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HomeMy WebLinkAbout020-1295-20-000 4, o a°i °o I O C) I ran c ~ I m; ~ o I °o rnt o I ry N 3 `o I 00 ~ ~ Y I y -6 o a - I .0 0 0 CL Y ~ O D U O N y Lo a~Zc I A xco~0 ao U U O N ° ° O "O N Yo~ o-C 0 o -o 0 [r °j0~.° I Y 'p - Ul 0 o •O t~ ° > O O` N C Z> VUj C O E I LL c m N p O O CD 3 0 3 '°OU .g O Ef Ew Q CRF-aF--- M I N I > z y rn > E z O z `o m N F- ~ a m I c 6 1 a°iza CO F- - o E I `~+U N j N O CL C O o O p I N p (V d ~ ~ t"'0 (0 N N I C -p O CD O O O N Q N N N Z OO Z z Z o o s ~ I - o y E CL u) d L N N E o 0) cn U) M ) 3 3 3 a m N o O O O j-° 2 G. G. a a ° iof 'n 'o o vi I U) I rn rn J U Z 0 o a E a 00 0o O c d I `~i • Q } (n m I o 0 !l p 2 H C ^l O C O M C O O E ~r r q N V p N C C V d 0_ O O p C O C r i C,4 LO 0 CD m co U) o z N rn rn I FH O N 3 p r E C (D L 'O O N S z N 0 Z N H (n V E EL L: (L CC d N 3 t `~1 A ciao ov~v t ' ' I STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_ Y`1 e 1,.1 1Ki3+l0ri 40 rINk s ADDRESS ~6U N SUBDIVISION / CSM# SUNK►~ae LOT # 3 v SECTION T Q9 N-R ) W, Town of AU-PSON ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 3 BwKo ury-, X14Cover 3Y ) boo , ► . Is 0VZR 0~~ Mfc S'cef I L ~6' ' i 8x5o (3e,v y9 Iv INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: RpSQ 0~ l t L • 1~dX' ALTERNATE BM• SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: wet~5 Liquid Capacity: 1000 qp) Setback from: WellaYfA 5Q~ House 91 Other - Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM IInr- Width: $ Length 3 ~P Number o t Q-P -hL Distance & Direction to nearest prop. line: (30 ~V Setback from: well: 0000 House other 100x 5 K100--is 160-08 ~Np Ibd'411 ELEVATIONS CcVe (z 4~3 Building Sewer ST Inlet, joqj(p ST outlet 7 PC inlet PC bottom i Pump Off Header/Manifold Bottom of system wAS° 47, a~ Existing Grade Sp rAA Final grade 103.5 DATE OF INSTALLATION: / "7yu9t` U PLUMBER ON JOB: \Ij LICENSE NUMBER: r 7 INSPECTOR: 3/93:jt Woll Department of Industry, ~aboror and,HumanRelations PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.. Permit Holder's Name: NEW GENERATION HOMES, INC [I City Village ❑ Town of: State PI o.. . X CST BM Elev.: Insp. BM Elev.: BM Description: HUDSON Parcel Tax No.. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO _P/ L WELL BLDG. AirlVenttontake ROAD Dt Inlet Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Lriction System TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Li DIMENSION DIMEN I N quid Depth SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Manu acturer: INFORMATION Type o CHAMBER Mode Number: System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 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 To soil P [E] Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON.24.29.19W, SE, NW, YOUNG ROAD ?f Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: • SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code CR O STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than a IA l q 5 8'/z x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER r PROPERTY LOCATION R &I K a 12 oi~e ~N - (pJY., S T N, R 9 E (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # y 1 , 088 -PIA 1O CITY S' ANTE ~R~ ~rlrN ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Kit 5 S J ~d .Sulu K'Arjo II. TYPE OF BUILDING: (Check one) VITM NEAREST ROAD ❑ State Owned ❑ VILLAGE ~ UfJ OW N OF: ❑ Public MN or 2 Fam. Dwelling-# of bedrooms t PARCEL TAX NUMBER( ) III. BUILDING USE: (If building type is public, check all that apply) -10 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6'0 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 Mobile Home Park 12 ❑ Service station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. N~,lew 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 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 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 ( h REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION l.~ ( S1 V q0() 700 . S - 911 a Feet O~..SS'Feet VII. TANK CAPACITY Site in allons Total of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank CV S Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: S >a =Q~ 3X09 is M o - Wo Plumber' Address (Str et, Ci , State, Zip Code): ~,1 10s ►G Sb St• I UDJOh4 1sL U , IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanjrary Permit Fee (includes Groundwater ate Issued d Iss ing Agent Signature (No Stamps) Surcharge Fee) /gApproved ❑ Owner Given Initial 777777~~~~~~ Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety s 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 the 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 't'ransfer/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 & 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 in 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 in ##1-7. VII. Tank information. Fill in the capacity of every new and/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% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) R Q. L 67 PLOTA H 1) 1.. _)OSS S I_~, NAME Q ua G p2pfi100 4o►y5. ~0 C 10 N1 ....c- U . 1 C E N S E: 6r P7(,* lip,. P 0I ~ v'~e Ad~eU~' 1~~"f Notc : We I I r S ~r3~~~'h~~, fi~►n u • IUD 8'~ frz~yvr s~ + s sfi4, 90' " elec. &x rev loo- a 0 = ~ote•o~e S . I I 00 a .37 4Q 55 Yr~ 77 3 &naoa t yyI t FRESH All! INLETS AND OBSERVATIOtTITRE CROSS SECTION Approved Vents Cap Minimum 12" Abovc I 11NP~ ~fz~~R Finest C;r~de-_ ~ ~~1 SS n" Cast Iron ~nbove Pipe Vela Pipe r... . To Final Grade- Marsh Hay Or Synthetic Covering i Min. 2" Aygr.cf-j I I,! Over Pipe Distribut3.2L!;-- Tee Pipe `I,_........_.I.r a Aggregate v? Ver•f.oraLod Pipe Delow lIcncath Pipe a --Coupling Terminating r 940 r- . Bottom. oU Sys tem.. ly Wisconsin Department of Industry, SOIL AND SITE E V A I WE P O Page ~ of -3 Lzn.~and Human Relations - Division,of Safety & Buildings in accord with ILHR 8 WIS. U, Attach complete site plan on paper not less than 8 1/2 x 11 inches in si an must include, aft'`-'PA not limited to vertical and horizontal reference point (BM), direction and c lope, li*~i C CEL I.D. # dimensioned, north arrow, and location and distance to nearest road. t fv APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ti EVIEWEDBY DATE TERTY OWNER: G OTSE 1/4N~ 114,Q T a N,R /OF E (or) W PROPER OWNER':Sr~ (LING ADDRESS LO # BLOCK # SUBD NAME OR.CSM # • 9 I~uNri d e C TY ST ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE 'OWN NEAREST ROAD New Construction Use ~ Residential /Number of bedrooms 3 [ ] Addition to existing building l Replacement Z/ [ ] Public or commercial describe Code derived daily flow 7 - gpd Recommended design loading rate s bed, gpd/ft2 • ` trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate S bed, gpd/ft2. G trench, gpd/ft2 Recommended infiltration surface elevation(s) ----2,5 ft (as referred to site plan benchmark) Additional design / site considerations Parent material Sx I&r_ Co!«p& P~ 59 S' Gv:y ; ~So„rr.., Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND INN--G OUND PRESSURE T RADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem PS ❑ U RS ❑ U ❑ U 2S El U ❑ S IM U ❑ S RU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourldary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. B d Trench f:..hx Gj; S Q YK g p"b i Ground 3 zf "yb ® /2 S y $ S ,s m Depth to limiting factor, - q , 4'k r t/a S~ r o Z /.V- +4 ad ka~ Remarks: Boring # f>:x:<::::< I O la f0 yX z~v S~ ~,bdr y~d~r lr y I~ S 17 10y)e Ground elev. Depth to limiting Remarks: CST Name:-Please Print Phone: 3 - Z ff Address. 19V S 511" Signatur Date: CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page' o ..A PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou day Roots GP•D/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmncli ' Zveye ti Ground 3 YR elev 1 Depth to limiting Remarks: Boring # / ®s - - s t Ground s elev. / ~~_1fP Depth to limiting fac r , Remarks: Boring # Ari- 1 51 s s &YR Ground w• >'R. Depth to limiting fact' Remarks: Boring # : : Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) /91 L 6~ ~r q Rn~ i 92, f33 OL So sys,~h^ `v to /off l,r~-s ~v I I I I sys ~ ~ r B y~, b3 d D r 15 37 ' 16 ~2u~ v 1601-349 SQ. FT. 25 A .3 , / ~`r~'So sOp~~ • 3:681 AC. v O O 18 00, O. 1057.3 -17 v>.00If, sZeACk 30 / / N 32.00. IN, \ \ YOU S 00 00 20 2i 1 . i NG 30 s 20.00 RO ~ N 1 i' 0 0 40 0,00"E 66' Ao23 ,,22 SE i A. FteACK 46.0 2 97,1253 SQ. FT. / c~Nf O O N 75000,00,,w / N 2233 AC. aah 0o O O , , . O O . E`- E-6:;-' co O O O ~50' SETBACK O• • 00 J~ `y N 47 0 O O 50, / ti .y /1 huh STORM WATE • O 39 2 5 C' DETENTION E, 91,846 SQ. FT. Q w $ 2.109 AC. 26 O j 25 ° o LLJ Q-- ~o 38 Z IP / pOp~ ( I m ~ 124 112,094 SQ. FT. OOpO N ss'` \ 27 ~il °O F 2.573 AC. / any 4q "Jy p O AD 0 9.0~ C~ .41 0 LO ~►1 9 • 4~ X3000/ ' LO y~ • U I N 1 Z X N78 00'0p,.w 29 `NP~gr 6.0~ ' I 01 ~rFO\ S8.301 4tp0 W I I I I~ 128 _ i LEGEND N 78.00, SECTION CORNER MONUMENT-ALUMINUM CAP, FOUND 00 uw 24, I 2° ROUND IRON PIPE FOUND I" ROUND IRON PIPE FOUND 2!'X 30 ROUND IRON PIPE WEIGHING 3.65 Ibs./ft. SET ALL OTHER LOT CORNERS MONUMENTED WITH I° X 24' ROUND IRON PIPE WEIGHING 1.68 Ibs./ft - III UTILITY a DRAINAGE EASEMENT PARALLEL WITH LOT LINES SHOWN THUS -X EXISTING FENCE p ELEVATION ON LOT IRON, ON 7/20/94, USGS 1929 ADJUSTMENT SCALE IN FEET Construction of habitable structur hibited within storm water detenti 0 100 200 300 400 drainage easements; this is below 1049 in Lots 41 & 42, and also bel 1052 in Lots 43 & 44. NOTE ON UTILITY EASEMENTS: A 12' UTILITY EASEMENT SHALL THIS 16TH DAY OF JUNE, 1994. _ M, DA 0 A I 1 171 „iTN AI I RIGHT-OF-WAY LINES, EXCEPT THAT 111-11 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS Z~i~ +x e e ' 16 + ono Sri PROPERTY ADDRESS ' w : D (location of septic system) Please obtain from the Planning Dept. CITY/STATE 11 A W k'5' PROPERTY LOCATION 5, 1/4, r~ 1/4, Section, T_~~N-R-/y W L't( TOWN OF ySL;a ST. CROIX COUNTY, WI LOT NUMBER S SUBDIVISION eo CERTIFIED SURVEY MAP , VOLUME & , PAGE /7 , LOT NUMBER uMen + 4:' 5- 9?2.8 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 expir tion date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8 T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with .the.,: appropriate deed recording. ~ KG B Owner of property ~,~,~~-~~o~~ ~'S he ekN ~~N: Location of property 1/41/4, Section ,TN-R W Township Atky,S,*) Mailing address 1'~ r Address of site Gc~ Subdivision name Lot no. . Other homes on property? Yes /Q No Previous owner of property /1~ C~/1eeti l..cXz'~. -T/7c--, Total size of property Total size of parcel I~clceS Date parcel was created Are all corners and lot lines identifiable? k Yes No Is this property being developed for (spec house) ? Yes __,f No Volume _1~ and Page Number /7 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 CERTIF;CATION 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. S/9 72.E , 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. Gf Signature of p icant Co-Applicant Date of Signature Date of Signature v STATE BAR OF WISCONSIN FORM 1 - 1982 53259$ WARRANTY DEED VOL 1135FAG:501 DOCUMENT NO. 1 % j This Deed, made between Greenwood Enterprises Inc.; AUG 1. 6 1995 11 ;i as Wonsin corporation j i 11:40 A.:'] a Minnesota co'r Grantor ~ and New Generation Homes, Inc., P ~,~e~.~trCu~~+~ t Grantee, 'I O OIIe{ THIS SPACE RESERVED FOR RECORDING DATA j Witnesseth, That the said Grant r for a valuable cM deratiop ll dollar and other good and valuable consi~eratlon { NAME AND RET XIAINADDRESS conveys to Grantee the following described real estate in St. Croix Sew Genen Ho©es, Inc. County, State of Wisconsin: 20088 SpPlace WhitBe ke, MN 55110 I (Parcel Identification Number) I i of the Plat of SunRidge II, filed in the office of the Register of Deeds for I i Lot 39 St. Croix County, Wisconsin on August 1, 1994, in Volume 6 of Plats, at Page 17, as Document Number 519728 II s This is not homestead property. (is) (is not) Together with all and singular the bereditamcnts and appurtenances thereunto belonging; And Greenwood r rises Inc. warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record and will warrant and defend the same. August , 19 95 D&W thin. A125 daY of Greenw od Enterpris Inc. Greenwoo Enter , nc. 13y' (SEAL) - (SEAL) a . MIS usch i secretary (SEAL) (SEAL) t AUTHENTICATION ACKNOWLEDGMENT Si ~tk James Rusch its president ! STATE OF WISCONSIN sa. St. Croix County. thentica day of Ai gl3st '19-93 Personally came before me this day of Aumst , 19 95 the above named isn Mary it Rusch, its secretary e Loi A. Murray MEMBER ST BAR OF WI ONSIN (If not, authorized by 1706.06, Wis. Stalls.) . Pjme I..- to be the person who executed the ]NOTARY PUBLIC foregoing ' nt a wledge the ame. THIS INSTRUMENT WAS DRAFTED BY Jr>N Lois A. Murray, Zilz and Estreen 621 Second Street W! 54016 Notary County, Wis.; (Signatlues~may be authenticated oPacknowledged. Both are not M commissiom is permanent. (If not, state expiration date: ` necessary.) ' 1ST' da) -il *Names of persons signing in any capacity should be typed or printed below their signatures, II WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. iI FORM No. I - 1982 Milwaukee. Wis. II V17 a S. 0- 4fi 1°1 ,y0 age 1\(0 <90 yaG of 4ti \C 0~ ~ \1 G ~ 9\0 Ofi CROIX COUNTY 1 WISCONSIN o~,~ ZONING OFFICE OOUNTY GOVERNMENT CENTER 01 Carmichael Road ~o 4' Sri V 'on, WI 54016-7710 S) 386-4680 Februa ^ a ' ~ OQo~ ~-l"~o RE: Septic located ati domes, Inc. for property v , Wisconsin To whom it may coi.} An inspection ' ~POic system serving the r located at 876 Beno esidence November 21, 1995, This -Judson, Wisconsin, was conducted on Town of rty is located in the SEA, of the NWh, of Section 24, T29N-R1,-, Pe Wisconsin. At the time of the inspection, this septic systemnwas found to be code compliant for a three (3) bedroom home. If you have any questions with regard to the above, please give our office a call. Sincerely, Thomas C. Nelson Zoning Administrator St. Croix County Zoning office db Enclosure ~i~„„... ~