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HomeMy WebLinkAbout020-1047-60-000 n O 0 ( �n I o 0 � � a a� Q. y � t E V N (' N � O i N c N � N E N N N O O N '_ O L Z > C Z c 6 2 n o LL C M LL c Q (p O X t a) 7 c d u o E d- a� U 3 co o 0 Z t/1 f7J rn w . £ Z c ° o w am am C) H z U �L m w o z v rn c u o �' E ; 'o 04 N in F Z - 7 yl ° o d� c w c� - ° ° c_ ' 'D -o a ` N N N N N a m N 4 I @ 7 65 N O E N IL _@ � O O N Q O d N c to CD CL 0 z m z z S z Ca Z o N E @ o m E d o Lo ` @ L Ln ` O d O. o c o a` `0 CL E r� r, d c ° o to to cn zM >° -N°=33� aicn X333 efin • = a a a = I a a a. R a� a� a c c _ @ @ i.. J O O N O O N 04 04 c O N N fn J U O .0 O O N �y a 0 O\ Z N a N 0 } O 00 CIJ co = E m c q7 .. It C N C U C N d N Awft 4) @ d @ m z cu o d C O N C a.. O CD d c -O Q� �� In uo o O TT O 3 @ O C C �'- O @ O ,y3 Q- O U in t� t� N U N E C N C _ N N C N O _� O N _ LO W N Z z � N O N ,� • y ^ MC l1 r O _O °� CS v O O �C3. U N t? N O @ U y„ O N= (n O h H H r U) (n O Z N Z d 2 Cn 4i E ✓� ` a a dt a m m rr`i�rw eo o. w .c c y y �1 .� _ ° ° A <� a� O in v O 0) v Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420496 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Stout, Richard I Hudson Township 020 - 1047 -60 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION 8LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark '�,,/�` /02 Dc L c 1 Alt. BM sn Ae ation v Bldg. Sewer �Y ICED Y s Holding St/Ht Inlet 7. St/Ht Outlet TANK SETBAC ATION !� TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 5y to C Septic ! f L,� V j) Dt Bottom I �� ;l I wj Header /Man. gs" 74 Aera on Dist. Pie ^�� a � Pi Iq �' � •QS� ��JI•�9( 2 Holding Bot. System l a 2 ,3. Final Grade 3 Z PUMP /SIPHON INFORMATION .2 Manufacturer Demand St Cov +� p� GPM Model Number TDH Li ction Loss System Head TDH Ft Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width /+ I Lenith , , nr3 No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ✓ 1 i � 1-- SETBACK SYSTEM TO P /Ls BLDG WELLA LAKE /STREAM LEACHING Man c r HAMBER O INFORMATION Typ R 25 r S stem: i { _'1 y Model Number: 6 DISTRIBUTION SYSTEM > ""es - HeaderrIN49nifold Distribution QL/ / x Hole Size x Hole Spaci Ve o it Int keC� `q, 74 Y �� Pi I !' t /�h yet CI 5 y 3 &1 Length Dia Length Dia Spacing 7 �Qd SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only 6GY 4 Yf, Depth Over W j &V J Deth Over xx Depth of xx Seeded /Sodded Owl ched Bed/Trench Center Bed/Trench Edges Topsoil I Yes l� loo Yes ,,,Voo COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: f f 1 / Inspection #2: Location: Parcel No: 20.29.19.185A 488 Prairie Lane Hudson, WI 54016 (NE 1/4 NE 1/4 20 T29N R19W) NA Lot r = sr. 3 e-v w (.o 1.) Alt BM Description / r 2.) Bldg sewer length = Q�(t`!��'� `� ��d 4 P/� SO'tx -° a � 1 0(,(944--- �itq.� g � O L �, �7 - amount of cover = � : Aa KzJ Y &4t 1`4 , , / rs t ( j IIhZZOYj (0 lnlrx��a -UU Plan revision Re uired? Yes VNO Use other side for additional Information. Date Insepctor's Signat re Cert. No 5ys4t� rtu 1. o A P laft - ro 44�j SBD -6710 (R.3/97) / k i U ! Safety and Buildings Division Count' 201 W. Washington Ave., P.O. Box 7162 S�Ct/Jr � K Madison, WI 53707 - 7162 i V1, carisitt M Site Address � _ 3 0 u � M ��,�.,� Department of Com Sanitary Permit Application Sanitary o Number j 1 `� in accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Chadk If Revision my be used for wcondsty ggE2M Privacy Law, 05-040 m L Application Information - Please Print All Information Sew Plan I.D� r Property Owner's Nave Parch Number , l oZ o- lotf� �a_Q.o(- l>sS"�) Property Owner's Mailing Address ^, i Property Location y H SY. GROG OF 1� 4f u: 5 G� T N. R /1� City, Scan Zip Code r Lot r Block Number $tom �CSM Number � „ � �J� S-�e /G • �s s� -�-� �. ��P• 2036 - - all that apply) U. Type of Building {check PP Y) ❑City or 2 Flintily Dwelling - Number of Bedrooms ❑Village Ll Public /Cottuneretal - Describe Use ❑Town* ❑ State Owned Nearest Road ' rs . s LA M. Type of permit: (Check only one box on tine A (numbering scheme for internal use). Complete line B it applicable) A. For County am 1 ❑ Nea,r 2 Reptuxment System 3 ❑ Replacement of 6 0 Addition to Tank On iv m Permit N r Y Date Issued B . V Sanitary Permit Previously Issued j ) 0 lV. TM of permit: (Check aU that apply)(numbering scheme i ts for internal use) � cm . 44 ;Nod — Pressurized In- Oround 2113 Mound 47 C Sand Filar 50 0 Consmtcted Wed” 22 ❑ Pressurized In-Grou 41 G Holding Tank 48 ❑ single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 0 Aerobic Treatment U t 49 ❑ RecircUladug 30 Q MOT V. eatmeat Area intormation: Design Flow (spd} Dispersal Area Dispersal Aret Solt Application percolation Rue sum Elevation Final Grade Requ Proposed1366 Rate(Gals./Days/Sq.Ft.) (Min -llwh) Elevation ned } ��d /a r 'W� , 7 ,�� 61 1 Vi. Tank Info Capacity, is Total Number Manufacturer Prefab sift Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New I 8xistiag Tasks T Sepdc or Hoidlog Tank ,?a DD 00dw Cbun6x VII,. bllity Statement - it the uad , ass�nns 41ty for {astatlstion of the POWTS shown on the. attactud Plumber's Nam (Prb)t) Plumber's Signs Number Business Phone Number r�� 7�d 7/S • .3d'G- Plunow's Address (Street, City. State, Zip Code) VIII. !Dapartment Use Only Agent Signature (No Scamps) Approved Disapproved ��y Permit Fee (includca groundwater at* Issued Issuing A8 Surcharge ) ❑ Owner given Initial Adverse �� �Z Determination ix. Conditions of ApprovsMowons for Disapproval rr ''f��� yes, ,s � .� �,.� ��--, Pte" P� ('�" 0AI \0 wr.tr t�t�ati. ` th ar "Sim o ao lm than 81/t :1 lnch� In size i S �r� l� ESQ lc>bC bc� t I SQ_ • trl VotX�le -� tt�fBOt�'l ww ail -Y � a t+� tM SF+I.tX SBD-6 (R. 05101 ) re � � --- � 3� v d v -J � @ s J� i� '� � � b � � a 1� �Q 'c' �'/ � � �? j>' ,�� tam /� V -��'� � v '� � -�y�.c��� � V a QC n �� � ,� ���. � �. z� a �� ��� � � �� �u I I � � ;; , b a .�,, a !3 � v v � � _� � @ z t+ � � ���� �� � � � ids � � �� ��-- ���sT i may, s �.r,� �' ,� i � QC d n �� �n � � �, \ ', �y r �� E c �I 4 ;� / � �� � I � 3 ��� � �n '� I a W isconsin Department of Commerce SOIL EVALUATION REPORT Page j of Division of Safety and Buildings in accordance with Comm 85, wls. Adm. Code County Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must Include. but not limited to: vertical and horizontal reference point ($M), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location . and distance to nearest road Reviewed by Date Please print all information. n . Personal information you provide rney be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). d� Property Owner Property Location 01 r I- Govt. Lot N 1 /4ti 114 S T L N R E (or Property Owners Mailing Address Lot # Block # Subd. Name or CSM# �— 3 7- i fate p otle Phone Number [j Cit Village 'Town Nearest Road L (1s ) ❑ New Construction Use; [� Residential !Number of bedrooms Code derived design flow rate �� GPD EAReplacement ❑ Public or commercial - Describe: Parent material Ok AA Ct'S Ins Flood Plai elevt�ppnca General comments S Sfe and recommendations: Y 1 7 2002 i Boring ❑Boring # Ground surface elev. O fL D epth to (uniting factor Z s in. S Application Rate ❑ Pit Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Etf#1 'Eff#2 ) 0 l ow 3Iz Srf a b r C tr j -/ 10 11L grf. DI `[ Baring Al Boring pit Ground surface elev. � O� fL Depth to limiting factor � Z S in. Soi! Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E ff#1 j -Efl#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. t 3121 w G — !v O L01 off' r= "_ � vK ' Effluent 01 = BOO, > 3D 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = 8 s < 30 mg/L and TSS < 30 mglL CST Name (Please Print) ignsture CST Number Tele h S" 3 Wam MCA k__0'V- 49L s;Z4r__ e Num er on C Date Evaluation Conducted p Address 0 57` , JOw'r SZI0Zs _ Z Q _ O Z 'yp b Property Owner G- Iea1 -4-- Parcel (D # Page 4f of ED : Boring # ❑ goring �� G Pit Ground surface elev. ,_ - "R. Depth to limiting factor // O In. +fr ; Soil Application Rain Horizon Depth Dominant Color Redox Descriptlon Texture Structure Consistence Boundary Roots GPDrfV In. Munsell Qu. Sz. Cont. Color r ' Gr. Sz- Sh, 'Eff #1 •Eff #2 r S_ L..�.f Boring # ❑Boring ❑pit Ground surface efev. R. Depth to limiting factor In. colt Application Rai Horizon Depth • Dominant Color Redox Description Texture - Structure Consistence Boundary Roots GPD /ft: In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 •E52 LJ Boring # ❑ Boring U 13 Pl f • Ground surface elev. �__ it. Depth to limiting factor in. Soil Application Rai Hortzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 TIM • Effluent #1 = BODs > 30 < 220 n and TSS >30 < 150 mg/L • Effluent #2 = BCD, : E 30 mgl14 and TSS < 30 mg /l. The Department of Commerce is an eclual opportunity service provider anil employer. if you need assistance to access services or need material in an alternate format,piease contact the department at 608 -266 -3151 or Tr'Y 608 -264 -8777. S6Ai3)0 (R,OT/DO) 4• PAGE OF .3 NA ME s�pJ TOT# 3 - 7 - LEGAL DESCRIPTION N f tiFj ,S ZO T ZR N R Z`i E(Qi: SCALE: I"== 1 10 BM 1 ELEVATION /00 • ° - BM I DESCRIPTION }p,p Q LnsA�� �. Ccxrer ' _ -4, BM 2 ELEVATION BM 2 DESCRIPTION - SYSTEM ELEVATION " SYSTEM TYPE Cvnu <v�.I- ra,na- CONTOUR ELEVATION 92,0 4- Yl�.o qv 0 6 to I cl, �� k• prl�Q WN SIGNATURE DATE ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the residence located at: y�" %, A Y., Sec. �r,� T R /9 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 appears to be functioning properly. Last time serviced V/'elI fl Did flow back occur from absorption system? Yes No 4 (if no, skip next line. Approximate volume or length of time: gallons minutes Capacity: 4- ,4-' & � d Construction: Prefab Concrete �_ Steel Other Manufacturer (if known) : "ze w Age of Tank (if known) : (Signature) (Name) Please Print (Title) (License Number) (Date) 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 Signature MP /MPRS V2`7 9 94 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of FILE INFORMATION SYSTEM SPECIFICATIONS Owner S rte- ( Septic Tank Capacity 12� e� (�C a l ❑ NA n t1 Permit # c � ? p c ( Septic Tank Manufacturer oa- , ? �, L4ASy ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer Z 6L- ❑ NA Number of Bedrooms (p ❑ NA Effluent Filter Model A —I o'D ❑ NA Number of Public Facility Units PDA Pump Tank Capacity a l 19 NA Estimated flow (average) Qp gal/day Pump Tank Manufacturer MNA Design flow (peak), (Estimated x 1.5) 700 al /da Pump Manufacturer la'NA Soil Application Rate ©•- gal/day/ft' Pump Model I& NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ! )NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L jp.In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade - ❑ Mound Fecal Coliform (geometric mean) 51 W cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: E"q Other: ❑ NA Other: W NA `Values typical for domestic wastewater and septic tank effluent. Other: LNq MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: ear(s) Pump out contents of tank(sl When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: C� month(s) (Maximum 3 years) 13 NA ? j a year(s) ❑ month(s) ❑ NA Clean effluent filter At least once every: —Z ElLyear(s) ❑ month(s) 15 NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) ' ❑ month(s) e°NA Flush laterals and pressure test At least once every: ❑ year(s) ❑ month(s) Other: At least once every: ❑ year(s) NA Other: a NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broke n hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of • START UP ANO OPERATION For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cellfs) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Sep tage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC. PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Wl L _4 AAA& SL Hn AkNZ Name Phone - 7 1 T - - - 3121 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name apt �M /Ill Phone Phone l S - 6 - 46 d0 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. FROM Schunnakw- Plumbinq FW( N0. 7153863121 Smp. 13 2002 06:46AM P1 5'I' CROIX COUNTY T_'P i C T ANK MAINTENANCE ACHUEMENti'T AND ON NERSHIP CERTIFICATION FORM Qwnerffluyer __.4 e- A lard . 5 � Mailing Address Property Address ati r cired *w. Planning Department far new cot>9t<uctiun} (Verification .e, i >�� Ciivl state Parcel Identification Number i 0L(-4--- (00*&00 oZo —1 — 40 — fro t`• / 8�B) I l EgAL DESCRUTION Property Location %., ,s, See. a d , T 9 N -R/ 9 '<�1, T� Of Subdivision Lot #? Certified Survey Map # _. Volume 7 , Page # Ws;rxa>a+� ► 11?ead A .!� volume g_,_. pap #-= Spec !:.use: 11 yesAno Lot lines identifiable Arm 0 no oppr use and maioteaance of your septic system could result in its pramanuc failure to handle wastes. Proper nuotenaaee Ir Coming of pumpins out the septic tam evdry thins yam or soon:v, if ;:: cdrl by a licensed WWI`. What you put into the system can aftixt tits function of tits septic milk as a afgatment stage in the waste disposal system. The ptopea:ty owxr lVees to submit to St. Quix Zoning Department a calif farm, signed by the owns* and by a atsstarplumbar, jotttaeymsn plumber. restricctadpltur�t�eror to licareelpurnpu VVrifyin tasi (1) &a 924it -. mmewaoudisposal system is in proper operating condition exWor (2) &Nr bopection ad pumping (If accessary), the septic talk is leas than 1/3 fill of sludge. IfnV, the undara ped have read the above rcquiraw=ts and apes to maintain the private sewage disposal system with the standards set forth, heroin, as set by the Departtriont of Co=arca and the Department of Nauml Resources, State of W4AQoD6kL Certification stating that your septic system hes been sxat Lamed twist be eotapleted and nomad to the St. CroiK County Zoning Office within 30 days - of the three year ett mtiori dau. .DATE SIQNATU'1LB OF APPLICANT 9WNgR CERTIFICA , ON I (we) certify that all statements on this form Us true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded w Register of Dee& 011ice• u / -i• —•—�� DATE SIGNATURE OF APPLICANT *•0600 Any information that is mis•ropresentod may result in the sanitary permit being revoked by the Zoning Department. '�'" • ""' •" Include wlib this applieation: a sumgked wan=ty deed from the Resister of Deeds oflica a copy of the certified survey map if refemee it grade in tits warranty deed &T N L. Ari 1J"SO?CmTN - HUDSON , WISCONSIN 54016 ( 715) 386-2007 Nome First Federal of La Crosse 3 7 Address 201 South Second St . Hudson, WI 54016 Descrivtlon Part of NE; of NE; and Part of SE:o of NE=4, All is Sec:. c:. 2C-23-19 described as follows : Lot 37 of Certified Survey t4aa Vol . "7" , Page 2036 . Richard 0. and Janet Stoat PLAT DRAWING T�i}.s is not a complete Land Survey C icag_o _- Northwest;_.a , P. 2814.93' C. 332.03' W E -yo S 64u v o o 0 v 0 o o y510 y . y ey • • S'Oc - (/Cuplex �6 C�. ..�6 235.00 • • 1)7.54' The locaticn of improvements on this d:_awing. are approximate and. are based on a visual inspection of the premises . The lot cimensiors are ter from recorded pla:s and deeds of county records. This drawing is far : . fo:ar.'tiona . purposes only and should NOT be used as a complete Land Survey First F^deral of Lr Crosse has agreed to waive the a,inir.ium stan::aar.ie of AZ-5 Mop No. 89-01-58 B. B. 3/21/89 Drown By --- Scale . 1"=100 ' Y . __.. . . I y�yA OCT2 019::� • 4�tid t7`! P/Bs' a.Ice /8 f s NNELL _n /._, i ReglSterotDeeds Ce to �o �1%St.Croix co,. 0 , vT -- p — . .. . . Certified Survey Map in Vol. 3, g• 72 ,. 110• • . . 1a • 1 1 544.20' • 15.84' oo w m-, r I v1r CD 0 j 0 -';1 twin yfBp I f� C1 12, f ' rt0. � r 6 x " N �,� f, I rr rt i % . " a V �O,Or� I In :II •y G� ja � IIHN I..,.a n InI �• in • .qw ,rIIq 0 7. . mi 4 � tip+ �„'� •r m r 1 n � 'U , o `� �� V ��� s � � I10NnI a. �TJt n DOIZ . IR• r• M 1-0 rrt 9rv0 LqS I I y `�. ° I Ix O - . ..004 n 4�5 1 50' O • © w w I M I I IZ i A/�`OA �' a o i 1-• �' c 1 OS o —� I 1H x m� al i \�� �. " v M a W I IH C x i N . I N • lD I cri 1 tq N [T7 T • • `A I ` 7 O I p •�--� N00°57'35"N U1 W N 495.80 Z`` 1 1I 1� • F•• C v I�7 t73 {: ® o w l- IIzICa r z xrt v p o0 1 —+ O . -p \' D o • v1 --I v o n O, a O O 4 N .0 F v da N t • O .• b p rt I N = W n tvN I KO i I lJ1 - N ' I 1 431.9 • ' • m -cn I 1380.04 66 N00057 ' 35„y1 m 1 o O O •� of Section 20 0 -, o p., ix East line of the NE} . a j N00°57'35"M N +cs m rt - H.n o Onplatted lands ri (D N p o of a n r 'o •�' c i z x A x• OI Z' 0 ' ^ d 0 a TZ7 east H. ov rr h7tz3Bearings are referenced to the0 ' ' H.o - �' ` 3 line of the NE} of Section 20." o = ' �' boar 100057135"M. ` ' ry o •-' 0 c tffU�ed to 4.4 ',? la r`.r. Cu. " f N C O w {, rf 1 w • Cia I ..< a 2036 I ;: .lpl� u •1, Vol. 7 Pe8 _J �� �• L.. •