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HomeMy WebLinkAbout020-1462-03-000 4` I ~ ~ ~ ~ ~ h `:' _ c 3 p ci e» 3 ~ 0 en ~C ~q O ~ ~ O ~ ~; _ =~ a ~ c S~ C 'O a p w O O "O <v O ~ d O j ~ O ` ~ E 'J .,o I Q~ S, -a ~ O a c o c~ I ' ` O ~ c . ~ n O r~ ~ :. v C I m c O y o 0 0 ~ C~ iil c ~~9 I N r c U~ C ~ V '~ O m ~ ' O N ~ 3 ~o p ~ N ~' aia ~- °~ w ~ ~~~ c ~ Z `n c z c~ c r i m C I 7 LL (0 O O r ~ 3 LL cLS ~ d. I O ~ "' ~ ~ O "' O W N C ~ ' ' O ~ O N ~ = m " I ~ ~ X ~ O' c ', Cp M 3 M O ~ ~ ~ N z H m _ ~ W ', ~ _ £ O ~ ~ O Z °' N a m L V a m N I- C O C7 Z ~' ~ ~ U ~ ~-- ~ In 00 N 6l N Z F- ~ '~ ~ ~ c at ~ m C ~ ~ ~ I ~ ~ N _ O N _ O ~V H (O 7 N d ~' 7 y Q. Q' ~ • ~ N Ii -, ~ ~ N c I ~ N ~ O s N o ~ a . O d o. O ~ ® ~ ~, o z a~i cn d z o a~i d zcnz N .. .. ~ .. C d C .. ~ O l9 E ~ M R U~ ~ L ~ ~ ~ O ~ i f9 ~ -a ~ ~ a '~ p ' .. a .~ .` ` c ~ o o a ~ ~ '~ c o a ~ °c ,tr. ~ ~° I ~ fn t/) fn O I c 3 cn l/S V Y V.~ CD M . ', ~ ~ ~ ~ LL H N > ? ~ ~ n. ~ ~ i i a a a aaa . ~ t = !z ~i n' m I c~ , ~ O ~ Flgy N J U ~ °o o ~ ~' ~ rn rn z ~. E N N `C5 ~ ~ ~ ~Mi ~ O N v ~ O O O _ ~ O ^ C ~ O O ~ O O N ~ _ ~ ~ ~ N O ~ a~ -O ?' d ~ Y i a> g d Z ~y m ~ o O m ~ ~ :~ tii C KS N tq ~ H N r~ ~ 00 O O of C ~ C c ~ ~ N ~ ~ O 'a 't7 V ~ O ~ O ~. _U v QI ~ ~ ~ '', U ~ C C ~' \ ~ O N ~ ' '. ~ N 'i 'ti.. ~ 'D N ~ ~ N E E V p ~ 6~ C I I O C N c ca cv ~ N ~° c ~ c a~ w v i m c c a i ~ i a ~ cu -o ~ /% w i~ ~ a a ~ ~ ~ ar °_' :: , a ~ ~ , a T ~• 1~ ;C '~ a. ~ N L V ~ 47 ~ y t ~ N '. C O C rr,,~~ °1 ~ U a ~ ~' O y U O y U nsin Department of Commerce PRIVATE SEWAGE SYSTEM .;ry 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)l. Permit Holder's Name: City Village X Township Deneen, Michael & Beth Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description ~ ~ ~ ~ S TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing ~~ ~ Aeration Holding TANK SETBACK INFORMATION TANK TO w P14 WELL BLDG. Vent to Air Intake ROAD Septici c.. hod 109 ~~ I Z~ Aera on Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Len Dia. ist. to well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 127 State Plan ID No: Parcel Tax No: 020-1462-03-000 Section/Town/Range/Map No: 24.29.19.2950 STATION BS HI FS ELEV. Benchmark , ~~ 9 /~ O 97 a Alt. ~ ~ a~~- o 2.~3 97, ~1 Bldg. ewer . Z3 ~~. ~~ SUHt Inlet ~ ~L ' 7 y.~• St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System ~ Final Grade St Cov r ` s ~. ~ 3. 7 e~~/,'Z 7 / ~~ BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM ~ BLDG WELL LAKE/STREAM LEACHING Manufacturer: NFORMATION CHAMBER OR I Type Of Syst ZI ' Z ~ ~ Q ~ ~~ UNIT Model Number: ti 7 DISTRIBUTION SYSTEM t.~r~l- Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER Y Proecnre Cue4eme (lnlu YY Mnnnrl C)r ~t_(;rade SVStEn15 OnIV Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [~ ~ No [~ Yes i No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 820 Sumac Trail Hudson, W 154016 (W 1/2 SE1/4 24 T29N R19W) Bad Red Sumac Assessors Plat lot 3 1.) Alt BM Description = ~ \ 2.) Bldg sewer length = ~~ e G~ C'.e' ,O/~ - amount of cover = ~ ~, Plan revision Required? Yes No ~ Z b a I Use other side for additional information. Date Insepctor's SBD-6710 (R.3/97) Inspection #2: / /_ Parcel No: 24.29.19.2950 3 Cert. No. ounty anitary ermit p tion ST. CROIX COUNTY WISCONSIN In accord with Chapert 12 St. Croix County San' Ord' ce PLANNING & ZONING DEPARTMENT ` Personal information you provide may be used for seco s ST. CROIX COUNTY GOVERNMENT CENTER [Privacy Law. S. 15.04(1)(m) 1101 Carmichael Road Hudson, WI 54016-7710 (715)386-4680 Fax 715 386-4686 Attach complete tans for the s st inches in size. County Sanitary Permit # ^ Che k if r icatio D l t'7 placation Information -Please Print all Information Location: Property Owner Name ~1 /4 ~1 /4 Se ~ ~ , j c . ~. f,F ~~'~ ~ , 2 T ROIX COUNTY N, /9 R Property Owner's MaiAng Address Lot Nu Biock Number ity, State Zip Code Phone Numer Subdivision Name or CSM Number ~1S~n-, ~/. 55~0/~ (7/s~ ~8 ~ - 9 79~. ~.d ~~d .5k.,~A~ ,4sses~~ I ui in c eck one ~ bk ~ l N f B ne w 9D ' ity ^ Villa e Qfiown of g 1 or 2 Famil we ling - o o edrooms: p n / jn~ ~~~ ~°~ '"pO1~' / d / " ^ Public/Commercial (describe use): / -f-u- SUY7 ^ State-owned Nearest Road r Check box on line B if applicable) II Type of Permit: (Check only one box on line A Jlc~lQG Tom'/ . . ~ Parcel ax Number(s) ~ A) 1.^ Repair . Lo! Reconnection .^Non-plumbing . p Rejuvenation '^-- ODD- / S~lv~-O 3-~~ -~--~--~ Sanitation t3) Permit Number Date Issued / 2. / 5 ~ ^ State Sanitary Permit was previously issued IV. T~ of POWT System: (Check ail that apply) ~- Non-pressurized in-ground ^ Mound Z 24 in. suitable soil ^ Mound 5 24 in. suitable soil ^ Mound A+0 ^ Sand Filter ^ Constructed Wetland ^ Peat Filter ^ Drip Line ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Other ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating . Dispersal/Treatment Area information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade ~~,` Required Proposed (Gals.lday/sq.ft.) (Min./inch) Elevation i. Tank Information Capaicty in Gallons Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks ^ ^ ^ ^ ^ 's it Sa!J ,3 Sb / l4r~q~"'n ^ ^ ^ ^ II. Res nsibility Statement I, the undersigned, assume responsibil' for repair/r nnenction/rejuvenationfinstallation of non-plumbing for the POWTS shown on the attached plans. A icense is not r uired for terralift rep r or the install ion of non-plumbin ' ation s stem. Plumber's Name (print) tuber's S' nature (no ~rIP1MPRS No. Busines Phone Number -~- a- 3cx~~/ ~5- ~~e-rl67 P3 ~b~ens A ress (Street, City, State, ' ~ odeC s~~ /~ ~/I ~D~~7 man (R III. Coun Use Only isapprov Sanitary Permit Fee D e Iss ed Issui gent Signatu (No st ps) ~pproved Owne en Initia arse ~i ~~~ a pp ~ p 5 Z ~ O rmination •( X. Conditions of ApprovallReasons for Disapproval: G-X~~~'~~ hem.. IO~I~t~~ OwwQ.!' Ct~o.~:l~:... dr o~cx ~/.nd~a.~-.'o Eir•s~-: ~ ~ ~4 ~+~-O~ '7 1 1 C+ {~~"'1 ~ 1 ~..C.~ V v ~ ~ dL i N 5~.4~~• ~ ~ ~ P F~'~ Rev: 8/05 ~a~ a ~o~s ilo4 d max, sf; u ~: ~; ~y ~,d P~d,J ~/ ~ M ~~~ /- ,. r ~ ~l ~i ~~[ rC K ~, .~ N ~,\ ~ yss~. Z~s sEa \~1~. ~\..,. d2d 1 i, EXi ~fi r!y l~Er+ ~S ~~~ '~ ,, o ~~ ~ Ew;s tlr~y ~~c~de e (ev.` cam- ~ / =' ~o' ~~, ~z /~9 /l~~e ~ ~e21i .(~enee.r7 ~rao. ~~a ~ Got3 ~s5~cs~,(s~ o{ ~,y~ Qaol Ke.e/.5[c.»ci-G .5~f'1CS~~ `~y Sec. 2s~,T z9/t.,iQ. /9~.,T~• Pcl ~ 02~ -ys~b 5/- 03 -~ L~-li~t~=,$ uS~S~ac~/n arc ~nfc~~l<e~ ('.~~. ri . c a c+P. ~Y qP~/]Pr~~~CTG/'CJ1CePt-`Tf'~'~SCS ~u,r ~;_ ~~<_. ~._ ply. EY/3-fi'~x ~e// o U Eil"%~fi~)~f (YS/c~enCe - £o be ~c can3Cruct ^ v U Cil 2 n e-k rrlu.rt : TN l~ - 6. : TvP of ~S~• , X ' " ' )ice ~oi ~ 7 05~ 5 E/ee/• = ~7, u~-!/ /~., ~ c«p o ~ /off /.-:a e . ,Q 95 u rri C d ' r4P{~/'ax. /~cct~O~ s~ Gm,~du ra- t~i'~s-~ a~ !t IK/.• -i~.c~ p_,.t/~ti~r2g ~O.t~-%.~5. ~nSiscci~ of /, 3.SD~j-'c~ ~ep~G ~~ d~yw~/C~~.aY~.srs' ~p~~ Z =d S~o~Y dec.K 5I1oti.~n o ~ c.c~-5 E- 5,d~ o~rtS,~cla-nc~.3 SKpP~2cd by posh .Scion evne-rube. Na.cl (not {-~-oE:n~~ ~~ s/~~e -tlvr-~K~~ Rv.~.TS, ~~e~ ,s /1 /,~ c~6/e. -5/e/Jc.SFf eunCo~-s Z`~i'o~~ ~ma~~ec(er'oFi4~'a/Oor-~yiJ ~ cep/~ to de/lrtea.~. 6 y t~:s r'cPu,--~ ~t COP ~u~r1~C /ra,% I j. ~v>-~ ~~ad~~,-~ ~a4~ CXi 5~i u E; l; £~, P~d,J ~/-1 t.~ . , _ 7~ Ex~a~~ ~~t~s- ,~ N ^~ ~ c ~~ ~ ~~9r..11 ~ ~ ~~ i ~~ ~., N )~c2 X003 ~ o ~ Job l.~n e . ~S.Surned lev' . iuJ.U?~ (eurred ~i<..Ci,~ E)43fi',x, oJe// o ~/ ~ry,,.~.!/ /r.,,~ cup "Elegy ='~i7 o5e ~ ,~o,'/e,/alu~~'o.>P,~ ~ E~v'3tir~y ~~de e-le,~` /1~i(~e~.C~2~i,(~eneer7 f~ro~o.~ goo ~u,.r~a c. Tea, /-/~dSun, ~.J/. 5~/k 60~ 3 ~sS~iGrS~,{z~ o{ Qaol ~e,clStcrr~ac, 3~yyC.SEJ~ Sec.. 2. ~, ~~9~t.,,Q. ~9c-~.,T~• Pcl ~ o2c -is~6 f~- 0 3 -~ F~'~.~occi-~~on oFbw~~,~~ (.~~/i~~5 uS~~ac.7n arc ~nf~+xi<c/ ~,^ `~ ern era.. /'c~c~cnCe ~u-s~%se.S p» !y. 4/o~r'a~. /v ca ~'o.-~ 4C Can~`vr a ra, ~'« o ~ P,X/Stlrtq ~O.rt,•%.S. CmrlSiSV o{/ 3SUJcc~ ~cp~i~ Z`~~ d~ywe.//C'f%~Crd,'usiT"s'a'ePt~,~ ~.7/o~erFlo~;ntD ci~~pc~sa./ ce/% ~ l~~y~~-u ~~~.-r,= 8~~~~, L~ r;$P•~'sa/~c!/ bottxirn = 9/ 3i ,Y u v~ ~ Znd~~ry dec.K 5(~ou`~n o~ u~SE. `Jrde ~ p~F~~eS~'~Q-n c(' ~_S SK/~Pdre`ed by Post` .S~~on S /v~.'~ ~i.r'd u~~. ~ CU. u.7.T".S, cc-r'Q4 , S ~m~ir~ede~~fi0~'o~por'~~,iJ ~ ~~/~/X tCi de%~rea.fe by t~.;s i'c,oarf . ~t ~u.r~oC ~r-a, r Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in arrnrAanrx, wi}h Cnmm R5 Wis Ar1m Gnda 2109 Page t of 3 A.C.E. Soil & Site Evaluations County At~ch complete site plan on paper not less Phan 8'/: x 11 inches in size. Ptan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direcdion and parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . 020-1462-03-000 Please print all information. Revie ey Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 {1) (m)). ~r ~' L a p Property Owner Property Location Michael Jr. & Beth Deneen Govt Lot SW 1/4 SE 1/4 S 24 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name r CSM# 820 Sumac Trait 3 Assesor's Plat Of Bad Red Sumac City State Zip C ~ City ~ Village i/ Town Nearest Road Hudson ~ WI 54016 15) 38 2 Hudson Sumac Trail & Badlands Road New Construction Use: it Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement J Public or commercial -Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Na General comments and recommendations: Existing residence destroyed by fire 12!15/07. Soil evacuation completed to determine suitability of soil to allow reconnection of existing system to new residence. Boring # ~ Boring !J/ Pit Ground Surface elev. 95.58 ff. Depth to limiting factor ~ 138~~ in• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P Dlft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 "Eff#2 1 0-10 10yr4/6 none gr sl fill na ns aw lfmc 0.0 0.0 2 10-18 7.5yr2.5/3 none gr Ifs 0 sg ml cw 2fm,1c 0.5 1.0 3 18-34 10yr4/6 none gr s 0 sg ml aw 1fm 0.7 1.6 4 34-42 10yr5l4 none gr Ifs 0 sg ml aw 1fm 0.5 1.0 5 42-75 10yr4/6 none s 0 sg dl aw - 0.7 1.6 6 75 138 10yr5/4 none (~~ t~ 0 sg dl - - 0.7 1.6 ~t 3 ' Effluent #1 = BOD S> 30 <_ 220 mg/L an TSS >30 < 15 mg/L ~ uent #2 =GODS <_ 30 mg/L and TSS < 30 mg1L CST Name {Please Print) Signatur / CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 1/15/2008 715-248-7767 ~, ~~ac~~Ct nc~ 1Co4 c~ C,~iS~i uE;r;~y PLd,J ~/ ,. M /u~ ~ .. r~..l~titr+F .~ N EXi~fi~y (1cn~ 1 ~~ C/ 1 o `~ 1 Zn• ~ \ 1 ~S~ ~ S•Ga ~ ~ d¢s ~ 1 /-~. ~ ,jo; /e~alu a~on ~,'L Ew;S t~7riy ~/'C~d2 C~Fs!~ c.a . ~ ? r~ ~~, ~z /~ 9 8~ Su,n-sae- T~'ai/ . ~ ~ /-foc.dS~m, ~..J/. 5 yC/f, ~~~'" Lod 3 ~ss~rS~kt~ o{ 5y Sec. 2~! T. z9h.,,Q. /9u?,T . k9 o,ff/~ds~n, fit. e~o;x~a;,,Jl, ~ Pc/ ~ o1e%-/S/6f1-o3-~ ~,e.' /ocu.fion oFbr ~~iCd G~~~i~~ aS3(ocan arc %nf~.rd~c/ bur..~~1 <~~.;; err-~e~nera.~/'c{c~C/ieGP~•-s•~ses E~i3-fi'~x, ~e/1 G ~! E~'i<Sfng /YSidence v 1~ enchn'(a~,~~ TN a~yu~J//e~t cc~p~EJe~`:ui'7oy- ' ,S~ce Poi ~ o~ /off /.~<. ,4s5ur»x,d ,`~i°Pr'a,-~. ~DcCt~Ohf~Gm~vru~a~.'iho{ ¢ie/~:,~v.cn' exi~~i'~ag/~D.~,J.~S.~~sisfi a><%3s~~~ SeP~ c ~z~..-,,~ d~yeve.//CS~~a.a~lu.sii"S` dePtk,~ ~/o~erf/ou7;nL-o d:i.~Pc~sa~/ce/% ~Zn-d5~~y dec.lCS~iou~n or, u:~SE 5,~le O~ rt5~ d~'-nce .3 SK/~Pv~ed by ~oos~ ~c~ o~ ~~p~c; Slo/'~ t~i.r-d~.c~~ p[~.u7.~'.3, u.re4 iS n /,' ~.6/e . s/e/oUS ~ can Eow~s ~d~~ ~m~i~e-de ~of~p/'a~0o~~yiJ ~ ecr+~P/~ by de%rrea.fe 6 y ~:s /'e,o~~ ~r ~umoC /i"li , ' PLB. 68 FEE $ I.00 (I Permit per Tank) Date Issued 10 / 31 / 7 3 Tank Size._135.~gal. Private Res. XXXx Public DEPARTMENT OF HEALTH AND SOCIAL SERVICES Division of Health P.O. Box 309 Madison, Wisconsin 53701 STATE SEPTIC TANK PERMIT This permit is for purchase of spetic tank only and does not exempt installation from state or local approval and/or permits. N°~ 6015 Copies: (White)-Property Owner (Blue)-Tank Retailer (Canary)-Division of Health (Pink)-Issuing Agent Owner's Name Mike Deneen Ir Owner's Address Hudson, Wisconsin Location (Legal Description) of Property Where Tank Will be Installed County S w 1 /4 of Se 1 /4 of Section 24, Hudson, T29N-R19W St. Croix Plumber's Name License No. Address Lawrence Hawkins MP 3787 Hammond, Wisconsin Signa a of Person Obtaining Permit ~ Address if Other Than Owner a r ~ Hammond, Wisconsin ~~ ~, A of Issuing Agent Town, Village, City) County Old Courthouse Buildin Hudson Wiscons' Croix St , . Title Zoning Administrator ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/~er~ ,/T1.'Gk~ ~ .~~r: 7~ ~~"~ ~ -~sfee•-~ Mailing Address 8Z'~ `S"'n~C T~2,~ Property Address ~n~ (Verification required from Planning & Zoning Department for new construction.) City/State ~u~°''~ ~'`~~ Parcel Identification Number ~~ ^ /SAG-Z'a3''~ LEGAL DESCRIPTION ~ Z ~~~ Property Location .5~ t/a , S~ t/a ,Sec. ~, T ~5'N R /9 W, Town of f~~-5o'~" Subdivision _ ~.t..e~~i~_q~,¢ss~ssays /o,~ -~ ,Lot # 3 Certified Survey Map # __ ~s~- ,Volume ,Page # Warranty Deed # ,Volume ,Page # Spec house no Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. 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 system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - 5t. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition.andlor (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that ail statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Nwnber of bedrooms SIGNATURE OF APPLICANT(S) S ,~, a~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed fmm the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 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 ~~ ~lg.~/ ,4 . ~ r. ~ ,L3e'f~ ~ec h residence located at: 5~ '/4, SE '/4, Section ~; Town ~-9 N, Range~W, Town of ~al,So,-, , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service ~/p~~~ Did flow back occur from absorption system? Yes No ~/ (if no, skip next line.) Approximate volume or length of time: ~ gallons minutes Capacity: 3S~ Construction: Prefab Concrete Steel Other Manufacturer (if known): Ag,~a~~ank (if known): _ ---~/~-~'s ~'~lu ncS / PS'Gr Plumber Signature) (Print Name) (Title) (License Number) ~MPRS ~ccu /. aGOY (Data Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Page 1 of 1 Subj: septic system at 1820 Sumac Trail Hudson WI 54016 Date: 4/28/2008 10:56:51 A.M. Central Daylight Time From: mkmorgan4.Or~hotmal_com To: mandb1973t~aol.com To whom it may concern. The septic tank for Mike Deneen at 1820 Sumac Trail Hudson WI 54016 was pumped on 4-24-08, and an exit baffle was installed at that same date. Thank you, Ben Morgan Tri-County Sanitation License# 81578 Life is Good..Mary In a rushy Get real-tme_answers_wth Wind_ows_Lye Messe~er. _ .L ~) i .1711 11 _ _ s~~-- 254 B ~ r. 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CfiOaX CO. WI$. Reed for Record this_~?-th _ dey of_sLK7-Y_------A.D:19 72 -~ i. 1~6 Grantee, uz~ -.. D ~ :~8, ,,,.,. ~ v ttle'lawlalL'deuccibnd` re~I ~a;fie ~y ,~, ~fl~ [~_.-_ County, &~ate of Wisconsin:. Past ~~ the ~~ p~ ..' S.e~~,3,oq 2'4, T29N, 819W ~ e:iifiaed a8 f~~liows,t Commencing at the gterseetion ~ Tex Kev q i t?b.,e ~oe~~~~r~;~ne c~~ t~~e tie x~fla-~ and th_e We t line ~ i, said SEA, 'h~Ienc-~ x67`°1o,,3Q„E X52.42 ft . a.logg the centerl+ineoof msaidproperty. ~~ own rc~a d i~ o t'~s ltd aro ~p er oi'~ t~~a~ oint ai= begit~niug of t;he~ Parcel described in VoX .9 455_452, the 67o18r"30t'° r ~Igroe~l to be described; Thence continuing E ~2'~~.56''°f't. aLong~~ the- centerline of said town road; thence 27°5$`~30'~'E 53~~._,~t". to° tJ~+e sau't~eri~Y r3gl~ of way nine oit said•~ town oad, thence aant:~irui~ng S'2"T~'S'$''303~r~ l63 03~. i?t, -alogg the west~r'ly r/w ine d# a~ p~riv~ate .road; ~ t•Yie~ace~_ ~4"~Q1,~`,' 4C3~'+E> 118.39 ft,. a lotrg~- the es,terly ~ r;lw I~~tne ::~i" a '~p~V~+~;e road ; ~ t herice~ S ©u,t-h 440 .96 ~ t , -a l ong~ the est r/w line of a private road; the-nce West 376,22 ft, to the east ine of that Parcel described in: Vol. 4.5;5-452; thence N00°i9•E 613,23 ft. long the east line of that para;1 :described in Vol.. 455-452: to the: enter3ine of said town roa-d, tie. ~cxn~t of begi~u~:ng. aree contains 5.18 acres mare or less ogether with a roadway easement described as ~o11©~vs Commencing at the ntersectiop of tine centerline of the torn, road. ar~d the west line -'of said Exception to werrartties: none. TRANSFER <coltinued on reverse sii Executed at Ht7dSS,Gn `V~BC OA"$ iq FRE 11th , th;g___",..,. acv ot_- July I9 ?2. ' SIGNED AND. SEALED IN SRESENCE OF EAL) e son V , pol I (SEAL) .' Fl,gr.en~, ce_K_polen ( -«...^ ' - \ (SEAL)- . (SZJAL) Signatures of f ~ ~, . aAAthenticatcc~ 2bie -r.rlth. ~,aY` `` ~;~~~~~~ ,$ ., .., ...-.,,. 'I'itie ~iie ,;' ~~ ~ ~th~c~ed' ~~ ~~~'~ eta $ar of IYd~x?oda#a 7k ~e~. 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