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020-1092-00-000
M o 2 ; B (ice k � ( � q q 0 \ 2 \§ { 0 T & / ~ > S 2 co w � � k / z E o , 2 § W / { f \ 7 R ft g 7 � g � � § § � ■ L - � � � � � � � � � � � O � � � � � O ) � $ ; ;a- k-4 \ \ � \ � U � \ 0 7 t � 0 ƒ 7 « o .. ° -4 R \ I § $ E e.0 \ 2 c ; Q) o :3 0) § IQ C 6c k g 7 ■ c ( f � C CD m / 2 @ § \ 2 e 7 § ( 0 o a E / = m E S = k �Ul 0. \_ \ 0 0 0 \ / 2 2 2 k § { o q e \ 5 .7 � � k ■ } ƒ § f / . 0 § \ 7 \ / \ 0 .� \ \ a 3 if -M j 3 -M \ [ 0 . k ' § F 3 ƒ ` � w n =cn =e> 3(D § \0 E7i°§ -0 o J C D Cn \2 /§{ Ec£CD 0 CD 3 I lm�2 \ ao 3 3 CD 11 E %w � § { I § ` 0 7 § M o 2 ; B (ice k � ( � q q 0 \ 2 \§ { 0 T & / ~ > S 2 co w � � k / z E o , 2 § W / { f \ 7 R ft g 7 � g � � § § � ■ L - � � � � � � � � � � � O � � � � � O ) � $ ; ;a- k-4 \ \ � \ � U � \ f CERTIFIED SURVEY MAP NW CORNER SECTION 32 T29N,R19W N w SCALE IN FEET w $ 100 0 I 0 200 o °D NOTE: The City of Hudson Plan Commission recommended, and the 49.50' w o City Council approved the below Minor Subdivision and granted K •the requested variances for the following reasons with the v ' N 89 ° 13'00 "E PRIVATE , :stipulation that the reasons be listed: 884.75 ROAD I 1. The Subdivision does not involve an extension of a private rce` LEGEND w 2. The existing Covenant which restricts any future:subdivision • 1" IRON PIPE FOUND p I,F of this property.- COUNTY MONUMENT REPLACED i- I:ZoZ3• The lots are located outside of the area where utilities will WITH BRASS DISC BY D.O.T. It . o .75"X 24" ROUND IRON BAR -WT.= o ° be extended in the near future. 1.502 LBS. /LINEAL FT. SET I+. The advents ded ication of the additional right - - way width needed. a: E- 49.50' POINT OF BEGINNING �I N . a9 13 00" E 449.00' 416.00' o %o O 8.25' STRIP RESERVED FOR FUTURE TOWN ROAD RIGHT- OF t 2.229 ACRES (INCL. R/W ) .618 ACRES• v q v S.22 N •� r CH >0 ° 2 O O .-I 24.75' H� � ,, 9 00 N o . 0 0, � 8.25' e � bD •rl W 'H k Rf •r b o 0 33 O 4-) rd (V i- d F+ <` O j IM O ON m ' O W I O _P M Id m M M I 416.00' o %o O 8.25' STRIP RESERVED FOR FUTURE TOWN ROAD RIGHT- OF t 2.229 ACRES (INCL. R/W ) .618 ACRES• v q v S.22 N •� r CH >0 ° 2 O O .-I 280 •//' 3j S•3.� te a. 1.510 ACRES (INCL. R /W) 1.349 ACRES (EXCL. R 1W) N O O I O QI N JI }` C Z o W 0 4V K) �- S 89 13'00"W °- 158.36' N z 422.92' t� CD e 0 Bo — '%r' ai F1 r4 •.A -- U � 49.50' : 8.25' S 89 13' 00"W 455.92' k r Z; w; c d n+ ago': D. R. Gilbertson >: , :MI o.. Route 1 ; X I a10 l: w 1 I Hudson, Wisconsin CONSENT OF CORPORATE MORTGAGEE Tri- County Savings and Loan Association, a corporation duly organized and existing under and by virtue of the laws of the State of Wisconsin, mortgagee of the above described land, does hereby consent to the surveying, dividing, mapping and de'dication of the land, described on this plat, and does hereby consent to the above certificate of D. R. and S. Gilbertson, owners. IN WITNESS WHEREOF, the said Tri - County Savings and Loan Assoc. has caused these presents to be signed by R. J. Kinney, its Executive Vice President, and countersigned by June..H•. Jacobsen, its secretary, at Hudson, Wisconsin, and its corporate seal to be hereunto affixed �>a : o day of Sa � 1979. �, C I t e pre s ce of RI COUNTY SAVINGS A'%TD i OAN ASSOCIATION (Corporate Seal) . L �ate am e • xe ice FV siden t STATE OF WISCONSIN) SS ST. CROIX COUNTY) Personally came before me this 10th day of Sept ember 1 979, R. J. Kinney, Executive Vic President, and June H. Jacobsen, Secretary of the above named corporation, to me known to be t persons who executed the foregoing instrument, and to me known to be such President and Secretary of said corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of aid corpora ion. by its authority. (Notary Seal) � /Q.�t J P;5 ; Volume 3 Page 883 Not y Public, 5� Croix , Wisconsir>L ; ;ry ,.;, My commission expires October 23', 1981 State of Wisconsin Mririnri� P: UI •.i 4-3 a co .0 rd H. o = . �_ 4-) rd (V i- q : ti °_ (U o . c O N P4 a) 4-D ' Z N M I to H O 'r v 24.75' 280 •//' 3j S•3.� te a. 1.510 ACRES (INCL. R /W) 1.349 ACRES (EXCL. R 1W) N O O I O QI N JI }` C Z o W 0 4V K) �- S 89 13'00"W °- 158.36' N z 422.92' t� CD e 0 Bo — '%r' ai F1 r4 •.A -- U � 49.50' : 8.25' S 89 13' 00"W 455.92' k r Z; w; c d n+ ago': D. R. Gilbertson >: , :MI o.. Route 1 ; X I a10 l: w 1 I Hudson, Wisconsin CONSENT OF CORPORATE MORTGAGEE Tri- County Savings and Loan Association, a corporation duly organized and existing under and by virtue of the laws of the State of Wisconsin, mortgagee of the above described land, does hereby consent to the surveying, dividing, mapping and de'dication of the land, described on this plat, and does hereby consent to the above certificate of D. R. and S. Gilbertson, owners. IN WITNESS WHEREOF, the said Tri - County Savings and Loan Assoc. has caused these presents to be signed by R. J. Kinney, its Executive Vice President, and countersigned by June..H•. Jacobsen, its secretary, at Hudson, Wisconsin, and its corporate seal to be hereunto affixed �>a : o day of Sa � 1979. �, C I t e pre s ce of RI COUNTY SAVINGS A'%TD i OAN ASSOCIATION (Corporate Seal) . L �ate am e • xe ice FV siden t STATE OF WISCONSIN) SS ST. CROIX COUNTY) Personally came before me this 10th day of Sept ember 1 979, R. J. Kinney, Executive Vic President, and June H. Jacobsen, Secretary of the above named corporation, to me known to be t persons who executed the foregoing instrument, and to me known to be such President and Secretary of said corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of aid corpora ion. by its authority. (Notary Seal) � /Q.�t J P;5 ; Volume 3 Page 883 Not y Public, 5� Croix , Wisconsir>L ; ;ry ,.;, My commission expires October 23', 1981 State of Wisconsin Mririnri� P: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Satety antl 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)). 'ermit Holder's Name: City Village X Township Stout, Richard Hudson, Town of SST BM Elev: Insp. BM Elev: BM Description: / 0C) 1 13 YV\ GS°' TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 1� flvw Septic t lSvstawrITead Aeration Forcemain Length Holding Dosing 32.29.19.376G2 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic t lSvstawrITead TDH Ft Forcemain Length Dia. Dosing 32.29.19.376G2 Bldg. Se 5 `3 Aeration SttHt Inlet 7- %S / Z ' S B Holding C 1 2 Dt Inlet PUMP /SIPHON INFORMATION Manufacturer St. Croix Demand M Model umber 7�:� TDH L Friction Loss lSvstawrITead TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width ) Leng DIMENSIONS SETBACK SYSTEM TO INFORMATION Type Of System: Cc5 vwe, &A DISTRIBUTION SYSTEM Header /Manifold I# Distribution 14 Pipe(s) Length Dia Length Sell_ CnVFR ELEVATION DATA County: St. Croix Sanitary Permit No: V E J j 5 6 6 ELEV. 479226 State Plan ID No: jc�ll3 Parcel Tax No: /6 /� Alt. BM 020 - 1092 -00 -000 Section/Town /Range /Map No: 32.29.19.376G2 STATION BS HI FS ELEV. Benchmark x,13 jc�ll3 /6 /� Alt. BM Bldg. Se 5 `3 lq4 8 3 SttHt Inlet 7- %S / Z ' S B St/Ht Outlet C 1 2 Dt Inlet Dt Bottom --- Header /Man. Dist. Pipe r z ' Bot. System 3. Final Grade Z c'5 .3 - 5 St Cover �` 3 , th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Dal re �C P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: — °+ CHAMBER OR 7 r it ' UNIT Model Number: V 4� x Hol Ize I x Hole Spacing Vent o Ir 1 Dia \ Spacing v D--ra A.Cfame nnly YY Mminel Or At- (,rade Svstems Only C Depth Over Depth Over xx Depth ot\ xx Seeded /S ded xx Mulched Bed/Trench Center C Bed/Trench Edges To soil 1 g \ p Yes �] No ' Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 653 Ban Tara�I — Hudson, 1 54016 (SW 1 NW 1/4 T29N R1 9W`1 NA Lot �o Parcel No: 32.29.19.376G2 1.) Alt BM Description 2.) Bldg sewer length = Z I s� ��e A �% 6 J R- - amount of cover = I 5 _ Plan revision Required? ]Yes No c -- Use other side for additional information. —1 I — J Date Insepctor's ignat SBD -6710 (R.3/97) (6� o J I � Cert. No. C Depth Over Depth Over xx Depth ot\ xx Seeded /S ded xx Mulched Bed/Trench Center C Bed/Trench Edges To soil 1 g \ p Yes �] No ' Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 653 Ban Tara�I — Hudson, 1 54016 (SW 1 NW 1/4 T29N R1 9W`1 NA Lot �o Parcel No: 32.29.19.376G2 1.) Alt BM Description 2.) Bldg sewer length = Z I s� ��e A �% 6 J R- - amount of cover = I 5 _ Plan revision Required? ]Yes No c -- Use other side for additional information. —1 I — J Date Insepctor's ignat SBD -6710 (R.3/97) (6� o J I � Cert. No. COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 653 Ban Tara�I — Hudson, 1 54016 (SW 1 NW 1/4 T29N R1 9W`1 NA Lot �o Parcel No: 32.29.19.376G2 1.) Alt BM Description 2.) Bldg sewer length = Z I s� ��e A �% 6 J R- - amount of cover = I 5 _ Plan revision Required? ]Yes No c -- Use other side for additional information. —1 I — J Date Insepctor's ignat SBD -6710 (R.3/97) (6� o J I � Cert. No. r... ............ - - — # Safety and Buildings Division Founry t 201 W. Washington Ave., P.O. B( 7162 < 7 G v e X Iscon M adison, WI 53707 - 7162 Sanitary Permit Number (to a filled in by Co ) p epartment of Commerce (608) 266 - 3tS1 2Z (a Sanitary Permit Application State Plan 1.D. Number ' In accord with Comm 83.21, Wis. Adm. Code, personal information you pp6_0 may be used for secondary put ses Privacy Law, s15.04(t)(m) �. -� ^ — �' y �' Project Address (if different than mailing address) E V � I. Application Information - Please Print All Informatio i Property Owner's Na me Parcel f T - Lot # _. -.. Block N ? r l , I Property Owner's M ailing Address A S Property Location � � _ ` ZONING 0 FUrV7 y F City, Stater Zip Code Phone u _ 'k, _ Yt,Section �irclo owl (.3 � II. Type of Building (check all that apply) T ►2� N; R 1? or 5 _ f � or 2 Family Dwelling - Number of Bedrooms T ` - -- r � � } Subdivision Name CSM Number t Public/ Commercial - Describe Use _ 1 State Owned - Describe Use _ , -_ / �0✓5A " ✓\_ - rcity_OVillage gownship of� S'd•G� 11I T ype of Per mit. (Check only one box on line A. Com plete line B if applicable) _ 026 / 2 - - 66 - 000 Syswin� i J Replacement System D Trearment/Holding Tank Replacement Ot:ly T Other Modification to Existing System Permit Renewal (Permit Revision _) Change of �) Permit Transfer to Ne +� List Previous Permit Number and Date Issued Before 1~xpirstion' \ Plumber Owrttr I 77 z z IV. T ype of POWT S,vstem: (Ch all I tC ivon - Pressurized In Ground _! Mound >" 24 in, of suitatrle suit D Mound < 1.4 in of saimble scil V At -Grade I] Single Pass Sarin Filter Constructed Wetland ❑ Pressurized Inn- ` Ground i Holding TarJe E-1 Peat Filter Ae rtaunent Unit Recirculating Sand filter a, uji jyuulcuc mruta rater L620IMg U112MDer LJ Drip Line ! .1 6rAv -1e55 Pi R!Ts r sal /Treatme Area Info rms on - l_, Otkr ( _'V_ Flow ow gpd) Design Soil Application t - - ( ! l3 pP tion Rate( • g{x.sf, � Dispersal Required st) Disper Area Proposed sf) � S ]evasion / sa + VI. Tank Info Capacity in Total ; Number '_vlanufaeturEr !� Gallons Gallons of Units Prefab Site StaelTFtber plastic Concrete Constructed Glass I New T an ks I Tanks I � 5ept,c Or HolQina T ank�T�� -- Aerc,bic T, CA Unit i Dosing Chamber VIt. Respon Sts €eme - I, the unde rsigned, assume r esponsibility or llation of the POWTS shown an the att ached plates, - ]'lumber's Na rile (Print) Plumber's Si gnanne / PR.S Number ' Business Phone Number �— Phumber's Addre ss (Sheet, City, State. Z ip code) �_ VIII. County artment Us e O_ Approved ❑ roved Sanittry Permit Fe (includes Groundwater Surcharge Re) aeon for enial - Aat Iss cd Issuin eat Stgna .rc Stamps) I �� •�• a- uuutMOU3 or npp ror Atsupproval SYSTEM OWNER: 1. 'Septic t(utk, eMuent fitter and dispersal cell must all be services / m intained as per management plan provided by plumber. 2. AM setback requirernet>ts must be msiftakM � P as per applicable code / ordirtattcea. t Attach complete plans (to the County only) for the system on paper not less than 3112 x t l inches In size -- _— -- as per applicable code / ordirtattcea. t Attach complete plans (to the County only) for the system on paper not less than 3112 x t l inches In size -- _— -- y k. Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85. Wi8. Ad ode County Attach complete site plan on paper not less than 81/2 x 11 inches in size. P l include, but not limited to: vertical and horizontal reference point (BM), direction an Q Parcel W. percent slope, scale or dimensions, north arrow, a locatio and distance to near t 6 2r-> -- M Please print al infoRMEIVED v i by Personal information you provide may be used for ndary purposes (Privacy law, a -15 D4 (1) (m)). Owner ")E• P 2,, 700 Pro Locatfon C Page -001-- of .Lot , Gci 114th 1i4 S,3 ` N Droperty Own is Maili Address ST. CROIX COUNTY Lot Block # Subd. Name or CSM# t i^ T _ r— J- .L �..e 1L„- ZONING OFFICE J. > <',i ? /_ A ' <'2" a0 - �h Date 6 z / 9 E (or) 6) city ❑ village WTown Nearest Road 1 ffi xt—' 2 1I. I W 1 121 0 10 1 (7/ ) t�yY - rxI '5I I r I - — I ® New Construction Use: 1A Residential / Number of bedrooms Code derived design flow rate �s� ,l � �� GPD 0 Replacement ❑ Pubic or comnwdal - Describe: Parent material V k -A cL,5�� Flood Plain elevation if a pplicable _�L R. General comments and recommendations: SyS��' 'e'Ae U - 1 S Pit Ground surface el ft. Depth to Nmiting factor 1-� in. SnY ArnlrcKSitien Rate MEM �M=W - FIMI"MM95-11110- mnmm=�� I F ��11��!�7t ► /�'-��� `.rte Ai��5�� # a Boring 4 LL &I ft �f ( Pit Ground surface eiev. . Depth to limiting factor in. Soli Anusrmtlon RaeB Effluent #1 a 130D > 30 < 2201191 and TSS >30 150 mg& • Effluent #2 a BOD 1 30 nV& and TSS < 30 ffvl CST Name (Please Fria) ignature � plumber Address Date Evaluation CaKucted Telephone Number o / ��S ACS- G i✓ Property Owner C� J t16 Parcel ID 0 Boft [N # 0 8orin9 a • Q Pit Ground surface oW. T ft, Page _� of /J J Depth to llrHthtg factor l7 5 in. M ,_ n F # 0 Pit Ground aulfam eleV, ft. Depth to limiling factor in. ��, • - Qu. Sz. Cont Color Mai �J�■r �J�■J rJr�Jr �J�rJ� iJt���rJJ�■� F # 0 Pit Ground aulfam eleV, ft. Depth to limiling factor in. ��, • - # Groundsurfacee � ❑ ❑ Pit lev. ft. Depth to limitin factor tn. Qu. Sz. Cont Color �J�■r �J�■J rJr�Jr # Groundsurfacee � ❑ ❑ Pit lev. ft. Depth to limitin factor tn. • Effluent #1 = BOD > 301220 mgli, and TSS >3() 150 ftV& • Effluent 02 a SOD, 130 nVL and TSS 130 mgA- 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 -264 -8777. SM4330(RA -W) Qu. Sz. Cont Color • Effluent #1 = BOD > 301220 mgli, and TSS >3() 150 ftV& • Effluent 02 a SOD, 130 nVL and TSS 130 mgA- 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 -264 -8777. SM4330(RA -W) Pmpeq Owner Ps1eq! 10 7 Page of FN Bo" 0 Bor ag le , ". ® Pit Ground surface elev. !Sk*. Depth to IMtkV factor in. 0 &0V C] pit Ground surface elev, tt. Depth 10 lh*Q f$CtDr in. Redox Description Qu. Sz. Cont. Color Jim err _��r�rs■� 0 &0V C] pit Ground surface elev, tt. Depth 10 lh*Q f$CtDr in. ��# ° Ground surbee elev. ❑ pit G I Depth to limiting NOW _ in. Redox Description Qu. Sz. Cont. Color err _��r�rs■� ��# ° Ground surbee elev. ❑ pit G I Depth to limiting NOW _ in. Eftent #1 a SOD, > 30 1 M ffWL and TSS >301 150 "V& Effluent #2 a 8CID 30 nV& and TSS 130 nVL The Department ofCOmmeme 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 608-264-8777. SM4330(RAW) RedoxDescripbon. Qu. Sz. CAMt Color err _��r�rs■� Eftent #1 a SOD, > 30 1 M ffWL and TSS >301 150 "V& Effluent #2 a 8CID 30 nV& and TSS 130 nVL The Department ofCOmmeme 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 608-264-8777. SM4330(RAW) Alo (-)' � I ' go b ^� -120.6 III 1*i sconsln Sai'Cty and Buildings Division 2f'1 1 w . W ashiltt;ton P.O. Box 7162 Madison. 6 315 -1162 (608) 2b6 -3151 Department of Commerce Sanitary Permit Application � � In accord with Comm 83.21, Wis, Adm. Code, personal infortngtttnt you pruv'6 \ \O ,".. iY axed for seconditry ourooses Privacy I.aw, s13,04(i)(m) ��� - - -: s T e ms: _._ S2flit8r^— Y'P� tdumtxr (W be fit ed in by State Plan C.B. Address differen[ than mailing address) ! I j�I. Application Information - Please Print Al! Informati n _ ��?� �l �� f _ 1, Property Owner's Na me JUN 0 1 2005 Pare CROIX COUNTY operty Location Property Owner's Mytling Address ST. i f� � ��, ZONING OFFICE c� , / A��� 3Z J A 'l Jlam/ k, loiTP ` City, State Zip Code Phone Number (circle T Q N; R E a II. Type of Building (thee IC that apply) \ n , ' •, e,.� _ _._ C CSM 1) Subdivision Name N ill n i or 2 Family Dwelling - Nu of Bedrooms ��" C Public! Commercial - Describe Ls _!_ �_ !t!` C�� ._ G��? o. ✓ i ! State Owned - Describe Use _ _ ❑0ty_11Village Lrrownship of fusQ� L.. i Ili. Type of )Permit: (Check only one btx on li A. e Co mplete lin i applica c) i �p� pp – 0 6p( — * 3 A. { New System ❑ Replacement Sy m [ TreaurrendHo ittg lank Replacement Only r Other Modification io F.'xisting System 8. ❑ Permit Renewal D Permit Revision ❑ Change ❑ Perntit Transfer to New � List Previous Permit Number and Bate Issued I i Before Expiration lumber Owner Type of POWTS System: (Check all that app ,, I� .. `. //�� k�Non - Pressurized In -Gmund ❑ Mound > 24 in, of sui I oil ❑ Mound < 24 in• of suitable soil ❑ At- Grade ❑ Single pass Sand Filter n Constructed Wetland G Pressurized In Ground Lt oiding nk 0 Peat Fitter C Aerobic "Treatment Unit Recirculating Sand Filter u Recirculating Sy Media Filte caching C ni ' , r _ x i Line ❑ Gtavef i xs Pi C other (explain V . Dispersalll're Area I nformation: Design Flow (gpd) Design Soil Application Rate( ispersal Ar Required 60 Dispersal Area Proposed (f) systet� n Eievation _ - r VI. Tank Info Capacity in To r Nurrtbe i � ufacturar re e Site Site � Stcei • Fiber - PJdSIJC Gallons Ga ons } ol Uni Wl OD � t ncrete Constructed l Glass New Existing _ Tanks Tanks Septic or Holding Tank - Alembic Treatment Unit Dosing Chamber ^^ r VII• Res risibility Statement I th uudersigned, assure resp enbibinty far ' Ration of the OWTS shown on the attached litus. Plumber's Na me (Print) Plumber's Si gnature Pl PRS !s'umber _ � Business Phone Number f o� �Q11 ; ^j�� -' 3/2l Plumber's Addre ss (Street, City, Cate, Zip Code) VIII. Count /De artmen 'se Only i Approved - - -- 0 Disapp ved i "� Permit Fee (includes Groundwater !Surcharge Pee) ) ❑ en Denial ,! 4 Date Issued Issuing Agent 5ignantre (tin Sta mpsi ►n. �..uur.uLlVrtS V rip ov l SYSTEM O ! 1 Septic tank', effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained ! as per applicable code /ordinances. 3) S sue- C4161V.msv� - -e. c) r _ - f (to the County only) for the system on papxr not lest Ryan 5112 x ,1 1 tee in size �r`G�sts�Gy4�! 4d 2 L'S1 0 u h e) �e Zoh 14 / Q 00 0r i 4k� I e- s�`t:e U 1 Z-Y-- . , . , Wisconsin Department of Commerce SOIL E UATION REPORT Page of Division of Safety and Buildings Redox Description Qu. Sz. Cont. Color Texture Structure Sz. Sh. in accordance with ComAQ. Adm. Code Roots GPD/fF `Eff#1 County Attach complete site plan on paper not less than 8 1/2 x 11 inches ins must - f a , )( include, but not limited to: vertical and horizontal reference point (BM), di t Parcel I.D. _ percent slope, scale or dimensions, north �- rO d. Q9 - may/ Please. print ill in zm e wed by ' Date Personal information you provide may be used r secondary purposes (Privacy Law, s. 5.04 ( m)). , 3 Property Owner -- P perty Location o , � rd v T G vt. Lot �" 1 /4$�(� 114 S,IIGtJ T�e1 N R 19' SF OO W Property Owner's Mailing Address ZONING OFFICE L t # Block # Subd. Name or CS10 � r GS foo . City State Zip Code Phone Number O city ❑ village ,[Town Nearest Road r1 0C^ N- I i.✓1 1 6 "10IU 1 l / I K Y7 -clf J/ I r7 uotSd✓\ I -I ( New Construction Use: (a Residential I Number of bedrooms 3- Code derived design flow rate ° f 5� /(e � GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 4- wu s _. Flood Plain elevation if applicable General comments s f l �J i 9/, O C> and recommendations: a Boring # r E] Boring I.�s' Pit Ground surface elev. /�dl3- ft. Depth to limiting factor / in. 5011 APB t14n Rate ap Horizon Depth in Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Sz. Sh. Consistence Boundary Roots GPD/fF `Eff#1 'Eff 0 - 3 0 o , - f a , )( 7 Gr. - - _ .- �- Z Q9 - may/ I S•z/ zm ,��� S - • y , ?3 4 tl4 vyryjt, -- o t F- 21 Boring # Boring pit Ground surface elev. - ZU ft. Depth to limiting factor / in. Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF 'Eff#1 'Eff#2 0 - 3 0 o , - f a , )( - - - _ .- �- Z - vt i3i I S," 2ro5-4 , - C s u S • Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 j 150 mg/L ` Effluent #2 = BOD 1 30 mg/L and T55 < 30 mg/L CST� Name (Please Pri t) lure CST Number Address Date Evaluation Conducted Telephone umber • �P l Property Owner Parcel ID # F-31 Boring # 0 Boring Pit Ground surface elev. /QD- y' ft. Depth to limiting factor �y5 in. Page L of 3_ ,Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIN GPD/ff? `Eff#1 •Eff#2 •Eff#2 2 iz - ,'I z ,- •0 Boring # ❑ Bong - ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff? •Eff#1 •Eff#2 F —1 Boring# ° Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Effluent #1 = BOD > 30 1 220 mglL and TSS >30 1150 mg& ' Effluent #2 = BOD 130 mglL 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 -264 -8777. WD4330(R M) • Effluent #1 = BOD > 30 1 220 mglL and TSS >30 1150 mg& ' Effluent #2 = BOD 130 mglL 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 -264 -8777. WD4330(R M) PAGE — " 2— O F—, - Z- NAME Ik" 3 f LOT# LEGAL DESCRIPTION /a /a,S T ,N,R E(OR)W S C ALE: I"= CID ' s SM 1 ELEVATION fQ0, 6,' BM I DESCRIPTION BM 2 ELEVATION T BM 2 DESCRIPTION SYSTEM ELEVATION q/ ©o SYSTEM TYPE l�r r t u t�'ay�cx { I , 11 t-11eA _7 lcy,. C S1C3NA DATE SLnTIC TANK PUM 'HAX;ZR CROSS SECTICN AND uPiCIIIC�I 4 Cl VENT , FITRE.'.12' . Mf N. 'ABQVZ. ,GRADE >_ 25' FRONT' DOOR, WINDOW OR FRESH AIR INTAKE FINISHED GRADE 4 CI RISER ----� IN. 6" MAX. NLET - WATER TIGHT SEALS A PPROVED IPE 3' a SOL ID TO SOLID C OIL PUMP OFF ELEV. FT. ---- D WEATHERPROOF JUNCTION BOX WITH CONDUIT t, s+ i GAS• TIGHT SEAL ' ri ON OFF APPROVED MANHOLE COVER W1 PADLOCK & WARNING LABEL ---.- 4 " MIN. * it !APPROVED JOINT$ WITH APPROVED PIPE 3' ONTO SOLID SOIL ** RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED.BEDDING UNDER TANK N CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: G) e P _ NUMBER LOSES PER DAY: TANK SIZES: SEPTIC 16,!Id GAL, DOSE 5 D GAL. ALARM MANUFACTURER. / t U�t'av MODEL NUMBER: SWITCH TYPE: TYPE: PUMP MANUFACTURER 4 � MODEL NUMBER: SWITCH TYPE: REQUIRED DISCHARGE RATE GPM DOSE VOLUME INCLUDING FLOWBACK: Z � GAL. CAPACITIES: A = _&L INCHES = GAL. B = 2 INCHES = GAL. C INCHES = GAL• D = INCHES = r GAL. PUMP & ALARM WIRING AS PER ILHR 16.23' WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . . FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . _ FEET + G,&P FEET FORCEMAIN X d FT /lO0 FT. FRICTION FACTOR . . 4 ,rZ FEET. TOTAL DYNAMIC HEAD =FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH DIAMETER LIQUID DEPTH T'". "_ ."K /,�.c x• l�� SIGNED: '"rte LICENSE NUMBER s DATE: - /� -- 1/88 i [IGOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SP ECIFICATIONS • Solids handling capability: 1 14 " maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1 Iho NPT. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104°F (40°C) continuous 140OF (60 intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length. 16/3 VTOW with three prong grounding plug. Optional 20 foot Iength,1613 SJTW with three prong grounding plug (standard on EP05). ® 2000 Goulds Pumps Effective February, 2000 63871 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models Include Mechanical Float Switch assembled and preset at the factory. FEATURES ■ EPO4 Impeller, Thermoplas- tic Semi -open design with pump out vanes for mechanical seal protection. Submersible Effluent Pump 3871 EPOS • EP05 Impeller. Thermoplas- tic enclosed design for improved performance. ■ Casing and lase; Rugged thermoplastic design provides superior strength and corrosion resistance. ■ Motor Housing: Cast iron, for efficient heat transfer, strength, and durability, 2 Motor Covet; Thermoplastic cover with integral handle and float switch attachment points. ■ Power Cable: Severe duty rated oil and water resistant. ■ Hearings; Upper and lower heavy duty ball bearing construction. AGE NCY_ LISTING fg- Owdian standards AswdaWn (CSA listed model numbers end in "F" or "C ".) Goulds rumps is ISO 9001 Registered. 0 2 4 6 8 10 12 m' /h CAPACITY Goulds Pumps & ITT Industries uick4rAf STANDARD CHAMBER Quick4 Standard Chamber WOW End Cap FRONT VIEW I - — 48" — (EFFECTIVE LENGTH) Egg I nil I } r wi� SIDE VIEW SIDE VIEW TOP VIEW Size (WxLXH) 34" x52'x " Size(Wx .....;, ,: �...: '`34 "x16 "'x 12 1- Effective Length 48" Invert Height 8" or 125" Invert Height 8" INFILTRATOR SYSTFMS STANDARD 11M( WgRRAN (a) The. slh+clwaI integrity of ( 0emhar, end plate, wedge and oll sr acoessory manuladluled by h+fiitrala ( "U if when In;talloti and operated in a leach6eid of an onsaa septic System in accordance with Inlillralm'S insfr.x:tioos is warranted to the or^grol purchaser riPoldrx"1 against drlectie n L3lenaffi and workman „hip for one year Von) the date dial the sc?pti;. permit , a isaled'o the v4? is System corlWnnng llw Units; provided, hi that if a , ipolr permit is not nequirad by applicable law, the warranty period will begin ulna the dale that installation of the sentio TPsIi Cdn"menoes. To nx ,se its warany nyhis, Hdf mist ni Infiltrator in writing a' its Corporate Headquarters in ad EWrook. Cr"rrW-Ii oallin fifteen! 15) days of ft alloped dofaol. Infiltrator wil supply mpiacemorif Urine I Units determined by InPolralor to be c,.wea by this Umflad Warranty. Infdlrabr•s li,,bjIly rpecAicalM evolude:; the cost of removal alrayo:' ln3tallatrcXt of the Units. ;1;; TtIF- LIMITED "VARRANTy AND RFMI-111i IN SUBPARAGRAPH tai ARE [:,X(;[ l ISIVF. 'I r IFRF ARC, -0 O11-IFIFr WARRANTIES'Nit H RESPECT TO 'rHE I INi, irrl'LY ID'Nf; NG IMHI.M1 U WAHRANTIFp pF MERCHANlAUILIN C3R Ftivr _. F(�ri A TYCULPJ-0 VUN�SI. (r,) trd.” limitnd Warranty r;hnll he Foid r. any part of the clv bvr system Is rnanulalureo IN anyono other Itwn m llrabr. The UmAou Warranty does no+ -1-1 to in:,itleniai, cnnsagoanGnl, apeGiyl or Uttflreol domagea. Infiltratrn shaft nor bo Rabin Inr penaltI Or Irjliida(ed damage:, iolluding !oss of nrodlrtion and orofii labor and miftwials. o'erhaad Costs. or other loves or pensea incurred b\ the Hoi :n any third party '+*Wlelcally — Irtrfed Iron UrnBed Warranty c nrogo am damage to the Unit, due to ordinary wear and tear, -314 rallon, aceidere, misuse, alwse or fiIii ;i of the Urlts: fhe lints t eng Subpcted In vehcle traffic or other Condition'; whlon are earl permitled by the Installation fh6lnN:tiorv,, F le Trani the minimum grorr :d Cdvars set `nrth in the nstaltatlon InstWirms; the plaCemor i of improper mato,"S ei the system containing the Unitas fai of Vie hells or the septic system due 7o improper sill g or Improper siting, exc-AS a water usage, improper g+oese dtsppsm, or improver operation: or any other ovens rat by InfAtrairx. 'ibis lumited bllavanty shah be void if the Holier fails to compy wtlh all of the terms set forth In hi Unri Wari F inhc-c in no evanl ohgl; Irfillralor be Irsponsribla for any loss or der age to the i,r, the IJni1s, or any thirrf oady rostdting Iron ini tall,tb or shfp• meat, nr horn arty pl0i 10i claim. or Holder or any Ir rd party, For thin Limited Wan „nty to appr the trolls must W installed in ecco'dan t, with all site 1•g10101., rarTU"tK! by state ind'cal Cocli at other applicable laws; and Infiltrato l,, Ynstalfatlon krtnlciiona. (d) Mn repri• ^e�nYa'.i \•r•. f! 'rlillral�•r �.;�: lne ;;lrlirnrty In charms w 9 "Ielld Ih!e Lirrlilbtl W.lrtanlY. No Warranty applia3 to any pony pihC+ roan the q, dal Huldrr. '1hf, alxNC• ropreii (Inc Standnni LiITI Waranty offeror( by Inainai A Umitw number of cfai at d cu'.+rdies Ira "e diNarei i warranty rmlire• meals Any pure!reser or Units I,hC Ad contact mfatrator's Corporato Headquarters in Old Saylro'ok, Oorinr x¢, nrbr to such IM"chasa, to obtan a miry of Joe apgUCabki warranty, and shouid carefully read that wermoly prior TO the purchase of Units. SYSTEMS INC Erwironmentat Onsite Wastewater Solutions" 6 Business Park Road - P.O. Box 768 O(d Saybrook, CT 06475 860- 577- 7000•FAX 860 - 577 -7001 800 -221 -4436 U S. Patents: U59,6161:5.017.041:5156,48& 5,336,017; 5,401,116; 5,401.459; 5,5x1,903; 5,716,163; 5,589,778; 5,839,844 Canadian Patents. 1,329,959; 2,004 Other patents pending. Infiltrator, Equalizer and Sde,Nini apt, reigtstered trademarks of Infiltrator Syii Inc. Infittratm :s a nrnpstered trademark m France latiltrator Systems Irx., r arJ ctorpri h -orto nor n Me. ,no. C_nf —. C—tnr,r s—, ran_- -tpr•n r.Rrr. L �r /.Ind, pr.lvhrN- sn.� rrk, Ch�,mher5y�ere p . r_mk, Or_.ir i FSCYCLIM PAlfF and outck4 are trademarks of Infiltrator Systems Inc. 0 2003 Infiltrator Sys!erms Inc. Printed in U.S.A. W11203HP•6 btG I ION VIL.W FILE INFORMATION Owner G Permit # DESIGN PARAMETERS Number of Bedrooms �? ❑ NA Number of Public Facility Units ❑ NA Estimated flow (average) 1 f sQ al /day Design flow (peak), (Estimated x 1.5) to gal /day Effluent Filter Model ,4 d d Soil Application Rate al /day /ft' Standard Influent /Effluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg /L Biochemical Oxygen Demand (SOD,) 5220 mg /L ❑ NA Total Suspended Solids (TSS) 5150 mg / Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (SOD 530 mg /L Total Suspended Solids (TSS) 530 mg /L ❑ NA Fecal Coliform (geometric mean) 510 cfu /I00ml Maximum Effluent Particle Size d Y. in dia. ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. MAINTENA SCHEDUL POWTS OWNER'S MANUAL & MANAGEMENT PLAN. SYSTEM SPECIFIdATIONS Page of Septic Tank Capacity dD al 17 NA Septic Tank Manufacturer r�C'SG' ❑ NA Effluent Filter Manufacturer .go e- ❑ NA Effluent Filter Model ,4 d d ❑ NA Pump Tank Capacity At least once every: al ❑ NA Pump Tank Manufacturer Ji ip ❑ NA Pump Manufacturer �, ❑ NA Pump Model .— 0 mon )(s) ❑ NA Pretreatment Unit ❑ Sand /Gravel Filter ❑ Mechanical Aeration O Disinfection ❑ Peat Filter ❑ Wetland ❑ Other: ❑ NA Dispersal Cell(s) ❑ In- Ground (gravity) ❑ At -Grade ❑ Drip -Line ❑ NA ❑ in- Ground (pressurized) ❑ Mound ❑ Other: Other: 13 month(s) ❑ year(s) ❑ NA Other: ❑ NA Other ❑ NA Service Event Service Frequency Inspect condition of tank(s) At least once every: month(a) (Maximum 3 years) ear(s) [3 NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: months) (Maximum 3 years) 3 �year(s) ❑ NA Clean effluent filter At least once every: months) years) ❑ NA Inspect pump, pump controls & alarm At least once every: .— 0 mon )(s) El NA Flush laterals and ressure test p At least once every: ❑ month(s) "' ❑ year(s) ❑ NA Other At least once every: 13 month(s) ❑ year(s) [3 NA Qther: ❑ 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 broken 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 POWYS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. page ._, of seance of painting Products or e ° e h t h e contents t tanklsi for ttre � oncentrations are detected h tlne seal 'elllsl. if hig � flea C e the A'aia [ at @� w;11 be pPggp.T prior of the rd i,�a3 STDRT uP ANri andlo �dama9 u se - �8 Vor new construetto" Prior to p ocess operator poor LO excess that may impede the treatment Pa a servicing P the @X h8I 8 0 a sap g at the infiltrative s urface' rfBCe diSC g of the tanklsl removed by When power is restore( or Su afar levels. re s u lt r or to restoring System start up shah not occur when s °'1 conditions are and ma � erator p i tanks may fill above normal highw lt In the the Cants) to a Servicing P controls discharged to the d to During power outages pump tank removed by a Sep g o perating the Pump overloading ' ispei sal Cefl {sI in one large dose, manually p or contact a Plumber or POWTS Maintainer to assist m effluent. To avoid this situation have the contents of the purr to the effluent pump tank. restore normal levels within the pump and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the ar ea Do not drive or park vehicles over tanks within 15 feet down slope of any mound or at -g improve the performance an p cede soil absorption area• colon the life of the the wastewater stream may g reasers; dental floss; diapers; disinfectants; fat; Reduction or elimination of the following from ; Oil; POWTS: antibiotics; baby wipes cigarette butts; condoms; cotton swabs; de g rease; herbicides; meat scraps; medications, foundation drain Isump pump) water; fruit and vegetable peelings; gasoline; 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: e All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. e The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. e 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: IX 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. �� 13 T site h an site e tank ❑ 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 Name _ i. ..'e4 .w, Phone 7 r -- alze — & POWTS MAINTAINER Name Phone SEPTAGE SEAVICIN'G O ERATOR (PUMPER) L OCAL REGU LATORY AUTHORITY Name Name . �p( B\,�ilf(�� i I ll Phone Phone — 1s , 3K , 4(a�t This document was drafted in compliance with chapter Comm 83.22(2)Ibl0)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. !.I i!j! ilk '"i o. u V i ANT ......... . .. ..... . ... j D V Gt) P o Y olIr 8 ' y 1 h t I'� �A)T,,-� o'� I t p i at- I Y. �l e, y 60 t1U. 'u," MA ji ffir �S 51, o o Ell 11) ar, n I n en tll I LLC- IT M% el T 0 Y �. V -,( uAl-vt MAO 11 00 U; 2 8 12 P 4 3 3 -7c-36, 38a 1k WARRANTY DEED DOCUMENT NO. This Deed made between BAN TARA, LLC, a Wisconsin limited liability company, Grantor and BLUE JAY PROPERTIES, LLC, a Wisconsin limited liability company, Grantee, Witnesseth, That the said Grantor conveys to Grantees the following described real estate in St. Croix County, State of Wisconsin: KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIS CO., WI RECEIVED FOR RECORD 06/01/2005 11:40AH WARRANTY DEED EXEMPT i REC FEE: 11.00 TRANS FEE: 1200.00 COPY FEE: CC FEE: PAGES: i That part of the SW '/4 of NW ' /4 and the NW '/a of the SW ' /4 of Section 32, Township 29 North, Range 19 West, St. Return to: Croix County, Wisconsin described as follows: Lot 1 of River Valley Abstract and Title Certified Survey Map filed October 19, 1979 in Volume 3, PO Box 149 Page 883. TOGETHER WITH a road easement for access Hudson, WI 54016 to a public street over a 24.75 foot strip of land adjacent to Z � 'il y R 0 and West of the above described parcel extending northerly Tax Pin: parallel to the West line of the above described parcel for 020 - 1092 -00 -000 and 020 - 1091 -90 -000 141 feet to the North line of the above described parcel thence easterly 49.5 feet parallel with the North line of the above described parcel, thence continuing northerly 24.75 feet on the east side and 24.75 feet on the west side of and adjacent to the northerly extension of the West line of the above described property a distance of 773 feet and thence Northwesterly from said point over a 49.5 foot strip of land to connect to a public street now known as Bittersweet Drive. Further being subject to a road easement for access to a public street over the West 2of the abov described parce Pw tvf SW ' /4 of NW '/4 and part of NW '/4 of SW '/4 ction 32, Township 29 North, Range 19 West, St. Croix County, Wisconsin described as follow . of 2 f Certified Survey Map filed October 19, 1979 in Vol. 3, p Doc. No. 360589. over a 24.75 foot strin of land to and West of the above described parcel extending northerly parallel to the West line of the above described parcel for 219 feet to the Northwest corner line of the above described parcel thence easterly 49.5 feet parallel with the North line of the above described parcel, thence continuing northerly 24.75 feet on the east side and 24.75 feet on the west side of and adjacent to the northerly extension of the West line of the above described property a distance of 992 feet and thence Northwesterly from said point over a 49.5 foot strip of land to connect to a public street now known as Bittersweet Drive. Further being subject to a road easement for access to a public street over the West 24.75 feet of the above described parcel. This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; and Ban Tara, LLC warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this Ar day of BAN TARA, LLC (SEAL) Its: Managing Member AUTHENTICATION Signature of , Managing Member of Ban Tara, LLC authenticated this day of , 2005. TITLE: MEMBER STATE BAR OF WISCONSIN (Signatures may be authenticated or acknowledged. Both are not necessary) THIS INSTRUMENT DRAFTED BY: D. Peter Seguin MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. 110 Second Street, Post Office Box 469 Hudson, Wisconsin 54016 2005. Roger D. Fevers Notary Public State of Wisconsin ACKNOWLEDGMENT STATE OF WISCONSIN ) SS COUNTY OF ST. CROIX ) Personally came before this 1 day of 2005, the above named "'�WeK i , Managing Member of Ban Tara, LLC, having full authority to do so, to me known to be the person who executed the foregoing instrument and acknoy*ged jheVhe. ipty Publi , State of Wisc Co ssion (expires): 3U aV 57 ,r U. 2801P 561 STATE BAR OF WISCONSIN FORM 2 - 2000 Document Number WARRANTY DEED This Deed, made between John G. Kremer and Rebecca D. Kremer, husband and wife, Grantor, and Ban Tara, LLC, a Wisconsin limited liability company Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part of SW'/. of NW' /. and part of NW' /+ of SWIA of Section 32, Township 29 No a 19 West, St. Croix County, Wisconsin described as follow :Lot 2 Certified Survey Map filed October 19, 1979 in V I , awe 883 Doc. No. 360589, together with an easement for an access roadway an t e erection and maintenance of telephone and utility lines over a strip of land 24.5 feet in width lying East of an extension of the West line of said parcel to a point 648 feet Northerly thereof and over a strip of land 3 Rods in width, the centerline of which runs from the last mentioned point South 89 1 13' West to the West line of said Section 32 and also over the West 3 Rods of the NW' /. of said Section 32 from the aforesaid strip to the public highway. Recording Area 7'3 4 8 1 S KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 05/12/2005 03:45PN WARRANTY DEED EXOPT # REC FEE: 11.00 TRANS FEE: 442.50 COPY FEE: CC FEE: PAGES: 1 Name and Return Address Mudge, Porter, Lundeen & Seguin, S.C. Attn. D. Peter Seguin PO Box 469 Hudson, WI 54016 g�� 020- 1092 -00 — 0-170 C • x 6 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, and rights -of way of record, if any. Dated this t day of May 2005 Signature(s) AUTHENTICATION authenticated this 1ANAE- F- HALLSTR - Notary Public * My Commission expires Jan 11, 2009 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Brent R. Johnson - Lommen Nelson Law Firm Hudson, Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessary.) John G. Kremer ' f , �EL ex C.4— * Rebecca D. Kremer ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX County. ) q rid Personally came before me this i day of May 2005 the above named John G. Kremer to me known to be the person(s) who executed the foregoing instrument and acknowled ed same. * Notary Public, State of My Commission is permanent. (If not, state expiration date: ) ' Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655 -2021 www.infoprofomu.com STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 2 - 2000 360589 FORM NO. 983-A NW CORNER CERTIFIED SURVEY MAP SECTION 32 T29N, R19W N 1- F�L E CCT 4b 197 o . �► aw '�• rh w SCALE IN FEET o ° S too O t00 200 NOTE: The City of Hudson Plan 49.50 Commission recommended, and the N ++� ° o - City Council approved the below Minor Subdivision and granted z �' ' " " "' :the ve fox- the following reasons, with the _j �' N 89 °13'00 "E PRIVATE 4 nested variances :stipulation that the reasons be listed: 3 684.75' ROAD : 1. The Subdivision does not involv an extension Of a e .. ....__ ..---.•+ w� Private road. LEGEND t _ 2. The existing Covenant which restricts any future subdivision • 1" IRON PIPE FOUND 8'h of this property. COUNTY MONUMENT REPLACE WITH BRASS DISC BY DA.T. D til�v 3. The lots are located outside of the area where utilities will Z _Z o .75'X 24" ROUND IRON BAR -WT.= 1 7 °_ = be extended in the near future. 1.502 LBS. /LINEAL FT SET r ° 4. The advance dedication of the additional right -of -way width needed. —� :F 49.50' POINT OF BEGINNING N 89 13' 00" E 449.00' m >v 24.75 416.00' o(D N 1 E r $0O. ,.0 o 1 8.25• 8.25' STRIP RESERVED FOR FUTURE - tti 00 U hQ -C) :TOWN ROAD RIGHT m V2 ".S O O qj ~ S. O IM • o NI 41 c oil to h 2.229 ACRES g o (- ONCL. R /W) .� o al o e q 3g N 2.118 ACRES N M J ' q >00 (EXCL. R/W ) 7 U a rn -1-- 41 ' 'SL A 3 ` 283/,S �{ Z o w; + 0 0 0 I O P -0 (V N Q 1 o ar a v A m o 0 N �7 2 156.36' Qj 4-1 L or � I (N O L_ /W) ES r- YYY F � cu v o ( you 1.349 ACRES m .� X -,-r .,-, (EXCL. R /W) s o E-4 -0 U v 24.75' �o m 4 4 _ 422.92' -tr' a�i v v 49.50' 8.25' S 69 13' 00 "W 455.92' o � oY z u °' :fir a; ac D. R. Gilbertson : `"' ' '2 R :XI oute 1 awl al Kl: Hudson, Wisconsin CONSENT OF CORPORATE MORTGAGEE Tri- County Savings and Loan Association, a corporation duly organized and existing under and by virtue of the laws of the State of Wisconsin, mortgagee of the above described land, does hereby consent to the surveying, dividing, mapping and dedication of the land, described on this plat, 9nd does hereby consent to the above certificate of D. R. and S_ Gilbertson, owners. IN WITNESS WHEREOF, the said Tri- County Savings and Loan Assoc. has caused these presents to be signed by R. J. Kinney, its Executive Vice President, and countersigned by June H. Jacobsen, its secretary, at Hudson, Wisconsin, and its corporate seal to be hereunto affixed this = /O'x day if S ' . on >., bg� 3 1 979. presence of : I COUNTY S=.VI:'G iL._ ; �, � (Corporate Seal) Corp ate Name x ice Sic ent :TATE OF WISCONSIN) , T. CRC COUNTY) SS Personally came before me this 10th day of :3eptcm 1979, R. J. Kinney, Executive vice 'resident, and June H. Jacobsen, Secretary of the above named corporation, to me known to be the ersons who executed the foregoing instrument, and to me known to be such President and Secretary , f said dorporaFion, and acknowledged that they executed the foregoing instrument as such officers s the deed of said corpora� by its authority. Notary Seal) �1 /ct . VO:Lume 3 Page 883 Not y Public, St. Croix , Wisconsinl.- ;,� : .. c y commission expires Cc to :(:-r 25. 1981 DEPAH TMENT OF INQ(14TR Y, LABOR �ND HUMAN RELATIONS sv&'e : DR REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS pIVIS10N PERCOLATION TESTS (T - P.O BOX 7969 64 1f3E tai S 6 r ULHR 83.0911) & Chapter 145) k MADISON, WI 53707 LOCATION: sty 1 / ,u 01 SECTION: 3Z /T ay N/R 6 E to W NSHIP /�: OW 4-F uP S 0^-) OT NO.:BLK. 1 # z : 1 mss/ r SUBDIVISION NAME: s &mss 'ry tw - 3 Ar3 COUNTY: ST e /X 13t7Nt P_ : M ' o es - h ( * MAILING ADDRESS: 1 70,' 14 l'V r sipE Ae - 6 f 4J/ S St USE J d' (O — /)--/ - z-- DATES OBSERVATIONS MADE N0. BEDRMS.: COMMER IAL DESC RIPTION: c S: Residence 3 /f/ 4- kNew ❑Replace 5?w -,, 16 1� 7o sj-r;o: /l/ 19 7 o yes 5/6evs 4 301 4/Po T S/ RATING: S= Site suitable for system U= Site u nsuitable for system ONVENTIONAL: ❑ U MOUND: S [] IN- GROUND - PRESSURE: ©S [] SYSTEM -IN -FILL []S � OLDING TANK: F ©U RECOMMENDED SYSTEM: (optional) 1,e Ad 9t ) ow — T IeEti� 5 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: GG4S S r Floodplain, indic Floodplain elevation:, PROFILE DESCRIPTIONS GL BORING NUMBER TOTAL DEPTH IN, ELEVATION TO R UNDWATER- INCHES CHARACTER OF OIL WITH THIC ESS, COLOR, TEXTO DEPTH TO BEDROCK IF OBSERVED (SEE BRV. ON BACK.) -DEPTH OBSERVED H T B- / /p.Q / 03.1& 2r� i > /O.O Z'0' 8 1 /S CL �.N�3cy� ,67' D,` B�.: S i3 /o�.F , 3' oe 6y- ga • Sf z, s ' ��, s/ - o ' 7 C s . B - 3 /O,0 / Z /D /o' lyi� /s� � ,o' a� •a,,. /s, 5/ I'S 't3A.,n &v Sl 3. S 0e, c O /S' 3A.) 6 s/ /.s �3",. 8n"'v�o`.P. S. ' B- P_ 3. s ' Teti C5 r B - � r/�/'9 /O S.Sc ?'tU I > & v PERCOLATION TESTS s - O - aN UAN ota --4.f'. � , 9 : C ' 6,j. CS EST NUMBER DEPTH lketT S' WATER IN HOLE AFTERSWELLING TEST TIME INTERVAL -MIN. DROP IN WATER LEVEL-INCHEs RATE MINUTES PER INCH PE RIOD 1 PER IOD Z S P- P_ P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. D rX _ I S / 0 SYSTEM ELEVATION. SEA P1-0 T - P' r) A 5'10H . �,4 UT VOTE— TD g uye OF �r t�.� , 06'1't D D °e s "l c �o .4 �D 1 o F 0 o ,e S, D ' fRo S �.�ffcE , Avf %v -- b �5 0 G STS 0G >��'� S Fd T�° � 7� 5 . ��e S S / S T15� G GLL 4496 iT & , 14 r (r, 14 ro s , 41-7ek - A �rT /b-v v, o ` tSy, f���� / P l Lv DiST. /oi /A) 6 . I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. HOMESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., HU DSON, WIS. 54016 ROBERT ULBRIGH'T WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. FICATION NUMBER: IPHONE NUMBERIoptic _)�fjf`2 31?6 `0 S GNATU�R DILHR -SBD -6395 (R. 10/83) .- OV v \ o �h b o , W I OC.) - 0 E.vr do , X - 0 T - c , -� ✓ w o mit s , a O O I z Z A �m oA �mcn �tFR F R r m n �°ro� m c pm O - sr (� i s� �� II 41 W W O r Q 0 n C r Q • CERTIFIED SURVEY MAP �` w SECTION 32 T29N,R19W N w _ SCALE IN FEET M W °o ,6 100 0 100 200 in °D NOTE: The City of Hudson Plan Commission recommended, and the ui W o a Q 49.50 City Council approved the below Minor Subdivision and granted Z •the requested variances for the following reasons, with the ` N 89 0 13'00 ° E PRIVATE ;stipulation that the reasons be listed: 884,75 ROAD I 1. The Subdivision does not involve an extension of a private road LEGEND w : 2. The existing Covenant which restricts any future:subd 0 1" IRON PIPE FOUND o p of this property. COUNTY MONUMENT REPLACED Z ,��3 The lots are located outside of the area where utilities will WITH BRASS DISC BY D.O.T. I I._ , 0 .75 "X 24" ROUND IRON BAR —WT.= o o be extended in the near future. 1.502 LBS. /LINEAL FT. SET N 4. The advance dedication of the additional right -of -way width needed.... 49.50' POINT OF BEGINNING N 89 13' 00" E 449.00' _ - 1 416.00' o'O 24.75' o Z C� •0 I so o 41 a z U O '* �e -B.25 0 • N 10 ' O, 8.25' STRIP RESERVED FOR FUTURE _j cbO 0 40 0 33' TOWN ROAD RIGHT- OF-WAY ca P4 4 0 F 0 V O Y r 0 In 0 0 1 N O h m ., 2.229 ACRES N Z >_ I' ch a�i a) M — ~ ^• .. ONCL. R /W) ,� J ° w N Q 35 �8 ACR) a M CH 00 U. > o /g,,w �� of w 0� r4 280 ' 3/ 3 �y r o o m // 5 .3 1 c w i 0 a 1: {� O W 4-) rd Q Q) o ° . i o / � ,� s B9 ° 13' oo" w °— 0_ It g Q) oa H ° ?' c� 2 158.36' N P+ U rn O N N r- O a) -P Z 1.510 ACRES Z � F., 0 I 1 (INCL. R /W) ti m o 4 M I o °° 1. ACRES 0 O I � (EXCL. R /W) eao 0 E. 4� .o i~ U 24.75' k 1151, � CC.. 422.92' _ Cd r-4 •H L " ) v .; 49.50': 8.25' S 89 OON 455.92' C7 O 4F fd N ili W v M a k Plot D. R. Gilbertson �� ar .CnI X Route 1 :XI CL ;WI Hudson, Wisconsin CONSENT OF CORPORATE MORTGAGEE Tri- County Savings and Loan Association, a corporation duly organized and existing under and by virtue of the laws of the State of Wisconsin, mortgagee of the above described land, does hereby consent to the surveying, dividing, mapping and dedication of the land, described on this plat, and does hereby consent to the above certificate of D. R. and S. Gilbertson' owners. IN WITNESS WHEREOF, the said Tri - County Savings, and Loan Assoc. has caused these presents to be signed by R. J. Kinney, its Executive Vice President, and countersigned by June H.. Jaoobsen, its secretary, at Hudson, Wisconsin, and its corporate seal to be hereunto affixed Vats day of So , 1 979. I t e pres ce of• gI COUNTY SAVINGS ANID b OAN ASSOCIATION (Corporate Seal)!4 Corp ate Name � o xe ice si en f STATE OF WISCONSIN) SS ST. CROIX COUNTY) Personally came before me this 10th day of Septe mber 1 979, R. J. Kinney, Executive Vic President, and June H. Jacobsen, Secretary of the above named corporation, to me known to be t persons who executed the foregoing instrument, and to me known to be such President and Secretary of said corporation, and acknowledged that they executed the foregoing instrument as such officers as the deed of said corpora� by 'ts authority. �..� (Notary Seal) 7, QIa ;c Volume 3 Page 883 Not y Public, St. Croix , Wis cons inu• Otcry 'U'Jiic My commission expires October 25, 1981 State of Wisconsin Mnrinrin P: