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020-1454-00-100 (2)
040 s 'n 0 C co O 1 c N O 1 C 3 m ^ AD CD 3 - ftt m . N n '3' N 0 O (0 - .= O + tA\ (\ c N (D O A O (0 C N ■ N a- = 9 cD ? O _� O o co 7 Z O N CO - O• E., ,T, ! ..7 cri 0 May ° c o 0 0` V J O ""' 07 N CO 4 c rwithy J o o= n r 0 O 'D O O O ? ... FV co 'D G - n °c 3 N N N i o o +�j m v v v °' 7 e� N N 0) 2 6) N N T N O lV 3 N J . L 3 D1 2] 3 m a ( N N Z O D 6 o Z o_ o ‘17'3(15) 0 D 3 v a c (0 �• CD (0 i !mil Cfq - m a D o p 2 co c -A 0 3 G a .. N O) G -z N Z o • .. 3 * - y -n O A LS A p) 0 _ N N 0) •O N 0) S N # O = • . (0 c D 3 _ g N O 3 00 Q Oc a (1 O f0 c .( 0 Q N 3 w N N O y ( O a _ CC 7 N f(00 O N _ O 7 O — • " CD S 00, y CD * 0 c j _ v c n 3 v 7 ` < n = O n 7 7 N O Q z� W73 N6 dcoa) o *aN (p o (J)w0 • a =� N� s= w m v y . a) 0) (0 c O O w N • -,, 'i n- O 0) = O O (D Q y C T. CD N A• C O- N CD y . •G 02 in N 0) O a ' A 0] C 6 0) O O • . N N F, N N T c 3 .. D O 0 0) 7 O. 7" (D CD Cr N N N O rn O N N . 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" `ma y O 0 0 0 cn 71 W C- E c N CO = O :C co A : N c I o o o 0) g g" i ei r> < 3 - I a I a m � f I Z ^ v, 1 ='f 7 0 0 O N � C c-'D 1 = . y E c N NI W o a a 7 z m 0) c,j -& -4 fn O N D o 0 =; c 70 a o a • 6) 0 0 • I CO a- - z ° A o 3 m V! z I * A A I > a a I a j m c I o a I m N I I 1 a x 1 Q 1 n I a 0 IN.) to 1 o a. o w aro v C. 6 co ti 1 Parcel #: 020 - 1454 -00 -101 11/26/2007 08:15 AM PAGE 1OF1 Alt. Parcel #: 36.29.19.2916 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/26/2005 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co - Owner O - WILCOXSON, NEIL L & MARY JO NEIL L & MARY JO WILCOXSON 691 MARY JO CT HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): *= Primary Type Dist # Description * 691 MARY JO CT SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.150 Plat: 10- 082 - COTTONWOOD RIDGE 2ND ADDN LOTS 88 SEC 36 T29N R19W PT NW SW COTTONWOOD Block /Condo Bldg: LOT 101 RIDGE 2ND ('05) LOT 101 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 29N -19W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 02/14/2007 844466 WD 09/26/2005 807581 10/082 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/05/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.150 85,600 290,900 376,500 NO 05 Totals for 2007: General Property 2.150 85,600 290,900 376,500 Woodland 0.000 0 0 Totals for 2006: General Property 2.150 85,600 287,300 372,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 06/11/2007 Batch #: 07 -05 Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 Parcel #: 020 - 1109 -55 -075 11/26/2007 08:15 AM PAGE 10F1 Alt. Parcel #: 36.29.19.443A -12 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/04/2006 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner O - WILCOXSON, NEIL & MARY JO NEIL & MARY JO WILCOXSON 691 MARY JO CT HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): *= Primary Type Dist # Description SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 72.420 Plat: 09- 077 - COTTONWOOD RIDGE 1ST LOTS 65 /87020 -( SEC 36 T29N R19W W 1/2 OF SW 1/4 EXC Block /Condo Bldg: .53AC EXC PT TO CSM 12/3456 & EXC PT TO COTTONWOOD RIDGE 1ST & EXC PT TO Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) COTTONWOOD RIDGE 2ND & PT ADDED TO 36- 29N -19W SW 020 - 1109 -55 -100 (443A -10) Notes: Parcel History: Date Doc # Vol /Page Type 11/06/2006 838231 EZ 01/28/2005 803865 2739/316 WD 09/23/2003 740998 2417/123 QC 02/07/2003 708880 2135/355 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/05/2007 Description Class Acres Land prove Total State Reason AGRICULTURAL G4 42.000 7,600 0 7,600 NO 05 UNDEVELOPED G5 2.000 200 0 200 NO OTHER G7 4.000 69,000 9? 161,800 NO 4 , , ; ? ,614-1,-as2. Totals for 2007: General Property 48.000 76,800 92,800 169,600 Woodland 0.000 0 0 Totals for 2006: General Property 48.000 76,600 92,800 169,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 tED IN PART OF THE OF SWi /&OFi1 f N Wj 4A NQ, !lki 101 1 .0 7 1E SW1 /4 OF SECTION 36, T29■ = • . •" 1 • ` TT °4 \ -QH WM _7 5' _ "::; ■ TBACK : : : : : : ITY, WISCONSIN; MORE PART Brim s _ - : • - - - -- �: Lam. :. , : : • ORNER OF SAID SECTION ■'' 0 • s �ru: ..... �'��.44: t `•`-' =I` ` -: :: :: `': 4 F '_� � \� \� THE NWi ... :''}::,'�:';•- ::_; / O SAIDSECTi -- i\, \ I T 9' ; t'.*` :::. : ::•. s �:,i •'. �lii. LZj \� ::::'�;:.H. : -.-: = OF CERTIFIED SURVEY MA' -IE ST. CROIX COUNTY REGI •eft** , (y„ ;: . �� 3.61 re • a 7••i r. '\ 9 _ rE 148.42FEETTOTHENO• - :- : ":: y h \ AC 19°26'58 "E, ALONG SAID NO• _ , : • i� °' \ i ' r� :- :::: L . B • ❑ • 11 4.00 1 SW1 /4OFTHENWI /4; THE - _ I/ • N. a k A.04 FEET TO THE NORTH L i . • I DGE FIRST ADDITION RECORDED AT • • • / / \ �\ \ \\\ �� ... • " ." - • . . 4G SAID NORTH LINE, 10.00 TO . : Z i „;„,,,;,,z,, � \� \t, 4.�:`.: :.:`... je; E S00 °27'24"W, ALONG SAID WE .:..:.7. La `\ ...... ;- . >.: ................_.. OF COUNTY TRUNK HIGHWAY "N"A'• �,: •. . , ;� �,\����� ::: : ::`;:_:. :: : :.:' HWL = 1023. 1RVE, CONCAVE SOUTHERLY, r:' ,WHOSECHORDBEARSN :•°30'41 A' • ■ 0 . ��� \ ��\.' : °:.:;::::: ::: : :;. :;ti: :''•::: ::... 1ENCE WESTERLY, ALONG T RC • • i : �y��. = .'::: =: z : <• :. i 298.76 ....... ........... !NE, 250.33 FEET TO THE POI OF TAN .: k _ _ nar,.viTiaTiis . • - EE a THE �� ''� F � � .. •. : ::'• : : :` :::. : :; :- =007 RADIUS CURVE; CONCAVE N RTH. , i •;;' :; " \ • 1EASURES 6 °06'22 ", WHOSE CHORD • '7 X : `: = :' 1023.3 S 287.60 FEET; THENCE WESTER • I E 1 ''' 1 \ X AID CENTERLINE, 287.74 FE O HE 0' N a.y: 1 9'34"W 321.80 FEET TO THE • T ONE 0 ;' IT 1 • . :'::; , N. :.' ?;: `' :', ;: ' :.:.;:;::.... • CORDED IN VOLUME 12 PAGE r ::. I::::•::... :•..:_ ?::: AGE _ •B• : ° b• :• ::::';'; :' :: :t:. 1N, A ONG SAID EAST LI 522.1 E I ; THEN N89 °12'45 "W, AL• G •� •• �'� _1 " :': 1 - :ION, 337.. FEET TO THE 1ENCE N00° ' 0 "E, ALO e • • h E• S O OF BEGINNING. IIESCRI ;' 0 PA'' 0' L • , `'. .. .,2 i X i 4 0 1 048.' :: .. . FT.). . �a I 674 44 JNTY TRUNK HIGHWAY "N" - i I • A •Ns' � `` ;;';•+ N8 2+ 5' 37 47 + :: .STRICTIONS AND COVE 48 •' RE••RD. :':I' ': I .-.::.::::::::::::::: ..::::::::::::*:: JD ill a --: :'': : : :'' '. - :. : :: :;:::::-.-....::-.-1;.• " :-. , .: glik).4 3 : :: COUNTY SECT! , Ga� I I : k::'s: ?NUMENT F ND ' 1' a i .` :::: :: - ::•: : ::: ; :: ea FOUN T 4 �, ' ...... e s LGai 0,....711A, . : •;: :; ::.., _FOUND � 1�IC�Ia 5, /�"'E�1a's'� X �� .Y SET K NE 014a1 HEIR i� ,C Vi c ° e 0 35.5 HERWISE OWN) • — E! '�. N • )N REBAR SET, WEIGHING C aUo M . QLN R LINEAR FOOT °° — — — — — — _ f _ ) VIOL. 1129 Pao 3410 N ASEMENT )RIVE I is IF ; �� I � � ��� , s.::. � �. X N 1 a s,k f• 1039.3 N TE CONTOUR ' �j J r 41 ∎$ ( P _ :„ W OUR • ' :.. 1036.. .. �� 0 ,11110 08:;'N.:::,..:.:.i:: 7 ,y i, JN >tl � I I „._,....._.....,..... ,„:„.„..... yw \ -� -- --� i �r \ OF 3L _DING OPENING ELEVAT-f 1 - ---- -- / - 3 2 6 X ---- - 1035\7 _NT SLOPES ; .4 - h � is \ AND GREATER SLOPES • — — .. � . A I I ; ,- -- - - O'' ��_ 1069..5 026.79 - 1 037! 1 ° I - `1' LOT 108 __oil x : I y N �l 2.01 Acres - _ 0 i i N.B.A. = 2.0 AC I it X 3 1037.1 �--f /: I b ,- i % -. - X x /.� 1037 7 ► / 414.54' C h 50.00' 6 / �� • _ : =Ir. • ■-1 TH 196' .. i - -t- 13 ��. i4r.1: - LE - • I `I / 0.00 S 3 DEI\ ATEDTO THE P ` : \ - \ _ - I li; --_ --.1 7.1 .� �g � � I � \ , - _, 1036.4 X t x \ rn : _ ! ± ♦ 103 >. _- 1� I 1 1 1 LOT 107 F! t, i I 1 1 •. 2.03 Acres co N.B.A. 1 1 i • = 2.0 AC M 1 co x � - » \ , \ • - LOT 106 •sr2 2.02 Acres 1 „ .. a, } \+ \\ \ `_� N.B.A. = 2.0 AC ♦ 30' 1036.4 • .x �, 3 •\ l ,% X /�.. \ \ \ \\ \ \ . 52 .01 \ \ t \ ` \ \ 95.38' 71. 7' •; \ \ \ • • X :' \ �\ \\ \ 1037.1 3' \ \ \ \ .. r LOT 101 � \_ \ \ . • • \ \ ibis ' -�" LOT 105 X oo N • 2.15 Acres -. \ w , \ \ \ . 0 1'035.3 \ � 2.38 Acres 1034.4 , a \_� •�\ \ \ N.B.A. = 2.4 AC • / co SZ- o }L/ �� .1 \ y� ` \ , `\ \ \ 1036.4 Ltr Q. . �/ \ 480.73' X ' \ kN A •. - ``.L X 1034.6 -. \ \ \ ------ X ■.:.A. = 1.6 ` X • 1035.5 `\ \ \ 1035: . 'T _ 159.7e \ \ - • _ ! TOP O RE: \ \ \ \ ,, ).• LOT 104 EL 1+ .85 \ \ ' - 2.04 Acres o O y1 1 TNBEREMOVED\ �1 \-' 1 - N.B.A. = 1.9 AC i CONSTRUCTIONI %A..1 \} 1 W 1 1 1 M . � - ' 1 1 1 405.03' 1 99.98' u :;.:.:::: r - , _ LOT 102 205.05' u .02 Acres ?•:. :.::_ > == • ' i Tgp OFRE::' _,, W ':; : .A. = 1.7 AC `=`' -. -- :. 1- _ i___ E� =1e. .72 • X C7 ❑. = 1031.00 __ `_ - -_ L❑ 103 1 A "' + 2.04 Acre N1VgGF _ =� ..: _ _ I L.B.O. = 1035.5 - N.B.A. = 1.0 AC o • 1036 ENr� 0 • J X ❑ o I-- ��� 7:::, I 21111k �f 1033.1 � 3 27.88 , 1 �� I N V 4 I .� I I 2 H.W.L. = 1033.50 ., 100 .i,4/11 ..� _ �k t _ :3.64' 1031.5, _ n y p O N 0 I 3 v f) C ( O ^ O m C o A 'rl DO 7 W A = N m O CD C E • 1 1 co I NZ • co Q O O O ° N O O _, I C • N ,"1 • co t7 0 W n S 3 p N rt A , N IV , 1...1 0 O y A O w C C N 0 0 y ao ° O f 0 N a 3 O 7' O —I A a, 2 c co V7 c 7 CD D O z j c 03 I 3 7 M pp !, 0 cn o 0 j C tit C a () m 0) -< D - C) I y Ch a C CD N N C c 7 CO - o C d • 0 G .‹ Icy N I 3 0 V O ? d N W O d l�l i a ° C 2 1 a, c co S cn . c Q -0 -o -o O • • 000 z 000-''', �►1 co - o ����I O� § A a4 I c -, D g N N N 1 2 0 3 N y y V a te , * O O o o 1 „ P. 0 O CD . d °) T N 3 N Zoci CD z D o y & co C O mvTO � m O am 7 0 rTl C7 'O tD llVi a 1 y c� @ v 7 CD 3 c 3 c m 0 1 g , m a w o I J y C � V) — z LOS n O a •• Z O I N 8 1 O < -I W to CD I Vi a g 1 a 3 Nz m Po H Z co I co A 0- N m ° �� a n* a cv xC) D 3 n 0). c7) m m �d v -I p *v y * V D N m cD 3 co — v; m 3 3 � a °0 co 1 ° m ° w °' ° m ° a — �' cn °— Q v.� so ,CD ID N� o ° 3. 7 T I C-0 °`° > > OO fD co � - g m 5 �.< � � y ? •0 m � 7 a0 S ° 3 ' Q o ? _1 w w 3 r te ° = c • - � O� o fD �? w v N ° Z o. O v _ , J m C o 0 (n f, .° Oo 0 a • N m C a m 3 m „ n (Dv N a* o c Q a3 f c 0 g �cl m N m o �'� y x ��o 1 m 0 N m a p c o o m m *- xj mc • • a . 01 7 = N o p a n o 0) c o c 3 (A Vl c ° c a � ° c � v n m n S Z v,' 1 o m y .co s o c zv � o v A o�� w °° `� ° o c o m y 1 am m s3 m ° ° m N� ?f N ca y c N °-' �" . y Q a _ _ m m ° m CD Sam x. '-` 6Dm - 'm ° m 7 c g ° • m O >• Q � .. N O 0 0 Zia O O N° co" C .• j ID O p ' • d 7 d _co � _co o ° - N o o a Q o o 0 a 0 ?� A co 7C co co FD .< N co (7 N c� O 3 co N 'n w d m c a o o v m — c. � w m a y o o w a��� �� ?a� a3 ° c • y� am c - o 0) f m � ° u� ° o ' m� m ° 3 0 I Om o m s 0v �' g. 1 o S ° d o m v� 1 0 1 o b °� d o A 0 I o 0 e e a ° oa oa N Subdivision: Cottonwood Ridge 2nd addition Owner /Developer: Kernon Bast Category: Major Company: Township: Hudson, Town of Engineer: S 36 T 29 R 19 Company: Total Acres: 60.63 12/01/2004 Unknown Pete Kling Site visit. Gullies on proposed Tots 90 and 91. Gully flowing north into pond needs repair and will need to be called out as a drainage easement on the preliminary plat 100 year back to back storm event should be calculated for the pond on the western portion of the property. Lots around pond will need LBO. Pond needs navigability determination. Eunice Post contacted. No Chapter 30 unless closer g Y P than 500' from OHWM Land cover is corn stubble, brush and wetland Junk piles found on lots 89, 90, 91 Wetlands need delineation 04/14/2005 Unknown Monica Lucht Bid rec'd for the EC. Faxed to Pete for approval. 05/03/2005 Kernon Bast Pam Quinn Installed a "replacement" septic system for a new house being constructed north of the existing farmhouse and farm helper's trailer (latter to be vacated). This was done with understanding that the new house and system will be on a separate lot from the farmhouse on proposed lot 102. Need to confirm that the "replacement system" and new house are on lot 101 and that the trailer /existing POWTS has been abandoned. h Uo �i r •. ,. W as _ U r . — o V o z �_ W > x I I I �� .' ( o j • z �N . , , a 1 • � ti . ♦ E _ . /// /iii::' - i ' � F. v ` %gal 7 ,, . -, : j am ; %/ / . 3 Z 3 Z ' 'V x O (( W 9 l'" 1 �'i "iii .. /, x 1 / M d ' 4 N ( MIN : \ hh, ' 4,-0,,:„ , -,..-,-;,:zp ,,,,,,,/ , , g .§ - x ` s CO • W O a � N ' "�" �d1 li 2 , 4 ,, ,,,„4:::: ,, ,, ,. ..,,-,....„....,..;;;;, , 1 64////i l § .. (a - - /*goge. r . V' g ir.,, Zh cc ' It la q 0 < is el I -0 co o m o � ;�,' ;iii % % � '4 16°1442 1; 1A141 4111 4‘ 14 /4 4).„1„ O ;;:I 0 ,, „If ,54,/ �.; O F- 3 .6�a 9 1 t iterri) O. Z Zw¢ati c a4� N C i. • _O i,`,\ r il hill i . 6 . � Z u o r d� /�i ... WT r;71 , LI I rT•5 4, f% -' ; ''', : c gik•22i::"Z'g V LL�' , , fl — 0 „A\ ...It . J • 1 ;1 i i r I i r n , a t p �/ / g I iNOS� ._1 /All ! // I x x Q x � o rJ � V ,+� ' 8 o I x- o / b \ d / t i 3 P x 1 S 1 /I , i41111.1111 1 °_ / jf it / I - y .9L 960- rbZ.L3.00S _ ss s�z x - .-- . - - - . • [� L x + x IA 40 h x' it O oL a 1� 0 '4z a 3 r J o N a _ _ 9.4 I al, • , N Jt _ x 1 h U N Poixi a x x 5 m' I t Alp.A.s - retv Oo ,Alit ° x. ••• i f , 111MIMP All.— 014 ,, irt. .„, 0 ..., I ,..14,-. i....—.. ..„ r o-, : ;41-, 4 ... b 1 - l 111 ----''..1 En f 01111 I "'Efl- Mill ''' I 1 III C;) _ . . i i -- 07---.--.--. •....fi., /Pr .---- ' l ig x ,. / A....4 Nill.11.1111.1 : 2 1 11".Y. :' ".'- y 1 � x x". x., • - 7 ,, e . ,:u.--.,..., ,wrai" ,,,,r-.. 4/ � r o x j I 1 7 186 ''' ,,.-;-. ' - -.'"7 ' :- : '"IIIII T 0 J x� �"' i / %'ice � � ; , y id '� j I. il 1 , - -K .. e::. . - 0/ ‘ &OZ. ,4 , ___ '"viterri WO. .0 4 ......ftt j , _,/,;( ilf,:a,, **, A papoim....:46 i, 0 olire'g • -.. , -, 4 di .N.1■.._ -- .01101 , / . I / . n:. Lei ■ , e i ,� �w'�/_-�° +�'Q, f i// 1��- - - - i f .-AiNwroo.4.-......... .,,...N. ■._ - 1 ,' ,i4 xv IpcAto ,i k s, ,,,,_, ,_,„,, .,. ,, : . ,, ,,..._ ,,,, ,,, ._, ., . 1 „ ,, , , . I .„ ,,,_. 11 1 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division ,., St. Croix INSPECTION REPORT Sanitary Permit No: 463324 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID Na Personal information you provide may be used for secondary purposes (Privacy Law, s,15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No Wilcoxson, Neil Hudson, Town of 020 - 1109 -55 -050 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No / o.p / pp 6 M 1 G5 r 36.29.19.443A05 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 5 S i Z(o v Benchmark , 5 IeLI ,57 [ srrg Alt. CS'C :k4., -- Z.,,,li .,IS t� MO BM . 1.— z .cSCG va 1. 7 , Aeration Bldg. Sewer Y V 5 c/ co , 6 . 7 Holding .441111 111111111 - St/Ht Inlet St/Ht Outlet e� q'5" 7 TANK SETBACK INFORMATION 1 , TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ \ Septic >/ NPr zei I z , / Dt Bottom \ Dosing Header /Man. Aeration Dist. Pipe 9 , /T , 73 Holding Bot. System Fit I Grade . ~�J PUMP /SIPHON INFORMATION GioSer .w 3 3 ,I At) Manufactur Demand St Cover N.N. ' \ 3s GP M el Number 7.1 T , Lift Friction Loss System He- • 'TDH Ft (--- Forcemain _ Dist. to Well SOIL ABSORPTION SYSTEM - BED/TRENCH Width / vs Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 : - Z Z �fe,,n C i OA '� �� SETBACK SYSTEM TO � 4 P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: n , a (('''s,(\ INFORMATION / _ CHAMBER OR d ' , t+ — t...) T y p e I ' a"- /O / . 3( N4- AJ - UNI Model Numbers � 1 DISTRIBUTION SYSTEM 4�I ea c,t- , Z V 4-> Header/Manifold ,, Distribution x Hole Size x Hole Spacing Vent to Air Intake a,^_ e ti Z. av\ Length i7 .�^ Dia Length N. Dia Spacing \ 1 Z,-, � SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 4-a 1.4.31- �"- Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ` o No COMMENTS: (Include 1 code discrepencies, persons present, etc.) Inspection #1: / / � 1 vV Inspection #2: /_.__ Location: 816 County Road N Hudson, WI 5401 (NW 1/4 SW 1/4 36 T29N R19W) NA Lot Parcel No: 36.29.19.443A05 1.) Alt BM Description = pn 1 " � El - S'� ' ' A 2.) Bldg sewer length = 06 - amount of cover = 1 / / qz" 1 1 / OH Plan U other revision s Required? I.___I.____`-ill Yes o I j S de for additional information. i___ I ���� � Date Insepctor Signature / Cert. No. SBD -6710 (R.3/97) .' *. , V ti . j n . 6 / . VI o 1: / ' / I I) a/kl . - ec�Qa.._ .d� S .._.... . .. 1. �. ...... _.._..__ _._ .f _..._. ......_.. A(1 /4L- ... _ :'n:... 0u G(-(J /O1 / .. .... d . g ... :....Li d e ns c: - ..77L2A y0.... _ .. . -----:. 7----7------- ''''' -- . . . or . • ,) .. i 0 . ,3. , Ali B '' 41) (3.1„,) 01‘.- ropol stv4) ri for lki r — T I p.IP .0 Vcv 1101,13 hip: '00.0 . A . ..._..........› ,,,,s,,-.4, . ftw,f 1 )K)-P . et . • PI- .' AO 9b' . . ii > s c ) ,, 11=1 i 13 p • �. IaLugAi5c tc, P•'S. s /aa% V AN() z�r►) E IBS' . . . Li QQPO6'r Qt.)) • , 0 ,,,,: ; 0 ..A-- ' • 0 ° / C r • , . • „ pi, . . - ._ _ • 40tose' koPo • S _ (.....,...-----____\ A it ;! ?.zAtil-- eTR.i..(,),, . ----> Af ... .: ..., 1 _ t : . 17.).% • • g . 1. I b • • I - , 1,i . 1 I %it/ t i i . • te * 11! 1 r ( thitT \ n • i 1 a ' 1 ..... : ., ' 1 11 1 ..... 2 i b flI I I • 4 V / 1--§ r b .--....:-. - . Or_ OPV . . b. -) itlit % • i 1 i . 1(,) k li • 14 1 '4 0.4 L a °) / ' • ' ivision County NIferscorisin • c s� o. Box 2 e �ro, x � Sanitary Permit Number (toile filled In by Co.) Department of Commerce / Q V 3 32 \ Sanitary P a /�� L µ fate tan I.D. Number _1-- In accord with Comm 83.21. Wit , e ` may be used for seconds p'jt Proj Address (if different than mailing address) 1. Application Information - Please Print All Information — C /J Property Owner's Na me A �� 0 r/ )F� Parcel Loth 8 Pro sy Owner's M ailing real ' " g /� /a � Property Location f Ii?? City, State Zip Code Phone Number /V d 'f. J 14 ;Section 34, /4a,c15oA) (Ni- `J - "7`U /4, (circle ) 11. Type of Building (check all that apply) T o7 N; R 9 E o v t f t I or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM 4 .. .❑ Public /Commercial - Describe Use �rjywt[ttc.., ❑ State Owned - Describe Use i iCity_I.jt/iltage L o wnship of • III. Type of Permit: (Check onl , ne box on line A. Complete line B if applicable) P I p : 020 — flog - Ss - DV) 6 ',/y si - 05 1 ' . A. New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision ❑ Change of 0 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner N. Type of POWTS System: (Check all that apply) 1`t Non -Pressurized In- Ground ❑ Mound > 24 in. of suitable soil U Mound < 24 in. of suitable soil U At -Grade 0 Single Pam Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter U Aerobic Treatment Unit ❑ Recirculating Sand Piker ❑ Recircula • S nthetic Media Filter k ing Chamber ❑ Drl . Line ❑ Gravel -less Pi. ❑ Other (explain) V. i . - • reatment Area Information: Deal Flow (gpd) Design Soil A • . ication Rate(gpdst) Disper Area Required (sf) Dispersal Area Proposed (sf) System Elevation . 0 • 8s8. 8'70- `" 7 7 a� VI, Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Cotstntcted Glass New &bring Tanks Tanks ` Septic or !folding Tank / / L /.) / bNe, ) s u Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement 1, the underelgned, assume rtspostt<ibWty for Installation of the POWTS shown on the attached dos. Plumber's Na % me (Print) P tier's • VI, MP /MPRS Number Business Phone Number � Ci o h ee c_ l ?6) 74 56% -96-20 . Ph ' A:., t (Str - Ci ', S .. Zh C.r `NV ' / U al J 5-- ia641 A 1 /- 0/6 y( Approved ❑ Sanitary Permit Fee (includes Groundwater Date Issued ksuing gem Signs; (No Stamps) Surcharge Pee) ' ❑ Ovnialliven Ream for Denial I► — 30 — .2- 2.°35—.-:-. ►i IX. Conditions of Approva!/Reasons for Disapproval ` � ��,��,.o .c .. ,A,._ SYSTEM OWNER. 3 J �S / S 1 Septic tank, effluent filter and r,r 4%4sx -one C .c..t o--.. &I a� le dispersal cell must all be serviced / maintained +� . as per management plan provided by plumber / ht> (�� T om_ 3 2. All setback requirements must be maintained w;(t Le a 4- CSKI. I, O as per applicable code /ordinances / ) ! n n �) x ( $S CS llRdC OD • Attach complete pint (to he County only) far the system on paper nnl less than al/ It 11 inches In also SBD -6398 (R. 01/03)c,_'Q^ ..1 . 6 1 . i *I() i. / r , J (4 /kl _5 , d e &/ riders ..i.yi.t.e.1-, 7-)/ L.ctao._d- use_..... _..._....._.. N, iyi _ u ua r, .e. e & L j T . Gta ICin / I d er. .. TZ 0 r • 1) _ _ - , 1 6 „3, s.. Ali (3.1n0R. A Rfhci,r1 i Oev °I0i.1s Irv- 60.0 3� $7. CO $PrIfi -7 v • pa ; ye A) PA DA 7' .:A`' - ---t 1�Ut�l�o 64 IOS V; Yt-Rta G No rA, o OW-I11 . • • ®Pri H A 11 iii":". 1 Ic?(A 0- l'izi.,G ) /u , ) ( -- . - . 7 � O BH .... i 1 a, • A'•,,,,�.,•� .. x yv ( Diit• ti I I Ey i . t a ; i '1 a . l . il I ki i 1 11 . • I d S in 4 (i 8 1 t ( 1 i i li 1 .(1q A ' .. • -I- K Li .. 0 k 1 ,__......... , ..,. .„,„,, 'D �7 11 Ailt •-v \\ ��,,�� ((�� ,7 �� PO 1628 Wisconsin Department of Commerce Pii/1111 EVIR�lA`N KE T Page 1 of 3 Division of Safety and Buildings , Steel's Soil Service, Inc. to accordance with ■ omm 85, ��'' I L. L . Attach complete site plan on paper not less than 8% x 11 inches in s' e. Plan must my St. Croix include, but not limited to vertical and horizontal reference point (BM) direction nnik i X L,) % "' `' " percent slope, scale or dimemsions, north arrow, and location and d' : nce tot:4 ' �d.(�r IC, Pa 11.D. ZUN Please print a information. iewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). A - (F43 • . 2 (f / Pro Owner Property Location Wilcoxson, Neil Govt. Lot na NW 1/4 SW 1/4 S 36 T 29 N R 19 , W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# .ace((/) a • ace2' • 816Cty RdN 1 na /// City State Zip Code Phone Number J City 1 Village e Town Nearest Road Hudson 1 WI 1 54016 1 715 386 - 2229 Hudson 1 _J New Construction Use: e Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement 1 Public or commercial - Describe: Parent material outwash Flood plain elevation, if applicable na General comments ✓ `.- and recommendations: Conventional system, system elevation 97.20ft. Trenches spaced and depth to code 5.60ft below grade. 1 Boring # 1 Boring j Pit Ground Surface elev. 102.80 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -11 10yr3/1 none sil 2msbk mfr cs lvf .6 .8 2 11 -26 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 25 -56 7.5yr4/4 none sl /Is 2msbk mfr gw na .6 1.0 4 56 -120 7.5yr4.6 none Is /ms osg ml na na .7 1.6 I 2 Boring # J Boring e Pit Ground Surface elev. 102.80 ft. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff t2 1 0 -12 10yr3/1 none sil 2msbk mfr cs 1vf .6 .8 2 12-42 10yr4/4 none sic! 2msbk mfr di na .4 .6 3 42 -58 7.5yr4/4 none sl /Is 2msbk mfr gw na .6 1.0 4 58 -120 7.5yr4.6 none Is /ms osg ml na na .7 1.6 4 1,2/0;. Z * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg /L op * Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L CST Name (Please Print) Y" "Sig ature: CST Number l — " David J. Steel 248956 .- r Address Steel's Soil Service, In r Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 2/4/2005 715 -684 -5680 • 4 Property Owner Wilcoxson, Neil Parcel ID # Page 2 of 3 3 Boring # Boring • Pit Ground Surface elev. 101.90 ft. Depth to limiting factor 120 in. Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/1 none sil 2msbk mfr cs 1 of .6 .8 2 9 -38 10yr4/4 none sl /scl 2msbk mfr gw na .4 .6 3 38 -120 7.5yr4/4 none ms osg ml na na .7 1.6 .51 / Boring # J Boring • Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # -J Boring • Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth ' Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg /L 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. • , STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Neil Wilcoxson 994 200 St. CST- POWTSM NW1 /4,SW1/4,S36,T29N,R19W Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Cell.(715) 760 -0347 C _ • . ' ! ' • Fax.(715) 684 -3449 ( _ 19,,,, • , 1 0) ti.„ 9.6 jej / Legend N " � 1 " =40' I 0 = Benchmark Ele. 100.00 ft 1 ( Top of 3/4" Steel pipe -' ,17:2) ( • = Alt Benchmark Ele. 101.75 ft „/ -, ` / Top of 3/4" Steel pipe / ,.,. ❑ = Borings (.------ Boring Elevations _ z rD B1 = 102.80 ft B2 = 102.80 ft B3 = 101.90 ft L ) --------- L- ( i / /_____ B4= 0.00 ft /6d nd( t tt 17 ' , r---. ),-- e" brt:-e-- . #11111,111 \ ' 1 ., ' Ill , s /° 5 h ,), ; .-„,15ra-- ... ;2d ki v -, v : ' Jan 28 05 11:21a Team Speer Bast 7153868660 p.2 4 BEARINGS ARE REFERENCED TO THE ST. CRO,%000NTVGPSNETWORK% k NOQ �1,zi NAG 1983191 r © _ as"� 244.0 0 = t ' 21 1.01 • uw e • n } b y • $ I �, Q `3 l8/11 , . ' \ : U r"... ' '.° • ..' i 33' 33' N k g 8 . ‘‘%. 1 : ...:P/ b 0 / t � .' f w 1J ji de �� ; 100 n G Z Z X �..� 1 Z W Q U W 239.19' 272.67 S9 Z N to 1 S02e2 = 2'B 622.33' : S LI 1 i .i W 6 lw .9.77 Y ' 8 6 0 _ 972 OW 1 6 5-7.6 3 —4,1i O UN00'37. 262 3' WEST LUNEOF THE SWI /4 Pa POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner ca Septic Tank Capacity 1 2100 ga l ❑ NA Permit # 41/ 3 3 2. C --f4__' Septic Tank Manufacturer 1,3 E ❑ NA DESIGN PARAMETERS Effluent Alter Manufacturer 2-x42, 4..L ❑ NA Number of Bedrooms 7 ❑ NA Effluent Filter Model A- _ (a° ❑ NA Number of Public Facility Units 171) NA Pump Tank Capacity gal FONA Estimated flow (average) L i gal /day Pump Tank Manufacturer LNA Design flow (peak), (Estimated x 1.5) ( OD gal /day Pump Manufacturer I:1A Soil Application Rate 0 ,tO gal /day /ft2 Pump Model • DNA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit - RNA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L 34In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100mI ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: AA Other: ❑ NA Other: '4I [; A *Values typical for domestic wastewater and septic tank effluent. Other: 9NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: CI month(s) 3 � year(s) (Maximum 3 years) ❑ 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: 3 CI month(s) fa year(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ( month(s) ❑ NA a year(s) ❑ month(s) Inspect pump, pump controls & alarm At least once every: CI year(s) 701 A ❑ month(s) Flush laterals and pressure test At least once every: ❑ year(s) OA Other: ❑ month(s) At least once every: ❑ year(s) Other: L,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 POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page Z of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. . Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption ta n 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. o 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. f T alua - .. - _ . . • ... • - . ,- : o • mg tank o Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER 1. Name,,,„, 1o��,n- Name � Phone w S , �(, , �jo Zo Phone V SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name s''(-', C 91 20tJliclCs- ' �� Phon -7 /s— 3g & p Phone S (p- This documen drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. Feb 17 05 10:35a Team Speer- Bast 7153868660 p.1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND I;;::. OWNERSHIP CERTIFICATION FORM Owner/Buyer NI£G wlccoxsok) / keatxry 5• $AScr Mailing Address 8lt' C' TY• D. V mos0.0 , Wr 540(. Property Address it 5ret. 4IITt4ot£0 LE(oAG QES rpTiot) (Verification required from Planning Department for new construction) City/State N• /W /5 calls /il Parcel identification Number I,EGAL DESCRIPTION ir seC ATCtC IMO LEGA p Pro N Property Location '! %, Sex. % N - W, To Subdivision Certified Survey Map # ; V me , P # Warranty peed # / D . Volume 275 , page # 3 / b • Spec house 0 yes p3( no Lot lines identifiable,i yes 0 no SYSTEM MAINTENANCE Improper use and maintenancoof your septic system could result in its premature failure to handle wastes, Proper maintenance consists of puaapiag out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system cam affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agieesjo submit to St: Croix Zoning Department a certification form. signed by the owner and by a masterplumbes.journoyananphnnber. restriotcdphnnber ors licensed pumper verifying that (1) the on -site wastewater disposal system Is in proper operating condition and/or (t) after inspection mod pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the mutton . • have rind the above requirements and agree to maintain the private sewage disposal system with the standards set forth, , • as set by the Department of Commence and the Department of Natural Resources, State of Wisconsin. Certification - , . -- • lie system has been maintained must be compkted and wonted to the St. Croix County Zoning Ofiee within 30 tit of . I. Ai' , Lion date. da /K los `, 3MA I • F APPLICANT DATE t „t R +L_,' MI ATION a;' - ; t statements on this form are true to the best of my (our) knowledge. 1(we) am (are) the ownes(s) of the • .4. -, , . , - • . of a warranty deed recorded in Register of Deeds Office. v Gb7 /6 la 4-- r A :4 PLICANT DATE Any information that is mis- represented may result m the sanitary permit being revoked by the Zoning Department. " Include with this application: a stamped warmly deed from the Register of Deeds offics a copy of the certifrc4 survey map if tcfptante is nude in the warranty deed • T €A7 - - 7861 13 U 2 ?39 P 316 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.. WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 01/28/2005 03:15P)1 WARRANTY DEED THIS DEED, made between Neil L. Wilcoxson and Mary Jo EXEWT # Wilcoxson, husband and wife, Grantor, and Kernon J. Bast and Donalda J. Speer -Bast, husband and wife, Grantee. REC FEE: 13.80 Grantor, for a valuable consideration, conveys and warrants to Grantee COPYSFEE: 4212. 90 the following described real estate in St. Croix County, State of Wisconsin: CC FEE: PAGES: 2 SEE ATTACHED EXHIBIT A • Recording Area Name and Return Address: Edina Realty Title, Inc. 400 S. 2' St. - Suite 115 Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights -of -way of record, if any. 456780 r — in=111-0,4) 020- 1110 -30- 000... 109 -55 -050 Parcel Identification Num This is not homestead properfy. Dated this 28 , •r: y of January, 2005. ,J A I ALS �•• I�" ( , u � '1 L. VJi cox !, - _ * Mary 3o if oxson AUTHENTICA PUb� ACKNOWLEDGMENT Signature(s) . t \ - STATE OF WISCONSIN ) ' • ST. CROIX COUNTY. ) ss. authenticated this 28th day of January, 2005 Personally came before me this January 28, 2005 the above named Neil L. Wilcoxson and Mary Jo Wilcoxson, * husband and wife to me known to be the person(s) who TITLE: MEMBER STATE BAR OF WISCONSIN execut:1 . e fore oing instrument and acknowledged the same. (If not, _ authorized by § 706.06, Wis. Stats.) / THIS INSTRUMENT WAS DRAFTED BY *Chen : rown Notary Public, State of Wisconsin Peterson, Fram & Bergman — Steven H. Bruns My commission is permanent. (If not, state expiration date: 50 East Fifth Street, St. Paul, MN 55101 3/11/2007 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000 i - U 2739 P 317 EXHIBIT A Parcel 1: A parcel of land located in part of the SW '/ of the NW '/ and part of the NW 1 /4 of the SW '/ of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; more particularly described as follows: Beginning at the W '% corner of said section 36; thence N00° 16' 10 "E, along the west line of the NW '/ of said section, 1248.49 feet to the north line of Lot 1 of Certified Survey Map recorded in Volume 3, page 669 at the St. Croix County Register of Deeds Office; thence N63 °02'59 "E 148.42 feet to the north line of said SW % of the NW '/; thence N89 °26'58 "E, along said north line, 1182.70 feet to the east line of said SW '/ of the NW %; thence S00 °21'37"W, along said east line, 350.04 feet to the north line of Lot 73 of the Plat of Cottonwood Ridge First Addition recorded at said office; thence S89 °26'58 "W, along said north line, 10.00 feet to the west line of said plat; thence S00 °27'24 "W, along said west line, 2096.76 feet to the centerline of County Trunk Highway "N" and a point on a 1999.00 foot radius curve, concave southerly, whose central angle measures 7 °10'30 ", whose chord bears N84 °30'41 "W and measures 250.16 feet; thence westerly, along the arc of said curve and said centerline, 250.33 feet to the point of tangency; thence N88 °05'56 "W, along said centerline, 83.64 feet to the point of curvature of a 2700.00 foot radius curve, concave northerly; whose central angel measures 3 °17'53 ", whose chord bears N86 °26'59.5 "W and measures 155.40 feet; thence westerly, along the arc of said curve and said centerline, 155.42 feet; thence N04 °29'56 "E 244.01 feet to the point of curvature of a 167.00 foot radius, concave westerly, whose central angle measures 34 °24'12 ", whose chord bears N12 °42'10 "W and measures 98.78 feet; thence northerly, along the arc of said curve, 100.28 feet to the point of tangency; thence N29°54' 16 "W 274.22 feet to the easterly extension of the north line of Lot 1 of Certified Survey Map recorded in Volume 12, page 3456 at said office; thence N89 °' 12'45 "W, along said easterly extension, along said north line, and along the westerly extension of said north line, 670.44 feet to the west line of the SW '/. of said section; thence N00 °37'50 "E, along said west line, 496.89 feet to the point of beginning. AND Parcel 2: A parcel of land located in part of the SW '/ of the SE % of Section 36, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin; described as follows: Beginning at the South ' Corner of said Section 36; thence N00 °27'05 "E, along the north -south '/. line of said section, 1216.78 feet to the centerline of County Trunk Highway "N "; thence S76 °47'47 "E, along said centerline, 1354.82 feet to the east line of said SW '% of the SE %; thence S00 °07'02 "W, along said east line, 897.02 feet to the south line of the SE '4; thence S89 °33'25 "W, along said south line, 1326.80 feet to the point of beginning. - J • AS BUILT SANITARY SYSTEM REPORT 1 OWNER r t ) � , / / , v , l r , o r S , h TOWNSHIP a r A c t e S V 4 / SEC .( 1.79N-R/ I ADDRESS ,f / / ,,,,„ ST. CROIX COUNTY, WISCONSIN. w./ 5-4/6/G . SUBDIVISION LOT LOT SIZE - PLAN VIEW K Nit Rel Distances and dimensions to meet requirements of H63 0" „ZQ-//09_SS .. , _ ._..__.. --HOW_ EVERYTHING WITHIN 100 FEET OF SYSTEM ,. n --------- ._ -_X .J __ . II - - __Hi Pr 5 -s , - its' . X mi l IIII ' 1 III 416Z4 .1111 11110111111111111 ; ....---- OM ______ it., AirireAPIIII 6, Ili Myr 3 •• " Ea ,t 114 4 ,7 _,_ , :m i tli n .1i itirairge . ____ air ...... f _ e _ v ______ A _ _ WAIN ria 1 . .:,-,,,F;-_, -- 1111111mal - z ._ r I di R1---- ----1 -A-r°14; i _, SCALE : _ -0I/ i , BENCHMARK: (Permanent reference Point) Describe: / y 1i / S '� e ` / ,'f` �` 6 /VC 0, rn4L Tle,t - n r f�i Elevation of vertical reference point: /00 o a Slope at site: e - SEPTIC TANK: Manufacturer: 4rlr(s,rr Liquid Capacity: 66 Number of rings on cover : inc. Tank manhole cover elevation: 79,6,, Tank Inlet Elevation: y6 `/o ,ti Tank Outlet Elevation:9 ' p1" PUMP CHAMBER Manufacturer: f.0 ?,°Sry , 4. Number of gallons 7S , Number of gal. pump set or a cycle 7,s- gallons; total capacity of distribution lines a3 gallon: size of pump head; gallon per minute y7! 2 ; horsepower L,/i/ n ; brand name of pump and model number lnei .c 5.5 y Vi/"/ f' /o / ; Type of warning device. s, J Efrc l5 I .rns /0/ tic mr To n) ,lh *i' Manufacturer Number of gallons_______ Elevation of manhole cover Ty.e of warning device _ __ • " Number of pits feet diameter feet liquid depth } seepage pit inlet pipe- elevation bottom of seepage pit elevation feet. �� SEEPAGE BED SIZE: number of lines 2 width / .1 I length 2/ tile depth 9s : width length PERCOLATION RATE C i,;,, /, b, AREA REQUIRED ;sp c/1 / AREA AS BUILT 2d y s ' f INSPECTOR DATED 7 2 3-- f PLUMBER ON JOB , LICENSE NUMBER 7 .3-.1 -� ) DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LAB6R & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. EPX 7969 BUREAU OF PLUMBING MADISON, WI 53707 El CONVENTIONAL D ALTERNATIVE State Plan I.D. Number: Of assigned) ❑ Holding Tank [Sti In- Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE n e . 1 I.v; 1 cbxson, Q-f, 1 4b Son / i,L6 51-1 O i in BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.. 41 w S iA) Sec, 3 j 'I as 17 P ,ct Lt) bl uctSo n' Name of Plumber MP /MPRSW No County: Sanitary Permit Number: D$1 4-1 g SEPTIC TANK /HOLDING TANK: Z—" 7.Q. i MANUFACTURER LIQUID CAPACITY: TANK NL T ELEV.: TANK OUTLET ELEV WAR NG LABEL LOC IN - JQ.tl.L( /v \J70 ` 7 V �v� .IVES ONO 1 LINO BEDDING: i VENT MATL: HIGH WAT AllteraP:'&7154.- �� - - OAD: PROPER WELL: BUILDING: VE FRESH ALARM , O , L I AIR I NLELE T .''YES ❑NO ❑Y3. D'SI G CHAMBER: BEDDING: LIQUID CAPACITY. PUMP MODE PUMP /SIPHON MANUFACTURER WARNING LABEL LOCKING COVER ,�Y ,� YES LINO S S - J •R0 IDED • - • YES ❑ NO GALLONS PER CY L : - PUMP AND CONTROLS OPERATIONAL 7,', R g ,. PROPERTY WELL BUILT NG. VENT TO FRESH (DIFFERENCE BE WEEN . „ o n ; '' ' LINE AIR INLET PUMP ON AND OF ) OYES Z.9 NO ' SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowi LENGTH DIAMETER MATERIAL AND MARK / or excavation. (If soil can be rolled into a wire, construction shall cease until ,h / 2 the soil is dry enough to continue.) ,aa ,.,` C� CONVENTIONAL SYSTEM: A; tT : WIDTH. LENGTH NO OF i DISTR. ; IPE S MCOVER sT . V INSIDE DIA.. #PITS. LIQUID = B TRENCHES MATERIAL t u DEPTH l'Aft;4444,0;AtZiei V RAVEL DEPTH FILL DEPTH ELEV INLET DISTR. PIPE �i EERIE •I A ,- PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE E THER. ELEV. INLET ELEV. ENDS. PIPES ES r "f LINE AIR INLET: f m a 6T ti 1 MOUND SYSTEM: Mound site plowed perpendicular to slope Che k the t -xtur- of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mo 'nd step- to make certain that it ON REVERSE SIDE. SHOW ELEVA- m:ets ; • Iteria for medium sand. TIONS MEASURED. ❑YES ONO E SOIL COVER. 'TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ONO El YES ONO I DEPTH OVER TRENCH 'BED DEPTH OVER TRENCH /4 • EPTH •F TOP OIL. SODDED SEEDED. MULCHED: CENTER EDGES t� OYES ONO OYES LINO ❑YES ONO PRESSURIZED DISTRIBUTION SYSTEM: ' �:4 =.; LENGTH WIDTH LENG. NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW P FILL DEPTH ABOVE COVER: = 5 i 1 2.. a 1 TRENCHES: n I r '+°Q° W ! ANIF LD PUMP • • MANIFOLD DISTR PIPE MANIFOLD MATERIAL O. DISTR. DISTR. PIPE DISTRIBUTION ' IPE MATERIAL & MARKING. 1 / ' tt" L M ELEV . , L I Z ELEV, r DIA ELEV N PIPES. DIA.: � J HOLE SI _E HOLE SPACI G. DRILLED CORRECTL T , COVER�RIAL: PLANS VERTICAL LIFT CORRE PONDS TO APPROVED A0 3 � B YES ❑ NO YES 0 O COMMENT& " ... -• PERMANENT MARKERS: OBSERVATION WELLS: w Z - PROPERTY WELL: BUILDING: ,- _ �_._.. ._. ❑YES �_l NO 11":.Y ES 0 N 0 0 , Of r ,. ` V L % te t‘ ''.'"' ''''''' ' i Lei LU IV e C 7 l i I 7 / . . Lik .z ..4 Lj Sketch System on - . RetaiVn Goynty, file for audit. Reverse Side. . • rarsiATURE: , - t T ITLE. -"` DILHR SBD 6710 (R. 01/82) '" ' DEPAi3.TN1ENT OF APPLICATION SAFETY & BUILDINGS INDUSTRY, / �' 'lh FOR SANITARY / i , ° =1w""' 'f DIVISION LABOR AND it t PERMIT � � 1 ) P.O. BOX 7969 HUMAN RELATIONS i (PLB 67) y MADISON, WI 53707 Attach plans for the system on paper not less than 8 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H -63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mailing Address: , - % /I/.F'L. LOLL G� D X-S.sf/ R-- r�ll D6®Ili / I�C)I S SO/ 4 Property Location: City, Village or Township: County: N1.0 610 AS 34 /14? N/ Ft // E (ore 1.112:So_6/ Lot Number: Bik No.: Subdivision Name: Nearest Road, Lake or Landmark: . State Plan I.D. Number: cry „ N .. (If assi J e 3 323 3 TYPE OF BUILDING �� Number of LJ ❑ Public ❑ Variance Other (specify) /At a ENI7 f RP- SS (.t.2,. Bedrooms: Q 1 or 2 Family * State Approval Required. '. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER i GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY /m SAO / s.---- HOLDING TANK CAPACITY /P LIFT PUMP TANK /SIPHON CHAMBER x„$'© MANUFACTURER: L I S EA " EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA �/ E ,/ (Minutes per inch): PROPOSED (Square feet): l!� New El Replacement CI Experimental L7 Seepage Bed ❑ Seepage Pit 2 y p / ❑ Alternative (specify) ❑ Seepage Trench Water S 'ply: Owner's Name as Listed on Soil Test Report (If other than present owner): te L+�Private ❑ Joint ❑ Public 1 4 14 4 1, the undersigned, hereby assume responsibility for installation of the private: wage system shown on the attached plans. Name of Plumber: Signature: / MP /MI:WM-No.: Phone Number: ` Plumber's Address: Name of Designer: /oz '5!, F7i TEfiro/vT 19 t7e4 ifttik FALL -s, /2)/66, COUNTY /DEPARTMENT USE ONLY Si nature of Issuing ent: Fe Date: Sanitary Permit Number: � a r J V ,II A PPROVE D ¢ 1 J Q+ l' - ' p �(� ❑ DISAPPROVED O 1 `1 U Reason for Disapproval: Alternate course(s) of Action Available: I i Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White- County, Canary- Bureau of Plumbing, Pink - Owner, Goldenrod - Plumber DILHR -SBD -6398 (N.03/81) , DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDIOTRY, DIVISION 69 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS LOCATION: SECTION: OWNSHIP /MUNICIPALITY: - LOT NO. BLK. NO.: SUBDIVISION NAME: /0/4 4 /T,?9N /R /9' E for W ._4-, ___ COUNTY: OWNER'S BUYER'S NAME: MAILIN ADDR S : Sr ( /t.o'X / . ,';/ 1� /� /- o /CCD4) _ /TT / , AA- , /-ix- S"`tp /e US DATES OBSERVATIONS MADE ��..�� ,,// NO. BEDRMS.: COMMERCIAL DESCRIPTION: Z PROFILE DESCRIPTIONS: PERCOLATION TESTS: Mf esidence Q�Vew ❑Replace 7- 71. 7-1 -�Z- RATING: S= Site suitable for system U= Site unsuitable for system , CONVENTIONAL MOUN IN -GROUN PR EESSURE:'SYSTEM- IN- FILLHOLDING TAN : RECOMMENDED SYSTEM:(optional) ❑ S �'U C DU . C L U DS 20 E S Qt) t - ,, � . If Percolation Tests are NOT r equired DESIGN RATE: SYSTEM ELEV. If any portion of the lot is in the under s.H63.09(511b1, indicate: / 95 7 y Floodplain, indicate Floodplain elevation: /,/r'_, PROFILE DESCRIPTIONS 0 4 a — BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL THICKNESS. COLOR, TEXTURE, AND DEPTH NUMBER DEPTH N. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 3 76 a Cr '..r ) ' > 7 2 / / " /7/ / -.?G'' g., s/, 4 /4 `. me./ .5- B- y ¥ ( ; , - , ) 6 ' o 7 13/ / 22 LI _S /, L/ 0d.5_ s B On C df rci lel C,�p, ke—c ' . 1`JbS..L0-e14 /,. 4- 6� '� 6 y h,_h , -P. , fr, ✓ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING_ INTERVAL -MIN. ` PERIOD 1 PERIOD 2 - PERIOD 3 PER INCH P- /— y,-1► ..�GLi /0 y / 3 y i ` % 6 lv P 1 S,Z ' ,Jp/r / •2 - 2 r .2 v _ / i/ L P- 3 9/ ' •t /Awe i o 2 j . �r ' / �� / - I P- P- P- PLAN VIEW: 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 slop. C1/ 1 3 it SYSTEM ELEVATION - -'- $ 4 (Y / '_ �o i 0A) C :k in C t ar 7 - /- S2- xcf -Z40 / ° )1 , ij&/j Yt - Zvn t X1 /r /%1 NW k al- 6ere R ole /per s& 31, 3/ / .___ _ t .sE I:1 Core �tv1e >rti r setu:t. fta, V y ; / a �4 %a �i7 w N i s m / "90 /,r p't N l Ave al Ar.e N H x'3 6 ' r 44 / /, ; , QSS 4t -e e %Pv - /6112-0 . t - a' ° - f (e1 4 S lsl fro /psi . I BSc heki4. ._ • 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsir Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (p t): r--, TESTS WERE COMPLETED ON: 1 / C 2 V /- (-- d ' g t x p • P /^7` ` 1 7 `)- — k 4 ADD�RESS: / / C ERTIFICATION NUMBER: PHONE NUMBER (optional): /50 / 36 f /r ,4 / /Z� 31-33 7/5 76_Z / IGNATURE• --...staw tom. ►...11.. . DISTRIBUTION: Original -Local Authority, 2nd page- Bureau of Plumbing, 3rd page - Property Owner, 4th page-Soil Tester. DILHR -SBD -6395 (N. 03/81) — J IN -GROUT D P ESSUPLE SI -- ` FOR 1 .‘:_-_ , w\ . 54'D'_ LOCATED IN THE Nw,,OF TFT', Sli-/ 40F SECTION 36 , T Z9 N, R 19 W, TOWN OF •J`'- 'nr_, �Y, �,71�`, y _ COUNTI', WISCONSIN . INDEI PAGE .F H ET E PACE 1 of T ITS SHEET 7 PAGE 2 of 7 WORKSHEET PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE L►:YOUT PAGE 6 of 7 DOSE CHAMBER PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED F'OF. - BA Tye., --)\,c.c>1. . ' �G 5 *7�A- 7 10 S S. Z'� D}J T R.1 ) ER F= LL.-s, 1-L.)1 . 5., D RECEI PREPARED BY '1 1 'c3 1982 KOZEL, v EGERER AND ASSOCIATES ,s.) 2 NORTE MAIN STREET moG SEC1��N RIVER FALLS, 'I. 54022 538 p�- 8 d r / C i2, � � . , * KOZEL * • ' " ' ��� // DEPPvT OF IN`J� E -09415 io y—,. � , RIVER FALLS, i j — ^� �• �� A te• ) WIS. • : ��i 4 O,�l "• .t 3 r–, / 1 I 3 13 1•X . S - - 7cs • F . P,.C-7 te - OPTIONAL WORKSHEET . I{, IN GROUND PRESSURE SYSTEM- Continued- I. MOUND SYSTEM _gal 10. Force Main - t gpm. 1. Wastewater Load, Total Dally Flow = Mlnimu�. Dosing Rate = V Use section H 63.15 (3) (c), Wls. in. Dlamete _ Adm. Code and PROVIDE A DETAILED / 11. Total Dynanic Head: LIST OF SIZING ON PLANS. u/ . ft. ft. Vestem Head = � 7 ' ft. Sy 2. Depth to Limiting Factor = ; rtical Lift =-------- - -- ---- ..-`j- ft. 3. Distance from = / Friction Loss = � , -s ft. 4. Distance from Dose Chamber to ft- Too _ Distribution System = j 12 Pump Selection: 5. Elevation Difference Between _ ft. Pump will discharge at leas gpm Pump anArea Sizing System = at 1 \. S ft. total dynamic head. S / 6. Absorption Required Sizing: sq. ft. Pimp model and manufacturer: an /! 1 Area Required = Bed or Trench`Length (B) = ft. 13. Dose Volume.: or Trench Width (A) = ft. 10 Times Void Volume of .-, ' Trench Spacing (C) = ft - gal. Distribution Lines = 7. Mound Height: ft. Daily Wastewater Volume -.) S Fill Depth (D) = gal. ft. 4 Doses in 24 hrs. _ �� gal Fill Depth Trench Depth (E) Backflow = 9tf gal- Bed or Trench Depth (F);= ft• ft. inimun Dose = Cap and Topsoil Depth (G) = 14. Dos Chamber. - 1 S � Cap and Topsoil Dept$ (H) _ ft. . g al. 8. Mound Length: / � {olume = fi End Slope (K) _ .` III, ONVEI�TIONAL PRIVATE SEWAGE SYSTEM Total Mound Le gth (L) _ ft• gal. 1. Was ewater Load, Total Daily Flow 9. Mound Width: •� se section H 63.15 (3) (c ), Wis. Upslope Corr ction Factor = ft. dm. Code and PROVIDE DETAILED Upslope Width (I) = ST OF SIZING ON PLANS. Downslope Correction Factor = g ft. 2. Re. uir• . Septic Tank Capacity = / min. /in. Total Mound d Width (I) = i I Rate = / Total a :ound Width (W) = ft. 3. Per olat4. Ab rption'sArea Sizing: 10. Basal Area: efer to Table 2 in chapter H 63 Infiltrative Capacity of nd PROVIDE A DETAILED LI OF Natural Area Sail = scl- f tq.ft. /day sq. ft. (ZING ON PLANS. / Basal Area Required = sq. ft- sq. ft. Required Area = ' Basal Area Available = Length = „ ft. \ � 11. /1f Standard Tables from Chapter L Width = , ft. / H 63 are Used, Indicate Table No. Number of Trenches = 1/1. For the Distribution Network, Use Numbers 5 -14 in Section ll. Trench Spacing= ,,, ft. 5. Distributio^ Systr m: N\ ft. II. IN- GROUND PRESSURE SYSTEM - ft. I Lateral Le-rith = 1. Depth to Limiting Factor = 3 % I Number"of Laterals= 2. Landslope = Lateral S pacing = in. Percolation Rate = min. /in. in. 3. - 9y• 9 ft. Z 1 3F - IB: Distance from Sidewall to Pipe = 4. Proposed System Elevation = 5. Wastewater Load, Total Daily Flow: bD gal. 'System Elevation = \ ft. Use section H 63.15 (3) (c), Wis. Z BnZ - = YOv-IE.X 1SD' /' ��V. SYSTEM -IN -FILL Adm. Code and PROVIDE A DETAILED /Fill in All Items from Section III - I LIST IST OF SIZING G ON ON PLANS. NS. 7 SO al ' Q� '`' Required Septic Tank Capacity = g V. SEPTIC TANK e8 b �Y 6. Absorption Area Sizing: 6 1. Capacity = \000 gal, Percolation Rate min. /in. 1.A See. (1yJCR F TC- - P1' -0� i`-a ZS� s ft 2. Manufacturer: System m Required = 3 Show Site Constructed Tank Details on Plan System Length = - i ft. . System Width = \ ft. VI. DOSING TANK - 1 S� gat. 7. Distribution 5 1 7 Pipe Sizing: 3/C6 1. Capacity = Hole Sizc = to Wl ES.� '•- >JC- I = Tn -ob Hole Spacing = 7-7 i 2. Manufacturer: r, .. - _ -- \ Z._`-' N $ 3. Pump Manufacturer: "e Lateral Site II C S y `/ //o H� \ 1/V i 4. Pump MAC!: C,, 1 ft. L.eler i Lateral Spacing ft. 5. Operating Head= 1-1--) gPm. e In. b. Flow Rate = Distance From Sidewall to Pipe 7. Show Site Constructed Tank Details on Plans H. Distribution Pipe Discharge Rate: Number of I toles Per Pipe . NG 1 AN K 9. Ma 1 low Per Pipe �" 3. 6 goon, gal. 1. Capacity 1 ypr ( ccniei o �� 2. Manufacturer. I Length coma r end) Ft 3. Show • Obn trcted Tank Details on • . s u Length = Diameter = 7 {n. -SHOW ALL INFORMATION ON PLANS- • PLOT PLAN Scale 1 " =' CGS` T F, :'`-3 >w 98 -L' e.s F117- 99 ? S•2 1 1' 93 / •• \ B3 // ; . 134' ' i , . ' 11JSTALL FoIe.c.E_If ]L AT I c A Gr =t 986 %I' 116 , r� � di� �F� / � if S V ICE r /.a- tntAt 1 LE �}oV1 ,- n , , , t,. - „,,,-k aP - y Ar d ,-- h ‘4''' .\4 - --- '''' ' a y Sae- 99 �/ �� y` 1 ', Z Mog 1 . tai *TD BE. _ wclklt✓li_ _ ITT LEAST ID P s ST'= Cam - ��r "O% St t.liu Se? c WOK - , s; ( s- NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install cast iron pipe 3' onto undisturbed soil both ides of each tank. 3. Install permanent markers at end of each lateral. ( 4- required) 4. Install 4 ". observation pipe with approved cap. (Z required) 5. Septic tank to be \obo gallon capacity as manufactured by ‘,L_ \ �S Oo)Q c1Z- .'` 7 0 'vcYS _ 6. Bench Mark- Elevation lDO -D' c k 1" '',1:i) G/N�vNrvVzet \RoK Pi Pe _l„c,CR'CeS, __ 2.7,43 ' SoL-Tt1 Dc B \ . PIPE rT cF -1.17-I . • '7. =li illtIcil,K LbGR` Pi . Le �E .- &k157)/ )G t/ -SS . _- ,r.:, 7 _1 r..:7 _ L , ' .L- :-. , 1 - _ - - _ - ;--;-, ....- . „ — — — --- --- %..-.'' C F ! 1_ ;__ I i • ,- • : ./----•------, 1- "F-' P R f:._) \, [ 1:' :, 1...1 Hz. cOVL F . - * OF / (I ( 7 OF 2 ; - .2:/z- 3 AG GREGATE --.—_, F'ir - 1 - [ v.: I-7 L',1 :- E. - ThS its.3;.„.)-1EZ BITLOv. ..7L-i1J_ C,RADE /-UL P,7 A I:P. 7 Lr" WC__ 1-1ELL BO; JO /•10F.11 THA1J t42 MEW= E F 11,3 t--,L C-F.;--ADE --, ,iv DL PT or 1- _-_ ): C AV,b.- 1 44 fs7 R DM DR 1 IS 1 ki 4,1_ C R ALI_ \. L " A.2 ,7 D WIrt t0.% ) r.RCSK' l•MIJITs P'1 DEP DV E ) . C A A , _ v , „ . , , , \ O R U L C- P. AD1.. V.fl L 1_ I---.._ - -S- S 11JC_HE ._ '"- I!: ,,1., .;'\ ", ,.) 982 ,,..., • ,-,—.: ",,, ,.. . :,. C.. •,.. '.,: . } ' I '' J 1 . 14 Z 05 ?1 .13vp,BvtiG s .•.; ,3,.. i.-- ,...: ,..,..• oser volion F ,,,,, t. (.....-`;, , :f.s? " - \ i _ _ — — — _____ / .1___—__ i --- — — , 1 n 1 3 1 , . In _ ______ - 1 f _ 4 4 3 1 .\,... _ - \ \\ E e c; O f -- .— 2 l'" - ss • • . -..._ Distribution • ,...__ 2 Pipe Aooreoole Observoiion Po F Morkers • Pion View 01 A Bed For The Absorption Ar eo i- C 1 - 1 } Perioroied Pipe Deioll 0 r. C 'v.'. r.! Lai•- / // / ^ PV: t• • '�> kit i Culiic Spot e PVC' ford Moir. y Q PVC �1�i� Manifold Pipe / f n` Q '.01! 1 ) S32 SECT PLO ti\E1NG 1 ost holt Should 6t.j hiert to End GDP i End Cpp Disiribuiior Pipe LoyoUI F IS `P-T. c `F`r'• Y. Z i ih Y Z"; I h . _ Hole Diameter -1/25 Inch Sinned: Lateral 11' Inches) License Number: Manifold et Z - Inches Force Main '' Z Inches Date: T I ,;: RELATIONS, . . w: ^ "fie ay",� -�,../ �., . 4 . PAGE 6 OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIOPJS • —VE NT CAP 'i VENT PIPE WEATHER PROOF APPROVED LOCKIMG MANHOLE COVER JUNCTION BOX 25' FRGM DGOR. T WINDOW OR FRESH 12 "MIU. 1 AIR IMTAKE I GRADE, I 1 y" MIA]. II I * 18"MIN. l8'MIN. \ -T i _ r _ r Y___________ ,4 INLET > ✓L_ S3. O r A JRTH D T E SEAL II f ,,,;14 I I nGk I I APPROVED JOINTS APPROVED JOINT A � " a ��4 r � , !'*� • y I I I W�C, =, PIPE W/C.Z. PIPE `'' 3i S � I I I ALARM EXTEAJDING 3' EXTENDINt; 3' L. `j2 Z. , „.,o) s -tn* , 1 I ONTO SOLID SOIL ONTO SOLID Sot_ F ��� • , >;s' ��.. 1.00 PUMP ---.. _ O FF D t v L 8 9. SOS CONCRETE BLOCK I * RISER EXIT PERMITTED GAJLH IF TANK MANUFACTURER HAS SUCH APPROV1.4,.? t SPECIFICATIOAJS it./2° 3 { I0SE TANKS MANUFACTURER: \K--)I-5-707. :AJ Y ` , ,)YJ`7V., LUMBER OF DOSES: PER DAS TANK SIZE: --- )Sc) , GALLONS DOSE VOLUME: `2 GALLOLIS ALARM MANUFACTURER: ,--Z' : -�C-T SAS 153 CAPACITIES: A= - 9 - 3 11JCHES OR - 00 - GALLOklS MODEL NUMBER: 4 i0/ Hw l r ALT B= z (RICHES OR ''// GALLONS SWITCH TBPE' - C= 41 ' 1 / INCHES OR 9 T GALLONS PUMP MANUFACTURER: r• • V-1 y it _ - S CA ' D= L• flJCHES OR GALLONS MODEL NUMBER: . U y//O F MOTE: PUMP AND ALARM ARE TO BE SWITCH TYPE: P�GIJ� I INSTALLED ON SEPARATE CIRCUITS PUMP DISCHARGE RATE Li 7• .Z GPM (/ VERTICAL DIFFERENCE BETWEEN N PUMP OFF AND DISTRIBUTION i TION PIPE T FEET ± MINIMUM NETWORK SUPPLY PRESSURE 2 . 5 FEET + 1 iO FEET OF FORCE MAIM X 111. /8 F XD FZ FRICTION FACTOR__ 7 - b FEET = TOTAL D 3 kIAMIC. HEAD = \\ ' FEET - 19.5 ' ' �1 41 INTERNAL DIMEIJSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH SIGNED: LICELISE JJUMBER: DATE: SE1313UkI NI OV3H 11101 n t 1 (3) CO h.- CD LO CO N r O _- O 1 1 r 1 1 1 ' 1 1 1 1 1 1 1 1 l 1 1 1 1 I _ N O O CC) N N LO 0- O J In i O ui O 10 c� = I in z 2 z o u) 2 r O ct O. CO a- 1 C� Er) t1 t� Cr . 00 z CO o Ot_ r_____ 0 T— --1113 . _ V) • , o 0 U) ao N o Q cc U < r 0 O CD N , LO O - - - - - - a► CD d" N O CO CD mot' ICV O CO CD 'ct' N N N N N 'r' T-- T-- ;T T-- 13: -� -- s see (1\17:14 ' : ' 1 I =1 J i I ._ s it eJ �. , lorie %4. ", State of Wisconsin \ Department of Industry, Labor and Human Relations Please Reply to: SAFETY & BUILDINGS DIVISION E --, Bureau of Plumbing P.O. Box 7969 / �/ /� 2(4. / / ///,� Madison, WI 53707 /d S �. 2 ' ',) � � — Plan Identification Number • ' 7, Je, -' ,4/ /s 4/ Q 7 c' -g 32P L J Re: /7e.- t/` Gs- C...-cc:=',,/) �S % V/> c e" PRIVATE SEWAGE SYSTEM ONLY Z„ rcc,/ c7r—rO/)�„ ST. Q �k The Bureau of Plumbing has reviewed plans, site survey information and installation details for the construction of an alternative private sewage system to be installed at the above-mentioned location. The plans and specifications were prepared by Cita> r �a°s /L ' t e/ and received for approval on 7// 9 / ,0'5' 2 The soil and site evacuation was conducted by — 7 4- 4->P >r-7 di C The site meets the soil and site requirements specified in chapter H 63, Wisconsin Administrative Code, for the use of , — — /1 . r: S' The proposed system is for a ""2 — �"► Wastes from the building will discharge to vec 0 - gallon capacity septic tank which will discharge to a S gallon capacity pump chamber from which a pump having a capacity of "1 7 Z-gallons per minute against a total dynamic head of //•. feet will discharge through a - inch diameter pipe to the soil absorption system. It is of utmost importance that the system be installed in complete accord with the plans and installation details and the conditions of approval contained in this letter. The licensed plumber responsible for the installation shall notify the county inspector when the installation of the system will commence so that the county inspector shall be able to inspect this installation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. In accord with ch. 145, Statutes, and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. cc: OWS By: County E T I Enclosures Other 7 19 /(9e...- DI LHRSBD - 6159 IR. 7/81) m es Sargent, B rector i f�� S to of Wisconsin ` Department of Industry, Labor and Human Relations • Please Reply to: SAFETY & BUILDINGS DIVISION Bureau of Plumbing r P.O. Box 7969 Madison, WI 53707 Plan Identification Number L 1 k 6 1 f 1 8 -ti ilar re. Re: CA PRIVATE SEWAGE SYSTEM ONLY— � r C ) % . I The Bureau of Plumbing has reviewed plans, site survey information and installation details for the construction of an alternative private sewage system to be installed at the above - mentioned location. The plans and specifications were prepared by and received for approval on The soil and site evaluation was conducted by The site meets the soil and site requirements specified in chapter H 63, Wisconsin Administrative Code, for the use of. The proposed system is for a Wastes from the building will discharge to a gallon capacity septic tank which will discharge to a gallon capacity pump chamber from which a pump having a capacity of gallons per minute against a total dynamic head of feet will discharge through a inch diameter pipe to the soil absorption system. It is of utmost importance that the system be responsible l p for the installation l shall notify and county installation details pec when the conditions ation approval contained in this letter. The licensed p of the system will commence so that the county inspector shall be able to inspect this installation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. In accord with ch. 145, Statutes, and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. ` cc: OWS B y: County 1 / rC Encloosu es I I / / mes Sargent, B hector OILHR-SBD-6159 (R. 7/81) 1 ' SBD 6678 (9/81 -) (Plb 100a) : STATE OF WISCONSIN DILHR Detach And Return Upper ^l�n ` DIVISION OF SAFETY & BUILDINGS Portion Of This Form With BUREAU OF PLUMBING L ft 201 E. WASHINGTON AVE. RM 178 Any Return Correspondence �. P.O. BOX 7969 MADISON, WI 53707 608- 266 -3815 DATE: 7/ /'76 '-e___ PROJECT: ,e=> ; / A /C-d-tS0/1 (ee's^/veed , w re-e) "3 6 2_ ? i 9 </. /°S s r c c�o7� �� 1 sc:9� R / ,., / ST Cr O i x ,V s i _ PLAN ID. # DETACH HERE PROJECT NAM F , � / � o �c Sc2 S y LAN ID. # 8 Ld C ?— This is to acknowledge receipt of your plans and specifications for the above indicated project. Preliminary review indicates the required fee is $/ &O� 41 -- ) . /, Fee Received is $ / Z- -- L.-� U derpayment — Please submit the additional fee. ❑ Overpayment — Refund forthcoming. Plan accepted for review. ❑ Plans being returned. No fee has been remitted. Plans submitted with no fees will be ❑ Additional information required. SEE BELOW. held in abeyance. I. Plan Submission ❑ Complete data relative to anticipated use of bldg. ❑ Additional information shall be submitted in duplicate un- ❑ 2 copies of PLB 60 enclosed. less specifically noted. ❑ Deed restriction required (1 copy). ❑ Plans not clear, legible or permanent. ❑ Condominium declaration. (1 copy) ❑ All information submitted shall be signed, dated and sealed or stamped in accord with Section H 63.08(2)(a) Wisconsin Administrative Code. ❑ Affidavit enclosed. IV. Holding Tanks ❑ Profile of holding tank showing vent, manhole alarm and manufacturer if precast. Complete construction details if II. Pressurize Distribution Systems (Mound or In Ground Pressure) site constructed. ❑ Application for use of an alternative system signed by owner ❑ Holding tank agreement signed by owner and local unit of and notarized. (1 copy) government (sample enclosed). ❑ County onsite required (1 copy). ❑ Design calculations ❑ Reason for installing holding tank. Soil test or statement for pressurize distribution. ❑Soil boring & percolation from county (1 copy). test data. ❑ Plot plan showing location of holding tank with lateral dist- ❑ Cross section of system. ❑ Pipe lateral layout. ances to any building, wells, water service piping, water ❑ Plan view of system. ❑ Plot plan. course, lot lines, swimming pools, all weather service road, ❑ Verification of Exception Status Form by County. (1 copy) Etc. Provide benchmark with elevation reference point. III. Private Sewage Disposal Systems V. Lift Pump ❑ Ground slope with 2' contours in entire area of soil absorp- ❑ Calculations for total lift pump discharge, head and gallons tion system extending 25' on all sides. pumped per cycle. ❑ Elevation of permanent reference point (benchmark). ❑ Size, length & depth of force main. Location of area suitable for replacement system provide ❑ L p y p ❑ Detail & model of pump or automatic siphons including soil data. size, pump curves, drawdown and average flow rate GPM. ❑ Plot plan showing lot size and all lateral distances from ❑ Cross section of lift pump tank showing pump(s) or sewage disposal system to buildings, lot lines, well, water siphon(s). course, swimming pools, water service piping, Etc. • ❑ Construction detail of septic, holding or lift pump tank if site constructed or tank manufacturer if precast. VI. Systems In Fill (Fill must be placed prior to plan submission) ❑ Construction detail and cross- section of soil absorption ❑ Total area filled (fill to extend 20' beyond edge of trench system. before side slope begin). ❑ Soil boring and percolation test on 115 completed by cer- ❑ Depth and type of fill. tified soil tester (1 Copy). ❑ Copy of onsite report by county or district staff. ■ _ WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING POST OFFICE BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of st. Croix Location NW 1/4 sW 1/4 36 S 29 T 19 R W E (or) W Town or Municipality Hudson Street Address..R. 1 Hudson, WI 54016 Lot No. , Block , Subdivision Landowner's Name: Neil Wilcokson The application for tnis site is to serve a: ©new construction use. ❑replacement system use. If this is a NEW CONSTRUCTION USE, the alternative private sewage system is to be included as: Done of the 25 needing a quota number. This is number of the applications made through this office. U for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. ❑for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. Elan application on file prior to February 1, 1980. Fla lot that meets the site criteria for a conventional private sewage system. ❑ one of the first five approvals guaranteed for this year. If this is a REPLACEMENT SYSTEM USE, the mound is replacing: Fla failing conventional soil absorption system. l la holding tank that was installed and in use prior to February 1, 1980. Fla privy tnat was installed and in use prior to February 1, 1980. 1 la lot that meets the site criteria for a conventional private sewage system. I certify that the above information is true and accurate to th- knowledge. ■11111e Name • ure ( ounty lcia Titlgssistant Zoning Administrator Date July 14, 1989 DILHR -SBD -6158 (R 5/82) ST. CROI X COUNTY L " �'•ta R � �;; WI SCO NSI N :44+ ZONING OFFICE 796 -2239 t .... .ate . } r'y HAMMOND, WI 54015 • I1.1_ Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Neil Wilckson located at the NW of the sw Section 36 T29 N, R 19 W. , in St. Croix County, revealed suitable soils at a depth of 70 inches, below which seasonable high ground water was noted. This site should be suitable for an in- ground pressure system. Should you have any questions, please feel free to contact this office. Yours truly, . C' Thomas C. Nelson Assistant Zoning Administrator TCN:sl * Due to failure of plumbing. • O Np stop Evo tz r,„ r . • e. 3 _ - � 0 3 to g . g° 0 n C o < co N _. c CO IQ CD co O O OAi n O � j ° N O O O O 3' N N W O Fe Ff m 7 3 co A p N 1-1 0 N N y N C2 N N co N = - o „', El -, A j W Q O N O 7 co h N O O - 1 O Z O 0 7 Z * . O c CD C I A CD 7 D O 3 - O O C.11 i N 7 N 00 7 00 -. C.77 0 p N N 0 0 O lr Co Z D F. a o l ' CD -< D r a o ca D N o. c 0 (3 CD N C. C N CO O -0 N N W 7 O ' 3 O V 0 a. O o co C N co N c M c O 00 z 000 `" � o � gg A 3 Q C O o m z O C 0 O 0 N N .' 3 11' 5 0 ct, 07 O M N .' p1 CD CD N CD L S. d S1 N ` �• 7 T Q et) .. w Z O D ;-- o = D m m O 4 ' c m 5 m' o" m to c Al • 0 1 7 co o c n m m a CD 3 a� c 3 co c CO m @ Q a I w a- " co c h i m a m 7 -+ -I to CD n 7 3 O a A Z CD v 0 7 w 3 I 5" CC co ao CD CU . I to I < N W CO .... o. 3 c 3 N Z o a) o o to co 3 c 3 m 3 Z A 0 N 0 I ° m 0* 3 n= Q CD I 8 - X N � tnv ( at - 0 v ° N O N O a , m M 7 n'< O co .„ 0 j O. � N C < D CD xa O O. Q N O t r � O a N N 0�CD � <m N fD 3 a , m o� < a,�m� -co o °: N . 0 N m O. CD O g p a N N m ag a m CD o A3 0. z < t �Zd" 7 0 -O N A 7 _. -n CT 2 y v m m co N \sf o m N y . N a N CD y CD s< O O a o N CD - O O c N In f _. - c m U a 3° — ( 0 C ° CD o I N O N n CD °: a a T N • 7 -• O 7• CO = fD `G C D CD N CD CD G) S CD .� c 7 7 O a o7 N Q N O i., S CD N..* C � 0 c . 7 7 V 7 W C 0 in 0 0 N -, p o 3 N O O CS - 0 O 1�g 1 a w° O O O ;3 co co O * to 0 ti to eb o I ° on I o°0- Parcel #: 020 - 1109 -55 -050 03/17/2005 08:57 AM PAGE 1 OF 1 Alt. Parcel #: 36.29.19.443A -05 020 - TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * WILCOXSON, NEIL & MARY JO NEIL & MARY JO WILCOXSON 816CTYRDN HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 816 CTLYIRSIN SC 2611 SCH D OF HUDSON SP 1700 WITC L r a a Pd. (\ --- 77 1 aAle-4-- Legal Description: Acres: 72.420 Plat: 9/77 -9/77 SEC 36 T29N R19W W 1/2 OF SW 1/4 EXC Block/Condo Bldg: .53AC EXC PT TO GSM 2/3456 & EXC PT T� COTTONWOOD RIDGE 1ST Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 29N -19W SW Notes: Parcel History: Date Doc # Vol /Page Type 09/23/2003 740998 2417/123 QC 02/07/2003 708880 2135/355 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48505 482,900 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 67.420 134,800 0 134,800 NO OTHER G7 5.000 46,000 192,800 238,800 NO Totals for 2004: General Property 72.420 180,800 192,800 373,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 27.00 Special Assessments Special Charges Delinquent Charges Total 27.00 0.00 0.00 Parcel #: 020 - 1109 -10 -050 03/17/2005 09:01 AM PAGE 1 OF 1 Alt. Parcel #: 36.29.19.440A 020 - TOWN OF HUDSON Current X; ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * WILCOXSON, NEIL & MARY JO NEIL & MARY JO WILCOXSON 816 CTY RD N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 39.589 Plat: 9/77 -9/77 SEC 36 T29N R19W PT SW NW EXC PT TO Block/Condo Bldg: PARCEL DESC IN 956/501 EXC PT TO COTTONWOOD RIDGE 1ST Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 29N -19W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 09/23/2003 740998 2417/123 QC 02/07/2003 708880 2135/355 WD 07/23/1997 956/501 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48502 Use Value Assessment Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 39.589 2,900 0 2,900 NO Totals for 2004: General Property 39.589 2,900 0 2,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040 - 1000 -80 -000 03/17/2005 09:02 AM PAGE 1 OF 1 Alt. Parcel #: 01.28.19.5A 040 - TOWN OF TROY Current IX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * WILCOXSON, NEIL & MARY JO NEIL & MARY JO WILCOXSON 816 CTY RD N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 1 T28N R19W 40AC NE NW EXC COM NE Block/Condo Bldg: COR, TH W 24 FT, TH SELY TO A PT ON E LN NE NW 24 FT S OF POB, TH N TO POB Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 01- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 26090 Use Value Assessment Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 38.000 5,900 0 5,900 NO PRODUCTIVE FORST LANC G6 2.000 10,500 0 10,500 NO Totals for 2004: General Property 40.000 16,400 0 16,400 Woodland 0.000 0 0 Totals for 2003: General Property 40.000 13,200 0 13,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 020 - 1109 -90 -000 03/17/2005 09:07 AM PAGE 1 OF 1 Alt. Parcel #: 36.29.19.444B 020 - TOWN OF HUDSON Current X , ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * WILCOXSON, NEIL & MARY JO NEIL & MARY JO WILCOXSON 816 CTY RD N HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 1.000 Plat: N/A -NOT AVAILABLE SEC 36 T29N R19W SE SW TRIGANGULAR Block/Condo Bldg: PARCEL IN SW COR DESC AS COM SW COR TH E 24' NWLY TO A PT 24' SW COR, S TO POB Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 36- 29N -19W Notes: Parcel History: Date Doc # Vol /Page Type 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48509 2,600 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 1.000 2,000 0 2,000 NO Totals for 2004: General Property 1.000 2,000 0 2,000 Woodland 0.000 0 0 Totals for 2003: General Property 1.000 4,000 0 4,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00