HomeMy WebLinkAbout020-1317-30-000
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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER~,~ ~7 a to Gca b.r
ADDRESS
SUBDIVISION / CSM# ,Qa,4 "rl_ Itl .5 3 _S0 LOT #
SECTION___ _T N-R Town of 144411_L
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
A
P
s
_bA
- 1r,
.S
.i
4 71
~i`+~` ~ mow. v _
'i
INDICATE NI RTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK'
ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: /,~,~~-~a►, ~po, Liquid Capacity:
Setback from: Well '7 $ House / Other
Z
Pump: Manufacturer Model# Size
Float seperation A114 Gallons/cycle:
Alarm Location SOIL ABSORPTION SYSTEM
Width: Length Number of trenches
Distance & Direction to nearest prop. line: ~ST-
Setback from: well:: ~ r House Other
ELEVATIONS
sr-
Build i g sewer ST Inlet'4* a.s°,S- ST outlet
PC inlet PC bottom Pump Off 9~~
Header/Manifold Bottom of system,~,cp;~
. 01, Existing Grade Final grade
DATE OF INSTALLATION:
PLUMBER ON JOB: LICENSE NUMBER: Q~ 2 ;:z- .a `
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
E9bor and%uman Relations INSPECTION REPORT am • C f1Cr
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Perm0 C, it " n 8
GENERAL INFORMATION 1
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
n TII-TJ LIM !'ti TNT T7'T T\ -1-f',+elriT
UUV-1I.A 1:.1 T\♦ Ll V.1.. 111 d.1. U"-1%1q.4
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: V r, r
/ .rye
TANK INFORMATION ELEVATION DATA 'A nr nn n" r,
,t? 7 R_D b.. a 61161
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic o Benchmark
Dosing
Aeration Bldg. Sewer UT 33
/3
9 - St/F Inlet i
TANK SETBACK INFORMATION St/ Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet '
Air Intake
Septic )sU' da7i 1_ NA Dt Bottom
Dosing NA Header / Man.
3 9-
Aeration A Dist. Pipe - L ,
Holding - Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer
M061 Number t~,,or s ? S,k / C~7' i>2, 0.9G,
TDH Lift F ' Ion System TDH Ft
oss H
Force mai ength Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length , No. Of renches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIM
SYSTEM TO P/L BLDG WELL LAKE STREAM LEACH Manu a
SETBACK 4
INFORMATION Type 0 r1 e ,r 11~_. CHAMBER i Mode Number:
System: -t1OR UNIT
DISTRIBUTION SYSTEM
Header A~td „ Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length ~ Dia. Spacing '01
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade to my
Depth Over Depth Over xx Depth Of xx Seeded /Sodded Mul d
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) ; A, 6 /Y~-u , 4.do(-
G~t7 T-A NIR
T f1!"4'A fiTTJTTn L:. lSTT A ']A `d QUT 9,M, 'AT L°1IE Ttl'ifTl r-ST T1RT S
le 6-.fi] .d, _0.. 41lY 11 U/L>~ a" (,%AY . 2'-k_w-G.:`l~ly ~'L _7 CY}@ d.{'a/~ ~C3.~Y !,OT Ca R t /¢1 4Y A'9
"l
0/
~-r- ,
J /4
Z2
Plan revision required? ❑ Yes [ eo p
Use other side for additional information. l~
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
14 U ~rn ` yq ~s ADDITIONAL COMMENTS AND SKETCH t
~~j~4ITARYCE13MIT NUMBER:
7(~ -7, go ~tts '
~.w.
~~a.i•iR SANITARY PERMIT APPLICATION BSafetyureau o oand ff BuiluildiinWater Systems
gWater 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 County5-f
than 8 1/2 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Permit Number
The information you provide may be used b other government agency i~ ~O
y y by programs [I 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 '114/11V
Property Owner Name Property Location
C, 04WO RU hoR ~1/4 yW 1/4, S 2q T Zf N, R ~ E (or(g)
Propert Owner's Mailing Address Lot Number p Block Number
3 cl iRO a
City, State Zip Code Phone Number Su division Name M Number
LAA o%P%~ Gu ! s 5 7m c7 >~33~o1v -4VA;,R ~~ortC Dec. 53~afr6 vat G • Y6
II. TYPE F BUI DING: (che one) ❑ State Owned o 't Nearest Road
Public [Rf 1 or 2 Family Dwelling - No. of bedrooms vows of ~VDSO~ G/~G/~
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
3U
1 ❑ Apartment/ Condo Oz0 _ f3~~,
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 O ERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑,Reconnection of 5. ❑ Repair of an
<------System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 410 Holding Tank
12 Rt eepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit _rA,54c4 r ,r 43 E] Vault Privy
14 System-In-Fill S 7 x *V
VI. ABSORPTION SYSTEM INFORMATION: /09 f
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.) (Mih) w2 . v ` Elevation
IZ,lw /zla o ' 6 / 8• v' Feet wco• Feet
VI1. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank 00 / 600 Z 4 azleey'f ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber Cd~~C It w ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plygnber's Name: (Pri t) . gF I Plumb is Signature: ( Sta ps) MP/MPRSW No.: TBusiness Phone Number:
5-- 74019
Plum er's Addr s treet, City, State, Zip Code):
e Oh ti~ 10j- IC-1y0
IX. COUNTY/ DEPARTMENT USE ONLY
❑ Disapproved Sa tary Permit Fee (Includes Groundwater ate Issued I uing Agent ture (No Stamps)
Surcharge Fee)
YApproved ❑ Owner Given Initial
Adverse Determination
X. CONDITIONS OF APPROVAL/ REASONS OR DISAPPROVAL:
SOD-6398 (R. 05/94) DISTRIBUTION: Original to Counly. One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS -
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit maybe 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 ownership 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 licensed P164per whenever
necessary, usually every 2 to 3 years- n
6. If you have questions concerning your onsite sewage system, contact your local code administrator orthe State of
Wisconsin; Safety and 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 on 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 for numbers 1 through 7. R
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 seo--ic, pump/siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
Vlll. 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 8 112 x 11 inches must be submitted to the coin-ity. The plant 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 sakes; pump or siphon
tanks; distribution boxes,- soil absorption systems; replacement system areas; and the location of he 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 d 1.15 form; and F) all sizing information.
GROUNDWATER SURCHARGE
t
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a-nbmber of regblated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
Fresh Air Inlets And Observation Pipe
Approved Veat Cop
Minimum 12' Above '
lli final credo 1t
e T~~ AJ G /6 9
Above Pipe 4' Cast Iran
• 3~
~ . t
v -to final Grade Veal "t
trnlhelk Coming
min. 2' Aggregate
Over Pipe
0 Oielributlon Tee
I P1ptl 0 0 0 0 0
Aggregote b Pwfbroled Pipe Below
Beneath Pipe -Coolog Tecminolin4 Al
o
Bottom Of $1616M
~ 3sys ~~-i
Of
fresh Air Inlets And Observation Pipe
0 ~
[]•---Approved Vent Cap
J Minimum 12' Above
Final Grade
FiuistiED 6R^-,O
j TRE►J C,
H- /D v•O
3 (p 'Above Pipe -4'* Cost Iran
'fe Final Grade Vent pipe'
O
trnlholk Covering
Vi MIn. 2' Aggregate
Over pipe
Oisfribulion Teo
Pipe 0 0 0 0 0
c
o v Co Aggregate o Perlbreled Pipe Below
Beneath pipe
PIP
ck 6\ S5 TJ Coupling Terminating At
Bottom 01 S.yslem
Fresh Air Inlets And Observation Pipe
Oc
o .
Approved vent cep
W Minimum 12' Above
final Grade
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Wisconsin of
angel bons stry,
Labor and Human SOIL AND SITE EVALUATION REPORT P 3
Labor man Relations age _ Of
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
sr c,PoI'X
Attach complete site plan on paper not less than 8 1/2,x.)'. 1.1-[nches in size. Plan must include, but
not limited to vertical and horizontal reference t (8M erection and % of sloPe scale or PARCEL I.D. A
dimensioned, north arrow, and location and dt'stdnce to nearest .road.
APPLICANT INFORMATION-PLEASt PRINT ALL INFOfRkAift,6, i REVIEWED BY DATE
PROPERTY OWNER: -.PROPERTY LOCATION
~i i H 3 M~jP Y ~P<JSG ~i Y OVT. LOT SF 1/4 N£ 114,S2 yT 2-9 N,R //7 E (oiW
PROPERTY OWNER':S MAILING ADDRESS, LOT I BLOCK # SUED. NAME OR CSM #
/yllr 3rzo ST - sum R 06
CITY, STATE ZIP CODE PHONE NUMBER []CITY nVILLAGE OWN
NEAREST ROAD
Hup.5o,J Wl, 5c101U0 ; ('715)3X- ~fuDSonl YGv,uG- ~'a2
[q'*N'ew Construction Use [t,11esidential I Number ms 3 fio [ j Addition to existing building
I I Replacement y9"6 - ( j Public or commercial describe
Code derived daily flow (DDo / 2 , G gp~2
gpd Recommended design loading rate bed gpolg trer>ch,Absorption area required *Vg bed, 112 /00trench, g2 Maximum design loading rate L,, bed, gpd$ ' G trench,
gpd1ft2
Recommended infiltration surface elevation(s) s'-e.0_ e j . 3 ft (as referred to site plan benchmark)
Additional design / site consid ons 2~~,eL--7 7ZE-,' ~ - e-eVP&_Z2 o-✓ S!d
Parent material SCS 5 Sgt' 'F Flood plain elevation, if applicable N A- it
S =Suitable for system C~ONV~NrIONAL MOI~p{B'~ IN_GRQl- 11 UNDD U ESSURE AT•G ❑ U SYYSTW-IN FILL HOLDING TANK
U = Unsuitable fors stem VG'S El U 9's 11 U FL W-T C9'S U ❑ S
BIT-
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Inch
/ . 07 77 fs ~S /uF ,Y .S
Ground -3 "Y 7 S ye S OS' elev.
/Olo • ft.
Depth to !
fimiting
factor
l
Remarks:
Boring #
o S1/. 1 fSAe n,,,,)tA C S' o f- s
Ground
elev. 7 -37 7,5 y12 y~ - ~S ye 19k) 'ki C S
ft.
to 7.Sr/2 s
Depth
limiting
factor
~-f8-
Remarks:
CST Name: Please Print Qo f3ERT- ULQR I'C1,,7- Phone: 715-- 3.06- 918s-
Address: ~~_/✓l--Gtr CSj"y 2-el'?
Signature: _ L PrIvata sewage Consultants Date: / J CST Number:
PROPERTY OWNER J- 3 M RU 5CtL- SOIL DESCRIPTION REPORT Page of 3
PARCEL I.D. 8 1407- S~ .570 A.1 2 /DG
Boring # Horizon Depth Dominant Color Mottles Texture Structure Roots GPD/ft
In, Munsell Qu. Sz. Cont Color 3 Gr. Sz. Sh. Bed Tiench
o.~ I'a 'e s~Z s,/ ~f shK .w,f,~ s 2 y s
y /D r/e 3/ Si/. ,4 ACS - . S • ~
Ground -3 Y,e lv - Is
d.Q CS
- -7 • ~
elevn.
Depth to
limiting }
facts /
t
Remarks:
Boring # o vo ~a yie
s 2 t 1-5
`f
Z /O 311-S/ s6,C ~h-►i ' C s . s • G
: 3 4-1 2X YR Y /s 14n file Gds cS Ground - -
-50 -7T
elev. 4- Ye y IWA~- s. 0S ~Q i 6
ft.
Depth to
limiting i
factor FZ/
Remarks:
Boring #
/ 0-13 /O lie 3/i - Si~ f S ~►+'F~° S 7~ , S -G
2- .0
-3 7, 571 17-"S46t Ck)
Ground /
elev. Q 90 7, S YR Y~l, `7C s , S GCS $
/01~ft.
i
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
1107
~/~Uff-T/ous'
(3 o 9. ~6
Q 3 to
/WeAvw
C d,P UE 7i EN GkQ S 0 A.) S /O
iv MATS Goo l'oo RS
~f-T~a-u5 EAST
13 3
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low TReN 9~,0
,8s
39 .
!33
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--------------------------May-21-96 08:31P Greenwood Enterprises Inc 715 386 9779
P.02
f~ APPROXIMATE LOCATION 0 61
OF EXISTING WELL •~z 89,983 S4 Ft
01
t• N 62 ✓ • 00 04 2.07 Ac a v
W 88,581 Sq F L N ?1 40 ° Z
' - ,tj0 ' 00• E tV
2.03 Ac 0. 00' Of 1.
/ `O = • F. N 7 e .00 N
80,p0, f~\ .00 ti4.~ 3d 423 °
-04. il~
60
I®
> Z C . 00 00 89,3213 Sq. Ft. o~ 3
2.05 Ac.
E ►9, .y ~y S 7 O
N 6 z
e~ s ' A (03wo 67.78'
59 oa ' Op to
~3 S`9 ~N8G*CKY 0'E 109,858 Sq FL 327 ou . N
p 2.52 Ac.
0. v .
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01
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1 VG R I,, , , oQO wE a N83'4504
3.00 o S A•e se
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ti\9~e~ - f SB . 00 - >2.0 ,m wOi
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----7
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273,516 S q FL i sa' ` ♦ t _ __.1--•'' O
6.28 Ac 44 &07
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19
8%312 Sq. Ft
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.58.5•38'00"E
ays, 1
I 1 70'
NG EASEMENT
16.5,727 Sy Fl or 380 Ac.
3g1QI 18-
57
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60 106,3;6 Sq Ft.
a 2.4 4 Ac.
55 56
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135,379 Sq. Ft. 0~ 97, 347 Sq. Ft. ~-A
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o
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER C, • >
MAILING ADDRESS 3 / , JIZ cs"
PROPERTY ADDRESS.
(location of septic system) PI a obtain from the Planning Dept.
CITY/STATE ~v °A.) , LtJ%
z~ t
PROPERTY LOCATION 5 1/4, 1/4, Section , T N-R W
TOWN OFST. CROIX COUNTY, wI
SUBDIVISION LOT NUMBER J t3
CERTIFIEDSURVEY MAP 3 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 year expiration date. - -
DATE;-~'--~'
St. Croix County Zoning Office
Government. Center--
1101 Carmichael Road
Hudson, WI 54016 11/93
' 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 C TAD 1 a (3 V G h~ R
Location of property 1/4 N e 1/4, Section L , T~N-R_L~_W
Township ' V D Sy/tl Mailingaddress
Y3/ 6 G11t'RE/'A0A1-r 9A Cu 15.
Address of site 3 S d-.j 1 D /
Subdivision name S Vlt) Lot no. 5 g
Other homes on property? Yes No
Previous owner of property M l sG /1
Total size of property 2 • h ~itl S
Total size of parcel
Date parcel was created 9 y
Are all corners and lot lines identifiable? Yes No /
Is this property being developed for (spec house) ? ~es No
Volume /W 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. ~j 4.5 (o(, S , and that I (we) presently
own the proposed site 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
the office of the County Register of Deeds as Document No.
Signature o Ap icant Co-Applicant
Date of Signature Date of Signature
STATE BAR OF WISCONSIN: VCW-V 1 - 1982
545665 WARRANTY DEED
DOCUMENT NO. 85 REGISTER'S OFFICE
s t~~: L ST.CROIXCTY.IWI
Peed to Pec0d
This Deed, madebe(ween Greenwood Enterpri_~es, Inc.; JUN 2 0 1996
a Wisconsin corporation
m
Grantor, at 12;45 P.M
and C. David Bugher and Carolyn H. Bug:ier, 1usband and wife with right of survivorship Register of Deeds
Grantee, s
y of one THIS SPACE RESERVED FOR RECORDING DATA
Witnesseth, That the said Grantor for a valuable coruifradcm
dollar and other good and valuable consideration
NAME AND RETURN ADDRESS ~
conveys to Grantee the following described real estate in St. Croix Greenwood Enterprises, Inc.
County, State of Wisconsin: 1416 Third Street,
/0.
Hudson, WI 54016
TRAP ff ER -
(Parcel Identification Number)
F--
Lot 58 of the Plat of SunRidge III, filed in `...z'e office of the Register of Deeds
for St. Croix County, Wisconsin on January 2, 1996, in Volume 6 of Plats, at
Page 46, as Document Number 538046.
This is not --homestead property.
(is not)
Together with all and singular the heleditaments and appurtenam-c'. thereunto belonging;
And Greenwood Enterprises, Inc. And
warrants that the title is good, indefeasible in fee simple and free and cknr of encumbrances except
easements, restrictions and reservations, if =y, of record
and will warrant and defend the same.
Dated this n day 4 June 19_96 .
GREENI OD ENTERPR~ E5, INC. GINIOD ENTE NC.B(SEAL) BY:
(S use s secret^. • !~rSy~"~~ ,
V: ~ ( E~1)
- (SEAL) / i
0
AUTHENTICATION ACKNOWLEDGMENT
Signature6s) James E. Rusch, its president STATE OF WISCONSIN
ss.
t. Croix - County.
'authen his da of - June 19_ 96 Personally came before me this day of
Tuna 1996- the above named '
- -
Mar y R Rti s cb_Yi-tq secretary