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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
ADDRESS
SUBDIVISION / CSM#~~,sa~~-S LOT
SECTION'I'N-RO
2__W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r
r
r~us,c
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
wlij tr~ sr I
BENCHMARK:
ALTERNATE BM: z
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: ~{S Liquid Capacity: /
Setback from: Well House Other
Pump: Manufacturer Model# Size
Float seperation Gallons/cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
Width: Length 7, Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: House- Other
ELEVATIONS
Building Sewer ST Inlet: /4/Zf ST outlet:
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Z&,? g Final grade
DATE OF INSTALLATION:.
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR: %~f9Q°cf
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations
INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION 284179
Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.:
ALIBRANDI, JOHN M. HUDSON
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
i r
/W- 1 /00 1
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing 3 /1i
Aeration Bldg. Sewer
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet v
Vent
TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet
Air
Septic y~D ~ ' >~S NA Dt Bottom
Dosing NA Header /Man.
Aeration NA Dist. Pipe 1ov,U,~~
Holding Bot. System qq, /7'
PUMP/ SIPHON INFORMATION Final Grade G Q 10~ ,b'
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
i Loss Head
Forcemain Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width s Lengtlp I No. Of Trenches PIT No. Of Pits Inside Liquid Depth
DIMENSIONS ' DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION TypeO CHAMBER f-,~ o~L ~ ~~ar 3 ~ ~ Mo elNumber:
System: 4,I9} , 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.28.29.19W, NW, SW, LOT 22,
tiL{s' ' V ~.rLQ,~ ~r ~ ~h-(J ~.;m~ ° -Fk.ra,. 4 -!r M.d 3 ✓.~/4 ~7 /.',-.Z.t~
Plan revision required? ❑ Yes 0 No
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspectis Signature Cert No.
s
ADDITIONAL COMMENTS AND SKETCH R
SANITARY PERMIT NUMBER:
Safety and Buildings Division
v.■~■■■~ 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 1/2 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Per it Number
~
The information you provide may be used by other government agency programs ❑ Chec it revision to prevto, application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION
Prope y Owner Name Property Location
t /4 1/4,S T 40r
Property Owner's lin Address Lot Number Block Numbe
_4
City ate Zip Code Phone Number Subdivisi n me or CSM Number
~1. TYPE OF BU LDING: (check one) ❑ State Owned ❑ CityNearest Road
E] Public 1 or 2 Family Dwelling - No. of bedrooms E] village Town OF
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo 0`"~r /q
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. p~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ 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 A 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./iryfh) Elevation
Feet Feet
_,2 C2 VII. TANK Capacity
lons Total # of Prefab. Site Fiber- Exper.
INFORMATION go' Gallons Tanks Manufacturer's Name Concrete Con- steel glass Plastic App
New Exist in strutted
Tanks Tanks
Septic Tank or Holding Tank Z:-~4 / l ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the ndersigned, assume responsibility for in allation of the onsite sewage system shown on the attached plans.
Plumb r 5 Si r S; m s) MP/MPRSW No.: Business Phone Number:
Plum is ame: ri
~JAX&
P tier's d ress tree City, State, Code):
IX. COUNTY / DEPARTMENT USE ONLY
❑'Disapproved Sanitary Permit Fee (includes Groundwater Date Issue I ma Agent Signature (No Stamps)
XApproved 17_1 Owner Given Initial Surcharge Fee) 4 3)46
Adverse Determination V
X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL:
SHD-6398 (R. 05194) DISTRIBUTION: Original to County, One copy To: Sutety & Ruildings Division, Owner, Plumber
t
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 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 sanitarypermit 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.
Il. 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 Act410 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.
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`WisconsinDepartment of Industry, SOIL AND SITE E V T Page 1 of 3
Labor and Human Relations
Division of Suety 8 Buildings in accord with ILH WiSAA _ t.~Code'
c, , xo COUNTY
cr,
. Plan must in~ludp" Aut St. Croix
Attach complete site plan on paper not less than 8 1/2 x 11 inches'
not limited to vertical and horizontal reference point (BM), direction /C of mpe a ~r PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest roa,: pend_ing
APPLICANT INFORMATION-PLEASE PRINT ALL INFORM yl REVIEWED BY DATE
PROPERTY OWNER: P AoPR.TY-.L
LOC41 V
Brid eland Dev. Company '60vTL0! t 1/4 SW 1/4,S 28T 29 N,Rlg for)W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
11736 117th. St. 22 na St. Croix Estatga,A don.
r.
CITY, STATE ZIP CODE PHONE NUMBER [:]CITY ❑VILLAGE EkOWN NEAREST ROA
Lakeville MN. 55044 (612)985-5000 Hudson Peter Ln.
] New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd/ft2 - 8 trench, gpd/ft2
Absorption area required 643 bed, ft2 563 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2
Recommended infiltration surface elevation(s) 99.2 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material outwash Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ®S O U ®S ❑ U ®S ❑ U Ms ❑ U MS ❑ U ❑ S ID U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourd3y Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch
1 -10 10yr3/3 none sl 2mgr mvfr gw 2f .5 .6
1
2 0-19 10yr4/4 none sl 2mgr mvfr gw if .5 .6
Ground 3 9-79 7.5yr4/6 none S Osg mvfr na na .7 .8
elev.
102.35 ft.
Depth to
limiting
factor
+791,
Remarks:
Boring #
1 31-9 10yr3/3 none S1 2mgr mvfr 9w 2f .5 .6
L2 € 2 -19 10yr4/4 none sl 2mgr mvfr gw if .5 .6
U
3 9-80 7.5yr4/6 none S Osg mvfr na na .7 .8
Ground
elev.
102.9 ft.
Depth to
limiting
factor
+80"
Remarks:
CST Name:-Please Print Gar L. Steel Phone: 715-246-6200
Address: 1554 200 1~ . Ave. , New chmond, WI. 54017
Signature: Date: CST Numb:
6-26-96 cstm 02298
PROPERTYOWNER Bridge and Dev. Co- SOIL DESCRIPTION REPORT Page of
PARCEL I.D. # pending
Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD%tl
Boring # Horizon in Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
1 0-10 10yr3/3 none sl 2mgr mvfr 2f .5 .6
2 10-22 10yr4/4 none sl 2mgr mvfr gw if .5 .6
Ground 3 122-80 7.5yr4/6 none S Osg mvfr na na .7 .8
elev.
102.15 ft.
Depth to
limiting
factor
+80"
Remarks:
Boring # 1 -10 10yr3/3 none sl 2mgr mvfr gw 2f .5 .6
4 2 0-17 10yr4/4 none sl 2mgr mvfr gw if 1.5 .6
~V :
3 7-80 7.5yr4/6 none S Osg mvfr na na .7 .8
Ground
elev.
102.25t.
Depth to
limiting
factor
+80"
Remarks:
Boring # 1 -16 10yr2/2 none 1 2msbk mfr gw 2f .5 .6
tirti......5_.. 2 6-24 10yr4/4 none sicl lfsbk mfr gw if .2 .3
3 4-78 7.5yr4/6 none S Osg mvfr gw na .7 .8
Ground
elev. *4 8-85 7.5yr4/6 none s/sil lfgr mvfr na na .2 .3
102.46,
Depth to
limiting
factor
78"
Remarks: H-4 stratifed layers of sil s -
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.06/92)
STEEL'S SOIL SERVICE
Gary L. Steel Bridgeland Dev. Co. 1554 200th Ave.
CSTM2298 WIWI S28-T29N-R19W New Richmond, WI 54017
MPRSW 3254 town of Hudson (715) 246-6200
1 lot #22-St. Croix Estates First Addn.
1"=40'
BM.= top of NE lot stake C el. 100'
. 23
I
PtU
~a
~ ~676
\~e
Gary L. Steel
6-26-96
MAR 18 '96 10:55 _ _ __r..., P.3
ST. CIR'OIX ESTATE'S FIRST ADDITION
LOCATED IN PART OF' THE NWI14 OF THE SWI14 AND IN PART OF THE SWI14 OF THE NW114
'OF, SECTION 28, ANO IN PART OF THE NE114 OF THE SE114 OF SECTION 29, ALL IN T2s
•,RI9W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN.
~ I [;71 I I
PLAT OF ST. CR_OIX ES_TATES_
C I
' I 771711 -
I Ni I N06°09'58"W LOj 9 \ LOT 10
'a)'w 48,17
s w114 C04-EL or 503.5p'02"W 577.49 1 i 589°47'16"W 710.67'
7 7!' K 9d
LL I]i N I 44 "
a[1.c"rv.99 LOT 28 ' •a1
n. • rsv.m
1 Sa e. l7 AC aE3 ' ; 1 ;
's L07 5
s, , wl.. o :G. 1
ac"a LOT 16
N
e11297 !o. /T.
x ,77 acn[4
niss ao FT
~s nOT '0' E lri,Oa' ' W .Ta - 2.a Ac Eac [LuT
°a LOT 27
b S_' vr.ade sc. n ,~z r' Pgm1(1 (.99e1~ xt••• - -
58'01" ~ •9 °~Ilr ~'~-~3it`!~. ~,1_ ~`E/'
LOT 25 LOT 19
p 7 (Y a )9 AGES
~Q A- iti, slJ is Yf ' ^ ~•f
f \ (,7"7 '7 9a, ly Jr aca[7 _ _ •~•-Yl "'+r/~
11 'i 2.aa Ae CrC Efu, . fi s 'e fT,29d iT.
f rr,.lli s. rr i _ :•i 1 • at AC F o LOT 18
7 w ID
2j 1 / .f1.5 )'-l.,R a.rt ac9Ef
w,s LOT 25 av 1 9E.aae SC. IT.
W N
rv•n Y ] 1' acPFL ~'O' ti I 7 Ja X. E:rr
6`a 0))11 [O. Fr ~d .y•
r~: ~J. \F\\ I'` [~;r' I I ^ e9.]ST So.r, W
I„ 'o !G AC. E•c is f nj < f
f 66,3 7a 50. r LOT 17
cJ
l[) \ . . e, \ .909;dx160. IT
LOT 24 , ~•~.0 •ab aE E.G [:u,a
..11"at s0 FT g
~I I "co
75 f0. r[ i .7a° 9. ' l~ • 3
1 ,
-I d 1.70 M. E.C. 931Af. 0.' 6. b'd as Fi
IF.
i M
to I ~~r1 . °~o'♦ 's. LOT 20
' a. sT.212 ae9C3
LOT 21
\ 1 tl. u E.C. Efur. E~4
y 60,164 sw. It
1
a Ta[c1CMW -
2.o3 acxl9
J~ I
nn•2i'26"L 9l4.7e' to. 296 90. FT
_ _ 119 B' _ o •~d'. }.b.d
V 2i.0 iC [MC EfuTCf
F, ~~i4~ 69~ay9 SO 1
23'26"E 4D 1! r/j,i9r w
w LOT 23 LOT 22
,r ~ 1 rf4 ~r
M 7 sa Ae9E7 f.i.: aG9[4 ' oQ
IJa. tlf tO. R. 'li" , Iq,iW f0. It
; g
p• J E. s, ac r,c rlwrs 1 wl
a ax re. ere. [f„*• , /
St. 24.
Go9. 72' ^ 9L TE'^ O a{ x22 .Y:
79..91' 'f8\'~ si ST'
II.-Al c°, ~.e •s- It, a.01VS1 $ - N89-4 0"E 1 293.20'
TO 9E 5Eu0K0 b"Q1r EATE"SiO1. OF GOaO
11601 -t OF 1.9 1.- OF scel.o. If
N
x'1"e UNPLATTEO LANDS •
W ~ 3
N W o,
w o,
N T
v ,
N
coca
W
4_W
J N J G
a
Ire N Z N
07 is N
NAR 20 '96 10:51 P.2
~ a
..00T, S .
ES ATES
1 ST ADDI ION
BLOCK LOT PRICE * SIZE STYLE STATUS
1 -15 46,900 2.00 ACRES WO
16 46,900 2.33 ACRES LO
17 47-900- 4.72 ACRES WO
18 47~ZQQ 2.12 ACRES WO
19 47 ` - 2.00 ACRES Wp
20 46,900 2.00 ACRES LO
21 46,900 2.03 ACRES LO
X 22 472900 2.60 ACRES LO
23 46,900 2.34 ACRES WO
24 465900 2.71 ACRES Wp
25 46,900 2.47 ACRES FLAT
26 47,900 2.79 ACRES WO
27 472900 2.25 ACRES WO
28 471900 2.37 ACRES WO
* Preliminary Prices - subject to change without notice WO: Walkout LO: Lookout
Marketed by
ROGER. HETCHLER
Edina Realty Office: 386-8236
Prices and availability updated 3/18/96
a ,
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
O WIYER/BUYER ~1,~ ' ~/~,~~r~,t.'r1 r
MAILING ADDRESS
PROPERTY ADDRESS Z2:1~--fi1rae
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE ' 1~1
PROPERTY LOCATION &6) 1/4, SLJ 1/4, Sectiun~, T~_N-R ,jLW
TOWN OF L / .4) ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER~_
CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER rv
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 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 I, 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 muter plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I)
the on-site wastewnter 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.
SIGNED:
DATE-:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
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 prop rtyl/4 ,:5td 1/4, Section T, 29 N-RAG -W
Township Mailing address
Address of site 7a5 nom.
Subdivision name s s~` Lot no.
Other homes on property? Yes No
Previous owner of property 1 v".,
Total size of property
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? _ G~Yes No
Is this property being developed for (spec house) ? _Yes _1_No
volume( Z;:a4 and Page Number /9,f2 as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATTON THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMDLIZ, VOLUME AND PAGE
NUMBER AND TI(E SEAT, 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 dead 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 he sewage disposal sy:.te,n 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 (-i:; Document No.
5~c lature of Applic nt Co-Applicant:
ignature Date of Signature.
DatAz~
f
550914 VOL 1204PacE039
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982
WARRANTY DEED
Cho
Bridgeland Development Company, a Minnesota corporation ST. CROIX CO., W1
Flec'd Got Record a
'OCT. 16 1996
conveys and warrants to at 11: 30 A M
John M, Alibrandi Jr. and Rita S. Alibrandi. husband and wife -~KAt..... -R JAL
Re~tsroJ~ r.` Oeeds
the following described real estate in St. Croix County, State of Wisconsin
4 7:-7,,i~~ hrran
Lot 22, St. Croix Estates First Addition in the Town of Hudson, X14 ~/ja?dac/ JIU Ae sU
St. Croix County, Wisconsin. aw-
This is not homestead property. TRANSFER
(is) (is not)
Exceptions to Warranties:
Dated this 10th day of October, 19 96
(SEAL) (SEAL)
* * Neal K!~~ak.'PrjdenA
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signatures authenticated this day of STATE OF MIIVNESOTA
19 Dakota County
Personally came before me, this 10th day of
* October, 1996 the above named
TITLE: MEMBER STATE BAR OF WISCONSIN Neal Krzyzaniak
(If not,
authorized by 706.06, Wis. Stats.)
This instrument was drafted by
to me known to be the person who executed the
Bridgeland Development Compaq foregoing instrument and ac wledged the same.
20141 Icenic Tr, Suite BLakeville. MN 55044