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Parcel 020-1102-40-110 01/19/2005 04:29PM
PAGE 1 OF 1
Alt. Parcel 34.29.19.4081310 020 - TOWN OF HUDSON
Current X' ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): * = Current Owner
* NIEDERNHOEFER, LIANE H
LIANE H NIEDERNHOEFER
1917 TWILIGHT LNA
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 659 GILBERT RD
SC 2611 SCH D OF HUDSON
SP 1700 WITC
Y ll'N ~ 7
L esc ' Acres: 4.119 Plat: N/A-NOT AVAILABLE
SEC 34 T29N R19 4.119 AC PT SW NW LOT 1 Block/Condo Bldg:
CSM 8/2117
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
34-29N-19W
Notes: Parcel History: S 6 Lo
Date D;589037 Vol/Page Type
10/14/1998 589038 1365/477 WD
10/14/1998 1365/471 TI
07/23/1997
2004 SUMMARY Bill Fair Market Value: Assessed with: "f
48438 108,800
Valuations: - Last Changed: 10/29/2001
Description Class Acres Land t31,500 prove Total State Reason
RESIDENTIAL G1 4.119 52,700 84,200 NO
GI ~p I roYG~
Totals for 2004:
General Property 4.119 52,700 31,500 84,200
Woodland 0.000 0 0
Totals for 2003:
General Property 4.119 52,700 31,500 84,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
018-RECYCLING SPECIAL ASSESSMENT 27.00
Special Assessments Special Charges Delinquent Charges
Total 27.00 0.00 0.00
sys rE,l-~ iust~ pro /.S
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER S /V %rL sEiV
Q G S~ G,//3t~°7- BPD
ADDRESS
~yl7So,y , Cyi'S . .Sy~D/lo
SUBDIVISION / CSM# yy~ZD ~a~ Pj 2117 LOT #
SECTION 31l T 2-i N-R W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
ORIGINAL
NOT
t-
.ST~tT~"
C 4n~ 5~ Std rrc
SySf -y ~a Ik 4 T r at ~ -f~ +u~e. pro po
ff-
~9DD/'7io~~L 2 YEAS I F
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
Y
• f
77TOM
BENCHMARK: 13 LIPG- . 4 r
ALTERNATE BM: ADO
SEPTIC TANK / / H
Manufacturer: '~VE4e3- a•vclz??e ~j
00.9
do wEi~ ~ ~ Liquid Capacity:
Setback from: WellZ Af?E House Other
Pump: Manufacturer
Model# /r/i9-- Size
Float seperation y~ Gallons/cycle:
Alarm Location &10f
-:Sol; ABSORPTION SYSTEM
Width:
Length Sy' Number of trenches 3
So '
Distance & Direction to nearest prop. line: Sa '~-o No RdZ`
Setback from: well. '~/f
House 3S Other
(;4~ 77.75_
Building Sewer ELEVATIONS
ST Inlet; Y/ ST outlet 5 /jam
PC inlet / PC bottom Pump Off
Header/Manifold Bottom of system set
LD
Existing Grade Final grade P/,
DATE OF INSTALLATION: /5 / f y
PLUMBER ON JOB: 20~~P? 1 Z(~f3R I,CGS7-
LICENSE NUMBER: M P R S 33 O 7
INSPECTOR: T"1-1 3/93:jt
BENCHMARK: 134,P6-. /}.7- 1j1&2 Ct9~,v~c~
ALTERNATE BM : BOO
SEPTIC TANK
Manufacturer: /~z4"S 4.ve;4??f 49
No wEe~ ~ ~ Liquid Capacity: 000 .9
Setback from: Wel12`o E House
Other
Pump: Manufacturer N+ Model# y
~ Size ~iyL
Float seperation y Gallons/cycle:
Alarm Location
•:SOI; ABSORPTION SYSTEM
Width:
Length Lf ' Number of trenches 3
So e
Distance & Direction to nearest pro line.
. p. Sa ~ ^jO Rd'L...
Setback from: well. L/
. House 3J~ Other
• s~~Ti'c TT~K ~ y/~
7,7S-'
Building Sewer ?g,2-1 ELEVATIONS
ST Inlet; y/ ST outlet 6, PC inlet / PC bottom
Pump Off ~
Header/Manifold Bottom of system s¢~
Existing Grade Final grade P~441-;
DATE OF INSTALLATION: /we) / y 1 /y //!711111
PLUMBER ON JOB: 2O B E P? 1 241, 1• C' 7-
LICENSE NUMBER: N'l P R Z 3,3 O -7
INSPECTOR: ~1 /-I "'~'I1dA-1 ~ S
3/93:jt
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■ Wiscon&n Depaatmentof Indusuy, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
PgXjM,gk Na9nLLY HOIER & LIS HO City ❑ village XQ Town of: State P an I o.: 11102-40-330
CST BM Elev.: r Insp. BM Elev.: / BM Description: Parcel ax o.:
/off. 6a
TANK INFORMATION ELEVATION DATA S
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosi n
Aeration Bldg. Sewer S. Z3~ 9g _v
Holding St/Inlet -7
TAJq`KSETBACK St/ICE Outlet 7~~
TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet
Air Intake
Septic ) J(~ 114_ NA Dt Bottom i
Dosing NA Header / Man.
NA Dist. Pipe I
Aeration
zzl_
Ho ng Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Man urer -Dpmand
77-5
Model Number GPM
TDH Lift Friction System TDH Ft
Loss For ain Head
Length Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED / TRENCH Width i Lent No. O Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS Jr DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type Of .fA....- I CHAMBER Model Number:
System: LY , A. J1D no r 'J n 74" OR UNIT
DISTRIBUTION SYSTEM
Header ` I Distribution Pipe(s) /7 x Hole Size x Hole Spacing o Ai ntake
Length{} ~a3 Dia. S~ Length 4,7 1 ¢74;4Dia. 7 Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade ems n y
Depth Over ,r Depth Over r, n xx Depth Of xx Seeded/ Sodded xx Mulched
/Trench Center P6 1Trench Edges ~76 - `40 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)`
LOCATION-- HUDSOJ4 34.29. 9..4,08B~10Q,h/SW,N{W~,L_OT 1,GI BERT RD.
(~<J.=C-I-j.li-_~~/Y
.T
Plan revision required? ❑ Yes 040
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
ac 16
„ ss ~Cho 97
17
SANITARY PERMIT APPLICATION COUNTY
~'~~-nom In accord with ILHR 83.05, Wis. Adm. Code
S T. 644 X,
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than
8% x 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE ft AN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S ~q o
PROPERTY OWNER PROPERTY LOCATION G
I!I! " `!5 NI~ISG~^iV !5&)%N&,A/a,S3~ TN,R E(or
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
G,,,l/3ee r- X v • - ~
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Z -7
M.) P .a CJI . s~ro~~ 7!S ) ?P6 Yf -h CSA y4/r2- 6 l elo/, 9 P
0 _T
II. TYPE OF BUILDING: y (Check one CITY NEAREST ROAD
~ ) State Owned ~ VILLAGE
f W-5'0,~ 7-
El Eij Public L71 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL TAX NUMBS (S) J
111. BUILDING USE: (If building type is public, check all that apply) ZQ ' //O Z -z '6
1 ❑ Apt/Condo 11~WE /1l0S 4t`fr'a
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 Z8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel ❑ 'OfficeWeieleT- 13 ❑ Other: Specify
IV. TYPE O~ERMIT: (Check only one in line A. Check line B if applicable)
A) 1. rJ~/New 2. ❑ Replacement 3.E1 Replacement of 4. El 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 ❑ Sgspage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 eepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure , 43 El Vault Privy
14 E] System-In-Fill 3 IVE~GyeS X _Co EifGtl,~
VI. ABSORPTION SYSTEM INFORMATION: g2.So fG• SO
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) T/1 5-Q ~SETATION
' 6;-o 7f_d 750 to ! Feet 7S. 0 Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank 00 Oslo l Z-
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) IMP/MPRSW No.: Business Phone Number:
20B67- ?11&1c47- 307!S ~'~G'~'fd'S~
Plumber's Address (Street, City, State, Zip Code):
&5.5 D ,-/v 2/ G /RP- 175"0^_) ~j .S ~6
IX. CO TY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing A nt Si u e (No mp
Approved ❑ Owner Given Initial ~ ~~rcharge Fee)
Adverse Determination l C/ '
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(8.08/93) 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.
t; 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 & 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 syssterr}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 muss: 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)
! //3 r X92? F- C",
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o ~
0 0~ y
no w
I
o i ~~rya~l i /y
61
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N ~ y ~ ti Q. ~y o~ O
594404564
o ~
a
Approved Vent Cep
Minimum 12" Above
Final Grade
Above Pipe 4" Cost Iron
3 ~ t^
,to Final Grade Veal "I'
Synlhelic covering
min. 2" Aggregate h
Over Pipe
Distribution 0 0 0 0 0 - Teed
Pipe ~qA
Aggregate ®
Beneath Plpe o - A9#T ti,~ a'
a F.
Y d.
Bottom 01
;`Se
Fresh Air Inlets And Observation Pipe
Approved Vent . Cap
Minimum 12" Above /
Final Grade f/ewb
-~J
4" Cast Iron
3Cp " Above Pipe
"to Final Grade Vent "4*
Synthelic Covering
min. 2" Aggregate
Over Pipe
Distribution - Tee
Pipe 0 0 0 0 0
I Aggregate o Perfbroled Pipe Below
Beneath Pipe 0 -Coupling Terminating At
Bottom Of System
~ysT~~I
Fresh Air Inlets And Observation Pipe
Approved Vent Cap
Minimum 12" Above
Final Grade
/ o
_ 40 Cost Iron
3(0 "Above Pipe Vent PlOi
'to Final Grade
Synlhetic Covering
min. 2" Aggregate ~j
Over Pipe
Distribution - Tee
Pipe 0 !PIpe 0 0
" Aggro Perforated Pipe Below
6 v
8eneoth CaIn Terminating ~ q g At
Bottom Of System
S ~
UL'BRICHT & ASSOCIATES CO.
655 O'Neil Road - Hudson, Wl 54016 Reg. Designers of Engineering Systems
715-386-8185 Private Sewage Consultants
i
PROJECT INDEX
DILHR Plan I.D. # S94-04564 Date Oct.28,1994
Owner Phone 715-386-5972
_Vi Iv & TyiG NiPIcan
Address 659 Gilbert Rd. Hudson, Wis. 54016
Legal Description Site tax parcel # 020-1102-40-110. Lot 1, csm 449209,
Vol. 8, pg. 2117. Site address 655 Gilbert Rd. Hudson, Wis. 54016
SW 1/4, NW 1/4, Sec. 34, T29N, R19 W.
Town of County ST. Croix
Hudson
C.S.T. Installer
Robert Ulbricht CSTM2482
Local Authority/ Supervision
St. Croix Cty. Zoning Dept.
PROJECT DESCRIPTION
The owners have a home based office in their existing
metal pole building, and have local zoning township approval to
conduct an office/business. Owners have no employees other than
their immediate family (husband,wife, daughter). The Nielsens wish
to add albathroom to the shed. Also, they propose to eventually
build a new 3 Bedroom (or smaller) home on lot. A common trench
system will serve both buildings.
Soils are permiable and suitable for a conventional trench
system. 'dotal estimated daily wasteflow from the proposed 3 bedroom
home (and office in barn) will be 450 gals. The existence of an
office for the immediate family will not, of course, increase any
residential wasteflows.
Soil; design loading rates are .6 GPD/Ft2. 750 sq.ft. of trenches
is required. 1
Pg.l PLOT PLAN VIEWS
Pg.2 SYSTEM Cf, ECTIONS & SYSTEM PLAN VIEWS `O~~u~p►rnar
A# X15 `41,y,
8~ 9'a7 ~ TT
MIN
S94-04564
.M
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• I
SAFETY & BUILDINGS DIVISION
State of Wisconsin
epartment of Industry, Labor and Human Relations
October 31, 1994 201 East Washington Avenue
P. 0. Box 7969
Madison WI 53707
ULBRICHT & A SOCIATES
ROBERT ULBRI HT
655 O'NEILL OAD
HUDSON WI 4016
RE: PLAN S9 -04564 FEE RECEIVED: 120.00
NIELSEN, VILLY
SW,NW,3 ,29,19W
TOWN OF HUDSON COUNTY OF ST CROIX
NON-PRE SURIZED IN-GROUND SYSTEM
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted for the system plan submittal. All
noted items ust 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
Administrati a 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 he construction site. The installer shall notify the appropriate
inspector wh n 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.
Sinc y,
Peter E. Pagel
Plan Reviewer
Section of Private Sewage
(608) 266-2889
SUD- 1423(R. 01/91)
4 4 92 09 CERTIFIED SURVEY MAP
LOCATED IN THE SW1/4 OF THE NW1/4 OF SECTION 34, T29N, R19W, TOWN OF HUDSON,
ST. CROIX COUNTY, WISCONSIN
U N P L A T T E D LANDS W LINE OFNWI/4
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I U N P L A T T E D L AN D S I JUN271989• Z
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VOLUME 8 PAGE
~i.'T~ ~ I~l~,l°ESS lv ✓~S Gi~l3~~'T .
A
Wisconsin Department of Industry, SOIL AND SIT _E V AL k1:AT 1 O N RE T Page ~ of 3
Labor and Human Relations
s:
Division of Safety Buildings in accord wit tLHR 83.05, WiS. Cod
-5 '
COUNTY T
Attach complete site plan on paper not less than 8 1/2 x 11 inch i Z~t~ must include, bu
not limited to vertical and horizontal reference point (BM), directio a of slope;-'scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest roa . ° 1020 - //O Z - y0 ' old
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATIO REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
-4 L/S / I~ / 4r-452541 GOVT. LOT 5&) 114 411e) 1/4,S 3yT 19 N,R /9 E (or) W
PRO& S owNE T E L0Y # BLSSAJ W y2Ao 5 R// P p o 7
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE OWN N WEST ROAD
1f upSd-v 4-'1S . yD~G (~/S) 3~~ -$~7Z UPS O ,3 . I
Vf'New Construction Use [rv)'Residential / Number of bedrooms 2 -3 [ J Addition to existing building
[ ] Replacement [ 4-fublic or commercial describe_
Code derived dally flow gpd Recommended design loading rate l bed, gpd/ft2 • ~i trench, gpd/ft2
Absorption area required bed, ft2 7-~D trench, ft2 Maximum design loading rate~_bed, gpd$ ~trench, gpolft2
Recommended infiltration surface elevation(s) 5-0-Q &C /o w ft (as referred to site plan benchmark)
Additional design / site co lions WSE 7r6AJCti £ s C3 ) S ' k S o ' E'A a- cu/ Dp...o P R 01, U r' s l` P i g yT ro
Parent material 5CS - .5'~wS f s chf ETEit Flood plain elevation, if appliEable 41,74' it
ov w
LSU =Suitable for system U CONVWIONAL ^ MOUND u IN G_ U ESSURE AT_GRA~ Q TFJuI MI FlLL Q SIWG TANK
=Unsuitable le for system 0-5 l!d'S []~3~ ~ [~'s 0
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BourdW Roots GPD/ft
in. Munsell 11u. Sz. Cont. Color Gr. Sz. Sh. Bed tench
E i 0-/7 /orb 31Z _ s cs 3 -2
-3f /0 yle 1~~ e.57 _57
2- 7 2-
s/ fsd,~ ~s y S
Ground 3 y ;75yP f13
rylev.
a ft. 7 7, -Y y s 4, S n+~ 7
Depth to
limiting
factor
Remarks:
Boring # /7" ye 4,7~e
Ground
elev.
17 2-O ft.
Depth to
limiting INAL
factor-~~
Remarks:
CST Name:-Please Print 1P0~E1-P7-- ~LAe j0.A 7- / Phone:
Address:
Signature: Date: CST Number:
- -Te-e X3 0, U A 1,0j,3 -S
q2,0
PROPERTY OWNER SOIL DESCRIPTION REPORT 2 3
PARCEL I.D.# d2.0 - //02 - y4 - O Page of
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BourXby GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Roots
3 2 s /f s6~ 3 t Bed Tiencfi
q
2 -~L /0 VyP 2-,* iie ~wfif e5' S
Ground ('s y o tr
elev. s Unit' S ,
X76.30 ft.
Depth to i
limiting
factor
Remarks:
Boring # ~2 /4 yiP 3~Z s 144
Z ,P9 ~ 7
Ground
elev.
5'~ • a ft.
Depth to
limiting
factor
Remarks:
Boring #
z fs~ ~,fi~ S 31c . S
3 7,S y~ Y 3 ~ L~ sd,~ ~S /7G • S - ~
Ground ~~(1 ~Sy /S / f
elev.
ft.
Depth to
limiting
factor y
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
facto
Remarks:
con ooonio nc mop
w ~
cJ~ v~ Q 03 c
c J ~ o
0
0
INIAc
O
w
00
r33
d •
o
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2
449209 CERTIFIED SURVEY MAP
LOCATED IN THE S141/4 OF THE NWl/4 OF SECTION 34, T29N, R19W, TOWN OF HUDSON,
t'`• ST. CROIX COUNTY, WISCONSIN
U N P L A T T E D L A N D S
Y," W. LINE OF NWl/4
N0°06'35"E 2644.94'
- - - - - - w
r, 4 w GILBERT ROAD- w
SO°06' 35"W 336.85' w
w - - - - - - -
y £ W S0°06'35"W 336.82' w
z y 0
N M F- W H O
ZH--g toFd
~ ~O W 70
A O F..; z n n A
r
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t r ra z G w r- 4-
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a 4 11 P. N N• co
~ ~ oho ~ oho cn Idlc
00 I0l0
lti C>
(n I o N i+ ~ I+
I o to In Q d t' to Ln I~IvIH N
n - ow m tom w0 wo I I~ n
c Icn o w m m ~ m H w o -p- 1H
y rt Fl. rt H. I N l b t*1
M I t*~ o o :j :j 0 0 v, c) i C-)
;7 00 0m oom H oo ~ ~ IWI• I~
I~ wa w a r 00 00 ICDIH FJ H
a I'3_ N z
1 tl M I ~ 7d 4-~ l ON o
m - 9 9 w
a £ C7 E (7 rn In trJ
co I+ I+
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w - - -~O p
1 1 z 4- F✓
N co - N -
U i•w ~O F-' O
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a,
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• Irk - F~ O O A
I~ ° ° o N0°06'35"E 336.40' ;o
I°z to ° 286.96' 49.42' -
j o o ASSUMED BEARINGS REFERENCED
w N o o TO THE WEST LINE OF THE
- NW1/4 OF SECTION-34, WHICH
r r Ln BEARS SO°06'35"W
H H Cn iC» n fn y
cn<M
M ;K L.) X I+ -i N
rv 9 Z 4 o I+
z y ~L
wOO -
<c vo ~ co Jy~00Z
F~~oxcz
ry o °
0
y
>En xdcn
N ~ ° z >
C11clr Z O H
°o vw, o ololo 0 C-4
In .P H t7i EDIE LANE u~i t z x
¢ ~ Fxj W %lo NI° Io w y►y to tri
I+ ~~lcn N M z
co I P R+
F- Iw
I IdItri ,
I 119 °o N0°06'35"E 335.91'
IHI~ -
z 'L 161.17' 174.74' FILED
il
I UNPLATTED LANDS 8 JUN271989s' 2
I JAMEF, aCONNELL
8 PAGE 2117
VOLUME
/fvl~So,✓ Gv/,S' . .S ~DlE,
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety 6 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY T. S eV-0 ,X
Attach complete site plan on paper not less than 81/2 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. OZD - /ia Z - ~/0 i~d
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: / PROPERTY LOCATION
j L/S GOVT. LOT 50 114 VW 1/4,S 3yT 19 N,R /9 E(or)W
PROPERTY OWNER':S MAILING ADDRESS LO/T # B OOCK # SUR . NAME OR v0% P 1 / l 7
CITY, STATE ZIP CODE PHONE NUMBER CITY []VILLAGE OWN NEAREST ROAD
ttvOSa-v ~/S . yoiG (7/S) 3,f~P 2- V1 UPS o ,.1 Cry'/,C3E/t T
New Construction Use VI'Residential / Number of bedrooms Z- -3 [ ) Addition to existing building
l 1 Replacement (*j--~ublic or commercial describe ANUS &/krTE fY4",,O,
Code derived daily flow JT 9Pd Recommended design loading rate / bed, gpolft2 • ~ trench= gpol(t2
Absorption area required bed, 112 7~D trench, h2 Maximum design loading rate bed, gpd/tr2 ' trench, gpdAt2
Recommended infiltration surface elevation(s) sue- /,C /o w R (as referred to site plan benchmark)
R Ox "Di S T Pi Bu1w
Additional design /skeoDDons WSJ 7reNCdA'F s C3) S So ' CA q'- W/ Dr-op
Parent terial 505 4 -Saws S C#E7- ~ Flood plain elevation, I applif able It
o w
S = SUitabl@ ON System ~an►iO ^ MQUNQ ✓O U IN GROG U PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TMq(
U = Unsuitable for s stem 11r1dd 5S I!~'S LJ'.~ ❑ C U O S Ceti' O S Elm-
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed roxh
i 0-/7 /ore 312- - IT / " & " cs 3-f - •P
2_ 17 3 /o fle y s/ 12-,;.n /,h, 7i( es / s
Ground 3 y= y 75 yie t' 3 -5-1 l~S iWIlit° ms's y S
1
5;6 y~o - ft. - 7,5 y y S o,S n~► - 7
Depth to
limiting
factor
Remarks:
Boring # 49-P /o /p 312- S1 A/ fie cs .1' f . Y S
2- - y 7 s 0 A'* s/ Z-f- Sl,~ cs if SI
F
'M
2 Y,
Ground 3 . S / f
elev.
,7`/ 20 ft.
Depth to
limiting
factor /
Remarks:
T Name:-Please Print Phone: 3, _
Address: 4//~~p
Signature: Date: CST Number:
pa%e/ _
3?1'p T~~~ 93• d
PROPERTYOWNER_ SOIL DESCRIPTION REPORT
? 3
PARCELI.D.t 02 - 2- y0 - O Pte of
Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.~ Bour~ry Roots
Aj Z f ' r 3 Bed rend,
S
Ground 13
elev. 75 r--- s . / { v/~ S
576.30 it.
Depth to
fimiting
factor Remarks:
Boring #
~
yre 3/2- s /4. ye
13
Ground
elev.
Depth to
limiling
factor .
Remarks:
Boring #
s q
Ground ~~l! 7SJ/ Y16 /S 1,40 elev. _
.5fZ ft
Depth to
limiting
factor
Remarks:
Boring #
i
t
131
Ground
el(v.
fL
Depth to
limiting
factor
Remarks:
con owmio ne/n•)%
//3~ T .Pty r- ~
. w ~
Q Pj G
ui w
o ~ d ~ d o 'tee ~ n T
o ~ r
c J o 0
0
0
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wo
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o y
b tZ
q,
a a
m
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-kV
STATE BAR OF WISCONSIN FORM 1-1982 THIS 5PACL FESERVEO FoR RtCOROINO DATA
CSOCUMENT NO.
WARRANTY DEED
449584 845Pkant; REGISTER'S OFFICE
ST. CROIX CO., WI
This Deed, made between Reed fCr Record
c.a.rmi c-ha.ei-. Re-~id~n.lwial...Gcp.up...... -nc- JUL 111989
.
- - - _
Grantor, at 1:05 ?M
and. _11i-11y- H.-- Nie-ls8n-arui. Lis...H-.---N.i-e-l-setsT---•-------
_.husband.. an, wife. as-.marital sur.ui-worship----------
rnPertY
.
p
. Grantee,
Witnesseth, That the said Grantor, for a valuable consideration......
{}p----........-------------------------- RETURN TO
Carrmiclxae-1. Res-idant-i-a- ro
conveys to Grantee the following described real estate in St.....CrQ-1-X.......-.
County, State of Wisconsin:
A parcel of land located in the SW% of the
Tax Parcel No:
NWi of Section 34, T29N, R19W, Town of Hudson,
St. Croix County, Wisconsin, described as
follows: Lot 1 of CertiFied Survey Map Filed June 27, 1989 in
Volume 8, Page 2117as Document No. 449209..
f~ SPF~
ICU
FM
This - is not homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
Carmichael Residential Group, Inc. - -
And... -
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
easements, restrictions and rights-oF-way of record, iF any.
and will warrant and defend the same. 89
June 19.- -
day of - -
Dated this
Carmichael Residential Group, by:
(SEAL) .(SEAL)
(SEAL) _-(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN
Signature(s) - -
St. Croix County. ss.
authenticated this _-__._day of---------- 19.- Personally came before me this 3.n -(lay of nanAd
1-`II Ju ne
, qv,
-
TITi.F Nl,FM 3ER STATE BAR OF WISCONSIN
(If not.
authorized by ; 706:06, Wis. Stats.) to me known to be the Boron t'fr oinq in-trumr,nt al U•61IO%V- lc tl I I.
NAS DP NF; F') BY -
Kristina Ogland Lundeen
Attorney at Law Alice J. leischaA*t"PUb''C
St C ragl4te of VAST!?S o «
~•~t:: I hlir t •
r
,-w-inn
, ~'^rnliratrd ~~r a nnc!1 •I Ctl? t
June 9 3
r~,rnl n- ~ I
I' , r date.
'TATit ftAfi OF Wis('()].Ir
WARRANTY DP_F.D tORN n. 1-17•f2 r_1~"'
!1•Itar
5/ 7Z7 lclXt
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
j[~Y
ADDRESS_cp~ FIRE NUMBER
CITY/STATE_4~ZL'ao"') / . ZIP
PROPERTY LOC~TION: 's~ 1/4,'") 1/4 , SECTION--Lt, T Z( N-R W
TOWN OF if v /?Xl
St. Croix County,
SUBDIVISION 45sIl Y 2°f 4101 ? P6 - 8
LOT NUMBER __L_.
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 dat
SIGNED:
DATE :
St. Croix co. Zoning office
911 4th St.
Hudson, WI 54016
ry ,
J
STC-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 own e
r/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.
( ! Lis /l/ 146/S',~
Owner of property '
Location of, property 5401/4 A.,04.1 1/4, Section 3 /1"', T N-R 2_fW
Township t+u DSc-A3
Mailing address Co s ,,f 6,- t D
{-t-y.) S e. D 4~ I. 5 q0
Address of site S Q ` ' - D
Subdivision name no.
Other homes on property? yes /No _
'uT `T~~'`f
Previous owner of property NU 6__ F~// A `s,~ B40
Total size of parcel 7~ l S
Date parcel was created
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 o:
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.
'e, ~
Sign ,all'ure of applicant C applicant
Da a of Signature Dat6 of S ature
roX a a~"~ gr)fq o- o o r~ reQ>vr S kpes
RECEIVED
o JUN 1 5 2004
Z z ' - -ST.CROIX000NTY
0
• cn 0 ► • ZONING OFFICE
~N
o
N~ O
I z (n I
o 0 Z
° > N m m N v_m Nm 00-0
° a r*t O o Do w-c' m N N mo ~ 2 ;cu ~ ; c m BEARINGS ARE REFERENCED TO THE
::1 n m zz < zz m z zz C WEST LINE OF THE NW1 /4 OF SECTION
v O Z ~ a r. z' z z f- N D m 34, ASSUMED TO BEAR N00'07'17"E
rn m S -zi ~-c1 ~m zOM
G7~ Zr°*1 zN m r. 0.C >;v cn0c-nrZ ~~~C7
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WEST UNE OF '''~cr-Dm N ~'p rn
m y c~►1. SO'06'35"W) THE NW1/4 _ rn N -4
T-66 1- rn
NOO-0791-7 f.26
_ CA 282.09 6 313.17 t 10: _ 1983.54' D 0 r N
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=
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SHEET 1 OF 2 SHEETS
V •
4-4-9209
CERTIFIED SURVEY MAP
LOCATED IN THE SW1/4 OF THE NW1/4 OF SECTION 34, T29N, R19W, TOWN OF HUDSON,
ST. CROIX COUNTY, WISCONSIN
U N P L A T T E D L A N D S W LINE OF NW1/4
_ - - - - - - - - - 21°06'35"E 2644.94'
1 w GILBERT ROAD-
S0°06'35"W 336.85' w
N w S0006'35"W 336.82' w
Z H C')
Ow
z 31 g tyro 8 ~ztz
w O
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x IH o ° ° N0°06'35"E 336.40'
~ i~ ra ° 286.96' 49.42'
F-
N• I r
c!= ~o r N ASSUMED BEARINGS REFERENCED
w N o o TO THE WEST LINE OF THE
N W1/4 OF SECTION-34, WHICH
C:) Ln
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rnr
BEARS S0006'35"W
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loo
I" Idltcn° Iw
1 ;19 °0 N0 ° 06' 35"E 335.91' '
161.17' 174.74' FILED
I0I,
1 U N P L A T T E D LANDS 8 JUN271989► 2
- - - - - JAMES aCONNELL
Register of De"
st cft Co., w)
VOLUME 8 PAGE 2117 to Q