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HomeMy WebLinkAbout020-1168-70-000 t. II IIIIIIIIIII I I II IIIIIII I I II 8214137 Tx:4176281 Document Number Document Title 992987 St. Croix County BETH PABST `7 REGISTER OF DEEDS Occupancy Affidavit ST. CROIX CO., WI RECEIVED FOR RECORD 02/27/2014 2:38 PM Q G� EXEMPT #: Name — (Owner)Typed or printed REC FEE: 30.00 being duly sworn,states,under oath,that: PAGES: 1 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County,Wisconsin,recorded in Volume - Page - Document Number`Tl 227 St.Croix County Register of Deeds Office: Recording Area Name and Retu Address A parcel of land located in the S-) %,of the NJ'/.of Section $7 C er� f/j�Ct C ,c(oI r T Z`) N-R /4) _W,Town of Mu J-5& ,St.Croix 310 County,Wisconsin,being duly described as follows(include lot no.and O� subdivision/CSM or detailed legal description): 020- // 0$- 70 4,� ,5 13 4- PIc - e P � oob Panel Identification Number(PIN) As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a 3 bedroom home,or a design flow of V 56 g d. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently occupants living in this residence; (o occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, I understand that if there are intentions to exceed the number of permitted occupants,the system will need to be modified to accomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this day of • t ��,'AN$��� ACKNOWLEDGMENT Signature(s) AUTHENTICATION `�� N O /��STATE OF WISCONSIN- ) .•• •.,,�I i� )ss. Zk •S g .Croix County. ) authenicated this day of '• '• Ada of • -" Wally came before me this Y =Q Y :z _ - the abov nam /� • vn .., cc TITLE: MEMBER STATE BAR OF WISCONSIN '-0,0 �',9'••, ••�N••`q0 ,o me knovm to be the persons)who ex cried the foregoing (If rot, instrument and acknowledge the sam . authorized by§706.06,Wis.Slats.) THIS INSTRUMENT WAS DRAFTED BY 5 . Gee ,r Cam , 1-a Jse atary Public,stare is onsln (Signatures may be authenticated or acknowledged. Both are not My Commission is rm nen. If t,state expiration date: necessary.) Date: "THIS PAGE IS PART OF THIS LEGAL DOCUMENT-DO NOT REMOVE" This information must be oon#eted by submitter: document(Ills.name 6 relum address.and P1H fd required) Other infomratian such as the granffrq dauses,leagal description.etc.may be placed on this fast page of the document or may be placed on additional Pages of the document L use of lids coverpage adds one page to your document and$2.00 to the recordlna fee. WIsOOnsin Statutes,59.517. St.Croix County 992987 Page 1 of 1 y a°i o0 M o ° O ~ O v I cc cc p I o X° I II O u3 N 7 N ~ 3 U C N M p c ~ .U I a Z C C (n w LL C M ° O mL = O to 0 O O I rn Q M c- Z ~ I z £O d T ° z a ) I H I O Z c N Z d c N F ~ ~ ~ I N N 7 C a • N p O 110 N O z co z Z o _ N N C C y o3 i p a 'm 1 41 3 m a M H H H O O O O O • rv a a a c C,4 m (n (A J U ~ rn rn } ^V = C4 y o J m C3 CL N cn (3) Q0 m C) O O N C 0 -0 p ' c C 7 3I~ Cl) p a s LL O° ao m ~ ? E E a L L O N~ N ~ tla~ F- F- '=n) - ~ :,3 E E a I t a `m a CL '2 E iU C C 7 `~1 A 0a2 omv STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ~,4i Ali ~'~ar r' ADDRESS f~o y '-*2_ SUBDIVISION / CSM# e"e/t- W®o of LOT # SECTION.- 2 TAN-R_ j Town of ~rd`Sah ST. CROIX COUNTY, WISCONSIN PLAN VIEW QL r SHOW EVERYTHING WITHIN 100 FEET OF YSTEM ` I ~'rJ N~~Sc 1 ~i J ~2o V7 s 46/t ie. -f Y p'~;. !Ja✓ lip fh ~7 /aa, ae ,r INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. I j y lei/dad Y ~ jr,L.... BENCHMARK: 7,,-,,a of /.//,C'oM E1 -A ,0 ALTERNATE BM:C> ~oc ~Qg fray, SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: /DDd tae / Setback from: Well -ir House Other - Pump: Manufacturer Model# - Size Float seperation Gallons/cycle: - Alarm Location it ,SOIL ABSORPTION SYSTEM Width: S~ Length 7 5 Number of trenches Distance & Direction to nearest prop. line: 'IS' 'to Setback from: well: 72 01 House Go Other ELEVATIONS Building Sewer-- ST Inlet, 4.7 c0 ST outlet $ ! PC inlet - PC bottom Pump Off Header/Manifold 2~, q0 Bottom of system 6 ~ «z Existing Grade 7 3 Z- Final grade 7• ? 2- DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: if k INSPECTOR: 3/93:jt LA:,Y3Srt+ttl2t~t'fJi'M~str7.29.19.1Q4c~ r~W LOTS 13&14 WINDOLFF LANE PRIVATE'1IVAGE SYSTEM County: Labor and Human Relations 'Safety and Buildings Division -INSPECTION REPORT ST. CROIX • (ATTACH TO PERMIT) sanitary Permit No-,. 139ANERAL INFORMATION 186538 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: 5UM HUDSON BM Elev.: Insp. BM Elev.: , BM Description: Parcel Tax No.: Ol7 crv eac5r~ r, 020-1168-70-000 TANK INFORMATION ELEVATION DATA A9200425 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark , as CV a8. 22 V Dos' 0,16" /4- , d1 2 '57 P Aeration Bldg. Sewer Holding St/ I f Inlet d a s TANK SETBACK INFORMATION St / Outlet TANK TO P/ L WELL BLDG. Ventto Air Intake ROAD Qt I~ islet Septic NA 9t^Buttam- Dos' NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufact Demand 5'I` /PI G 2/, SD D z r i n /Ox Model Number GPM TDH Lift Friction System H Ft oss mead Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width i Length / No. Of enches PIT Inside Dia. Liquid Depth DIMENSION 5 DI EN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manu a SETBACK INFORMATION Type O n2,- _LV U' CHAMBER Model Number: System: ,76 OR UNIT DISTRIBUTION SYSTEM Header/Mani old ~r Distribution Pipe(s)? x Hole Size x Hole Spacing Vent take Length A? Dia. Length ZDia. Spacing / SOIL COVER x Pressure Systems Only xx Mound Or At-Grade SDepth Over Depth Over xx Depth Of x Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil - 'YP ❑ Yes El No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 07.29.19.1045,SW,NW, LOTS 13&14, WINDOLFF LANE Q 5~~1• T j///~ / i~ /•If C~ I /'(~[~7 ~6/c•.. r'~tL1.. r Q Via, 9~ F4/Z -3 P, Plan revision required? eso Use other side for additional info ation. SBD-6710 (R 05/91) Date Inspector's Signatur Cert. No. t G ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: .Y t 77UILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code CouNTY K STATE SANITAKY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than OnJ 8%x 11 inches in size. C ec if reelprevious 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 -SQ 417 S4 -N& !CJ'/a, S 7 T Z/', N, R J E (o1oD PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 66 40 -It S O/ 3 Qic z /t'4.r c 4 4AA6 II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) ❑ State Owned ❑ VILLAGE e✓i u/o =N OF. _j ❑ Publlc ~6J1 or 2 Fam. Dwelling of bedrooms--- AR EL TAX NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 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. 14 New 2. ❑ Replacement 3.E1 Replacement of 4.E] Reconnection of 5.0 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 N 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 12.ABSORP.AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE L / REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) G'7. ELEVATION Z S S Ft. Z, S F r` - ~ ! , 00 Feet A9.2,5_ Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION Manufacturer's Name Con- Steel Plastic New lExisting Gallons Tanks Concrete structed glass App' Tanks Tanks Septic Tank or Holdin Tank /adU / Gs/c.' S m✓ Lift Pump Tank/Si hon Chamber F] F] I El F VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum is Signature: (No Stam ) MP/MPRSW No.: Business Phone Number: -ell Plumber Address (Street, City, State,, Zip Code): IX. UNTY/DEPARTMENT USE ONLY ❑ Disapproved Sap)taryPermit ee (Includes Groundwater Date ssu Issuing A nt S' ture No L¢~t Surcharge Fee) IF Approved ❑ Owner Given Initial Adverse Determination Co Z 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. 'Yorir-sanitarppermit may be renewed before the expiration date, and at the time of renewal any new - criteria in the Wisconsin Administrative Code wilil 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 & 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. 111. 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) 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), then 1a 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_-~_ti 1/4 40l/4, Section _7 N-R_A6D Township Mailing address /~oz Address of site _ f//►~~ . Subdivision name_Oe,, ~ .'s-W Lot no. other homes on property? -yes No Previous owner of property Total size of parcel 970 Date parcel -was created z-. Are all corners and lot lines identifiable? -7Z Yes No is this property being developed for (spec house)? XYes No Volume 9y7 and.Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. ySr 2G S , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run to abovedescribed 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 ~4 2G S2._- Signgnnat a of applicant Co-applicant `z - Date of Signature Date of Signature • t, y y ti~., ice,y .:T i•~r. ..4M.......... Y.mov . ...titi~ . .....4ir e~IfiYNily.I+.. Y.... .M~.wr I" ns...._ratien AMU; 71r, ~AM Rai r . Tax Parat Not 4]-141 Flat ol.,.lmmm"cb~odD r- t. Croix County, Wisconsin. cool, go"Ototut Oft lding site under existing A`~Y 3:hr e i not t i+ *ad appurteaaioa thereunto Lelonginit; lb Oi nQ ftee and clear of encumbramea except SIRsE#,io~±ik~' ahd+rier is of. record, if any, doff" tbo N . ` c~ ° c dal' fwd /f~ . If. Al Millrica :aa¢k Hudspn. MLA ~#11sn J. Oase FnA It' • VA_" F k Ayr, j L) . k. y lCa en R. Dreoto e, V, r ' .Au,kj!'i -T&gATlow t f;.. ACENOWLXDGUUIIT 5f.%TF. nvF Wism.NSIK y.. r St. :Croix ~ticsf thir dar of ]t' Perrunn:i~ Allen.: J.. Omit ik oft f+ a ~ and Karen,R. Drew is~te, l4RTATF, li It rtr- WfW-f0 tiblQ President ~~•-t~' ~ ~ ~.yq,, Yrs. Tft>A,cll.~~h'~tYl~~e ~tlc!~rt)'~'...~.. ~~y~` } 4 { ?31it nf>,#.ra,~ •k ~ t ~ jinn t~ rtri`r144N~. j i{, i S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER_ ~i //17/ ADDRESS_,d gr''Ze-2~ FIRE NUMBER CITY/STATE- A&Js &-t- ZIP r PROPERTY LOCATION: 1/4, Acl 1/4, SECTION--:Z , T_ TOWN OF 11-li ttyll St. Croix County, SUBDIVISION- n ytJo D , 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, 1918. 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 date. SIGNED: DATE:-- St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 Wisconsin Department Industry, .Labor anu Human Relations SOIL AND SITE EVALUATION REPORT Page of ' 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 ST (f en !x 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 M 1 '1)LLI<~ GOVT. LOT SIB 1/4 N W 1/4,S / T Z~ N,R E (or) W PROPERTY OW R':S MAILIN DDRESS LOT BLOCK # SUB NAME OR CSM # ` r Y 15 Rt'o 9 K A& / ,aa~u c,fapfl CI, ,STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLA E OWN NEAREST ROAD, /I W) tzoN ST /J 51 ] New Construction Use [D(J Residential / Number of bedrooms 3 [ ] Addition to existing building j J Replacement [ J Public or commercial describe Code derived daily flow gpd Recommended design loading rated bed, gpd/ft2trench, gpd/ft2 Absorption area required /4W bed, ft2//-2 < t nch, ft2 Maximum design loading rate :O:K_bed, gpd/ft2_4' trench, gpd/ft2 Recommended infiltration surface elevation(s) '77,60 ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system 0 VENTIONAL M UND IN-GROUND PRESSURE AT-GRADE SYSTEM Ii FILL HOLDING~T NK U= Unsuitable fors stem S❑ U S ❑ U 7 ❑ S O U ❑ S WU ❑ S L9 U ❑ S pSl U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominati# Color Mottles Structure GPD/ft 9 Texture Consistence Bouxbry Roots Bed Tmnch in. fvltrnsell - Qu. Sz. Cont. Color Gr. Sz. Sh. _77A,* L t c -Z ds o.6 16,144 13 C 2 a cd Ct_L C I j4p .11 SY 3 Ground D elev. 8 -4z S~ rr, lt.rr lci s I ft. $ L-12Z ,s YP, 4 3 -S r%n t l-P 1 0,3 o .4 Depth to limiting factor Remarks: Boring # sloc S 10_„ 16Y4 43 C z CLL 2 m a~K A7 N NP Ground S3 ~nYf- 3/4 - SL I 1h raj f / D.3 .0.4- elev. 53-74 '16YP, 4-133~ 6, P, 'S a 9, !Z- 10 to 75 yrP 4 3' FS Depth to 0 ~4Z' dY~ 4/4 11'f 1 0.7 factor Remarks: CST Name:-Please Pfint h/ / /QR t GkN'gij Phone: ~1 ou) ~S N `t Address: 14L) Signature: Date: /Z/. .09 CST Number~4 PROPERTY4WNER '54 l~'ri«k6rP, SOIL DESCRIPTION REPORT Page? of 3 `PARCELI.D. # r,,T A 1 Ajr_K wao,& Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft g in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Barxiary Roots Bed Trerxh 7- o' 0 ~3 I z 4/3 "1 \4 C 7 ~k ~►t / -4 0 Ground 36 SI 4 4 - 1- S, t 7 a K M47) C N P N' elev. I63JAAft. /-7©°° Q Y+~ 3S I C O 5 p. Depthto 94 /2( /OOP- 4 4 ~ O 9613 h+ it 6.5 € d .6 limiting factor Remarks: Boring # L ii Kr, ~Qy L Ground U-~ !O (-C4 /oz 63ft. J7~ 7S 4 3~ r~ 1 p3.4 Depth to limiting factor Remarks: Boring # a 4 "o> iR _JS G1Y ~ I Z s b r~~i Z sk c A b 5- 3 c Ground ~Z "7 IDy►~~ s r~ 1 O 3 (~.4 elev. lbo.~3ft. ~ ~ I 1 Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ,,off^~ N ~ ,y 1~t^► ~a-a-~~l 7D, \ w v*4 \r 4 y SAM M I LLER RANCH WOOD ESTATES 40T 0/3?/y iv '/-7 /o S y sf< w, E L /p/, dv ' ( t~/Y(. 7op off/ ,rte Lef Conna✓ E 1. - /ov, o o, o~/~jt~ na'~~ ~ra4 S~0,.A 7' - f9s-- t ALTFR IYAT£ I-- TRENCH AREA p' Sr ~r' [ f to ~a- Malt-- LCA r trb ya1 -400 )r o y j WINDOUP LANE LoL- DE-SAC a ti ~ r `i - ° • - CD \ PIP IN kp% ea - r f s O N 0 lo, O °-1- P e 0 S v V 2 m o t ~y 4 t~ r . 0 s p 0 r 0 ul u P C 1 ITI O ~ ~ \J ` Z 1 I N N 01 I N N` r. vim. D t I . i `C W b r``I v 1p J i 1 v~ o r N I Tri E _ ; ! i 1 ~ Ul c I ~ A ) It, o~ z~ d ro M 1 t i r 0 x 4 ~ r ~,~Sb~ REP ST. CROIX COUNTY ZONING PAGE 1 ~131 HUDSON 04/2[/93 08:31 REQUESTS FOR INSPECTION WORK SHEETS FOR: 4/26/93 AREA: JT -Activity: A9200425 4/26/93 Type: CONVSEPT Status: PENDING Constr: Address: HUDSON 07.29.19.1045,SW,NW, LOTS 13&14, WINDOLFF LANE Use• Parcel: 020-1168-70-000 Occ: Description: 186538 Phone: Applicant: MILLER, SAM Owner: MILLER, SAM Phone: Contractor: STROHBEEN, DOUG Phone: Inspection Request Information..... Phone: Requestor: STROHBEEN, DOUG Req Time: 13:04 Comments: Time Exp Items requested to be Inspected... Action Comments 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION