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HomeMy WebLinkAbout020-1059-80-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division 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 Fassino, Michael J. Hudson Townshi CST BM Elev: / {~U Insp. BM Elev: f BM Description: " D S~t~/CE/ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosi _ CG d U Aeration Holding / TANK SETBACK INFORMATION TANK TO ~ ~P/L W W~L ~ (V ~ BLDG. Ven take ROAD Septic ~ ~ 31~ ' Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model ber TDH Lift F ' ion Loss System Head TDH Ft For Length Dist. to well SOIL ABSORPTION SYSTEM ,~~,~ .~,~ l/ E~/EVATION DATA county: St. Croix Sanitary Permit No: 405123 0 State Plan ID No: Parcel Tax No: 020-1059-80-000 STATION BS HI FS ELEV. t0 Alt. BM ,~~~ ~ y l Bld .Sewer ~ • ~ r SUHt Inlet .~ SUHt Outlet .D Dt Inlet ~~ Dt Bottom ..--- Header/Man. f,Gf irJ ` ~+ ~~'~d Dist. Pipe hl~fS ( -o• Z S', B ystem 1 I Final Grade ~- St Cover O~ s BED/TRENCH DIMENSIONS Width ~ 3 Length t No. Of Trenche ~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth ~/ SETBACK INFORMATION SYSTEM TO P/L ~ BLDG WELL r LAKE/STREAM ACHING HAMBER O Manufa~e Ykf~ l~ Typ f System: V ~~ ~O ~ ~/C / UN Model Number: uw t ratsu t wrv a 1r a t tm s5 / '7~~t.•C- '7u .~(~l ~GCJ~L-o ~ ,; /fin rJ l "h //n« 4,O r Header/Manifold Distribution ~ x Hole Size x Hole Spacin~ V ir,lntgke ~ r Pipe(s) c~ •~/ Length Dia Length Dia Spacing ~ SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Only Depth Over ~ ~ Bed/Trench Center ~ / - Depth Over Bed/Trench Edges ~ xx Depth of Topsoil / xx Seeded/Sodded xx Mulched / ]~ Yes ~ No n Yes (] No COMMENTS: (Include code discrepencies, persons present, etc.) pplnspection #1:~~/ ~/ 0 ~ Location: 821 Ross Road Hud o[n~W~I 5401,6hNDW 1l4 SE 1/4 16 T29N R~/W) (Pheasant Run Lot 15 1.) Alt BM Description ~~ ~ ~ T(.vn • ~~-~^ j ~Dld~ s'~(~~ 2.) Bidg sewer length = 31 r ~„~ r""' pQ~,~..,~y~e,~r.~ - amount of cover =~ ~ / I Plan revision Required? 'i'I Yes Use other side for additional information. SBD-6710 (R.3/97) fPt' ~-2 Inspection #2: / / Parcel No: Z2, Z~1., ~~, ~~S -- ~_ ~ -' Date Insepctor's Sig ture Cert. No. Safety and Buildings Division ~ zol w. Washington Ave., 1?.O. Box 71st ~ Madisog, WI 53707 - 7162 lSCO-t~ISi;tl G~t6/n z._ S'j/S~~l I. Application , Property t~waer's Property t?waer'a r t:ode infornrttioa yort provide w, aiS.oa(13~ - "`rCEI F sT 2 4 ?Op G pF~~ QTY County ~-adress I<' ~ r - Sanitary Permit Number ~S123 ^ Check i Revision G State Plea I.D. Ntunber Z2. Z-I ~ ~ ~• Z Pastel Numbta - Pmpeny Location ,OaO -/0 S"'~- ~d LotNumberl,f BlockNurcber u,lSo,~ GJ s` -S .~`/DC~ 7~.5' ~ = ~s ~ - e.~ ~ a ,/ ~ ~r.QdaG; II. Type of Building (chock all that apply) ws~ s~ ~~' ^ 1 ar 2 Family Dwelling -Number of Bedrooms Village ^ PubiiclCotausucial -Describe Use o~ I s< Rand ^ state ownod 2 3, ~ 6~ ~ ~ _ n /~ ~. Type of Permit: (Check only one box on line A (nuutberirtg scheme for internal use). Complete line B if appticabk) ~ For ~tY rate 1 New 2 ^ Replaeemertt System 3 ^ Rtplatxtcent of 6 ~ Addition to ,~ Tank tJnl Faris ~~- Permit Number Dace issued $. ^ Chock ii Saniarry Permit Previously Issued IV. Type of Permit: (Check all that apply)(munbering scheme is for internal use) ~ ~g6t.- ~-lt>ti ~~ Flt-T{~ a4~Non -Prea~tsrized [a-Cir~md 21^ Mound a? ^ Sand Filter 50 ^ Coitatructed Wetland ~ ^ p~ ~~ 41 ^ Bolding Teak 48 ^ Single Pass 51 ~ Drip Line 4s ^ Ar-G~ae ab ^ Aorobic Tr~tmont unit a9 ^ i~i~nla ~ 30 ^ oti,~r +~-. t Area Information: ~"` vv...,asri,.K n9r~ svaoem Elovadon Final Grade Design Flow (gpd) Diapor°sa! Area Disperser es~ f~ eau nppucar+~u i~cGala.~Daysrsy.Ft.y ° --------- - - t;~.~ 3 ~~ ~ e ~' ~ ~ p~~,~;^^ /6©. `' , /~V / ~~ LL~~ L4 f • ,/V ~ f ~~ . TSnk ~fo VI ~ry ~ Total Nuatber Manufacturer Prefab Concreac Site Corutructed Seel Fiber Glass Plastic: Gallons Gallons of Tanks New Ea~aag a Tanks Tanks septic or Hoktint Tonic a- - /do0 ~ ~'c G ;, 1~sica . R ill VII Statement- I, fire undersigned, oaaume res lBtY for of the POWTS tlwvrn on the attached Business Ph one Number . Plumber's Name (Print) Plumber's Signature Number /~~/1,`F~ .Sol k~o eY G~=~/ l,~' - a2~Q40 7l "~38" -3l stets, l D7~ fie. ~ ~O~il .~-~ ~, ~~~ ~ ~.y w ~ J.1~.r~ VIII. Co /De ent Use Onl Saniarry Permit Fee (includes t3rowrdwatsr {~ Approved ^ Disapproved Surelsarge Fee) ~_ Q t)wner Given Initial Adverse .~ ~ r Derenninatiorr !~ IX. Conditions of ApprovaUReasasls for Disapproval y ~ Abgrit tomPlete press (to(to Cthe ouat,Y ao1J1 tot the tTatem oa paDa' ant `,~~ ' SBD-6398 (R. 05/01) rtment of Commerce Sanitary Permit ~ m accord widr Comm 83.21. Wis. Adm. code may be used for eecondary,~,p r„fnrenatina -Please Pt~lnt AU InPor Dax Issued .~ ~ f~.~t~~ t '- - L~ oo ~-~. _~- -- ~ than slat:ll [ocira In stu stamps) I ~~.`c~~ ~ 6 ~~ SS, rv ~ ,yk'% s~% S2 ~Ti~' 9' /Q19~ ~v7~~ ~hla r~~~r"Ra ,r/ ,F~i~/.ra~ l.S~~~ l ~ ' Y~ • ,13i~/ rp ,,F~f~o ~ ~d0. ~ _--- ~/ ~i G /6~ ~- '0~ p~~ s,~s~.,,,,,_ ~,~~' _ '? N~ ~ ///! `C h ~ ,a L ~CC S.SS. ir/ ~ .dW ~~t'' S~~ .S2 ~ ~J~ `/ i~" l ~~f/ ~O/ ~u~ /F'~Ca s~sl~/~li ,I~ ~Gc~~d...lJ l,S~~G ~ ~ ' 'ins '----- ~. c b~ ,S,~S~,~,._ ~.:~ua~dns~ Ni wrsconsin Department of Commerce SOIL EVALUATION REPORT ~ Page ~ of -3 Divisionof Safety and Buildings m aa~roance Hnur wrrun oa, •vw. r+w~~. a,wc ~~ r6 X than 81/2 x 11 inches in s' e t l it h ~ ess an on paper no Attach complete s e p . ;EIV include, but not limited to: vertical and horizontal reference point (BM), a parcel I . percent slope, scale or dimensions, north arrow, and location and dista ce to nearest road. Please print all information. JUN 0 3 7 ~ • ~' Date Personal informadion you provide may be used for secondary purposes fPmracy . s. 15.04 1 m)). ~ ~~~ ~ to Property Owner ~oP~ft~i3l~IC~ ,K P r I~ .,- Govt Lot ~ 1/4 ~ 1/4 SZZ T~ 9' N R ~ E (or) Property Owners Mailing Address ~ Lot # 15 Block # Syys~ Name or CS 0~~ ~ ~h ~ ~ ~G r U~n e City State Zip Code Phon umber - - ^ City ^ ~Ilage Town N t Road ~~11 7Z~ 1 Nvc1~n ~ ~J1 ~ 5 (~ l5) ~1e- SS I~`- I~i New Construction Use:'~( Residential / Number of bedrooms ~~ ~ Code derived design flow rate Sd t? GPD ^ Replacement ^ Public or commercial - Desrn'be: Parent material Q U-~_~ 4 S `l ,~,,// p~ Flood Plain elevation if applipble y ~ R General cxxnments S~GS~~//( ~/-GlJ ~ / 71 ~ v and recommendations: / ,, s Boring # I Boring ~ ~ ,r,,.r. r . LZT Pit Ground surface elev. /G10. 60 Depth to limiting factor ~~ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence .Boundary Roots GPDfft2 ' in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'Eff#1 "Eff#2 i ~-~2 I C7 r3 2 - 5' I 2rir~1 m~T c~ ~ . 5 . ~ 3 2 I rp `. m o~ rn -' . -1 I.2 ~ ^ Boring .~,, ~:,~.,,,~..~.-_- -- ng i 3 Bori # Pit Ground surface elev. /O/• /V ft. Depth to linuting factor in. Sal Application Rate horizon Depth Dominant Color Redox Descriptron Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont Cobr Gr. Sz Sh. 'Eff#1 'Eff#2 Z , ~~ ~~ r 41~} - 5~ I ~ ~ - . 5 o-loo its r~ ~ -- ~S DS - - .~ 1. 'Effluent #1 = BO05 > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 =GODS < 30 mglL and T55 < 3l) mcy~ C~ CST Name Please Prim ~ ,~ure . ®~ _ ~~ 3 30 1 Address Date Evaluation Conducted Telephone Number Property Owner ~~~ Parcel ID # `/~ ~ ~S Page ~ of u Wring ~~iV~I~r"r V,'r"~~... ~ Y-/-v - Bonng # C7-Pit '"` - 1Q~O.10 Depth to lim~tng ctor in. Soil Application Rate l C Redox Description Texture Structure Consistence Boundary Roots GPD/RZ Horizon DeP~ in. or o porrrnant Mansell Qu. Sz. Cont. Color ~--- Gr. Sz Sh. 'Eff#1 'Eff#2 3 v - ~1 - - .--- ~_2 33 . ~ (o y. ro 3~.2 3.2 ~~ # ^ Boring ^ Pit Ground surface elev. ft. Depth to Gmiflng factor in. Soil Application Rate l t C Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 fiaizon Depth in. or porr~nan o Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Boring # ~ ~~ ^ Pit Ground surface elev' ft Depth to limiting factor in. Soil Application Rate t Cd i Redox Description Texture Stnrdure Consistence Boundary Roots GPD/it2 Horizon Depth in. or nan Dom Mansell Qu. Sz. Cont. Color - Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mglL and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-2648777. SBD-8330 (R07/00) ' ~ PAGE 3 OF_~ 1~ .3 0 N Q-\ ~ B- L •~ ~~ ~ ~' d~~ ~~-~~- ? ~. ___--- ----- DATE ~ -~~ - ° Z S ~'~ SCALE:1"= ~~ BM 1 ELEVATION /~G- 6 BM 1 DESCRIPTION d ~ cal Qd~ (~ `' N.~ ~ BM 2 ELEVATION 1Q ~• d BM 2 DESCRIPTIO ,.$ e c~ (~ ~ ~ ti SYSTEM ELEVATION q ~ . Ca ~ ALTERNATE ELEVATION ~ ~-. (9 O CONTOUR ELEVATION NAME ~. ~ _I LOT# ~~ LEGAL DESCRIPTION NW ~5£ 14 ,S 7 Z. T Z `f ,N,R, 1 R~ E(or)~CJ ,o ~ ~,,~ `N Qu¢ SIGNATURE Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity ln-Ground Soll Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Qnsite 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 Soli Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- ~_~~_ ~. ~....a.,.,, ne~l.,„ Cnoclflcatiens Sanitary Permit Number Number of Bedrooms °S Z 3 Desi n Flow -Peak ( pd) Estimated Ftow - Avera e ( pd) 3`~ Se tic Tank Capacs (ai) Soil Absorption Com onent Size (ftz) T e of Wastewater omestic T'_I.1_ H. Qwll Ai.ew...~in., [`mm~nne#nt . Limits of Reliable Operation C Se tic Tank Component Soii Absorption Com onent Desi n Flow -Peak ( pd) $ ~'' Maximum Influent Particle Size (in) 118 Maximum BOD {m /L) 220 Maximum TSS ( L) 150 Table 3: Maintenance Schedule Tank lnspect and/or service once every 3 years Filter Inspect once a year and clean at least once ~ Camoonent Inspect ante every 3 years ~~ptic Tank The septic tank sha11 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 se k and outlet filter shat{ be assessed at least once every 3 years by inspection. Th outlet filte sha_ Il be cleaned as necessary ~ e de to pr_ oper operat on. The filter cartridge should not be removed un ess previsisns are ma retain solids in the tank that may slough off the filter when removed from its enclosure. If the ~n :..~_ Management Plan far a Septic'Ta^i~ arc Sd~ Aosorptian Combanent .. ilitar #s ectuippsd with an alsrm, the filter shall be =arvictd if the ales !a sctivstaal$~ tThe c:s~y Interrnitt+ant tiltrr s~anrn ~ indicate aurae > pr an impend{rKi continuous {n the tar~ic aiptla tank !i~lAtt have Its tin tbtl'tCVed when t ~~ ~ ty notur~aved st the ea~trtedt 'tt3 ttt! llq~id volume of the tsntc. N the con r of whrn the n~ ae~v'i~ tlme of an aa~tament, rrr~-Intanance penonnei l adv+ae the o~ nseda to br pe~anz+ad to malntsln I~at than rnucimum scum and a{udQa scxumulatlon In the tank, Msnhotr rat, aacats rlters and ocve-s shoo{d be Crtspeottd fAr wattr tiQhtnatt and aoundnera. Acosas oRenings toted for arnrlc~ and attattmint ahsl{ ba arsEad to >t3E must ~ the cao~ of i~'rr~4e. Any cpenln~ deemed unaaund- drv~ o eub}a~c ba replaced.. E~aad socrat openings ' than 8-Inot~ra to dial shad #~ ~u!,ad by an r~'tiotive IocWn~ drvloe to prevent ao+~aMa{ ar unautho~d entry it~o the tank. Nv am sha~td etr~ s septie or ot~rr tnrintetrt tu' ~ k-r any traso~ about brtr~ ~+ lMttl oomp~iNenoe t+YJ"E!~ ~ orr ofA~ r~~ ~r aid spsae. Trio ildrri ~ ~ rwaue o~ a M1~11t~eflt of ~ ~tnir ~ n person ~ tallr~or of ~ thty~ +~ or ~~~' Tank •bandtmrr+ertt shat! be ~n sooardar~e with C~ 83.33-111(tt. Adm. t;ado when the tank {t no longer t at • POW1'~ aur+~nent. The soli absacptton component serving this struaturo ~~~n~~~~t ire ~howr- n wsttswster !'rum s rotldentlai laciitty The llntltt o aP~~ Table 2, "+~ {onpevity of s tot! absorption component depends grrsdy on proper and tim!{y ma{nttr~tanoe, and system use within or t»!ow the iimtta~ ~ ~ ~ Aniin~~ ~~~ oonaecvatlon ptaAttctt by alt otxu~tntb a~ the ~ruta~a fl~ttwss are kry fsctArs in exnartdinQ thr ura~tut Kh of thlt aompon+~t~ T'tr! sol{ ataorptlon oomaonent'a operatton mt~! be strata~i by {nspectton at feast onas ewrry three years. Thy lrntpec~lon shall include naordin~ ~ i!v!~ °f pc~rru3inQ' ~ ~y !n the obtaon pipes, and • vltwl lntp~tton tt'~' any w4dsnca of suriaca tespa~e or d~acharge troll th-e ~mponlnt. On atapiy staging aita- enaa of rrotk~n should br ldentit{ed and roport+tcl b ttra owner for rtpalr. The author dltcharQr o~ dorr~,stic watts~vvster ar sew~~s item tine system ~ prohlbibad and conttdred a hut~rtan ~~ ~' Tral~lC arour+d ar aver the soli abao~tm rxm~ontr+t ~puid b! avoided psr~t stray lead during wlntrr months, The campactlron et' nmovai of snow corer over t ~u f~cult ar to hydrautlc fa{l+uro by tre~rtQ. T~ typt of lailurs ;a +uva!{y t~mrtponrY* impossible t0 »pahr un~i w~tsthlr oondittont imm ~ iandl~ ~ a~V~~ msY ei~dl tc~ aunt will rrduar diftwion of oxygen Irk t1'tore ln~nta, and writer, s~nlc o~s~in~ cf ~ soil, Management Pian for a Septic Tank and Boil Absorption Component Plantings of deep-rooted iraes and shrubs dlractly over of within ten feet of the component should ba avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the event of system failure, a new system could ba inslalied in an aitsmate area. With the instailatlon of a diverter valve, the existing system could also be reused after a period of three to four years. It is the property owners rosponsibility to maintain the aitsmate arse froa from any punting of trees, shrubs, etc. !n arse of failure of the original system, the attsrr~s aroa wiN be nesKied. if any trees, shrubs, etc. hays bsar+ planted on tips a-temata arcs, thsY will have to be removed st property owners expense. !i aitemste area is destroyed, there an other aitemative systems that qn be used, in whic~t, could result in added expanse to the property owner. Any tank abandonment shad be done in au~rdance with Wisc. Cods 83,33, Any questions regarding this code, please contact your local Zoning Office or contact the installing plumber. ZoN~N~ '~~s~~..~. ~~cs~38t~~y b8o S c~ w~+ o-1R+-n. ~ `r,~. r~r~. b ~ r.~ y t l ! S~ 3 ~ b • 3 f ~ ~ ST CRU1X CC)~N'TY ~, SEPTIC: TAIv'K N~AINTENANCE AGI2EE1~1ENT hI~iD GWNERSHIP CERTIFICATION FORM ~3wnerBuyer ~ ~ ' •''~ Mailing Address PrapHrty Address 7 ~~ ell ~o_s (Verification rccluired fzam P1ane.iag Depattcnent for new f Yiy ~5,~u2~ ~~~,-~~'Q ,,~ GJi~ ~~/G Parcel Tdonrification Nwnber Proporty Location ~ ~~,y ~ '~•, $eC• ~~ _ . T-=~''-R !9 W, Tawn of ,~~d~' ,Lot # l ~ Subdivision Cert~ed Survey 11Sap # Volume ~, Page # w'arrsnty Deed # ,_„_, ,,c. L ~ ~ ~' G .Volume / X' ~ ~ _, Page # ~..~..._.~.• Spec house C'7 y~ ~, ~ Lot Iin.es identifiable L~YGB Q no ~=,c•.~~,r*_~raiN'i'R:11'[A~11CE Itaproper use acrd maiaLeaanceof yo~uc septic system could result in its premature failure to haadle~wi You putp ato ththotsY$~ m consists of pttiapiag out the septic tank ovary three years os cosset, if seeded by a licensed putnpe . can offset the f6ziction of the septic teak as a treatment stage in the waste disposal system. eat a ce~estioa form, signed by the owner sad by a 'Tire property owuor agrees to subrrait to St. Croix Zoning Depastm v that (1) the oa-site wastawatar disposal system masterplumber, loiunaymazsPlumber., reatrictedFlumbar or a licensedpumper erlfyi~ is ka proper oporacing condition aadlor (2) aftar inspection and pttmpia8 (if necessary}, the septic tonic is less thaw 1/3 full of sludge. have road the above requiretaeats and agree to maintain the private sewage disposal systan with the standards Itwe, th~o uttdersi$~ eat of Cotamerae sad the Department of Natural gesotttces, Staie of Wisconsin. Certification set forth, herein, as sot by the Deparun Office within 30 stating that your septic systan has boon asaiataiaed must be completed and returned to the St. Croix County 7,onia$ days o the t~hr Bar expiration date, DA'I'S SIGNATURE OF APPLICANT .~,~:,,.ssTn rF.RTIFI~'A'1'IQN t (we) certify that all statements on this forma ~ iecw~r dubs Regsstor of Deeds Off~ae. the pro rty dear ' above, by virtue of a warranty ~YpNATU12.E OF APPI.ICAN? l (we) am (are) the owner(s) of ~ r.2~ ~i1Z__ DATE Any iafotmatian that is anis-represented may result is the sanstary permit baiag xavoked by the Zoning Depazttnoat. **v+*~ ~'* include with this appiicatlott~ a. stAmped warranty deed frown the ref eases isetnade itlC the waaanry decd a copy of the cer+afiod survey map *t~ax~ U 1896P 389 STATE [iAR OF WISCONSIN FORM 2 - 1998 '' ' ~ WARRAN`T'Y DL,EU Document Number , Phis Deed, madebehveen Kern_o_n J. Bast--and Donalda J.~eer-Bast -(husband--.and wife)- ,: - - -------- ----- ------------------------- - ----- - - Grantor, and -._Mi_cha~l J~ Fassino and.,-Mary.,_,C,....,Fassno -_-_.-__ -----~ us~sL~.~s~~ai feL-~ - -- --- ----. - .... -- - --- --~-- ,, _..-- ---- --- ---- -- -_. ----..--- Grantoc. Grantor, fvr a valuable consideration, conveys and warrants to Grantee the following !; described real estate in St . CrOlX Cow7ty, State of Wisconsin: of #1 Plat of Pheasant Run First Addition, oix County, Wisco in. 679766 REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 05-22-2002 4:30 PM NNRRANTY DEED EXElPT # REC FEE: 11.00 TRANS FEE: 170.70 COPY FEE: CER7' COPY FEfi PAGES: 1 I 20-1059-80-000 Parcel Identification Number (PIN) ~; Thls_iS riot homestead property !~ (is) (is not) -.._ Name and Return Address Mike Fassino 697 Old H ins Place Hudso Wi 544~iG'la Realty Title ,f ,,: • "` 400 S. 2nd St., #115 ~~357~ Hudson, WI 54016 f • Exceptions to warranties: roadways, utility easements, ponding easements and recorded covenants, if .any. Dated this 17th day of May 2002 /7 19 2.19 ACRES 95,291 SD. FT. MINIMUM BUILDING ELEVATION = 910.00 3'19"E 268.95' H.W.L. _ ` 908.0 H.W.L.=908.0 x'13 ~ 34,E ~~,o go~8 S~'~F~q~F ?. '~r 18 ~~ 1 2.02 ACRES 87,895 SQ. FT. MINIMUM BUILDING ELEVATION = 927.5 ~~ '~,~~a, ~ ~, ~~ ~~ O \ 9F '9O ~j~ \ \ . ?~, ~~ ` .\ ~ \ .- ,~,~ 16 2.05 ACRES 89,377 SQ. FT. 4.07 ACRES W w 177,359 SQ. FT. ~ o MINIMUM BUILDING I w ELEVATION = 910.00 ~ w w z ~ ~ w N88°12'45'E 250.00' ~ 3 $ O N " i 15 g ms g 2.03 ACRES ~ W 88 529 SQ. FT. ~ .\ \ •. ~ ~ ~ ~ ~ ~ ~ ` N89°12'45"E 294.55' 0 ~ ~ ~ r .., ~ ~ -~- O ~~ N i ~ ~ C5 ~ ~. ~ O ~~ ~• N88°12'45'E 513.59' ~~ \ ~,-- ' 14 ,- ~. I ~ i II I -~- 2.09 ACRES $ i ~ ~, I 91,038 SQ. FT. ~ i CENTER OF _~Wn - ~n - j S89°12'45"W 504.76' CUL-DE-SAC ~ ~c~, ~~ - --r - - - - - - - - - - - - - - - - - - - - ~ I 65 WIDE ACCESS EASEMENT FOR SINGLE DRIVEWAY ~~ G,~ ~ ~ j ~~ ~ FENCELINE IS 7.9'+/ fi ~ ~\ i I ,~ I ~~ RECORDED IN VOLUME 1811, PAGE 368 NORTH 0,,~~'F~eSR~ER `' ~r00' x x x 505.11' x ~.- x- 89°12'4S"W 1269.72' ~' TEMPORARY CUL-DE-SAC EASEMENT TQ g~ ~,_~'~ ",'~ ~ REMOVED UPON ROAD EXTENSION. ~~~" Y^ E1 /4 ~ i~~h~~ ~~ ADD dGQfn~DD ~ OO ~Gr]C~D o ~ O4L1]~G°3~ ~ I ~~~~ ------------------------------------------------------- ~~ C i