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030-1096-95-000
m I ND O M � O C h O CD O N h Y N c w N i >N d > O I L � y N � O L O C C Z � 6 LL 00 10 x -o Q N M Z y rnW E U) _ 0 Z ° 3 d m M H Z O C -O v O Z : c - a� Z a c O O Z c E 'a O N M N O 7 0 N co N N O •N L L O c c O O 2 z H Z o N _ Z c a O d N co t0 N O CO to CL M MI) d 0 '> co bip Z � >° ' � -2 z 0 0 o Z •►v � aaa U) c N ° N CA J 12 °V rn rn } y �i a O O 2 - 0 CLO CO E O CO U 7 n N C O N N N .r O 3 N H r p\ 0C,>O LL 9 N O I � co c CO L .0 O C a N V �Q y U y C 7 C O O C CO p y Z .o-0+ �0 O M B i p� O ... E C L • M N O O O C O R U cp iw O co CO 2 O Z - I- U) at a ` a CL 0 E c c _1 A vat OU)v Parcel #: 030-1096-95-000 03/23/2005 04:04 PM PAGE 1 OF 1 Alt. Parcel M 32.30.19.353F 030-TOWN OF SAINT JOSEPH Current i X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner * DALE W,&DEBRA K SUTTEN HAGEN HAGEN, DALE W,&DEBRA K SUTTEN 1221 ROLLING HILLS TR HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1221 ROLLING HILLS TR SC 2611 SCH D OF HUDSON �� f SP 1700 WITC QD Legal Description: Acres: 3.640 Plat: N/A-NOT AVAILABLE SEC 32 T30N R1 9W NW SE LOT 4 OF CSM Block/Condo Bldg: 2/514 AS REPLATTED BY CSM 3/636 SUBJECT TO EASEMENT DESC IN 809/399-400 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 32-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 873/523 07/23/1997 809/402 2004 SUMMARY Bill M Fair Market Value: Assessed with: 5626 243,300 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.640 82,900 156,500 239,400 NO Totals for 2004: General Property 3.640 82,900 156,500 239,400 Woodland 0.000 0 0 Totals for 2003: General Property 3.640 48,900 122,100 171,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 301 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 `d ST.CROIX COUNTY 350257 SURVEYOR'S RECORD CERTIFIED SURVEY MAP 1 ? N.W. 1/4 - S.E. I/4 - SEC. 32, T30N,R19W REPLAT OF VOL. 2, PAGE 514 CERTIFIED SURVEY MAPS, ST. CROIXCO-DWI. 0 019 Rho♦ cj vp�' 1 I S 8 -37-57 E 6.53.26' • —26.58' 6 26.68' I I �Oo 653.26' NI 9i 0� N °I a LOT- I ° pl 1 1 _i 3.16 ACRES 1 BEARING ARE REFERENCED 1 I S 88'37'-57'E 653.85' TO THE WEST LINE OF THE 1 S.E. 1/4 OF SEC. 32 I I-28.16' 625.69' ( ASSUMED BEARING I N 01= 36-15 E ) IZ 1 o! N I N 01 ( LOT- 2 0 �`'•. 3.16 ACRES m I S 88 37' 57'E 654.44' 0 Q�•Q��t,O' t -29.74' 297.48' 327.22' - 'Q�' 327.22' W. LEGEND PD I I -4 CD I o ct , I I � ° m • = i" IRON PIPE FOUND I I W- co I 1 W _ I �+ , 0° O= 1" X 24" IRON PIPE SET, WT, 1.68 LBS./LIN. FT. LOT-3 LOT-4 - 3.54 ACRES 3.64 ACRES y I N53°-07'0d'E ' N700-20'-0d'E 2766.10' i `90 o / WEST:,LINE OF o,P,�" ��1- �� `0 THE S.E. 1/4 ` \ S 70-20-OOW i EFt�- N� -6: SEC. 32 111.65 - - -- -- 49.14 E 62.51.. cP —432.01'— _ o TOWN N 88°.4o'-22"w --- 655.82 w '° ROAD ' 150' 100' 50' 0 150' SCALE IN FEET QS S 1/4 CO. MON. „ GENE C. ' SEC. 32 _ SHAFFER S-1325 Q THIS INSTRUMENT WAS DRAFTED BY A C. HUDSON. JOB NO. 78- VOL._-__y PA,GE 16 CERTIFIED SURVEY MAPS ST. CROIX COUNTY, WI. Volume 3 Page 636 Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER C/C cC G /Y Q,4 TOWNSHIP _ t'.c:' SEC. i 2 T ?O N-R. ADDRESS �t� , G!l-��` ST. CROIX COUNTY, WISCONSIN SUBDIVISION W/ ' J� LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM So Iq 'tiIDI&TE NORTH ARROW �s BENCHMARK: Describe the vertical reference point used cC_' �, - Elevation of vertical refer nce point: 1001 _ Proposed slope at site: SEPTIC TANK: Manufacturer: / Liquid Capacity: /Q0� Number of rings used: _S00' Tank manhole cover elevation: 9 �_ Tank Inlet Elevation: Tank Outlet Elevation: 3f Number of feet from nearest Road: Front,O Side, Rear, O �G feet From nearest property line Front,eide,O O Rear, .113 Al�9 Ofeet Number of feet from: well (p y , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE 1 PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of t nelevation: Pump off switch elevation: .Gd lons per cycle: Alarm Manufacturer: "f A Switch Type: Number of feet from nearest,.-'property line: Front, Side, O Rear, Ft. NumWr of feet from well: � ��"-,�Er of feet from building: (Inckdde distances on plot plan). SOIL ABSORPTION SYSTEM y Bed: Trench: Width: S Length: S-3 Number of Lines: 2 Area Built: x'30 Fill depth to top of pipe: Al Number of feet from nearest property line: Front, Side, O Rear,0 P't .� Number of feet from well: 24, G' Number of feet from building: A: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one) . h HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: y Inspector: Dated: Plumber on job: License Number: �8 3/84:mj . r DEPARTMtNT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS ON I LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMB DIVISING P.O.BOX 7969 MADISON,WI 53707 NW 4, SEA S 30N—R19W r .CONVENTIONAL ❑ALTERNATIVE (HassvlanI.D.Numb- Town o Warren „ 1� lkJ ❑Holding Tank ❑In-Ground Pressure ❑Mound 48th Street N NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE: d Charles & Carol Hagen Strum, WI D a jO BENCH MARK IPermanem reference pomtl DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.' CST REF.PT.ELEV.. Name of Plumber: JMPIMPRSw No.: County: Samlary Perm,t Number: Henry Nechville 3258 St. Croix 106108 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV.: T ELEV_ WARNING LABEL LOCKING COVER LJPROVIDED. PROVIDED1 33 5o 1 p 3, YES ONO DYES RINO BEDDING VENT DIA. TENT;ATL.. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. JVENTTOFRESH ALARM FEET FROM / LINE AIR INLET ❑YES NO 1 C El YES NO INEAREST----30 DOSING CHAMBER: MANUFACTURER IIIEDDING'. LIQUID CAPACITY PUMP MODEL PUMP/SIPHON MANUf ACTIIRER WARNING LABEL LOCKIDED.COVER PROVIDED. PROVIDED. ❑YES ❑NO OYES END ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) I DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. IND OF DISTR.PIPE SPACING COVER INSIDE DIA SPITS LIQUID BED/TRENCH TR cHES + MA ERIAL PIT DEPTH DIMENSIONS S S 3 (i GRAVEL DEPTH FILL DEPTH UISTH PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DIS NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPE$ ABDVE COVER ELEV.INQLET ELEV.END'. � 7/1 PIPES q FEET FROM LIN� 5 ^� ^ ,S A15 INLET tt J 9�U i/ !� NEAREST Y J O/_ J/and /( MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES 1:1 NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES El NO 1:1 YES ❑NO DEPTH OVER TRENCHIBED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES. , 1:1 YES El NO El YES ONO 1:1 YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DI S T H DISTR.PIPE DISTRIBUTION PIPE MATERIAL.&MARKING ELEV. ELEV.. DIA.. ELEV.. PIPES DIA. ELEVATION AND DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS DYES ❑NO 1:1 YES NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE: L� ❑YES ❑NO ❑YES ❑NO NEAREST G � CJl( 03 Sketch System on 'Retain in county file for audit. Reverse Side. SIGNATURE. TITLE DILHR SBD 6710(R.01/82) "-'�` Zoning Administrator - SANITARY PERMIT APPLICATION COUNT Y-- <�I DILHR1 In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# �v f -Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES KNO PROPERTY OWNE PROPERTY LOCATION -+ o Q i All Al A4SA '/4, S 3 =J,T N, R E(or)%f� PROPE WNER'S MAILING A D SS LO N BLOCK N M R SUBDIV ION AME 7 ~S < f CITY,ST E ZIP CODE PHONE NUMBER CITY NEAREST OA LAKE OR L DMA K LAGE II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms i 11�r 2 Family OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. F New b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was.previously issued. Permit# Date Issued 3. An Existing System has been inspected and soil conditions meet minimum requirements. 4. LJ The System is shared by more than one owner/building. Attach Common Ownership Agreementto County Copy. IV. TYPE O�TEM: (Check only one in#1 and only one in#2) 1. ! Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTI N SYSTEM INFORMATIr' heck one) 1. a. See a e Bed b, 1E Seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. L WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): . / Feet Private ❑Joint ❑ Public CAPACITY VI. TANK in allons Totars � Prefab. S ite Fiber- ExperINFORMATION Manufacturer's Name Con- Steel Plastic New xisting Gallos Concrete structed glass App. Tanks Tanks Aj Septic Tank or Holding Tank /r OO c eN Lift Pump Tank/Siphon Chamber VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber' Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: Plum r' Addr s(Street,City,State,Zip C de): Nam f Designer: �d Vlll. SOIL TEST INFORMATION Certified Soil ester(CST)Name CST# CST's ADDRESS(Street,City,St e, ip Code) Phone Number: IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved I kanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial 120 ,W urcharge F _ — Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: D Lai,, AO(4je4 69 71v,�Lo-4 SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT' APPLICATION ' TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system;, 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. Private seAge systerhs must be properly maintained. The septic tank(s) should be pumped by a license'd r. pumper whenever necessary, usually every 2 to 3 years; G . If you have questions concerning your private sewage syste ), contact-your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: Property owner's name and mailing address. Provide the legal description where the system is to be installed; 'I. Type of building or use served: If public s checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; Ill. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; Vl. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; , VII. Responsibility statement: Installing plumber is to fill in name, license number With appropriate prefix ( , MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; �c X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8Y2 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; dosing or pumping chambers; 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. -----------------------------------------------------.---------------------------------- --------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Groundy8tet — included the creation of surcharges (tees) for a number of regulated practices which Wisco €Rt; can effect groundwater. The surcharge took effect on Jul/ 1, 1984 All of the water that buriedea5ure .s used in your building 's returned tc the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. 0 The rnonies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t v:ater, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03186) A5 fi� APPLICATION FOR SANITARY PERMIT STC - 100 his 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. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property r Location of Property �j�,_— , Section , T �'> N-R 19 W Township Nailing A ressP11 Ste► ,R1 �f,� (IC�'��C �/'� 1 `, S 11+�G'� c,t P �-7 7 Address of Site Subdivision Name Z�0 �✓ , Lot Number Previous Owner of Property � ��% , ii4s� l�1�s��i�► Total Size of Parcelo d � Date Parcel was Created Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number a recorded with the Register of Deeds. q INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warrantq 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 refer- Q ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - PRUPERtV OWNER CERTIFICATION I Wel ceAti6y that att sta,tement6 on this oAe. tAue to .the best o6 my (ouA)hnowtedge; that I (we) am (ahe) .tile owneh(sfor the pnopee ty de�scAi,.bed in this � .in6ohmattion 6okm, by v- Atue 06 a waAAanty deed kecokded in the 066ice o6 the Co" ty Reg"teh o 6 Deeds as Uocumen t No. ; and that i (we)) phe w en tty aun the pnoposed site bon the selvage diz5 os tem (o)t I (we) have obtained an eaA cmcftt, to nun with the above dens cA ibed pnopeh ty, bon the eond.thuc Lion o6 said b ydtemo and the dame has been duty keeokded in the 066.tee 06 the County Reg.i,e.teh o6 Veed8, a.d Document No. ) . M 1 SIGNATURE Op OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE 'RESERVED FOR RECORDING DATA WARRANTY DEE0,.`1 P- 43GS58 Ao"i REGISTER'S OFFICE This Deed, made between .......................................................... ST. CROIX CO.,, WI Recd for Record ------------------------------------------------_-------------------------------------- ----------------------- MAY 2 1988 ------------------------------------------------------------------------------------------------ Grantor, and---------- n a--d- (31 1:0,6 P. M wife A AV ..iW. r5hiP..T[=_ i.ta)__PXQFeXty-------------------- ------------- ---------------------------- .................................................................................... --------------------------------------------------------------------------------------------------I Grantee, Registerof Deed3 Witnesseth, That the said Grantor, for a valuable consideration____-_ - --one.-dollar_and-Other---VzLluable-icor-isideration--------------------- conveys to Grantee the following described real estate in _..,9t_Croix,............. County, State of Wisconsin: Tax Parcel No: ----------------------------------- A parcel* of land in the T-T-1 1/4 of SE 1/4 of Section 32-30-19, Town of St. Joseph, mere particularly described as follows: Lot 4 of a Certified Survey map, recorded July 20, 1978,- in Vol. "T Certified Survey M41?s, at page 636, as Document No. 350257, in the office of the Register of Deeds of St. Croix County, !,t7isconsin. Subject to the private road easement shown and described on the Gert±f±ed Survey Map, recorded 5'/2-/flY in Vol. drdq on pages 3q9• (/OD as doculnent number 436856 MANS FEE S_not This ----- homestead property. -:-;----------- ------ (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And-----_----------S. Lee Swanson ................................................----•----•----------------•- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except covenants, easements and restrictions of record, if any and will warrant and defend the same. Datedthis ---------_-3.Oth......•............•.•..... day of .....Ap-ri.1-------- .................... --------•------•--...1 19-38 nn 1' --------- -------- -------------------------------------------------.(SEAL) -- ----- -- -- ------ SEAL) ........................... . .....9-e---Swanson---- ------ ----------------------- -------------------- --------------(SEAL) --------- ------------_- -------------------------- ........�SEAL) -------_---- .................... -------------- ------------------_---- ........................ AUTHENTICATION ACKNOWLEDGMENT— S i gn at ur (5) --------------------------------------------------------------- STATE OF WISCONSIN tt SS. -------------------------------------------------------------------------------- St. Croix ........County. olin ty authenticated this --------day of--------------------------- 19---.-- Personally came before me this ---a th.....day of _AP JI ..!� ------------------- 1935---- the above named ------------- -------------------------------------------------------------------------------- -----$,Le, c ------------------------------------ -- ------- ------------------------------------------------------------------------------ -------------------------------- ----------------------------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN -------------------------------------------------------------------------------- (If not- ------------------------------------------------------------ ------------------------ ------------------------------------------------------- authorized by § 706.06, Wis. Stats.) to me known to be the person ------------ who executed the foryegoi instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ................ ---- � Robert F. JA7all --------- Z --- ----- ------- ............. ----------------------------------------------------------------- *-pvii------ .... -------------------------- - --J ...... X, ---------------- --------------------------------------------------------------- Notary Public ----------------------County, Wis. (Signatures may be authenticated or acknowledged. Both My C01117+sois permanent.(If not, state expiration " i U o", ""�L*u ""�q I,V 19 are not necessary.) date: ----- ------ --------- ------------------------------- •Names of persons signing in any capacity should he typed or printed below their Signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. FORM No. 1-1982 Milwaukee, Wis. x . H a STC - 105 a H SEPTIC TANK MAINTENANCE AGREEMENT �o St . Croix County x d ,r� ,� a OWNER/CUYEi:�R) 0 I4� T k G� - �` (� 0 L_ H�el-6 M ROUTE/BOX NUMBER &af6-�j �` Fire Number .CITY/STATE ZIP* ?; PROPERTY LOCATION: 00) 14, � , Section T N , R W, Town of � `�� St . Croix County, Subdivision* AIQA/6 Lot number. Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner , if needed , by a licensed septic tank pumper. What you pdt into the system can affect the function of the septic tank as a treat- ment 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 systems properly maintained . The property owner agrees to submit to St . Croix County Zoning a certification form, signed by the owner and by a master plumber , journeyman plumber , restricted plumber or a licensed pumper veri- fying that (1) the on-eite wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary) , the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 E I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x r the standards set forth, herein, as set by the Wisconsin Depart- V ment of Natural Resources . Certification form must be completed Nn returned to the St . Croix County Zoning Office within 30 days the three year expiration date. SIGNED DATE rd 167 St . Croix County Zoning Office P.O. Box 98, Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address . I TM ,NT of REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUS TR Y, ' INDl13 DIVISION LABOR HUMAN RELATIONS PERCOLATION TESTS (115) MADISON W 53707 (H63.09(1)&Chapter 145.045) A OWNSHI LOT NO.:BLK. .: SUBDIVISION NAME: N w 1� �/ 3 z %T'�O N/R I I E (or s r, 3_0 s E p r1=-- �- COUNTY: OWNER'S/BUYER'S NAME: MAILIN ADDRESS: rs ` ,W-eft t ff u K. J-F A 12111 1 STP O/—j USE DATES OBSERVATIONS MADE NO.BEDRMS,: COMM E R A U DE R 1 PTION: O (PRF L DESCRIPTIONS: O ST gResidence 3 4 A r New ❑Replace �p Qi 4 RATING:S-Site suitable for system U-Site unsuitable for system ONVE T NA MOUND: IN-GROUND ESSURE:S STEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) M au NIS ou GAS au oS EN oS Au CoaoeAA-f1'aAn If Percolation Tests are NOT required DESIGN RATE: s C( S S =7— I If any portion of the tested area is in the under&.1-163.09115)(b),indicate: Floodplain,indicate Floodplain elevation: Ito— PROFILE DESCRIPTIONS ►N 17JAG, r"I- , BORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH NUMBER DEPTH MIN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) 5 ' �6.Od -> 7' S- / /D` D,!' N, S S' S/ w�6: _c,7' o�P. �: S S!5- ' S/ S1 v cs 6-,Q-- s ` 3," is 2s' RN, 9P sG 2� '>/0 .S ( 3 7 N v e S 8-`3 9S 9�.1Q' > / s 3 S, 2 6 coo- ms's , (1. a ' r4l" v� cs '/ 7S D� �a ) 1.15 ' Tnj I .2'o � 19 SL.)' � D > ' /0 ' -3a.s 1 1.G 7 ' T�-,u S �,3 y OR v�cs �� G, N v cs B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P RI D 1 PERT D 2 PEMIQ0 3 PER INCH P. /d' L P- P- P-- P- s l P- - PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. , O SYSTEM ELEVATION - _ cite I i i I I � I g test APPRO for 3 GQI1if°nt1aii'ai I I 1 I I I i - 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tesd are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLETED ON: U 655 O'NEIL RD.,HUDSON,WIS.54016 If 12ef ADDRESS: CE TIF TION NUMBER: PHO�j E NUMB (o ti nal): WIS.MASTER PLUMBER LIC.N0.3307 M.P.R.S Yav�,,,_ 3 Q G e P,� DESIGNER LIC.NO,00663 d CST SIGNATURE: i DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR•SBD-6395(R.02/82) —OVER — -- � -Ls-44- Qt,4 Q4- WRM O�ooi Cy S V27 a Nod Q�s�dodd ,fz • —`�h1 0 � QQQ � i Egg00'ON'�Il d3NJIS30 R d3'1'1V1,9NI'I�wtua •S•d•d•W LOSE'ON'ail li39Wf1'►d b31SaW•SIM �3�5�S 1H31d89(11>d380!! 9tOV9'N 13IM d OI1d3S US3W p� 'OJ� V % 01 • �$ i C"� id 10 7d i' o I 1 Qb oP �d i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION HUMAN EDLATIONS PERCOLATION TESTS 115) MADISON WI 53707 /�,� e p (H63.09(1)& Chapter 145.045) tOCATIO SECTION:NO 1/4 Y4 3 L / s � NIR I? E(or OS r.HI TO.S E P tf-- O CS.IBLK.N •: AJ P ISAl NC3NAM�_. COUNTY: 1 ADDRESS: rs 614e t�( eHuck- --+R6•f-#4 STQOM 11SE DATES OBSERVATIONS MADE MS,: OMMERCIAL Residence 3 �, r DESCRIPTION: New ❑Replace ,.+�PQt ' -' �� A RI• G—�49 RATING:Sm Site suitable for system U-Site unsuitable for system Q_ _ a�• MQ�.a� IN a� _ . S '�L O�LDING TANK:RECOMMENDED SYSTEM:(optional)Z�S S U CD t1 E�J-F i 0�1y� �_ 3 If Percolation Tests are NOT r wired DESIGN RATE: e4 ss / S— I If any portion of the tested area is in the under s.H63.09(5)(b),indicate: C(4,S S Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS to 4X. . BORING—f UFAT H GROUP DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN, E4EVATION BSERVED EST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 0 r . S w 4 o c- � / ,r ti• ,, � •S /G .�7 PD LA5��e 55 G2 S 13N - IS 2S'11-1 eN. /5 •y'1 ' op. S B.Z /0•S gip SG ?`° >�4 •S �. 3 ' 7�� v c'S �� z G? now- e , �. ' T�� 64> cs B. v 5G �0 ' > y, 7S ) 1.15 ' Tyrj i ? o `s 1' N , 70 ?'gyp >� ' /o ' 3A3.s t 1.6 7 ' Tfti S 2.3 y O� v�cs 0 G. Ai v CS B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD --PER112D 2 PERIOD I PER INCH d' L P- P P. PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- t?ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. O SYSTEM ELEVATION � I i I j for a �.� _._..._..�._-.�.__.-�-•-__- ...._. cotive 'jk)�7 c;f ;i tic System . I j Y I I 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin •Administretive Code,and that the data recorded and the location of the testi are correct to the best of my knowledge and belief. (print): TESTS WERE COMPLETED ON: HUDSON,WIS.540 6 NEIL R0. HU r <S55 0 �pip L � ROBS=111 BRIG14T ti nal CE TIF TION NUMBER: PHO E NUMB (0 ) WIS.MASTER PLUMBER LIC.N0.3307 M.P.R.S. `,. DESIGNER LIC.N0.0086 q 3�G �'� y; CST SIGNATURE: DISTRI13UTION:Original and one copy to Local Authority,Property Owner and Soil Tester. D1LHAAFID.6995 IR_n2/921 OVER — z oz�8� Q S � �!1 �•- ►►ate O�oo� +l Oti" Pb" ctr .sod 7 1 I � gg00'pN'�Il d3NpIS3a�dS'1�aJ,9NVW+,Sys S•d•d•W LOSE•pN �Il y3eWnld b� 1H01deln 1d3ept, 9.0 SN M(Ild olld3S 31jS w V olo of -Lo 7d rtr I m SS m a J • --3lW 9 d , t r t}ga pip t C _ 5,, I � e a •-- __ 2y ,i rl W i w Ito s r �I �r� 'el7I a,4 HOMO"sEP11C RLUMBI CO. .: M wi � t �, ULAFW WIS.M c :No. S. ` NO, E,�!ar1�J.IN6'PA4t.F��pEiNER t � ' t Y �Y .' � /00.21 for VED i `da1"em. PROPOseD #,. M� R r I&A S r 1S Ef AT%o z 0 Y A � I J ,,p �►r9l,�l�_ �o�� S �` Sri¢�E � _ ZQ "4 - - ✓EST ' PT, / 4)1, �� 0. 0 (D °O a_°i °O• N 3 0 3 0 O 6'3, O 6s o hi o a O v H O N ° a N O w 2 N N C N ° a r LO CD Lo rs o p C O N D CD N w cc -0 C p O N 0) � y O N—_ y 0 (Ep N• (n N c/7 .9 U U §-,U Y N N — a) O 0 cu z 3 a 0 a)L'' -a z m o o€ c 3 O 0)J•O O— C 7 cD LL O N �-w O E O. IJ. O n a`) E °CD 0 Q w� o Nacn.- Q 3 Cl) 3 CD v z a) y Z N rn W o E o Z m a�i N U) a m a m 0 O Z a c v w M r 70 N a0i Z O acr z c c E -2 N O O N O a3 O 7 N N N a O Q Z m Z Z Z Z o N C N O a •� r+ a •� a+ C N W d � N CO N d � O C O O N o o a E CL c o c a E Y m N !�1 E o a N LO d = z o •N ;� LOaaa aaa N p C M 'O 00 00 00 00 N J U N W Z = O O Z O N �V ! -0 �z Z: Z -0 1 = N � � N N N O O O � N 'O 'O 73 I� _� �] c C 0] c d 'O 'C d Q Z 0 'p _d Q Z co 03 O O C ce) O N C _ C 4..r O 9 LO H r C C C d 0) O m LO O �+ O U M L C € Q � N N O N O O CD C O m G Z, N `"� a) m U m d • CO N co co O U O 7 0 CO O N O U 14,y O M fn Cl) O Z Z (A O Z O Z Cn € a da ua4-, Lam :: c d _1 A v a O m 0 O in v 1 r COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 - 3121 800 - 962 - 5227 4:01F ST. CROIX ZONING REPORT NO.t 45741101 PAGE 1 ST. CROIX COUNTY REPORT DATE: 6/04/90 COURTHOUSE DATE RECEIVEDt 5/31/90 HUDSON, WI 54016 ATTNt THOMAS C. NELSON OWNER: Chuck Hagen l �(�(� 3(� -3 Y-3 LOCATION: 1221 il, Houlton COLLECTOR: M. Jenkins SOURCE OF SAMPLE*# kitchen faucet COLIFORM*# 0 /100 mt INTERPRETATION: Bacteriologically SAFE NITRATE-N*# 5 ppm Under 10 ppm is safe for human consumption. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L LAB TECHNICIAN: Pam Gane WI Approved Lab No. 15 •\NDEVEN�ENr �{ C Means "LESS THAN" Detectable Level Approved by: '� a PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE 3 3` 'D St. Croix County Courthouse 911 4th Street 6, Hudson, WI 54016 C� Telephone - (715)386-4680 t sr i9�0 ' h St. Croix County Zoning Office offers the s epti and water inspections to Lending Institutions, Re Fi private individuals. f Ol ,6 Copsletion of this form is essential so that the RroRerty can be located. Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee' and form are received. WATER TESTING----------------------------FEE: $ a (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) SEPTIC SYSTEM INSPECTION-----------------FEE: $25.00 (Determines if system is properly functioning at time of inspection) Property owner's name Property owner's address Legal De ription 1/4 of the /4 of Section , T N-R Town of Lot Number Subdivision Name a L Color of house Realty sign by house? If so, list firm: PLEASE gNCLUDE,, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Telephone Number REPORT TO BE SENT TO: Closing date Signature � 3313 L@W1 REAL ESTATE 1201 MAYER ROAD • HUDSON, WISCONSIN 54016 • (715) 386-3363 or (612) 436-2034 CENTRAL AIR CASABLANCA FANS _ PRIVATE, WOODED, LANDSCAPED 12" BLOCK BASEMENT 2 X 6 CONSTRUCTION f ,• ;% - r R-40 ATTIC R-20 SIDE ANDERSEN WINDOWS t SKYLITE IN .KITCHEN WET BAR r. ` I PORTABLE 4 PERSON SPA (NEGOTIABLE) ` L LARGE FAMILY/GAME AREA OPEN LIVING/DINING AREA ►:-, LOW MAINTENANCE SOFFET & GARAGE DOORS REDWOOD EXTERIOR Addy 1221 Rolling Hills Trail Rambler In The Wood Q Hudson Fffe 12 1 D 1 eb s , !� 14 Sec ITW50 C St. Cro 1 Ell R Yr 8h Ht IS edwood New custom built 2426 sq. ft. 3 B.R. er rambler with walkout on 3.65 acres. i,01 so "% 1 TFf T"Yt 1959. = 2 3'Lfi� Arr,- 1968 91L96 22 baths, wet bar, C/A, lg, family/ C I p AW09 RM Sae 22 Baths Sc11 Hudson game room, open living/dining area- LR M CID 16.3X28 MB ty 88 PARS St. Patri, landscaped - lg. decks with hottub. DR Dw5W ly I D4p. I Mig BJ. KA Rek R&0 Mt Horse O.K. Seller 2nd mortgage FR 12 X 18 WS R O Avg HI wa available. MB MIC N 12.8 X 1 N C. WV INI C. Swt. Avg UW o. 6 M C C 10.6 X 10 JYJ Well JYJ *14' Pou US Neg. BA Frples jyj C. As Bsmt o Gam L V C 13 X 16.6 Y Ciif 2 jyj GDO iyJ Dod I I P G 0�,,� •}- Ityl Rec RMIA L UF LA Y JUN Oi�claitr • 3 B.R. rambler with w/o on 3.65 Acres. It features 22 baths, wet bar lg. family room, C/A landscaped yard -- large decksw'itjT hottub. �� - PRICE: $104,900. s/s C Sandee Lowr F1 386-3 &V Lowry Real Estate It 650 &436-2(. DIRECTIONS: I-94 to 1st exit thru downtown Hudson- 35N to V - right on RiverRd. - left on Rolling Hills Tr. Fire #1221 Information is considered accurate but we accept no liability for error. Listing may be changed or withdrawn without notice. Parcel #: 030-1097-60-000 02/23/2005 04:10 PM PAGE 1 OF 1 Alt. Parcel#: 32.30.19.355C 030-TOWN OF SAINT JOSEPH 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 DENNIS D&MARY BETH SULLIVAN "SULLIVAN, DENNIS D&MARY BETH 1213 52ND ST HUDSON WI 54016 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description ' 1213 52ND ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 5.040 Plat: N/A-NOT AVAILABLE SEC 32 T30N R19W SE SE COM SE COR SEC Block/Condo Bldg: 32,TH W 57.61 FT TO POB:W 353 FT, N R10;9 FT, NELY 60.66 FT ON CURVE, N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 87DEG E 293.14 FT TH S 628.97 FT TO POB 32-30N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 808/54 2004 SUMMARY Bill#: Fair Market Value: Assessed with: 5633 312,300 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.040 100,100 207,100 307,200 NO Totals for 2004: General Property 5.040 100,100 207,100 307,200 Woodland 0.000 0 0 Totals for 2003: General Property 5.040 58,600 109,100 167,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 119 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 l Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP �� a SEC. T 3U N-R W �eWN1S 5ull��v R ADDRESS 5a"i 5-t ST. CROIX COUNTY, WISCONSIN SUBDIVISION A LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I�am� ,, • o'1600�p� '0' /0. )YZ SQ/ i �.3 IG • 1 V 5 hat mor,of S S e 1 tc qtu K �.lev. ��� I . 'tUR S P INDICATE N RTH ARROW 00 BENCHMARK: Describe the vertical reference point used Pi Li rag( (� c Elevation of vertical reference point: 100-01 Proposed slope at site: SEPTIC TANK: Manufacturer: S Liquid Capacity: 1000,) Number of rings used: 3 -1 Tank manhole cover elevation: '00-) Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,®Side,O Rear, O_-� feet 20' From nearest property line Front,OSide,yj*1/Q\Rear,O feet Number of feet from: well 75 , building:` 0 (Include this information of the above plot plan)(,, reference dimensions to septic tank) Il SEE REVERSE SIDE - i PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan).56A- 7.31 HCAD t K SOIL ABSORPTION SYSTEM 10600 V 17 ! / 101.3 1 f ND Bed: V Trench: /I 1 1. 31 Bo1�or+ 89D Width: Length: G Number of Lines: 3 Area Built: Fill depth to top of pipe: I A,. Number of feet from nearest property line: Front, , O Side, ® Rear,Opt . Number of feet from well: Q l 7 Number of feet from building: 4 71 (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• Dated: Plumber on job: ,�i�,.�, 6(� Yti .� ► License Number: ,.s 3/84:mj A rTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS R& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION OX 7969 BUREAU OF PLUMBING ON,WI 53707 SE%,S32,T30N—R19W UCONVENTIONAL ❑ALTERNATIVE State Plan 1.D.Number: of St. Joseph ❑Holding Tank ❑ In-Ground Pressure ❑Mound Street F PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION ATE: Dennis Sullivan 1601 Aspen St. Apt, 102, Hudson, WI 54016 L?,'clv BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN. REF.PT.ELEV.: CST REF.PT.ELE V. Name of Plumber. JMPIMPRSW NO.. County Sanitary Permit Number: Richard Hopkins 1059 St. Croix 106088 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ❑NO DYES ❑NO BEDDING: VENT DIA.: VENT MATL HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. JVENTTOF RESH ALARM FEET FROM LINE AIR INLET. ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER. LIQUID CAPA(.ITy PUMPM11DEL Pl1MP;SIPHGNMANLII A(:TIIREIt WARNING LABEL LOCKING COVER PROVIDED: PROVIDEDE ❑NO DYES ❑NO OYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM "E AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEARESC, SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing 11 0 nl JOIANIF rER 111ATIHInE AND MARKING excavation. (If soil can be rolled into a wire,construction shall cease until FORGE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: '. WIDTH LENGTH IN O.OF IIIISTH PIPE SPACI N(I COVER ]H:j1N1ID1 UTA 11I75 LIQUID BBD/TRENCH I TRENCHES MATERIAL' DEPTH: DIMENSIONS GRAVEL DEPTH JFILL DEPTH UISTH PIPE DISTH PIPE DISTR.PIPE MATERIAL NO DISTH NUMBER DF PROPERTY WELL. BUILDING. VENT TO FRESH BELOW PIPES ABOVE COVER EL EV.INET f ELEV.END PIPES LINE AIR INLET: FEET FRO NEAREST- MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PFRMANENT MAHKIRS oBSEE VATION WELLS _ 1:1 YES ONO DYES 1:1 NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH BEU DEPTH OF TOPSOIL. S(IUDFU JEf UFO MULCHED CENTER EDGES ❑YEs. ❑NO 1:1 YES ❑NO DYES El NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO OF LATERAL SPACING GRAVEL DEPTH BELOW PIPf FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES. DIMENSIONS -. MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO UISTH DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEVATION AND ELEV. ELEV. DIA ELEV. PIPES DIA: DISTRIBUTION '- INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT LY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS 1:1 YES ❑NO El YES F-1 NO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF ;PROPERTY WELL: BUILDING: FEET FROM LINE. DYES 1:1 NO El YES ❑NO NEAREST - Dv U � , (� o. 27 Sketch System on Retain in county file for audit. Reverse Side. SIGN TUR E. TITLE. DILHR SBD 6710(R.01/82) Zoning Administrator SANITARY PERMIT APPLICATION COUNTY C , .� DILHR In accord with ILHR 83.05,Wis.Adm.Code S Po STATE SANITARY PERMIT'# /06a Fly –Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. –See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ® NO PR ERTY OWNER PROPERTY LOCATION t kwjis 5" � ' 1 SC '/45� t/4, S30; T3�N, R 1 E (or) PROPERTY OWNER'S MAILING ADDRE S r` LOT N�IMBER BLOCK NUMBER SUBDIVISION NAME /w_ V NA WA CITY,S ATE ' 1 ZIP C0 6E PHONE NUMBER CITY NEARES OAQ,LIKE O LANDM RK U�sO ❑ VILLAGE: - fig- T II. TYPE OF BUILDING OR USE SERVED: _❑ la�i — f dNumber of Bedrooms if 1 or 2 Family OR Public(Specify): Cp 161J III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) MA 1. a. New b.❑ Replacement c. El Replacement of d.❑ Reconnection of e.El Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit# Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4.•❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in#1 and only one in#2) 1. a. tgConventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. N seepage Bed b. ❑seepage Trench c. ❑ Seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPQSED Square Feet): GIs L^0 Feet X Private ❑Joint ❑ Public VI. TANK CAPACITY Site in aa ons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank 1600 ❑ Lift Pump Tank/Siphon Chamber ❑ 0 1 ❑ VII. RESPONSIBILITY STATEMENT 1,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plum is Signature:(No tamp MP/MPRSW No.: Business Phone Number: c i 9 " IS M_ w0 Plum er's ress Preet,Cit tate, 'p Code): Nam DesM24 I d SYO1 1 4o k��- Vlll. SOIL EST INFORMATION Certified So'1 Tester(CST Name CST# C, R , CST's DDRESS(Street City State Zip Code Phone Number: b To S(.- S' IME 38V 601 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved F-1 owner Given Initial r ,,..yyam� charge Fee IL Adverse Determination `��`W X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 former) Plb-67 R.03/86 DISTRIBUTION: Original to County,One Co To:Bureau of Plumbing,Owner,Plumber (formerly )( ) 9 tY PY 9 INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION ° TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), ,depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Fortis (SBD 6399) to be 1 submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s).should be pumped by a licensed pumper whenever necessary, usually-every 2 to'--3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building Is a one or two family dwelling; Ill. Purpose of application: Check only one in ##1. Complete##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; ° X. Comment area for use by county or resaon given when application is disapproved. 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; dosing or pumping chambers; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the-groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater b)ll". . Ground tXt#3[ included the creation of surcharges (fees) for a number of regulated practices which Wisco it1'S can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasUre is used in your building is returned to the groundwater through your soil absorption u . system or the disposal site used by your holding tank pumper. ip 6 ........::: ...s, The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) APPLICATION FOR SANITARY PERMIT 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 a 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 S /4 S E 1/4, Section 3 , T 30 N-R lq Township 5� Mailing address Address of site Subdivision name Lot number r] 3�- Previous owner of property d- Total size of parcel 5. OAO Date parcel was created Are all corners and lot lines identifiable? V Yes No Is this property being developed for resale (spec house)? Yes ZNo 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, 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 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. ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of r County R ister of Deeds, as Document No. ) . 5 S igriature6ok Owner Signatur of Co- wner (If Applicable) y � �As Dath a Signature Dat4 of Signature i �i DOCUMENT NO. I STATE BAR OF WISCONSIN FORM 1-19821' THIS SPACE RESERVED FOR RECORDING DATA • !' � WARR YDEED 436268 BOOK 8 PAGE .54 -� REGISTER'S OFFICE it This Deed, made between .John__T. Matz• and Mary_ E, ....... $T, CRCaIX CO., WI .Matz.,...huaband_.aad..wi e__aa__jointtenants __________________ Recd for Record --------------------- ------------------------------------------------------------------------ ----------- ------ Grantor, and_._._I�ennis__D, Sulliv__an-and Mary Beth Sullivan, husband APR R 18 198 and_Mife._as__survivorship__marital-.property-_•____ _ , at 10:10 A. M 0 C Witnesseth, That the said Grantor, for a valuable considerationntee, Register of Deeds conveys to Grantee the following described real estate in ....... t_.__Croix_____-__ i RETURN ro County, State of Wisconsin: Part of SFi of SEk of Section 32-30-19 described as __----- - ----- C S. /� �'- •�/y - /Pe p/4�- C• s. v)�- .LTC- G 36 910 o SCALE FOR QUARTER SECTION Each side large blue squares— 10 chains, 40 rods, 660 feet• area of square 10 acres. 400Ft.=I Inch Each side small red squares— 2.5 chains, 10 rods, 165 feet. area of square .625 of 1 acre. 5L N N 5x 7'X,/4c P.?sUA e.s. m•..JET- 910 C.) f 73 a�3 �o Y 6, horn4]1 �3•.9c � y,qy Lob Sr.� \ � s �3s3 G L 7 lot `� Jp 9 s z Z2 ' 7") ��3.a</ct 3•G-�'-c_ n P.�J«j��' I. T, •�:�.. /A_ /S'oY-, Xc, Lef4 //vr� 12 r� 1 Fn- 103 SO ? /� Lu,,db6r5 10.0 �� J I � �,�s�h c°— .9-•13• — i N29mi /f syC �dp3s� L o 1n). 111A7'z �• �`_°. .Bl�i�'SCr ��, � jr' �.�E. o/Son ,�i /�.3S5G - cJ SCALE FOR QUARTER QUARTER Eoch side large blue squares— 5 chains, 20 rods, 330 feet. area of square 2.5 acres SECTION, 200 Ft,=1 Inch, Each'side small red squares= 1.25 chains, 5 rods, 82.5 feet. area of square,15625 of 1 acre • °� `•� L •�� �. �=�JiJi:� <G- �u ivi,aY �ttttl PROMO LAND MEASURE Copyright, 1967,James Hamilton Adair, Flint,Michigan L STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER LjL414 _4e- ROUTE/BOX NUMBER Ib y -°---�� ' ' /�L FIRE NO. CITY/STATE 4V44;-_) ��� ZIP S"1710 1 (0 PROPERTY LOCATION: 1/4 _1/4, Section 32, TAN, R I-60 Town of .-T `J , St. Croix County, Subdivision , Lot No. r7 032 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 $3000 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master 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. Certification form will be sent approximately 30 days prior to three year expiration. 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 Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE r St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 (715) 796-2239 or (715) 425-8363 Sign, Date, and Return to above address 1 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INp�USTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUTMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: SECTION: OWNSHIP LOT NO.:BLK.NO.: SUBDIVISION NAME: S'L 1/45-41/4 31 /T30N/R§-1(or VT COUNTY: 1 . CCOUyNTYY:: OWNER'S BUYER'S NA 71, MAILING ADDRESS: ✓a,, 11601 g SDI( (N J ae USE DATES OBSERVATIONS MADE NO.BEDRMS : COMMERC A DESCRIPTION: PROFI D P ONS: TION ESTS: F5jResidence 3 /Y�k lew ❑Replace 5/_?/ Fs9 RATING:S=Site suitable for system U=Site unn`suitable for system 1, C�STI 1U. MW.E1Y ING0 J auRE: SYSTEM-IAL HOLDING ElS1 U. RECOMMENDED iL�h� 11Y0�,4Ef.loRtPnal If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST.HIGITE'ST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) /,od 43n C-ry9: .s;o„-' i7 cs �. 0/, f3' A)6-e- > 9, 0 3 /7 5 t J (Jn..E Q, /%i+Ij i"tc Iva / / ` 7 /,33'4111/ 2.31'6'ns./3, J3 '/3.v S fl1r W/r�ar� i�n /•Ae.s "/�' \ Y3IJ/1. 2,atl Qy3, B-3 l Q�/ �i�J SN8.'Z � ,S pr►f5 , f13 Q„c3K i y•,lc'dz:� s. c� 1 r / .5' Z,�3'Q•,si�.S'(/n S'4j :S'Qn 3� .�7$J+fs'q� %2 B- l re G 0-fa A. 4/41 j C4,;WA 1,)6 CCR/jqr A*10 r./Aldt i PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER tMOPl g AFTER SWELLING INTERVAL-MIN. PERIOD 1 PER OD 2 P R PER INCH P- i P ? y 3 P. v 6 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. C1 ' i SYSTEM ELEVATION —7 . O 1 E i B fit► 91 s'kr/9o'/>, �aL,o' , F! �G Jo , tN y B '� n , b I , J r/d I ILI 7 , r _ , r ; �ht1� Of ' i i i I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(pri 1: TESTS W RE OMPLETED ON: t / R Ilan kle-If ___ / 99 - - __ ADDRE : CER IFI TION NUMBER: PHONE NUMBER(optional): 00 f W7 4Y CST SIGNAT R / 4 DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN 135LATIONS (H63.09(1)&Chapter 145.045) ' LOCATION: SECTION: OWNSHIP LOT NO.:BLK.NO.: SUBDIVISION NAME: 5L' 1/S-0/ 31 /T30N/R/f I(or COUNTY: OWNER'S BUYER'S NAM MAILIN ADDRESS: �t C -,v .fie; < �11run USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERC A)t DESCRIPT7,)dNew PRO IL S O S:IPERCOL O N ESTS: Residence �2 ❑Replace 3 Z� P�� 3 e J O RATING:S=Site suitable for system U=Site unsuitable for system ICTOSENTI u . MM.❑u IN GNS PE1U R : SYS❑TEM-IN-FILLHO�LDING LANK:RECOMA��n e�4 SYSTEM:loptonal If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH LW ELEVATION OBSERVED EST,HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) q /� Q 7` /,�.0 8,,�,, ,vd t3� cs4'9; s pi7�j �c s �•-, rB--3 $. (! �� t /� U' �� 3` rf.5 ,• Zp0 t..E Q, �ivs i 1e �s t�i.e/r Iva 14,•� // �) 7 4 3J�/L.���.2. /0/ WO,(/ /'O I•�Lr/� G /Lfn i7, G�/�:...r, / y/ /� 7 )3•/f f1�/7 1A 7,/ �_,�/ !V ok .1 N� . .S�"!,3/j, 91,��' �E 97 B- 5 17 /, , /'�/ / !fin /`q.d�s Li t•����i�o S Onf' G�f li 1, C r�? r B- Olt& 5;� G� �rj i5k1,A J re- !GZ r-faib� LC41,a1, y"crE+,:�,l�e�� i PERCOLATION TESTS TEST DEPTHM WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER ifs3C?1E5 AFTER SWELLING INTERVAL-MIN. P RI D 1 PER OD 2 PEFI I OD 3 PER INCH p- P. 2- y j P_ 1W v 6 P_ P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. r SYSTEM ELEVATION 7& • O 5 �jbe-�-V , i t =B. =skel l !,i, 1 itQ x Arc Aot 5-kS , �Sa1A 71D0 �►h�-,; ! j. . t_. t�.l g�! ��r i /- N 8� I I 77 �X 43y 1,4 INb TV tp iv , i , , e t _ I II ( , I , 1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(pri 1: TESTS WERE OMPLETED ON: /C e LLIj Li ADDR %� ,/ CER , P: TION NUMBER: PHONE NUMBER(optional): gol Wfy� .�o� pO W CST SIGNAT R DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — �? L. ...; �j 7 ... . PLOT N c.: I 0 S � .� C I� N'a M E De►�N_a sQ Vgo __ ... .T_�_ ...N.,A M E ,(I R _ onk'► �►s F -l� I N S E = L 0 C AT 10 N 5 . S� _ C E f.. .._.. �_ _._... __. -. _ On TE PTIO A, Qh1= Steel t 'iN 9Rd' EI=I�O.0 eaRekule s X= AF,C_h Ole 5 T 0c. (Jells ow (add (v S �CQ rJ &OKOQ[�\ Rep, fi%R't ktP' '�hno ISO �t �� ► �r•�r� Sep"tic.+ QRn►►?�S�tls� / �, �{or�� ► Olt- WQI1 oN �"1�►S lot is �arL�'�cR So �fi 8 r o rw\ 5,k ft C_ t + IUa g i Q U �o, I 501 Aem � I 3n► � 1 r-- lc�' _..mss P, ' ► '0 Y -o o .' ga 1 0' Y5 . Ar IJo S� FRESH AIR INLETS AND OBSERVATION PIKE CROSS SECTION --- - C_ Approved Vent Cap _.�.`. .r.�. SOU, yo F.�►AI yKA� Minimum 12" Above Final Grade h" Cast Iron Above Pipe`w Vent Pipe To Final Gradc Marsh IIay Or Synthetic _-Covering Min. 2" Agg rcgl'-i t o _ Over Pipe _\V `�.._�, Tee Distribu tion Pipe j l/ ._........__.I _1 Aggregate Perforated Pipe Below �(o,Q Bencath Pipe < Coupling Terminating At Bott-ont of System SAFETY&BUILDINGS DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR DIVISION LABOR HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING RIO.BOX 969 MADISON,WI 53707 CONVENTIONAL ❑ALTERNATIVE State Plsn t.D.Numar: 91 (It�gni01 ❑Holding Tank ❑In-Ground Pressure ❑Mound INSPECTION DATE:. NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: John Matz 9261-2 7th St . , Hudson, WI 54016 REF.PT.ELEV.: CST REF.PT.ELE V. BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: SE-4 SEk , Section 32 , T30N—R19W, St . Joseph Township LOT 1 PSW No.: County: nitery rm)t Number: R Name of Plumber: 34804 Anthony Zappa 1614 St . Croix SEPTIC TANKMOLDING TANK: PROVIDED: PROVIDED: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING A LOCKING COVE OYES ❑NO ❑YES NO ROAD: PROPERTY WELL: BUILDING: V NT 0 F SH BEDDING: VENT DIA.: VENT MATL.: HIG NUMBER OF LINE: AIR INLET: ALARM: FEET FROM ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: WARNING LABEL LOCKING COVER MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: PROVIDED: PROVIDED: ❑YES ONO ❑YES ONO ❑YES ❑NO. PUM AN CONTROLS OPERATIONAL: NUMBER OF LINE ERTV W LL. BUILDING: AIR INLET: GALLONS PER CYCLE: FEET FROM (DIFFERENCE BETWEEN PUMP ON AND OFF) ❑YES ❑NO NEAREST : DIAMETER MATERIAL AND MARKING SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE LENGTH or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) C NVENTIONAL SYSTEM: INSID DIA *PITS. LIQUID WIDTH' LENGTH: NO. DISTR.PIPE SPACING. PIT DEPTH. BED/TRENCH TRENCHES 7ND jL-: j DIMENSIONS WELL BUILDING: V NT TO FRESH GRAVEL DEPTH FILL DEPTH UISTR.PIPE DIS R.PIPE IS I IAL. FROM LINE' AIR INLET.BELOW PIPES. A80VE COVER. ELE V.INLET ELE VEND. EST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES NO PERMANENT MARKE S: OBSERVATION WELLS. OIL COVER TEXTURE ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TR N H) ED DEPTH OF TOPSOIL: SODDED. SEEDED: MULCHED. CENTER: EDGES: ❑YES ❑NO DYES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: FIL D HA v V R: WIDTH LENGTH. TRENCHES: LATERAL SPACING GRAVEL DEPTH BELOW PIPE BED/TRENCH DIMENSIONS MANIFOLD OLD ELEV.. DIA IFOLD DI VR.PIPE MA NI OLD MA ERIAL: 7=1 DI THIBUIION PIPE MATERIAL&MARKING ELEV. ELEVATION AND DISTRIBUTION COVER MATERIAL VERTICAL LIFT CORRESP NDS TO APPROVED INFORMATION HOLE SIZF HOLE SPACING HILLER COHHE'I LY PLANS ❑Y ❑NO ❑YES ED NO OBSERVATION WELLS: MNU BER OF PROPERTY WELL: BUILDING: COMMENTS: 'PERMANENT A T FROM LINE DYES L.�NO DYES LINO REST S ketch System on Retain in county file for audit. Reverse Side. rFF,NATURE 1 DILHR SBD 6710(R.01/82) DEPARTMENT OF APPLICATION SAFETY&BUILDINGS ,(NDVSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON,WI 53707 Attach plans for the system on paper not less than 8%x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63,Wis. Adm. Code, must be shown. An index page or each page must be signed,sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: ,b tf,) MATz- '?26 %z Property Location: City,Village or Township: County: 5Z '/,Sff aS .�� iT 30 N/R 19 E (or)® Sid J'o�SEio H' 40/X Lot Number: No . ubdivision Name: Nearest Road,Lake or Landmark: tare Plan 1:D.Numbe . �V 1� � i /Lft f/ %��C/��c�r f�j�/�1F (lf assigned) /� TYPE OF BUILDING h a /� Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. 3 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT , (Specify) SEPTIC TANK CAPACITY /OVV HOLDING.TANK CAPACITY &A LIFT PUMP TANK/SIPHON CHAMBER A' MANUFACTURER: /E AJG�Q�TF rQOD[>G /I!g/OE.tJ OCR EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED(Square feet): n New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit jW ❑ Alternative (specify) ❑ Seepage Trench X Water Supply: Owner's Name as Listed on Soil Test Report(If other than present owner): Private ❑ Joint ❑ Public I,the undersigned,hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Sign re: I MP/M_PR SW one Number: Plumber's Address: Name of Designer: yz�rov,Po� ST. /Uo,Q,d� vpso.J Cris . COUNTY/DEPARTMENT USE ONLY Si gnat re of Issuing Age t: F Date K APPROVED Sanitary Permit Number: D V� '.v DISAPPROVED .J Reason for Disapproval: Alternate course(s)of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County,Canary-Bureau of Plumbing, Pink-Owner,Goldenrod-Plumber DILHRSBD-6398(R.07/81) Form - S T C 100 Owner of Property j`�O �il� M AT-2— j.ocation of Property k ,e k, Section 32. T30 N R /T W Township_ -k 199 - -- -- Mailing Address C�Z.(p I12- ST' 1 VOSO rV , W tS 5-. (0 ! to Subdivision Name /< x R Lr y �7x .5 Lot Number Previous Owner of Property ��GyA �� A/-"g le;A ) Total Size of Parcel -t7 10Z Acx. s S Date Parcel Was Created /1 - (,o - j q13 Are all corners identifiable? Yes No r Include with this application one of the following : . Certified Survey Map . Dead . Land Contract , or . Other I:egal Document which describes the property ' I PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) ' knowledge;that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. 32 7 / -7 7 ;and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement,to run with 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. 1. SIGNATURE OJWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED at Qa o'clock in the From the day of of the land described as: "0 of of scc 30-.D l.rif at described as 1*0110115 C01!Ln1011C"- -' coillor -J1r- ). 11 I ofW1 lino, oV of lit r,inniri"; thc!nec N 610 U, thonco 1q1-.,,-Ly Uo.66 foot alcdL� ,3 9 f SE arc oX a 320 foot rz.,,dLU,.1 curve concave 'Lo ullence chord boaring 1112`291lo"I,� 60-57 feO'L; 11870551E 293-14- f 6 OOt; thence 5 28.97 feet to lace of Beginning. Rest W. I•Ver3 and Judy M. Land Contract. N]-%rers and wife Con. $11,033.6o. 4. 1 . husband Dated Jday 22.1 197 and each in their own right., 1.- Ack. JJay 22., 1974 to- Re c 14z�A.y 22., 197)1 . r e 296., -;/,,`3-12200R- In "511"Ipag Robert A. Poterson' and son., Same land as shown in thel Patricia A. Peter husband and wife as Joint caption at No. 10. Recites : The above descrip- tenants. ed parcel contains 5.021.2 acres of land subject to being reserve the Nly 3`31 be for Town Road. 12 Robert A. Peterson and Quit Claim Deed. Cori. $1.00 0VC. Patricia A. Peterson, Cori. -- 20 1975. husband arid wife and each i .,n Ack. May 20,, 1975. their own 'r- Rec. May 22., 1975. -to- In "523", page 5157., 7 327177- 14 11ex W. 1.1yers and Judy IA Description of Parcel #,11 . A parcel of land located ;Ln Idyers, husband arid wife the SE-,1, of SE14 Of section! as joint tenants. 32-30-19' Town Of St. Joseph, being further described as follows : Same land as des- cribed in tho Caption at No. 10. p Tlae above described parcel contains 5.042 acres of 1 a d subject to the Nly 331 being reserved for Town Road, ST . CROIX COUNTY ABSTRACT COMPANY CONTINUATION OF ABSTRACT It 71 C) O''.'rw9.._ 8 12.4 1 .�3 W � u 4 Cyl SOUTH -�-I N) �} __..�- MORTH 700.14' � -1 Coq N w n .o°o , rn m � � X3.42' � NORTH 62.8. 7 ----NORTH 685.0?_ , o t G? N 33' v c. �3k" Y ca •h' W W w I N 2 D N OD N o CD O o n Ln A r, c.n . I , O c� cn . . � Cu O_ rn • i3 N � irn m _ W N 0 m to C io 4 NC Ivl w zz y PROJECT TITI. d tlof t f i n �1 e9 company 0 @' 9 n CIY 1 L ENGINEERING LAND SURVEYING BUILDING DESIGN ROUTE _p Eau Claire and River Fulls,Wisconsin SHEET TITLE STATEMENT FOR CLOSING REAL ESTATE TRANSACTION n 4 BROKER KERMOM AGENCY, INC. , 60U- Third St. , fludson, 'WI Property located at `yoet:ion 32 VIOLA iZ1:t; 5t. Josc;pii 'lowr►sliirs. its.lcir,//l1, 1'!I Seller_ M:Lgha-gl A. Rogan & Ro!io M. R(: ail Address L14UU bej..u,toy cly. t s IAIVor Gr•„vo_ Ijt 3:y PIN Buyer John T. and Nory E. Matt Address 926-,-- 7th 5t. . lindsorls WI 54016 Date of Sale Contract Peb. 16 19 �3 Date of Closing April 14 , 14 £i3 BUYER'S SETTLEMENT STATEMENT DUE SELLER CREDIT BUYER Sale Price C) _( < Down Payment x x x x x x x x (D 10o UO Subject to First Mortgage: Principal $ Interest $ Subject to Second Mortgage: Principal $ Interest $ Subject to Land Contract: Principal $ Interest $ Delinquent Taxes (if assumed) for Years Tax Adjustment 19--13-2,pro rated from Jan. It Aprll ALast Year's Tax $ 178*94) Future Installments of Special Assessments (if assumed) Insurance Premiums pro rated See reverse side Rent pro rated See reverse side Trust Funds held by Mortgagee Coal tons, $ ; Oil gals., $ , Recording fees- Transfer Fees Allowances for: SelXer to pay for Land Contract. Buyer "to pay for Warranty .Deed whon nodded. TOTAL (Buyer hits Abstract #13,54o) LESS CREDIT TO BUYER( BALANCE DUE SELLER Q 9, 849 of BALANCE (j)DUE SELLER AS FOLLOW$: Land Contract—lP S►executed this day to Seller Check Check or Cash to Balance Frnm B113car, O TOTAL SETTLEMENT DUE SELLER 0 c. r THIS STATEMENT IS ACCEPTED AS COR96f• 19fig BUYER BUYER ..�.''P �^ f ✓ SELLER . CARBON r0811 010•A APPMOVIO BY MSLWAVKII BOARD Of RIALTOOB BIVIBIO 4.1.04 YON BALI BY WIRCONRIN LIOAL OLANK CO..MILWAUK99 BROKER'S SETTLEMENT WITH SELLER CHARGES DUE SELLER AGAINST SELLER , Down Payment Received from Buyer x x x x x x x x OI Cash Balance Received from Buyer x x x x x x x x O. Charges Against Seller: Abstract Extension or Title Policy 1 Recording Fees Attorney's Fee Transfer Fees Paid for Seller's Account: Mortgages Delinquent Taxes and Unpaid Special Assessments Other Advances – .. Commission Services (itemize) y Settlement-Check or Cash $ Check $ TOTAL PAYMENTS DUE SELLER- 449 Fleck $ $ Total Charges Against Seller(EoLer in bOLh columns) BALANCE PAID SELLER_® NET BALANCE TO BE PAID SELLER ;I THIS STATEMENT IS ACCEPTED AS COR , 19 8q �,: BROKER ` LER TELLER ol p l' David F.' Anderson CARB411/0410 p.-A APPROVIB W MILWAUKIB ROAR.01 RIALTORB RIVIRIB 4.1.06 100 LALI BY WISCONB/M LIBAL BLANK CO..MILWAORII �,,� REPORT ON SOIL BORINGS INDUSTRY NT OF AND SAFETY& BUILDINGS DIVISION LABQR AND PERCOLATION TESTS (115 P.O. BOX 7969 (H63.09(1)&Chapter 145.046) HUMAN RELATIONS 1 P&/x/A_ MADISON,WI 53707 LO A N: SE ION: p q TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: ,� ,/4 32--/T3°N/R // E (or W 5/ ' rlbsC/0�_ // c`X MEy�.P sv/,�� ' COUN Y: OWNER'S UYQ�•ER S NAME: MAILING ADDRESS: 5f lX �bNN MA i Z-- 7 J4- 5f. H��Soti u�is Syo�� USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION PROFILE IP 1 NS:1PERCOLATION SDTS2: NResidence 2- / d. �New ❑Replace ��0�%L 5� �!/�� e/� 13 JJ RATING:S-Site suitable for system U-Site unsuitable for system �z '� U�^ /"""'ll J s�Til t ONVE��+NT NAL: MOUND: IN-GAOUN— :PR_ESSU E: SYSTEM-IN-FILL HOLpING TANK:RECOMMENDED SYSTEM:(optional) (p1jl flt1,FJ- ®J ❑U ©� ❑U ❑U ❑ ©U ❑S ®U eQA/G'E�IJT/04/9"1 r — If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: ' v fJ; PROFILE DESCRIPTIONS BORING L PTH O GR UNDWATER-rt*GUES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH 1NUMBER DEPTHTN,ELEVATION OBSERVED H TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- (1.0i /,6., ,Fr D � L!o!o' ,� L, �,p 'Q,v. c� .fQ'ae-S4, 7. O •4/.x. /•QN.C 5 a.'A o,P. , S a B- y /p,�' 0 6(�f ,, �p.S , •bG 4, A/7 ',a•v, s�, jf(,O8 ' M;r. � o.ee• � d� cs ,✓ ,S. /p3. If > (?0 •75 ',(�,v.�� o�'< , � faa • (i, ,sc, G./7 ` awe .�. �S B- 0.09 f 74:r > �0 '73 , 5 L, /,S(f' 6A'.5,'4, �.& PAZ .< ' -7s.P G AV, $L, /, ,6.�,,L) .6 6 W. SL, 7,s.' -av co 6 0„� y � y/ •s� '.B.d.s�-, �D-s- �/ �. , .� w, 111.mac B- c d - 0/b CG L FT' PERCOLATION TESTS TESr DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. P RIOD I P E RI D PER INCH P- Z O y -2-- P. P 2K �ho P-. P- 3 13.0 1 2— 6 W f t l� /mil/ P- LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances.Describe what are the hori- ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. BOTTOM Of 13ED E-,r44k4/20A/ Sj4tt LiE EXAeTLy 'SYSTEM ELEVATION A150&E 11,al-1�4 A�cmE. ler "00/-vr [ J 44 • --1-- - ___�_ ._.... _ _ . -- — -- H the undersigned,hereby certify that the soil tests report(+d on this form were made by me in accord with the procedures and methods specified in the Wisconsin %dministrative Code,and that the deta recorded and the location of the tests are correct to the best of my knowledge and belief. BY /1 DAME(Print): - — TESTS WERE COMPLETED ON: ADDRESS: -_ " vel �94 ✓ CERT!fICATION NUMBER: PHONE NUMBER(optional): Yg+_Ar ' 'S- 54015 CST SIGNATURE 'DISTRIBUTION:Original ane one copy to Local Authority,Property Owner and Soil Tester. DILH"BD-6395 (R.02/82) —OVER R EPORT ON SOIL E30RINEYS PERCOLATION TESTS 11S do#N AM r2 Gor//, APEx MEyE,f PLOT PLAN PRO?EC _`. D. sf.,jost ef+ 7w Sl . Sec 32- 54. ao"X co . DATE- IWI'Z ,5t� 1'W3 HOMESITE TESTING CO. 12T.3, O'NEIL ROAD BOB Ul.I;Klcij, AUUS0N, WIS. .,.- 54016 e57r . ,02`j/eZ i PROPOSED K005E MOST LIE Z, Fr• v� MORE F�P4M .9L� TEST f�,PE�4S, PRo POSE 0 w a M u5T LIE .SO FT ail° iMO�PF F,Poti Acc T£sT iq,PE�S, • = eAC.E'/yoE P/T'f 6U = EX1571,0!r W ELL x " PEG /oGfneof s #hA4P f &;9C-feP ow 54odEL /,3,ve5 M IlER1'%t�►L �PEfF,Pt.VcE /o©i,JT p °' 7S,f:`mow c:,�f 5r Lor el uz- LEGEN D elitaroN oo I/or. t&r. Pr. 06. D rr -'f-oio Arc' P/)gE P0POT�Upf S , 'roM yuR� Cau,UTI A-ctF"SS NOTr.=: PE:9l.7-0R ��E,P�iv/AGcVey) %V�o�M�-C So�� TFSTE.Pf 46r hgs No ce',erlflep St "el `�¢;�� ocv -j ar/ER -S—,4c,.es. 6 EM67 nor 2%ENS�D,vs ,E,vo kJi✓ Tv Soil TI--Sri'/� . 9PFfN pabar aox #,4,A 3 - ---- - N W .� FxcAUADAG- NOTE %pp$Cj(. 3 Fr. of TOP Soi L Will NEED T6 13E Sj AUED F190M HiSt, ,-i-vLo pe, AREA ga'1 op t3E0 Sire. k��0� quf>It� OUT O � � Bi H ITc RNATE x P So i i 33 ARC* �30 P3 [,30' w N 2,f' 35' W 3 1N D �Z•�' __j P% E 13 q a j 5'alit nR o fRfe /3a, F G,u<•NE NFKJ 9,p£6'.0 STIEL pl:*r SE t or co ".cR _. Ni�H :UocTy�E' NSP oye;PNE.1y �:.uF-s PLE3 �7 . PLO 0. �� �� c� r �- �- SECTION PIANS ci ct w. W 7 M P�Pa7 � � �� /�a 3�N� N►r�TZ �,o-r- II REx McYER 508D S17 Toscptt Tw,J w� 5E/y 5E% Sic. 3 Z , 7-30A) 9 W 4 M� 9 E`6AZED - I `, 4 ?Ew s1� � Fresh Air Inlets And Observation Pipe SOIL TES AUJ By HGMESIT18 TEST-ING �:G. �.._ Approved Vent Cap AT-44, 0'WEiL.RC1^f) HUDSON, WIS. ; 4016 Minimum 12" Above Final Grade Above Pipe 4" Cast iron To Final Grade, Vent Pipe Marsh Hay Or Synthetic Covering Min. 2" Aggregate Over Pipe _ Distribution "Pipe Tee Pipe ^'r ,! oT �,�-t D,� 1Aggregate s Bc Perforated Pipe Below 0 Coupling Terminating At Bottom Of System - f x a.,6 D9il 60 J66-PI /0'�8 3U �'SS✓ cJ FILED 3 0 OCT 131993x► 4 507197 JAMES O'CONNELL Register of Deeds St,Croix Co.,WI S AREA LOT 5 4.15 Acres Inc. R/W o 180,985 Sq. Ft. Inc. R/W Bearings are referenced to the P. N D south line of the SW} of Section 33, rD� 0 M 4.02 Acres Exc. R/W 0 assumed to bear N89°4814811E. 0 H w 0 z 175,081 Sq. Ft. Exc. R/W i 1-i w rt. (D rn o Z ICS) II, o 1() (D z a rn � a fZ ' �' o g I z i N c m (I1 00 W t` 1^I' 0-+A v I o � 1 Ln F'n to !__ E � 33'33W 0. C 1 N C, N E SL I--{W rt (� N_ Q! (NORTH 62e.97') �� I E; 0 0 „ I�IIC�II M v S00°03'09"W 628.88' I OD I-- I� cD . rh O i ul(Il�`i 595.86 33.02' N 0 m -LT) ~ 0, N rt p SEC 33 S87°59'52"W 1) p U (D I b CO v, y' �-- 1 19.87: I O L I G� rt rn CJ� fi n �J y n o ���� N ,oN / (D oC r W c+ m m E ry2 .1 N .%/ _ I(P 1 0 M _ N r �� 1 W.cn I 101 � (n 0 6b.0 b9LO 0 g�S .� (D I(yl<71� „ �g9 (n �i rt 4r GU I j o rn W M 0 _ I-- rt nrh 11� N ro C--) I r. z hi x 0 I'"1"l _ OD. 0 rt ;:0 c0 � I C �• n �• —i N •A° �, z I L X O O _n _ .. 00 I U (7 z — f 00 00 l p° j1; 0 'C( wv d N r r 0 • (0 0 -' °' o f—I K Z w c CO °o I o°I 1-1,UL C) M .-_ m a r Cn a Cn a r - Lnn I Q-7 � (n Al < °o - m c tr1 — n n U1 W, (D 0 M 0 x . n w N �', ,�, O 0) p r,i t0 0 '0 N O •3 7• T N T N W � P. z 0) o r r o ►. c '� ;* ;* r U1 N in (n ti 3 (Jl m Ln -0 1w io a 0 v o p c, n o h . 0 = - N N Rif — y 0 x < 0 MC tp —i> 0 Cr or ° c° o `� 1) 1 h (D rt rt P 7 CI Cn L a, o o I(_ a, T ^? I L1 d (D o < r• rt �`' ;� arm 1> r- (n 0 41r 0 rt ro n o I > . � ' 0 O ° o .•, 0 1h �• a rt Irl s .O F . 0 rt c v o (D (D 00 CA c->,, oo °) Fl. Fh 0 v n I W N00°14'45°W 610.04 ''" s1, M ID a coo w (SOeW45"E 614.24') it C.) N _ r Ln 7 X 0 co ATTED LANDS co co .0 U1 N O 00 v ..•. W CA Cl) F cn W (v a4-. Oo rn n - rt, C-) rn W. ° ._... > > F-J �► W O -1, VOLUME 9 PAGE 2700 This instrument drafted by Ed Flanum Job No. 93-39 17SURVEYOR s' 7 0A. 326 1 ' 7' NORTH 927. 28' S3'/o`�3 . o 'oo�, 864.21 ' o� •g8.� s,.,v, to �� -4 cn gs4 v Q v It% o� p c0 NORTH 534.8s' rn 0 497.37 �� NORTH 812.41 w m $,, �"v® Y-) 774.48' Ln f77- OD > O OD OD o rn / .p v` D C �0 F \ d P' Oi ` J 576.43 w� sue,, rn SOUTH 610.39 W 666.92 , 1664 SOUTH 700.14 , N rn �3 3S Q NORTH 628.97' UN- �� 595,95 �o 00: p o O) O° po _ �. .0 rn � r _ _ $ ��, -0. m = ter 0 0 to CO)" \�M: umim ' Z X 0 Z Z cn m, C m � - �� � N0 v v 0 � m _D._;0 O 0 �u,. ,A E5 < W m rn r E5 rn Z + Zm � 0x 0 M m M A \ Z CA C —1 m p D m D n r A w 0 m v 0 0 O Z N z C) -O cvo a (_° i' OC C �p O rn N 0 O N m < cA z S M U1 W W N 4 O � OD= �. 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