The URL can be used to link to this page

Home My WebLink About020-1370-47-0003 Wiscotilt!~ De~~ ~ment oPCommerce ~ Safety and. Building DY~ision PRIVATE SEWAGE SYSTEM INSPECTION REPORT `GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township LaCasse Custom Homes, Inc. Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: l op , cam' op , t~ Je. rein iu~notueTin~ Gi Gve-rinti neTn TYPE MANUFACTURER CAPACITY Septic VJe:~- ~ 1 Za+o L. >Q. Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~ ~ ~ .y Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Num TDH Li Fricti oss System Head TD Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM IS7GD E Width ~ Length ~ DIMENSIONS ~ ~~~~+ SETBACK SYSTEM TO INFORMATION Type Of S stem: ~wJ' DISTRIBUTION SYSTEM 4V ~~ vlc county: St. Croix Sanitary Permit No: 395265 State Plan ID No: Parcel Tax No: 020-1370-47-000 STATION BS HI FS ELEV. Benchmark ~. ` ~ ~ ~ ~ ~ ~ f Alt. BM 2- ~ OZi-Say Bldg. Sewer ( ~~ u- w. y ) ~,9 •QS f St/Ht Inlet ~g~ .OG ~ SUHt Outlet .~.5 Dt Inlet Dt Bottom Header/Man. ,p . ~s.. p /$~.(o$~ Dist. Piper ~~ jO.Q~I ~. og • l Bot. System ((, ~ o •~ Y. !o Final Grade ~~~~ St Cover q.S.~ CHAMBER OR UNIT Header/Manifold Distribution x Hol x Hole S aci Vent to Air Intake 4 r ~ ~' Pip Length Dia l Length Dia Spacing SOIL COVER x Prpssura Svstpme Only xx Meund Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center BedlTrench Edges Topsoil ~ Yes ~ No ~ Yes ~ No L COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:,~/~/~ Inspection #2: ~'i---f-- Location: 516 McCutcheon Hudson WI 54016 (NW 1/4 NW 1/416 T29N R16W) Par ood meadows Parcel No: 16.29.19.2213 //~~ ^-.~'~ ~~,~ yN,o,r~ orQ ~ tese2~ 1.) Alt BM Description =-"'r~~t'-~°"-y1°"'"`'~"~ ~~' 5,2.1+?!-, _ t '~ r ____ 2.) Bldg sewer length = )$ . i y ~""r '~ ~R- . -amount of cover = > FS ~' . C Plan revision Required? No ~ ~ ~/ Use other side for additional i rma ' ~'' ~ f I ~ ~ ~ ~ ~ Date Insepctor's Signature r ert. Nog -,~ / ~ SBD-6710 (R.3/97) ~'I:.(N '~ ~ ~ `J ~'~'.~"'_ ~~*~, r ~ .,,~~ ~- ~~ / y_~ . a _,s~ T,~,~,~ ~-~G N~ `~"~ , ~°~ ~~~ ` P~ ~ 9~Z$~a. ~ 1 5, ~3.(~ 4 1 ~-~ X ~~~ ~~ ~~~ ~ e ~~~-- v~lsc nlri vepanmen[ or mousay. ~~~ V I~ N U :71 1~~ t ~1/ A L U A I 1 V N H t F' V H 1 F'a981._ Ot ~. . [.abor gnd Human Relatrons r?:vision o} Sw}wtv A Ruild'inos u:_ w ~._ n..~_ 111 CIVVV~V •.I1111L1 ,11 VV.V V, •.i.~•.~V~~~• vvva. COUNTY St. Croix Plan must include but a 8 1/2 x 11 inches in size er not l Attach c n on th l t it l , p . a p ess an omp e e s e p not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 020_ _ APPLICANT INFORMATION-PLEASE PRINT All. INFORMATION R V WEQBY DATE .06 PROPERTY OWNER: PROPERTY LOCATION I c. _ G oT va ~ t~a,s 16T 29 INIR 19 ~ (af w ~ PROPERTY OWNER':S MAILINGADDRESS 521 McCutcheon Rcclt OT # 47 BL K # SUED. NAME OR CSM # Parkwood Meadows First Addn. _ CITY STATE ZIP CODE PHONE NUMBER ~ QCITY ILLAGE ®i'OWN NEAREST ROAD Hudson, WI. 54016 (715)381-5405 Hudson McCutcheon Rd. Jfc [ New Construction Use [xJ Residential I Number of bedrooms 4._________ [ )Addition to existing building j [Replacement [ ] Public or commeraal describe Code derived daily flow 600 9Pd Recommended design loading rate • 7 bed, gpd/n2 .8 trench, gpd/n2 Absorption area required 858 bed, ft2 750 trench, n2 Maximum design loading rate . 7 bed, gpd/n2 .8 trench, gpd/n2 Recommended infiltration surface elevation(s) 95.50 ___ n (as referred to site p-an benchmarks Additional design !site considerations na _ _ ____,_ - Parentmaterial outwash ^Flood plain elevation, if applicable Ilr~ n S =Suitable for system CONVENTIONAL C?~ S D U MWND ~ S ^ U IN-GROUND PRESSURE ~] S D U AT•GRADE ltl S D U SYSTEM IN FILL i~S ^ U HOLDING TANK ^ S C~v U= Unsuitable for s stem SOIL DESCRIPTION REPORT Boring # fit> 1 Ground elev. R~ ft. Deptn ro limiting f~gr0 11 Boring # is ;:`;::; Ground elev. 99.8 ft. Depth to limiting factor +90" Depth Dominant Color Mottles Structure i t C B rcx~r Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ons s ence y a Bed Trt~ 1 0-12 10yr3/3 none 1 7..msbk. dsh cs 2c .5 ' .6 2 12-40 10yr5/4 none sil 2csbk dsh gw lc .5 .6 3 40-90 7.5yr4/6 none cos - Osg ----- ml -- -- na na - .7 } .8 -- 1 Rmm~rkc• 1 0-12 10yr4/4 none _ ~1 2msbk ^ dsh gw 2c .5 ~.6 2 12-36 10yr5/4 none sil 2msbk dsh gw lc .5 .6 3 36-90 7.5yr4/6 none cos Osg ml na na .7 .8 Remarks: CST Name:--Please Print Gary L. Stee1_ Phone: 715-246-6200 1 tress: 1554 200th. Av ew Richmo WI 540 7 nature: _ Date: 10-1-99 CST Number: m02298 pR,pp{RTY•OWNER LaCAsse Custom Hanes ~PARCELI.D.ar 020-1028-90 Boring # .,:: •r.< j,Y: ~~~<z<;~ ~:. .r ~3~~~y~ .c,$~.Y.7j~i+.4".0 ~M Ground elev. 99.5 it. Depth ro 6mi6ng lacror ~~ Boring # y{{~~+,.~.~~.tr #~i.~ ~~ Sd~i ~/{++~~T ,~~:>vxs::`:y; GfOUnd elev. 99.5 ft. Depth to limiting factor +90" Boring # •..,,•,> 5 :< x .~;~~~ Ground elev. 99.E ft. Depth to limiting factor ~~ SOIL DESCRIPTION REPORT Page ? ~.: . ~ .~ Horizon Depth in Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. ~~~ ~.~ Roots GPD/ft Sed Trends 1 -10 10yr3/3 none 1 2msbk dsh cs 2c .5 .6 2 10-35 10yr5/4 none sil 2csbk dsh gw lc .5 .6 3 35-90 7.5yr4/6 none cos Osg ml na na .7 .~ n_ .~. ~ w , 1 -12 10yr3/3 none 1 2msbk dsh cs 2c .5 .6 2 12-39 10yr5/4 none sil 2msbk dsh gw lc .5 .6 3 39-90 7.5yr4/6 none cos Osg ml na na .7 ~.8 M, v h s c 1 0-15 10yr3/3 none 1 2msbk ds c 2 15-39 10yr5/4 none sii 2csbk dsh gw lc .5 .6 3 39-90 7.5yr4/6 none cos Osg ml _na na .7 .8 BOrI # ;. ;1,~ ~:, >~. . ~,~~s,~ Ground ~{ ~ft `Depth to limiting factor Onrn~r4e• - h~ -~z. 5/ Z S ~ 2 i ~ ~1.~ c~-~ Z ~(o S '~'~ S ®~ ~ / / ~ ' Z ~F.or (o ~'~• ~. ~ a6-~ I ~I~ ~~ ,. -~ ~, .. STEEL'S SOIL SERVICE Gary L. Steel LaCasse Custom Homes, Inc. 1554 200th Ave. CSTM2298 NW'~NW~ Sib-T29N-Ri9w New Richmond, WI 54417 MPRSW-3254 town of Hudson (715) 246-6200 lot #47-Parkwood Meadows First addn. Zttia soil avaluati~ was conducted to satisfy a zoning requirement, it may or may nOt be suitable for your use. Tt~e location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted.. N 1"=40' BM.= top of 1~° pvcpipe @ el. 200.00' Alt. BM.= top of 1~" pvcpipe @ el. 99.10' t ~''l ~' ~ ~, 270 ~ a ., S ~. 3 ' ,~~ ~ ~~~ Gary L. Steel 10-1-99 t ~.~-~~ /9s ~S7 Safety and Buildings Division Washington Ave., P.O. Box 7162 201 W ~~. , . ` sn Madison, WI 53707 - 7162 `+A Si On De artment of Commerce Sanitary Penmit Number Sanitary Permit Application ~. ~ 395 2~~ ' ~ In accord with Comm 83.21, Wis. Adm. Code, personal information u prdStdtl... "° ' ~ ' ^ Check if Revision % ma be used for seco sea Privac Law, s15. rir,-~"' I. Application Information -Please Print All Information ' :'k ,,, S tt Plan I.D. Number Pro ,yam Owner's Name , >~rctl Number 7' ///111 Property Owner's Mailing Address r::<) ' ~,C~~ ~j ''~> 2'` +rVTy ~ rty Location ~ G ~ ,/ ~ 14NU.~if:S ~ T~ N.R~ E Zip Code ber ~ City, State t Num r Block Number ,~ - t,~-l .~- p ~ ~ ~s - ~ 1 ~~ybs Subdivision Name CSM Number II. Type of Building (check all that apply) ~ ..~ ~ 5..~1.•r-r ^City 1 or 2 Family Dwelling -Number of Bedrooms ("'t"~'t' ^Village x r S ownship ^ public/Commercial -Describe Use - l C2 ~3 ~ State Owned Nearest R/o~ad ..._- L ~ ~ L /~ _ ~j ~ l - ~..~ III. of Permit: (Ch o y one box on line A (numbering scheme for internal use). Complete line B if applicable) A. For County use 1 New 2 ^ Replacement Sysum 3 ^ Replacement of 6 ^ Addition to S stem Tank Onl Eris ' stem Permit Number Date Issued B. ^ Check if Sanitary Permit Previously Issued )N. Type of Permit: (Check all that apply)(nttmbering scheme is for internal use) 44~"Non -Pressurized In-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland ~ ^ pre~~,~ ~.{}rou~ 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. D' ersal/IYeatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Elevation Required proposed Rate(Gals./DaysJSq.Ft.) (Min./Inch) 5~~ s i~- % ~ ~s::~ ~y~ ~~~ . VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber Plastic Concrete Constructed Glass Gallons Gallons of Tanks New Existing Tanks Tanks Septic or Hokiiag Tank .-_- j ~ O ~ C Dosing Chamber VII. Responsibility Statement- I, the PI ~~arn~ (Print) ~~~~ P Plumber's A~,((/dd//JmsJ s (Street, City, State, ZiF ~~~ N assume btlity for IIOn O[ uic rv~~ au wv..+. ~ ~^- r--•-••• t RS Nttmber Business Phone Number ~' ~z ~ ~~~ s'f~o~'~` 1. VIII. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ^ Disapproved Surcharge Fee) ^ Owner Given Initial Adverse ~ ~~~, "'- Detemvnation ~ / ,~[, IX. Conditions of ApprovaUReasons for Disap~pQr~oval ~ `' I ~-`t ~'f?(' t S ~1'~l.[I.l r'+ ""`- . ~~ --- n .w.R~.. ~..n ww .eI MA Lf 0l ~~5. the County ody) for the em ou per not less than 81lZ z to size SBD-b398 (R. OS/Ol) 3 - ~~ .y- ~,~,.~ 5~ . oo U~o ~~go ST ,U ~ u~.~ ~ - ~s ~~ ~r~-r a~ -a R -/oe - f. ` /-~au.,~-~- ffrn.~-a T --~ i N , ~~ ~, yo 1,' ~` y 7 ~w 1`` ~p o3s7 U 3- ~~ `/- ~~~' 5~. (90D G~,U /~80 5T N 6 ~P ~ - /S ~n T~ yss~ , 5. e. t ~~ _ 1 ~~~~ ~ -/o~ ___-- t. ~~ ~ yo' ~~ ~7 /~w P` t~ /~t~ ~35~ ~~ U ~~ 7-18-1995 2.34AM FROM •t FROPERNGrIlWER 7aCAs8e CustCnl Homes SOIL. DESCRIP~'ION REPORT PARCEL I.D. A~Q-.028-90 N. p~ 2 ~( 3 Depth Dominant Color Mvctles Texture gtructure ~ Cors'si~no9 ~~ p~~ GPD/ Horizon in Munsell Du. Sz. Cons Color. • Gr. Sz. Sh. • Bea ierd~ 1 . -10 lOyr3/3 ~ nose 1 2msbic dsh es ~c .S .6 2 1035 10yr5/4 none sil 2csDk ~ dsh 9~w le .5 ..6 3 5-90 7 _ 5yr4/6 none ~ cos Osg ml. rta na ~ • 7 - 8 y~ o. -L.. .. ._ ^ . 1 -1Z 10yr3/3 nc~e 1 2~sbk dsh es 2c -5 -6 2 12-39 l 0~ir5/4 poste s i l 2msbk dsh ~ gw lc . $ • 6 3 - 7.5yr9/6 mane .. cos Osg ml na na .7 .8 ~$ o • -~.---^. 0-15 i0yr3/3 Wane 1 2>r~bk dsh Gs c ;. . 1 2 15-39 IOyrS/4 rime sil 2esbJC dsb. g'W lc -5 .6 3 39-90 7.Syt4/6 none cos Osg tat sa na. -~ -8 Remarks: Wisconsin Deppa~rtment of Industry, SOIL AND SITE EVALUATION R E P O R T Labor anr! Hi~an Relations nivisicn nfS' ;v & Ruildinas '_ ____-~ ---:.~ n 1 m .,., .,~ .. r._ ~-~.L°"~ rr,..a~`-^~-... Page ~ of ~_ - 111 GVVVIV ••~1~~ ~a-1 ~1 ~ VV.VV, • ~V •: Y~~..V' COUNTY 1 y ri~ust inc~~e;it ~'• st. CrOlx Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Pfa ` not limited to vertical and horizontal reference point (BM), direction and %~f-slope, scab: ~r ~~, PA EL LD. # ~; ~ F , / dimensioned, north arrow, and location and distance to nearest road. /-~;,, ~ 0 0- - APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATI~YN f m g~ I WEDB DATE •- . F. -?~~ ~ 0 PROPERTY OWNER: i PROP y jy N -. / LaC e s Inc. ,GOVT. LO~~FFi ,/a ~.;. ~/ .s 16T 29 ,NIR 19 ~ (or) w PROPERTY OWNER':S MAILING ADDRESS SOT # BLOCK # SUBD. ME OR CSM # 521 McCutcheon Rd. 47 na;,, F~ ood Meadows First Addn. CITY, STATE ZIP CODE PHONE NUMBER ^CITY t~Qi_' OWN NEAREST ROAD Hudson, WI. 54016 ~715J381-5405 Hudson McCutcheon Rd. ~] New Construction Use [x] Residential / Number of bedrooms 4 [ ]Addition to existing building (]Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 7 bed,gpd/ft2 •8 trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 95.50 ft (as referred to site plan benchmark) Additional design /site considerations na Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL C~ S ^ U MOUND C~ S ^ U IN-GROUND PRESSURE ~ S ^ U AT-GRADE ~] S ^ U SYSTEM IN FILL CAS ^ U HOLDING TANK ^ S C~J U =Unsuitable for s stem SOIL DESCRIPTION REPORT Boring # <' 1 ...;`: Ground elev. 9c~.4 ft. Depth to limiting .. f+90 Boring # 2 Ground elev. 99.8 ft. Depth to limiting factor +90" l+~ Depth Dominant Color Mottles T re t Structure Consistence BoLindar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex u Gr. Sz. Sh. y Bed Trench 1 0-12 10yr3/3 none 1 2msbk dsh cs 2c .5 ~ .6 2 12-40 10yr5/4 none sil 2csbk dsh gw lc .5 .6 3 40-90 7.5yr4/6 none cos Osg ml na na .7 .8 6-a `~ q S.Sa ~fb . 4~~ ob . ~3 Remarks: 1 0-12 10yr4/4 none l 2msbk dsh gw 2c .5 .6 2 12-36 10yr5/4 none sil 2msbk dsh gw lc .5 .6 3 36-90 7.5yr4/6 none cos Osg ml na na .7 .8 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. Av . ew Richtno WI 540 7 Signature: __ Date: 10-1-99 CST Number: m02298 PROPERTY OWNER LaCAsse Custom Homes SOIL DESCRIPTION REPORT Pagf~',,~,of 3 PARCEL LD. # 020-1028-90 ' Boring # .................. 3 <' Ground elev. 99.5 ft. Depth to limiting factor ,, Boring # 4 Ground elev. 99.5 ft. Depth to limiting factor +90" Boring # 5'' Ground elev. 99.1 ft. Depth to limiting factor ~~ Boring # .................. ................. .................. ................. .................. ................. .................. Ground elev. ft. Depth to limiting factor Horizon Depth Dominant Color Mottles Texture Structure Consistence Botx>dan! Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 -10 10yr3/3 none 1 2msbk dsh cs 2c .5 .6 2 10-35 10yr5/4 none sil 2csbk dsh gw lc .5 .6 3 35-90 7.5yr4/6 none cos Osg ml na na .7 .8 8 v~' Remarks: 1 0-12 10yr3/3 none 1 2msbk dsh cs 2c .5 .6 2 12-39 10yr5/4 none sil 2msbk dsh gw lc .5 .6 3 39-90 7.5yr4/6 none o Osg ml na na .7 .8 ~{8/ Remarks: 1 0-15 10yr3/3 none 1 2msbk dsh cs 2c 2 15-39 10yr5/4 none sil 2csbk dsh gw lc .5 .6 3 39-90 7.5yr4/6 none cos Osg ml na na .7 .8 Remarks: Remarks: SBD-8330(8.05/92) .,"~ . ,' STEEL'S SOIL SERVICE Gary L. Steel LaCasse Custom Homes, Inc. 1554 200th AVe. CSTM2298 NW4NW4 s16-T29N-x19w New Richmond, WI 54017 MPRSW-3254 town. of xudson (715) 246-6200 lot #47-Parkwood Meadows First addn. This soil evaluation was conducted to satisfy a zoning requirement, it may or may nOt be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted.. ~" =40' ,BM.= top of 12" pvcpipe C el. 100.00' r Alt. BM.= top of 12" pvcpipe C el. 99.10' t ~''1~ ~F, ~ Zile ~ b .~ ~ ~,,~ , ~ h ~ 5k~ ~ ~ 3 , ~ ~~ ~'~ n~ ~'~~' ~ ,~ I i~ ~~ ~'~ Gary L. Steel 10-1-99 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS} shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: Svstem Design Specifications Sanitary Permit Number - 3`~SZfo Number of Bedrooms Design Flow -Peak (gpd) CU U Estimated Flow -Average (gpd) ~ Septic Tank Capacity (gal) Soil Absorption Component Size (ftZ) "UO ~-- ~ Type of Wastewater Domesti Table 2: Soil Absorption Component -Limits of Reliable Operation ~ Ddb. cQnM,.b 1 ~~~ Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) $C} z- - ti- Maximum Influent Particle Size (in) 1~8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 Tab le 3: Maintenance Scneauie Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic and outlet filter shall be assessed at least once every 3 years by inspection. T outlet felt shall be cleaned as necessary to ensure pruner operation. The filter cartridge shou d 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 A Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs direc~y over oc within ten feet of the component should be avoided since root intrusion into the component may obstnact wastewater flow. s, ~-- ~ S ~~ ~~ I~~~ ova. S o~- i~~i. ate- .`-~- ~- ~-- N G~-'~'~ ~.~~~- c 7~s~ a~ ~ ~~,~~ ~~~s~ 3g S'1' CltOIX COUNTY SLI''1'IC 'L'ANK MAIN'!'LNANCL AGRI?LML~N'1' AND UWN!?1tSIIlI' CI?R'I'II~ICA'1'ION I~ORM Owner/Buyer __ L,,4c,~4~~ ~ ' .. ~ ! ; ../ /A1iY;~ Mailing Address S 7 ~ t° n ~ ~¢ ~~~ Goo-~a~~ ~ ~/-- I'roparly Address ~ l(~ r»e G u ~ G jt G`.~-u 2d ~-li.R ~5 ,-~. (Verification requited l~iunr Planning 1)cpartulcnl tilt new conslnlclion City/Stoic ~ 1~l.CL~r/h ____ 1'nrccl lrlcnlilic;llir)n Nunll)cr t', p~O -- ~ ~ ~ -- `y ~~~~t~. LrGAL DrSCIiIP'I'ION Properly Location ~w_ '/,, ~ '/,, ,Sec. I ~ , 'I' Z ~ IJ-lt~_W, 'Town of SuUdivisiou _ ~~ 1< w ~~~rl ~ „ ,~..,~_~~ L~?q~r ~ l.ol fJ ~7 Ccrlific(I Survey Mnp JJ Valuate I'ngc JJ Wnrruuty llced # [~o ~~ ~ ~ ~ ~ Voluntc ~~ ^ 1'tlgc JJ ~1 ~~- _. Spec house dyes ^ no Lol lines illcnlilil-l~lc I~I~ycs ^ no SYS'17!,M MAIN`1'I~NANCL Improper use and mniulenauccuf yuu~ septic systcnl could result iu its plculallne litilule to handle wastes.l'ropermainlerlaucc cousisl3 of purnping out the septic look every Iluce years or souucr, if needed by a liccnscd pumper. What y0U pUt Ir1t0 the 6y61Cn1 eau affect the fuuctiou of the septic teak as a tlealnlcul stage in the waste disposal systcnl. T'Ire properly owucr agrees to submit to St. Croix 7.ouing UcpalUncnt a ccrli(icatiou tuna, sigocd by lho owner and by a maslCrpluurber, jounrcyman plumber, resit ictcd plunlbcr or a liccnscd pumper vex ifying Thal (l) the on-site waslewaterdisposal system is in proper operaliag condition and/or (2) oiler inspcctiou and puwping (if accessary), the septic tank is less luau 1/3 full of sludge. I/wc, the uuderslgncd have read the above rcquilcnlcals and agree to nrainlain the private sewage disposal systcnl with the standards set forth, herein, as act by the Department of Cunullerce and the Uepartulenl of NaUrrn) Resources, Stale of Wisconsin. Certification staling that your acetic system Iles bceu nlaintaincd umsl be conlplclcd and rctunlcd to II-c Sl. Croix County Zoning Office within 30 da f lire Ilre year expiration date. /rya/, SIGNATURE Or APPI.ICAN'[' UA'CE oWlyrlt crR`rrrrCA`rlo I (we) certify that all slalenlculs un Ihis total arc talc lu Illc licst of my (our) kaoWledge. 1 (we) am (are) the owucr(s) of 1l1 petty desert d above, by virtue of a wauanly dcccl rca-rdcd in Itcgislcr of Uccds Ollice. SIGNATURE OC APPLICANT Q /~ ~ y ~ DATE 4~''•** Aay hlfonnation drat is alts-rcprescalcd play result in the sanitary permit being revoked by lire Zoning Department. +*~`*+r •• j1lClade 1YItI1 tI11S A[1p11CA11U11: a 61aInpC(I WAllallly decd frUlll the Register of Uccds ollice a copy of the certified survey clap if reference is made In the warranty deed ' ~ vD~.1~r('J~PAGE,1~.,4 ~a > STATE BAR OF WISCONSIN FORM I - 1998 654242 ,!(~"iHLEEN H. WALSH WARRANTY DGGD I ftE:t;ISTER OF DEEDS ' I' 3f, ~ROI?( CD.. WI Document Number _,_ ~ This Deed, made between Howard LaV E, PP-f-1ftl~s-- If; (3/51 in * in nd Ar.l ana TaVvnt,rrP_ T, _fift]~s_ III (7/5) inter s in. ~G *Pnantc in r _, Crantor, ~_ LaC__..r r., u., oc. Tnc- --- and Grantee. Grantor, for a valuasl~ cCroixtion, conveys to Grancee the following described real estate In County. State of Wtsconsln (the `Property"): Lot 47, Parkwood Meadows, First Addition, Town of Hudson, St. Croix County, Wisconsin kECEIVED FOR RECORD Ob-17-2001 1:15 Pri WARRANTY DEED EXEriPT q 17 CERT CDPY FEE: COPY FEE: TkANSFER FEE: RECDkDING FEE: 10.00 PAGES: 1 Recording Area Name end Return Address LaCasse Custom Homes, Inc. 573 County Road A Hudson, WI 54016 020-1370- ~') -~J parcel Identaication Number IPIN) Thts is not homes[ead property. ~s~ (is not) This deed is given in partial satisfaction of certain land contract dated whichawaslsubseq~ently assigned by assignmenOt4datedeMay6285 1999mand recorded98n16 Volume 1431, Page 352 as Document Number 60323. Together with all appurtenant rtghu, tale and Interests. ~ Grantor warrants that the title to the Property Is good. Indefeasible In fee simple and free and clear if tens orrn encumbrances all liens, covenants and restrictions of record, if any and any created by act or default of the Grantees and will warrant and defend the same. _ day or August 2~-• Dated this ~, (SEAL) ~p~a....~ """ - (SEAL) ! (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Howard LaVenture State of Wtsconsln, ss. Arlene LaVenture County. fi Personally came before me this day of authenticated this 15 a t _Lltlgr,ct • --20x1 ,the above named ~I +~ Samuel R. Car to I TITLE'. MEMBER STAB OF WISCONSIN me known to be [he person who executed the foregoing (If not. Instrument and acknowledge the same. ~ authorized by §706.06. Wis. Scats.) ii '~ THIS INSTRUMENT WAS DRAFTED BY i ~ He wood & Cari, S.C. b Samuel R. Cart Notary Public, State of Wisconsin '~' 204 Locust St., PO Box 125, Hudson, WI 54016 My commission is permanent. (If not. state expiration data: i~ !iI (Signatures may be authendcated or acknowledged. Both are not _ - _ - I necessary) _ _- _ - _::. - --- - _ _. .:_ - - -- -- _ 'll _. --- - -._ -- - _ - ~I W iscons n L09a~ Brank Co Int. ~~ • Names of persons signing m any cepacriy must be typed or primed lxlvw [STATE BAR OF WISCONSIN MJwaukva. Wa. FORM Nv. 1 - 1998 ~,i WARRANTY DEED PARKWOOD MEADOWS FIRST ADDITION LOCATED IN THE NW 1 /4 OF THE NW 1 /4 OF SECTION 16, T29N, R 19W, TOWN OF HUDSON, ST. CROIX COUNTY, ~C116 UNPLATTED LANDS - - - - T29N, R19W S a9.16'4e" E 2e38.43' 1319.22' NORTH L!E OF TIE NW POM OF ~'iy;• 659,81' b BECMR4G W' a4 v2 ' ` ~ n $ ~~ ~ ° ~~ ~ 41 ; _ 42 ~ ~ ~ ~•N 13 099A S~.FS ~i ~ 1sS.3z3~s x97.0 (KWE.) o ' N 69"16' 46" W 561.68' ~, _ ~ °RANA°E ^0: ~~:~ 244.12' 11 t ' ~ 4. 16' W M `~` z71o ACRES ~ $ 'hry•gy ~`~• 4 3.1x0 A3f.RES '~ i ~ 0 1 38,510 SF. i n 17.54' ~ N 69'16' 46" W se2S0~ ' Rye°' 1 '~ 506.04' SO' m • ' t4ti` 506:04' ~ ~ ZI ~ ~Q. ~ '_ 481.66. ~u'J1" ly ~~ n•N ~ ~i1 1 u 391.68, I 11 3 0 : m 39 ,,~ c~,F,o,1 roR aav~,Ar O I ~ N ~" S ~g`56' 39" E 3.030 ACRES ~ sue[o er lp1S ]! ~ ey n ~ DRANACE p QI ~ ~'~•. ~"61.59' 131.968 SF.,, C -ja9"18'48" W `3, EASFAENT ZI ~ I = ~ ao.oo• '•. 239x9' ~^e~' "'~' '~' 1 s ' ~ ~ 44 .Q.11 4. N ?xoao' `' 34o2s• ',, ~ a4oz ACRES ~ o OI I ~. = of iv 396.00' a 146,191 SF. w _ N 6916' 46" w eeo.o4' 264.04' ~ ~: ~- 91.0 (N.w.E) n " "' <I - - - -00qq o 04 ~ 4/ ~ ~~ " E a W ~ I tnl ccVV ~ ir3 .: 4 '4'1 N a9'46'Op" W 4ep,Op' ~I m 2.407 ACRES ~ eT 1 1 1 `~ ' $ N ; _ ** 104.x31 SF. 200 ACRES LaJI ?S \ • ~' 97.190 SF. at ' 1 I n = ~ >I 10 ',ter ~-. 693.0 (IiWE.) 2248 ASS ~ ~ $ DRA9IACE ~ 3I 97.935 SF. EASE~EM N 46' " W 41496' ~ ~ I ~I = ~ ~• YIW ' N x9.48' " W i nal N 9.48' " W 1. DO'. 30.00' a Z I ~- . I 4. J $ $$~ 3 ~~cc ~ i o ' a zoo9 ~TxtES -r I ' xt~ "' 97,503 sF. ~ : ~ ~ 46 $ I . - - - - • ~ ~ o I „ • z2sa ACRES St 3C•N i r ~ ~ 98,344 SF. $ o m ~ ; N e9.46'00" w m s N 9• ,00" w f 2.633 ACRES n '~i~'. 50' . ~n I 9 IM $ 114.Qa0 SF. ~;• ~ ~ $ ' ~ 50' b ,~ 2.1o4-AZ~s o g 310.00' ; ~'. ~~ ~ N 91.667 SF. N ~07,1a2~ N I%ii n 42. Ay " ~~k \ '~'i g I ~. 3 ~ h ~ .. a e _ ~ ~S ' '~' 126.00' 43x.37' 499.34' N 1yIG,0~TS~lE9 N x8"46' 00" W 7 W RQAQ ,~' -~N 89.3s' 03" W 1313.87' - - - I ~ - - - I ~ 1(4 ~ ~ 1~', 1[~ - ~ McCUTCHEON ROAD ~ ' LOT 2 1 SP10= N T1f NE SDE eEHpMARK: I - ~ - - - - ~ _ _ - _ - T - - - - - C.ScM I ~,~~ s1~2.3e I ~ ~ ~ ER ~ I PARKWOOD MEADOWS I I I _UN_PIAT QOt. ?J OI ELEVATpN."916A3 - - - - - - - - - I LAND 15A~~1'~54 I. I oll I I I I I '___ bob. - - - i~ ~~' i s i i 38~7~3 n >-1 5 I 4 I 3 I 2 I 1_ II I^ IOII I I I I I II w v4 ca6~R I ( I i OUTLOT 1-+}I T29N, R19W ( ( I I I II I I I I I -~--• x _ ~~ x ~ o ~' I °f z `, ~, -- - - - .~ ,. .t N ~ oo m i ,£ i, ~ .- ~ c.11 'c~ °I° O1 x ~'` ~° ~ ' 19 Icy m• :I ca ~ ~ ~ ~ I I ~ ~ rnx o I ~ ~ ~ II - I ~ m (~ - I '•\ .`\ M to ~ Q LNiI i I ~' I ~ '~ ~ 1n c}- op [~ i I ~- ~ I U `` O Q m `, N W ~~ W ~.\ ~O ~ I \ o ~ M r- ~ ~ y 1' n ``~ x~ o N rn N o •- ~-- I WI rn I \~~ ~ ~ t1-) ~ x ~ ~ ~r U I x I '~ ~ I ~ _ I I '' ~ •'~ ~ ~~ m '-y~ I i ~ i .~ ' M' ITTI~~' I'~'.,rr.~l.~n ', '~ ~ m m ~ ~' ~ ,00 I N `~ ~ I ~ ~ ~1 '~ , ~ ~-_~. - - ~ fi 1 ~ .- I I I ~ ~ ~ ~~ ~ I i ~ _ I ~ n ~~ee ~3s ,05 _ ,~- - ---- ---fix '~ ~, ~ • ~ I ' - ~ .4_ I ~(~'o • ~ I~ ~~~ _- can v ., ~. I ~-- ~ ~ _ Q1 I • '- Z ~ _ ~`~~ , _ 1 io • I O _ -- ~~ ~ rn CC.~ ~- CO Q rn x .U 3 `P~ , W '- - U ~ H .- .~i ~ _. _ - 04 -~ -_ - _-- _ __ ~ ~ ._ ~ m.._..__ .. ._. __ .. I' M=ZO .~_ ._ -- ~ ---_ ..m -_... ~~•