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HomeMy WebLinkAbout020-1014-30125Parcel #: 020-1014-30-125 Alt. Parcel #: 12.29.19.61 D 020 -TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/16/2004 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -BERRY, TODD & ELIZABETH ANN TODD & ELIZABETH ANN BERRY PO BOX 297 LAKELAND MN 55043 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 846 MOONBEAM W SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.434 Plat: 4772-CSM 18-4772 020-04 SEC 12 T29N R19W PT SW NE CSM 18-4772 Block/Condo Bldg: LOT 2 LOT 2 (2.434 AC) Tract(s): (Sec-Twn-Rng 40 1 /4 160 1 /4) 12-29N-19W SW NE Notes: Parcel History: Date Doc # Vol/Page Type 12/02/2004 781461 2707/208 WD 08/17/2004 771922 2639/422 PR 08/17/2004 771921 2639/419 TI 06/16/2004 765942 18/4772 CSM ore.. 9t1A~ CI IMMARY Bill #: Fair Market Value: Assessed with: 0 08/10/2005 09:05 AM PAGE 1 OF 2 Valuations: Description Class Acres Land Improve Last Changed: 03/10/2005 Total State Reason Totals for 2005: General Property 0.000 Woodland 0.000 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 0 0 0 0 0 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 on ~ o 3 ~ ~ ~ ~ Si £ c .. ~ ~ o ~ ~ ~ 1 ~G ~ 1 ~ ~ ~ ; O ~c ~'? ~, ~ I 3 ~: ~ ~ . ~ ~ ~~ ~ j Z ~~ W C N <i ~ • ~ S ~. ~ y .O+ W (D G tV H ~ ~ a ~ y j ~ G ~ ,~~ po ~o ~~ o ~o°-~ ~ ~~ ° ~ n o ~ ~ _ ~ ~ g ~ Cy O v I v_? v D N ~ a W t~ m <n ~ W a ooi C ~ O o 3 ~l I O N `~I I t ~ p ~ N ~ O m ~ ° ° c m y I ~ O ~p a 0 0 0 ~ I o ~ ~ ~ ~ ~ y y o < N Z ~ D rn O L~ l A M N 00 O O ~ Of 'O ~ fD lD ~ ~ (O ~ ~ I ~ N 7 a ~ .. ~ ,Y N I Z .. 0 I ~ °: ~ x ~ ~ d I • o o o ~ ~ p ~ N ~ p v, ~ I C ~ N ~ ~ a ~,, rn ~ Z O i ~ a ~ ~ -~ -i cn p Z N ~ ~ ~ , ~ I ~ ~ n A ~ 3 I ~ N I ~ ~ CC G CNp a ~ ~ z ~ A ~ 3 '~ Z co m ~ N Z A _ O f ~ ~ ~ 7 Q I ~o~'~~°-' a ~ ~ ' c ~_. N 7 N I o ~ sa m y ~1 c I W ~ ~ ~ v ' ~ . - ~ o ~ ~ o o g a •O N 0-~ N 1 ~ ~ ~ ~ C' y 7 0_ C ~~ S`' I ~rna ~ N O ' y N VC p_ 7c N ~ t/r O C b O ~ " L -o' m c ~ ~ ~mam o 7 a (D N O ~ A 1 ~ ~ ~ N N N ~ A ~ ^~ N ~ C' 7 a O ~ x N fG ~ ~ .. O ~ _ N a0 69 ~ 1p ti ~ N O ~- ti Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division ,, INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes iPrivacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Beer, Dan Hudson Townshi CST BM Elev:~/~,1. ~ Ins BM~ lev~ BM Description: ^~` ~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~~ ) c~j ~ oC J C/ Dosing oZ ~ ~- Aeration w Holding TANK SETBACK INFORMATION TANK TO ~/L WELL BLDG. Vent to Air Intake ROAD Septic *~~ ~y~ p p / Dosing Aeration ___--- _ - Holding PUMP/SIPHON INFORMATION ~ w,u -~---t i Manufacturer errand Model Number ---- TDH Lift Fr oss System Head TDFt --__ Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM ('/J county: St. Croix Sanitary Permit No: 46321 'f 0 State Plan ID No: Parcel Tax No: Section/Town/Range/Map No: 12.29.19. ELEVATION DATA STATION BS HI FS ELEV. Benchmark (~ (0 C~ /D~ a Alt. BM -~1 S-~ _o Bld . S we~ ~ l3 ~/ d S#fhitif~4et SUHt Outlet 7; z ~j 7- z Dt Inlet ~----- Dt Bottom n-~~~ ~ ~~~ ~ 9'3. `7 Dist. Pi e Bot. System Final Gra e C~Q~ Z ~ • .S y 7- (v ~ St C~ / ~/ . ~f ~ /per. ~ BEDITRENCH Width Length o. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ v ~ SETBACK SYSTEM TO P/ BL WELL LAKE/STREA LEACH NG nufacturer: INFORMATION - CHAMBER OR T .. , ype f System: ~ ~~ ~ ~ , ~ UNIT ~ Model Number: / ~ DISTRIBUTION SYSTEM ` ~>~~.,..~~~.eSu.rrcQs~.-- l/h4-PJ~~t/. ~/~'~.~'~ ~-d ~ vlrvr~. Header/Manifold t 3~ ~ Distribution Pipe(s) (( r k ~ ~ ~~ -r ~ x Hole S e x Hole Spacing Vent to Air Intake Length Dia_ __ Length l.(/ Dia_ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedtTrench Edges Topsoil Yes ~ No ~ Yes ~ No 4- COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: r/~ O~//~ Inspection #2: / / Location: 1058 Moon Beam Road Hudson, W~I~54~01~6 (SW 1/4 NE 1/4 12 T29N R19W) NA Lot~~j/ Parcel No: 12.29.19. 1.) Alt BM Description = ~I~L.QfhU (N~~~uI aa~-,. ` 2.)Bldgsewerlength=~~ ~~/su/ ./,. / ~ ,,y _ / , ~ ~~~ ~~~~~~~~~1l~~~ -amount of cover =j/~ y ~ t~.1r/W1~~~-~~h ~-~^=f GtO~bi'A/ . ~J -,~~~`~'/~~r.f ~~ "--w i Use otherls de for additional information~~o I~ ' ~~ i it _ _ ___ _ _ ~~ _~ `~~ 6 __j Date Insepctor's Si nature Cert. No. SBD-6710 (8.3/97) Safety and Buildings Division County ~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 St. CiO1X ~scons~n Madison, WI 53707 - 7162 Sanitary permit Number (to be filled;n by Co.) Department of Commerce (608) 266-3151 ~ 3 2 ~ ~. • ~ Sanitary Permit Applicahoq ~~ ~ ~~ ~ .T~ State Plan LD. Number Tn accord with Comm 83.21, Wis. Adm. information u provide - Proje Address (if differetrt than mailing address) maybe used for secondary purposes La s15.04(1 ) ~; L Application Information -Please Print All In ;'; ~,~~ 846 oon Beam West ,. ~ ~ (jU~,~; , , ~ONr Property Owner's Name > N 1 #: P Lot Block # P D ~ OFD/~~ - o-ooo, lot 2 Na Cro es Inc. D Owner's ailing Property Location 707 Grandview Drive sw 'iti NE ti., section 12 City, State Zip Code Phone Number T 29 N; R 19 W Hudson, WI 54016 (715) 381-9896 II. Type of Building (check all that apply) ( , ' l ~5,,-- ,. « al S. ^ 1 or 2 Family Dwelling -Number of Bedrooms 4 9w~ /~, CSM N c ~fo 2 ^ Public/Commercial -Describe use CSM Vol. 18, P .4772 ^ State Owned -Describe Use ^City ^ Village ^Township of HudSOn lII. Typ e o f Permit: (Check only one boa on line A. Complete line B if applicable) A' -, f I~ New System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date L4sued Before Expiration Phrmber Owner IV. of POWTS stem: Cheek all that a 1 on -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade Single Pass Sand Fiher ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recinulating Sand Filter ^ Recirculatin Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis rsaUTreatment Area Information: Fo Five (45) "Quick 4" Infiltrator Chambers at 19.1 . ft. EISA/chamber = 859.50 . ft. EISA Design Flow (gpd) Design Soil Application Rate( persal Area Required (sf) Dispersal Area Proposed (sf) S evation 600 gpd 0.7 gpd sq. ft. 857.15 sq ft 876.90 sq ft EISA 92.50' VL Tank Info Cap~ty ~ Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units ~/~~~ ~ _ / pp oncrete Conshttcted Glass New Existing r ` t.~- Tanks Tanks Septic or Holding Tank 1,251) _ 1,250 1 Wieser Concrete X Aerobic Treatment Unit Ibsing Chamber VIL Responsibility Statement- >4 mtdersigned, a responsibility for lnstaDal3on of the POWTS shown on the attached plans. Plumber's Name (Pritrt) Pl 's Signature MP/MPRS Number Busittesa Phone Number Jce Stang MP #223475 (715) 684-5166 Plumber's Address (Street, City, ip Code) P.O. Box 263, Woodville, WI 54028 V1IL Coun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Date Issued Isstt' ent Signature Stamps) ndwater Surcharge Fee) ^ Owner Given Reason for Denial ,2 ~ r' /~ ) . u oC LY. Conditions of ApprovaUReasons for Disapproval 3~ ~o ~ t e,wt~o -~-~ ~'-~~ SYSTEM OWNER: o~,xS ~~,~ ~ CS G~ yV~e~.P . 1 Septic tank, effluent filter and ~ dispersal cell must all be serviced /maintained `~ as per management plan provided by plumber. ~~ a ~ ~ o.~n~ .,~~ //~~-~-----~ ` 2. All setback requirements must be maintained /~ ~ ~ "' ' '~ S ~ l4~ ~ ' " , C~d-u- as per applicable code/ordinances. 6-/-' f a.tlL0. Attach complete plans (to the County only) ror system on pe not fees than 81/l z 1 nli-ehcea ids , w ~ ~~ ~,i ar • /o ca.EcUclorQo• s~ aolV / ~ a (fir ,' ~ o ~•"" ~ rJ , ~ p~eposcd cl~s p.crs4.Pa!( ~ ~C.ci/G. ~s f'b ~ Rt .2/ ,t' GO' uSi n f'iI'~IF': /c _ r (yS~ CQw ck' y n,F~ ~.o f ,z, CSw? dof /l ~. y77,2 , , . - ' ~ G~o~.,~ (,mss (/s~trtrr~l-J , c°~ r ~ °~ .~ h ~ ~ 99.o'~r~6,u. '~ b h~\ q ~, o' ~ , 99:0' i ~ ~ ~ ,, a~ ` 1 ~ ~2 S/'~lSTh7 30 3 ~/ , ^ ~ ~ ~ s/ope ~ , ~ i ~. ~-opest,~l c..~~csrr ~ ~ Q2~ 1 ~ Cer+Crc~e.l,~SO ~ ' 1r ~ QF~Iuw,EF;~tcraE ~~; / ~ " h outlt~f'. .S/a~et ~ ` ~ ~i r' / i ~ r ' \ ~./ Propostd ~ ' 91.sa' ~,96~ j \~~ ., r~sTdan ~ ~ ~., ~ •, - (~,~,~, Mar~t'•' T of ~ra~a9e ,, /' _ poskc.d~wc.~ .Assu.•ncd a lcv: P~'° . pan. c» tou~~on 3s ~ - 1 ~~ G ~ ~ ~"" ~~ ~~ ~ ~~ 3 / ~ -~~y Q z. Op ~ m®~~aM G West ` \ ---~--------- ~3~G7- • Ex.~ ~.~ 8 made ,¢led` • /o ca.Eed~or4,o. S~ ~.of z, CSM do-P /~,~. S/77,2 J t l X~ ~ ~ ~ S ~a r °t~ / a , o~ rJ ~ .' ~;. 97.0' ~ 9d:o' i c 1~ ~ t 1 '~ ~ ~ 9820' .~~ ~/'~I STiyJ 30 3 ~/ ~ ~ ~ ~ ~ ~ ~°FF/u~r~ /.he ~ ~ S/ope ~ I 1 ~, ~-oF1v5~ c.•~~e5t/ ~ Car+crc~ r,ssoB.Q _~ ~ v eF~luw, E F; / tcra~ ~~; 4~'1~• S/o~oe ~ ~ Pro posed ~ 91.sd' ~ ~ res.dehce ~ i i a~aye `, a i ~ ~ ~ ~ • `~~opose.d weal ~o ca~.i o n rnCi~n be4M WeS~ ~~ r~ ~~ L0~ Q 99.o'~,~b,u~ 1 1 ~ ~ ~ ~ ~ ,A ss u..-•r cd a 1.cv. lQO. GYM " \ -------^---- ~3~d7; ----- - p~epaSGd eL ~ s p.crsc,.p Ce(( a.~ .2./;r GO~uS:~ Fi~F;rc moo,,,,, (oers ~/S~Crt/~rtt1~J ~- o- Q ~c ~~ ~~ o ~ ,S~ o ~ ,~ n ~\ b •b ~~ ~~ ~o h ., ~,,.~ ~ RECEIVEQ~ Wisa3nsinDepartmentofComme SOIL VALUATION REPORT Page of_ Division of Safety and Buildings ~ N ~ ~ ~ ~~~ m accordance ommi85, Wis. Adm. Code County ~ /' / Attach complete site plan on pa r not~s~lh~i+ll~ fflvxithtli ihches size. Plan must indude, but not limited to: verti and hap~~J(ge~$/~tl~point (B~1), direction and Parcel I.D. percent slope, scale or dimensio ;'eT1~7Si'~tiGri an3'Bistance to nearest road. Please print all information. a ewed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ q Property ~ Property Location ~ ,~ Govt. Lot SW 1 /4 ~ 1 /4 S / ~ T N R E Property Owner~Maiing A dr ss ~ t_o~# Block # Subd. Name or CSM# City S Zip Code Phone Number ^ City ^ Village ,~l;own Nearest Road / s 3~ - ~ New Construction Use: ~ Residential / Number of bedrooms Code derived design flow rate ~ GPD ^ Replacement ^ Public or commerdal -Describe: ___--___ __ __________ __- Parent material ~iC~ Flood Plain elevation if applicable /~ ~ ~ ft. and r~ecommendarntions:~ S~ eL ~ vC't~~ ~r v y ~a . ~- ,, _Ss~~ ,- ~~ # ^ Bonng ~. Pit Ground surface elev. ~ ft. Depth to limiting factor ~ in. Soil lication Rate Horizon Depfh Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 •~ ~ ~'-fP ~P ~ ® ~~ # Boring pit Ground surface elev. ft. Depth to limiting factor 1 z ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ,~i -g ,, 3~ l' ~- ~-~- ~ -s z-. g-3 - s~ ~-~ ~ . s ~ ~ ~ ~ ~~ 3 ~ -~ / ~ ~ ~~ ~ s ~l~ ~~.~ , ~ , ~ 'Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BOD < 30 mg/L antl I S5 < ;~ mg/L CST Nart>Q (Please Print) Sig CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~- J V ~ 715-246-4516 L I S ~, r Property Owner Parcel ID # Page of a Ong # ^ Boring Pit Ground surface elev. ~~ ft. Depth to limiting faaor~~_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z, - a. .-s ~ ~' mom' ~.~~ ~ c~ 3 3 ~a- - ~ os ~ . z .~ ~ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ligtion Rate Horizon Depth Dominant Color Redox Descxiption Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont.-Color Gr. Sz. Sh. 'Eff#1 •Eff#2 a Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Desrxiption. Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODE > 30 < 710 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SB0.87J0 (R.NUO) i '[ Soil Test Plot Plan Projec~ flame Dan Beer Shaun Bir Address 1119 Cty Rd A Hudson Wi 54016 CSTM #226900 Lot 2 Subdivision ------- Date 12/15/03 S W 1 /4 NE 1 /4S 12 T 29 N/R1 g W Township Hudsom Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 112" Pipe System Elevation 93.0/92.5 *HRpSame as Benchmark Alt. BM Top of 1/2" Pipe @ 100.0' 118' Pronertv Line Property Lines were not stake at the time of testing, installer should verify all dimesions before installation V 486' `~ Property Line Scale is 1" = 40' unless otherwise noted 97' 98' B-3 84' 30' Alt. .M. B-2 55' 1 B.M. 80' a~ ., a~ 0 17-1 O O 7 J ~• 00 0' ~ in !1 fD K w r O u+ m °c ism _ 3 ~ r~ z° I r, ~~ n C ~ n C T~ r ,~. ~ -~ ----r ' p m ~.":: D ~s Z _ ~ ~ ~ D Z ~=; ~ ~~ ~ ~ ~ ~ ~, ~ (~ ( C7 ~ ~~. A ~ ~ D ~ d _ A . ~m N ~ ^_ , ~~ £ i ~. = N ®~n o ~ ~ c~ ~_ -~ n r' ~ ~ ~ n ~V m aryxIn C Z ~ j ~ ~rr ~~~~ ~. < ~ N D ~~ fl (: ~. ~ D~v~ N~~ O~ n= ~~ ~ V N~ x T K C7 1 ~ p, ...iiiy111 f'I ~ m F ~S, ~, _-~: ~~ n n ~ o c~ co ~~ m ~ v a D fI('I vi - A~ ~z ; m ~ , ~~ `; ., D ~ ~ 77 ~ _ -- ~ Q ~n ~~ T~ D Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10567-P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment. maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations (October- February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the s<~stem in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber, Joe Stang at (715) 684-5166, or the St. Croix County Zoning Department. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSLH.IP CERTIFICATION FORM 9~tzerBuyer ~O1X~',~sz~-n Ji~QS Mailing Address 7~7 ~l~lJ<<-eJ~i~ {{u..~sO1~ C-~~ SS~6lb Property Address City/State LEGAL DESCRIPTION Parcel Identification Number /~ c%nr1 ~~arr, ~~ ' /D/S~- 3~-cD0 Property Location SC '/4 , rl ~ '/4 ,Sec. ~, T 2-9 N R /9 W, Town of _ r~s~ Subdivision Lot # 2 Certified Survey Map # ~~oS~T~ ,Volume ~~ ,Page # ~7~ Oho /3S ,Volume 7z.3 ,Page # ~~~ Spec house es [] no Lot lines identifiable ~ [] no SYSTEM MAINTENANCE 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County Zoning Department 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/or (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of th~three yeaz expiration date. .--- X s' r~~ 'c8m ~, GJeS ~ (Verification required from Planning Department for new construction.) SIGNATURE OF APPLICANT !L/~/~ DATE OWNER CERTIFICATION Uwe certify that all statements on this form aze true to the best of my/our knowledge. Uwe am/are the owner(s) of the property de 'bed above, by virtue of warranty deed recorded in Register of Deeds Office. S GNATURE OF APPLICANT DATE ****** Any ' formation that is misrepresented may result in the sanitazy permit being revoked by the Zoning Department. ****** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. ?6t3994s U 2S18P U23 . , ~isoF~ sc. caoix co., 1tI _ iIYf£D i~t Rim ifniisi~ 09:3'iAlt ts'LEASE 1PA1tTI~ i 13. N ~ s ~ ~ = COPY FBGs CC FSB: getutn to: PAGISS: 2 Agstar Financial Services Po Box 360 Balclwinr Wi 54002 Parcel Nexnbers: ~D--1o1~1- ~-000 a~-tv~~-1 ~o--oc~~ sp.e. Aibaw is ror R~eor~,p inrormwtion FOR THE PROTECTION OF THE OWNER, THIS RELEASE SHALL BE FILED WITH THE RECORDER OR THE REGISTRAR OF TITLES IN WHOSE OFFICE THE MORTGAGE OR DEED OF TRUST WAS FILED. PARTIAL REf,EJ0.SE OF MORTQAGEID>:ED OF TRUST Loan No. .,~g~157600 ~g~ Fkianciad Senrioes, FLCA a federdhr dtiuterod corporation, whose addross is CERTIFIES that a paroei of fend M the County and State of 1Nl~tt descxibsd ss follows: 477 M Document Number 765942 sin S74 NW1r ot~SecHon 1L2~T29N, R~ 1W T F~udson~c ~S~C~robc~CountNyEll~~t~d~part of tl~e SNEfaps. on (continue legal description on page two if necessary? This inatrurnent wss dratted by' P~,,~~ Financial Sanriaes (,~i Fl ~}~ Baldwin Plate Drl~e. Baldwin. VVI ass too t~no~? 2818P 02`t PARTUIL RELEASE OF MORTQAt3FJDEED OF TRUST (Pape 2 of 2) Subject to existing highways, easements and tights of way of r+eooni. is hereby released from the lien of a moRgage/deed of trust dated lQgober 2 19®8 executed by b L Beer and Philippir-e U Beer. as his wife nd in her own richt: by The Feda_ral Land,~,Qf,,~aint P ui and assigpg~tp_Farm Credit Services of ,_ Northwest IKtaconsin. FLCA now known as AaStar Financial Services. FLCA and recorded in the office of the Register of Deeds/County Reoorder/Registrar of Titles in said County in Book -Volume -Liter Vol. 786 on Page 208-211 or Document, Microfilm, or other kientifying No. 4~ iti434 .The Register of Deeds/County Reconier/Registrar is authorized to discharge the aforesaid from the lien of this mortgage/desd of bust upon the record thereof. ^ ff this provision is checked, (Assoaation) Is executing this Release as the agent for AgriBank, FCB, acting pursuant to a power of attorney of record. Dated: Julv 9.2004 W{TNIF_S3ES: l1AOR1'GACsEE (As Named Ahove) Name: Jodi Title: Cbsing Specialist _ STATE OF Wisconsin ) y ss. COUNTY OF St: Croix ) On July 14, 2004 ,before me personally appeared, Jodi Fedie to me personally well krxywn, who stated that he/she is the Cliffii[tg Socialist __ _ of Ag,~tar FinanNel FI CA a corporation, and is duly authorized to execute the foregoing instrument on behaH of said corporation, and further acknowledged that he/she had so signed, eraecwted and deliverod acid forogoing instrument for the consideration and purposes therein mentioned. ~~ ~ (~. jrrl D>hrlr Name: Stacy Notary PubNc, State of Wisconsin Commissioned in n~n,r- C1tViRgi MY commission expires Decpnber 4. 2005 , oisr ~ oo ro~,zoosl AMENDED `~ DUGUMENT NO. SPATE BAR OF WISCONSIN FORM 16-198th *"I• •-ACS RcuRVm •oR RacoROlNO owr• ~, ~s~~. ` ASSIGNMENT OF LAND CONTRACT ~` I I~ _ tivoL .12~ P-cE 5~s T~Assa gnment taco=de3"~n~o~-7~Z; Fage~i3; DIIocuinen~ ' (~~~~RS O~fICE /398057 is amended as read: ' ST. CROIX CO. WIS. i a~881gIlOP, Whether one or. more, for s valuable consideration, assigns ~ - ' and conveys to ...QT.i3:.)tiw..Hst:i:h~eir..and..~~~T~..E....~1g-~chler.,......... Ret'd for Record this 15th ... hushand..and..wits..as-.point.. temants ........................................... ;I der of_Ont ~A.D. 1955 ' i .... ....................................................._..-......................_.~. ...---- •--• i 8:30 A ~ ~ ..............................................................................................: (•'Assignee" )~ whether one or more) the (Vendor's 7i~(]4Yi6~XdoY'YjC interest in a Land Contract :~ ' dated. ths.-....24th .............day of..........-.Mdx............,.r 18:SS..., executed by it tltsad. .Rngez-.E.--Het chle r..and..Mary.. L.. Hetrhler.,.. his.. wits .............. .............................. as Vendor to ';, RsruRN ro .Daniel..R...Beer........---• .......................................................•--•--........_. i+ ~~ /" _ 1 ~.e~. u,..~ 1'h.~.vs°`y. ...............°.-...•......-............_.....................----.....-•----.--.....--•..-- as Purchaser *as modified by the Amendment on lands us ........_._.81:...lwX01X ..........................County, State of Wisconsin,. recorded in the Office of the together with (ths indebtedness therein referred to and) all the interest of the Fegister of Deeds for said Co ~ , ty Assignor is the Land Contract and the lands described therein, which Land Con• in VO1. 702, Page 12, Document' tract ~syr~~l}~ded in the Office of~ie Register of Deeds of said County, on #398359. ............................................. 19........, as Document Number..3IA669._.., in 628 (Records) 7~(3~6~ (Vol.) .-•---• ......................... of (Mortg'a on (Page) ....__552_*..............._. Ths Assignor covenants that there wing and unpaid on said Land Contract, the sum of _..~ ..................... ---~'-i7c1:X-f~xa..~tIQS1Sansi.-~~4_J~.uD.dsed..~a~_of_November..26:..1984--...--•-• .....................•--•---Dollars. !. and also interest at ._..&~X...~~X~........ per cent per annum from ..........August_-1S,-.1984 ................................. that Assignor is the owner of the above described interest in the Land Contract and has ^ood right to assign the same, j and that the condition of the title of Asaignor'n interest is the same as at the time of recording the Land Contract. ! i' X Except for Assignment hereby amended. PARAGRAPHS APPLYING IF THIS IS AN ASSIGNMENT OF VENDOR'S INTEREST: (Strike either 1. or t.) I. This is a complete assignment of the Vendor's interests in the above described Land Contract. The Purchaser under the Land Contract is instructed to make all further payments to Assignee upon receipt of a copy of this docu- ment,-YY~~C This -..- is not homestead property. (is not) I Dated this .--•------•-•---...-: 7Eh.....---......-.... day of ..------ October ---- - -----------• ••• -•-------....---••----• 19.-85... -------..(SEAL) - -lOJ''~'?!~• N~C%'CL!Qiv•- ---•-----...(SEAL) -- •----- -•----- ---• .................................... a . • --.....---•• .................................................••-- - Roger E... t --- ......-...-.....-... --••----• ---....-----• ---- .(SEAL) - .. .~..,- ------------- ------- -------------(SEAL) Pry Hetchler AUTHENTICATION ACHNOWLEDOMENT Signature(s) of both assignors authenticated t 's :. ~~lday of.._ October , 1985_. L~ ~ „~+-- John Heywood TITLE: JIETIBER STATE BAR OF WISCCNSIN suthorized by ?S 708.06, Wis. 5tats.) TKi$ INSTRUMENT '.VAS OR4fTED BV John D. Heywood: HEYWOODt CARI 6 HURRAY P.O. Box 229, Hudson, Wi 54016 (S:gnahires may be authenticated or acknowledged. Both ~.o .,..r .,e,.e....-.. ~ STATE OF WISCONSIN sa. ..--• • ......................•----.....County. Personalty came before me this ................day of -----••-•-•-•--•--•---•---------•-••--•---• 19.....--- the above named to me known to be the person ._.-....._.. who executed the foregoing instrument and acknowledge the same. Notary Public ..----••----....-•----•--...-_.------....County, Wis. lfy Commission is permanent.([) not, state expiration \: `• ~ 76S'9ti-2 VOL 18 PAGE 4772 1{ATRL~BA H. liT-LSA REGISTER OF DEEDS j- ~ RECEIVEDxFOR~~?ECORD CERTIFIED SURVEY MAP ~ 06.16.za09 ~:00A?1 LOCATED IN PART OF THE SW1/4 OF THE NE1/4 AND iN PART OF THE SE1/4 OF THE NW1/4 CERTIFIED SURVEY MAP OF SECTION 12, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN. REC FEE: 15. 00 COPY FEE: 4.00 ~ SURVEYOR: PREPARED FOR: PAGES: 3 DOUGLAS J. 7AHLER DANIEL 8, KIMBERLY BEER ---, 5 8 N LAND SURVEYING, INC. 11,9 C.T.H. "A` 2920 ENLOE STREET HUDSON, WI 54016 HUDSON, WI 54018 DRAINAGE EASEMENT "A" LINE TABLE DRAINAGE DRAINAGE # DIRECTION DIST. # DIRECTION DIST. EASEMENT "B" EASEMENT "C" ~, A, S75°40'56"E 37.4T L13 Na,°3o'aa"W ,ss.29' LINE TABLE LINE TABLE ~ A2 S56°25'22"E 79.98' L14 S19'O1'47"W 24.41' # DIRECTION DIST. # DIRECTION DIST ; A3 N88°3742'E 62.82' L15 S50°35'52"W 30.88' 61 N89°46'24"E 30.00' Cl N89°46'24"E 30.00' A4 N05`22'54"W 52.76' L16 S76°30'55"W 30.78' 82 N00°13'31`W 88.10' C2 S00°13'31"E 102,62' i ~ AS N89°46'37"E 159.06" L17 N83°35'37"W 35.20' 63 N88`02'25"E 44.62' C3 824°59'25`E 56.1 T ~ L6 817°1T18"E 77.22' L78 N26°41'08"W 117.4T B4 N09°00'06"E 81.90' C4 S09°35'48"W 64.25' ~''~ L7 S79°01'47"W 4x.83' L19 S88°32'42"W 68.32' B5 N34°56'38°W 82.37 C5 S52°04'26"W 53.81' ' L8 S41°30'44"E 169.89' L20 S64°15'04"W 26.88' p~pI555p333^17Dia~ 64.11' C6 N00°13'31"VV 249.84' ~ L9 SOO°09'S7`E 267,50' L21 841°58'39"W 56.48' ~150~7~39~0268.66' L10 N00°09'S7"W 32.53' L22 S56°20'02"W 46.31'ry~~ ET• C'ROIX OpUNTY '! BENCH MARK: TOP L, 1 N32°73'1S"W 18.84' L23 N00°13'3,`W 152.89' Iny Zonlr>t,7 •nd Pprka Cemniktpa i OF 1"IRON PIPE, L12 NOO°09'5TW 222.82' JUN ~, ~ 2~Q4 ELEVATION 845.9 UNPLATTED LANDS '' ! ~- ------~ --~ -- ~~ ---------- ~ ---- ~--~f not rpcwwsd wIV11n 30 tla Cf LEGEND _ _ _ _ _ S89 46 37 W 438.3 ` ~ ~' A1~ 31 8D5' A5 118.53' ilppt'OViI ~itp ~^~ ~ FOUND ALUMINUM COUNTY ~ ~ ^~/° SECTION CORNER MONUMENT A3 !" FOUNp 1"OUTSIDE ' I 0 ~ i H.W.L. _ ~ d-j'c5 944.30 DRAINAGE ~ DIAMETER IRON PIP[ i ,....~ 946.50 1 /~ "- ~ ~ EASEMENT SET,` OUTSIDE DIAMETER BY G1 ~,,2 ~~ DRAINAGE~w~ ; ~ O 18" LONG IRON PIPE, WEIGHING ' i i CV I Vl '~ w~EASEMENT "A" `~' ~' /" ' 7.13 LBS. PER LINEAR FOOT j I ; -~ ; (~'~ LOT 1 ~q17 ~ / \~ '9m Z~ ~ ROADWAY SETBACK LINE h p ..... +~"."y'~ ! Q ~ 2.485 ACRES A~6 P y/ O~; r (50' FROM RIGHT-0F-WAY) 1 v ~ Z ~ ~ (108,252 SO. FT.) Gi 7"~ t7i~ • FOUND 2" OUTSIDE ' n °~ ~ LBO = 948.90 Lbi `~ -_ ~; ,,..,7{ DIAMETER IRON PIPE I C't"'1 ~ ~ Bs ~ AcF ~l~ ^) -"--- EXISTING FENCE ~ ~ i ~ H.W.L. _~ w LQT Q ~i C>7 _ - ..~ 12' WIDE UTILITY EASEMENT ' ' ~ ~ Q ~ 8.90 ' `~ 2.434 ACR~~T vtl ~ •-- PROPOSED DRIVEWAY t'T7 ~' , ' ^-r ; ~'°`+ p 63 LBO = 946.3 ~ ~ ~~ ~~' i ; _~ ~O ~~DRAINAGE ;~ q p)~'~' ``fps \4j~ ~ ~ ~ i ' !"'" -~ Ip EASEMENT "B p N~ `° a~1 ~ v Z '' I ,O w .N`...... gl ;~ ,~.~ ~o ~~~I 11 ~ ~' W N89{°46'24"E ~ ~ ~ ~ .~ a ! L __ - ~ 83:00'- 09. . , 02 0'~ G'I jMOONBEf1M~ ~ ^ C, ~ ~ `per a ~ _/' ........... y~ n ~~~ ~~~ - %~~y/' 1`~ o o m WEST ~ M A, ~> > Iw_ .T ~ ~ m m. 1 ~ 0 3.61_,- 6-~ ,V'v8~ ~ C2 _ ~ \~ ~'^ z.I i 9 _ 89°48'24"W ~ FS'~, 0 ~ / ~ '~ ~ z m m: d I~ .„~H.w.L_ _ ~3s. ~k,. -------_ -_ ?' crf~ N ~'y ~ °z o d I ~ 944.20 ~ -_ . ~$ ^ y . \Q N ~ ~'~~ ~ iv S I ~;~ " ~ 'O'Z `l- ~MAE rc ~~vo\a' LOT3 ~';~ ' ~ Z ! ~ ~ /~ LOT 4 _~~ 12' ~~. (105,3 0 SO EFT.) ~ ` ~ ~ C'""' G5 3.252 ACRES ~ I O_G,.-.~{ ', O (141,655 SO. FT.) ~ I ~~,~./~ I "--3 LBO = 946.20 i ~ N '' BENCH MARK: TOP ~ 6 16' c7i ~ Et/4 CDR. ; ~ OF 1" IRON PIPE, ~' `" 33' 33' ~ ~ SEC. t 2 i ELEVATION 847.9 2596.1T 459.02' (N89°5T29"W) ~ 66 312.16' 1880.8-81~~J w,/a coR. I LOT 1 N89°46'37"E 37.1 EAST•WEST i/4 LINE ~ sec. ,2 I ----------PLAT OF N89°46'37"E --; ~~ L--66' MOONBEAM RIDGE I NOTE: ) s32a.z3' f j"O iz ~ LOT 13 NO OWNER OR RESIDENT SHALL DO ANYTHING WHICH WOULD iD i07 INTERFERE WITH OR CHANGE THE OPERATION OF THE APPROVED ~'~ '~ 1 ~ i COMPREHENSIVE WATER DRAINAGE AND SOIL EROSION PLAN FOR 1 SCALE IN FEET 1 " = 150' THIS PLAT, THIS INCLUDES BUT IS NOT LIMITED TO BUILDING UPON, ~ , OBSTRUCTING, ALTERING, FILLING OR EXCAVATING, OR PLANTING IN I ANY POND EASEMENTS. WATER DRAINAGE DITCHES, WATER 1 5O O 1 SO RUNWAYS, WATER GU EVERTS, BERMS OR GRASS SEEDINGS. ', THIS INSTRUMENT DRAFZED BY: WIWAM KANE JOB NO. 6134-02 DATE: O1/06/04 REVISED:08(it/04 SHEET 1 OF 3 SHEETS Vol 18 Page 4772