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HomeMy WebLinkAbout020-1221-70-000 0 1 C c a) co o 0 be~ ~ I n C c ry o I N c o I I M' I 1 C v ~ I o I ~ Z I 7 ~ Q 3 Cl) ~ d I Z Uj N Z C z a m C-4 W o I o z t c U N - GOi Z d' ° c O H a ~ m I o a~ N O j f0 O d 0) c • ~l o O O © O N Q E Z m z o N z I m d O N N 0 d ~ O. 16 w 0 ~ O T d i O G 0 a 0) "r E 4) m C14 = 0) i CL LO 0 n-_ V~ n LL O 0 0 0 z • CL CL CL a O ~r1 N 'a LO LO w o fq J V = rn rn } co O O r O O E N N O N d C 9 Q CO Cl) O 7 w p C U) C O O O 0 C O N N 1 O O r,- CN O N Q d w d 0 0 O Q C N (D ^`~1 N O C 0 O 4-i N N C C..) L z '2} 'O Lo d 04 -0 00 • o 2 0 N o Z C4 CL E c c o A 0 a E 0 in V STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESSZV4~~ 2 kc/ SUBDIVISION CSM# LOT SECTION J T,~N-R >a W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM o' i j r > ys i fca~i INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: Z-4 eZ h ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:-"& Liquid Capacity: 3 Setback from: Well ",e House Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location 1 SOIL ABSORPTION SYSTEM Width: 12- Length 6 Z Number of t - - Z Distance & Direction to nearest prop. line: ys Setback from: well: - House Other ELEVATIONS Building Sewer eg l ST Inlet. 0'7F vl ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system 9L G 97 / Existing Grade y le 4 y Final grade DATE OF INSTALLATION: S- PLUMBER ON JOB: LICENSE NUMBER: > 9 INSPECTOR: SdTj 3/93:jt i Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety arrd Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Per~n~tlQJder'SLj RTRUCTION ❑ City ❑ Village Town of: State Plan o.: CSTJJJJBMllE,,``levvv..: C Insp. BM Elev.: BM Description: 1 Parcel Tax No.: TANK INFORMATION ELEVATION DATA s G TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~e Benchmark S~ ~G~, Gt3 Doss g lk(, Aeration Bldg. Sewer J-H olding St/ Inlet Ste' -S~' TANK SETBACK INFORMATION St4Outlet 9937' TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic > Spy 3 NA Dt Bottom l Dosi NA Header tom. 9,7 Aeration N Dist. Pipe Holding Bot. System -d7~ PUMP/ SIPHON INFORMATION Final Grade /d Z-04 ' Manufacturer` Demand .16 7' 160.91 odel Number M TDH Lift Fricti TDH Ft , ead Forcemain Length Did. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length No.OfJrenches P No. Of Pits Inside Dia. squid Depth DIMENSIONS /2 / NSIONS I SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN CH ER INFORMATION Type Of Moe Number: System: C 4 03 R UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing V ake\ i Length Dia. Length 6 7 Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Sys s Depth Over o „ Depth Ove xx Depth Of Seeded /Sodded xx Mulched Bed /Trench Center 3 -y Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Hudson.17 29.20W SE, NE, Lot 129, Wert,-Road Plan revision required? ❑ Yes (D-No l Q Use other side for additional information. SBD-6710(R 05/91) Date Inspect or'sSignatur Cert. No. x ~ 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: j Bureau o of f B Builystems SANITARY PERMIT APPLICATION safety and Building Water Sng 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 Cou than 8112 x 11 inches in size. N&I.4 • See reverse side for instructions for completing this application state sarnta ryPerm3iumber 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 LD. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Prope Own r Name Property Location 114 114,5 r! T,,z~ N,R E(o~ Property Owner's Mailin Address Lot Number Block Number O ZK9 : 2 City tate Zip Code Phone Number Sub ivision Name or CSM Number t v sYv Ir 1(3yA /40/ c i 11. TYPE F BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road ❑ village Public 1 or 2 Family Dwelling - No. of bedrooms _ Town OF Gf~~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1❑ Apartment/ Condo s Z e^/ s Z 710 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 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 1110 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 Z 13b Z Feet Feet VII. TANK Ca aclt in allons Total # of Prefab. Site Fiber- Ex er. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber If I' I ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of a onsite sewage system shown on the attached plans. Plu er's Name: (Print) Plumber's Signature: (No S mps) rjrMPRSW No.: Business Phone Number: r .Z. 7 U s Address (Street, Gty, ate, Zip ode): o IX. COUNTY/DE ARTMEN USE ONLY E] Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue ISSUIn A9 ( nt SI atur No S m 9 P AApproved ❑ Owner Given Initial Surcharge Fee) /Q/qG Adverse Determination (0*116 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to Counly, One copy To: safety & Buildings Division, Owner, Plumber A 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 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 a.nd Specifications not smaller than 8 1/2 x 11 inches must be submitted tc thc' county. The plans must include the followtrig- A) plot plan, drawn to scale or with complete dimensions location of holding tank(s), sel5tic tank(s) or other treatment tanks; building sewers; wells; water mains/water serv ce; stre-n 1, ind lakes; pump or siphon tanks; c'istribution boxes; soil aisorption systems; replacement system areas; anc the io 3t o c:f the building served; B) hori..ori al and vertical elev<lt,on reference points,- C) complete specification, for purna< a 'ic: ~_ontrols; dose volume,- elevation differences; friction loss, pump performance curve; pump model and pump rT- c -^uf - urer; D) cross section of the sail absorption system if required by the county; E) soil test data on a 115 i urm,- and i=) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regL lated practice; which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. N ~ F- =cn~ ~ N 1 a c.~ ~v~ ~ N 1161 U.UJ co q U ~4z o ~ ~N .J p x \ Xr- ~4 L Ily c i e~ S 41 kA e o o- r l,~l _ a v ~ vI 4 •~~~Z~ •y ~ it - MN v~ZM ~ 00 f ? Leh MXT) 3 c ~ ~ t• WI !1 CL Wif 166 1O] M. UJ ~ i q WisconsM Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of Labor and Human Relations w Division of Safety Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION C / S7` GOVT. LOT JC 1/4 1/4,S J7 T,~ ,,R-p.,r? E (q 1~ PROPERTY OWNER':S ILINGDDRESS LOT # BLOCK # SL. NAME OR CSM # _ CITY ST TE ZIP CODE PHONE NUMBER CITY VILLAGE OWN NEAREST ROAD ctG~ cYt wZ sO/6 (3&l) //A6 ,,'&K GJFIZ7" New Construction Use Residential / Number of bedrooms 3 [ ] Addition to existing building - j ] Replacement ( ] Public or commercial describe Code derived daily flow ,SD gpd Recommended design loading rate _,bed, gpd/ft2 ~trench, gpd/ft2 Absorption area required 72V bed, ft2 S r trench, ft2 Maximum design loading rate _2_bed, gpd/ft2 .1 trench, gpd/ft2 Recommended infiltration surface elevation(s) JC: s ft s referred t site plan benchmark) Additional design / site considerations "aA .eeWs a c f 4 - _7 Parent material ood plain elevation, if applicable /Yule- ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem OS ❑U ❑S OU ZS ❑U ❑S OU ❑S mU ❑S ❑U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bot.rxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 't~::i<un*.: is F7 Ground 3 S/ /~vr ~v ~s 7 elev. ft. r Depth to ~I -sue - y 6 S oh f .7 ` .9 limiting factor i Ls7f y -9 s - y S Ami - - Remarks: Boring # <::<i / O- a o- 3 L car S 2 7 Gr. S .7 M g Z IV-Z3 ~.J, --3 6 51 t o xf~✓r Ls vY .7 ,d" Ground elev. /o ft. _ Depth to 3 z a ~ ~ ~ limiting factor 2-1 ~5- : Remarks: CST Name:-Please Print / p Phone: Rcii ~ ~7 d e,- Address: o lr ~d 70 °r w.~ yo .3 .Z 1> > X33 Signature: Elate: CST Number: PROPEkry'OWNER SOIL DESCRIPTION REPORT Page Z of~ -PARCEL I.D. # Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends ?r / g - 0 0 - s lIN e S~ z Ground elev. /PL• jel ft. Depth to y9-S`l S - 3 S / 6f.; limiting factor Remarks: # '''f /s X06 Boring # IV4 .7 Ground elev. a~ - 1 /o - s s v j ( qs P ft. Depth to y s S o l ?-s - B limiting factor Remarks: 27. V- ea. Boring # 4• 2- IV-21, Roam y6.c5- Ground elev. _ o- 6 1 0( s .7 /od. qS ft. Depth to limiting factor Remarks: e! f;, ,is~ Boring # . Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) y o n Q A F n ~ s 2 0 v 1 1n # N tee, r w 1 -1k -x; b o N N 1 ~N4 :2 c N W i I ~ 'p8 1 1 1 0 'M AV V 1 ~ ~ _ ~.ST Lam. S ~a,z FAT ra.t~ T g ►a i ~~r lC lA i i . I 4 i i SZ~ ~ 1o So ~ i M } tO Po2c / 1, ( P i 1"L i TL97 In I ME 21111% y~ Of THE SWI/4 AND THE NEI/4 Of T Of 4UO304 I ST. CIIOIX COUNTY t WISC SURVEYOR'S CERTIFICATE I, Rsri *y 6. Jdhsacs, registered Wisconsin Land 5urvsyor. hereby certify to the best of my professional knowledge. -Awatanding and baud/ That I have surveyed, divided and sapped park View latatee. lift!; Adiltlos. !comic 1a the SY1/4 of the 531/4 the NW1/4 of the 591/4, the S91/4 of the SW1/4, and the N91/k of the 5111/4 of Section 17. ?2%. 819W. Town of Rudson. St. Croix County. Niseonsin: that I have lade such survey. land division and plat by dlreution of Darrel and Beverly Wart, owners of said land described as CA. follnrah I1+L III, berg Ceamencing at the 91/4 corner of sail Section 171 thence S89a18'41"W (bearings referenced to the south 1w 1p-LiEf-T time of acid Sectlca 17. assumed SWO9'27"11) 1332.98' niong the last-West 1/4 sectian llnet thence 30 03'03"Y 106.29' to the C's of t thence continuing SO WWII 684.92'1 thence S85 09'27"W 1985.86': thence 017 72'49'[ 641.40'[ thence 1136°26'57"W 161.5911 thence northwesterly 177.74' a1~eK the arc of a 383.41• za3lus ss.~tr~• coacaw to the northeast dhow chord bears 023 09'16"W 176.15.1 themes 089 11'47"1 67.01• (recorded as 089 15.14"9)'1 thence theaaterly 136.56' along arc of a 117.00' radius tyre concave to the nocthaj t V L s Viws chord Dears Ni<e 'n*a hmsJMt thence S)6~26'57"1 143.14' (recorded as S36o23.30"9)t thenc 1171 33'03"9 150.96 pwt (recorded as 1i7~ 36.30'1)[ thence 082011'47"9 243.00• (recorded as N81o15'14'1)1 thence 50 03303"W 108.00• (recorded am SO 06.30"Y)I theme S53 33103"W 259.16• (recorded as S53 36'30"W)t thence southeasterly 96.13' al the are of a 217.00• radius cure concave to the northeast whose chard bears S78006,44-2 95.35.1 thence 1189'11'47'3 920.00' (recorded a♦ X89 15'14"9)1 thence northeasterly 91.20' along th* are of • '00.00' rsilus otarve com ave to the northwest whose el:.ord bears 080 29'14"1 90.8511 theses northwestarly 91.44• along tam are of a 300.00' radius curve Concave to the northeast whose chord bears N8 40'53"W 21.09't thence FUSCH YING- 90 03.03-3 150.00' (recorded as NO 06'30"9); thence 089 1147"1 478.05• (recorded as N89 1.5'14"1) to the point of beginning. ccmtalnltR 1.070.736 square feet (24.581 acres) more or less, and being subject to all easements, ru . mtrtetlons and covenants of record. • lbat such plat is a cnrrect rapresentatlon of all the ertertor boundaries of the land surveyed and the aJ[!l711W ~I subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the State of Wisconsin Statutes and the - subdivialia regulations of the Tuth of Hudson 1nd St. Croix County in surveying, dividin;. and napping the gas*. 0N Dated this 15th day of February. 1988. Revised this 17th day of Ntarch, 1988• HAIIVEY Q &V!t~ JOHNSON -3111-t699 N[vr HUDSON Msdh ~ Yrr< g eySurredR Inc. msSV Ling OF T:1[ 1 /4 a 407 Second Street IN sun 4 Hudson, Wisconsin -51Wi6 - - - - - - - - - - - - - - lli -W- 9- ARK I _VI~W ~~STATEj iN89•IS'14"E) I ' •~w1001. 1. N 89'12'WE ♦,Nqt •03~E t 243.00' I I ti W `>ae . I o 0 o I. 1 o X10, 129 I • ~ I. O, ♦ \ 66187 Sq.Ft. I c G o p. 1 4 (1.520 Ac.) 1 z ~ m I- _ _ - - - -I e f . +e~ - - - - - 100 79 00 29 0 100 ((PP Feel P-mv Sea to 0 14t ._4Q ell (N 89% 5114" E z 4P =I ♦ \ 1- 1. N 89'13'47'E-920.00' u 128 \ - e+A~ 53179 Sq.Ft. PUBLIC STREET e• i 13 • (1.221 Ac.; - - - - se p - N M' 13' O' 7es. N' M w ! ° - - - 42.yN~ I - 141(, 0Q'- r j . ~13.➢0_ - - t -1- b ! ;e J -I=1 116' 12,E ~ J ! tie I I i 1wOMO1N6 [a![Y[ m o q / 1 ~ 126 125 a 124 -123 ~mr 122 .mm••r.r:li r A S3397 Ft- 53383 sq. Ft. 53368 Sq. Ft. 53354 147.39' 63022 Sq.Ft., J 1 QI 1!(1.226 Ae.)_ $ (1.226 Ac.) j $ (1.225 Ac,) x(1.2Z; tl (1.447 Ac.) e we I s 1 r 127 tf 7961 Sq.Ft~ II / 61801 Sq. Ft. 11.419 Ac.) 0.101 Ac.) J I $}.1 i 1 n\ I J 1 11.1 11 1 3 ! I 1 -FAN .QO- - ---laz.of--- - - I 1 - - s L - - - - - - g 89'09' •M 1985.86' 192.1 o' --717.64'- - I 1 12.34' 209-41' 206.43' 1 ijs 102 84 I 85 86 i 87 1 ~ q WILLOW RIDGE -EAST 1 - - von.. r►a[ E W)/;Cf'SECTION 17lT29NS`R19WITOWN JNSIN . Ia1Rrs u71~ TABLc Curve Lot Radius central Pre Chord Chord T agent 1o. 10. Angle LN°gtb LNgth Bearing Bearings 1-2 _ 234.00' 56°05.18' 229.07• 220.03• 527°59'36-9 S0°03'03w WO-2•r5-a 234.00' 23°57'52 97.67• 9,1.16• 31155'53-Z 113 2314.00` 32°07'26' 131.20• 129.48' 539058.32-9 O 0 3-4 116 250.00• 55011'4,2" 240.83' 231.63• 32826'24.9 356°02'15'Y 50.50'33-9 5-6 117 184.00' 55011'42" 177.25' 170.48' :026:24Z 556 02.15.3 SO ` 0. 0.33-Y 7-8 300.00' 56 05.18- 293.68• 282.09' 05936w 156°oz'15IV RO°0s'039 1Its 300.00' 25 56'40: 133.85' 1314.69• 03.55-3 Bond 300.00' 12°40' 66.39• 66.25• 1O '12-V 3c0.00' 17°27.51' 91.4• 91.09• 53'V Brady 'o 9-8 Bndy 300.00• 17°27.52 91.44• 91.09' :8 40.53-V 117°24.49-V NO 23'03-9 9-10 Brady 300.00' 17°25.06- 91.20• 90.85• 180'14.9 189011'47-Y 171"46'41'9 11-12 - 366.00' 18°25'04- 117.65' 117.15' 17905915-1 189 11.47"9 170°46'43-9 119 366.00' 14°06.36- 90.13• 89.91' 182 08.29-1 118 366.00 4°18.28- 27.52' 27.51' 172°55'57-1 13-14 - 217.00 54021.16- 205.86' 198.23' 163037'35-3 S89°11.47-V 136°26.57-t Body 211.00• 25 22.58 96.13' 95.35' 178 06'" 129 217.00 28058.18- 109.73' 108.56' x5o056'o6'3 15-16 Body 317.00• 24040-50- 136.56' 135.51• 124'06'28-V A3g°26.57-V 19°47•19w . 17-18 Bndy 383.00' 26035'22- 177.74' 176.15• S23009'16.9 S9 1'35-9 3)6026-57-t E~s r W3711 NATURAL rosOINS AREA TO 19-20 283.00' 54.21'16^ 268.47' 258.52' 363037'35"" s36 26'57-Y 189°11'47-9 283.00' 14 46'26" 72.97• 72.77' 543 50'10'1 S fORAACCESS DRIVEMIAYS LAND 127 283.00' 15°11'04" 75.00 74.78• S58048.55-Z UNDERGROUND UTILITIES. 126 283.00' 18°4650' 92.76' 92.35• S750-47.52-9 IN 125 2e3.0o' 5°36'56- 27.74• 27.73• S8e59.45"Y MOTE • ALL LIStAS MEAOUNEMENTS HAVE SEEN MAD! TO THE OICA09ST HUNON[OTN Of A FOOT. ~I S See 1 el W' Ir, ALL ANOULAN H[ASUR[M[NTf NAVE SEEN NAO[ TO /t CDR M[R THE NEAREST six f[CMOS AND HAVE SEEN WIi4 CMNER l332.90 [iSEC. C _ COMPUTED To THE VALUES SHOWN. SEC 17 : EO THIS SN DAY Of APRIL, 111*41. I I I N _I I~ - - = - - - - - - - LEGEND - I • ~ all se' rwsM PIPa wtIS/NMS sss LM LA L FT. 91M ALL O"TNM LST essuam pp~ 1 •RE ST"ve situ 1~ft' ElES4 qFE DFUV- _ _ - - -~3 - saw"" 1.441 LM./uM. FT. - - - - - - - - - - _I I - - _ - j o W E- WAN PPE r eM e - ' o • IRSM FIFe F~ _ I ' 1 I i I J_ I UTILITY •MO Os1 A1NAK EAKMEIIT t VWTN As alWS I WI FOI:R,T._H ai I I ApQITiON_ 1 (Reece,MIMMEVIOasLr WEDSSSEID IwossaTum { ]r 4. ( I I SECTIOO COR2140 NONUKNT I COMMON M11EMAT POINT 120' M [ACN I ( N89.15 14"E )1 OUTLOT I_ LOT RsNrlw tar ALONG COMMON LOT I I 11• I N 89' 1 d' 47'E 478.05 1 ust.) _PARK) CIO. t~ 242.39' .IZ.oe ISS.AO I L{J ( 0 0 ^•I 114 R 115 ' O ( Oil 4k 8880 Sq. Ft. 69176 Sq. Ft. - o ° o q~ (1.12Z Ac.) e " (1.588 Ac.) o I o.°a o S z ° 200 300, - 1 a 1 Me CUTCHRES z O i / ~I mss. 1 ~~J t al SOUTH LIKE Of THE 14I12 S I I MILL LA Of THE SE I/4 I p Cll I► 1 V wl ♦ I 16 3C 0Q _ . SA!•40 . 54737 Sq. Ft. 1 of z1 64 s i (1.257 Ac.) 1 O: .I8 'T . . °o. C. T. IL • 99 I 120 119 w ` ?a~iy,_V t ~zo. r V° LOCATION SKETCH Sq. Ft. 53339 Sq.Ft.. 53651 Sq.Ft Ae.) R(1.225Ae.) - (1.232Ac.)p•.~ g ^ 45474 Sq. Ft. • (I.044Ac.) j 117 y/ \ \ $ \ i 44889 Sq. Ft. (1.031 Ac.) 1 \ \ I DETAIL NOT Ta LOT 110 ltILE 44.00 ' Ii0 Ie \ .-30- ~ 0~ \ 1 1 10.4 I 105 i 106 ss i~ I 1 w S S0. OS' 27=W o _WIS 40 W_ RIDG_E_EAST II _ w o-~ PROPOSED _ y.e as' o , S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix county i /BUYER ADDRESS FIRE NUMBER CITY/STATE LAz^ ZIP S fl l~ PROPERTY LOCATIONS _1/4,1V41/4, SECTION 47 , T--:!~LN-R,.,~W TOWN OF St. Croix County, SUBDIVISION , 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 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. Croi Co. Z in officer within 30 days of the three year expiration, te. SIGNED:`" i DATE:- St. 3 J- 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), thensa second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. i Owner of property Location of property Ste" 1/4 &C114, Section 11 , T z.9N-RJ~W Township p/~ Mailing address SA /7`~a~ vh, uL -yon Address of site Subdivision name 2 kh~~ Lot no. /.Z ! Other homes on property? yes V/ No Previous owner of property Total size of parcel S 2 Z)t,~.ai Date parcel-was created 9 7S Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume and Page Number AX P 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. i 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. 4i"' 7 7 9' , 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. y> 117751 Sig atu e f applicant Co-applicant Date of Signature Date of Signature . E 33S DOCUMENT NO. S6M WARRANTY DEED TNIS SPACE 01E3ERVED ►OR RECOno,N. DATA STATE BAR OF WISCONSIN FORM a-1983 REGISTER'S OFFICE Edna G. Smith a a . /k Edna Smith. a single ST. CROIX CO, WI wmima n Reed for Record JAN 0 419-90 ~I Ice 10:40 conveys and warrants to Darrel Wert,-".a . k a Darrel-: .........Wext,...and..aeuarly. Beverly.. Wert,_ a/.k/.a..Bexerly.._A. w . ' ....W.sxt.....hus.band...and..wife.-as..tenaats...i,rx............ I) ~O rofDeeds comman..alzd..not..a.s..-jo' nt...tenants... RETURN TO Gwi wln & GWin Box 106 . . . Hudson, WI 54016 iI ths following described real estate in S.....t.. C.ro.i. x ...............County, II State of Wisconsin: it Tax Parcel No: 'i (See legal description on reverse side) TRANSF A /d i3ot ~X~Mr~r i This .........iS...not....- homestead property. j 06 (is not) Exception to wsrranties: I Januar :j Dated this - day of Y....°~- 19 90 . ' . (SEAL) ~G~. ~'`+4-..~." L- (SEAL) ' Edna G. . .Smith .(SEAL) (SEAL) r t • AUTHENTICATION ACSNOWLEDOW-ANTS Signature(s) STATE OF WISCONSIN - ss Croix County. authenticated this ..day of 19...... Personally came before me this ....day of 19.90.. the above named /A----------------•-•--......------..............-. -Edna G. Smith. a/k/a Edna Smith, • a single woman TITLE: MEMBER STATE BAR OF WISCONSIN _ (If not . authorized by $ 708.08, Wis. Stats.) to me known to he the person who exccated the foregoir. r instrument and acknowledge the .,acne. THIS INSTRUMENT WAS DRAFTED SY .t..y....Hug ...Gwin..&...Gw1n... ...4.Q...Segond--St•,•,--,Hudson, WI 54016 St. NotaryPublic Croix Count.-, Wig. (Signatures may be authenticated or acknowledged. Both bfy Commission is permanent. (If not, state expiration are not necessary.) date: t~~' *Name* of persons signing in any capacity should he typed or printi>i b•d. w th. it r.iEnsr .rre. WARRANTT DEED STATE BAR OF WISCONSIN µ'i+r.,nain 1-stA IV; L. (i ~ .t,_ SUUPAIG A parcel of land located in the Northwest Quarter of the Southeast Quarter (NW1/4 of SE1/4), the Southwest Quarter of the Southeast Quarter (SW1/4 of SE1/4), the Southeast Quarter of the Southwest Quarter (SE1/4 of SW1/4), the Southwest Quarter of the Southwest Quarter (SW1/4 of SW1/4)," the Northwest Quarter of the Southwest Quarter (NW1/4 of SW1/4), and the Northeast Quarter of the Southwest Quarter (NE1/4 of SW1/4) of Section Seventeen (17), Township Twenty-nine (29) North, Range Nineteen (19) West, in the Town of Hudson, described as follows: Commencing at the East Quarter (El/4) corner of said Section 17, thence Westerly along the East-West Quarter Section Line S 890 18'- 41" W, 1,332.98 feet (previously recorded as N 890 53' 20" W, true bearing, 1,332.90 feet), to the point of beginning; thence 0S 00 03' 03" W, 1,747.21 feet (previously recorded as S 0 05' 20" W ,734.97 feet) more or less to a point which is also N 00 03' 03" E, 880.11 (recordeg as 880) feet from the South Lire of Section 17; thence S 89 09' 27" W (recorded as S 88 59' 10" W) and parallel to said South Line of Section 17, 2,983.50 feet more or less to a point which is also on the East line of the Plat of Trout Brook Woods; thence Northerlg along said East line of the Pl$t of Trout Brook Woods, N 0 41' W, 827.32 feet; thence N 0 36' 40" W, 924.65 more or less to the East-West Quarter Section Line of Section 17; thence Easterly along said East-West Quarter Section Line, 3,006 feet more or less to the point of beginning. This Warranty Deed is given to correct the legal description in two prior deeds between the same parties, the first dated February 20, 1978 and recorded February 23, 1978 in Vol. 569, at Page 612, as Document No. 346777, and the second dated August 30, 1984 and recorded September 5, 1984 in Vol.695, at Page 565, as Document No. 396063, all in the Office of the Register of Deeds for St. Croix County, Wisconsin. This transfer is exempt from a transfer fee pursuant Section 77.25(3) of the Wisconsin Statutes. GWIN & WERTHEIMER, S.C. HUGH H. GWIN The Gwin Building 715-386.9510 ROBERT A. WERTHEIMER 430 SECOND STREET FAX: 715-386-6456 P.O. BOX 106 GWIN HUDSON, WISCONSIN 54016 OF HUGH COUNSEL February 22, 1995 Mr. Virgil Fedorinko Delta Construction Co. 206 Segond St. Hudson, WI 54016 Re: Lot 129, Park View Estates Fifth Addition Dear Virgil: Pursuant to the terms of a Vacant Land Offer to Purchase dated March 30, 1994 for the above lot 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 129 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 & ER HEIMER, S.C. Hugh pH. Gwin a HHG/en >v , cc: Darrel and Beverly Wert Tom Nelson, Zoning Administrator., - Attorney Barry Lundeen f' Jim Henry, Edina Realty ~y. t !