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HomeMy WebLinkAbout020-1302-90-000 r CL O j N O o 3 O p CH l~ N N a o C it h O O N O~ O i ~ I fZ, d 3 I ~ C z 7 c6 LL O 3 Q 3 M g I ~ T z N E m w o o z T I d C" FAN- tw a m I 'I o c C7 o z 0 y. T 7 fA IZ- r N z Cl) N yCL U g a , o C 'a ) z Q ! z z N _ ° E E E j L a Y ~ r C w w y = y d C O E oa = U) W a j~ w (n co V 5 z IL (L n a c j o 'y0 O CO N to J U = rn rn ~ y } -O N O) 0 0) m N M - (D 0 O J M N. O N O O E CO CO O m = O Q 4) N Q j u) y- Q z U) m O O T H C E Q O ~ O P• 3 `0 y m a o 0 O C Y G O N N L. O T ~ 0 Q7 C _ `O a) 7 CO T O CO N U '6 n F~ N N 0~ m C N O) • N I- 7 Lo O N N l6 U O O N S (n N O z C Cn v~ d m € a • ad ' LCL rr`1wV ~ E ~ c c ~ 1 ! ' Wisconsin Department of Industry, SOIL AND SITE E V A WATI ON R E P O AT Page l of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 133.05, Wis. Adm. Code FPARCELLD. Attach complete site plan on paper not less than 81/2 x 11 inches in size. plan must include, but not lim ited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. REVIEWED BY GATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY OWNER: 11i/S L1f'v' O44 • PERTY LOCATION L- % 0 A-1 G ,4 (011444- LOT S~ 1 /4 N~-1/4,S 17 T Z9 N,R If (or) W BLOCK # SUED. NAME OR CSM # 334 PROPERTY ~Ze•OWNERS ,PoBMAILINGTS ADDRESS 12i8 ~~P alwf) UMR i H1,11-5 k AS E- Z ST C CITY, STATE ZIP CODE PHONE NUMBER OCITY OVILLAGE [~f6WN NE BEST ROAD LN T uG /tIN 5510! (G&) 222-5SS5 +j U V)So0J 117 New Construction Use [ k"esidenlial I Number of bedrooms ' °'P 3 Addition to existing building [ [ Replacement ( [ Public or commercial describe Code derived daily lbw eo, 9pd Recommended design loading rate 7 bed, gp02 trench, gi>d1R2 Absorption area required ff7 bed, ft2 trench, h2 Ma>dmum design loading rate bed, gpd/ft2 ' go trench, gPd/ft2 Recommended infiltration surface elevation(s) S-~ 3 ft (as referred to site plan benchmark) SEEP of sf~sT > 3-0' f Ea"+ c+~ ca2_ 5 /0 5 Additional design I site considerations Parent material Sc S G~ S Flood plain elevation, if appli6aible R LU = Suitable for System °o~ iaK MOUND IN G BOM D PRESSURE AT GRADE SYSIS" O U ❑ DING T =Unsuitable for stem l~ S I U S 77 S 0 L~ U S SOIL DESCRIPTION REPORT • GPD/ft Bound3y Roots Bed rtz Boring # Horizon Depth Dominant Color Mottles Texture StrGr.ucSz. t ucture Sh. Consistence in. Munsell (hl. Sz. Cont Color S 2f 7 k2- S / Jh.~ ~►'rll/~i~ 3 y D-3o 7S ~~E' Sly a' 3 . o Ground elev. ft. Depth to limiting facto „ Z'~Fa- Remarks: Boring # ! D 1 a /'e 311- /s Sh r 4. of Qs z f 2 y i)-2 -75te 9/ s i 3 2 - v 5! Ground elev. ff. &ft. Depth to limiting factor PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. ! le,,- -01- 3 141 171UAI?IAv Ill-1111-5" Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bmifty Roots GPD/ft in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. Bed Tre+xh Ground elev. /o3 It. Depth to i limiting (ac7in 7- i i Remarks: Boring # rs, Ground.. 7 " 7 v~y/P `S~ - . s' . d , .S c~~ s • 7 ; . elev/ ~ ft. i Depth to i limiting factor Remarks: Boring # / ~•/G /b~ip 3/Z S~ / ~ S`r~ ~ft° S ~f ~ •S A y /D'Voko y s,/ zfsX,r ~s Zf S -3 so Ground elev. _ ft. Depth to limiting i factor Remarks: Boring # Ground at0 r 77 _ d y ~ M 1 'NA 0 d w ooh (hj . C ~ o ~ r ~w N ao r mZ D m 0 ZT 10 .A I O N= L I NE N89'43'55 'w 47 3.39' m I D to e z 5 0 0 6 m 2.11 ACRES w / 0100 SOFT O m \ 91,9 10 ~OR\ 0D z A -520 'ti. w4- O _1 t~ ~Oi 2)46'h rLa. m S Q 2 a~ LOT, 35 s~° 0 /pF946 2.it-ACRES _ z 91,76 FT. L o \ ~ 2 a Nrb \ A EASEMENT \ LOT 26 - s, =964 2.53 ACRES F9G, 0, 208 SQ. FT \ \ \ \ \ !3D Il A D,~~ LOT 34 0 \ \ \ 2.02 ACRES O AEN7 36 87,932 SQ. FT N h0 h9 \ N LOT 2 % 2 14 RES PONt)ING \ \ \ 93,106 Q. FT. EASEN~ENT EL = 972 . 1 JS 1\ 1 : 1484022-30 E S8 )'06'2 2" E 299 46' 1 198.79' ~ ~o ss. \ °oo~oo \ I \ I S- N6a 1 \ I C1\ a ` LOT 28- 2.23 ACRES S n f\78 Q F 4 - 3J ~ 1 - e L Y g 10 STC - 104 AS BUILT SANITARY SYSTEM REPORT RECEIVED OWNER AUG 61996 sr c,aax ADDRESS 1NTY ,e~11 ~.~,7r' ~JNINGOFFfCE ...1..~... SUBDIVISION / CSM#_ / / LOT # SECTION,Z2,>_T-R /Cy W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW ERYTHING WITHIN 100 FEET OF SYSTEM -B' ord /~muS.E ®t~7 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. fi7 BENCHMARK: c/%- ln ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location -.SOIL ABSORPTION SYSTEM Width: Length S~ Number of trenches Distance & Direction to nearest prop. line: A~*Z 12 i Setback from: well: House Other ELEVATIONS Building Sewer ' ST Inlet: ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: - LICENSE NUMBER: INSPECTOR: 3/93:jt t ' Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human,RelationsCROIX Safety and Buildings Division INSPECTION REPORT (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town o : State PI SODERGREN. LARRY X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark c; Dosing 3, ~g Aeration Bldg. Sewer 7"71 q~e Holding St/Ht Inlet '7' TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet rl Septic >aS oZ :a ' NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe ~-Z ' Holding Bot. System q, a), G ' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System Loss Head TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width 7 d Length,_,, No. ci/Inches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS- LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Mode Number: System c._~p 11 VIA 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.27.29.19W. SE. NE, LOT 34. ORIOLE LANE Plan revision required? ❑ Yes VNo Use other side for additional information. 17 1,?d 9~ 2 SBD-6710 (R 05/91) Date In pe(ctor's Signature Cert. No. ~ r ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION Safety andBuildings ter System! Bureau of Buildi g Water 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 1/2 x 11 inches in size. S.- _Sy • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ CheicTcif revision to previous application [Privacy Law, s. 15.04 (1) (m)J. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Prope Owner Name Property Location /a 1/4, &-2 7 T , N, R /c9,+-(er)j? Property O rs Mail" g Address Lot Number Block Number ~-rte-- 7 r City ate Zip Code Phone Number Subdivisio am or CSM Num ep S I. TYPE OF BUILDING: (check one) ❑ State Owned ❑ ityy Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms Town OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo oz:;o "1,f® 6a~ 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1 _ [%New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued- Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ((Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 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 (sq. ft.) (Gals/day/sq. ft.) (Min./yhch) Elevation Feet Feet VII. TANK Capacity Total # Of Prefab. Site INFORMATION in gallons Gallons Tanks Manufacturer's Name Concrete Con- Steel Fiberglass- Plastic AppExper. New Existing Gall strutted Tanks Tanks Septic Tank or Holding Tank R ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, th undersigned, assume responsibility for inst lation o e onsite sewage system shown on the attached plans. Plum er' Name' Print) Plumb s Si r. tam ) MP/MPRSW No.: Business Phone Number: Plu ber's dre Strget, Ci y, State, Zi ode): IX. COUNTY / DEPARTMENT USE ONLY (Includes Groundwater Date Issued Issuing Agent Signature o Stamps) Disapproved sWitary Permit fee 9 A roved Surcharge fee) App ❑ Owner Given Initial ,0 Adverse D etermination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: C/ C SBD•6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r ` ~ 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit 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 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 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 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. 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; 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 contamination investigations and establishment of standards. . ~I xz Ael h/ r ~ m fI Wis_~nr%in Department of Industry, SOIL A L U AT I O N REPORT Page of Labor and Human-Relations " Division of Safety & Buildings ord wit .05, Wis. Adm. Code ~ COUNTY Attach complete site plan on paper not I an the in s an must include, but , 5_~ not limited to vertical and horizontal ref poi re and _ slope, scale or PARCEL I.D. # dimensioned, north arrow, and location istance tQ r~st road. APPLICANT INFORMATION-PLE RIA'1~ IUAT REVIEWED BY DATE PROP RTY OWNER: ~eA PROPERTY LOCATION (*kCIO GOVT. LOT - 114 1/4,S T N,R 9(or6 PROPER WNER':S MAILI ADDRE t'!"- LOT # BLOCK # SUBD. NAME OR CSM CI $T E ZIP CODE PHONE NUMBER ❑CI ❑VI GE OWN IN EARE ROAD z ` L// J) f / J~(J New Construction Use p(] Residential / Number of bedrooms Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow s gpd Recommended design loading rate 7 bed, gpd/ft21,f -trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate gybed, gpd/ft2- S trench, gpd/ft2 Recommended infiltration surface elevation(s) 911;~ ft (as referred to site plan benchmark) Additional design / site considerations i_ ~g J ,w Parent material T ,c,o ' ,jw~ 2j,, I.? t4rA/ '~Urt Flood plain elevation, if applicable &1A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ®S ❑U ❑S ❑U RIS ❑U ®S ❑U ❑S NU ❑S NU 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 Trench 3 -2 1 lb- _Z Ground < elev. ft. > 8 9? zh/ Depth to limiting factor 9V L Remarks: Boring # 0-17 zax~~ c le 5e 44 "e zz,Z AP 7: & Ground elev _ ~ft• - s• - Depth to limiting factor >9X Remarks: CST Name: Please Print Phone: Address: r 2" Signature: Date: CST Numbe 49- PROPERTY OWNER-2ze4 SOIL DESCRIPTION REPORT PageQ..:.~+of,3- PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench mni'mag Ground ` elev. 67 ,2j ft. Depth to limiting factor Remarks: Boring # AIZ ...:i Ground elev. Depth to limiting factor --met-, Remarks: Boring # , - 21 5::e,1 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) e ~ of AlAl sS~j~ ~~1 5 0 FJBI~ .r"~ 130' ~ ~ .G fe a I ~ 134 I , - , ~~SK 71 A~'~(/~~ "V I J I30" t' 4 a I ~ I3G I ~ I I I ° i -20 iS ~v.5ti . t STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS PROPERTY ADDRESS k)V-- _Z~Lyu j (location of se tic system) Please obtain from the Planning Dept. CITY/STATE -,ZZL ~ / PROPERTY LOCATION _ 1/4, _ 1/4, Section,J 2 , T_-22__N-RAJ 49'--W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP j 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 piration date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - loo 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 Location of pr p erty-1/4_1/4, 7 Township Mailing address Address of site Subdivision name /74/-5- Lot no. Other homes on property? Yes_ L No Previous owner of property h a-ll Total size of property Total size of parcel C? 0'=2- Date parcel was created AQ,' Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes - volume 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. 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 of Applica Co-Applicant Date of Signature Date of Signature THIS NO. STATE BAR OF WISCONSIN FORM 1 - 198t1~ [MCt R[xnv[o row R[coeoiNO DATA 53549 WARRANTY DEED i ( I " - ~l- _-z~~PAG~ - REGISTER'S Grr~': ST. CROIX CO., w I This Deed made between Redd for Record . - - t-.umbird-Land orporation, a Minnes-ota Corporation--- " - - OCT 2 7 1995 - • - Grantor, and _Lawreace. R....Sodergren- end Sharon K. Soder Een _ 10:15 A. M .h-.and"-lei fe-""-"- _ I ._---0 Grantee, ~I Witnesseth, That the said Grantor, for a valuable consideration... H@gi~tar o Deeds - conveys to Grantee the following des_:ibed real estate in ,St. Croix RaruRN ro County, Sttte of Wisconsin: Lot 34, Humbird Hills Second Addition, Town of Hudson, St. Croix County, Wisconsin Tai Parcel No: ' II This __.?_5- not homestead property, (is) (is not) _ , Together with all and singular the hereditaments and appurtenances thereunto belonging; And._._."........_: warrant, that the title is simple good, indefeasible in fee simple and free and clear of encumbrances except Easements, restrictions, and rights-of-way of record, if any and will warrant and defend the same. Dried this ..............24th day of October Humbird L nd Corporatio (SEAL) BY.' SEAL) Austin J. Ba"i•1ion, •i"ts •~r'esiderit . ----(SEAL) AUTHRNTIQATION AOENOWLNDOMPNT Signature(s) STATE OF .XMX=MNX MINNESOTA Ramsey s. authenticated this ._.._.._day of County. - it Personally Came before me this '4iitl........ day of 0 tob r above 19..95.. the above named - Austin J. Baillon,resident of ° • _ -Humbird Land .Corporation TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by I 70 • •8.0-••6.•••••Wia..,-•-Q-•----tats.) ................•--....................A to known be the pe i4t v !~L~ N foregoing i_~str ament and -THIS INSTRUMENT WAS DRAFTED BY r)T l J1Y Humbird Land Cor oration IuWCom~il GTC%-' CI P S Paul A. Bai l lon - •W :r pi~C r1. 3 ,M . J.v ww ST. CROIX COUNTY WISCONSIN - ti ZONING OFFICE p ■ rrrrb ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ' - - Hudson, WI 54016-7710 (715) 386-4680 August 14, 1996 Attention: Becky Hartman Homes P.O. Box 326 Somerset, Wisconsin 54025 RE: Septic Inspection for Property Located at 755 Oriole Lane, Hudson, Wisconsin Dear Becky: An inspection of the septic system for the above address was conducted on July 30, 1996. This property is located in the SE; of the NE', of Section 27, T29N-R19W, Lot 34, Town of Hudson, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. Should you have any questions, please do not hesitate in contacting our office. Sincerely, Mary J. Jenkins Assistant Zoning Administrator St. Croix County, Wisconsin pe