Loading...
HomeMy WebLinkAbout020-1435-05-175 o h U Q U;, m a C o 0 © N O w O'3,N•� O) w N 1- N N > H U TN >,a000 ~ ° C y a o @ E N o U -0 E T> ° 0 .0 0 0 @ 3 p �° c � In o ° ° c9 ° mN@ Zm c a) aNi~ 3 3m a ,0 CL � N O O N L' C J L L C N Y W OJ O f6 N F•,, O N Q _ =O O co N n N CL-0 2 T z � 3 �� 3— > O C ._ C C N—_ U) 0) 7 C6 O >,O.N 7 N 0 � _ -00) C LL C 0.f9 (9 N� LL N++ O 0- 'oE3a) 1 ° 3 � �L 1 L o o> i zJ N N N O I 3 `o 3 Cl) Z N Z N 0) w 0 1 0 Z E ° E ° m m d m Z a m a m o Z a) z O ° v _0 v o a) � O 7 C co N N 7 d a N O N N O O O d 0 N � O O - O •� d N L d L U .0 N U O U 4= Q Z 0] Z Z m Z 0 p N N i' Z Z o c I rn m �� m � c� �`+ N N @ w m U �►i S ! O a' 7 0 0 a '@ V 7 °' ',, °v N a) N O N N i) N o L U-) D O G a o G n ° c o o cn cn N E cn N m D- W • ° a a a a a a *i = N N N j O O O Cn J U 60i _ } = 0_ Z �+ N .. .- 4,_ O per, 2' o 22 Q o G o N w rn rn ° m o o -, °) o as C J m iz> ! m CL 0) a N cu 2) t0 ° Q Z s n y C ° c u��i c ° y c n Q o i', i= o Y o O 0 00 LO c ID of ° L ° Z Z y o o o � o co 00 5 a o o • O Z = ol 2 Z N to — � E m E N I V av a a a L d a c E c i O m U c a I O s r'~ AS BUILT SANITARY SYSTEM REPORT OWNER ..Simi '�� TOWNSHIP J9'�C,$f� SEC .// T ADDRESS ST. CROIX COUNTY , WISCONSIN . SUBDIVISION LOT LOT SIZE ZL �cS PLAN VIEW Distances and dimensions to meet requirements of H63 YE$YTHING WITHIN 100 FEET OF SYSTEM I IN%L jt 0 i' jn tj E zv - I I di e e o th Arrow ' I 1 SC L L - ���,r BENCHMARK; (Permanent reference Point) Describe : L , &0 Elevation of veiti.ca�, reference point ; / Slope at Site : /L)c7, SEPTIC TANK: Manufacturer: L-J<e5eis Liquid Capacity : /(ra401. Number of rings on cover z Tan manhole cover elevation : Tank Inlet Elevation: 3. 5 Tank Outlet Elevation : P.S PUMP CHAMBER Manufacturer: Number of gallons Number of gal. PUMP set or a cyc e gallons ; totar—capacity o distribution lines gallon: size of pump head, gallon per minute horsepower ; bran3 name of pump and model -number Type of warning device HOLDING TANK: Manufacturer Number of gallons_ Elevation of manhole cover Type of warning device -- SEEPAGE PIT SIZE: �NumberJo p Es Fey t ameter --- feet liquid d6pth Seepage pit in et pipe-elevation _ _ _- bottom of seepage pt_ee'Ievation feet . SEEPAGE BED SIZE; number of lines Z w�dt:h i z-' length_5Z/ti1u IeNtl► SEEPAGE TRENCH: width _ _ +length _ PERCOLATION RATS C b� 1 A' KMQ0T �D &1_4 13U LT INSPECTOR _ DATED PLUMBER ON—Mg- LICENSE NUMBER__^_ 3 2 Z_ _ rig, &11-4— de-al d ` • �"� ''� �. c.` ' �G L ry 1d�` A�L Q y, !J I 7-U o le PLC, �y 6.51 C� /JELC�Jl..2� DEP.ARTMEe..T OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BMX 7969 �.� BUREAU OF PLUMBING MADISON,WI 53707 `�� CONVENTIONAL -]ALTERNATIVE (If a-lanl.D.Number: (If assigned) ❑Holding Tank ❑ In-Ground Pressure ❑Mound NAME OF PERMIT HOLDER'. ADFIRESS OF PERMIT HOLDER: INSPECTION DATE: BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.'. t1 1� T 1 - 1 Name, f Plurnber MP/MPRSW No.. County Sanitary Permit Number: SEPTIC NK/HOLDING TANK: 1 " 7 MANUFACTURER: LIQUID CAPACITY TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL JLOCK:N PROV ED. PROV D' � 'L{I _.� ��5 YES ONO ❑ ES I ❑ O BEDDING: VENT DIA.. VENT MATL HIGH WATER ROAD: PROPERTY JWEL BUILDING VENT TO FRESH A LAR yd� +� LINS/�• AIR INLET'. YES ❑NO S NO �{//) l( a` //1 X -- D ING CHAMBER: MANUFACTURER BEDDING. LIO DCA CITY PUM ODEL PUMP/SIPHON MANUF ACTURER. WARN ING LABEL LOCKING COVER PROVIDED: PROVIDED: ES y N ❑YES ❑NO ❑YES ONO / I / /GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL PROP ERTV WELL BUILDING.IVENTTOFRESH NLET (DIFFERENCE BETWEEN �' NO LINE PUMP ON AND OFF) EYES ❑NO SOIL ABSORPTION SYSTEM hec th Soif moist re at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be Iled nt a wire,co struction shall cease until �the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH LENGTH INIEOF DISTRPIPE SPACING COVER INSIDE Of SPILIOUID TRNCHES MA AL: ik DEPTH. FILL DEPTH UISTH.PIPE DISTR.PIPE DISTR.PIPE MATERIAL'. NO-DI PROPERTY WELL'. BUILD! G'. VENTTO FRESH BELOW PIPES ABOVE COVER EI FV.INLF i ELEV.END PIPES. yy�u�, `i �F�. F4 LINE- //TLS' AIR 1/ MOUND SYSTEM: S i Mound site plowed perpendicular t?,1pe Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mou sys s to make certain that it ON REVERSE SIDE.SHOW ELEVA- me is criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS t _ ❑YES ONO ❑YES ❑NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH B D U OFT PSOIL SODDED SEEDED MH EDCENTER EDGES YES ❑NO ❑YES ❑NO YES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO.OF LA ERAL SP I G- GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE CO . T CHES. . MANIFOLD PUMP NI OLD STR.P E (FOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PI !&MARKING ELEV_ ELEV. DI EV.. PIPES _ 'Po /HOLE SIZE HOLE SPACING DR LLE CORREC LY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED PLANS YES NO OYES ❑NO PERMANENT MARK RS: OBSERVATION WELLS: $'.'" �" PINE WELL: BUILDING'. COMMENTS: � LINE: 1 , 43 ❑YE ❑ ❑YES ❑NO ' f6 �(r• S Sketch System on Retain i county file for audit. Reverse Side. SIGNATURE' "'" ` TITLE. DILHR SBD 6710 (R.01/82) " DEPARTMENT OF APPLICATION SAFETY& BUILDINGS INDUSTRY, FOR SANITARY DIVISION r 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'/z 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: Mai in Addres Pro arty Location: Cit ,Village or Township: County: lo Y. '/oS // iT 2f N/R (or) Lot Number: Blk No:: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D.Number: (If assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2.Family *State Approval Required. 3 TOTAL NUMBER PREFAB POURED-IN NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE . STEEL FIBERGLASS INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY X X HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED(Square feet): New ❑ Replacement ❑ Experimental 25 Seepage Bed ❑ Seepage Pit L,' �o�r ❑ Alternative (specify) ❑ Seepage Trench � r Water Supply: Owner' Name as Listed on Soil Test Report(If other than present owner): Private ❑ Joint ❑ Public e I,the undersigned,hereby assume responsibility for installation of the private sewage system shown on the attached plans. Na f Plumber: Sign at a MP/MPRSW No.: Phone Number: z z� (�/S' ►��6 ��to P u niberC4 Address: Name of Designer: /v i s� COUNTY/DEPARTMENT USE ONLY Si iture of Issuing Agen . F e: Date: ❑ APPROVED Sanitary Permit Number: Reason for Disapproval: r ❑ DISAPPROVED O Q 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 DILHR-SBD-6398(R.07/81) � 1�f WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON,WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS I OCATION: '/n, .'/,, Section lf TsZgN, R/9 �[(or)62fownship/gr Municipality Adf Cam. tot No- .-----..- , Block No. !_fl'1/C< ed1 �� County _..�'�`� _0622 'A /�; SGGbdivtsion Name Owner's Name: .♦.t L ��.^/aZ- / Malliny Address: _ ��<r1 �1Yz l_._1Q`l �_�.(,,��5. S'16:v6 TYPE OF OCCUPANCY: Residence X No. of Bedrooms Other F F F I-UFNT DISPOSAL SYSTEM: NEW ..—ADDITION —REPLACEMENT I)ATFS OBSERVATIONS MADE: SOIL BORINGS—_"- _r-2F PE COLATION TESTS 4--24-�� ()It MAP SHEET __;2FF__6_�1— _ SOIL TYPE PERCOLATION TESTS UEP1H HOURS WATER IN TEST TIME DROP IN WATER LEVEL,INCHES RATE NUM CHARACTER SOIL SINCE HOLE HOLE AFTER INTERVAL INCHES THICKKNESS NESS I N I NCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN Htli I SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER-. INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) A-`' ore• 7 y�;�, �p t-G/ y.. l�o�w re j e__ 3 .(.�Cw¢-- �Y6 7`S �' •�C, �' .S' 7a Cd.9.�� S (v ? PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on,the plan the location and square feet of uitable areas. Indicate numb pf square feet of absorption area needed for building type and occupancy. f �� Indicate scale or distances. Give horizontal and vertical r.eferenc oln . Indigate slope. f Qh >ys t N —— — -- —_ - -� -- - _ - 41k, 01 - - I - - _. 4 �Iq i `v r- d 'y I, nc midwsrgned, hereby certity that the soil tests repot ted on this form were made by me ur .u.o 11w, ld with the piciceduies eirrl nicthnd:, tpeci red in the Wisconsin Adrr,nusUalive Code,and that the data recorded and location of test holes are correct r'r Ilit, hest of my I,nowledge and bullet_ 1 � � . n • Iln iol/i ` �Y�f.(.'_ __��� / n--�!Y�l>: 1!_`!-�`� _-- Ceitihcation No. :ins• ..f i„i,rllr• i known fN('/\L AUTHORITY 1 ti 1� ZL S � i e { L d v, V v 1 V \ � y � � r v . . 5 y 11 f W i \V k a Zo � �ZQ i fO a • • +s � I �_ ----- REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San,itany Penmi - / _ State Septic ; (�— NAME ' St. Cnoix County LocatonAl"., 06-5t %, Section T , R i w SEPTIC TANK Size gattond . Numbers o6 Compantmentz D.i.6tance F,%om: WeZZ 6t. 12% on greaten s.bope 6;t, Bu.itd.ing 6t. Wettand.6 6 • H.ighwaten v � . DISPOSAL SYSTEM D.i.6tance F,%om: WetZ 6z. 12% on greaten sZope 6t• Bu.i.2d.ing 6t. Wet.2ands Ft. H.ighwaten 6t• FIELD DIMENSIONS: Width o6 thench 6z. Depth o 6 no ck b etow t.i.2e in. Length o6 each tine 6t. Depth o6 rock oven t.iZe in. Numbers, o6 tines Depth o6 t.ite below grade in. Totat .length o6 Ziness 6t. Sto pe o6 trench in pen 100 6x. D.i.6tance between Zin.e.6_It. Depth to b edno ck 6t• Totat ab,6onbt.ion area 6t2 Depth to gnoundwaten 6t• 2 Requited anea 6t PIT DIMENSIONS: Numb en o6 p.ix.6 Gxave.2 abound p.i;ts yed no Out,6 ide d,iameten 6t. Depth b etow inZet 6 • 2 TotaZ ab.6onbt.i,on anea 6t z A 2 � Area nequ,i,ned 6t rn i INSPECTED BV TITLE APPROVED ,DATE 197_ `� REJECTED ,DATE 197 . y 15 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH,BUREAU OF ENVIRONMENTAL HEALTH P.O.BOX 309 MADISON,WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: AVl/4,�M'/4,Section,?-�N, R4&(or) V, township r Municipality��� f '� ZI Lot No. Block No. h' County L � S bdivision Name Owner's Name: cFI`�'�ic �?�. �C°• , Mailing Address: TYPE OF OCCUPANCY: Residence . X No.of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS r 7 PE COLATIO�N�TESST-S SOIL MAP SHEET .%�`F^ �O� SOPL TYPE ��0' �u•^���"^� .�•' �.�Y PERCOLATION TESTS TEST DEPTH HOURS WATER IN TEST TIME DROP IN WATER LEVEL,INCHES RATE CHARACTER OF SOIL SINCE HOLE HOLE AFTER INTERVAL MIN/IN NUM— INCHES THICKNESS IN INCHES 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 BER SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER,INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) Oro 4o Ir L-.Ili-4 II 0I B- 3 :11 e� / l �p J y / / ir­ r S B �r ?f cr PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square eet of suitable areas. Indicate nurpbe f square feet of absorption area sa sy✓ Indi to scale needed for building type and occupancy. 1 �' r �d �— 1 di ,}( or distances. Give horizontal and vertical referenc oin . 1 to slope. !�t'�'s..�,s✓ N i i© Bs 0 � 4 � jos , s .2 *B 3/` ?7Ye3 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 location of test holes are correct to the best of my knowledge and belief. Name (print) My' Certification No.s�ME ` d Address Name of installer if known y CST Si , < gn ure COPY A—LOCAL AUTHORITY 6 7 State and County State Permit # I Permit Application County P. : ZI ® for Private Domestic Sewage Systems County v y *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: afW 5 B. LOCATION: bt/ '/4 SF— '/4, Section _, T,�"N, RO!T & (or) Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township AOt��Cs'R+.SC - TM C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family X Duplex No. of Bedrooms 13 No. of Persons D. TYPE OF APPLIANCES: Dishwasher X YES NO Food Waste Grinder YES_2<,NO # of Bathrooms 2- Automatic Washer >C YES NO Other (specify) E. SEPTIC TANK CAPACITY Ido C5 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation K Addition_ Replacement_ Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) fSC2►� 3) -Total Absorb Area sq. ft New X, Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 3,Cf Width �!Depth " Tile Depth No. of Lines J Tile Size VIAL Seepage Pit: Inside diameter Liquid De th Percent slope of land N- e 2. �'/S'�- � ice/ Distance from critical slope d : s I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soi Tes r, NAME C.S.T. # s9 and other information obtained from r owner Plumber's Signatur P/MPRSW# e0W Phone Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). � o4cfe_ a jotla*4 Wa2l t go( Al Pwpes� _ l� rAo, Jam- $Are =lr� Do Not Write in Space B ow - FOR DEPARTMENT USE gNLY DC J� ^ 2 G Date of Application Fes Paid: State /Q —b County, Date_ fJ ate Issuing Agent Name Permit Issued/Rejected ( RAJ�� Inspection Yes )(__�No Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION FN N k �G e ?A„tK U TO BE COMPLETED BY INSPECTION AGENCY g a U System design &/or permit on file? es ONO �1 Soil series per SCS Soil Survey: sheet # Type of soil absorption system: [Below grd ❑At-Grd ❑Mound Approx. size 1,�2 QCravity ❑Dose ❑Pressurized ,.. �Ft.Z li6ed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House3Of ❑Wel1S90 ❑Prop. line 750 ❑Other Dose tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Locking coverZ ❑Warning label ❑Pump/Floats ❑Alarm ❑ lec. wiring Soil Absorption Svstem Setbacks: ❑House>/UU ❑Well) /()' ❑Prop. line /5-d ❑Other ❑Ponding: ❑Discharge: w 0v� General comments: INSPECTORS SKETCH OF SYSTEM LOCATION N Inspector Title 61 Qix T. CROIX COUNTY WISCONSIN ji co ZONING OFFICE �TCH � CROIX COUNTY COURTHOUSE 9 URTH STREET • HUDSON,WI 54016 .W ,0' ioz, 4► (715)386-4680 SEPTIC INSPECTION / WAj _ T REQUEST FORM Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. ❑ Water (VOC's) $185. 00 X Septic $25. 00 ❑ Water (Nitrate & Bacteria) $35. 00 (Visual inspection) Owner: Carl �-T;nQ Smim Requested by: Carl Smi i 1 Address: 102(, 7"dnne Ganc Address: <- 5dmc City & State- k s n , wi City & St. , Zip Code:, 6406 6 Zip Code: Telephone N2: (1715 ) 384,-400z Telephone N°: ( ) Property address (Fire N2 & Street) : 10,26 I-anney L4ne, Location: IJE ; , SW , , Sec. /I , TQ_N, R�{_W, Town of . UdS4n St. Croix Co. , WI. Tax ID N4.0Zp-10I2-20 Parcel ID N4 It, House color: 5+&j �� • stein Realty firm: none. Lock Box Combo: non Water sample tap location: - C 1 �, i( PROVIDE A SKETCH OF HOUSE BY PROPERTY OWNER P I / _USE & SEPTIC SYSTEM ON REVERSOF TX F RM Is the dwelling currently occupied? Yes ❑ No If vacant, date last occupied: - Septic system installed by: Rn),11 4- Tram Year: IgSZ (�J6V.) Septic tank last serviced by: - Date: Previous Owner's Name(s) : Have any of the following been observed? ❑Y N Slow drainage from house. ❑Y IN Sewage Back-up into dwelling. ❑Y ON Sewage discharge to ground surface, road ditch or body of water. ❑Y JN Slow drainage from the dwelling. ❑Y D(N Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. I OWNERS SIGNATURE: �� - 4� DATE: 21 Vte)e V OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION IN v 1� I aC` ."rPtY u �i4NY TO D 41 i �W,✓ 44f�+ INSP System design /orB perOmit on fiB 2es le 2"i es ONO GF -'� Soil series per SCS Soil Survey: {� sheet # Type of soil absorption system: L'9Below grd ❑At-Grd ❑Mound Approx. size !a' X S >-' Of.ravity ❑Dose ❑Pressurized r�j7 Ft. Z Eh6ed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House 3O , ❑Wel l�-5-0 ❑Prop. line-750 ❑Other Dose tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Locking cover ❑Warning label ❑Pump/Floats ❑Alarm ❑ lec. wiring Soil Absorption System Setbacks: ❑House,,/(JL) ❑Wel l) /()',a ❑Prop. line X57 ❑Other ❑Ponding: -y7&)y-, ❑Discharge: n o General comments: INSPECTORS SKETCH OF SYSTEM LOCATION Inspector ( r r Title 47-°7- ,�' ST. CROIX COUNTY aLY WISCONSIN rY ZONING OFFICE ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 -- _ - - (715)386-4680 April 30, 1993 Carl & Tina Smith 1026 Tanney Lane Hudson, WI 54016 Dear Mr. & Mrs. Smith: An inspection of the septic system on the property of Carl & Tina Smith, located at 1026 Tanney Lane, Hudson, WI was conducted on April 29, 1993 . At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon- proper maintenance of the system. Should you have any questions, please contact his office. 4t;4, _izftkt� Mary J. Jenkins Assistant Zoning Administrator cj SERCO Laboratories /a�l9a- 1931 West County Road C2. St.Paul. Minnesota 55113 Phone(612)636-7173 FAX(612)636-7178 LABORATORY ANALYSIS REPORT NO: 20296 PAGE 1 02/10/92 Commercial Testing Laboratory DATE COLLECTED: 01/22/92 514 Main St. Box 526 DATE RECEIVED: 01/29/92 Colfax , WI 547.=t� COLLECTED BY : CLIENT DELIVERED BY : CLIENT SAMPLE TYPE WATER Attn: Pamela Gane SERCG SAMPLE NO: 7552 SAMPLE DESCRIPTION: Carl Smith 1 NO3 ANALYSIS: ---------------------------------------- -------- Bromodichioromethane, ug/L <0.2 Bromoform, ugfL <.0.5 5romomethane, ug/L (Methyl bromide) <1.0 Carbon tetrac=hloride, ug/L C�.2 Chlorobenzene, ug/L 1.0 Chloroethane, u€ /L (Ethel chloride) <0.4 2-Chloroethylvinyl ether, ug/L 0.4 Chloroform, ug/L <'0.5 Chloromethane, ug/L (Methyl chloride) < 0.6 Dibromo=hsoromethane, ug/L €,.4 1 ,2-DtLchloroberzene, ug/L =::1. `s i o-iii co l or DDenz ene) 1 , -Dich;orobenzene, ug/L 3. -.m-iii=hl orobenzene) 1 ,4-D-J Chi orobenzere, ug/L (p-Dichlorobenzene) 1 , 1-Dichloroethane, ug/L 0. 1 1 ,® 2-DZ cnl oroethane, ug/L 0. .2 -n o (-;:'V•lene dichloriae"y 9 ` .r z C, ro r ,� 1 , -Di=nl oroethene, uca/L =:w=.: G)ci grans-` ,- Dice: oroetnene. ug/L =:f . 3 f , --Di=n.:orogrop ane, ug/L ?. 1 co � ci=-1 ,=-?;>C .it?roproFene, ug/L trait= y:—i!i M;i o-+'7.oropene, ug/L � Z Viet en hloriae. icc/L (Dicni.oromethane? means "not detected at this level ". 1 mg = 1000 ug. Member SERCO Laboratories 1931 West County Road C2. St.Paul. Minnesota 55113 Phone(612)636-7173 FAX(612)636-7178 LABORATORY ANALYSIS REPORT NO: 20296 PAGE 2 02/10/92 SERCO SAMPLE Nib: 7552 SAMPLE DESCRIPTION: Carl Smith ANALYSIS: 130 ----------- I , 1 ,2,2-Tetrachl oroethane, ug/L -.'0.2 = , I , I-Trichloroethane, ug/L 5. I , I .2-Tricnloroethane, ug/L <0. 1 Trichloroethene, ug/L Trichlorofluoromethane, ug/L (Freon 11) 0. 7 Vinyl chloride, ug/L <1. 0 Tetrachloroethene, ug/L £_1.5 Benzene, ug/L 1. 0 Ethylbenzene. ug/L Toluene, ug/L This sample's analytical results4Q are not, below the O.S. EPA's SDWA Maximum Contaminant level of 1/1->0/91 Tor those requested compounds which are also on the SDWA MCL list. U l analyses were performed using EPA or other accepted methodologies. Samples that may be of an environmentally hazardous nature will be returned to you. Other sampies will be stored for �0 days *rom the date of this report, then disposed of by SER00 Laboratories. Please contact me it other arrangements are needed. This report may not be eproduceo, except in its entirety, wi Chou* Prior written approval rom ERC0 Laooratori es. __�0 . Report submitted by, -n1 q ti ane Anaerson -Y,:jQ Project Manager m � 3 � means. "not detected at this level ". 1 mg = 1000 ug. Member FROM MEMO !NSERCO 1 1 1931 West County -._. Minnesota St. Paul, Phone(612)636-7173 - FAX(612)636-7178 SUBJECT ♦_i • . ,• / ■. .r r_� 1.♦ r 4tt s p C• 1 �._! . L r• J I_ w` ' i�i Imo. / �... I t, r �.l%L t- �l�� /♦ q ' • • UA- SIGNED QgAs D00A0 &M-,►11,1 Ait_tli� I �.� �� .�� �.♦ •L. • �� ` '6, ', / ANI i DATE SIGNED 132:0160 FEDERAL REGULATIONS Contaminant MCLG in mg/L Asbestos ................ .. 7 Million fibers/liter (longer than 10 Arn). Barium................ ... 2 Cadmium ......... ........ 0.005 Chromium ............... . 0.1 Copper 1.3 Fluoride. ................. . 4.0 Lead ........... ..... ..... zero Mercury .............. .... 0.002 Nitrate .................. .. 10 (as Nitrogen). Nitrite 1 (as Nitrogen). Reserved ............... .. Selenium ............. .... 0.05 Total Nitrate + Nitrite ... .. 10 (as Nitrogen). [141.51(b) table revised by 56 FR 3578, Subpart G — National Revised Primary (1) The effective date of paragraph January 30, 1991; 56 FR 26547, June 7, Drinking Water Regulations: Maximum (b)(1) of§141.62 is October 2, 1987. 1991; amended by 56 FR 30274, July 1, Contaminant Levels (2) The effective date for paragraphs 19911 §141.60 Effective dates. §141.52 Maximum contaminant level goals [141.60 revised by 56 FR 3578,January 30, (b)(2) and (b)(4) through (b)(10) of§141.62 is July 30, 1992. for microbiological contaminants. 19911 MCLGs for the following contaminants (a) The effective dates for §141.61 are §141.6.1. Maximum contaminant levels for are as indicated: as follows: — (1) The effective date for paragraphs organic contaminants. Contaminant - MCLG (e)(1) through (a)(8) of§141.61 is Janu- [141.61 revised by 56 FR 3578, January (1)Giardia lambfia....................... Zero ary 9, 1989. 30, 1991] (2)Viruses......................... zero (2) The effective date for paragraphs (a).The following maximum contami-- (3)Legionefla......................... zero- (a)(9)through (a)(18)and(c)(1) through nant levels for organic contaminants apply (4)Total coliforms(including fecal coliforms and Escherichia (c)(18) of§141.61 is July 30, 1992. to community and non-transient,non-com- coli).............................. Zero (b) The effective dates for §141.62 are munity water systems. as follows:. CAS No. Contaminant MCL(mg/1): (1)75-01-4 .................. (2)71-43-2 .......... .._.............. Vinyl chloride ................................... 0.002 .....................I....... Benzene ....................................... 0.005 (3)56-23-5 ...................................... Carbon tetrachloride 0.005 (4)107-06-2 .................................... 1,2-Dichloroethane 0.005 (5)79-01-6 ............... ....................... Trichloroethylene 0.005 (6) 106-46-7 ..................... .......... ..... . para-Dichlorobenzene ............................ (7)75-35-4 ....................................... 1,1-Dichloroethylene ....................... 0.075 (8)71-55-6 ................................ ...... 1,1,1-Trichloroethane .......... 0.007 (9).156-59-2 ...........................I........ cis-1,2-Dichloroethyiene ... 0.2 (10)78-87-5 ................ ....... ............. 0.07 ...'....... 1,2-Dichloropropane .............................. 0.005 (11)100-41-4 ............... ......... Ethylbenzene ................................... 0.7 (12)108-90-7 ............... Monochlorobenzene .. ............................ 0.1 (13)95-50-1 ....... ...... O-Dichlorobenzene ............................... 0.6 (14)100-42-5- . .......................: ... Styrene ...... ................................... 0.1 - (15)127-18-4 .................... Tetrachloroethylene .............................. 0.005 (16)108-88-3 ................. . '1__:__--_;.......... Toluene 1 (17)156-60-5 .................... ........... trans-1,2-Dichloroethylene ........................ o-1 (18)1330-20-7-:................... ........Xylenes(total) .................................. 10 (b) The Administrator,pursuant to sec- aeration (PTA), or both as the best tech- with the maximum contaminant level for tion 141.2 of the Act, hereby identifies as nology, treatment technique, or other organic contaminants, identified in para- indicated in.the Table below either granu- means available for achieving compliance graphs (a) and (c) of this section: lar activated carbon (GAC),packed tower [Sec.141.61(b)] Environment Reporter 168 SERCO Laboratories 1931 West County Road C2. St.Paul. Minnesota 55113 Phone(612)636.7173 FAX(612)636-7178 LABORATORY ANALYSIS REPORT NO: 20296 PAGE 1 02/10/92 Commercial Testing Laboratory DATE COLLECTED: 01/22/92 514 Main St. Box 526 DATE RECEIVED: 01/29/92 Colfax , WI 54730 COLLECTED BY : CLIENT DELIVERED BY : CLIENT SAMPLE TYPE WATER Attn: Pamela Gane qt- Cjrgkx. .zgnkng . ` Hudson, WI 54016 SERCO SAMPLE NO: 7852 SAMPLE DESCRIPTION: Carl Smith 1303 ANALYSIS: ---------------------------------------- -------- Bromodichloromethane, ug/L <0.2 Bromoform, ug/L <0.5 Bromomethane, ug/L (Methyl bromide) <1.0 Carbon tetrachloride, ug/L <0.2 Chlorobenzene, ug/L <1.0 Chloroethane, ug/L (Ethyl chloride) <0.4 2-Chloroethylvinyl ether, ug/L <0.4 Chloroform, ug/L <0.5 Chloromethane, ug/L (Methyl chloride) <0.6 Dibromochloromethane, ug/L <0.4 1 ,2-Dichlorobenzene, ug/L <1.0 (o-Dichlorobenzene) 1 ,3-Dichlorobenzene, ug/L <1.0 (m-Dichlorobenzene) 1 ,4-Dichlorobenzene, ug/L <1.0 (p-Dichlorobenzene) 1 , 1-Dichloroethane, ug/L <0. 1 1 ,2-Dichloroethane, ug/L <0.2 (Ethylene dichloride) 1 , 1-Dichloroethene, ug/L <0.2 trans-1 ,2-Dichloroethene, ug/L <0. 1 1 ,2-Dichloropropane, ug/L <0. 1 cis-1 ,3-Dichloropropene, ug/L <1.5 trans-1 ,3-Dichloropropene, ug/L <0.9 Methylene chloride, ug/L <5.0 (Dichloromethane) < means "not detected at this level ". 1 m 9 = 1000 u 9. SERCO Laboratories 1931 West County Road C2. St.Paul. Minnesota 55113 Phone(612)636-7173 FAX(612)636-7178 LABORATORY ANALYSIS REPORT NO: 20296 PAGE 2 02/10/92 I SERCO SAMPLE NO: 7852 SAMPLE DESCRIPTION: Carl Smith 1303 ANALYSIS: ---------------------------------------- -------- 1 , 1 ,2,2-Tetrachloroethane, ug/L <0.2 1 , 1 , 1-Trichloroethane, ug/L <5.0 1 , 1 ,2-Trichloroethane, ug/L <0. 1 Trichloroethene, ug/L <0.4 Trichlorofluoromethane, ug/L (Freon 11) <0.7 Vinyl chloride, ug/L <1.0 Tetrachloroethene, ug/L <1.5 Benzene, ug/L <1.0 Ethylbenzene, ug/L <1.0 Toluene, ug/L <1.0 This sample's analytical results 49r;) are not, below the U.S. EPA's SDWA Maximum Contaminant level of 1/30/91 for those requested compounds which are also on the SDWA MCL list. All analyses were performed using EPA or other accepted methodologies. Samples that may be of an environmentally hazardous nature will be returned to you. Other samples will be stored for 30 days from the date of this report, then disposed of by SERCO Laboratories. Please contact me if other arrangements are needed. This report may not be reproduced, except in its entirety, without prior written approval from SERCO Laboratories. Report submitted by, Diane J. Anderson Project Manager < means "not detected at this level ". 1 mg = 1000 ug. LL CO]"EACIAL TESTING LABORATORY, INC. 514'MaimStreet, P.O. Box 526 Colfax, Wisconsin 54730 715 - 962 - 3121 800 -962 - 5227 v ST. CROIX ZONING REPORT NO*** 17122/01 PAGE 1 ST, CROIX COUNTY REPORT DATES 1/27/92 COLIRTHOUSE DATE RECEIVED: 1/23/92 HUDSON: WI 54016 ATTNS THOMAS C. NELSON 4 OWNERS Carl & Christina Smith LOCATIONS 1026 Tanney Lane, Hudson COLLECTORS M. Jenk i its DATE COLLECTED# 1-22-92 TIMIE COLLECTED: 2S30pm SOURCE OF SAMPLE: Kitchen faucet DATE ANALYZEDS1-23-92 TIMfE ANALYZEDt2S00pm COLIFORM*, 0 /100 mt INTERPRETATIONS -Bacteriologically SAFE NITRATE-NS 3 ppm f Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/104 ml Nitrate-Nitrogen, mg/L f N 3P m LAB TECHNICIANS Pam Gane 3 �` EVENpENr £ v t WI Approved Lab No. 19 a� P V > Means "LESS THAN" Detectable Level, Approved by'* �Y A 1y T® PROFESSIONAL LABORATORY SERVICES SINCE 1952 ST. CROIX COUNTY ZONING OFFICE ,y 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning Office offers the service of septic and water inspection to Lending Institution, Realty Firms , and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, 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.$ 25.00 (For nitrates and coliform bacteria) / WATER TESTING--------------------------------FEE:$175.00 ✓ (VOC'S) SEPTIC SYSTEM INSPECTION---------------------FEE:$ 25.00 PROPERTY OWNERS NAME: C42 L A, + C.(421ST//t/4 My -5 M 177W PROPERTY OWNERS ADDRESS:102-6 7_4411v-4y «'CITY: N uz>S0 2' Legal DescriptionAfOPA �� 1/4,aci-�o�s.vJ 1/4, Sec. Legal T 2-9 N-RAW, Town of /f LIDSON ,Lot: No. ,Subdivision FIRE NO. /D 2- LOCK BOX NO. Color of house gE 000 Realty sign? Firm: rVA 5.-4'-F_ 6y1 PLEASE INCLUDE, 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 . h th� cb office to ensure time when entry may be gained. " Firm or indiv'dual reques 'ng ser ' es• ✓ G C Telephone No. 7/,J- — - ( -- �' OC��. REPORT TO BE SE y �111 TFi 02-6 7T/�1111V Y L /t1 flV s ccl tS'G, ,5'yO1'6 CLOSING DATE: signature: 6aLZ 9z � J ,EAST �j D QA-RT, U SON T29N- R.I9W. 27 SEE PAGE 41 WILLOW h � CrCG��SPP�nG RT�eU�/ � w` f R cha d 441 unt G'ub,Ine. � Pah/e .deems 47 9 RIVER °n 79se leanaa//y etez.9 9- 05 t e r exu go P 1/icier 193 �° + onen r/4 /b 3 aS(nan o 1% S TA T£ PARK .A� 9 � nd- Qi5 eC.+C. NL ht yO.D 4 / e/� c+i,v, S'm;rh 19502 c.S1dle of W/SCOrL4vf - ��' R C /ac 10 t�o�//v a/ v 3484 mi 4 s��ya�n, Qa 4o u� $t p /� f C' �,,,v t sB 27 47,6B :r"iF Ds%pt Ruth s1e/ �'J8E/eano/e Q CoeN �� �q �o� n /c'at rr• o .O/'own 01h ` Bo .o. if/ •e StCr - l%a r It 173.2/ 7'RSs�D 5�� CBI scour Can,Ps, V \ � n� C obey c. m rthr/r f revep f ',`s Ken s R e 2Bo c7 cob- .34ae Q atncK k kM • R c cS,ao tt i a, Donald¢ /err lot y 70 40 40 LSiaee/s s r Q v h �BQlbar4�. /47/7 /zta cep B9 +rrBB& •c' '/ i R/e a/dson R. �nnca�s+ B hares 41 • /sag R• �r nr a Al. sh e t e y { e`.oi 77os ���• tR' Bm Ttts' a �x s �• N 53fl • m• to 12 Hermes � nk • L t '" 1/er/n /+� W to ::: \ Dumber Co a .4 Cia/e 5/as: e BC u v m xo7 1R a 5941 11945 8 s��t �� °fetal o./ t C LA 51 TiB -F D6E OGLE J� PRgm�G Rue la-z'.//um :.: .4,4 h W 8244 W v V16Td. •Irex! mald g io. a. es° p Genark h ti ty ?rm f+DO h/een .r N �a e.0 .. 74 Kenneth�T :.a Rohl, hli7JOn T .rcb/kaf FdX p9 3�< :y: o a v,Vis- ...W1tLEY Drh �• �. lsrq • - ey/ , � ^ � ,3e G7 �•Y Q��. qj h I � TRS TRM:T6 me./e Q berr L/r. r• �Wl ::::::: SOeial • 16e Ha rd t Po%n �i..: qp d i� -0:r� A/6. u • gg L.carp' Land 24c.37 Cv ° Corp- 21M-1 V v25€ 40 c zt<o C ,w ': K a R✓a4' rro/nm 173 .9e�na�d ere+. US'Fs G J� ��C .. ADD '. ir! e /an 44 K.isney axon Q Wi/d/( ' LENERT2rygrCe/7e f SOBS �.+nn /t/G.G.Carp. • 00� v ausen w�' � 'Aim:i � 0 �V� HEAD... . leaf RS .. R n e 94 D 3 249 3's ,2 pC� 541 CyY Al is�- 41 X p. G/cnn f��Uy�/ce/ka U eta/ YHA 4.Q:: • 1p"LV/ r4s .4141/e Q Ba4er V SS.te•DL 6,9 RwCTS..:. /33/4 arbe /ferela/ • N pch ti v a • 735 G/a�P .IC JMA4p:: r; T uACTS,5, •vi /Qobert f ,Barb �h df'�wab:a� syivesle� Garbe �5t� d k s c z a B zD .W s Wa)(0h7 JS > 23727 m e s.::tt 4c__ �O pa`C V tree/o 3 OR. R`/' S .N redtaa x ca O/99/ Roc o�d r/Q/o P (r, rc. SEE PAGE /S Cox o my/s>. •a 500 600 700 g00 900 0 ► PREPARE FOR THE RIVER VALLEY ABSTRACT Fl1TUM & TITLE, INC. 40 A�fl Y 220 LOCUST STREET IN HUDSON, WISCONSIN 54016 All I PHONE: (715) 386-7772 1 — ROGER D. BEVERS �J ABSTRACTS • TITLE INSURANCE • CLOSINGS J ST. CROIX COUNTY WISCONSIN ZONING OFFICE k ST.CROIX COUNTY COURTHOUSE ,.�. 911, FOURTH STREET • HUDSON,WI 54016 (715)386-4680 Jan. 23 , 1992 Carl Smith 1026 Tanney Lane Hudson, WI 54016 Dear Mr. Smith: An inspection of the septic system on the property of Carl & Christina Smith, located at 1026 Tanney Ln. , Hudson, WI was conducted on Jan. 22, 1992 . At the same time a water sample was obtained for testing. The results of that test will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis . Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years . Therefore , the prolonged life of this system may be dependent upon proper maintenance of the system. Sin rely, Mar enki s Assistant Zoning Administrator cj L Parcel #: 020-1445-10-999 osi2si2oos 11:10 AM PAGE 1 OF 1 Alt.Parcel#: 11.29.19.2831Z 020-TOWN OF HUDSON Current I X ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 02/04/2005 00 5 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-FELLING, RETIRED RETIRED FELLING Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 1.080 Plat: 10/15-SUNSET HILLS 020/04 LOTS 1/10 SEC 11 T29N R1 9W PT NW SE SUNSET HILLS Block/Condo Bldg: OUTLOT 01 TO BE SOLD TO ADJOININ A HILLS CSM 19-4925 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 19-4995 LO 11-29N-19W NE SW Notes: Parcel History: Date Doc# Vol/Page Type 12/07/2004 781854 2709/628 QC 07/15/2004 768925 10/15 PLAT 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 12/28/2005 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 020-1012-20-000 09/26/2006 10:45 AM PAGE 1 OF 1 Alt. Parcel#: 11.29.19.53C 020-TOWN OF HUDSON Current *1 ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 5 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-FELLING, NKA PT JOSHUA HILLS NKA PT JOSHUA HILLS FELLING I II Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description SC 2611 HUDSON SP 1700 WITC I Legal Description: Acres: 20.000 Plat: 9/89-9/89 SEC 11 T29N R19W NE SW S 706FT EXC W99' Block/Condo Bldg: OF S 610.5'NKA PT JOSHUA HILLS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-29N-19W NE SW Notes: Parcel History: Date Doc# Vol/Page Type 10/29/2003 745165 9/89 PLAT 07/23/1997 1 WD 07/23/1997 1021/456 WD 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/19/2004 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 020-1013-60-000 09/26/2006 10:45 AM PAGE 1 OF 1 Alt. Parcel#: 11.29.19.58C 020-TOWN OF HUDSON Current X ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 3 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner NKA PT JOSHUA HILLS FELLING O-FELLING, NKA PT JOSHUA HILLS Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description SC 2611 HUDSON SP 1700 WITC Legal Description: -- Acres: 2.000 Plat: 9/89-9/89 SEC 11 T29N R19 NW SE S 66 FT KA PT Block/Condo Bldg: JOSHUA HILLS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-29N-19W NW SE Notes: Parcel History: Date Doc# Vol/Page Type 10/29/2003 745165 9/89 PLAT 07/23/1997 1190/040 WD 07/23/1997 1021/456 WD 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/19/2004 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • I t �C £tfry DEC 29n r 7867 1 3 1 VOL 19 PAGE 4925 KATALMW H. REGISTER OF DEEDS > ° 8 n v ST. CROIX CO. MI a �w g RfiCEIYED FOR �tECORD m` C y � ill 02/04/29M 1A:10AM CERTIFIED SURVEY MAP .n s'° REC FEE-t 13.90 $ m Z � COPY FEE: 3.00 'fl °8 4' v$ PAGES: 2 p p A W m .�• u$I m ca co $W 00 y Fn M, ° oZ W O m r () �3 C '1 0 Z Z = �9 �--a I aaaa� \ R O .♦ m tLn Its I� J� 1� { O Q-``o - N 00°00'28"W C N 81 r>>8�>.� 1— --a IZ11 m $ CC CC o _ 97.93 C3 NOO°4 9.42E Z y a ................ •v• � mo 6 m 0 � . .. to c m „ m ` Z N (!1 G1 m O 0 1 O ,� 1 m � z m g m cil 1 c A i a 1 A m p i' a Z o m c� 1 Y) 0 m pga A II O I O cs v 1 m 2 1 .r O � to �w A A m ` v %I2 O V/ T ^' yi C 74 D rfi m O 1� x ° Id � 9 � �QQ o � p � m ^ EAST LINE OF THE PLAT OF JOSHUA HILLS $ 0 n -- vi Z ------�-----� _ C 0 (b Z 314.47 — 0 m 800°54'40"VV\ 639.94' m m I m �� N m w iDa \\ '° m { '° m r� • w 1 r S Z 0 0 - \ S CO) T a 1 � U-1 N �E'1� \ �" �O � = m g i� I d -O .37.. _Ls�U \_L 1wa-a; m o$ N ( 34.s9' \\ m Z Z r1 \ 1 N N -pica 0 -4 $ ti ;� \\ cc= I ZN -n omwm zN y_(_ � SOO° 8'46"VV •o p er' p m , ? \ I r� -• m c Z m m 0 N I N 1845"E �O. \ y,> n Z 6 m N C P .� �; _, Emma . v O N y EAST LIN OF THE W1/4 OF THE SE7/4 0 Z m Iv m 0 1 zoo lA / T av 0 00 BEHA GS AR REFERENCED TO TE CROI COUNTY GPS C ?a N RK\ 1983/91 Vol 19 Page 4925 -7 c9 NZO VOL PAGE_ REGISTER OF DEEDS H•� �°.� Q�N.���o�� ST. CROIX CO. MI C m 3 m 06113izees e2:19PN _. r,j+[Fit � m-4 3 CERTIFIED SURYBY 11AP Q PAGESF8E2 3300 �, � ,, .♦� t+ftztn stn tr7Cn' z 0 CC � C cmF ��Ir• s C Apo _LOT 3 O �JJLL�OT 4 � C2 3 1 n ��� NO '25'00" 8JI�S• 97.92 NOO'25' O"E CIO 114. 3' z A _1 C1 rrt !21g 12 cn rve. NOO'25'00'W I��^ fa M T° Ir0-4. o yN0.� m W aNill�' Z :r m r a iA 9 - 21 w n en t'; I m - C n� I� N0o 09'16"E RP-1. O NORTH—SOUTH C 5306.34' +p$>c man P 1325.63 --' 706.00' / 3274--.-7-�V�-(�� Z``+ —289.94' 133.99.z,- 21 01' Z SOO'30'08 W \ 639.94' (dos �W _�+- goo 6 C tip OD N t7j g'j \\ f to 1 I O� w ' C) R1 3; \ R_q'-4-. Qi ^� 10 THE EAST UNE OF THE NE1/4 OF THE / SWI/4 OF SECTION 11 BEARS NOO'09'16"E C"{ Q -A / %\ AS REFERENCE TO THE ST. CROIX COUNTY I Oy l ►.d SOO 5 35 E �y /. \ COORDINATE SYSTEM I y I �. ly •mod' � � � �-c ��; S�d�Sd� � _ _�� SHEET 1 OF 2 SHEETS Vol 19 Page 4995 'r 1 613' - I U1 � N W D D N 288' _ rn -- Ui D 7''97520 VOL Oman M WALSH REGISTER OF DEEDS v RECEIVED FOR ST. CROIX CO. ICI z��� �f4 ` � !r Q tHCORD 06113/2805 02 s 10PN • 3 CERTIFIED SURVEY MAP i7'% RHC F - 13.08 A FE COPY FEE: 3.00 PAGES: 2 oz 0 Qr 1P = Hra 02 own ova Iq LOT y 1 LOT 4 `� _ C4_ \ S4 �9 `�38• ` � I n NO �5800�y N '25' "E c� CD Al � I 9 Eta v li o A �o can o >R;u M I C� CL NOO'25'00"W 249.55' r,; c , Y � $ •Mill + cp !2 NOO'09'16"E z aC I ♦ 5306.34' NORTH-SOUTH J x o 1328.63 706.00• 3274.71' 133.99' 1/4 UNE 21C01' z SOO'30'08 W \ 639.94• VIM z�N m• (��„-- O� � I i►-� pQ � {to THE EAST UNE OF THE NE1/4 OF THE SW1/4 OF SECTION 11 BEARS NOO'09'16'E AS REFERENCE TO THE ST. CROIX COUNTY 0y I 7246 COORDINATE SYSTEM - V I ' ? � / I o -—--}cn v SHEET 1 OF 2 SHEETS 4m Vol 19 Page 4995 r DEC 29Q05 a ' 7 67 1 3 ; 7 VOL 19 PAGE 4925 HATHLNEff H. AESH REGISTER OF DEEDS v 9 a',� • r{' O n > a ST.CEI EDxF R�RECORD e2iO4i2005 10:10AM m '� va m 7 m CERTIFIED SURVEY MAP REC FEE: 13.00 v r Z , a 78 3 � COPY FEE: 3.00 $ $ $ $ co --4-4 g o o Z m m - 1 a �4t5 PAGES: 2 CD N N C7 Z _ Z � D r � p � �` m � < v 70 Z q� �k Fn cz: z� o m0 v °g ° Q n Z Z0 A 0 �W9 1 a 1 ao � � O CAzm cc cm 1� I p i = NOO°O 2 "W > >• o O' 8 1 . _ 97.93' .............. aj,, F C3 N00"49.32';E Z $ � i� � =o ''• 114.54' In _ • m 1 i 6 O fTl 1 m o m 6 � o :Eg E C0zm �N nt A z ifl I� m 8 m °c m ;4_ 7� C Z A W �C iP 00 � N i�=m -1 z z m1 = N A m All 0) 13 MCI Ln A 1 c T 1 DD _ Z O � cm p�irp3p � �� c a N Q Q —— 1 EAST LINE OF THE PLAT OF JOSHUA HILLS O n ---- -- ..4 C 11 In O O ------ --- —= r — O 325.52 3 Z 14.42' m p m ap 800°54'40"W\ 639.94' m m I = m m \\ ;o i �^ S Z Sao CAI ;vn 1.4 m qA 2� m N ss' 13 .s 7 \�_ �y�� I 0 - N � m p 0 z� C $ s 'n s o v 7. s \ coo_ i N o 2� -1 800*08, "w @ \ `� I N z Z g I" cn 172. \\ Oz m om C� \ C33M n xvgO ^Z o I 4' \ NOO°18'45"E O. X320.73' , �pv �� m N _v m EAST LINE OF THE SW1/4 OF THE SEt/4 p S na m I fjs p9 �i' O rn / T y o BEARINGS ARE REFERENCED TO Z THE ST.CROIX COUNTY GPS m S'1 m NETWORK\NAD 1983/91 Vol 19 Page 4925 Parcel #: 020-1435-05-000 05/23/2006 10:33 AM PAGE 1 OF 1 Alt. Parcel#: 11.29.19.2705 020-TOWN OF HUDSON Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 06/02/2004 00 4 Tax Address: Owner(s): 0=Current Owner, C=Current Co-Owner RETIRED FELLING O-FELLING, RETIRED Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 12.530 Plat: 2144-JOSHUA HILLS LOTS 1/5 020/03 SEC 11 T29N R19W PT NE SW JOSHUA HILLS Block/Condo Bldg: LOT 05 LOT 5(12.530AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-29N-19W NE SW Notes: Parcel History: Date Doc# Vol/Page Type 10/29/2003 745165 9/89 PLAT 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/04/2005 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date:. Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • Parcel #: 020-1012-20-000 05/23/2006 11:04 AM PAGE 1 OF 1 Alt. Parcel#: 11.29.19.53C 020-TOWN OF HUDSON Current U ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner NKA PT JOSHUA HILLS FELLING O-FELLING, NKA PT JOSHUA HILLS Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description SC 2611 SCH D OF HUDSON SP 1700 WITC I Legal Description: Acres: 20.000 Plat: 9/89-9/89 SEC 11 T29N R1 9W NE SW S 706FT EXC W99' Block/Condo Bldg: OF S 610.5'NKA PT JOSHUA HILLS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-29N-19W NE SW Notes: Parcel History: Date Doc# Vol/Page Type 10/29/2003 745165 9/89 PLAT 07/23/1997 1190/040 WD 07/23/1997 1021/456 WD 2006 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/19/2004 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 PART n U U Z) U IN 17 1 . 29M- H.19W —1v IL 0- SEE PAGE III_ 41rFAU-5 WIL 0 P PON ON R 40 67 yy 0 4 $ �U r 9 r 143,0_1 S TAI PARK:..::� 0— "w M Deft of 76 a, 21 141_tfi h T -r 6HALL �Mc Cut 14 ALL:::::: .S,::: — f v N(7acob 3 5, llellhal-d it • Fe t,1V Riohardsoi7 Pit-< Ali­/ & yy off 12 tu •77.7 Vz�abell KenretiS ,all,/, A,. 2 't, . .....4=—. 75 (U to 73� le7 VAL-Evy K 2 V/ VU ANDS LIN LLI-7-1 C I -S 0 /60 BBB leo '00 44s,"Ish tieROo CTahn /V ea 7.. L Dy es Zu/e 74-9 OUN �jv 11 C10fl? 51 g,3 X SEE PAGE 15 1 /PD. -191 DICK KENALL SMALL Broker Owner GILBERTENGINE • • We Keep the Sp*ots KENALL REAL ESTATE SALES & SERVICE �6�uxe C ' • 1511 Coulee Road Boat Docks • Chain Saws Hudson, Wisconsin 54016 Lawn & Garden Equipment Cw" Office (715) 386-3700 Wood Stoves 0 • 0 Jim Gilbert, Owner When You Care Enough To Send 208 Locust Street Your Very Best � Hudson, Wisconsin 54016 "Hudson's On Location Dry ERA REAL ESTATE Each office independently owned arid operated. (715) 386-2233 or Cleaner For 38 Years" (612) 436-6781 Jack Bouernfeind A- 7