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Home My WebLink About020-1365-25-000, r~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ^ City ^ Village ^ TbLvn of: P.C. Collova Builders, Hudson Township CST 8M Elev.: Insp. BM Elev.: $M Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ os'F '1r s v Aeration,.. - " Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Airlntake ROAD Septic y a ~~ 3~ ~~ r Z l NA _ _ A Aeration. '~ NA Hol~g PUMP /SIPHON INFORMATION rer ___---- errand Model Number G M TbH Lift Lriction tem TDH Ft Forcemain Length Did. Dist. To Well SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No.: 363860 State Plan ID No.: Parcel Tax No.: 020-1365-25-000 STATION BS HI FS ELEV. Benchmark 3 ~' q~_ U Alt. BM ~ ~ BIdg.Sewer Z,r'~ SSA ~/ Ht Inlet 3 , Z (i_ S~ st/ Ht outlet 3 .Y 9d. zs' Header /Man. Dist. Pipe ~- 2 ~.sz- ~ ,S _ / Bot. System ~~ ri ~ 7z ~ •SO / 2. . 99 Final Grade y I 9~(, St cover 9 . ss- BED N Width Lengt / No.Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM ~ Z DIM N 1 SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEA Manu er: SETBACK INFORMATION TypeO ~V3s,,,, ~ ,~. ~c// ~ CHAMB NIT Num er: System: f~~(( // DISTRIBUTION SYSTEM Header J Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Len th Z Dia. 9 / ~ Len th Dia. S acin 9 ~ ~.~ ~ P 9 ~ / z Z °~ Z ~ Z ~ ~ ~so 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 Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: ~ / (/ / OoInspection #2: / / Location: 631 ~~dd lame.. ,Hudson, WI 54016 (NW 1/4 SW 1/4 10 T29N R19W) - 10.29.19.2185 Riverpark Meadows -Lot 25 / /~ ' 1.) Alt BM Description = }rp v~ /o~a~k ~~trzJ ~ s~ te,.~: ,,.' ~> .5y 5 ~~rr`- af°~°~ ~~ ~ `~~ 2.) Bldg sewer length = (~ ~ ~~ d1C bra<~~ ~ a/Ca -amount of cover = >'/ p ~' ~~/° ~'u !~'~-Q''`J L ~ w%~~`'~- ~~yk cvd.~i lCv~l S ~i/ J 1 ~'1 LV ~ 'S ~ !'LC. C~ /~l Q./~ QOr~i~ NJ 1 ~vnV "'~ r ~ ~ ~d V lr~~ ~~'V ~ (Q ~ // ~~?~ ~ Pla revlslon required? ^ Yes ^ No YYY U Use other side for additional information. SBD-6710 (R.3/97) Date Inspector's Signature Cert. No./ ~~ t , ~ ,. , a <v ~-' ~ - ~ -`--- ,- - SANITARY PERMIT APPLICATION ~~scons~n Department of Commerce In accord with Comm 83.05, Wi t~rrtl,C+o f ~~ r , • Attach complete plans (to the county copy only) for the sys ~-~ QfS+pape~ot less than 81/i x 11 inches in size. ~:= ~~~~j~/~r1 • See reverse side for instructions far completing this appli ati0n U ~ F' 1 ~ ,1 t Personal information you provide may be used for secondary purposes `~~ [Privacy Law, s. 15.04 (1) (m)J. ~ ~~' C~~ k n v .n.an. Safety and Buildings Division 201 W. Washington Avenue POBox7162 Madison, WI 53707-7162 StatetSanitary Permit Number . X63 g~ 0 [1Ch~ck if revision to previous application ~taite I. APPLI ATION INFORMATION -PLEASE PRINT ALL -~- Property Owner Name -_~' `l~ -...,, Property Loc 1 R E (Or) N T /Z G ! act ~ y 5 , , l Prop rty Owner's Mailing Address m ~ Block Number d ~s City, State Zip Code Phone Number Subdivision Name or CSM Number ~d l'6 ( ) e ~^ s . T P I DIN (check one) ^ State Owned It~ ^ vil age Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms _~ Town OF coo/--s . ~ a-ur ; ~ ~-a,,~i-~ III. BUILDING USE: (If building type is public, check all that apply} Parcel Tax Number(s) 0`Zd ~-- 3.b5 -~ 25,000 I ~ ?s~. i~ . 2(' ~.~ 1 ^ Apartment /Condo 2 ^ Assembly Hal( 6 ^ Medical Facility/ Nursing Home 10 ^ OutdoorRecreational Facility pground ~`~_ Merchandise: Sales/ Repairs 11 ^ Restaurant/ Bar/ Dining 3 ^ ~ 4 Church /School 8 ^ Mobile Home Park 12 ^ Service Station /Car Wash 5 ^ Hotel /Motel 9 ^ Office /Factory 13 ^ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1 _ ~ New 2. ^ Replacement 3. ^ Replacement of 4. ^ Reconnection of S. ^ Repair of an -_____System ____--__System -_ TankOnl~r______________ Existing System _________Existin~SLrstem B) ^ A Sanitary Permit was previously issued.. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^ Seepage Bed 21 ^ Mound 30 ^ Specify Type 41 ^ Holding Tank 12 (~, Seepage Trench 22 ^ In-Ground Pressure 42 ^ Pit Privy 13 ^ Seepage Pit / , 43 ^ Vault Privy 14 ^ System-In-Fill ~ k~ ~-- VI. ABSORPTION SYST M INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.j Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 9O, s ~ Elevation f{ ~ 3 .$'7 d ,,lJac.r Feet Q~Yr °' Feet VII. TANK INFORMATION Ca cit in gallons Total # of Manufacturer s Name Prefab. Site l st Fiber- Plastic Exper. N E i i Gallons Tanks Concrete uet ee glass App ew x st n st ed Tanks Tanks Septic Tank or Holding Tank K- llG~ ~rr~GJ~ ~~ ti ~ ^ ^ ^ ^ ^ Lift Pump Tank /Siphon Chamber ^ ^ ^ ^ ^ ^ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sew ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: o Stamps) / PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): l' GJ c ~ ~ IX. COUNTY /DEPARTMENT USE ONLY ^ Disapproved "tary Permit Fee (IndudesGroundwater ate SSUe Issuing Agent Signature (No Stamps) ~A roved TTT"` pp ^ Owner Given Initial Surcharge Fee) ~a~ ~ ~ Z~ 5 - Adverse Determinatio - X. CONDITI N5 OF APPROVAL / EASONS FOR DISAPPROVAL: ~ ~~ ~ SBD-639H (R.12/99) DISTx18UTION: Original to County, One copy 70: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a 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. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County /Department Use Only. Complete plans and specifications not smallerthan 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction Igss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ~' GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations:. and establishment of standards. i r V j ` b . \~ i /7 G v .t'/~ v' y ~ ~ \ ~7 G Lvisconsiri Department of Commerce SOlL AND SITE EVALUATION f~ivision of Safety and Buildings Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. p~~~oi , n ,~ Page ~ of APPLICANT INFORMATION -Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ _ 0 ~ z.~dD Property Owner Property Location v 10~ Govt. Lot ~~ 1/4~(,~J 1/4,S(U TZ~ ,N,R /f( E (or~N Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# '1U~ _ CL5 ~~ ver pUrk ~ ~vs City State Zip Code Phone Number ^ Villa a ['~-Town Nearest Road ^ City g 5csvt I LcS l I ~`lU/(~ I ~ -71 S ~ 5~ 517'7 ~„~/sa ~ I ~ ~r,'~ ~~ ~e New Construction Use: ®Residential / Number of bedrooms ~~ 1 Addition to existiny building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow Z~DC~~ gpd Recommended design loading rate - ~ bed, gpd/fl2 o trench, gpd/ft2 Absorption area required ~1 bed, ft2 ~1 > trench, ft 2 S r Maximum design loading rate • ~ bed, gpd/ft2 ~ y trench, gpd/ft2 Recommended infiltration surface elevation(s) ~~- 5"~ ft (as referred to site plan benchmark) Additional design/site considerations !4/f • -e(-C ~~ ~ ~ ~ Z U Parent material C~t_t'~1~.>;i.`~{-; Flood plain elevation, if applicable ~ 1~ ft ~ S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ®S ^ U [~-S ^ U ~ S ^ U ®S ^ U ^ S ®U ^ S ® U SOIL DESCRIPTION REPORT Boring # Ground elev. ~~ft. Depth to limiting factor Ir _in. Boring # 2 Ground elev. G, GC~t, Depth to limiting factor l~ in. Horizon Depth Dominant Color Mottles Textu Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color re Gr. Sz. Sh. ry Bed ,Trench C}-f I I C~ r Z S' ~~ ~~ C.-S I v y • z~. 3 Z ~~-37 !0 r~1 3 -- s; l 2 ,-,-,~~ cs - , 5 , 3~1-I- I ~4~1.a _ mS DS rnI c5 _ .~ ~ .g 0 •S'D ' ~!. y . Y~ , Remarks: ~ a_ ~ r3 Z I k ~~ .., .Z '~ 3 Z q-~W y 3 5•I ',, . _. ~ ~ r , ~ ~ ~~ . ... ,~ # . y , ~,. `-, .i _ , Remarks: :,ST Name (Please Print) Signatu /. Telephone No. i9 S~hv c~ e-~ ~ 115- 2 `f?-5bct Address Date CST Number ~-1v$ C~ct 5~. # ~-{ m S~aZS l1-8-99 zS33v PROPERTY OWNER ~C~ 1 ~C~ v ~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # ,~ Ground elev. /F~ft. Depth to limiting factor ~_in. Boring # `l Ground elev. 96./~ tt. Depth to limiting factor ~in. Boring # rJ ~' Ground elev. J~/- /Jb ft. Depth to limiting factor ~~in. Boring # Ground elev. ft. Page Z of 3 " Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench I U-I I 0 Z -- i k r v~ • Z ' 2 ~1- tU y 13 -- 5~ I Z ~; o - (~ S~ ~ Remarks: 1 o-lc~ !D z ~' Sil ~5 Ivy' •2 ; :3 2 ~c~-sz ~f13 s~I ~ c. - - 5 ~~ 3 sz-,w ~D ~y~ -- ms o m1 cs - . ~ ~.~ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench 1 o Z -___ 5i ~ I m~bk t~r LS ! v ~' . Z ' . 3 Z Its- ~o ~ '- 2ma m~' c S _ ' • 5 , • ~ Remarks: Depth to 1~ limiting factor in. Remarks: SBD-8330 (R.9/98) s. PAGE 3 OFD NAME Ou-~ (°v (lc~c~a LOT # ~ ~ LEGAL DESCRIPTION SCALE I"= __ ~UC~ - -- _ - - -- '~BM 1 ELEVATION ~~ ~ ~/O /BM 1 DESCRIPTION~_.~ _~ z r` ~~ G ~~ w~- 1$M2 ELEVATION ~4' ~~ _ _ /BM2DESCRIPTION__?r___~o__z"~vc~~,'(>~ la.~hy/~1_b~~ SYSTEM ELEVATION 4 ~ .SU ALTERNATE ELEVATION `LZ~U _ __ _ CONTOUR ELEVATION NI G ~ -~ - Sw ~ /o - Z y -/ 4 - cc1 ~ ~ ~ ~ ~~~ ~~ ~~~ ~ ~'' 3 ~,~ ~ d,,.. ~ ~,.~ ~~~ ~e ~ %-/G- ~dlr~CSl~itis~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer P, ~ . ~ ~ ~ p~'q g ~ ~ ~ S ~,,,~ ~ Mailing Address ~v~ ~v . ~C' d ~' /~vr~su~v I,v L .~ ~-v 9 (L, / ~ ~v Property Address t~ vc~So~ ~ (Verification required from Planning Department for new construction) City/State tt ~~ SUiV (,,(JT- Parcel Identification Number LEGAL DESCRIPTION Property Location SE %,, S Gc1 y, Ste, 1c~ T~N-R~W Town of ~uc~sv.J , .. , Subdivision __ /P/ v F ~ ~~ . ~ I~l~ Qou.~ S Lot # a.~ CertiCed Survey Map # Volume ,Page # G o G~ ~ ~ '7 /~{ 39 ~~ Z . Warranty Deed # ~~ 1 ~ Volume ~``~ ` Page # -~- Spec house ^ yes~no Lot lines identifiable yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its ptemature.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 Zoning Department a certification form, signed by the owner. and by a masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the oa-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 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 Deparhnent 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 Office within 30 days three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro erty described above, by virtue of a warranty deed recorded in Register of Deeds Office. ¢/ /6 / a t~ IGN OF APPL CANT DATE ****** Any information that is mis-represented may result in the sanitary permit bring revoked by the Zoning Department. *****• ** Include witty tl-is application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the watrnnty deed ~ ~/ STATE DAR OF \VISCO1JiIN FORM 2 - 1982 V4AR~tAKTY DEED I)OCUMEr1T N0. fU. .i: ~ fA6[' ~~ r~~ 1~' 3J ` . '" 1 ~ ~3 ~ Marjorie Tlalernce, France_a Augutz_t and Paul Ksttter ns tenants in tunnnan ~ a/k/a Francis _ August cunvr;a ar.d wunnls tc •C. Cn_ t1V3 Ku [ere, InC., a }Jlsi:onsin Cvrnoraticn T1•c lnlloainp dtsa~ilxd :Cal ISIA[t .n 3C•. Croix - - --- Cu~nty, Su:e oF1b'iseensin: • i SE 1/4 v[: 1/4 Scr_. 10-T29N-R19~J excepting t,hereCrum Lvt I of Certified Su_vay CIaF recorded in Vbl,7 of Cercified s • rr E,.4EC~211S7 KpT11LEEM N. UAI.S}I REGISTER OF UEEUS ST, CkDIX CG.E U[ P.ECEIUE- FOR REEORO 07-06-1999 9:10 AN Y~IRkAHTY GEED EiiEIF'F p CERT CDPT FEE: COPY fEEa TRRFiSFER FEfE 1310.10 kECgtD1H0 FEE: 12.00 PRGE9: 2 7111 5>RCE nF~CR~:ED FOA nCC~nOn:O DATA cAVli ' J. ESTREf=:d 304 l.7CUST . i~. }-IUUSON, WI 540"~ urvey spa, page 2089 as Uac. No• 44130J, also excepting 020-1010-20 the railrced right: of way'• 02C=1026-90 020-]025-90 TIE 1/!a NW l/4 Sec. 15-T29[t-R19W excepting theref rem Lot INA~`tEA UkN11a1GA11(1V NUAIdEn -- ef Certified Survey hlap recorded in Val. 10 of Certified Survey 1•fapc, page 2701 ac Uoc. Vo, SCi;28. t11J 1/L NE 1/4 Sec. 15-T29N-R19W This is not hwncstcrd paoparty. --lkL_ t:tnaU tix:cptlon to •xunnnes. iii baled this __ ~ day of June n . P~Y3 , ~9 99 . ~C;.,.,,...., J/~, ~~ '.igCZ, r.e ~ ,Sr.~t ~,lcs~C7 . ~^~~u ~•{~ (cr:Af.) s, u us~"F.••, ..ttoa.~fin Frunces August B ~.. ,\ ~ Paul Katner 1-crC.E iig~u•ums) ' - A[1TIIENiICATION art ... L`.~.:+.ti'~a: ' (T.F.AU ,i ,~ ACKNOtYLEDGMCNT' I n en SEE ATTACHED: State of \~{~s~~es~a~, lE7!IiIUIT "A" ' J( ss. King _, Couruy frsonal'.y [ane brlure me this 2frth day of ~' June __.__, l9._99_ d•eaborenaard ~' a:uh:nucated this Jay of , ;9___ FITLY: \1Eh10ER;Ir\TC U.aR OF WISCJNSITJ Fzances August '- i awhorlacd by 5705.06,'r<;a. Suu.) ID rce Ynv:vr, lob he p<rscn_ .tfio escAV:cd the fcrgulrg insl ,t : are r n tvlydgc1h/sa: e '.CIS 1'r>inUEAFNI t'/45 DnA:TFn n~ _: 1 Nevwood & Car:, S.C. b [{alter ilodynEhy 104 L~cuet St., P.O. Ncx I15 Hi son, lI 5a01S Nora Public, Klllg N .-°_._. __._ County;-lUb,- i:A (Si~r.n:cres may be nv:healicated ur rcknDV.•:cdged. Noah are not bly cunuuixinn Is prnnment. ;If net, e:ue ezpvaion d,tr. ' nec:aEary) __ Septelaber 1, 2001 ~(Kj__-,) • ?Irrtr: nl pn.nnr a~gcma v. :1~ <gc:.Irl. a6m,N IaE yMd or pnrdrd belnw :nm si~rartdes. ~ ~ ' +tiR0.AN1\ DFFU a1hTE BAR OP tti15CORSlet vnYtram Axe(: a+~to. ka. Form Nn. 7 - 19n1 AWaAa, YL,. 0 a `\~~~ptutlunitrlq J F A '~O~ P`, ~ ' S ~~,~ / ~ . A F" ~ ~ ~~ PAtlElA 8. BOTKIH = ~ -i = n 7{ ^ ~ ;V~ '~T7 } * ~ OlABY PUBUC, 57,11E OF CItlO AlyConwnh5ion GpirG ~y p try ~~a ~i®~0.' • ~ M... 2T, zco3 , .Z. c ~'•>,qrc' C' p : Slate of Illinois .~~`\, f JI ~~~ " 0 \ U~ 111 ~ Side of Ohio ) ss. E•'rankll.n Cuu[Uy. Pcrsonally came before me Utis 28 rtl day of 1°Re , 1999, the above nnmed Mazjorie Dlalernee to me know to be the pcrson who executed the foregoing inslrument end acknow•ledgc the samc. !~r-„G- t3 ,9 ~2- ?Jotary Public, Franklin County, OI[ My commission is permnnent. (If not, state expiration date: r( n kl~~..~`.~~~JPAf~~1 )~ EXIIIBIT ~ ACKN0I~T,F D GAIEAIT AC1Q`i0~~'LLllGIiICVT ___ ~_. County ) SS. Personally came before me this ~-9 f day of ~~ ru _, ] 999, the above natned Pau{ Kalncr to me know to be the pcrson who executed the foregoing instrument rutd acknoN•ledec the same. * ~ •4sGy 1_._.~~ 144 Notary Public, ~c-L. _ County', IL My commission is permanent. (ffnot, state expiration date: OFFICIAL SEAL LAVERNA R SNEER NOTARY Pt1atIC. STATE OF ILLIN011 MY C 0 MMI! 610 N E KI'1R[ ~:0~ 11 alDO ~N •~nNMM1 ~ .• ~ n ~ m ~~ ~ I I ~.• ~ v w I I ~' '~ z o . ~, ~ ~ >> tioo ~ mid m . . n ~ _ ~;• o ~ ~~~ i l i _ •' 0~ D W n A ` ` ~ y0 V -~ Q"°~ Z I N ~ tip' m ~~. o~~ n ~ ti - I m ~.. . I .o i- o 0 m ""'NOO° 19 48 E '264. 64'' ~p I •'I „~ ~ ~ -~ ~ n ~ ~• ,•' .••~ I ~ I o s~ CD y p~ ~• ~ Cfl w I . 1 ~ ~ ~ ........~.......~.... ~ .......0 ... R.~~ ~' •m ` ~ Cn p a ~11 w ~ w ~ N `w",-. 0°20' 55" W--25 I. 12'-- --y._- _ . NO o~ • .o ao _ CD •~ ~. N ` • I I ~~ N~ ~- N I TODD _~ `, c w co O I U T '~ ~~ V I o ~ ~ ~ w '~-. r-SOO°20' 55"E---251. 12'W -- ~ ~ N : O _ ~ ` ,D I ~ o ~ ~ ` . ..............................~... 0~~ ~ I I Z ....I... ` 25': I t Qp t ! ~ 1 Z u, ~ I ~ I ~ ~ CO I 8 ~` - - . sA/ `• . ~ -cn ~ -la ps, ~ ~i ~ I OW r f y ~ / ~ W ~ Q I Q> N O ~ ~r Ui ~ A• f ~ m w y ~ o `` 2J F'. ~j ~ / ~ I p n ~ o .``JO' ~~r^ 2~j ' O ~ N .' W ~ / i ,[ ~ . I Vl ~ co ~ _ ~ o . -~ f I I s •~ y' _ , I • ` r I ' ~ - ~ ~ '~ `~' tip' ~ `' __~'-'' Z ~- '..i rm- ~ ~ ~ D ~' ~, ~~ p I n c~ a __ 3 i I -~ _ i I i Z i s .~ ~~ /- ,' sue, ~ ( z a cn-, ~~ ~ i .90. n n --~ m I• m ~ I ~ m ~ • \ ~ i ~~ ~~ 2~i ~ i 586.72'i i ,/ ~ ~ ~~, .................... ... ... •7• ,' ~' s 183. ~2' ca ~ . i ~ i ---- / , _ ti~ "J ~ / ~ ~~ ~'~,, ~ .' D cn Z NO ~ r ~ r m p i ~ cf~~ ' ZO ~~ i -a :r ~~~ ~ ~.~ ~ ~ ~ :o • -I ,c ,' I z I m N ,' cmz, ;rn -p ~' ~. d Z ..~ - ' I m -' '~, "~ ~~ ~ ~ : Cn -, .~ _, ~ :(7 _ ~; : --.~ ~~ ~, ,~~: --- ~NNNNNNN^ -- rrrri r.~. ~ i. ~~ -~~- __ September 11, 2000 P.C. Collova Builders Attn: Laurie Collova 705 County Trunk E Hudson, WI 54016 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 Fax (715) 386-4686 RE: Septic Inspection for P.C. Collova Builders located at 631 Todd Lane, Riverpark Meadows (Lot 25), Hudson Township, St. Croix County, Wisconsin Dear Ms. Collova: A septic inspection of the above referenced property was conducted on 07/11/2000. This property is located in the NW 1/4 SW 1/4 of Section 10, T29N R19W, Riverpark Meadows (Lot 25), Hudson Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386-4680. Sincerely, ~_. ~ ~ J n Sonnentag Zoning staff /sm cc: file ~~\ ~',~- '~`~ r M,,, ~~~ ~~• ~ --- ~,~` I ~ M M 411 11 N^ -- r~r~i .. September 11, 2000 First Federal Attn: Tammi 201 S. 2"d Street Hudson,Wl 54016 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 Fax (715) 386-4686 RE: Septic Inspection for P.C. Collova Builders located at 631 Todd Lane, Riverpark Meadows (Lot 25), Hudson Township, St. Croix County, Wisconsin Dear Tammi: A septic inspection of the above referenced property was conducted on 07/11/2000. This property is located in the NW 1/4 SW 1/4 of Section 10, T29N R19W, Riverpark Meadows (Lot 25), Hudson Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386-4680. Sincer , erg on Sonnentag Zoning staff /sm cc: file