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HomeMy WebLinkAbout020-1037-30-000Q o ~ ~ y U ti Q c 0 N b N ~' tl Q d •~ O N '~ .~ •~ U ~`~i _1 c O W N CC c e~ .~ A d' rn Z ~ V Z rn W OD~z O Z C 7 LL C a~ E ~ M 0. N a' Ill O ~ ~ m a> a m ~o c t7 O Z ~ c T I~dz~ °~~ fn I- r ~ p_ c ~ ~ U N L N m 7 = I N `o 4. m II o Z ~~ Z M ~ m. o ~ - d D. N ~. '~s w ~+ m ~ H o =ooa` Q o ~ N ~ N Z N ~ •~ ~ ',i oaaa a I ~ ~ O N 'I, i S O N to J U '~,~ ~~ U o N M OO O M (gyp to U r' ~- ~ = ~ ~ S~ a> -ci - °~ ~ .~ w '~ N N p°o ~ O ~ a c ~ LL c ~ M ems-- ~ ~ ~ M C C ~ O O 3 ~ O N 'D 'C O ~ ~ ti o r° = Q r~ o w' ~, I, ~' E a~ ~a '' ~ a ~ ~ a'' ~ a a a m ,v d c m c°~a~l'oaic°i a~°i °o O ~ a~ c 0 ~ ° o ~"' Y m c m °- :°. o ->~ ~' ur ~ E ~ N N ~ ~ d 0 w ~ N N F- m a V ~.~.. Lll rn rn c Y o c O o' m O N N 07 N ti '«~ > _ ~ ~' .~ ~ ~ N lIJ ~ ~ ~ C J ~ ; y . ~ LL. N (0 Q .C ~ J > > N U z W ~° ~ N m N ~ m O LI C ~ \ D 'C N O M N C A N ~ ON-C ~ L X K QUcomUaxi c N a m L ~ °' ~ ~ a m° N } 0 Z o ~ O CD ~ c m a~v~ 0 a~i a~ ~s N ~ N C N ~ W ~ U C N Z N ~ Y O O O :-, ~- o t6 U N U ~ O '~ N O ~ Z Z O I I I i a~ ~ O O N 7 n f+-~6 ^ ~ o i o o a o 0 0 ~ '~ N N N ~ ~ Q1 ~ I~ .~~i "a N r ~ G N ~ ~ R U ~ I ~~ I /* Wis'bonsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ^ City ^ Village ^ T n of: Aarthun, Robert J. & Monica Hudson Township CST BM Elev.:- Insp. BM Elev.: BM Description: ems. ar le®.s' gQc~.,~„ s; , TANK INFORMATION ELEVATION DA1 TYPE MANUFACTURER CAPACITY Septic C ~~ Dosing Aeration Holding TANK SETBACK INFORMATION. TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic i~5r S~--S'' ~ ~ ~ NA Dosing NA Aeration NA Holdi PUMP /SIPHON INFORMA N Manufa turer Demand Model Nu ber GPM TDH Lift Lriction System H Ft Forc ain Length Dia. Fi ist. To well OIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No.: 370378 State Plan ID No.: ~~ Parcel Tax No.: 020-1037-30-000 4 STATION BS HI FS ELEV. Benchmark •~ Z ta-; •d [ w~ . d Alt. BM ~J~i4. Bldg. Sewer St/ Ht Inlet St/ Ht Outlet ~ ~ Q .~- ~ Dt Inlet Dt Bottom Header/Man. ~•`(1 3• ~3 r Qist~'-~ R ~ Z `13• bo' Bot. System ~~ ~ q2, Final Grade ~-~S ~fl 9q~ a Z' St cover S•~ Z~•~Zr ~,~ +~ ~' ~ 9'f -~ NCH Width ~ Length No.O Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM 3 DIM N I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Ma ufa t Ser:~e~ ~' SETBACK - INFORMATION Type 0 t ~ CHAMBER Mo a Num er: ~~ System: i/. 15 {' OR UNIT DISTRI6UTION SYSTEM /~~~ Header / amfold ~j ~ Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake ~ c. Length ~ Dia. r length Dia. Spacing -L ~ T 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 ~j OMM~NTS: (Inclu cc~ Iscxepancies, persons present, etc.) ,s1 !~- iop ~I~'• ~.` ~,^ ~~ b~ iA.r, Ins ection #1 Location: 353 Casperson Drive, Hudson, WI 54016 (NE 1/4 NW 1/4 18 T29N R1 1.) Alt BM Description = N~~ 2.) Bldg sewer length = ~~-~,,,~ ~ - -amount of cover =~ ''T".g 1 - 182919157F5 -Lot 2 Plan revision required? ^ Yes ~No ~ Z OR © ~ Use other side for additional information. ~ ~ Inspedor's5ignature Cert. No. SBD-6710 (R.3/97) ~ ~ _,. D G J ` t Safety & $uildings Division ~ Sanitary Permit Application 201 W. Washington Ave. ` ~ iscons~n In accord with Comm 83.21, Wis. Adm. Code PO sox 7302 Madison, url 5370?-7302 department of Commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)) state owned. Attach tom fete tans to the coun co onl for the s t n a er not less than 8-1J2 x 1 I inches in size. County' State Sanitary Permit Number O C ~~ ' n t p~ ' \ application State Plan 1. D. Number ~ ,_ , I. A lieation Information -Please Print all Information Location: Pr erty Owner Name 1 ` J~o ~ ~ F ^~ ~I+~+ (.. Y Pr operty Location ` r , ;, .n .,./'. S` ° ~ / -,( ~ p ,NL:' 1/4 ' j 1/4, S T ' N E or Pro erty Owner's Mailing Address ;;; , Y ,r ;> ~! ^~ p i ; .? Lot Number Block Number ` City, State . ... Zip Code ~~~:i~ P ~'-., / ~wN GQFF~ Subdivision Name or CSM Number ~ -:~~ ~~,V -.ice ` C....S 1/'J~ ~~ ~~~~~ II Type of Building; {check one) ~' ~ ? ~ a ;; ~ ^ city ,~' 1 or 2 Family Dwelling - No. of $edraoms:~ ~~ ~• O village ^ Public/Commercial (describe use): L$ Town of ^ State-owned ~~Y~I ~~, III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nea Road 6 l • - f c ~_ c~ts~ A) 1. ^ New System 'Replacement 3. ^ Replacement of 4.. ^ Addition to Parcel Tax Number(s) S stem Tank Onl Existin S stem i~~(C~ •%U.~('- 3C' ~%liw`: B) Permit Number ^ A Sanit Permit was reviousl issued f s3 , ~ , J~j - 1 S? F IV, Type of POWT System: (Check all that apply) Non-pressurized In-ground O Mound D Sand Filter ^ Constructed Wetland , Pressurized In-ground Holding Tank Single Pass ^ Drip Line O At-grade bit T~ t ~ Uni ^ Recirculating O Other: e V Dis ersal/Treatment Area Information: c~ ?j +~ G,8'. 7 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area a Soil pplication 5. Percolation Rate 6. System Elevation 7. Final Grade ((-~~, ' ~V Required r ~~~J Proposed ~ 37~ f~ to als./daylsq. ft.) ~ ,~ Cr,~, (Min./inch (~ 1 7~1.~~ Elevation 97• ~U VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted Tanks Tanks ~ ~. ~ ~v~~ ~ ~ A ~ o ^ o ^ 0 0 ^ ^ o -:VII Responsibility Statement I the undersi ed assutrre res nsibiiit for installation of the POWTS shown on the attached tans. Plumber's Name (print) Plumber's Sign '(no'stamps ~~ ~^ MP/MPRS No. Business Phone Number o~ Plumber's Address (Street, City, State, Zip C ) ~~ ar ~ ~ ~~~'~ ~ Crt1 ~ ~~~{l~[? VIII County/Depar ent Use Only l~Approved a Disapproved ^ Owner Given initial Adverse Sanitary Permit Fee (Includes Groundwater Surcharge Fee) ~ p Date Issued Is ng Agent i aWye o stamps) !! Determi ti p ~S I 1` of° 6D ~ - na on p~ vuunwua vrr~pprovar ineasons Ior t~ oval: S / '~' v r ~;S ~- >~ r-~s, d,e~, ~ 14,x.,., h~ ~,~~ - --- 6 f K. J.- . ,.. / ,. 1-10 t i 70 aia A 0, .11 ' A iiralThellaMiegBillillilli I I - - r - Al • .. is.,... • a .. 4- '• / 0 6 , - min 0 i a i r E." 1 . Moe.X 7 6(Mom 0 Si t:lor 1)Ir4 .0-4,- 3 134 eto •-, * N l -7- 0 of)/ .74 1>, 108. 7 s• 1 ) )) i 7 I to,,f, 8' ,f1,4 4 ) • 4f or Q...? . . Is ,,.... • • CaC74i. a. trt)V1) V-1 kig),9 ' o 1111 I il III in / . - II i II 11111111111111 Botte ''' Tit?1-. at5 (J ,0 tj a) II 411111 ji 111111 '',,7- VI L4 E)WP.9-40 9 7 S b ai ;12 •-•..„ 111 IIIIIIIIIIIII 11 ,t,liiiillgii Ii Ill IIIIIIIIIIIIIII ‘i ti 4---E-F. cii *----• ji iii mum' Z5 X tri 6 fi) (--2- ' -- eird4191,11111 7 amt ,-,--,------' >,•._. - i N 7:7 X 0 '''' JO • 7- ...0 cd Cr • ili 1 I I I II L ill gi - 1 III i.„---------- V ? ii- a) 13 .1). c x 0) (Y) C.) :f• LO . Uj 1 ;' 1 -----11- --------1---.___Ir IIU 111 (i) (11 >. co cD al .c n) :0 0 .-, tii to co •- . CI II [ 11111 MIMI , 7 • >., 5 ' ,,) cr) 2 0 _ -0 c .:__c 0 , Qs a II a 'fii a) Z Z 1c) k zii --.;ci E .6D .(.2 S.- ( • :t• E 0 :-.:---. -6 4.(-73 IIIMIN 0 - 1 II I II Plitill G 1 • 4-' .c St13 2, ' —1-111101101111111. -ca t-1 , _:7__. IIIRIII. 1110 \ W •,...- j _c ,, ,-- (If; e.) 1, ± '-i-T--- - ..„ 1NN,,, •--:-.., ' 7,3 2:-.1°)2 Oa 17)tii2 1 Nia) b(2 Ci)0 i 14 - (,.., °i ,,,,,,,„ ___ .,.. • ,_. • 0-5 co a. . . . 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 37-~ Number of Bedrooms ~' Design Flaw -Peak (gpd) ~ O Estimated Flow -Average (gpd) Septic Tank~Capacity (gal) Soil Absorption Component Size (ft2) <~' ' rc /~ . - c.. Type of Wastewater ~ Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation r aGT~ Septic Tank Component Soil Absorption mponent Design Flow -Peak (gpd) oov 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 tank and outlet filter shall be assessed at least once every 3 years by inspection. 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 Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole 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 one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 i-. ~~ Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. 3 ,l i r 71Visconsin Department of Commerce ' Division of Safety and Buildings SOIL AND SITE EVALUATION in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 A.C.E. Soil & Site Evaluations Attach canplete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not hmrted to: vertical and horizontal refer~pce.pr~t (BM), direction and ' St. Croix tance to nearest road. percent slope, scale or dimemsions, north arrovy, end, lobartio~ ~n ,, (( Parcel ,~ e 02 1037-3o-000ID#18.29.19.157F5 APPLICANT INFORMATION - p/ a11 in a on. as® prin t D 1 Personal information you provide may be used tdr second UfpDses Pri a s. 15.04 (1) (m)). at evi ~ / V (3 Property Owner ~ ..- Property Location & M i h ' ~ A ovt Lot NE 1/4 NW 1/4 S 18 T 29 N,R 19 W on art un ~.: . ~ Robert J. ca Property Owner's Mailing Address ;---~., ~ Lot # Block # Subd. Name or CSM# 353 Cas erson Th. ~ ;~ ~ sT caax 2 CSM Vol. 5, P .1370 City Stat 'Ljp.Cod~rAhR9~IkF1~?Er ^ City ~ VillageTown Nearest Road c Hudson WI 7I5-386- ~ Hudson ~ Deer Ridge ~ Res ~al:l N m bedrooms 3 ^Addition to existing building ^ New Construction Use: Replacement ~ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate 0 bed, gpdfft2 .7 trench, gpd/ft2 Absomtion area required bed, ftz 643 trench, ftZ Maximum design loading rate 0 bed, gpolft2 .7 trench, gpolft2 Recommended infiltration surface elevation(s) 92.00'. ft (as referred to site plan benchmark) Additional design I site Considerations Install trenches using high capacity infiltrators. Install Bull run valve to allow future use of existing hydrolically Parent material Glacial outwash ~ Flood lain elevation, if a livable na 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# 1 Ground elev 98.94 ft Depth to limiting factor >194" 2 Ground elev 98.95 ft Depth to limiting factor > 124" ( Remarks: Observation of H#7 wmpleted b soil it to 2~Remian' " observed b use of 2" handauger to verify suitablility of soils three feet lrlnw exictinn drvwellc. ~fL3 • /!~l 2A Depth Dominant Color Mottles Structure iste C nda Bo Roots GPD/ftz Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ons n u ry Bed '; Trench 1 0-2 10yr3/2 None sl lthinpl dsh as if - 0.4 2 2-8 10yr4/4 None gr. sl 2fsbk dsh cs 2fin,lc - ~, 0.5 3 8-20 10yr5/4 None gr.ls lmsbk ds cs 2fin,lc - 0.7 4 20-34 10yr5/4 None cos&gr Osg dl as 2f,lmc - 0.7 5 34-40 7.Syr4/4 None s&gr Osg dl aw lfmc - 0.7 6 40-48 7.Syr4/6 None s Osg dl cs lfmc - 0.7 7 48-194 10yr6l4 None s Osg dl - 1f - 0.7 ~~ /~ 1 i- f. /a .~ 1 0-4 10yr3/2 None sl lthinpl dsh as if - ~ 0.4 2 4-15 10yr4/4 None gr. sl 2fsbk dsh cs 2fm,lc - ~ 0.5 3 15-25 10yr5/4 None gr.ls lmsbk ds cs 2fm,lc - 0.7 4 25-33 10yr5/4 None cos&gr Osg dl as 2f,lmc - 0.7 5 33-42 7.Syr4/4 None s&gr Osg dl aw lfmc - 0.7 6 42-50 7.Syr4/6 None s Osg dl cs lfmc - ~ 0.7 7 50-124 10yr6/4 one s Osg dl - 1 f - 0.7 Remarks: ~ '' 9 . CST Name (Please Print) Signat e: Telephone No. James K. Thompson ~-~,.. Sa-- 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 7/30/00 3602 1273 _~ r , .® ~~ (.~ .~ ~!loPElzrir O~MEwz Robert s. ~ Mon-~a a~lh~n, SOIL DESCRIPTION REPORT PARCEL I.D.# 020.1037-30-000 ID# 18.29.19.157F5 3 Ground elev nn c~ u Depth to limiting factor >121' 1273 Page 2 of 3 ACE. Soil .~ Site Evaluations Depth Dominant Color Mottles Structure nsistence Bounda Roots GPDIit~ Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ry Bed ~ Trench 1 0-4 10yr3/2 None sl lthinpl dsh as if - '~ 0.4 2 4-12 10yr4/4 None gr. sl 2fsbk dsh cs 2fxn,lc - ~~ 0.5 3 12-35 10yr5/4 None gr.ls lmsbk ds cs 2fm,lc - 0.7 4 35-48 7.Syr414 None s&gr Osg dl as 2f,lmc - ~ 0.7 5 33-42 7.Syr4l6 None s Osg dl aw lfrnc - ~ 0.7 6 42-121 10yr6/4 None s Osg dl cs lfrnc - 0.7 ~ ~a ~~ lls. rcemancs: Ground elev Depth to limiting factor Ground elev Depth to limiting factor Ground elev Depth to , limiting factor 1 ,~ %) Qe~' "~ iz7.3 ., ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXIS'T'ING SEPTIC TAIdY. This is to certify that I have inspected the septic tank presently serving tie ~~~~'~`~u/"1 residence located at: ~~, 1 ",~ ~~ Sec. ~_, TN, R~_W, Town of ~~~~~~~,~~` , St. Croix County, Wisconsin. Upon inspection, I certify that I Have found the tank and baffles to be in good condition, and it p~~ears to be functioning properly. Last time serviced 8 ~~ ~ U Did flow back occur from absorption system? Yes line. Approximate volume or Capacity: length of time: construction: Prefab Concrete Manufacturer (if known): ~ Age of Tank (if known):. Nom ( i f no, skip next gallons minutes Steel Otlter (Sign ture) _ -~~f3'! ~)~%i/j2'l' '~,`fa (Name) Please Print (Title) (Licens~mber) I1 vv ( Da t ) Form to be completed by licensed plumber (s. 145.06, 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 ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name ~,/,%~) ~~ai,~~N.~~~(" Signature MP/MPRS a ST CROIX COUNTY OwnerBuyer SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Mailing Address Property Address ~w (``Verification required from Planning Department for new construction) City/State _Z~ IA~,1_~'~~U1 ~ ~ Parcel Identification Number~'n~-%/~-~ l- Ji"~ -~~~~ Property Location ~` ~ %,, . %,, Sec. ~, TN-R~~W, Town of _~~({~_. Subdivision Lot # ~_. Certified Survey Map # ~ ~ c13 ~ ~ ,Volume ~ ,Page # / ~'~'~ Warranty Deed # ~ Volume / U ~S ,Page # g Spec house ^ yes ~ no Lot lines identifiable .[~ yes ^ no SYSTEM MAINTEN NSF. Improper use and maintenanceof your septic system could result in its premature failure to handle vyastes. 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 systcm. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman plumber, restrictedplumber or alicensedpumper verifying that (1) the on-site wastewaterdiaposal system is in proper operating condition and/or (2) after inapoction and pumping (if necessary), the septic tank is less rhea 1/3 tWl of sludge. Uwe, the undersigned have read the abova; ~qucememb and agree to maintain the private sewage disposal ayatetn:~vith the atatdards set forth, herein, ss set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.' Certification stating that your septic system hss been maintained must be completed and returned to the St. Croix County Zoaing Office within 30 days g~ the three y expiration dat r IC3NATtJRE O APPLICANT DATB OWNER CERTL~f'ATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by v' a of a warranty deed recorded in Register of Deeds Office. 7 ~ ,,, .-- ~SI~TURB ~j ~ APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****•* ** Include vrith this application: a stamped warranty deed from the Register of Deeds office a copy o eerti survey map if reference is made in the warranty deed _ i :.i~ocuMer~rr Na. STATE H.~ OF WISCONSIN SORi1t i - ii4ef wAalv+Krr o~sa t ~f)o~t96 :~~~ 735 ~ Wanda M. Miller, a s' le !1 wa,~anr._a••..•aanda'~e er, ~oi~nerly.7aivwri:.a~.'W ............. ~ M. Cas rson ----••--••---------------------- sad....Robert:_~.-•~ai~th~~rid:Modica:A::_alart~lsi.et:.:~iiis~ian'c~'----- and-wife. as. joint tenants ....................••--- -- ••---•-•--•--.......... ..............•--.-...----......._.....---........--------...........--•--....-•-----------•---- -; Grantee, W11'llel8$e~l, That the said Grantor, for a valuable consideration...... conveys to Grsntse the foilow~ing described real estate is .._....St.-.GYO1X--__.•_-_ County, State of rViaconaln: • rnn stAU awavaib roll aec°wlwe °ATA p~~I~TE'!16 OltiGE ss, cxoix ~o., wry. ~~~ ~ Resmd Mds 29tH der ~ March q,p, 19 85 11:00 A M. .__._. ,, taw +A arils Il~ruaN t4 - - - - i ,. x Part of the Northeast Quarter a[ the Northwest Quarter and Ncrthw~t ~c°ier ~~~ ~~~ ~ ~~~~~ ~~ ,' the Northeast Quarter •Ot Section 18, TowrehiP 89 North, Range 19 West, '_'jMn of Hudson, St. Croiz County, Wiscon4in described as "follows: hot ! of ~ ,~ Certified Survey Nap filed November Bi, 1983 in Volume 8 of .Certified Survey • ,-!ep on Page 1370 as Document Number 389319 in t~ Office of the Register -'" ~ of Oeeds for 3t. Croiz County, Wisconsin. TO(3BT8ER WITH end 3t3BJECT TO anon-exclusive private road easement 88 feet In width, being 33 feet pn -each side of the followirg described centerline thereof; Commencirlf at the section corners alt Sections 7, 12, 13 and 18, ~ - TZ911, R19W; thence NOrul along the West line of said Section 7 a distance of 1- . 474 feet to the centerline of an existing town road known as Krattky Lltf~e; thence K64°21' B 240.0 feet along said. centerline of the town road; thence N88°37'B S9u.0 feet.. aloe said centerline of the town road; thence 381°'l0'B 197.0 feet along said centerline of the town road, to the POINT OP BEt31NNINQ of the centerline a[ said i6 foot wide road easement; thence 315°O9' E 276.0 .. , feet; thence 363°24' E 411.7 feet; thence n43°55'E 156.9 feet; thence S 53°09'B (continued on back side) Z SF D $~ This --.----- ~ `7....--------- homestead property. (ia) (ia not) Together with all end singular the hereditaments and appurtenances thereunto belonging• And_._.-grantor:-:wan'~_ hl,-- riiller,--a--single-.woman,--aka--rti'anda--Vitae--~(i~ler-,--fka Wanda warrants that the title is good, . •.defeasible in fee simple and free and clear of encumbrances except ri. CasperSOn easements, covenants and restrictions of record, if any, end will warrant and defend the sy`ame. Dated this U.C._------ ----- day of ----.-...- -I~'IarC}1---- --•------------ ---•------------------ 19-- 85-. - --••- ------- -----------••----------•-----------------------(SEAL) WAPIDA Dt. MILLER aka Wanda Dice ?4iller -ika -Watlds--bfi:--~asperson ..................... - ----- - - --- ------------------- --------------------(SEAL) AIITHIlNTICA•fION 3ignatnre(s) _.~1~,C~._T.~.__M].l.a.~r_._~.~'rs~IlC~_~?~ Mi11er_.fka__W rL__Casperss~n~--- ------------------ authenticated ..__ day __.Max~h___..__...-, 19..$~. ~~ . TITLE: MEMBER STATE BAR OF WISCONSIN (If not . ...............•-------------• --••------..._._.._..-----••- anthorized by $ 706.06, Wis. State.) THIR INSTRUMENT WAS DRAFTED BV _I-IEYLV00D, CA.RI i• b1URRAY by Samuel R. Cari j ~:0: -Bon--ZZq------•----------------------------------------------- -#~Idso~,..'aii-..---51416-------------------------------------- --- I ,... .. .. - - ACHNOWLBDCiMSNT STATE OF WISCONSIN ss. ..._........-•--------•----•------•----County. ~ Personally 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. Note.*y Public ..........................................County, Wis. ' ~; •~, .. ~~ ~'-~ ' 3893~.~ CERTIFIED SURVEY MAP LOT 3 C.S.M. VOLUME 3, PAGE 702, LOCATED IN THE NE 1/4 OF THE NW 1/4 AND THE NW 1/4 OF THE NE 1/4 OF SECTION 18; T29N, R19W; TOWN OF HUDSON; ST. CROIX COUNTY, WISCONSIN. N OWNER WANDA MILLER LEGEND RT. 2 ~ ST. CROIX COUNTY SECTION CORNER MONUMENT KRATTLEY LANE WITH BERNTSEN CAP, FOUND. HUDSON.. WI. • 1" IRON PIPE, FOUND. NW CORNER N 1/4 CORNER • 3/4" IRON PIPE, FCIJND. SECTION 18 SECTION 18 588°57'03"ya O 1"x24" IRON PIPE WEIGHING 1.68 LBS./ LINEAR FOOT, SET. 162. 2' W rn ~ rn O ~ ~ y w x 0D g~IALL TRACTS -r _--- ~'_ -~' 323.54' ~~ g °45' OO,~W w EMEI.IT VATS ROAD EAS ~ pRX ~~ -~.~ 290.20 Z O W ',d w LOT 1 ~ y x ~ 90,434 SQ. FT.) ~ ~ N 2.08 ACRES ) INC. ROAD ~ co ~ N N - U1 N ~ ~ 64,877 SQ. FT. ) ~ ~ ~' ~ 1.49 ACRES ) EX. ROAD o ~ ~ o CURVE DATA p = 105°49'10" / PRIVATE o R= 80.00' ROAD ~'~ ~ L= 147.75' I C= 127.63' EASEMENT N ~ CB= S47°10'16"W In y TB= N79°55'09"W 127.23' ~ x S05°44'19"E w rn ~ C 0 r I `~' o IN ~ ~. ~; ~„ i`~ ",, 'a ~, n ~~^y ~~\ _, 41"W 321.81' S89 15' . a' CURVE DATA o p= 122'' • R= 80.00' ~' L= 167.89' U' C=138.73' CB= S65°51'30"E TB= S05°44'19"E N54°01'19"E LOT 2 127.323 SQ.FT.)INC.ROAD 2 .9 2 ACRES ) - 118,975 SQ.FT-)EX.ROAD 2 .7 3 ACRES ) 'r o In I~ I~ 'r IW ~~ iv W ~~ v w N N lD .~ O ~ O , 0~ Ol N / CURVE DATA Q=54°01'19" R=80.00' L=%5.43' C=72.67' CB=N27°00'39.5"E TB=N54~01'19"E NORTH ~ z Iw ~ LOT 3 ~o ~o o ~ o ~ 130,426 SQ.FT.)INC. ROAD ~ o~ 0 2.99 ACRES ) 128,942 SQ.FT•)EX. ROAD 2.96 ACRES ) ALL BEARINGS ARE REFERENCED TC THE NORTH LINE OF THE NW 1/4 ASSUMED TO BEAR S88°57'03"W. I " _ 100 50 0 100 APPROVED NOV 181983 ST. CRO(~( G..::::TY COMPAEFtENSiVc PAK!<J PIANI ANA TONING COMMITTEE F LED ~\ NOV 211983 1AYES O' COP{ftElL WpW of ~~~d~ . 611 fib, S88°45'05"W 322.28' 289.27' 33'~Ol' 7.. O H x 1 C" Ir ° i~ 00 I H o I to ~F'IED SURVEY f~iAP LOT 3 LNW',.1j4 AND THE ~vw 1/ "' C~RT~_ OF THE R19W; TOWN OF HUDSON; lg, T29N; WISCONSIN• 0~ ~ ~N/ OWNER LE- GEND CORNER MONUMENT _._.._-- COUNTY SECTION ST. CROIX CAP, FOUND• WANDA MILLER ~ WITH BERNTSEN RT- ~ ,~ t,y;y LANE IRON plpE, FOUND - ~ 1" KRA'z ~ WI - HUDSON: p.IpE~ FOUND. • 3/4" IRON L,BS • / N 1/4 CORNER WEIGHING 1.68 1. NW CORNER SECTION 18 1„X24 IRON pIPE ~ LINEAR FOOT, SET. SECTIOS88~57'03"W ,A 162 '~2' ~'~ 0 C= 1270.6316,+,W 27 I' ~ H TB= N~9~ 441' ~ 91„w, 1 S05~ E 81' 3 x 4 ~ ' + 41"W 321 ` ~ u it o Sag 15 5~g 8'{ lei Ir ~ ~ rn ' ~ '/ I-- A H CTy ~~ R x LL T `~~ ~ + BA 54 - w ' 323 • T '0Q W l p EME~ O45 1 S ~ i S8 EA ~ gOA r / V ATE pp,I ' 290 ' 201 ~ I ~ ~ ~ ' p ~:a ~ N N x w LOT 1 J 43G SQ . FT .) INC • ROAD. o a r li r a, N j w ~ w 90 , .~ ) 08 ACRES - 2 ,~ _ ~ ~, ' U' I . r' 64,877 SQ. FT• j E}~. ROAD ° lid O ~ ~ 1.49 ACRES io •.1 CURVE DATA W I N PRIVATE ~ v / 0= 110°` 8p.00 R ROAD N EASEMENT Ir to R= + L= 147.75+ -• ~ I rn `~ ° li ~ ~- Io I IN ~y Q/a.~d y~T ` ~`~ \y . CURVE DATA ~= 122„ R= 80.00'1 L= 167.89 C=138.73 ,1 565051' 30+1E TB= S05O44'19 E II N54°U1`10 o~ 2 127 323 SQ FOTjINC.ROAD ~ ~ 9 2 ACRES ~ 118,975 SQ.FT.jEX_ROAD - :: 7 3 ACRES ST. Cx~l~' W ALL BEARINGS ARE REFERNNC 1 f 4TO LINE OF TpE + 03"~a. THE NORTH S88 57 ASSUi`1i~D TO BEAR rr _ ~ • + ` j ~~ 100 ' 100 50 0 ~p~ 181983 ST. CROJ~`• G ..:::i`f CQ~,14gEFtENS:Yc PAK~S FLANt hPiU zONING COM~'^IiT+;E t~o~' 2~ ~9a~3 ~ II Sgg~45_0~_ 33 ~O1' ~ 7 ,~~o CURVE DATA r ~ ~-5411 R=ao.oo` L=75.431 C=72.67 3 .51! CB=N27.00' q E TB~N54p01'19"E NORTH __ LOT 3 ~ •z w r o'~b ~ ~ 130 , 426 SQ . FT •~INC . ROAD N x ~ a 2• gg ACRES r ~ °_ . 128,942 Sq.FT.)EX, ROAD 2,g6 ACRES ~ 0 x 0 ° N rn EXISTING 322.28' C-~ I--OUSE • 320.27' .. 6+9;2 .55' Ngg°45'05"E UNPLATTED LANDS OWN~p By OTHERS ~~~e 0 78 11_18 13? ,JOB NO• --___-- vol„ine 5 .,.-.,.rT ns ZAHLER ----- 322 . 28~~