Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
020-1079-20-000
a C o O N "9 Ci @ d4 M O N M N V •o d '~ d •w N .~ *~ ~y ~i •~ 4 rr~w.y' ~1 O d w 7~i~ CC .~'w eC A _~ ~ a ~t ~ Z r- ~ iN- z 'O C 3 LL aci ~ E a> U O (0 M a N E O y d a m l o Z~ ~ v ~ ~ T o '+ ' ~ _ U N h ~ °~ a C -o U N L N LA ~ . 7 = N O a m ~ ' ! o w 4 , z__= z M o ~ `' .. a . N 10 O) d _ ~ y ~ a ca d r c ' W N ~~ ~ ',,. N d Z ~ > . _ j ~ 7 ~j y r O O O ;~ ~ ~ a a a a ~ j c ~ 7 O to ~ y U ' ~ O O N N O r O O ~ M d ~ ~ N °o ° ~ ii m C o N C 1~ n O M O ~ v ~ i ' m o ~ ~ N O N ~ N O O N S I !, m M O ~ ~ ', • ~ ' E d! m at m a ' 4 a, a f am .~ , ~ m a« ~ % ~ ~ L ° a c ., c '' o : ~ ~ v c v ~ v~ ~ °o °o 3 0 fR 0 EA O C O C c O ~ 'p O `o o C U f0 w >. ~ v ~ h U o. 3 o .c N .fl w O O C o d o r E N N-p-o~o E py .~ O N C; N« ~ ` '~3m 'E>o N~o~ > C .O E t0 N~~ U C M A O L (0 C ~ N ~ m~ ~ O O y N~ > 3~ ~ N ' C a m a~ w ~,,~ a~ c -a 3 0 o w e fD U « 0.O IIi; ~ N ~ N ~ ~ Y f6 ~~ c N c 3 3 E ~ 'O 'pQ ~ O p ~ p 0 y C (b N ~ N ~k fh (6 E +N, C N .O N p 0 O 0 O d ~ ( ~ N L N 0 m3 a ~ ' '"~ N 6 C ~ . „ ~ N ~ O O ~ N ~ 'O ~-'' O p N 7~ o :a E~ N~ E ~ 3-. N y m o a c c ~ ~ c ~~ E o•~ ~ 4 U.5°~ -~i~a>icoarnc°~° Y C N .' (U 47 O ~ o 0 3 (~ 0 EA 0 ER N C O C C ~O O : ~ C O C V (6 ~ ~, f9 ~ ` off a m 3~o Y O E y o h o %-° E N W y w yr- NN ~ p 0 f6 C ~;r-3u~>~~ •~3a~ N~ow~>o o~E aEi3~,~mNc 0 w ~ ~ N (d ~q >. C a ca rn - a~ ~ 3 ~ ~ 3o'~ ow 2 o ~ o. ~ oo° ~'~ .. 3 m m ~ ~ ~ ~ ao m coro ~' cNC33E N ~ d C O O p ~ Z ~ f0 O a N ~k . O . M (0 E N C N d N (9 O Q O O fl U O C p . N ~ d +~ ~ N N p C Y y (n ~ O p ~ O ~ 'd ca T~ O ~~ N N ~ N l4 p a C C U Y N i~ a U ~ ° a ~Y a>ima a>~ ° c N N N t O N ~ G m ~ m d t .a C W N L O O C N O E m E a~ a ~ g n. ~ ~ ~ ~ ._ O' •~ Z ~ } ~ ~ Z O 'C5 M O ~ , . ,~, t~ C E M ~, O C°.~ C') O O ~ p .- ~ O "C7 "Ci W ~- ~ ^ ' 0. ~ C[I r ~ C Q n~ Z U,` ca 4 n v; Z v; o v C -o E V' 0 CO ~t o -o N 7 c 7 -o N 7 ~ _ A C_ ~ 0. 0 i 0 0 C . O S C n N E~ E ~ ~' o N m N m N E c` E y ~ c~ ~ m 0 ~ o c~ C7 ~ ~ ~ ~ ~ > > .C N O Q> O N `!' Z Y Z Y U) Z `!' Z Y Z Y i I i I I i I i I I I I f I i ~ °mo II N N I ~ ~ Q ~ ~i (6 Q E ~ I U 0. ~ N N c ~ ~ co r> ao ~ c ~ ~ ~ ~ ~ i I I 1 a a, o o .., ~ y a co <t 4 O O N N y vim„ d C "y F~ •~ N .~ U •~ [O V r`M-1 r CQ ~+~ ~ ~. c~ ', A ~ ~ Z r O~ N f- Z C C7 O Z d' u ~ r to I- ~ V M <T a Z r J m 'a II W J V O ~ O ~ N C p N O ~t ~ M ~ O p N 'y0 O N 2 ~ .T+ a a ar :~ u ~ '- s U a a C 7 LL c N N U ~ O a O d d a m Y C F- 0 c = Z Z C (O •~ d ~ N R V y ~_ Q R !hoc"a c N fA (n = a a a t V C i ~ 01 ~ ~ 0 0 r 0 0 2 ~ .a d M 7 +~+ U C c~ .~ M r U i a 0 ~ In o !' £ a m ~,aw = w ~ O N V ~ °o 3 0 O ~ a~ c 0 ~ N q~ N ~ O C'~ ;.6 y N +~ O ~ O N C L >. U ~ N y y ~ Q ti r C O C p N ~. C ~ ~ ~ O. Ili ~ .- ~ ~ M ~ ,~ O 0~~0 ~ d a 3 m ~' a~ y ~ 7 0 L y O ~ w Q ~ O Z ~~~~~Oo ~ ~ 3 0 ~ ~ N ~ t O O. '~ o ~ m ~0 3 ~ M /9 ~ ~ p~j N Q N ~ y O)r w y C N .~ v .C 3 m a a ~ ~ ~ ~ a U O Z ~~ a CO ~' y O .~ Q Z +i'3 O ~ U ~ C N C 07 N ~ °' o ~ Z °' 2 Z I I I I i I I ~ ~ C LL 3 0 I ~ ~ Z iii ~ ,., O O d d ~ a m C O I Q1 C N O I ~~ m N fl' ~ ~ I ~ ~ ~ Z UJ Z L CO •• tV O N E ~. .. ~ . d a '~ L i ~ o o a i c N ~ N N ~ ~ ~ ~ ~ 3 3 ~ = a a a L U C ~ ~ ~ ~ ~ ~ ~ I a n r 0 0 I i = .a d M 7 +~-~ f~ y f/1 ~ y C V M I ~ i L U tp r ~ ~ I ~ -~ O %: I :.: ~ °1 ~, a ~ d a w c :: 3 O in U ~ °o 3 0 O ~ m c 0 y ~ C O ~ ~ U N 16 f0 a 7 ~ ~ ~ ~ O ~ N N w w ~ ~ a~ E~ V1 ~ ~ >, N O y 0 z ~ ~ t6 ~U C ~ O o ~~ ~ ~ E Q U 'O Q V1 C N v cll L d 7 I6 a '~ `a cn O Z -~ -cs m y Q .r~' Q Z t:^ O 'O W O y ~ Q O ~ O Us N 'O F" O m O Z y Z II P- ,~ U. o0 C.v~ s FILED ~, ~~~ - 91~9~ A U G 0 4 1998 ---~ ,.. ` ~~'3~~3~a9 ~ ~ar~rtf+.wusH ST. CROlX COU{vTY Repl~erof __-__-- r_! ____..___. _...__ _. _ _---- __--- -_.-: ._.._-- -- - --_--- - --- -- . ------__~ R r - .. - .._ -- - -- - __. _ __ _ _-St~ro7ic THIS INSTRUMENT D R JOB 0. 97 ~. ~ ~ .-. ~ I ti ,~''~ ~ S T,~ ': o r~ ~~ I v m m -o c m rn -• ~ -: n D r IT1 o ~ ~, Sro ~: "~ , . f'°' ~.'= L' x X TJ N ~ m z o x x in N o oo x O C ~ ~ ~ ~ n r ~ ~ ~ r; r r~. . ~~ ~ ~ ~ ~ S ~ =i =1 ,T7 r- N z ~ O m - fTl . ~ , „ r ; ~ a'~. ~ ;; ° ~.r; ~c7 XtS ""' ~ ~ D ~ -~ z ~ ~ A ~ o m °z o \ ~? ~ ~`~~ W ~l Z p r~ ~ %U Z C C ..p CO O n ' ~ r- ~ O O ~ n c/~ ~ r~ z -D m Z c Z ~ ~ m o ' m co m ~ Z ~ ~ ~ ' ~ n ~ m n c m z ' rn~ ~ p D `'' m -' ~ m ~ ~ z MATCH LINE i ~ N Z O ~ SEE SHEET 2 -, ~} ~ BEARINGS ARE REFERENCED TO THE EAST LINE OF THE SE1 /4 OF SECTION ' 28, ASSUMED TO BEAR S00'04'34"E ~I V ~y N~ ~ ~ . ~ , ~ t '. ' N '.: 1. > ~ ~ h11 ~ ~ i ~ :y .. rb " ,.~ ~ y - t. -`.--. -- -- C~i-gi00 ~m~nCV~i • I 10 i ~~c ~ b Cm ~ ,~ N N ~ a p r~mmNN 2.+~_ ~ ----- -- -- I O ' ~D-I ran ~ ~ 0o v' •° ~ v r ~ ~" ~' GJ Z C (7 m c0 t O ~ o ,,, O h O ~ O o cn = n ~ n m= a v cn - ~ i~ ~ n m O `y ~ ~ i '`] ~ ~ 1 g ~ Ih ~ i ~NN< r m N --I~ V o ~ a a N m I~ m D N ~ p 7 +~- . i ~ Oo i ~] i' G1 m~'"m iC ~ Oo cn ~ Iy ~ ~o°°ni ib IN ~ _.- - - -- -iN a~~~ i'y rn i0 ib a c z v~'i N i t~zj ~ i'y i b rnr~r~ ib N ~W I~ p ~ ~ p i W (N00'05'12"W, 100.00') O ~ ~ W S00'09'48 "E ~~ ' ~ ~ 2.74' ~ 99.95 ~~ I 429 .90' -_ -.- .-- °o ~ I ~ ~ ~ 348.60' U, S00'09 48"E 529.85' ~ 18'1.25'N+ m I ~ j° ~° m I z I m N00'37'09"W 348.19 ~ ~~ N' - - - - - - - m I ~ •° ACCESS o EASEMENT oCO„~, _. _ ... . m I ~ ° - o cn -I ___ ____ ~N L~ °o I z N00'37'09TW 347.91' ° ~ N N ,~ oow~' rn r~ o ~ _ ~- ~ N wDy~ ~ ~ p ~ ~ w o D ~ rn N ®m z w o'~, 0 o cn ~ ~ ~ -+ ;; ~ ~~R/fig<F } ~ 346.69' ~ 84.63' ~ O~b'LLOZ ~~-+,c fin nnc N00'05'06"E 4 1.32' N ~Z I~ I~ cw i~ i °D- i O ~ ~ ly w ~ ~, ~~ J p 1~ ~~ y O ob '~ ~y i ~\~ ~ :y n`:]x ~ ~ ~n~ ~ ~ O O '~ d ~~~ ~ , ~~ ~ ~ ~ ~ r.~ C co n~~ ~ ~~~ ~ ~~ ~ ~ b , ~ O ~ ~ ~y ~~ b `~ _, tV ~ IT+ (D C,W ~ U! n ~ W ~ ~ N O ~ ~ ,66'6SS 3„~F,ti0.00S 7 s Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Binding 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 Bhakta, V.S. Hudson Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~' ~ ~ Dosing S( Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ ~~ Demand GPM Model Number l~2 TDH Lift Friction Loss System ad TDH Ft ----- Forcemain Length ~ Dia. t/ Dist. to well ~ C S-~e w SAII ORSARPTIC)N SYSTE 1 S i ,..~,.. _ ~ r.~ TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding ELEVATION DATA county: St. Croix Sanitary Permit No: 399426 State Plan ID No: Parcel Tax No: 020-1079-20-000 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH DIMENSIONS Width ~ i Length f ~~35 ey~„Q,, No. Of Trenches ~ Q PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L DG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of Sys`t/e, m: ~d s ~ 1 ~ !~ C UNIT Model Number: DISTRIBUTION SYSTEM / V 1. ASarK. f%L ) Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER v Procm~ro Cvc4ome Clnly YY Meunrt Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center BedlTrench Edges Topsoil ^ Yes ^ No ^ Yes [] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: ! / Location: 736 Highway 12 Hudson, WI 54016 (NE 1/4 SE 1/4 28 T29N R19W) NA Lot Parcel No: 28.29.19.3226 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ^ Yes ^ No Use other side for additional information. ~_ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) , -~-~ ~ ~ w ~%, Pos ~- _-----____: ~o,~, o' ~'- ~~P%1~~vif v~ - _ iD ~v/N.c~v COV,.G~~ ~., ----~ _, ~ ~/X~'ST/~G- 1 „ icy- ~ ~ ~ ~5 s-~%u~ s ,~vc. /~' ~ lr U~ ~7, /~ ~ ~/o . ~~ ~~. ,,~ ~~. 70 ov .~- 3 ~ ~o ~) ~-~2 ~~~ s. T~ ~5. ~u;~T p~oT 6/qv / NoT ~ ;~ i ~~ f ,~ ~(,, v -~-. ~s ,,~.~.~ ~~. !~/~~ ~i~ 85.36 ,----- i~~ ,~'r ~c,~ ~. " ~Or/ G fniF'le ~~ti ~ ~~- . lu.Gt~ Sys ~ ~i~~ts T - - a !'isT.ranX~~ ~ ~D/~T ~~~ ~T ~~c~ , Ds S _.._._. ~~~~ P/G ~i. y'o .~~ i/ ~i p ff , ~'3• ~,~ i ~~~ -i N~, L o 7" L i ,tJ.~- 0 J ~ s,~'s ~',~,.~ ~ /P~'St`~' S ~~~ ~ r `~ ~ N -- -~ o ~ 4d ~ 00 ~ bD ~ ~ ~ ` l ~' o d 1 \ ~- I ~ 6` ~ s ~ ~ ;-- s N ~ oo a~ , ~ ~ ~ "~( N o a -~ ~ ~ G U'~ ~° ~ ~ ~ ;-~ c~ -~ w ~ o W ~~? i~s~~r ~. ~~ Safety and Buildings Division 201 W. Washington Ave., P.O. Box 71627162 County ~~ ~t~Ur / y /i ~~C-~~5~~ Madison, WI '53707 - 7162 .Site Address ?~ ~ ~1/ / 2, Department of Commerce ~r/ ~~^, ~// -- - - Sanitary Permit Application Sanitary Permit Number in accord with Comm 83.21, Wis. Adm. Code, persorml information you provide ^ Check if Revision tna be used for seen ses Privac Law, a1S. 1 I. Applicatitm Inftn7rtation -Please Print All Information ~,^. 7, Et __~_~ ! ,? ., ~,, ~~~ State Plan I.D. Number , a~ 1 `~ ~~SS3 ~ ~ ; , Property Owner's Name ~ ,Parcel Number ~ Z O ~ D 7 ' ~ Property Owner's Mailing Address (f~~,, perry Location Ci State Zip Code Phone Nu (;~ ty. R,,~ off'" Number Block Num r CONOd Z, /~(I ~~~~ ~ ~ , s' J!/ ~~ / l/ ~~~' , ~ . ~~~~ CSM Number Subdivision Name ~ II. Type of Building (check all that apply) ^City ~ 1 or Family Dwelling -Number of Bedrooms ^village bliclCommercial -Describe Use ~tS ~ `~ ~ ~ ~~/~~ ~ ownship U O ~ ^ State Owned Nearest Road ~ ~_ ~~. III. Type of Permit: (Check only one box on 1 e A (numbering scheme for internal use). Complete line B if applicable) A 1 ^ New 2 eptacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Exis ' S stem Permit Number Date Issued B. ^ Check if Sanitary Permit Previously Issued IV. T~e of Permit: (Check all th apply)(numbering scheme is for internal use) 44 ICf-Non -Pressurized In-Ground 21^ Mound 47 ^ Sand Filter SO ^ Constructed Weiland 22 ^ Pressurized in-Ground 41 ^Hoiding Tank 48 ^ Single Pass Sl ^ Drip Lim 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other . 1 V. Dis ersallTreatment Area Information: / ' O " r Design Flow (gpd) Dispersal Area Required Dispersal Area Proposed Soil Application Rate(Gals.lDa s/Sq.Ft.) rcolation Rate ~1r1in./lnch) System Elevation s~_ ~ Final Grade J Elevation c/ so ~~ sa f~ . VI. Tank Info Capacity in Gallons Total Gallons Number of Tanks anufacturer Prefab Concrete Site Constructed Steel Fiber Glass Plastic New Existing ~i~ rte,/,) t=/ l Tanks Tanks _ SeQtic or Hoiding Tank ~ _ ~~U ~ ~/~ ~ Ti~i~.. a Dosing Chamber /~„~'jJ ~'~ ~ /~ VII. Responsibility Statement- I, the tmderslgned, auurne responsibility for installation of the POW'I'3 shown on the attached plans. Plumber's Name (Print) Plumberb Signature 90tPlMPRS Number Business Phone Number RDBE21 Z(lb~1Ga!r ~2~ 3 ~ S 7/S'~~G'c~~~s Plumber s Address (Street, City, State, Zip Code) ~ S ; O `N.,2 /~ t'_ 2 !~ • ~ pj o,J C4i s• S Yam ~ VIII. Count /De artment Use Onl proved ^ Disapproved Sanitary Permit Fce (inclndcs Groundwater S h F ) Date Issued Iss ng~Agent Signature (No Stamps) ui~ D ^ Owner Given britial Adverse . arge urc ee ~~ ~~~~~ d ~, ~ , t(,~(A I''utn.~ / - IR. Caondi~i~r~ta~~B~t~j~-i~tjgt~o,glrs~pPr meet applicable code requirements. • Well setbacks to be maintained per NR 811 & 812. • This POWTS as designed and approved for a motel with 30 units and five (5) employees. • The POWTS must be closely monitored by a professional plumber to ensure compliance with the state plumbing code. Attach complete plans (to ma conaty onq) ror toe trystem on paper nor rw weu o~..........a .. v.w SBD•6398 (R. 05/01) ' , ' ~ ' V isconsin Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary September 13, 2001 CUST ID No.226375 ROBERT W ULBRICHT ULBRICHT & ASSOCIATES CO 655 O`NEIL RD HUDSON WI 54016 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 09/13/2003 Transaction ID No. 675538 SITE: Site ID No. 636052 JR RANCH MOTEL Please refer toboth identification numbers, 736 HWY 12 above, in ail correspondence with the agency. TOWN OF HUDSON, ST CROIX COUNTY NE1/4, SE1/4, S28, T29N, R19W FOR: DESCRIPTION: REPLACEMENT NON-PRESSURIZED IN-GROUND SYSTEM / 3023 GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 811934 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. Concerning the cover page and page 2, this plan approval is for the use of the High Capacity Sidewinder Chamber leaching chamber as manufactured by Infiltrator Systems Inc. as listed in the Wisconsin Plumbing Products Register. The other leaching chamber mentioned on these pages is not a part of this approval. 2. On pages 1, 2 and 3, the actual dispersal Length is 93.75 feet, consisting of 15 leaching chambers laid end- to-end. 3. On page 4, the observation pipes installed on leaching chambers shall have the following characteristics as specified in the approved component manual: a. Have an open bottom. b. Have a nominal pipe size of 4 inches. c. Anchored to the leaching chamber in a manner that will prevent the pipe from being pulled out. d. Extend from a distance greater than 4 inches above the infiltrative surface through the top of the leaching chamber up to or above finish grade. e. Terminate with a removable watertight cap, or f. Terminate with a vent cap if greater than 12 inches above finish grade. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. ~GtN~ OR ROBERT W ULBRICHT Page 2 9!13!01 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. .~ Sincerely, :~ r E E PAGEL POWTS PLAN REVIE R II ,INTEGRATED SERVICES (608)266-2889 , M - F, 0630 - 1500 HRS PEPAGEL@COMMERCE. STATE. WLUS cc: VS BHAKTA , JR RANCH MOTEL FEE REQUIRED $ 275.00 FEE RECEIVED $ 275.00 BALANCE DUE $ 0.00 WS~1AR"I code: 7633 . Ul..a,l-il.(~I:I1' & A~~O~:IA~~~~ CO. 655 O'Neil Road • Hudson, Wt 54016 R ~ 15-386-8185 ECEIVED SEP 1 0 Zpp~ T'RVJEC'r INDEX SAFETY & BLDG, pN P LA N I T) fl ~~ '~ ~'~ C) OWNT;RV.S. & Geeta Bhakta dba ~ J.R. RANCH MOTEL f1eg..Ueslgners o/ Englnr!ering Si~slems Private Sewage Consullanls UATi; Sept. 6,2001 PTTONE 715-386-6190 AUURESS 736 Hwy. 12,, Hudson, Wis. 54016 LEGAL llESCRIT~'T'IUN Condo Unit #2, PIN 020-1079-20-000. NE1/4,SE1/4, Sec.28, T29N,R19W. 'TOWN OF Hudson St. Croix COUNTY CS'T.'M Robert Ulbricht #226375 LOCAL AU'I'IIORI'I'Y/ SUPERVISION St. Croix County Zoning Dept. P'ROJEC'T' UESCRIP'I'ION: A replacement POWTS for an existing motel, with 30 rooms and 5 employees. Total DESIGN wasteflow daily: 3023 gals. Presently, the restuarant next door (owned by others) and the motel share a code compliant,POWTS in good working order. However, the motels bank/lending co. has insisted that the motel be in possession of it's own seperate POWTS. Thus, the attached proposed POWTS shall be installed. Soils are very permiable (.7gpd/ft2) with no soil restrictions. Per Comm. 83, the inground gravity feed conventional infiltrator trenches (or equivalent Bio-Diffuser) trenches shall be used, but dosed with a pump chamber, using ' duplex alternating pumps in lieu of a 1 day reserve holding capacity. P o.w.T s. Conditionally ~~ aTO~M~ CORR g.l INFILTRATOR SIZTNG WORKSHEET SYSTEM PLOT PLAN ry.3 CROSS SECTION OF SYGTFM~ t.TIZ+H ELE~,'ATiCidS. E Ulbricht it< Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 s~d.~-a~ M/~~s # z~c~3~5 ~ '~ ~y' R'- 1 ~ O ~-~ ~. ""~ • , 0 .~ ~ n 0 ~. y~ o b ~~ ~ ~ ~~ ~~ N ~_ ~, m ~T '~ ~~~ ~ ~ ~ o ~. s u --`--- ~~ ~, -- n h m c~' cJ? ~'"> ,~ C.:? ~ ~:~. G?~ ~ ,r r,.. -~ `': ~', j \ r`' 1 y ~~ ~~ c N N O ;~ n \T W ~. i~ ~j Q 7~ ~~ m ~ ~ .., 1 ..~ o y ~1 ~ ~ ~ N '~ -.~ `~ . ~, `-'~ o ~~ J Q ~ ~ 1 ~= c ,~ ~= ~ b- M ~ ~ ~ C ~ ~ ~ c ~ ~ o ___~______~.__.;..__- d3 --~ 1~ ~ , ,` .~ ~ ~~ ~ ~ 1 ~ 1~ ~ ~ 11 ~ 1 1,' 1 1 ~ 1'„ 1~ 1~ ` 1 1 1 ~ ~ ~ 1 ~ ` 1 1~~ ,1 ~., ~~ 1 1 \ ~ I 1 ~ , j 1 ~ ' ` , ~ ~ 1 ~ ~~1 1 1 ~ ~ ~~ ~ ~ ~ ~ ', 1 ~~ ~ ~ ~ 1 ~ ~ ~ 1 1 '~ 1~ 11 ~~ ` ~~ It ~1 ' ~~ 1 1 1~ ~~~,~~ 1~~ ~~ ~ ~~1 1 1 i ~ ~~ ~~ ~ 1 1 ~ ~ '~ t ~ ~ `~ ~1 ~ ~~ ~~ ~ ~~ ~ 1 >> ~~~ 11 1, 1~ ~~ 11 11 ~1 1 ~~ 1 I1 ~ ~ ~ ~ ~ ,, ~ ~w~ 1i 111 ~~' ~ ~ wl~`'w ~ `~ ~Ilth ~ ," 1~ I` ,~ t~,~ 1 ~ 1~~' ,1 ~ ~1- ~1 1~.1 ti ~ ' ~ ~' 1 ~ ~ ~ O ~ ,O " ~ ;,; ~ ~ ~i ~ ~ ~ ~ ' d y ~ Z to °~,. ~ ~ e ~' ~ ~ a ~. ~ ~ o ~, ~ d ~ ~ ~ ~ -~ ~ ~~~~~~ ~ ~ ~ ~ ~`~ ~` `~ -~ ~ ~} .~ \ ~ ~ 111 _ ~ ~~ ~ ~n ~ ~ ~_ -~ D J oa ~ C~ 1~,. ~ v' ~ -, ~ ~ ~ !' v~ ~ Q j ~ ~ - n ~ ~ ~~ ~ N \ ~~ t~ ~~ ~~~ ~~~~ 1~ \~ 1~ ~~ ~ o ' ~~ ~ ~ t 1'0 ~ ,~ ~ ~ ~ ~ 1 ~~ ~\ 1~ \1 ~~ ~1 ~1`~ ~1 \1 ~~ ~ V~ 1t ,~,.~, \~ ,~ ~'\ ~~ ~, ~ \44 n ~'v ~ ~ ~ ,.--. Z 0 ~ ~ 1 ~ ~~ ~ ~~ ~ ~ ~ ~ a ~ ~ ~ C ~ 0 ~ i o. ~, ~ ~ ~ ~ ~~ ,_ ~ ,~ W ~ Q ` ~\R~ 1~ ~_ O s t i ~'. ', U 00 w1 ~~ ' G -1 ~ i ... ' ~~ ~ ~ ~ '; ~---~ ~~~~~~~~~~iv. zfi'" _ ~c~ti . ~QO r cy~~. 1 S~~ ,, N 1 r~~ ~' ^~ --- ~/iv/ S QED 9~~~L- r- --~~. Ti~~~ ~~ ,, ,, ~. s ys r~M ~i~v, Cho SS Sic T~o~ ©~ Tip~-~vc~s- ~Siti (~- /N~i L 7,4.7-0i~'S ~ cr~ilclry' ~ S~~ T~'o ~ ~ , ~ i S~~NGG ~~~" ~ ~ s i ~.(~1~~ f ~ ~ ~~~ ~ . - ~ ~9Pf',~or~~l> Usti T C,~ j~' r U,v ,,vsp~cT~ov ~,1,~, ~i~~ 5 .Qo wC ~-- P~ . S of 7 - . ~ - '. ;. OWNER's MAINTAINCE OF SEPTIC SYSTEM ~ - POWTS (landowner) is reponsfble for proper operation and maintenance of this system. Regular periodic inspections and servicing is necessary for the safe healthy operation of this system. The owner is required by code to submit all necessary maintenance/inspection reports to the controlling authorities. SPECIFIC CONTACT AGENTS sT~ coo%x ~T/ * Governmental authority/ inspectors: Z O,vi Nlr ~-~%~-~• 3 d'Co • ~/G ~ p * Licensed installer, responsible for providing an operation/ maintenance "Users" manual: ~OJ3~1P % ~~~i~iG'G/ ~/~iPS Z Z~3 7 S * Licensed servmce / inspection agent other than installer: T~/~ • wry s~,~~-T.~ ~joti * Electrician, for pump, electric controls, wiring units: Gv~~ /~7,~Jiti~~ ~ - ~.ZS • 733 G IMPORTANT OWNER MAINTENANCE REQUIREMENTS 1. Winter traffic (sledding, shove ring, etc.) across the area shall not be permitted, or frost can/will penetrate into the cell, freezing up the system. Discontinuos use in the winter (a vacaction trip, resulting in no water use) can also lead to freeze ups. i- 2. Water conservation needs to be exercised! Or system can be, hydrolically overloaded and destroyed. This system was designed for a maximum wastewater flow ofJ7~-jL3 gals. daily. 3. POWTS are not designed to accomodate wastes from a garbage disposal unit, or any other unnatural sources of waste. Any introduction of such waste materials will overload and destroy this system. 4. If a power outage occurs, or a pump fails, it may'result in a temporary overload of effluent being pumped into the cell, which may adversely impact the cell (leakage). It is recommended that a licensed pumper empty the dosing tank, allowing the pump to return to dosing the correct amounts. Consult your installer immediately for advice. 5. Neglect of the vegetative cover (the cells insulation & erosion preventive) can lead to failure. Compaction or heavy traffic also can destroy t he system. It IS NECESSARY TO REGULARLY WATER THE VEGETATION OVER A SYS'PEM!! Effluent in the system beneath IS NOT sufficient alone t0 maintain a grass cover. 6. Periodic inspections n~ a-.hA .,~,.,or ..~ ~.: pl1MP • CHAMBER CROSS SECTION AND SPECIFICATIONS 7 // s ~(/GG_ -VENT CAP , P~ PE VEf,JT PIPE APPROVED hOCK11~1G WEATHER PROOF JUk1CTI0Al BOX MAIJNOLE COVER 9 a ~ 12"MIU. .. I w~ w~~N-.~~- %~E~ 5- I l~np+~ ~~~ Ui1T/On/ GRADE I 4° MIIJ. ~rs ( I B" MI IJ. / CONDUIT `-- _~____ 5•© ~~~.~ ------____ ~I~U~rr o~v ~` D-~ 11~ ----- IIJ LET PROVIDE I --=-- ~...-...--+-- --------- AIRTIGHT SEAL I III 17E I~ I III APPROVED JOIAIT A INy I FZ~ K 1 i i I l I I i I WPPROVP PEOIIJTS lJ~ FIPE ~ I,"/,IVM ~ I .~ I I ( I EXTENDIIJG 3~ ~O"1 1 y~ I I I ~ '~Uq~E ` I I) ALARM E.XTE1JD11JG 3' JIJTO SOLID SOIL 8 ~~ I ~I. VMS I II ONTO SOLIb SOIL Sc~ , qo PaG ~ ~ I I ~ I 1 s~ . gv Puc ~ 33 .I I ~ I - ofl ~Q~~~II I .' I ELEV. O v .V FT. ---~ PUMP-~ --~ SE 2 "O i ~ y OFF ~ 3 D ~ , ~ ~1oiPE' sip ~~ DOIti~ ~ N k aLOCU S~•vl> ~~ ~~ v~I f io,J ~ -- -_ j,~,E~iv G--- ~z~ ~- RISE'R EXIT PERMITTED 01JLy IF TAIJK MAAIUFACTURER NAS SUCH APPROVAL -~ SEPTIC E SPEC.IFI~CATIOI~IS //,- Q ` .~-' TAIJKS MAAIUFACTURER: ~i`'S~' ~~~~^ ~ ' NUMBloOOs DOSES: ~ PER DAy _ ~ ~ TAAJK SIZE : l Z ~ O G~ApL.L-01J/~5 DOSE VOLUME /~j ALARM MAAIUFACTURER: _`~ ~~~ ~'1/-N~ ~(/ ' IAICLUD1AlG BAGKFLOW: " /'~ GAll.0~1S MODEL LIUMBER: ~' V ' L CAPACITIES: A=_.,. ~ -IIJCNES OR ~ GALLOIJS SWITCH TYPE: F~a,4-r //~~ g ~Z~~ //_IUCHES OR ~8 GALLOAIS PUMP MANUFACTURER: ~4~ ~1~~ `''J C =~IAlLHES OR~ GALLOIJS MODEL NUMBER: / 3 ~ f'2 ~~ ~ D=- ~ ~ ItJCNES OR ~9 3 GALLOIJS SWITCH TYPE: ~uP~~~ ~~~hT S~YSTFM IJOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE~GPM INSTALLED ON SEPARlATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AAJD OISTRIBUTIOIJ PIPE.. ~P~Z FEET ~A~I` S~f~s ' _._.._,-.R ~ -I- MIkIIMUM AIETWORK SUPPLY PRE~jSr,SURE . , , , _~ FEET• . EAGGI, I O~" ~~~ P . -I- ~~ FEET OF FORCE MAIM X ~'"a FT~oFtFRICTIOA! FAC-fOR.. ~''S5 FEET I .~-/~Vr~S Z 9 -~ -7 ~ ~i ~A~s. - TOTAL DyIJAMIC HEAD = ~7 FEET IIJTERttIAL DIMEtIlSIOIJS OF TAIJK: LEI~IGTH //" „ ;WIDTH _~~j ,'• ~ LIQUt4 DEPTH ~' ,~ ' f>/?A~l.~ ~/4G1~ V 0/(Gw~ Cop ' ~ ~ i, PUG 7~v pig ~-~r~ti~-ri~v~- ~U~-rps 1. ~ ~'-~'~S , Sff~~/ i~ ~ls~ ~~ Lif~Ai a-ri~t1 <,-~ C~w~ ~n ~ lid,/ , ~ Si.Mm/~X /f'IDl~~-/ 7n/~~i W , . ti ~~+{~~:~Y V 11\d11 Ih" ~111114Y1>,7 bvJ' 1 ~,Jrr~I3~sbu 1 W.w~~a~ v~ ~ .. ~:~' 1. ~ as : c„ rk~a'a . rg 0 18-{ 18-1{II 0 U.S. GALLONS 10 20 30 a0 50 60 70 80 90 100 110 IZO I30 0 LITERS 0 80 1fi0 240 320 400 a80 560 640 '120 . FLOW PER MINUTE 010652 GRINDER PUMPS ~w I I ~ I ~ ~ ~` `~\ "13T" ~as~ Iran series "139" ~ro-nze ~e~ies • Automatic or Non-Automatic. • '/z H.P., 1 Ph., 115V, 200-208V or 230V. • Y2 H.P., 3 Ph., 200-208`/ or 230V. • Non-clogging vortex impeller design. s CAPACITY HEAD UNITS/MIN Feet Meters Gal. Llrs. 5 1.52 104 394 10 3 04 79 300 15 4.57 64 242 20 6.10 36 136 25 7.62 8 30 Lock Valve: 26' • Passes /g Inch solids (sphere). • 1 Y2" NPT discharge. ~~Sp Canadian Standards ~~ listed V gggoc Approval • Float operated, submersible (NEMA 6) 2 pole available mechanical switch. • Automatic reset thermal overload protection. ~~ 137 Serfea SC-2225 • Stainless steel screws, bolts, guard, handle and ` """ 139 Ssrle~ SB•1115 arm and seal assembly. """" ... __ __._. __., _..» ... ............ .W,r~n NOTE. No UL listing for 200-208V/1 Ph. EFFLUENT & DEWATERING 149 135 191 130 125 120 186 4186 NS 110 105 100 95 90 85 ~ 165 4165 75 70 183 4163 65 60 4681 4669 55 ~ 188 4188 45 140 4140 ~ 35 30 137 139 185 4105 25 98 ~ 15 10 t _._ ___ ..._._ ~. . ~ f "1, AGRfCULTURE PUMPS ]o- IO 65 g 60-' -- 6 55- so - - 14 45_ _ 2 40_ - _ 0 g 3S 30- - .__ - --- _- - - - __ - 291 - 2s. - 6 zo- 4- Is- . - - 2 10- - -- ~ - -- - s - - - 4290 1 a0 150 1 60 1 10 1 80 1 90 20 ~ ^ 1 1 ~, I I ~Msconsin,Departmenl of Cgmmerce livision of Safety and Buildings ~iv~ 1~b,<'v,_e._ , ~z y sTr9GEw;~ ,ems . SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code Attach complete stte plan on paper not less than 8 1/2 x 11 inches in size. Plan must Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner '"~ R ~ Q A~ ~ J~IO ~~L Property Localiol V S', , 3 f7rfFkTr~} a,~ G ~~,-fF ~ (~H~4(~r Govt. Lot N~ Property O/wner's, CM,~~ fling Address 73CO ~/ ~y /2.,,, lot # Block 1 Page ~ of County ST ~0~ x Parcell.D. D~C> • /071 ZO ~ QQ'a Date Go-~-oJ 1 /4 S~ 1/4 S 28 T Z/ N R I/ f(or) yy Subd. Name or CSM# CONpO LG1t~'~'' #~Z -•r- ~~~~ ~ ~~~,rC rvulnver I City ~ Village ®Town [] New Construction Use: ^ Residential /Number of bedrooms Code derived design-flow rate Replacement ~ Public or commercial -Describe: /G/D~EL ~ G~i~. 3 Q, ~/t'l,$'-; `~' : ~ Parent material L DE,$S O(J~jl~ ,S~~D ddT~l1 Flood Plain elevatiora if General comments ~ ~~_'' and recommendations: ~ ~ ~'.wi~ "`~~ a Boring # ^ Boring Pit Horizon Depth Dominant in. Munsell ~- / • /oye y y ~•sy Boring # ^ Boring Pit Horizon Depth Dominant 1 l in. Munsell D•/3 /o a y / • L /0 ' ~s R. y /~ ~oy~ s, Ground surface elev. ~" - ~O tt. :olor Redox Description Qu. Sz. Cont. Color Ground surface elev. ~,'~ ~ D tt. :olor Redox Description Qu. Sz. Cont. Color ~~ Effluent #1 =BODY > 30 < 220 mg/L and TSS >30 _< 150 mg/L Name (Please Print) Signature o~3~T 7,1~Q~c'~cG ~ 2~CQ 37S Ulbricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54018 Depth to limiting faCtor;'7//O' Nearest Road J ~~y. ~Z GPD . /b /~~S ft. -~ ~_ 1___ ~, ,.,~ . ~' 1 ~~`~'` Texture Structure Consistence oundary Roots Soil Ap IicaUon Rate GPD/ftz $L Gr. Sz. Sh. 2 f5,~1~ LI G S Z f 'EtT#1 ~ S 'Etr#2 , 9 S ©, ,2 ,. °1 I- Depth to limitino factor, // 2- ~., Texture Structure Consistence Boundary Roots Soil Appli GP cation Rate D/ft~ Gr. Sz. Sh. `Eff#1 'EtT#2 S`-- / fshe s cs z -f Y . ~ S ~ , ~~ 2 ~.~ ~...~~~~ R~ - o..~a_ ov mgrs ana fSS < 30 mg/L ~_ -- Property Owner Q 9 Parcel ID # vu v Boring # ^ Boring l 7 . ~ (~ Pit Ground surface elev. ~ ft. Depth to limiting factor >~~d In_ r .~ . ~ • Page Z of Horizon Depth Dominant Color R d Soil Appli in. Munsell e ox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GP 'Eft#1 ~ o• s /oy~ 3 s ~ z~, s ~ cs ~ s s . io ye 3 -- s~ ~ ~,~ ~ ~s /7c ~ Z 3 / - 3 ioy/~ --- S~ L. / s R , Z • ~?• S L S ~~ C -- . 7 S • o io s •~---- S. p , ~ ti 1 ~ D Boring ~ Boring # Pit Ground surface elev. / /' ~ ft. Depth to limiting (actor ?//~ in. Horizon Depth Dominant C l R Soil Applic in o or M edox Description Texture Structure Consistence Boundary Roots GPI . unsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eft#1 / 2 o ~/ 2 ~ ~ % /~ 3 3 ~~ --- s ~ ~~ L ~ fsl~ / 6' ~ ~U cs QS z ~-- / . s . 2 io s ~P• s D d . ~ ~ti ~ 0 • Boring # U Boring ^ Pit Ground surface elev. h. Depth to limiting factor in. Horizon Depth in Dominant Color M ll Redox Description Texture Structure Consistence Boundary Roots Soil Applic GPI . unse Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODE < 30 mg/L and TSS < 30 mg/L cation Ra /ft~ 'Eft#2 3~ /• 2 l• ~ ation Rat 1/th 'Eff#2 . ~' .3 !• /. 7 ation Rat I/it' 'Eff#2 The Department of Commerce is an equal opportunity service provider end 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 608-264-8777. t~ sno-es~o rrt envoi ~. ~ S'I' CRUIX COUNTY SEl'1'IC 'T'ANK 1~IAINTENANCE AGREEMENT .~~- AND ~ , Q. OWNERSIiIP CERTIFICATION FORM ~~ Owner/Buyer V 5 . ~ >~A'~ 1 /~' ~ Cs E eT/~ V • /3 ~~~ K TiQ~ r` ~~ ~ ~ M 0`~ L Mailing Address ~ 3 ~ ~ w y ~ Z ~ ~ v~`SD'`~ Gel ~ ' s ~~`~ ~ ` Property Address s City/Start' -- ---- (Verification required from Planning Department for new construction) 020 . ~ 07 2 0. ~~ Parcel Identification Number GoND D 'Zti19% T`'`# ~. LEGAL DESCRIPTION Property Location NZi '/,, s~ '/,, Sec. 2g , T 2 / N-R ~ 9 W, Town of ~V~~ ON Subdivision ~D~~a ~'~'~ t~ 2" / ,Lot#_ Certi[ied Survey Map # N` ~ Volume Pa e # ~ ~'oNOo ' g Warranty Deed # ~O ~ ~ ~ g~ Volume < <O `S ~ ,Page # 2 ~ ~ Spec house ^ yes [~I no Lot lines identifiable yes ^ no SYS'T'EM MAIN`T'ENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the orr-site wastewaterdisposal system is in proper operating condition and/or (2) aRer inspection and pumping (iC necessary), the septic tank is less than I/3 full of sludge. , I/we, 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 • ' staling that your septic system I~as been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ~o, S , t ~ Cc.~ -~~-- SIGNA7URE OF APPLICANT' /r~ /~~ DATE OWNER CERTIrICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) ~m (are) the owner(s) oC the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. . `~? / 0.1 SIGNATURE OF APPLICANT DATE ****** Any information that is rnis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** include with this application: a stamped warranty deed from the Register of Deeds office a copy oC the certified survey map if reference is made in the warranty deed , ,t STATE BAR OF WISCONSIN FORM 8 - 1998 Y 646955 H C_O_NDOMWIUM DEED REGISTER OF DEEDS VO! 1650PpUF ~~~ t1~T. GROIX CO. , WI Document Number RECEIVED FOR RECORD This Deed, made between EINAR D HORNE Trusteei___ 05-31-2001 1:45 Ph RITA M. HORNE Alternate Trustee of the Einar D., Horne_ CONDO DEED and Rita M. Horne Children's Trust dated October 14, EXEMPTN 1991 __ __. Grantor. L'ERT CDPY FEE: and VIRENDRAKUMAR S. BHAKTA and GEETA V`BHAKTA, _ COPY FEE: - TRRNSFEk FEE: 546.60 as oint tenants _ ---- kECDRDINO FEE: 10.00 _- PpfiES: 1 -- ______ _. Grantee. Grantor, for a valuable consideration, conveys to Grantee the following St Cro~t x _~ County, described real estate in ~.. r~, ^ . State of Wtsconsln: Name and Return Address Unit 2 _ m . J R RANCH _,_._ --- Condominium, being a condominium created under the Condominlum Ownership Act of the a State of Wlsconsin by a 'Declaration of Condominium for ~$.. ----- _Condominium", dated the 22nd day ol'. Fah._,t~ar}.-. ~QQ.~ and recorded the 2$1d day of Februar , 2001 m the office of the Register of Deeds St. Croix County, Wisconsin, in (ReeQ(Vol.) 1590 of Records, at for 639022 (images) (Pages) 294 through 304 as Document No. and by a Condominium Plat therefore; COMMERCIAL PARTNERS TITLE ATTENTION: LAURA HUNTER 330 SECOND AVENUE SO STE 820 MINNEAPOLIS MN 55401 020-1079-20 - o o U Parcel Itlentification Number (PIN} This is not homestead property {Is) (is not) Together with all appurtenant rights, title and Interests, Including (without limitation): a) the undivided percentage interest to all Common Elements as specified for such Unit in the aforementioned Declaration; b) the right to use of the areas and/or facilities, if any, specified in the aforementioned Declaration. as Limited Common Elements for such Unit: and Inc' , hereafter J . R. Ranch Condominium -Owner's Association, ( c) membership in the -, as rovided for in the [he "Owner's Association"), a Wisconsin corporation_ _ P al'orementloned Declaration and In any Articles of Incorporation and/or Bylaws for such Owner's Association. Grantor warrants that title is good. indefeasible In fee simple and free and clear of encumbrances, except terms. provtsions, condRions and restrictions contained In the Condominium Ownership Act far the State of Wisconsin and/or contained in any of the 'Condomintum Documents" (consisting of the aforementioned Ueclaration and Condominium Plat, the Bylaws, any Arucles of Tncorporadon of such Owner's Association, any Rules or Regulations adopted pursuant to the Declaration or Bylaws) and all amendments to any of those Condominium Documents and Grantee, by acceptance of this Deed, agrees and binds Grantee and all ttls/her heirs, representatives, successors and assigns to all the terms. provisions and conditions of the Condominlum Documents and all ame~001ts [hereto. Dated this --_ 2,2nd __ day of _ _ May _----' - -~._~ ~_ ~~~.~.~~ ~~"'~ ~RANTOR) y EINAR D. HORNE, TRUSTEE . ~ J. / 1,~ ~/2-~~r 0 ~ (GRANTOR) . RITA M. HORNE, ALTERNATE TRUSTEE AUTHENTICATION Signature{s) Einar D. Horne and Rita M. Horne. ACKNOWLEDGMENT State of Wlsconsin, ss. County. Ma 2001 22nd Y authendcated this day C. Barry C. Lundeen TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06. Wts. StatsJ THIS INSTRUMENT WAS DRAFTED BY Personally came before me this day of _ _, ,the above named _ ~ [o me known to be the person __ who executed the foregoing instrument and acknowledge [he same. Attorney Barry C. Lundeen __ ____~. MUDGE, PORTEK, LUNDEEN & SEGUIN, S.C. Notary Pubtic. State of Wisconsin. My commission is permanent. (If not, stale expiration dale: 110 Second Street, Hudson, Wisconsin 54016 ) (Signatures may be authenticated or acknowledged. Both are not --------- --" necessary.) • Names or persons signing m any capacity must oe typed or pranced below tISTATE BAR OF WISCONSIN Wlsconsin tagal Blank Co.. Inc. FORM Nu. B - 1998 ,nawaukae. was. CONDOMINIUM DEED ~~~~ ~ ~~. ~~p ~ d ~ ti7 a ~ ~o ~ ~ ~~ ~~ ~~~~o~~~ ~ ~ ~~ _ ~ ~ ~ ~ ~ 3 ~~~ ~~ ~~ ~ ,~, . ~ ,~ ~ D ~~ s d ~^ `.~ ~' ~ ~ ~ ,.'., ~, ~~ ~ z 0 ~- ~ 1 p ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ e. ~ ~ ~ ~ ~ ~ ~ ~~ ~ ~ w . N a ~_ w ~~ ~~ a u c - fT W ~_ - ~~N i Maiden Rock. WI i-800,328456 Portage, WI 1-800-362'7220 Fond du lac, WI 1-800-641937 concR~ .. . Website. www.wneserconcrete.con S . ~ ~KT ~ ~R.o PE~.-c^~ (o ~o -3iZ - 4t.~w ctE r I I ~'a~ cxtf S ( 3~ to .` o ~jy. I s ~ ~~ 6.~s = 93.90 I Sj ~- a~ = 93. l~~' b) x•30 ~ ~'3.~fS' ~~ ~. 4 3 = 93.1Z' k~~ 8.0~' = 92.~ii~ y --~. ---~ --~ _--. ~~l°S/nl - ~~d( tan 3) ~ •~ ~ g2.go~ s~ s. 3s = ~z. ~' b~ g•S'3 42,1.Z' ~~ 9•Y~ _ ~1.35~ !a, ~.~J `~!. 3S 5 ~o.~ct~- ~ ~ws~e _ rot ( ~ t~O~~ ~~• ~~S , cQ.~;S~ - b~ceS~ a~d~ a -tit -' Pr~~~cct N~~mc BF4~-T~ - -~ (/~ ~~mpul Uions Q~: 1~ Datc: ,___ __ __ ~_~",~- __ _ __ _. -- 1 --.- _ _ - -- - . Lut~iuon: ~ ~ ~'t - ~IWGFf ~ Chccl.cd E3y. D.uc: Titlc/licm: Shcc(:: Of: