s S B- 7~J •!p aiK~- 7 f B S/ Is S 212. B- 7s, /00,0, o t1~ 7.1 ' C IS . KS 2-3 An S B- PERCOLATION TESTS TEST DEPTHS WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER ~•Pi6#E•6 AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER1003 PER INCH P- 1416 3 E --3 P- o 3 6 L 3 P-3 V, 0, 0 3 pE -.PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- 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 percent of land slope. SYSTEM ELEVATION 9 y 7 ' / - - j r i 101f- b-'q ~ r E_.-.. 1 { t II .I e _ PJ E ~ 1 I ' ITO 60 ~ _ - - - I 1 t 1 I I 9 m t 2. to 'b r h ' . • ~ ~ ` . - t Imo, 0 ~ y h ~ P i. I E b a Na ; P o 9 t- P G p' P o ` n i C , H All N = :2 ~o ra. H 1 :;..1' 'b x` T. W STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER S~~-, /~./mar ROUTE/BOX NUMBER r Z z FIRE NO. CITY/STATE A"k 41 kJ Z" ZIP PROPERTY LOCATION: S w 1/4 S E 1/4, Section 1Z_, TAN, R_ Town of ,~/G sue. , St. Croix County, Subdivision Lot No. //1 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which 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 SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNE q DATE 7 / St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address r ` APPLICATION FOR SANITARY PERMIT STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property ~gx~_~/f, Location of property S W 1/4 -s E 1/4, Section / 7 T__Z--N-R f~Q Township ,~c~G sore Mailing address RoxZ F 14+- Vs s h 44, Z SY/o/ 4, Address of site 20ark V iet,J E s-Lf< s c,~~~_r~ Ra4g~ Subdivision name Pam k Lot number # Previous owner of property ZQ r ra- / GAY' Total size of parcel Z S Z- 4c w S Date parcel was created Are all corners and lot lines identifiable? es No Is this property being developed for resale (spec house)?-Y-Yes No Volume S and Page Number /3 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ---------------------------------------------------------7--------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. 39 3"/ s~ ; and that I (We) presently own the proposed site for the sewage disposal system (or 1 (we) have obtained an easement, to run with the above described property, for the ____i__ iL_ t__ L___ ~..1 ..--_..~-A C.. Lk.. ALL:.... ~ r. PARK VIEW ESTATES FOURTH AMMON { A R PAt SU 3DMSION l_GCAM IN THE 111k ►-SWA Ek NWYs-SEW, ECTIM 17, T29R, R19W. ~ TC°WN : C P. H( V. ST. CRaX COUNTY, IMSCOWN I • i C=TVICATE Or TOwxntustmn ST. CRace CO"t TY I's @WWly A. 3ohn~oe. beJag tLe "y elected. gualifiad''aocl acting To" Traesurer of the Town of Nudeen, do hereby aextify that In aeaordaaca rocorda Is my office, theme are oo unplald taxaw or speew assessments as of . ' on any land laaLaied is the Plot of Park Viww Zetatas Fourth Addition. S yte Beverly . ..ohnso own Treasurer TOWN BOARD R=SOLUTION 112SOLVED0 that the Plat of Park View Estates Fourth Addition In the Town of f A. Wart, o•aners. Is hereby approved by the t Hudson, Davrel E. Wert and BevFlo, 'rows 8"74, Ve eApproved- lt n h rman D tined own l- 4A Armen t hersbv e.rtHy that the foretoiny is a copy of a resolution adopted by the Town I Board of the Town of Hudson. Dose own Clerk OWNIM31 CeRTIFICATE OY DEDICATION As oe•ners, we hereby certify that we caused tha land described an thi: Plat to be surv.ysd. dlvidod, rrappod and dedicated as rspro4ented on this Plat.. W4 also certify tbet ;:.is Flat 1e -*quired by S. Z36.10 or S. 230.12 to be submitted to toe following for j 4ppruval or objection: I DepartrTwot L'f Development ' li.oariment of Industry, Labor and Human Relatiooa, Town of Hudson. City of Hudson and St. Croix County. Yl;TN:SS the load and seal of said owners thla_.[^•.t day of err°' • In pre HnCa Of: n - i ~ ~1U Prep . CTL Y7 t flavetrty A. W►r •I, 1 J• - ' STATE OF WISCONSIN) 5S ST. CROIX COUNTY ) I Personally came before me this day of - - the above name4 Darrel E. Wert and Beverly A. W art, to Inc known to be the persons who executed the foregoing instrument mad acknowledged the same, j Notary Public Miff . Wisconsin My commission expires ~J MarNusch, ;rotary Public 1 `CERTIFICATE OF TOWN CLERK i 1 .STATE OF WISCONSIN) ST: CROIX COUNTY ) j 1. Rita ;ibrne. being the duly appointed, qualified end acting Town Clerk of the Town of I[rdeon, do hersbj eaa~i[y that eopie of this Mat were forwarded as required by t. 2l6. 12 on thet.~_ day o! ~f-. 1984. and that within the 20-day limit ■at try s. 236, i2 (3) (no ob)ectl n4 to the plat have been filed) (alt uhJea:fnn% to •hw plat have bnwn met). Date ilit llorne. Town Clark l- ~ 3»t.;9!x:.i.: ~ o rU„~..yL~Z,y~;~ ~Jo % r - i. 3URYZTtMIS CLRTUW.AT=.: . I, 3AWWO Ir. Aarol, Rejdatorod Wiscessis Land Surveyor, how shy certify to the beat of my psoftesioeal knowledp& underretaodtng and aslsst: Tbsi 2 here sarveysd. divided and nsapp4d Park View Estate& Yourth Mditloo,. 10e41*4 Is the NS1A et the SW 114 sad the NWI/ 4 of the $ZIJ4 of seetios 17. 129`1. It 19W. To of Hudson, St. Croix Comity. Wisaossin; That I have nuLde such surrey, land dlvialom, and plat by the dir:srsion of Darrel E. Wart ami bevsrly.A. Wert. 0wmtrs of said Laski, described as follows: Comraoaclag M the El/4 corner of said Section, 17; them** 38902w608'1X (assumed beamitgs rsdoreaced'ta the nwrumoutad EA3T EST 1/4 Section. llaa c!.' 3ecttoa t?. lh a essureed SW22104WU) (recorded as 3W210401"lf on. that Cartkt-bd Survey leap reoox4od to Veiaooe 1,~ Para 144). 1372.960 along said EA3T-WZ3T 114 Section lieel thence Sd't168'30"W-227.73 to the Point of bt0oains; thence NMS240"lt 412.000: theses.. NO'068300 C 212.00+ to the Southerly ri&kt-of-way Use of Crew lUtl Lamb thaaca NSY5244"K 64.000 !long said ri kt•ef-r ay lime; thence SO'04630"W 231.00; things 579+'26s32!'W- 194.351; the". SWISs14--N 236.761; thence 147r57605"W 142.176: thence 389 JPt4"W 534.006;.Ukence NW068301'E 104.0061 chance diy'15114"W 314.W1 thence NOP!v13011E 1!3.00'; thanoo 349'15114"W 66.0181 thane 30'06830" W 716.430: theses , SWIS114NW 151.000; thtnoe N0.37031"X 54.13% thence 389.22609"t1► lel'..5081 theses i o0'O SMOW. 204.481; tbeece N09115114"Z 150.008; thence 3096830'W-31L.971; thecae N49~1S614^1C-130.QOf;.tk.nee Soatboastarly 66.231 alto the arc-of m. 343.906 radius curweaoecsve:MortbeesesrIy where chard bears3-r5o150"T 6it170;theasa :461;*15014'•L b7.6181 tkeoee Soutbeestorly,136.560 along the ast; of a 311.000 radius curve coeeave r :Vosthtaster1lyy whose chord bears 324 03102"E M.510; thence 336'23130^: 143.141: j theses N7t36630"E 16o.96s1 thence X8!15'14"1243.008; theae0 80'06831"',+, 104.001; tbeeee S&YU130-W.. 259.1611 thence Southeasterly 96.141 d the are d r 217.,0' r>dlnas;stsrvs.twneavs Worth" at*rly. wbeda chord Sears 374 03816"E 95.3at1 t=hence liAll!I471k">C 920.001; thence Northeasterly 91.216' aloe theare'of a.3OWA36 radius ess+e sooervo "Ord"Motesly woods chord bears NW31846MMSS1f %bera" North- we stOaiP$I Walonss thearo of a 309.006 radius eurvt eauesve Northeast"rl r.shoce chord beers :78.37826"W 91.091; tbecet N0'04130"I: 150.000. tMnea N49'ISr14 r 478.091 thaato XWO4630"T 934.560 te.tbe pol.at of begiaoing.. Tb" suck pleat is a correct rapxeoe station of all the txtevior boaodsaies of the ' taed an... red and the sobdivlsion thereof goads, and Tbet I have folly oampL*4 with the provisions of Cbaptsr 236 of the Tftsaeotetn SRSteta~. the Jobdtvisloa and Zoning Rexuwtens of St. Cre1x County, t,e : owa el lfcdsea Sohdivtsiao Ordloanat. and she City of Hudson Subdivision cad 71stulzt4 Os4i- nanae., is surveying. INvldinx and mapping the game. ~Grl"~jr1 Dated doe day of 1APAWAI 0 1984 R viands 1 15th do *(April, 1984. jcmts E. sock S. 1376 may` i 421 bezood Sheet ii SM r Hadsoa. Wlsconsla 34016 IF Mss W 111 COLIl1'IY T71ZASUItER13 CERTIFICATE ATATtti or WISCONS1741 ST. CRORX COUNTY ) I. blowy Jaen. Livermore. being duly etocted, quoliflsd and taming Ir+►asurer of St. Croix Casey, do hereby certify that %hr records in my office show as usrtdtsmsd tax aalpt sod ass uupeld taxes or special assessments as of I-t- j/• J/_ effteting the lands incla" to the Plat d Park View 16otates Fourth Addtlon. Date unty Treasurer ZOMl4O COMATTZZ RESOLUTION This 01st is hereby approved by the St. Croix County Comprehnnsive Parks, Planning and T.osJnx Committee. ~.i~ % 1^+ aye, , a f!+a"3i7!~, 1 Date ' aiatl4♦ /.L//~.~5 i + V1isconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: L or and Human Relations Safety and Buildings Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 299099 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: DAVISSON, DUWAYNE HUDSON CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 020-1220-60-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header/Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Loss Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Mode Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 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: HUDSON 17.29.19.1218,NE,SW 465 JENSEN LANE LOT 119 I Plan revision required. E] Yes E] No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i Safety and Buildings Division ~~■`nIr■ SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number A`390R9 The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION 0a0 - O 419 Property Owner Name Property Location C. /4 GvI/4, S % T Z~ . Nr R /9 E (O Prop rty Owners Mailing A ress Lot umber Block Number City, State Zip Code Phone Number Su ivision Name or CSM Number i ' / 1(7/ 171/ cc - ! 7 II. TYPE F BUILDING: (check one) ❑ State Owned Lil tNearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms .3 age own OF 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) J 7 .~_Q/ / . /Gt' //~7vt 1 ❑ Apartment/ Condo D - 1 r. 0 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1. ❑ New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of S.,,j?r Repair of an -----System --------System Tank OnlyExisting 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 P' Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12E] Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13E] Seepage Pit 43 ❑ Vault Privy 14E] 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) evation QL/ 17 Feet c619( Feet VII. TANK Capacity gallonTotal # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank ®G ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ - ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for in allation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu is ture- No Stamps) MP/MPRSW No/.:~ Business Phone Number: 2Z,F,!-5 ~0eZT!-) - l / Z(/6- 57Z q umber's Address (Street, City, State, Zip Code): L y y.1 IX. COUNTY / DEPARTMENT USE ONLY El Disapproved Sanitary Permit Fee (Includes Groundwater [ate Issue juingAg nt Sig ature (N tam s) Surcharge fee) pproved ❑ Owner Given Initial ~}~1 Adverse Determination v ~G~ X. CONDITIONS OF AP ROVAL / REASONS FO~R DISAPPROV SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Ruildings Divi ion, Owner, Plumber INSTRUCTIONS 1 . A sanitary permit is valid for two (2) years. 2. Your sanitary permi _ may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4- Changes in own,ersh!p or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a iice~ised pumper whenever necessary, usually every 2 to 3 years. 6. If you have questiors concerning your onsite sewage system, contact your local code administratcr or the State of Wisconsin, Safety and Buildings Division, 608-.266-38,15- To be complete and ac-,urate this sanitary permit application must include: L Property owner's name and mailing address. Provide the legal description and parcel tax numbe-(s) of where the system isto be installed. II. Type of building being served. Check only one and com alete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one online A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction.loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; t=) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (-ees) for a number of regulated practices which can effect groundwater. Them on iescollected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Wisconsin Department of Industry, SOIL AND SITE EVALUATION -1 Labor and Human Relations Page of Division of Safety and Buildings in l e1w(jth s. ILHR 83.09, Wis. Adm. Code c~ L_14 Attach complete site plan on paper not less tha 1 11 i hes in size. Plan ;must County include, but not limited to: vertical and horizo I~ ere direction and C Y ti percent slope, scale or dimensions, north arr d loc istance to nearost road. Parcel I.D. # ! t o C> a b lib APPLICANT INFORMATION - Ple sg..print ail irrfQitfion. - r t viewed by Date Personal information you provide may be used fors opurposes.fta 1 0 ) (m)). Property Owner LQN roperty Location Q D c V - Govt. Lot E 1/4 SW 1/4,S T a9 N,R ► E (or~ 1) 1) Property Owner's Ma' mg Ad ress Lot # Block# Sujb~d. Name or CSM# S t N City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road AVA ova 5y0► (7jS)3 L-171 G. v, chspti, ~.qH ❑ New Construction Use: ® Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow y 5 D gpd Recommended design loading rate WA bed, gpd/ft2 u 1 f- trench, gpd/ft2 Absorption area required NIA bed, ft2 19ffir _trench, ft2 Maximum design loading rate lbed, gpd/ft2 kL# trench, gpd/ft2 Recommended infiltration surface elevation(s) 9'! r l I It (as referred to site plan benchmark) Additional design/site considerations Parent material ...Q 1 ac_: a. L n'1 } w A S Flood plain elevation, if applicable It Eu = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank = Unsuitable for system S❑ U © S ❑ U 9s ❑ U ® S ❑ U ❑ s ® U ❑ S RU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots + Bed ,Trench i I O-S O`1 R~12 - L' F Sh:~ Mv~Y` C W F 'q 5-►3 ( om P. L c 1•. 5 Vv_ r vJ F . 5, b Ground 3 ~3-a 1b\lRala Sc l 0v\ slo k r-, Fr IF A elev. Depth to 5 $ '7t5yP_Y! GVa J` 5 limiting (P 8 ~)p 7.519 *1 ; factor d -S M L C~ '15 in. 7 q Remarks: 55 f it fy\ Boring If DA AU 00 Ground L) azln elev. ft. Depth to limiting factor in. Remarks: CST Name (Please Print) Signature Telephone No. b~y~~ N 24 2 - 358 8 Address Date CST Number S 0,2 to SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD/ft2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) I l N S 7 9 i~ c ° 1 1. C :Z4- ` b W w J 7 v s a r, S ~ h 0. • ~r i 1 i I i _J _ i ^l a i I i -.i ~ I i 1 1 i ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the ~,Cresidence located at: _)C_ _~;64Ll/, Sec. T_jZ-~N, R_Z_9_W, Town of St. Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced (.~fi~~4 eL? Did flow back occur from absorption system? Yes No (if no, skip next line. Approximate v_olume or length of time: .12,0r, gallons minutes Capacity: Construction: Prefab Concrete -Y Steel Other Manufacturer (if known): Age of Tank (if known) : tom.-. 1~~" i~ - G ~a J ( /gnatur (Name) Please P i t (Title (License Number) (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (except for i fiction opening over outlet baffle). Name Signature MP/MPRS~, STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER /264ej ~ MAILING ADDRESS PROPERTY ADDRESS I (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION Li-1/4, S .J 1/4, Section / - T_Z cZ_N-R_Z_9 _W TOWN OF ,•a~~.-) ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER 119 x ERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which 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 systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three ex ' tion date. SIGNED: DATE: /D St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 II S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property ~Zj-,,2 i. & /irSS C n Location of property 1/456t,,, 1/4, Section T?q_N-R__Zc W Township ~ Mailing address :UAL zj /nom Address of site Subdivision name Lot no. Other homes on property? Yes___' No Previous owner of property Total size of property 4:;ez- Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes `-~k- No (S~61ume 9*0 and Page Number 3~~as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No 4l-72& , and that I (we) presently own the proposed sit for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in e office of the County Register of Deeds as Document No. r' o Sign ure o Applicant Co-Applicant l~ /2 Date( o Signature Date of Signature POCU EW STATI PAR CP VanCi),AWIW FORM 1-2a'*i8 rws s~~a asp a aria WAP 4 • 454776 En OFFKX ThiX Deed, made between ST. am COL, VA RwW perao. . I bed _ JAN 0 415W Grantor, aa...14:40 A ~A _M...Aaxaaasa h~taAand.... and._~i fa..eta..auz~z3yataAip.maxital--pcup~zty_. Grantee, Ata WitnOS aOM That the said Graator, for a valusbis consideration - - eonvtys to Grantee the following described real estate is ...St,... _r0.LX aeTURH TO ` County, state of Wiacon:ln: i { ~ Tax Parcel No: } Lot 119, Park View Estates Fifth Addition to Town of 4udson. i s This is not..,__ hoinestead property. (is) (is not) Together with all and singular tta hereditaments an4' appurtenances thereunto belonging; And........ -•----------.SAM_X...Miller warrant- that the title is goad, indefeasible in fee simple and free and clear of encumbrances except i ~ easements and protective covenants or restrictions of record, if any i i and will warrant and defeM the same. I Dated this o'Z - day of January 90-. i ! -(SISAL) ,Z ,1,L -`--.......t ~ ..............(SI;AAL) • • - (SEAL) . •--------.--..........(SISAL) f • • I AUTHININTICATION ACIKNOWLINDG;41INT STATE OF WISCONSIN se_ St. Croix ' ....................Cours3y. authenticated this day of- 19.-..-- "Persolally came before M;- this .__a2_*_,Z ...day of january 199Q... the above named . • .....Sam _ E....Mi l l e r,-••--•------•-•--•--......--••-------•---------- . TITLE: ME-MBER S'PA'TE BAIT OF WISCO\51n3 (If not, - i authorized by j 7M041, Wis. Stats.)-.............. to me knn:vn to be the p.-°:~ n who erp. stet t e i ford_oinr in%trument anll nekr-owleAAKthe same Form- S T. C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP yam, s 4 SEC. T 22LN-R~Jo17 ADDRESS,a Z. , ST. CROIX COUNTY, WISCONSIN SUBDIVISIONS LOT LOT SIZE ` Z 3 Z ff Cdr S PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 7$ 4 pu. 10 1'2 Lip 63 ~nkS" O o o z/ X.32' ti r u N INDICATE NOR ARROW DEPARTMENI OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LAPJOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL ❑ALTERNATIVE State Plan l.D. Number: STd 4SE 4 j S 17 , T29N-R19W 0 Holding Tank ❑ In-Ground Pressure ❑ Mound "signed) Town of Hudson N R R: ADORESS OF PERMIT HOLDER: INSPECTION DATE: Sam Miller Box 282 Hudson, WI 54016 a1 -a Iq A BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP/MPRSW No.. County: Sanitary Permit Number: Douglas Strobbsen 5432 St. Croix 128644 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER 95 56 ~f c7 PROVIDED: PROVIDED: Q..!/,.LI'/l ~(~V V / ' J V DYES ❑ NO DYES NO BEDDING: JVENTDIA.: VENT MATL: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: pp LINE l s I AIfl`_NLET: DYES NO DYES %0 NEARESTOM /15-5- ~'s DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES NO DYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING: VENTTO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION .SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. NO. OF JDISTR. PIPE SPACING: COVER JINSIDE DIA.: tt PITS: LIQUID BED/TRENCH DIMENSIONS TRENES / M RIAL: PIT DEPTH: GRAVEL DEeiH FILL DEPTH DISTR. PILPF DISTR. PIPE DISTR. PIPE MC/ARTERIAL: NO. ISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES. ABOVE COVER: ELEV. INET. ELEV. END- PIPES LINE: 7 AIR ET: FEET 1 9S as q Si4 7 2 S NEARESOM /S L/g MOUND SYSTEM: O Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- DYES O meets the criteria for medium sand. TIONS MEASURED. NO SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS. DYES ONO DYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED: SEEDED: MULCHED. CENTER EDGES. DYES ONO OYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO. DISTR. ID ISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: CIA.: ELEV.' PIPES: DIA.: DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: DYES ONO DYES ONO COMMENTS' PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: U FEET FROM LINE` I I DYES; ONO DYES ONO NEAREST \ v L -S2 Sketch System on a in in county file for audit. Reverse Side. SIGNATURE: TITL DILHR SBD6710 (R. 01/82) SANITARY PERMIT APPLICATION U ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY l:c STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION g-07 k~'/a SE'/<,S / T.Z ,N,R / E(or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # p OkZ- CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER also cu L Is- 5419/0- 3i Z7(.1 F wttf II. TYPE OF BUILDING: Check one CITY : NEAREST ROAD ( ) State OWned ❑ JX TOWN OF: VILLAGE : -AO-a ❑ Public 0 1 or 2 Fam. Dwelling-# of bedrooms-3 'PARCELTAX NUMBER() III. BUILDING USE: (If building type is public, check all that apply) Z -7 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 4.0 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 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 (s q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION S O (el/ Feet /O 'Feet VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed _M F1 1-1 1 Septic Tank or Holding Tank /moo O / !,i c S a.~ Lift Pump Tank/Si hon Chamber F] F1 Ll 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 Stamps)' / MP/MPRSW No.: Business Phone Number: bnt~q strc. bc_cr Zen o-o Z-- Z`/ ~r Z3S Plum is Address (Street, City, State, Zip Code): R; e A [-cJT r o IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) 114 1 Approved ❑ Owner Given Initial Adverse Determination ' X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/86) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber Sa ~ ~ ~ ~\a_r Po. w VinW ~ S*o.~ms lo~ # 11~ A 8. { e hT 4 t ' hL N. E Ip-t CeYU\mlr Q_ ~C ~SS11vl% d = IDD.O' N°~~lot I~v,4L- G U goy ds 3,L- k po,.A',. y o C.) $otto4„ F1.= `114.9 , ' I N. 75. ~ SU:'itaVl.L /21 ' i J sysfie.M Gly. = 9y_7, A - - - - - T 37cr , 30 28X48• 'G~[~ z8 6ai41s I , J b~ i ~ Y t 18:--- Itl° $S 8`I +1 1 i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.090) & Chapter 145.045) LO ~ I / SE17 CTION: T~~ ~ (o TOWNSHIP/ .SOS! OT NO.: BLK. NO.: SUBDIVISION NAME: S11 R/ 4 //U' - 7 4 Vd,'04J COUNTY: OW ER S BU ER'S NAME: MAILING ADDRESS: v USE DATES OBSERVATIONS MADE NO. BEDR COMM RCIAL DES R P PROFILE NS: PERCOLATION TESTS: Residence TION: r3~rQp XNew ❑Replace I /Q p(J /0 RATING: S= Site suitable for system U- Site unsuitable for system LLr 3 CONVENTI NAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN- ILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) /2 ~JcSL~ ®S ❑U ®S ❑U GRS ❑U ❑S CCU ❑S ©U Co c / ~x~~~ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5) (b), indicat I e: l Floodplain, indicate Floodplain elevation: P FI E DESCRIPTIONS BORING TOTALS DEPTH TO GROUNDWATERS CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHrW, ELEVATION OBSERVED EST. HIG HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 0 B- Z- 7.SI .0' 40ide 7 -S' 11, 4 1,6n,94.15, Jd&l S S B- 3 7- ' cto u e- 7 -S' 1,15 s/ 4 S B- /r.~ .8~ a FL 7 • f' B S/ . n /S 2. Jr- S z Aft a,. S B'S 7-S' loo. 0' o ue- 7 IS 4" /S . n 2.3 On S B- PERCOLATION TESTS TEST DEPTH/ WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER NQ EH; AFTERSWELLING INTERVAL-MIN. PERIOD I D P PER INCH P_ y. ~ b -3 c P. y - 3' o G 3 P-_2 0 3 I 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 hori- 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 percent of land slope. SYSTEM ELEVATION _ i i f - PLOD _ _ IT, i i 1 i r i 1 1 g1l p rri • W ~ rN - i ~ f h W : i G o tr I P P p P ~ fs I ' .a . ~ ~ ~ ~s v~v►~~,~~ Ir • }aT}a - I* Cl -JC STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Sc~"-, /1~./mar ROUTE/BOX NUMBER 4-y Z Z FIRE NO. CITY/STATE /A• •~01,- Ly T ZIP "011 PROPERTY LOCATION: S w 1/4 S E 1/4, Section -7 T_j:j_N, R z Town of St. Croix County, Subdivision F<fia~~3 , Lot No. //I Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which 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 SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNE DATE - y 2 St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address . T , 4 " APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property <a 4g ~J," /vs✓ Location of property SW 1/9 E 1/4, Section / 7 , T ?~N-R1T Township 4&e -ron Mailing address Rox-" Z8 z /-~ti~s s h ~v z syoi L Address of site raQ,-k l/;Q E 7r.-L t Subdivision name- P~~ O~' Lot number } Previous owner of property _„Dd ri'~ / Gt-~y' Total size of parcel Z 3Z /itcdv s Date parcel was created Are all corners and lot lines identifiable? .~_Yes No Is this property being developed for resale (spec house)? X Yes No Volume Z- and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition., a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. 39 3 V -T-z- ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the ......w i.-....4 i..- -t --i.a -..-a._. - -1_ PARK VIBY ESTATES FOURTH.- ADDITION i A IF ` At SU'i DMSICN LOCATED.IN'T'NE IVEI++ -SWAaNW' h-S£44.SECT1CN 17, T29N., R19kN., ~ TC #VN : Cam- HLXSC N. ST C19GX COUNTY, WI SCOWN C33TITICATT Or T0VXT3t=SCMZR STATZ Or Wz3CCNSL4) ss.,,i~.'.~ &If. Qt= COIrNTY 1. BevsslyA. Jobnaow~.b~ a~ the dsly elected, quamiod`ssd acting Town Treasurer ' of the Tows of Hudseo, do k ovsby aertify that lot &aaosdaaae r rda In my office, theme are oo unpeld taxes or ey44W assessments as on on any land iaoLm4od In the Plat of Ark View Lstatae Fourth Addition. S yt• Beverly V Johoso Town TraasY I TOWN BOARD RESOLUTION RZSOLVSD, that the Plat o/ Pask View Eatates'Fourth Addition in the Town of I Hudson. Darrel E. Hart and Beve A. Wert, awnsrs, is hereby approved by the ! .row* 14, " Nato +J ppt 'roved r. /Y Own imam y / DD,4 Mined Own s aerebv certify that the foretoinj is a copy of :a resolution adopted by the Town 1 Board of the Town of tludsea. j D/te orn+ Clerk OWNZRS1 Cr'RTtFICATE OF DEDICATION As ovnera, we hereby eerlu that we caused the land described on thi: slat to be surveyed. d!•rlded, rrapped and 4. 14494 as rop?ro%*nted on this Plat.. W4 elso certify t9st :hio Piss is required by S. 236.10 or S. 23b.12 to be submitted to the foltuwing for 1 appruval or objections 1 1 Dsparttsaeat t./ Development' L' apartment of ladustry, Labor and Human Relatloao, ! Town of Hudson. City of Hudson and St. Croix Coaaty. 1 9f:TNSSS the land and seal of said owners, this day of • In ~reeence oL• . r-1 Dsverly A.Wes'~"~• ~ 1 STATE OF WISCONSIN' SS 1 ST. CROIX COUNTY I Personally came before me this day of _ /I ,r / % • the above named Dorset E. Wort .and Beverly A. W art, to me ianown to be the persons who executed the foregoing Instrument tad acknowledged the same. I Notary Public . i• t. ig„t, . Wisconsin My commission expires I /9I J i 1 Mary i1sch, Notary Aablic ~ j ,-,CERTIFICATE Or TOWN CLrRK.• 1 i~;-.STATZ OF WISCONSIN) n 1 ,.rST: CROIX COUNTY ) •Ti 1. Rka .carne. belog the duly appointed, qualified and acting.Town Clerk of the Town of :Irdson, do her*Isf c, 1!y that co!2.011/ this Plat were forwarded as required by .t. 216. 12 On theday of , 1984. and that within the 20-day Malt met Fy s. 236.12 (3) (no ob)ectf as to the plat have boon filed) (all aahjwc:inns to *he flat have b.ao-n mer). n u 1. u a .a. ''AV , , o vi,yv~Zk;' ~~o '.11..:Me, a; SMV3t IOR'S CZRTUV-ATX: , I. 3ssaa2.-t. Tinsel. Reydoterod Wlaeesuta La" 5urv.yov, huraby cartify so the beet of srry peefeesiessa kUM1.4se. sa4ere1a0dsA9 mad b•lsslt Tkae 2 ba" oarvey04 divsdad and roapp..d park Vsaw EMMW & Wourth Add U m.. losetad la the NZI/4 at tba SW 114 404 tho NWI14 of the Sa•1/4 of 3•ettoa'17. T29N, It 19W. Towwof Hodson, at. Croix County, WLserasial Tknt I bavo made *"h survey. land dlvtaloa and plat by tke dinsa:tlon of Darrel E. Wert mad Devnrly.A. Wert. owners of sold lanul, described as fell": Conasseadag mt,lba 10/4 corner of said Saciloa 17. ikeaee 529620806"11 (aeausned bessitfds reforensrd'te tke moaumastod EA3T :V E3T 1/4 Sectloa Use cl; 3ecttoa l7. bswiy asanraed 529'22'02"W) (rooerded as 3611'21140" W on tkat Certkt+d Surrey 11ap reoniad to Velumr 1; Para 324). 1332.90 along said ZAST.W Z3T' 114 3e000a 11set theater WG4* W-Z27.TJ to 41be podut of bo%inniatl Uwae• NW3140"Y 412.008; those... . NO"068300= 212.00+ to the Southerly rigkt-91-.way line of Croon UJU Loess tha"a 1139•S240 W 64,041 a1" ,aid rtght•of,.sy lima; throe. 39'04810'W 251.001; thaws t579r'I6152! V 194.358; thaea , 549PISI1411W 236.741; thence N75'57s0S"W 142.171; thrice _ 389"1'1114 W 539,009 ;.116&ms NO 06930"t 104.0011 tbraee 321'15114"W 344.0081 thence NW.%j'30"Z:156.001; thenoo 329'15114'V 66.0111 tkaoee S0,64410,W 316.131; chaste-. 3i'NIS614^W' 151.000;. tbeace N0'3715 1"W 54.131'; thence 569'2210911f ]11'..5081 thaoce SO'O6b0!'W U4.4481 t5+ace 069'13'1{"3; 154.004: thence 50'06830"1/. 31L. 971; t,eeC• MWISBIAM•150.001•tkemce 3oulkaaaterly 66.231 slant the era.of &.313.008 radius eurv+•eoaesib:Nost►saatsrly whose chord Users SC5050"E 66TI761 tkensw Nice 15114"t: f 67.0113 t1►eaoo•Seutls.nuerly,I36.S61 along.tk• are of a 317.004'radtue curve coseav 1 Neribearteviiyy shoes ebovd bears 524 03102"E 13:Y.5111 thence 4302313012.' 143.149; 1 tha.44t1Q71'3683QM 160.9681 thence N69'i5!l4"ZZ43.008; thence 50'06131"•1! 102.001; thenci'$6rW30" W. 259.161; theses Soutluaatelly 14.141 al thr are at a 217.001 rs dtni:elssire.oeoeaire North"aterly,wiiese chord bears 576'0 V16"E 95..Ul: thence Nsrtf714*9920.001; thence Northeasterly 91.21ralon thearalei a,300rf3111 radius ens+i toaeiiyo Horthweeterly warore eliord bears 1420.3840'7G90.258; ibeaae Norsk. v -dosir91;41ralong the are of a 300.008 radius Curve sauanre Northasatnrl~r whose chord brew Nd/37826W 91.09'; thence NO'049300C 150.00'4 theses N69'15n14 ^s. ' 476.03'`; thence Ht7'06830"Z 834.561 to. the point of loolUaing., Thawiaab plot I►a tersest repmesendelfon •f all the sidevios booodaiiies of the 1 taad o".. y94 and We subdivision there( made, bad lb" I have idly compiled with the pvovtsloae of Cbaptor 236 of the rfiacoosle Stosotss, the Sebdlvtslea and Zosis.g Rex""tena of 5t. Croix County, the :'own ul lfedsea Subdlvtetoa OrdL suwo, and the Clty of Hudson 5abdividan, and Mantle{ Or4l• acne., fa surveying. litvldlss sad mapping the soma. Dated tkli.~„ day of 15.14 , 1994 It vtsad t 1 15th der of April, 1984. y' ,4~~ass0 E. seek - R.L.S.1316 rMX ~ 421 Akao" Stroet 8117 Hndeon, lt•lscoasla $4016 S' owt POW4 •COUN" T14EASVItZR13 CERTIFICATE STATE or WISCONsm) - ST. CROMC0lHTY 9 ) I, UowyJNn Livermore, being July et~sted, q"IUted and aedng Irf►aaur•r of St. Croft County, do hereby eertUy that the. records in my of how a unrrd•amed office show as unr*49*m*4 tar ss1~e sod ne uupeld taus or apeelal ass•sameMs se of atfeottaS the Inad2 locladsd to the Plat of Park View Estates Fourth Addtion. Date unty Tr.;anwa ZONING C024AIT VIG RE50LUTION This plst 18 hereby approved by the St. Croix County Comprehnn.lve Pnrks, P1sAWA6 And ?.wing Corturtllt.re. I>atr CI►~la'tt~s .slftlaa