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HomeMy WebLinkAbout020-1075-10-725 00)0 0(n0 Cm" d CP 'o 71 T m CD -0 71 3 to O N O z c=, N) x L O C `C f; (7 3 O (n C2 C) 4z N= O n V N a N O C,!) s m V 3 w rev a OD 3 i o o ~-n tA\ W C O O N N C O CD N 7 V C t 1 (D (D N W C 3 3 F N j -1 W N N-0 "O d O 0 -0 3 d CO (O m O N N O O O 0 C=D n C co (D C O N n 7 = y O N V V (O (n 3 O a (Q 3 O 0 jn 7 N ~1 '0 (D .N. C cn m !r r . a ` CD r- ° vy D m r o0 vs { D CD CCD (c " (D co O. CD us" CD O C v N W p A n 3 f C ' C C O O '.I w N 3 C' 00 i 3 ( ' W N C=) CD CD "MWA z ( (p -P. j { co (o n r ' p N O (O (O CD A A co 0 VV@ cn N ' S Z X, 'D ;K, Z A O W -p c c~ o N "0 c G `2 < o n c co vi CA c N N 2 o N D '0 z No Cn Q 9 0 O o. m V O G N o~ ~ ? i ~ o c Im i CD r ~ ° G) ~ N 3 N 3 m ~ o. A ' o_ 3. 4~ z O z _ o N z co z z-1 Z o O O D CD o D° ° v ~Q f I ° °o.,. 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CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 5 5 S f7 ~i o~f~r~ ~Oc A'r /~1.6. ~oTCr~?.vE~ I I ~ ( I I I 15(-C 6,u SF^n-' T Aj< AND 5c d yo Ale CZ, our/riV5QE17.1 oJ P•P~w.noJ I~ •w.d Af T/G/fr -lQ-J& i I TO I ~ I I I I r3.s' ; f 7 L U-1 -L G` _I' v o E ~ S O Aag 0"'V& 'T /~TU rr7i n/aus ~ f /'Lz v= /o•?_ So' AQ~ Nis N 1G~ ooei5iz v- lo-7-:5o' INDICATE NORTH ARROW v .ItE Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. ~I ' S s BENCHMARK: Or +r JII F. Ao-r [ oP,-j--Q ECc = loo. cho' ALTERNATE BM: 6Ui[Ai.Vrp r,yi5il ~oa~«✓. _ /Og?SO" SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ~,✓~ES~~ Liquid Capacity: /SOS (o•E~ - Setback from: Well House G" Other Pump: Manufacturer A A Model# IVA Size AIA Float seperation 1\1A Gallons/cycle: AIA Alarm Location /V A SOIL ABSORPTION SYSTEM , r s Width: Length 1 'Number of trenches / gD , Distance & Direction to nearest prop. line: ~Vv/r'T// ~~it57 Ef}c~/~.✓.~s~ Setback from: well: /Oa ' House 1"2' Other ELEVATIONS Building Sewer l~• ST Inlet. ST outlet ~;'~-elo' PC inlet A14 PC bottom ,V4 Pump Off ,VA Header/Manifold Bottom of system Existing Grade /0/. aS' Final grade /00. So' DATE OF INSTALLATION: a2 l ~ PLUMBER ON JOB: ZZZ4 LICENSE NUMBER: AMA?~ INSPECTOR: 3/93 : jt .1:~~1,~A L a'si pert r 1 pi81at~y7 , 29 19W, AT?SEW Gi SYiYf Vf-e Rd. County: Labor and Human Relations INSPECTION REPORT Safety and'Buildings Division (ATTACH TO PERMIT) sanitary ermit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village 7C f_7 Town of: State PlanID No.: ev.: nsp. Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A94UU014 31 3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S Benchmark /GJ Dosi Aeration Bldg. Sewer Holdiri St/.~Wlnlet p TANK SETBACK INFORMATION St/keoutlet Vent TANK TO P / L WELL BLDG. Air Ito ntake ROAD Dt Inlet Septic Q (o~ n NA Dt Bottom Dosing NA Header-f _ 'P 9 , -23 Aeration NA Dist. Pipe ! D 38' 3~ Holding Bot. System !v /o, PUMP/ SIPHON INFORMATION Final Grade Manuf cturer Demand op r ~ ~ s a-J ' w IN ~auj ` Model Number GPM TDH Lift Friction Sys Ft Los me Forcemain Did. Dist. To Well SOIL ABSORPTION SYSTEM No. Of Pits Inside Dia. Liquid Depth RL1 BED/TRENCH Width i Len th No. Of enches DIMENSIONS 5 7 DIM SYSTEM TO P/ L BLDG WELL LAKE / STREAM HING Manufact SETBACK INFORMATION TypeO }r~.~i I tuber: System: (.a , -6--R^ w 17' OR UNIT DISTRIBUTION SYSTEM Header /$eFd- N Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _ Dia. Length 777Dia. Sparing , SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over e Depth Over xx Depth Of xx Seeded/ ed ched JiJOl-Trench Center ench Edges ~p ~2 Topsoil es ❑ No s ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Hudson.27,29,19W, NE, SW, Lot 2, Brakke Rd. Plan revision required? ❑ Yes 9-6 Use other side for additional information. SBD-6710 (R 05/91) 0 ate Inspector's Signature Cert. No SANITARY PERMIT APPLICATION DILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / 9~pncpj°' 8% 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 PROPERTY LOCATION Y /4,S J7 To2N,R EE Dr PROP RTY OWNER'S MAILING ADDRESS LOT # BLOCK # ITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER III. TYPE OF BUILDING: (Check one) CITY j NEAREST ROAD ❑ State Owned W VILLAGE N Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms - PARCEL AX NUM ER( ) dv 'a" Ill. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 0 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 in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - 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 REQUIRED (sq. ft.) PROPOSED (Sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION © °7 Z/ 1170 Z _ cS Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank r F-1 1 [2 __I I Lift Pump Tank/Si hon Chamber Vlll. 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) idP/MPRSW No.: Business Phone Number: ZAINA - 1~?,70 0 3 ~S" G~ Plumber's Address (Street, City, State, Zip Code): s s~ IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature ( Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & 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 jr, ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SDD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) r:,ast 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, 6D8-266-3815. 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 lime 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 1'-olding'ark(s), septic tank(s) or other treatment tanks; building sewers; well; Ovate, mains water service; strearrms and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replecernent system areas, and the location of the building served; B) horizontal and vertical elevation refe-rencc= points; C) complete specifications for purrrps and controls; Dose volumw; elevation c!,1erences; frict',on 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 nurn F r regulated pr actic,es which can effect groundwater. "he "ro fe y:..-(,I~?c"ted through these sorcharges are used for P 'r nitG'r'Irli1 groondlvi.iter, growid- wator c ontarnination investigations and establishment, 0 ,turfda: ds. SBD-6398 (R.11/88) v, O ~ nom,. a c y kA yy a M '4 N ~ N ~ Z a o ~ s Z y ~ y c ik, H F V f.C Q . r ~ 4,,, !a®t ad► m ~ +D a~ v \ U r- 0 At. y J CL tD :,s to .0. z e y,~ w Z . Z m~. v\ A (A cg; ~D s c Z ~ ry xA n l y R CL -Vb -lb Z m s ~ y o m its z m ou ~ ~ ~ v v Q Leo m c , N~ y m mZ g O d d a Z O 4 cot'' IA .cam 14 c ~•~9c; b ~ ~ ~ °~a f r s a o o a m t T b~ Z O _ O ~ I 3 L o Z R 3 ~i ~ n L Z Jo (Aj N c 3 rv\ oQ ~n O k ~ x k h x a 0 N k3 ^ y IA r ~ n Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations 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 - Ctea'' k 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 P PERTY OWNER: PROPERTY LOCATION R p S GOVT. LOT 7 1/4 1/4 S'?T Zc) N ,R0 E or W l S ~ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ILLAGE OWN NEAREST ROAD ( I vu Is0,1j I S714 New Construction Use [ ] Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement [(,~(f Public or commercial describe Code derived daily flow gpd Recommended design loading rate 4 : bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate 0. bed, gpd/ft2 O . trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations 947w Parent material Flood plain elevation, if applicable ft S = Suitable for system Co VENTIONAL UND IN ROUND PRESSURE AT-GRADE Y TEM IN FILL HOLDING TANK U= Unsuitable fors stem S❑ U S❑ U S❑ U S❑ U S❑ U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trerlch `~ti:J>z: i4;tii 1- c r A, C 1 Cp.Z Ct C' Ground -so my 3 4 ,4 r r -7 elev. /()4.0 i ft. - - l I a v~ ]t4- Depth 1 ©S ® . to 414- - M ^ r I Q7 PS limiting factor > tc! s~ ,-q" /ayi~ 414fr 4 I To.S d. Remar ~jt, J ~ic~2fnt~i - 11~tZ&-W IS -t+f,7S-&PS4& t,Ji NJ ?N.P d~f rJ~ . Boring # Tr C X 0,4 :0S A ©-13 10_/'3 ► 1 s~K >^n e. 13 z~ /a`~tE3 z S,C 1 shK,>^ C 1 o.Z 3 ....:...w, 4 -71 Ground elev. -~C) Jay 4 t+, E! O ~S /oAS6 ft. Depth to 0.~ limiting F" 3~A'' 414- --6 0. - 9 factor > &A 04S Remark SC1U N i l ~£I1~ tZct~ iN-a-ASPeAset f 9 dQt n1~ CST Name:-Please Print f ~::Y \ ~~~~t~ r~ ' Phone: :U-46 Z7 C) Address: Signatur ' Date: CST Number: / ~4 J PROPERW OWNER ' icNiM~4f~ IN®. SOIL DESCRIPTION REPORT Page of PARCEL I.D. # Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench L 7S 1-7-2-3- / J~ S, L 1 r r. l 31-2- 0,3 Ground -74 /bYA l S / f M / •7 (~,b elev. '74 - itDl.~j ft. ~3 IZ Q. e r Depth to limiting , factor 16yk 4/4- 16 - -w RRemarks(Z A) 'try , 1NC r'tLVt,(ZO N 9S 1Nit*,Sf`tP-s °A JnJ 6P,(ZtYv-S Boring # Ground S ell 7 C~ elev. D epth to A / limiting 7 Remarks Tu W- , cAog4, ZEN / i Aim QSPt*-Sefl Boring # Lpp }:c{CiO:iIM 17-2.~ Ground elev. ~~•S L ft. to limiting g Icy A 414 ~ VS r n►~r S 10, 6 factor 7 Remarks. 0PST14EAS i R I I-\ CN£ tZ-CNN r'S Boring # gmq 10 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) V, C;v ° LA I yb w vi G U Cp w El O scl pe g%-~ -1. f J1 dD " L b yl a A o 6; Z n I Tc, Z o~ p -11 r ~ ~ S a SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations February 4, 1994 2226 Rose Street La Crosse WI 54603 ZAPPA BROTHERS 715 6 ST N HUDSON WI 54016 RE: PLAN S94-40040 FEE RECEIVED: 120.00 RICHMAR INDUSTRIES NE,SW,27,29,19W TOWN OF HUDSON COUNTY OF ST CROIX NON-PRESSURIZED IN-GROUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, rard Swim Plan Reviewer Section of Private Sewage (608) 785-9348 3015R/ 1 SHM6423 (R. 411/91) ILL - S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER_ rrrz S ADDRESS__,!. U dQ,)r Td,, FIRE NUMBER_ W, CITY/STATE PROPERTY LOC//ATION:,1/4, SECTION ` 2_, T_2_;LN-R1,,9 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/Ile, 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 fficer within 30 days of the three year expiration SIGNED: O ,117 - - _V4~-z DATE : ` St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 FILED FEB - 21994 ► 8 Z 9 512589 o CERTIFIED SURVEY MAP RICHMAR INDUSTRIES, A.MISCONSIN PARTNERSHIP Part of the Northeast 114 of the Southwest 114 of Section 27, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin. This instrument drafted by James D. Filkins N 114 COR. SEC. 27, T29N, R19W, !P. K. NAIL FOUND) Owner's Address: P.O. Box 385 ° N Somerset, Wisconsih 54025 M ~ N h N 88 '12'43" W 333.00' W UNPLATTED LANDS M m ~ I YN, • ? O ~ r^ S 88' ~r v7l /2' 43 0 433.32' O Q N 2 h QI N -4 I O h QI N S 114 COR. SEC. 27, Q W _ ~rw+ T29N, R19W, (COUNTY 'LOT 2 M "`J SURVEYOR'S MON. AND.) 2.500 ACRES h 108,902 S0. FT. jl TROAD SETBACK LINE 2 . • ~ =}i t~~ O i.. q . ¢ ..k. O /001 vI h r. , N 88'/2'43" W 433.32' 66' BRAKKE 0UN i Y OR/VE P9anri+ -nrnittee UNPL A T TED L ANDS '--n' recorded o H +:witNi ; 30 days of 2 O Indicates 1tt x 2411 iron pipe vof ova) date 03, weighing 1.13 lbs./lin. ft. set. ~:.~-o~+al S~13I!??n q • Indicates 1" iron pipe found. N `,,~gltllttl~~h N ` 6G O 11o/ to SCALE /00' j 40 uWj 0' 25' 50' /00' 150' 200' 300' `Y LAURE •Ea W ` _m WMU HY o~ x W " S ~3 m J M (P RIV FALLS, J~Q ° WISC. Q` • z F • D • 5~ Dated: November 18, 1993. LAN Vol. 10 page 2729 ~111r~ Certified Survey Maps La rence W. Murphy St. Croix County, Wisconsin. Re •s eyed Land Surveyor SHEET 1 OF 2 I~ CERTIFIED SURVEY MAP RICHMAR INDUSTRIES, A WISCONSIN PARTNERSHIP Part of the Northeast 114 of the Southwest 114 of Section 27, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Northeast 114 of the Southwest 114 of Section 27, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin, more fully described as follows; Commencing at the South 114 corner of said Section 27, thence N 01 37151" E (assumed bearing on the North/South quarter line of said Section 27) a distance of 2251.521; thence N 88012'43" W 533.001; thence S 01037'51" W 184.68' to the POINT OF BEGINNING, of the parcel to be herein described; thence continue S 01037'51" W 251.321; thence N 88012'43" W 433.32' on the North R.O.W. of Brakke Drive; thence N 01037'51" E 251.321; thence S 8801.2'43" E 433.32' to the POINT OF BEGINNING, containing 2.500 acres, being subject to easements of record. Note: Each parcel shown on this map is subject to State and County laws and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Befdre purchasing or developing any parcel contact the St. Croix County Zoning Office for advice. Dated: November 18, 1993 State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Richmar Industries, a Wisconsin Partnership, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. ,C O /V This instrument drafted by James D. Filkins~~., LAUR C • m W M P W .ft 'G' 3 3 • ALLS:,d' a ~ • WISC.•,,.• Q LAND • I ~~hrrrrrN"~~ Vol. 10 Page 2729 urence W. Murphy Certified Survey Maps Registered Land Surveyor St. Croix County, Wisconsin SHEET 2 OF 2 STC-100 This application form is to be completed in full and signed by fthe owner(s) of the property being developed. Any inadequacies will only result ~n delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), thenia 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,AZZ 1/4 Lam/ 1/4, Section ,Z, T y W Township Mailing address r Address of site Z~p Subdivision name ,2 Lot no. Other homes on property? yes_ No Previous owner of property /QLLE~ / ~K1= Total size of parcel. Date parcel -was created Are all corners and lot lines identifiable? __~_yeS No Is this property losing developed for (spec house)? Yes _ZNo Volume/Cl and. Page Number -~2 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEhD 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. L,"/A , 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. Signature a licant Co-applicant - a2 '1)7 4x Z - z F Date of Signature Date of Signature • ` STATE BAR OF WISCONSIN FORM 1--1992 THIS SPICE RESERVED FOR RECORDING DATA oocurnerir No. WARRANTY DEED 51071G 'VOL 1056PAGE 49 RE R'S OFFICE Allen W. Brakke and......... ST. CROIX CO., %M This Deed, made between Reed for Record Pa-tr.ic-ia-•-A-.---8r-akk-e,..-husband.-and-..wi.f e 2 1993 D EC 0 Grantor, ans.-.Ri_chmar_..Indus .tri-es.,__.a..4jis.ccnsi_n..partnershi.p at 8 3& Ra9tstw Of Dseds Grantee, Witnesseth, That the said Grantor, for a valuable consideration...... ~-RETURN TO J conveys to Grantee the following described real estate in S.t_._._Croi_x......... PP. Oames 6urinskas County, State of Wisconsin: South. Ste-Paul' M 55075 Tax Parcel No- That certain parcel of land located in the Northeast 1/4 of the Southwest 1/4 of Section 27, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin, more fully described as follows: Commencing at the South 1/4 corner of said Section 27, thence N 01037'51" E (assumed bearing on the North/South quarter line of said Section 27) a distance of 2251.521; thence N 88012'43" W 533.00'; thence S 01037'51" W 184.68' to the POINT OF BEGINNING, of the parcel to be herein described; thence continue S 01037'51" W 251.32'; thence N 88012'43" W 433.32' on the North R.O.W. of Brakke Drive; thence N 01037151" E 251.321; thence S 88012143" E 433.32' to the POINT OF BEGINNING, containing 2.500 acres, being subject to easements of record. This Is...nAt......... homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And... 11e is goo..8 defeeasible in fee s mple and free and Bclear olf a cumbrances gotE C warrants that t the the title is good, and will warrant and defend the same. 7th 19...9.3.. - Dated this day of Aec~ ex , (SEAL) - A en W- Brakke . X_' 4-4 rtt. `L (SEAL) AUTHENTICATION ACKNOWLEDGMENT t~ ISM : n n esdA % Signature(s) • STATE OF WV;f6eP stff as. 4 Y 1,' ~L ~ 6 hln.j. county. authenticated this day of 19------ Personally came before me this 19_.1.3 the arove --------C ~1-en..--..._ rk.Mile . 's ara.kPr. 3 • TITLE: MEMBER STATE BAR OF WISCONSIN • (If not, authorized by $ 706.06, Wis. Stats.) to me known to be the person •-45 who execu foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ~~~••-a P.•-James••Taurinskas ; - P. 0. Box 605 .c.1 ~ ! . MN X5475 :~'a.4.........County, W;9.MV r Notary Public ._.W-464e ,SGUt...&t.• Patin r (Signatures may be authenticated or acknowledged. Both bly Commission is permane . (If not, state expiration 1s-4 ) are not necessary.) date. 7ebr !?.rs5 P~ e4 -Names of persons signing in any capacity should be typed or printed below their signatures. s. STATE BAR OF WISCONSIN Wisconsin Leval Blank Co. Ine. y WARRANTY DEED FORM No. 1-1982 ~Iil,rsukee, Wis. t A * 8 5 4 6 7 0 2 854570 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIY CO., WI . O • o RECEIVED FOR RECORD cn 06/29/2007 08:30AM oz Z `CERTIFIED SURVEY MAP Poo ao n VOL: 22 PAGE: 5418 'c' -q ;ou °y2 g A a REC FEE: 13.00 I I o Q zv g r m z 9 COPY FEE: 3.00 171 o PAGES: 2 (n°_s =a: va np z Z Z~P2 w cu - A M-0 =J al m g i z c .m-.1 THE EAST-WEST 1 /4 UNE OF ° x a I ¢ I® z D z v v° 3: SECTION 27 BEARS N89'43 "54"E u Z ° AS REFERENCED TO THE ST. CROIX M 1 \ z ~z C O COUNTY COORDINATE SYSTEM >Em pig N a p -C O 2 HUDSON BUcSIQ ESS CL~(INTI~_R ti 70 1 g 7C ~h LOT SIB F~ T 17 O I x I r'`8 07 ~ A -CCENTERUNE v (No' 7'51-E 251.32') C'= SOOT 44 26"E 251.24' 8 to z v 52 --4 F 6 6" .........-A4....... A v 7C A ~ I ~ ~ r I~ I Z _ 40. . 1m z0 N -1 00 lb r" c_- Go m 21 cn 04' ' Zm _~ti' a Z Zg sd; ~C - i J' 1 .1% 0.0 40 Ut 8'? 2> m Tor,? til ~ ~ - ~ i Tm 1 ~8 I I N N J Tr '9Z 1 3.92.90. LOS 1 4 4 N I~ v !`sb) I 8 I ~'c w j' Z li ~ l~ >E i y~ f 17011 1 m~ ~ I (A I CJ A 33" n Hawn 4n \ r jq t3 RP C A C8, I~I (S01'37'51'W 251.32') v ♦ ~Q I~ NOO'15 04 W 251.24 A I LOT I O.S.M. ON VOL. 7 PG. '1921 ~ z ~ZI SHEET 1 OF 2 Z Vol. 22 Paae 5419 /1