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HomeMy WebLinkAbout020-1220-20-000 d g 0 i `c I N I 1 I ,o I! I I a ii it I I I I F. m I v z c LL L c c I Q I I 3 ~ I v III'' z a ~z II °o I z ~ II! an d I N a m 0 o z d ~ O I V1 F- r' z col N N p ~ I d a) y N c N fU • Ai CL` 'C p O 0 0 CD Q z co z > p z N N £ N w > O N m 3: 1 i It N d i Y _ G O a N a H 3 0 N 0 0 0 R. LL z •►.a cn CL CL LL FL g N Lo u-) c o N c O a) CD W J 0 Co Oi tC) E O N L IL y N m 3 . N ' C y y *v p 6 j, 2 01 C © O C i OU O y 0::, rn 0 pNO N_N O y p Q C d 0) O N O C oO N N N .M.y N N C V r p j Cl) 00 tv , 04 C4 :3 I Q L: a • a s .R m y c c a ' 3 « 'o 1 A c~ a ~ O rn U STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS (~f~ C SUBDIVISION / CSM# .t.~/ LOT I SECTION /7 T_.Zf_N-R __g~W, Town of y~ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM oM ?3, - i 7 1 17 %f~4/~ /"<yor tan T. / INDICATE t4ORTH ARROW Provide setback and elevation nformation on reverse of this form. Provide 2 dimensions to center of septic tank manhole cove" 1 r BENCHMARK: i / Z./v /r9a'e 7-1 ALTERNATE BM: ` SEPTIC TANK / POMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: «/s Liquid Capacity: / od Setback from: Well House Other Pump: Manufacturer Model# --Size - Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: / Z Length_ z 3 Number of trenches Distance & Direction to nearest prop. line: > 30 Setback from: well: -7-,P House Other ELEVATIONS ST Inlet. 5;C ST outlet i _ PC inlet PC bottom Pump Off pr. o Header/Manifold Bottom of system pip Existing Grade f1;~~o Final grade < Y6 yr DATE OF INSTALLATION: j ~U PLUMBER ON JOB: LICENSE NUMBER: j Zf9 INSPECTOR: 3/93:jt i A Wisc artmelatio ndustry, PRIVATE SEWAGE SYSTEM County: Lab umanRelations INSPECTION REPORT ST. CROIX Safe y.and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: dENERAL INFORMATION Peffi[ 141 ,&VgTRUCTION ❑ City ❑ Village a Town of: State PI CST BM Elev.: Insp. BM Elev.: BM Description: X Parcel Tax No.: /Do ,l h0 ' J~ ne_ c ~ TANK INFORMATION E VATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /,300 Benchmark y top . Dosing /';l /Dl. 3s /do, Aeration Bldg. Sewer 7 /0 o~ Holding St/ Ht Inlet 5 3 9~. 3 TANK SETBACK INFORMATION St/ Ht Outlet Vent TANKTO P/L WELL BLDG. Airito ntake ROAD Dt Inlet Ar Septic >_)3-" yak` a76 ' NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe g 9 5 ~y, Holding Bot. System 10,7 F q3. PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand s ~J Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia.' q/ Dist. ToWell SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 1 N DIMEN I N SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK 69 1 CHAMBER INFORMATION TypeO Moe Number: System: 3 0 y 3 rO ' ti A 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 a xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center 36. Bed /Trench Edges -J°) 3G Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) a LOCATION: Hudson.17.29.20W, SE, NE, Lot 115, Sherman Road Q/YG - ? jig` "-i 3•/ Y . ( ` v 1 Plan revision required? ❑ Yes ❑ No Use other side for additional information. (p Ila 9 (e SBD-6710(R 05/91) Date I sp 6r'sSignature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I Safety and Buildings Division i 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 81/2 x 11 inches in size. S-/- . C/'OI • See reverse side for instructions for completing this application State Sanitary Permit Number eP,2y.373 The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION PronfiLrt y O ner Name Property Location S A - t i4, S~ T , N, R Zp E (or~ Al I Property Owner's Mailing ddress Lot Number Block Number 4 ..t J J- City a Zip Code Phone Number Subdivision me or CTWiTu~P it O ( C 11. TYPE F BUILDING: (check one) ❑ State Owned ❑ Nearest Road ❑ Village ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town of f~1a!i^.t~t~~ 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo ~Ls - 22-0 - ~D 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. 0 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. Q 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./inch) Elevation y,Q Feet , Feet aut VII. TANK a in allons Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete con- steel glass Plastic App New Existin strutted Tanks Tanks ry~ Septic Tank or Holding Tank p / 2pG 1! ! ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation tl;ij onsite sewage system shown on the attached plans. PI er's Name: (Print) Plumber's Signature: (No to r*F/MPRSW No.: Business Phone Number: 7 10 9 "Awl 5 3; 1-~ er's Address (Street State, Code): 6 Q z3 IX. OUNT / DEPARTME T USE ONLY ❑ Disapproved Stary Permit Fee (Includes Groundwater Date Issue Issuing Age Signature ( Stamp Approved ❑ Owner Given Initial Surcharge fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, Onecopy To: Safety 8 Buildings Division, Owner, Plumber INSTRUCTIONS 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: i 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. Vl. 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 8 112 x 11 inches must be submitted to the ceunty. The plans must include the following: A) plot plan, drawn to scale br with complete dimensions, location of }olding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water ser, i;e, strew lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; am: the loc<rior of the building served; B) horizontal and vertical elevation reference points; C) complete specificatiorv, for pum )s ad controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and hirnp rn...i uf< cj -er; D) cross section of the soil absorption system if-required by the county; E:) soil test data on a 1 15 ':Drml-' irw F) :fl' 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. ~ Old. iYtLO , / F T •1,47 is 1 , 4. S'C4 ~ / r= 3D r ven7~ asf~+n+~ ~LYJ-O x = 6o r ~'"7 i ® well ~iHiisaNu^ S~7<~rc~t ~<< 1 a E g I r M c min .Nam o Q _ mv_i~ nl i,I Lo c - --=y ii is L - r co QA ~ I u ~0 rr. 14 v WiscpnsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page / of-T Labc,vand Human Relations Apivision of Safety & Buildings in ac LHR 83.05, Wis. Adm. Code 8 COUNTY Attach complete site pI an on paper not less n x 11 inche iz Plan must include, but not limited to vertical and horizontal refere nt (BM), ct'o a f slope, scale or PARCEL I.D. # dimensioned, north arrow, and location a ancoU ne d. APPLICANT INFORMATION-PLEA RINT AC1c~NF ATI REVIEWED BY DATE s. PROPERTY OWNER: ROPERTY LOCATION t~ ~~H t• ,r~ ~C' ,~zly. GOVT. LOT Sic 1/4 NE 1/4,S / T AR 120 E (0677 PROPERTY OWNER':S MAILIN ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # / CITY, STATE ZIP CODE R []CITY []VILLAGE (FOWN NEAREST ROAD New Construction Use ] Residential / Number of bedrooms -7 [ ] Addition to existing building - j ] Replacement [ ] Public or commercial describe Code derived daily flow 44o gpd Recommended design loading rate _Z bed, gpd/ft2 -j trench, gpd/ft2 Absorption area required ) zv bed, ft2 trench, ft2 Maximum design loading rate _Z_bed, gpd/ft2 ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to It plan benchmark) Additional design / site considerations H f f Z~_,p I/V Parent material Flood plain elevation, if applicable ft I S = Suitable for system CONVENTIONAL MOUND 71N-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ®S ❑U EIS EIU OS ❑U DS DU [is DU EIS EIU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Monies Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed T rertc!'t r: Ground 2- - i d - a y s l G. z~~ / - elev. YL sG ft. t y'y.03D3 Depth to 3 - _ s d limiting o s ~ y /factor !-ACS a-S2 Sc ~L 6k Is+dtr 4S 2 Remarks: 4 Akoll%'AR 6 _ 4,0 Boring # III Z X 2- 2 PJ 5 S Al z * '-ea 5 I Ground elev. l7 J4 ft. ~ 3 d' Depth to limiting factor Remarks: 3 -IS-7 CST Name:-Please Print Phone: r av~c 3, 0 rP",~ ~y9-36 6 Address: ~~77 O / O ~cObrr7~ Lc-/L S y01 Signature: Date: CST Number: ~~i~ t 23 I` PROPEMOWNER A-Awl ~s741 SOIL DESCRIPTION REPORT Page 1 of 3 -rPARCEL t.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence WftrrkyRoots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench -ZO 3ca: Ground ~.S - 46- w z L - elev. 9L• 09 ft. Depth to 3 z - D - S e f / - - limiting factor Remarks: Boring # Ground 2 - S 75- - C s m l n, - - P elev. Y ft. Depth to limiting factor Remarks: Boring # Ground L z elev. 97.86 ft. 1.7 Depth to limiting factor Remarks: Boring # Ground AVE FOU I'' LUM I Per elev. icensed #3233 #3 89 ft. 808E S, WISCON IN 5442 Depth to Phone 749- 56 limiting factor Remarks: SBD-8330(8.05/92) l r 0 b An imoi: W zu- 4 1 tk No \ ~ v S a \ A t i ZVI >1 ~ I v SIN:. - ww,. o Cuvo L°t Radlus G°crR] Lre Ch"d Qwtd Tlj%g °t 1o. so. AA91a Lmdtb Lntth BO.r'!ns 30.rlnta 1_2 - 2)4.00' 56005.18' 229.07' 220.03' S27°59'369: SO°03'07-1 356°0-2.15", ' 114 234.00' 23°57.52- 97.67' 97.16' 311055'53-1 115 231..0W 32°07.26" 131.20' 129.48• S39 58'32-= 3-4 116 250.00• 55°11'42' 240.83' 231.63• SZOO26'24-t 856°02'15-9 30050.33-9 54 117 184.00' 55°11.42- 177.25• 170.48' S28°26.24-t 356002.15-1 S0`0.33"1 7-8 - 300.00' 56°05'18' 293.68• 282.05' r27°59')6-V 15502.15-V 110* 03'03-t Zr1 - 1t~p>;;._ 118 300.00• 25°56.40- 133.85• 134.69' 1143°03'55'1 - toad 300.00• 12°40' - 66.39' 66.25• 12x°45.1291 Bndy 300.00' 17°27.52- 91.44• 91.09' '980+0'53"1 0 9-8 Brady 300.00' 17027.52' 91.44' 91.09• 8 40.5391 117°24.49-1 ro 47.03-1 9-1.0 BDdy 300.00' 17 25.06- 91.20• 90.85• 160°29.14-1 189°11.47-1 171-46.41-1 h 11-12 - )66.00' 18°25.04- 117.65' 117.15' 179°039 15-1 189°11'4791 x70°46'43-t { x J 119 366.00' 14°06•)6- 90.13' 89.91• 182 08.29-1 uX. 118 366.00' 4°18.28- 27.52. 27.51' 1172°55'57-1 13-14 - 217.00' 54°21'16- 205.86• 198.23' 1b3°oji'35'1 S89°11'47-1 11)6°25'579x• Body 211.00• 25022-A8- 96.13• 95.35' 117806'44-1 129 217.00' 28058'18" 109.73' 1C8.56' 0500°56'06-1 0 15-16 Body 317.00• 24040'58" 136.56' 135.51' 1124 06'28-1 13§°26.57-1 114 7.19'1 INC'. 17-18 Brady 363.00• 26035'22" M-74' 176.15' 523009'16-1 S9 §1'3591 336026'57'1 V, NOTE, NATURAL PONDING AREA TO 19-20 283.00' 021'16- 268.47' 258.52' 3°37'35-Z S36 26'57"9 089 11.47-t REPAIR UNOISTURICO EXCEPT 11.8 283.00' 14 46'26- 72.97• 72.77' S43 50'10-1 FOR ACCESS DRIVEWAYS AND 127 283.00' 15°11'04- 75.00' 74.78' S58°48'55'•1 UNDERGROUND UTILITIES. 126 283.00' 18°46'50- 92.76' 92.35' 575°47'5291 125 283.00• 5°36'56- 27.74' 27.73• 587°59.45'1 I MOTS • ALL LINCAS MsASUN[MENTS NAVE SEEM MA04EI TO T)IE NEAREST NUNONCITN OF A FOOT. ) S IG' M-r' ,~I~ ALL ANGULAR fAEASUR[M[NTP HAVE sE[N MADE TO i1l2.9G• [1/4 CONR[R COMPUTED TO THE VALUES SHOWN.Vt S[[M WI ;4 CORNER I SEC 11 SIC. IT J THIS S» DAY of APRIL. 1966. I I - - - - - - 1 I Ir_ - - _ - - - - - - - LEGEND - - I G 2-1 SO' WON P" rlMIPM saw UWf LAM. FT. SIM ALL OTU M LOT pss1S:MO Y'1l'LS~ - 1 - t am STAMsO vivo IN go' am Rps --7; MbMMO -I - - - -r 1.44 L81114UL FT. - - I ^ • s' IoM pow! FOGY 113 I b 1' less; pops MIM I 1 I I . - - WTILITi MIST"0 OSIA&SIA49 Y Jus sew") EASEOEMT LAO FOURTH I I ApQITiON_ I (N•G'OSW0FREMIO•0LT WOOD"'* IMFO•MATIOM _ - I x JI I I ' SECTION coa NtG MGWUGENT u3i I I ( N89.15.14"E )1 I AT POINT (EG' ON EACH OUTLOT I I I N . I I LOT "DOING Oar ALONG coMMN LOT 89'11'47'E 47805' crM/vcr LIDS.) GO1• 2,:Z. SS' ♦12.04• 164.46• -,I 9-}J _(PARK) .iW P I 0 0' ; I 114 115 i m o ( ^ 9 48880 Sq _ Ft _ M 69176 Sq. Ft. - ` 0 000 , c (!_12200.) rg(I.588Ae.) 1 o in o r 300, C ~ MC CUITCHROM ML a►' o~'r ; zl - UTN- LINE Of THE NI/2 S ' ,1 _ ON* MILL LA THE SC 1/4 \ I Q C31 1 + _ ~ dos M I o H1 I t © A_ - \ \ 16 I r al - = :4737 Sq. Ft. 1 F) 2:1 L 1 ■ (1.257 Ac.) ( 0 ~I 1 - ` y " \ / I ^ SIT[ -eNL _Bwog- I O_ C.T.3L 'A7 120 -1 ~ r iT, ~o. r w O a LOCATION SKETCH _Ft. 53339 Sq_Ft.. 53651 Sq.Ft' ~O<< \ 1' )See c,) TR(I.225A,) Z (1.232Ac.)pW~ w ~ gag 118 g x45474 Sq. Ft. y f` SDI q- r (1.044 Ac.) ^0 117 .A 44889 Sq. Ft. ` (1.031 Ac.) \ \ \ OsTA1Lf0l TQ i SCALE It -1267- Tor60' LOT f14 I i I 0 ~e IO J04_ I 105 106 I - 466' I I I S W OT' 27'W W o _1~4pW RIOGE _EAST 11 0 w ' o PROPOSED _ - ° - o }t4 ai _ ail. L+ Vr Inc Z;I..% w V Inc naves v.- Sflav[YOR'S CERT191CA?E OF YUOSO t ST. CROIX COUNTY t WISCJP 9arvey 6. Johnson, ratlstersd Wisconsin Land .3urveyor, hereby cartlfy to the bast of my profesoloaal i kmwledge. understanding mod belief, That I have surveyed. divided and sopped Park view istatee, 11fth j Addition, locatad in the Svl/4 Of the 591/4, the XW1/4 of the S91/4, the SZI/4 of the Svl/4, and the X11/11 of the SWIA of Section 17, =40. R19v. Town of Hudson, 3t. Croix County, Wisconslnt that I have made such v►'ry~ survey, land division and plat by dir-tion of Darrel ami Beverly Wart. ohaers of said land described as IL CO. fallow e Beet fW & o d 8'1'- Commencing at the 91/4 eoraer n4l soli Section 171 thence 589018'41'v (Dew-in4s reter.acd to the oath dw A' line, of mid Seatlom 17. assumed S89OD9'27'W) 1332.98' +iont the last-Weet 1/4 sectir llnee thence S6 03'03'v - d 106.29' to the fat of beginalng; thence, continuing SO 03.03'11 684.92't thence S89 09'27-V 1985.86.4 thmoe 917 12'49'[ 641.40.1 thence, 1136"26.57'U 161.5911 tnegce north.waterly 177.74' alb the arc of a 383.00' thus seine, comeswo to tbo aorthesst etwea chord bears 1423 09'16'11 176.15's thence X89 11'47'•9 67.01' (recorded as 9a9°35'14'9)t thence, %Wtheasterly 1)6.56' along ~be arc of a 317.00• radius curve concave to the not-thrat V L s whose chord De,ars at4* N'[ sm ie'1 theoc *S)6 26'57"3 143.14• (recorded as S36023.30'9)t thence 1,471 33.03"2 150.96' (recorded as 117b 36'30"=)4 then.. X8$ 11'47'9 243.00' (recorded as X82 15'14"=)1 thence, SO 03'03'8 1.08.00• recorded am 30 06130'tt)1 thence S53 33'03'W 259.16' (recorded as S53 36'30-v)t thence southmstariy 96.13• &1~[ the era of a 217.00• radius cure, concave to the northeast whose chord bears S78°06.44'Q 95•)5't thence 1189!'11'47'= 920.00• (recorded as X89 15'14^9)4 themca northeasterly 91.20' along L1s are Of 't 300.00' radius curve comoave, to the northwest hdose chord bears !480 29'14•'9 90.851 ehe$ce noathwaterly 91.44' aiong I the are of a 300.00' radius curve &oncave to the, northe&st whose, -h=,d burrs X8 '53 'W 21.09. 1 thence YI • { NO 03.03': 150.00' (recorded as No 06'30'9lt thence N89 11.47'9 476.05• (recorded an X89 15'14'9) to tae point of beginning. contaltlrg 1.070.736 square feet (24.581 acres) more or less, and being subject to all easements, rustrletions and covenants of record. SIUM"ING That such plat is a correct representation of all the exterior boundaries of the land surveyed and the subdivision therwd cads. - HUDSM i That I have fully complied with the, provisions of Chapter 236 of the State at Wisconsin Statutes &M the, - su9diTislon regulations of the, Toles of Hudson wind St. Croix Cmmty in surveying. dividing. and mapping the same. - r O~37 Dated this 15th day of February. 1968• Rwvised this 17th day of Rarch, 1988. ~ N1►RVEr ft JOHNSON 3 7 !-f8if Ntw3[ Harvey C. o s -1899 "UDSOM - vYl! Rusch Surveying. Inc. 'BEST LINE Of THE St 1 /4 Jg 407 Second Street <4hp SU I.4~ Hudson, Wisconsin 54016 - - - - - - - - - - - Q - - N •et ♦T~--- - ~J1`Q0~ iL00 t ~ I j 1 ~ _12? I 19~ I f I i \ ©y •w I I _VI~W I AD JS~ SARK- (N89.1S'14"E) I 1 © i 7b'~01 I N 69.11 ' 47' E I t 1 J ,N1, i. p3• E t 243.00. r 13 e~ as 129 ( g ^ J t \ 66187 Sq. Ft. I o t a I.. I I \ + (l.s2o Ac.) . I 0 - v°r I_ 1 I y - - e Cl 100 75 eo 29 o too 0" lend F 14 SCALp !m 0 e3 Z - - - y Z ~ (N89.15114"E) sd1 O 1_ e• =1 f 128 920.00 ,a.-'e,O. 53179 Sq.Ft. PUBLIC:. _ STREET _ eOd (1.221 Ac.: J - -t- 1N. _42- 1 - 1.101.01 -1 192 i i X21 I ! 12 a fON01Na U3EYtNT m o : / ~ 1 J 1 I ro f 126 125 1 = I -124 123 ee' _ 122 ..e-r 121 f I 1!53397 Sq. Ft_ 53383 Sq. Ft. 53368. Sq. Ft. 53354 147.20' 63022 S-Ft._ 1225 Au. • q / I OI I.(1.226 Ac.) 1R (1.226 Ac.) 1 ) (1.225 os _ r y ^ (1.447 Ac.) d n 1= Ij S I.~ 127 1Y w„47%1 Sq.Fti : 1 g i~~39cF'- (1.101Ac.) /N I oft I f 1 1 tit 3 1 I I ---3az.of--- I 1 I _ v - TWAT- - - - - - _ 3.It - - ~n.at~ .0.bo• --t~:»d' - - - - .Og' - - - -sa.aa~ - .08 1968.86 I - - .z. so' S 89 09:'7 12.34' 200.41' 206.%3' t I 1 an.E4' I 102 1 84 I 85 86 1 87 r1, 01 i 88 I I I a I WILLOW RIDGE EAST S T C - 105 1 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ~~--~zi C ADDRESS 2-0 G- rl---r- FIRE NUMBER 1`'3 CITY/STATE r"y/ C.L~~- ZIPS /L PROPERTY LOCATION: AC 1/4, NE 1/4, SECTION L7, T:~N-R ~ d W TOWN OF , St. Croix County, SUBDIVISION2 Ire t~ , LOT NUMBER j . 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 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.Co. Zoning officer within 30 days of the three year expiration te. SIGNED: DATE:- St. t Croix co. Zoning Office, 911 4th St. Hudson, WI 54016 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), thenla 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 property fR 1/4 NjF 1/4, Section 7 T_? N-RZ'c W Township Mail ' ng address O Address of site l 5 L Subdivision name Lot no. other homes on property? v yes, No Previous owner of property-"17Z Total size of parcel ( y-0 W- Date parcel-was created / e~ 7 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No 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 & 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 County Register of deeds as Document No. VIA___ff.4 / , Signature Applicant co-applicant Date of Signature Date of Signature • DOCUMEN'r NO. 1! BTATE BAR OF WISCONSIN - FORM 2 521 PA-E? WARR.~YTY DEED • 800K `VJ THIS f/ACL R[3[RV [D FOR RECORDING DATA 326i60", By This Deed, 2hilin..1)...... Lanssn,..'er. ,.cs.......Larssn,:i Wife kILGISTERS OFFICE c a r~°s*°^ a:d :t1-- ° r.zssL~r ST. CROIX CO., WIS. • . • Rfic'd for Record ihis_ lst_ Grantor conveys and warrants to.....:r..,rr.°. ..."..,..ii.az'.,..... ad..." :Z-.r,.7Y...9.............. dayof--21 reh_----A.D.19-- ti ti t 1 ?:7..t , r 9z jr?4.0 h 12 :9 ~ P. M Grantee........, ReRfster of C?RRA} for a valuable consideration-laf...T.hir.tP-ar-...thousa_3...six..hurdmed............» Wai.lars RLTI,RN TO . the following described real estate in........... .t.....ir: ~iX County, State of Wisconsin: That cert<^"i'1 narcel of land or t.-act of real estate 1-c3ta-i i-•. *,-a northeast quarter of the Northwest q,.art-~r ct' . ecti -n 17, 1'. 29';, 3 171.1, Town of Tax Key # udson, St. r" i x ' 1scCnsin, n :r,' :.illy descriced This is homestead property. as f~llc'•as: ? at a ~,cint oa th': .^.orl . line o. said Section 17, a distance -)f 2;c°.4 feet east 'f n r ~west corner o , ~ 'ecti ,r. 17; thence ':ue Scuth a di stance 4t15.11 nce S 12° lc f ;i:st•inc • cf 4)9.K :'eet; tnence 2co CI.' a dist'_, ce of 21'".2 feet; 3 1o Hl' a distance of ~~et to the so'.th lin o' -air' northeast .;'.tarter t -i,,rthwest juarter; t~ nc~ w'_th said so.-th line east°rlv a ":stance f~` S1) f°-t, -;r less, t^ tle east line of sari nn rtl:eest 'Iurjrte r of t'1P nnra1-_wes`. :arter; ^-n c. nort,herly 11;.^•c sari ',•9` t line to t'- n ..t'•; q':grter corn-- -,f 381' '-ctinr 1"; `.l','nc^ west°.^l-7 a cnv the north line •n' 94_1 ect'_on 17 t.., ra:•cel C,~rtainin~- 17.1 =rr=s, a)rq s,. TPANSFE $-a.(*O FEE Exception to warranties: Executed aL............: .I'.J 1.n this.. nth day of......... a r `^h i9..'`.... . 1.:,G n SIGNED ANU SPALEU IN PRESENCE OF . _L•-t/ . (SEAL) . hi ' _ l l WSJ 1 r rs=~ I I / a.x~ . ( CAL) / / a L I I, - rFAL) __._tLL t. T.-__ r. L ~ Signatures of authenticated this day nf... 19... Title \Icmher Stare Bar of Wisn,nsin or Other Party AL10wfVed under Sec. 70606 viz. STATE OF %VISCONSIN is. r Personally 'arse [,et ore me, rhis d,u• l,f 3»~„' 19 the ahove named -4 _ _ _ . ^ 4 _ to me knovn n+ he rile pers-n_3? who c\crute,l the I n2 ing u1.tr.r:cnt a,,,I l kn- sy1e.4;ed the name. THIS INSTRUMENT WAS DRAFTED BY p TA kY, _ y• Wis. ` The use of witnesses is optional. ~ N~~rary Public, Cnunr ie . • U 13 L~ L \IV commission (expires) (is) 1 .9 .1-7.~. .14 Names of persons si,;ning in any capacity Tt1< ~wl~ or pries( I hcl~lw their signatures. I,•"'1i1ii/' .vTAI'M IMC III' 111 ~I'It\*11 t1'i- nn•..~n 1.•'-nl lflark r'om Pony WAR11AN•1•Y DEED F'UItV N,,.._-1971 N.;1•'.,:,..,:,., 1yi.. (a~,n31604, i GwIN & NMRTHEIMER, S.C. HUGH H. GWIN The Groin Building 715-386-9510 ROBERT A. WERTHEIMER 430 SECOND STREET FAX: 715-386-6456 HUGH F. GWIN P.O. BOX 106 OF COUNSEL HUDSON. WISCONSIN 54016 April 21, 1995 Mr. Virgil Fedorenko Delta Construction Co. 206 Second St. Hudson, WI 54016 Re: Lot 115 and Lot 116, Park View Estates Fifth Addition Dear Virgil: Pursuant to the terms of a Vacant Land Offer to Purchase dated March 30, 1994 and a Counter Offer dated February 1, 1995 for the above lots and other lots, I have been authorized by my clients, Darrel and Beverly Wert, to convey the following agreement. The Werts hereby consent and give you permission to build on Lot 115 and Lot 116 even though title has not yet changed from their name. By copy of this letter to Tom Nelson, St. Croix County Zoning Administrator, I am informing him of this agreement. It is my understanding that based on the strength of this letter of permission by the Werts, Mr. Nelson will allow you to pull a septic permit on this lot and to proceed with the building of a home thereon. Title to the property will be transferred from the Werts to either you or your company or the eventual buyer at the final closing on the property. I have assumed responsibility of notifying Mr. Nelson of the names and particulars of the eventual buyers so that the information can be put on the septic permit and it can be correctly filed under the name of the eventual owner of the property. Very truly yours, GWIN & ERTHEIMER, S.C. /UgH. win HHG/en cc: Darrel and Beverly Wert Tom Nelson, Zoning Administrator Jim Henry, Edina Realty