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020-1033-90-000
nyp ~ nurO 3~n d C A 1 O h I ~ ~°~ I ~'~~ ~ ~ ~~ ~' . `° ~ I `° 3 °' ~ e'r I ~ ' i '~ ~ m \ 1 ~+ I ;. I :. O 3 ~ ? v , o o a ` ' obi I a, o w ~ p i ~° 01 = o c V ~ • w O 3 u ~ fD A ~p A Q ~ (D y i ~ Q ~'~ V Q i N r-~ ~ CO co ~ I oo ~ c a > l g o ~.o > m I ~ I N ~ ~ m~ ~ f `"' o `° ~ "~ ` 1 o W ~ m m 1 Z ~ 7 N O 7 N fD ' ~ O ~ I ~' ~~ I ~' A c°'n ~ a '~ ~ I v t~ v D ~ a -I I ' cn Z D N ,~ a m co ~ N a o ~ D a o f I ~ ~ m W a o° .~'-~ I ~ ° W m c~ °' ~ o°o ~ W I w o ~ ~ '' N V ~ I ~ ~ o X l 0 , o ~o ~ ! ~ I "~ O O .Z7 o I ~ ~ t O O~ i ~ n N N a c n ~ a ~' ~ ° ° o. ~ y S Q 3 I c y l = I y I ~ a I OOa '' ~• Z OOO o O 0 • v v c gg ~ N ~ ~ c g N ~ ~ ~ '' o '' D ~yt ~ `i ~. vi l ~l ~' 7 ~~ ~ G o v w w tll ~ v Q ~ ~ o v_ ~ A ~ tll ~ I c N ~ Q .d- ~ ~ ~ i °~ . I I ~ N ~ D D 0 O ~+~ I O am ~i I o ~. N ~ v I O ~ ( cn 'o , y h • I ~ y ~ ~p ~ I 71 m ~ c p ~ I .Z7 m v c °~ ~. I ' . C. N ~ a ~' , ~ N ~ B I w a ~ ~ I ~ 3 . 3 I I I ~ m ~ A Z o ~ a o. I A p o ~ I I I _ cn -i v W~ ~ W '0 i ~ ~~ ~ Z i C C O " O '' 2 ~ ~ y y !' C C ~ ~ 'OO g I w w I ~ I ~ °~ c t~ a ~ I m m~ a a a I I ~~ m ai o c a ~ I m ~ ~ m y.~ =+m a ~ a~~ ~ - ~ O~~ O ,. N ~ c O N N ~ c I 30~~°-'m Z a I ~~•~ Z fD a ~ C~ m O N O .~ O ~~ 7 ~ y N N O d N y I ~ O •m 7 I m o t o rn~ ~ ~ O '~ A ~ NN`y N ~ N O ~' cD C d y , A ~~ I aam CD ~~. ~ I ~ ~_.~ N O N ' 7 0 5. ~ ' m a ~ S y ~ ~ ~ O ~ I ~~° °c~va I ~°v ~ ~ N of ~ ~ I m y ~~ ~3~,pjm I ~ ~o j I m~ m d~ I ~QO o xl~i ry x ~ X N n j~ N d I S W m rn I O ~, am ~' m I m y ~ a ~ I ~ , ~ I ~ I ~ b ~ I m I m Qo v I c~ I o 0 c ~ I om a I om a v, o o '„ ,~ • AS BUILT SANITARY SYSTEM REPORT ~,.. OWNER ~ ~ ~`""~''"' ~ ~ ~ TOWNSHIP r ~ D o SEC. T N, R W Y.O.- ~DD~SS d , ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT -LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~n~.. • ~ , ; ~~ ~, ~. ~~'.~ ~f ~~ ~ ~~ ~~ ~R L `~ , , ..- I~ SEpTIC TANK(S)J` ;f` MFGR.~,~e. ! r~-' c CONCRETE STEEL N0. of rings on cover Depth ~' DRY WELL TRENCHES N0. of width length area BED no. of lines width length area ~~,"~ ., rt, depth to top of pipe /~ ~+ AGGREGATE ~,,~r` ~ ~ ~l ~ p / /r'2 r, i~'taC 7t" ~ PERK RATE l AREA REQUIRED (0 3C ~~:~~ AREA' AS BUILT (a ~ ~ `' :Disclaimer: The inspection of this system by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to ~~ determine cause of failure. • :..GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. ~'INSPECTO DATED _ ~ ~ `~! ~ ~'~ ~~ PLUMBER ON JOB ~ ~ ,( ,(~, -;t .~ LG i.:" ~1, ~'','= 4' tv LICENSE NUMBER d ~~- { l.. ~ ys c ~. RFPOP,T r OF I1ISPECTIOIi--IidDIJIDUAL SE~,IAGE DISPOSII,L SYSTEt~i . .. .s, Snnita_ry Permit ~ - • • ~, ~' St~~te Septic --_%' __ s ~~ ~ ~ ~~ • 't. Croix County Sr T'TIC TA'?Y Size 1_.___ gallons. "lumber of- Conpartments __.L__.___ r • Distance F'rotn; rdell /~(~ ft, ~ 12% or greater slope ----ft. : ~ Building '~,~_ft. Wetlands .____ ft ITigtiw~•~ter ft. - DLSPOSAL •SYSTF,:~ ~\ Tile Field or Seepage Pit(s) Distance From: jlell _ft. 12% or greater slope.~~ ft . suildini ~~_ft, Wetlands /` f;. FIP•.Ln ______ raighwater .._ ~ f t , . Total length of lines ~ft• i~Iur~ber of lines`. Length of each line ...,~:~~ft, Distance between lines ~_ft. Width of file trench ~~ft. Total absorption area ~ ~~-~ sq, ft. Depth of ~roGk, Uelow fi :. le •~Z,in. A~pth ofrock over the 2 in.. Cover ..flver.rock, Depth of file below grade ~_in. S1oPe of .~~ trench in p .~. er ln~) ft, nepth to Bedrock -- ft. Depth to (;round water `- ft. PITS plumber of pits tsi a ter ft. Depth below inlet ft. ve a- nd t• es no. .Total absorption area ,. sq. ft. Square feet of seepage t ch bottom area required :square feet of se a~:e n' are equired . Inspected by: ~•.Title':. . Approved ~ '~` ~'' ,. ~ Date 197 ~. ~'~ Red ected Date 197 , ~ 4 r'~ ~ ~ ~ ~~~ ~ ,i M~ ~ .~ EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES ` DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH ' ~ P.O. BOX 309 .. t MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TES/T'S LOCATIONa~'/4, ~'/4, Section ~., T~N, R~8 (or wnship or Municipality TS~fs~[Sow.~ Lot No. ~-, Block No. ,' , , _, County.. Sl<< L°s~e~`~C Owner's Name: Mailing Address: ~T-~tJD,¢r-r'~ ~/r- /5~[fyT TYPE OF OCCUPANCY: Residence ~ No. of Bedrooms 3 Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT DATES OBSERVATIONS MADE:QSOIL BORINGS 3-zS- z~_PER OLAT ON TESTS -3 ~~'7~ SOIL MAP SHEET Z~~ ~/ SOILTYPE~~-/ cc- ~ °~'~~~ PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS LE H WATER IN HOLE AFTER TEST TIME INTERVAL DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE O BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN P I fI ® S ~ ~~~ O ~ l Qe ~e / L P-~ ~ ~~ ~d ~ y~ y~ , e r~ . P ~ `' `f ~ ~ `~~L ~~ ~~ ~ 6 .ems ore ~ o 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) B- l / ~Y " oeu~L 7 /YY" ®`` n, ~~" ~ si l ~- " '°~Gr, ! S "Cogs-s+~ S' e_ 3 1 //Y/UY" (T T 'r /~loat~E ~~ zl~lY`' 7~ s~ 2~''` ~~ Sd ~' ~S, /.~ ~t.Cs ~-Gr, s,y.. ~p~.se S rr - n ~ f s! .~ s J~ fj P ss CO~'t~ B- S~ lyy" ~~e ~i~~., ~~:.~-s, sue., ~s, «'f ,cs r. Gr, ss ~~ c~,..s~s PLAN VIEW (Locate percoiationtests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of~ultable areas. I~c~icate nu eygf square feet of absorption area needed for building type and occupancy. ~,,$-_~ 3y, Oc3o fk~' ~b/~ /Co ~ Indicate s jrale or distances. Give horizontal and vertical referencg~pintsrln~I~te slope. , ysjrryy.~ ~ /'E~l~AC~eae ~M.7: r t PLB67 State and County Permit Application for Private Domestic Sewage Systems *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required Tyr A. OWNER OF PROPERTY Mailing Address: ~+ s~~- 6~rX Dom, B. LOCATION: ~ Subdivision Name, r~~ Y~ r.~_~~ C. TYPE OF OCCUPANC Single family X ~~~y ~ '/a, Section /~, T~ N, R 1~~ nearest road, lake or landmark State Plan I.D. # bry (or) ~Lot# / Blk# ~~ State Permit # County Per # ~~- County ~ ~ ' Village Township Som./ "Commercial "Industrial "Other (specify) Duplex No. of Bedrooms ~ No. of Persons_~_ D. TYPE OF APPLIANCES: Dishwasher ~_ YES NO Food Waste Grinder_ YES~c N0 # of Bathrooms G^ Automatic Washer AYES NO Other (specify) E. SEPTIC TANK CAPACITY /L9~C7 Total gallons No. of tanks _ / *Holding tank capacity Total gallons No. of tanks New Installation ~ Addition _ Replacement _ Prefab Concrete X *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) ~ 2-_~3) / Total Absorb Area ~~ sq. ft~ (~ ' New ~ Addition Replacement Fill System Y9.f ~ ,~~' Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines L~ Seepage Pit: Inside diameter ~^ ~ Liquid Depth .$~~ ~3 ~~~~~ Tite Size ~~i Percent slope of land ,~^ ~ °lo ~KC,~ ~/Lf~' ¢ '~ Distance from critical slope I'l..~ d E s/'j ~/ / 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! estf~ ff / NAME D~ifL~[s3° ~ d3/a~~if.. C.S.T. # ,r,~/,f~9 and other information obtained from u ~ wn p ~6 #~p~- 7 ~ Ph Plumber's Signature - one MP/MPRSW# Plumber's Address ~ ~ PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). ~. Sco~~ /~_ _ ~,_ Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFOR~IIATION (ATTACH TO PERMIT) Persona{ information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Dahlb , Eu ene Hudson, Town of :ST BM Elev: Insp. BM Elev: BM Description: 4 p ~ . ~ -~,., ~ Sr'~ - TANK INFORMATION ELEV TION DATA TYPE MANUFACTURER CAPACITY Septic ~ Dosing Aeration ~ n Holding (/~ GV L~%i~ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. ~~ Vent to Air Intake ~ ROAD Septic 1 ~ ~i ~' SL I' Dosing .., "~ /~ (~/ ~""' Aeration Holding PUMP/SIPHON INFORMATION ~/.%..~ .2i.,ti.o~ Manufacturer em d Model Number Q~ (J - t d TDH Li .SZ Frictio ss . ~~' System H ~ TD Ft _ ~3 Forcemain Leng m. ~ Dia. ~ ,~ Dist. t Cf111 ARC(1RPT1(11~1 RYCTFM ! SC `1' / 1..~, -.r.- ~ CJ/ County. St. CrOIX Sanitary Permit No: 479429 0 State Plan ID No: Parcel Tax No: 020-1033-90-000 Section/Town/Range/Map No: 17.29.19.146N STATION BS HI FS ELEV. Benchmark 3•!2 03.1 L6d.o Alt. 81dg. Sewer ~ N Inle ~[ ~ •~~ 1q ~~~ Outlet ~ ~ 3 ~ ~ q 1 Dt Inlet 7 ~ Dt B tom ~- . ~s ~ c6.3s ~6- ~ ~ He er/Man. ~ ~ ~~ C~~ Z~ Dist. Pipe - - w, / L~~. D 1 Bot. System 1 z / .z~ Y v8 Final Grade ~(~•^ • Y/ • 1 ~ V r V ~ St~r ~ r~~ "~T. 'Yh D' ~ ~. ~s ~~ ~~ ~ adda~.~ r.ec~J o~ BED/TRENCH Width Length ~ v ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3' ~4' ~~ " SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM ACHING anufactu r. r OR HA E INFORMATION Ty Of System: ~~~ ~ / ' ~~ i ~ UN T Model Number. r11CTDIRIITI(1AI CVCTFM .211'1...,~n..1 ~//JY/30_ t, eader/ nifold Distribution x Hole Size x Hole Spacing Vent to Air Intake 7 Pipe(s) ~ ~ Length Dia Length Dia Spacing Rf111 rC1VFR v Drn o C•ic4nmc Anly YY Mnund f)r At-Grade Systems; Only 7 K ~/(((/Vas Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ Bedlfrench Edges Topsoil ~ Yes [] No [~ Yes ~~ No 1 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~_/~(.~ `V J Inspection #2: / / Location: 965 Trout Brook Road Hudson, WI 54016 (SW 1/4~NW~~1/4 17 T29N R19W) NA Lot 1 ~~ Parcel No: 17.29.19.146N 1.) Alt BM Description = / S ~ ~ ~~ ~ ~v"~",,",,/ 2.) Bldg sewer length = p ,'t~ ~ (r~~ ~~ ~ ~ ~ ~~"'" - amount of cover = ~ ~l't!.!n-~']"Q~ C.~~'Lt,cQ~>~ Giro ..~~ _ c_:Q,~_~- Plan revision Required? Yes ~o ~ ~~~ - (O s'_ ~~ Use other side for additional information. ~~ Date Insepctor's Sign re Cert. No. SBD-6710 (R.3/97) ~~-~~ ~ cvrvvl~d t ve cons~n P.O. Box 7082 -. - ~~ De artment of Commerce (fig) ,~~, , ~` ~S Sanitary Permit Application sr. cROix Gr accoal with Comm 8311, Wis. Aam. code, personal information maybe used for secondary pugroses Privacy Law, s 15.04(1 Xm) cc ~NING OF F I. Application Informati on -Please Print All Information Property Owner's Name ~v~-~v~- .~,~-~ L~3 Y Property Owner s Mailing Address 9~S T/~or~r ~2oa~~ ~~ City, State vvsa~ ~i. ~P Code s yo~~ Phone Number II. Type of Building (check au that apply) • s~ ~1 or 2 Family DweUiag - Number of Bedrooms / ^ PubGc/Comraerckt - Descn'be Use ^ state owned - Describe vae IIL Type of Permit: (Ched t only one box online A. Complete line $ if applicable) - A. ^ New System • •+ 1ac~trot ^ TreatrndrdHolding Tank Replactatent Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Chmge of ^ Permit Transfer to New Ltat Previous Permit Number and Date IsA Before Expiration Plumber Owner ,(... a ur rv w i, , rein: Check aq that a I ~ 3 J`~Nmr -Pressurized ln'Gmund ^ Monad > 24 is of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Fih~ ^ Constructed Wethurd ^ Pressurized [o-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Tteatmerrt Unit ^ Recircuhuing Sand Fiher ^ Recirculating Synti>aic Media Fiher ^ leaching Chamber ^ Drip Line ^ Gravel-less Pi ) / V. Disoersal/T.v.'r...o..+ w b- r_e_~ _.. Pe ^ other (explain ~ ~ _ _ . ys o - ---o-- ---•• ~•rr•~..~.w,..caietgpost~ u ~ ~ Reo ~ (~ • ~ tj Dispersal Area ProPosod (sf) Syst evatiat / / b 1,~,~ t VI. Tank Info Capacity is Total ~~ Number Manufacturer Prefab Site Steel Fiber Gallons ~, ~~ of Units Concrae Constructed Glass r~ 7'adcs /~~~i~ Stpuc or Hoktmg Teak / ~ ~~~ ~ / a .,. I e o ~-. YII. Res asibility Statement- I, the undersigned, assume responaibiRty for installation of the POWTS shower on the attached plate. Plutttber's Name (Print) Plumber's Signature MP/MPRS Number ~o R ~R-T--'7//b A i `I _ ~ ~. /j ~ ~ Business Phate Number Plrmtber's Address (Street, City, S `tate'1 za Code) G ~ 7/ S • 7702 ' ~ ~/ Approved ^ p~ Sanitary Permit F nchtdes Growtdwater / Date issued Issuing Agent Signature o Stamps) ^ P ~p~n~ Sureharge Fen) Reason f Denial ~~- 3fl 2~ IX. Conditions App v SYSTEM OWNER: ~ ~a~ ~ iN~ '-T'O u.~ ~inn~ 1 Septic tank, effluent filter and " SY4 1 °`~ °~ ~'''• B a dispersal cell must all be serviced /maintained ~ _ _ J ~ - ` as per management plan provided by plumber. 2. All setback requirements must be maintained `f ~ ~~5(~„Je,t:Q) ~{~ ~~5~ F ,~(,~,~ as per applicable code/ordinances. Atgei complete plans (to toe C ~ ry mwty Daly) fer tYe system oa paper sot 8112: I I laekes to slae SBD-6398 (R. 08/02) ~/~ orb f29 N/~¢- than mailing ~2 0• ia33.9o . o0 0 (. ~ 6N; 'arcel # Lot # Block # Property Location sw .vw ~ ~ ~i•, 66v., secren T Z.. ~N: R ~ -1(cE kC:~ •~ / ~~I~ I S Cog!-e • / " ' Z l~ ~~ ~~ ~'oM ,, n D ~,~ S ~57~~ ~ ~' ~ ~,----- ~'v R~' ~ GDO~" CQ.~t~/i/},~ ~,,;~~ ~v .~ ~ -~'b ~' ~,~_i'ST~N 1 co ~~~;,~,~ ~" ~~ ~. s,T ~~;cs~ r ~~~ U~ ~ ~ , ~v ~: e ~~,3~." A ~~~~ ~u ,~U~'s 3 ~~~ ~ _.._~ ~' x~8 " t ~' 3 `~ G8'~ SysT, ~` TN1S POWT ~ SYSTEM SHALL {NCORPORATE PER COMM. - --. ....-..~..-..ter. ~w [~rl o -g~ ,~ a ~~U Z,~v~ ~~ ~ ~ ~, ~ ~~~ ~';vT~_ ~~ ~~ ~% ~ 32 ~3~ ~ ~~ .~.~. y`o ~~ Ga?' L ,~ ~tJLBRiCHT & ASSOCIATES CO. 2812 10th Ave. • Spring Valley, WI 54767 Reg. Designers of Engineering Systems ' 715-772-3442 Private Sewage Consultants PROJECT INDEX INFILTRATOR SIZING WORKSHEET SYSTEM PLOT PLAN CROSS SE PLAN ID # DATE ~~ /~ ~`S OWNER ~U~~ !/~"f~jG~y PNONE 3,~1y J73 / ADDRESS 9~5 T~Ovi /~3.eoox ,~~. ~~U~so~ ~'yor Cv LEGAL DESCRIPTION L.d f ~~ C'S/~'J l/D~• 2. P~. SZ- f ~~ti ~Za • /D,33 • /r'Do t~ o TOWN OF ~Uf~,SO/l~ COUNTY `S ~' C~2at` }~' CSTM ~•.! ._u ~-~ R / C GI ~ gS 7 f ~3 LOCAL AUTHORITY/ SUPERVISION S T• c(za ~ X ~ cT~ Zo~I,.~J~. PROJECT DESCRIPTION: ~~ `~~,~,~. Zvi ~/ ~ • use ~ co~~- ~ coy f, ~,,~,~ ?- ~v-zr~ ~P. -~ 57I ~Q. Gc~ %~s~ /~U.~ j~ Trt-~K . I~ ~ • u~~ /-~ ~r/~w z~us ~~~ y/mss S~.d.GC ~ Gyp S~z~~ ,4ff~~ o~ THIS POWT SYSTEM SHALL INCORPORATE PER COMM. 83.44(2)c A PROPER ZABEL FILTER MODEL # ~ /~~ ~ ~/~ x ~~ ~~ Pg.l Pg.2 Pg.3 Dn it 7~ ~xisr~.~;~, /~U,~~v> S~a:~e ~r~r-~ ~ ~w T~~if' cis [~o ~ ~2 ~`- ?,tom 2 ~'c ~ 7`_ Ulbricht & Associates Private Sewage Consultants 2812 1 Uth Ave. Spring Valley, WI 54767 ~1~/~S # Zz `C$tse~ ~~ CTION OF SYSTEM, WITH ELEVATIONS ~~ ~z-oS r n n D ~~ m ~. m~ ~' I ~~ Z `] ~~ ~_ ~ ~~~~ ~~ -~ l~ {•~ ~~ Q ~V- ''~ ~~ ~ ~' ~_ ~ ~ ~~ b ~ ~ d ~~ y y ~ ~~ ~ ~ ~~ ~' P~I +' a '~ N 0 0 ~ * o ~ ~ ~ o s~ ~ d ~ ~ ~ ~~~ -~ ~ W ~) of ~ r w ~1 m ~~ ~ a a ~ ~ ~ ~ ~ ~S '' ~ c, w .~ ~~ a,~c,~,t~~: Ts ..~------- ~1. ~~ ~o~-- `` Q ~F~-" CO~~U~S J copes l.~wPli~4~7" ?sd ~`~`. Qf ~"s~,v~ ~ 7, 3 t~~~ ~~~ ~: o~ 1'g' 15 ~ `~` ~ o J~ c o ~1rn~,r ~~ s,T. ~ ~ies~ .~""~ 0 1~~ ~~~ . .~ ~ Yak"`"" ~ ~~. ~ New . `~ ~o~ lJtllt~ ., ~ ~ ,''~ Irv ~;~7~ ~~C- ,. ~ ~ o sysT~M ` ~~~ 3 . y~ ,~'~ Q ~ ~ ._. .~. ~. A ._ ~ _ .~ _.._~ 3' xis " - ~ x' 3 `1(G O ~~ Sy~r~ .1 t ~ 5!~/~s ~ ~s, 6 ~ ysT~~ f ~~~ ~ ~~ ~.~. ~o ~~gs7 Gar ~., THiS POWT :SYSTEM SHALL INCORPORATE PER COMM. .,., AA/n\.. A DD(1DCC! 7~RFf i ~ ~U~ f1PPrP . /N.S~~c ~,o.v ~'~ aje' ~~ ~ l 3~I ~„ t ~4i,V. l 2 ~. 1~( j A~~~ 9~~~~ T~~~~~f . ~~~ ~~ ,mil M ~~ /,r>~~7X fTO~ o' g5~t~~.k~,°~ C,f/cv`~t~T~v r Di 57''~NGG ~~.N ~ ~ 5 ~ A,~`~~'~ ~o ~ . ,.~ ~9pf'~L~l~ u~,~7- c~i~ v~~ sc~, ~o n--/lac L~ ~~L /E'~4~f'~'~ TIr°~t.~.! ~~ 4 5~~7~ti1 s Cho SS S~c~'iov ©~ T~'~"tiG~l.~' << ZI~Siw G- 1,u~; 4 ?~~4- 7-0,5 "~ ~ U ~ G ~ ~ ~~~;~, ~~p~~,~ ry wig, ~ ~ • ~ -sue ~T, r~y/'~1ol~ ~~,~f ~1.~'- _ s. ~ s ~ 1 l jf ~ ,~i'iv. is: ~' ys~ S~~ Tr'o'y ~'~ ~.vsaFcT/ov ~~~ _ !/// ,, A/.~xr~ /,U~i~7iGtTo~ r q~'~ +E (~V,kT~O~ sue. ~o ~-/~~c 9~~f~~' Tit'~~t1 Cif ;_ ,i n ,r /> PLfMP CHAMBER CR055 SECTtr7N A1UD SPEClFlCATiOAIS I'~y~- 'f of G . y ~ S~ ~¢b ' i E ~ /D ~ ~o Gvi~vAvcJ, .7rb~- ~ ~i~P %v ~,~- /~(!G _ VEIJT CAP ! P P '" VENT• PIPE APPROVED LOCK1111G WEATHER PROOF ~~i JUIJCTIOW BOX MANHOLE COVER • G! lv~fiGu/,p(~ /,q~/ i2 MIU. : - -- I • • ~ J Top cov~ie ~~•3 ~~v~'/Y4N GRADE ~ I } ~>~ ~ COIJDUIT ______.-__ ~~ ~/F'Y~n' Div ~ ll~ _ _ W LE'j' _ PROVIDE I -- ~.},. AIRTIGHT SEAL I i I I ~ { v APPROVED JOINT A 'IJ~,({~~~. - I fi! w~PROVP PEO1N' tJ/ PIP£ 1 ,(''((?M ~ I LXTENDIAIG 3' O + - t 1 ~ I I I, ALARM EXTER101uG 3' 4WT0 SOLtD SOIL B ~~'1 ~~ - ~ 1( ~5~ LIgO / s~.~fo Pic 4~~ 3,y5 i I oN ELEV. FT. ~ PUMP --~ .--s ?.SSE ,3 ~ 11 ~ OFF t D /y0/PE AF k `g~DVra ~ iZ ~ BtOGK .!/tiV9 . . _ ~--- R15~R EXIT PERMI'IfED f7NL~ IF TAIJK_MANUFAGTURER HAS SUCH APPROVAL ~~(t Sttlu G- TIC E SPECIFICATIONS . ~ DOSE ~ t ~s ~rZ.. 3 . TANKS MAIJUPACTURER: IJUMB~R OF DOSES: ~ PER OAS • ! D. TAWK SFZE: j SD GALLOWS ~ DOSE VOLUME /2 iNCLUDfA16 BAGKFLOW: ~ ~ ~ GAL-LONS 7~L.ARM MANUFACTUR1iR: L~~1' lA'R/t'I MC1DEt_ 1JUMBER: ~ • ~ ' ~"' ~ ~~ CAPACITIES: A= ~~ •~1NCAE5 OR ~ GALLONS SWITCH T9PE: ~~b~"~` ~ t3= (j2~INCHESOR GALIOIJS PUMP MAAIUFACTURER: Z. ~ "' C=2// --~~1..._INtHES OR ~~ ~^ GALLOIJS MODEL i~lUMBE.A; ~ L D = _L__ =, tldCHfiS OR Z 3 V 6ALlOk1~ ~- SWITCH TYPE: ~ ~G~'' ]~lO'l~ ~ IUOTE: PUMP ANt) ALARM ARE TO 8E MIAIIMUM DISCHARGE RATE~____s!____GPM IN5TA1.L6D OIJ SEPARATE CIRCUITS VERTICAL. DIFFEREWCfi 61;TWEEtJ PUMP OFF ARID 015TR18UT101.t PIPE . ~• ~ M=EET ~~~~ s~~C'S -I- MIAIIMUM NETWORK SUPP4.y P~,Ei~SQStIRT,E/.. . . .. . N~f~ FEET Ei~~l. ~ D~ ~~ P -}- ~ FEET Of t"ORCCs MAIN X "` ` F/oo fLFRICT10iJ FACTOR. ~'' ~ FEET ~'(~~~ j S ~g Z TOTAL Dy1JAMtC HEAD "- I -FEET IiJTERIJAL DtMEtJ51aWS Of TAWK: LENGTH ;WIDTH ~L~.;I.IQUiD DEPTH ..._L._ i - tN L.E't'" To Zftl31~(.- ~ i LT~ I3 fi-S i ~ h ~" H Es r ~ pn~ N t o~ Fay ~~ J~cA-~,u ~1 •b ~'"D 7"~L Li ~T ~ i' S THIS POWT SYSTEM SHALL INCORPORATE PER COMM: Q+] AAM1n a PRa7PER ZABEL • ZOELLER EFFLUENT PUMP MODEL.'98 }, '. ~ ~/~ s/e - . t! ~ ~ isle ~ l~l~ t t/:-tt t/z tlrt ,~. ~~ •iMA1110 MtAMIOW -t!t IN.NIt f f//IVIMrANeOIWAtilYltl ~ . 1~ e•raeny YNIIxMrN ttRt MRitllt 0111N lrryR r! • 0.~ rt 97>t N x~t t1 t.er ~! rro ~ ato ' !! AS Leek YlMe ~ ~~ . •,, '!~ CONSULT FACTORY FOR SPECIAL APPLICATIONS ~ ENtdrlcw aMernMors. for duplex systsrtls, sro avaltabie and hlppMod wllh an alarm. • Mercury f1oM ~nrpches ae available tw t~lttrotprlg ~~ aMd ~ M~nicaf a4srnatas, it3r duplex Wstsms, Ars available wph Or a thrp ems ass oYst•mA' . rrAftaut Nrm Awltclte~. pipgybsck tnerclrry !lost swAches ara inrepabte ~t vsriebis Iwei kmQ cY~ corNrolrl. 9t>tndsrtf all models -Weight 39 ib~ sEtECt~ oeryus ~ . NAerbo -lhti.p. t• inieprtlAoerepe/oteAlpal.~~b~ne.~a«n.tea,aalealr<ed, Conhol SaetUon !~ ~e p100f'seek ^'~'~ Ibtl errAch « Aar61e 4#alol Y he-Pa IAate ifu ox ~ twkeh. rteler b ff.lOgl. ~ . heN t { el lex iilo " O. t a j Irecbelrkef .ItelnNor t0 e07Z « te-OOItf~ ~. feo ituottt, to Donal tjp l a Ir.rarwy eea.or Aar modtl of EleWtcoi AAalt.tor. •'A.pkM 7:M :Je ; ~° ~ s ! er 1 i 7 ~x t!{ a li{ Aoel e~~telrt te~OA!ti tu~W a t- oarhoi t~eMetq .ge11r A A t ._ h « f t / .. ~ f ~! 1N Mre "1 hk' ; klnelfoli 6eul. tot •~~ «~x ~I~t 100t10l, "^7"Y"~ o110f MtIM/•~1 •ttlr. f. ws pt Role `.L-M ; lat wetel/~r •e1Y1~.-~.. v< ~!. iw ~"~~~~eMltalr ~~t~w hie k wAb' en CamMmtlon ~. f lbOt l; AM da CAYiION ~Akwt psr,N-tt A~Ek~kM MNndn. --brRR; Nrchanktl Mae.w ,.. _ I'p'A011 N senlrelx, taar.etl.."~.A~_ _-. _ .. fi,OtN PEq WIINUTE OWNER • s _ -..... . MAINTAINCE OF_SEPTIC SYSTEM . POWTS (landowner + maintenance of ~ is rePonsible for proper operation and Servfcfn -:this system. Regular 9 is necessary for the Periodic inspections and sYst'eat. The owner safe healthy operation of; this Y maim-enance is required by code to submit /inspection reports to the controllinall necessary- . g .authorities.. SPECIFIC CONTACT AGENTS S l • CR O r' ll _ ~ p;~j ~7`~/ * Governmental authority/ inspectors: ZO~l~ ~ ~ - ~~ 3~(0• ~to~~ . * Licensed installer maintenance -+ " manUaPonsible for providing an o Users Peration/ ~~ -* Licensed service / inspection ~./P/.- G?' agent other than installer: *. Electrician, for pomp, electric contr' ` ols, wiring units: N/~ IMPORTANT OWNER MAINTENANCE RE UIREM ` 1- Winter traffic ENTS area shall not {sledding, shave~in the cell, freezin permitted. yr frostecan%willoss the winter. g uP the system. Discontinuos useetrate into (a vacaction trip, resulting in no waster-use lead to freeze ups, _ in the } can also 2 • Water 3 4, 5. 6. conservation. hYdroiicall needs to be exercised! designed Y overloaded and destro Or system can be _ for a maximum wastewater fed• This.,/svs~em was are Iow of---~'~-.S~ gals. daily. • POWTS not ciesi disposal unit, or fined to accomodate wastes Any introduce any other unnatural sourCeSrom a garbage,..,. destro ion of such waste materials wi11 overload..- Y this system, - and If a Power outage occurs ' in a temporar or a Pump fails, it ma .; cell, which Y overload of effluent bein Y result recommended may adversely impact the celg {leak~gQ}tol~his allowin that a licensed Pum Consultg the pump tO return Per empty the dosin Your installer iinmediatelsing the correct. g tank, - y for advice. amOUnts. Neglect of the v erosion preventiveetative~~~cover (the cells traffic also can } can Lead to fa._ insulation & REGULARLY destroy t he lure, Compaction or heavy WATER THE VEGETATIONSYstem, It IS NECESSARY TO the,~ystem beneat OVER A SYSTEM!,r yi ~covwr, h IS NOT sufficient Effluent in alone t0 maintai;z a Periodic Inspections b necessar Y the owner into they Inspection Pipes and or his agents, is ins t'LpectionYstem: on the mound basal tar~ave_been incorporatp.~ Pi~~a ~ .., -- R. S r: G~ptk p~ ~j ~QNltVG ~ ,J ~' w~scorrsin tof ~ SOIL EVALUATION REPORT Division of Safety and Bui~ings Pegs ~ ~ Attach complete site plan on paper rxrt less than 81/2 x 11 ir>d~es in size. Plan must ~r S ~.Giti'D/ X kx*rde, but riot limited to: vertical and twrizAntal refererxe point (BM), direction and Pare I D percent slope. scale or dimensions, north arrow. and location and distance to nearest road. . . p 0 -' /d 3j " 7 0--~~ CJ P/ease paint al/ information. ~e PersonN information you Provide may be used for aeoardsry i t~a~Y Law. s. 15.04 (1) (m)j. K $ /! 6 PropertyOxrt~er ~4 -~~'!,~_ Property location r7 ~-8 Govt lot ~j !r 1/4 NW 1/4 S h T ~ N R ~ E (or)® ProQ~ty s Mailing Address "(' p c4Tr~YLibK '~ l2 . Lot # 131ock # Subd. Name or CSM# ~ (~ ' State Code Phone Number (icy ^ vttiage .Town Nearest Road l-f7~fD50~ W/ 5~D/(o 75) H-l~ln~pnl ~Tf2Ut1tf3RG7~K ^ New _ Use:.~ResideMial / Number of bedrooms ~~ Code derived design Nowrate -6~+Q- 4ro7~ GPD ~t ^ PubBc or - Describe• d U TW~}5 F fi Flood Plain etevati~ if apph'icabie ('~/~~'s' >t General oontrrtertls ', and reoorrtrrtertdatiorts: ~# a ~ _ . Pit Ground surface elev. q7' ~ tt. Depth to lirrrting favor 7 qy' in. Soil Rte Haimn Dfrpth Dominant Redouc Desailriiort Texture SMxdrre Consistence -Bogy Roots t> ~ in. Muftseti t1tr. Sz. Coat Cobr Gr. Sz. Sh. "Efi#1 'Eff#2 / 0 -off? ! y'R zl ~ - ~ Z m r rhf r C 3 v-~ 3 ` 36-9~F t o~'R. ~•/ - S O s i'Yl t - t J'~ .~1 - . ~o ~ 9~f-a ~ • s~ sz-sue # tai a~.32 Pit Ground surface elev. it. ~ ~ factor ~ 9cJ ~. Soi Rabe Horizon Depth Dominant Redouc Desp~tiort Texture SUvcttet. Consistence Boundary Roots GP D/ftr in. Mtmsefl t]u. Sz. Coat. Cobr Gr. Sz. Sh. 'Etf#1 'Ef#k2 t -ZV t o Yrz~ I 2m bl'C S ~ Z l ~ 3kf- S m/ A.. 5 J-F . ~- 1•~ ~3. g .8y EiNtren t #1: BOD > 30 < 220 mglL and TSS >30 < 15 0 n-gA,. ~ #2 = BOD _< ~ rrtbyL and TSS < 30 mglL. CST N`ame (Please Print} ~3'FtJ tJ`` V LIZ Address Date Eamon Catdixfed Telaphane Nuriber 2812 I D ''~ ~J~ ~ P2.V~h '~~-l.L~~r. I~ 1 ~i - I (o 'b 5 /~ ~5) 77 ~ - ~1-~ ,, /~~N~..~y Patoel ID # .~ - .., ~ z d ~3 ~ t~ Cxannd sufaoe~ev. ~~0 ~~ fl. b ~e sax 7y_~ &~ sw Reee ~~ ~~~ Haiaara OepAs Doak Redaoc Oesatpion Tex6r+s Struolure Canoe eaaxlary tZaots (a'P 0~ ~. ~Y tk1.5z Ca+t Color Cr. Sz Sh. '>~! '~ 0~5 ~oY~Z/~ ' ~ 2m r mfr ivy` b _ 3 2 -3 v`/+2 2'/z - ,e 5 0 S rh ~ CS ~ a~ °~ -:. florBaDn Deptli OomiQent lZedooc Qesaq~6on Te~ue She GonOe 8aatdary Rood! t it M~ Qu. Sit. Conk Cabr (;Ir. Sz Sh `!~i ;.. a ~~ o~ ~ ~~ ,z ~b~>~ In. Rale HalOOn Daph Da~i~ant Redaec Desuip6on. Ts~mre Sln~ae Cansis~enos 8oadaiy Rooms CPOrR it M~ Qv. SZ Calt Dolor G1: Sz. Sh '~'! '~ . a ~ ~~ ~. ~~ ^ ~ Rabe cene- oomind,c Redaoc Oesaip6on_ Teo~tte s goundery Iilon4s • Efll~9 = ~,> ao <_2aa mglt,a~aTSS >aa < 1sa mgft. • rc~ = Boos_<3o m~Land'F5S_ ao mgtl D•A~ Hi8 y . . = c.oaTov2, - ~3dR IN(~ SC ~4 1^~ I'' = 3~' W E1-~-- 18~ _ ~' 3. ~8 ~~.'-rc~ was-, •_' _' _ l..b'C 1... ~ 1J~ '~;'9 ~{-ouse ZZ ~ ~' ~PRaDM ~r l~~Q~1L?E 4 2t ro `-mod M ~jFSID1~1~- ~S ~ ~ ,• F3M I -- -- Ib0•b0 4, zc ~ ~ l ~F~-~s-aT I_~vEL= qO.B J ~ io' 1,.. $~12= gq•3r.O ~'Toi~ o~ p~MP c +t~tMP,~2 M'gnlrl~OLE' cp~/~••.Z 73~ PVMOUT ~~'~ 6S, . - 8~-8 o~~ SY5-i'EM ~~= q~•g~ ~ _ ` Slop F~~4~r~ 30~ 3 I b0 ' q~.32. ------7 ~ - ~ -1- 5~ ' -ro ,____~, ~~- ?3 2 = q -7.32 1_c-r ~.~ a~ ~o' ~~ 3g~a ~b~~' --,~ Ivo•58 i X33 = 100.58 90' * Parcel #: 020-1033-90-000 08/12/2005 08:11 AM PAGE 1 OF 1 Alt. Parcel #: 17.29.19.146N 020 -TOWN OF HUDSON Current X' 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 O -DAHLBY, EUGENE D & LINDA EUGENE D & LINDA DAHLBY 965 TROUT BROOK RD HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 965 TROUT BROOK RD SC 2611 SCH D OF HUDSON SP 1700 WITC /~ ~ ~ ~ ~(~L f 70 - l ~~'l~ s ? Legal Description: Acres: 3.600 Plat: N/A-NOT AVAILABLE SEC 17 T29N R19W SW NW LOT 1 OF CSM Block/Condo Bldg: 2/529 Tract(s): (Sec-Twn-Rng 40 1 /4 160 1 /4) 17-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/26/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.600 49,600 170,000 219,600 NO Totals for 2005: General Property 3.600 49,600 170,000 219,600 Woodland 0.000 0 0 Totals for 2004: General Property 3.600 49,600 170,000 219,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 201 Specials: User Special Code Category Amount ~~ Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK Thls is to certify that I have inspected the septic servl ng the ~~ y~N~ ~f~'~L13 Y ~/~ ~ At ~j residence --~-1/9, ~`~ ~ 1/9, Sec. ~~ , T- / N, R I~ W~ ~os~-~ tank presently locat:.:d dt: Town of - Upon inspection, I certlfy that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced ~~r~'r`'Q~ ~~ 5 . Did flow back occur. from absorption system? Y No ~(iE no, skip Approximate volume or len th of time: ~ next. line) g gallons minutes Capacity: ~~0~ ~/Lel~1"5 ~--, ,5; T ~" 75 D ~. Pv~-, P T~~_ Construction: Prefab Concrete ~ Steel Other Manufacurer ( if known) : ~j,~--s'~ ~~ ~~~~ Age. of Tank (if known): ~y~s-~a {Signature) tName) Please Print tTitle) g~ ~~ ~ob5 (Date) (License".Number) Firm to be completed by licensed plumber (x.195.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code} Plumber {applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILNR-83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name KO (3~1~-~ ~,I ~h]~. I (M ! S i gna tune /h~ "" --14fl/MFRS ~ `~P ~ /J 5/88 Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 sT cROix couN•rY SEPTIC TANK N~ENANCS AGRBBMEN'I' AND py~g~HIp CER'T'IFICATION FORM ~ ~~Y ~~~- s' 3 ~ OwnerBuyer ~U ~'V ~ 9l~ .~ ~20~ /~ao ~ ~ . ~~So~ S ~ 01 Co Mailing Address _ S property Address - (Verificationrequired from Planning D~par~°nt for new construction) ' n zo • /0 33 • ~a°O City/State _ ~~ ~' ~ f Parcel Identification Number ~. l~~ \ LEGAL DESCRIPTION ~ ~v~SD'J SGt~~, 1 itl jrv 114 Sec. 1 ? . T 2~ N R ' ~W, Tawn of t p'roPertY T,ocation ~._. /4, ~. ~ - ~~ Lot # Subdivision sZ Jc Cetrtified Survey Map # 3 y S y~d Volume 2 ~ . ,Page # ~/ 4 7~ n Deed # ~ 7 .S ~ 1~ ~ .Volume .s ~G~ ,Page # Wawa ty Lot lines identifiable yes ^ no Spec house ^ yes [~ no S~gTE1VI 1ViAIN'TENANCE P r maintenance Improper use and maintenanceof your septic system could result in its remature faih>re to handle~wastes. ~ o the system consists PuatPmg out the septic tank every three years or sooner, if needed by a licensed pumper. of em. can affect the function of the septic tank as a treatment stage is the waste disposal syst t a certification form, signed by the owner and by a The property owner agrees to submit to St. Cmix Zoning n that (1) the on-site ~vvastewaterdisPosal ~°m Pl~r~3omneysnanPlumbcr,rest<ictedplumberora liceasedPumpervenfying is is operating condition and/or (2) after inspection and pumping (if necessary), the septic tank ~ less than ll3 full of sludge. Per with the standards to maintain the Private sewage disposal system Certification Ilvsrc, the undersigned have read the above requirements and agree of Natural Resources, State of Wisconsin. t of Commerce and the F~ to the St. Cmix County Zoning Office within 30 set forth, herein, as set by the Departmen leted and returned stating that your septic system has been maintained must be comp days of the three y exp' 'on t ~' J DATE SI OF APPLICANT OWNER CT,RTIFICATiON o„r laiowledge. I (we) am (are) the owner(s) of I (we) certify that all statements on this form are true to the best of my ( ) ~ Ply descn ~ warranty deed recorded in Register of Deeds Office. ~~ DATA ~ OF APP CANT ~ s**«~. Any information that is mis-represented may result in the sanitary pemut being revoked by the Zoning s««sst warranty decd from the Register of Deeds office ~'` Indnde v~rlth this application: a stamped if reference is made in the wammty deed a copy of the certified survey map - Ulbricht & Associates Private Sewage Consultants 2812 10th Ave Spring Valley, ViJI 54767 a ir4'-, a~~',~.~tt.~.?!~"r~fa5~r.~,a~-.'~3~~ ~ai.~.Yx~.~ai8.~~ r~,ar>:aG"<Y !~ _ _ _ i, - ~~ ; ,~ YOt ~ ~~ FA6E~~ ~ [ ti,, 3~5~,,fi ~ ~.~ - _- -. - 'I'hls Dted, madr betweea....KRA.dBl.l.$....Prf.,~@.t.,8x~..ak8...~........--~ ..$....II._.P.ri~tax,ex._aod...8ezni~ca..~....i~ss! ~ ---- i _ ~. .,._....., ._:: A F Eu ene D. Dahlb ,,,,and Linda N Dahlb husband ~~' •+ and _.._..._...8 ..............._.. ~- ... ..._..._....._..z... ,end Ki Vie, as joint tenants ~.:,.._,._... Gtaatae, Wimesseth, That the said Grantor for a vatna6[e wruideratloa._...~.....w......-... .7~,t~.1Y~_~b.4~A~.~~..F~Y~...~ina.~~.S~.~.,.~Q.4.~...Dollars ...~............ f eonrera to Goatee the follawiag described real estate ia..........a~.~~iS.t2~7i-- Cocntl. ~,~ ~ _ s State of Wiscoasia: + - { A parcel located in the SW 2/4 of the NW 2/4 of Action lt, Township 29 N, Range 19 W, described ?~ gey x.~ :1 as follows : This is _..11421i1...... homestead propetry. '~ Lot One, of Certified Survey Map recorded in the Office of the Register of needs for St. Croix County, Wisconsin '~ on the 16th day of December, 1977, in Volume 2 of Certified ~~ Survey Map. pegs 529, as document number 345440 _ ~A~+~~~ ~. ~~ `~ l ~?____. 1 ` _ s • ~ FEE ,, i. ,~ .,, ,.. _ ,E ,~ _ '4; 1 j Together wish all and aiagular the hereditnments and appurtenances thereunto belonging of in any wise appertaiaia;: +. Aaa _..~~d.~..~....P.~~.~.~lt.~r...aic~l..%.....~.....~~a.~:}te.~~am~..~er~.i.r..e..~i.arse~n... warraatr that the title is good, indefeasible is fee simple and free and clear of encumbrances except. sad will warrant sad defend the same. i Hudson. Wisconsin ____,_ this?n ....~. daT of- u~ 19~~.--- ~ Ezecvted at_...:_... ~E (S~) ~. F aTONidD AND BIIAL1dD IN PRTd6iNCTi O! _ en all B Priester. aka R. B. Priester .... N~A......__.....-._ W~ - -- (SEAL). ;i Bernice C. Larsen .....(SBAL) } ...._..~.~...--~..--(SEAL) (< _ - i -- R' ;., l j Signatures of .....~~a.~.~..~.~._~I'.1B5~.Ig7C~...~0.15,~...IS~.~.._.YX1~ _ i ~ ~ _..... $~311~_.Sis.~n. ~....--- [~ antheatiuted this.~]D~.. w ......_._.~..---- dsl of ,IBA 9.. ~ ~ ,~ ~ ....~ .~. 4 _ ~ William J. adoaevich ~~' '~ Tide: Member of WIsmasln or Othes PrrtT Authorized cadet Set- 706.06 sdz. - - - ;~ ~ STATE OF WISCONSIN .`,,. . ~j! a. ----•------ 19......._.. T f Pec-ozap~ amt before me. 11.•a - ~.........~- daf o ~~. the above aam to the lmows to be the persoa......_ who e:ecnted the foregoing iastrumeat and ac(mowledged the same. e ~, T111a1 1ltaRRUNQIt WAa DIIAITtO aK _ _ ~• 'I William J. Radoaevich' . '7~T orneY $ w -. Cotmb. WIa. (~ v..~..,... v, a...,..e;n 54A16 - _ Nerar. Pcb1I4 ............. ~ r S it .. ~ .. ` 345440 M ro Ki ti r` x F of z CERTIFIED SURVEY MAP (V SW I/4 - NW I/4 SEC. 17, T- 29-N , R- 19-W NW COR. SEC. I7 OS o, 2 ~ BEARINGS RECORDED P~A~~~_.`AN 56.1 \ W ~- NORTH ALONG THE _ WEST LINE OF THE RE.G' A o O'~~8~p O. NW 1/4 - SEC. IT ~ 568 'Z,f2?S ~~~ ~~~'' of S 6\ 'off ~ -~_ ' ' P58M~~ WEST LINE-NW I/4 Qe~ -g'( l '~~ ~E 1~2G~ 0-38 .~ OOH, :.a S rO~ ~9°~PS Z~ ' ~ ~° O ~°~ ¢~ I 403.80' ' ~ I ,. ~ 900 ! °~~~s.. LOT I '6s °-~4 . ,~ I.AN~s. " ~ASTEO. ~ 'P ~C+ S `A - ~ a~ ., S o >7 a m. °'. ~° ~ •. ~_ F F J 100' S0' 25' O 100' sEC417 SCALE ~ I" 100 THIS INSTRUMENT DRAFTED BY G.C.Shaffer 7 7- 50 3.60 ACRES g4', N 25°- 56'-55"W I 65.05' l f I w! I I I 1 I ~ ~~ I zN I N ' e ~ EXISTING ROAD M ~ EASEMENT OF 2 n RECORD (AS NOW pl TRAVELED) cv I 1 /~ / ~~ / /~ / /i~ a`/ ~`S9 0 / ;V ^7 / IFS. /A°. M/ Wis., /_ / ~ _.k~r ~6 90 c'~ , .°2„/ off/ ~~ i a6 ~ Zvi ~ i ~ i / ~ %/' LEGEN D ~~ ~ ~~i ~ - CO. MON.- BERNTSEN CAP / •- 3/4" t. D. IRON PIPE FOUND ~- 1" I.O. IRON PIPE FOUND Q- I" X 24" .IRON PIPE WEIGHING 1.68 LBS/LIN. FT. SET - ' ~ PK'' ~ N 63°- 19'- 44" E P.~~- 16.82' APPROVED 15-0°' DEC 1 5 1977 ~ APPROVAL OF TIi15 MSNOR SUBDIVISIO)V DOES NOT MLAN APP...~_ VAL ppp~ ST. CROlX COUNTY ~/ CDMPREHENSIVE PARKS PUNti'K1 ~~SG~N$~w_ BUILDING SITE OR Sci'i7:: aY.,TEMi ANa ZONING COMM1t7EE ~ _v '•y :tF.~eR ro tibia ~.::. a~ a s SHAFFER C~RTIFICATF OF TOVJU OF HUASON: S•1325 HuDSOt~ ~' 3 4 S 4 4 Q I, Lyle A. Baer, being the duly ~ O~~'r elected, qualified and a.eting Town '4Np S R~t~r? ~ Clerk of the Town of Hudson, do ~~s~N~ ~ ~ ~ hereby certify that this Certified ~~~+ ~r' Survey Man has been a.vproved by '~C Z D he Town Board of the Town of ~61~n j udson. c ~,~~°~ ~ ? Lyle Baer, Town Clerk VOL. 2 PAGE' 529 CERTIFIED SURVF`Y MAPS ST. CROIX COUNTY, 1rfl.