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HomeMy WebLinkAbout030-2020-40-000 0 f c 0 0 t7 R 1 I n n 'o (D I " C cn w o ° CD H • s y m < c \ O OD CD p= N y O O W N O N W A N N N a =r N C° 0 CD ° OO O t � 7 p O. C -Ow lV C D cn v 0 m a w o 3 a 0 ° N N N 3 O W N v (co ° p C 0 A (n O. O CD A w N ,o c I3 CD CL N (D - �f c li w s CD CD m o O D° m SD 0 o m AI m CL o', �♦ CL D o o (D N N � v ID m ^> x m c m �• CO (0 N (p X O N cD N N m E; N N c 7 W o C j C. aft + v a ' �a y n I m _Oa '� c � � = 0 W y (D OD o W v 0 cNo N D) (D (D Z O aa a a r� m o N D A Ct n ( D o 0 CD M � lz a m i t 0 A� aS0 CD 0 T r(o� 7 ; Il i c.. CN N N'a S a 0 Z a m � o 0 o 3 y o m d N O y a y y O S C 00 Q O!. p M N p 0 j S'�j (D C 3 a CD o m m o�m' CD p yc�Lo�aa t p CTI D M O (D (D 7 S O 2 m 0 o m O N oaCO 00U�3 n A°:0 3 am o o a Co CL >f(n 0 0 m OO-oo o m CD f7o 'a �_ fp (D v o n v o� a o m d (o f o - Oaf "(o y y , (D 0 0 o b �' m o0 00 I � °o CD �' } � TOTAL DYNAMIC HEAD METERS FEET P i I BVINFAI w a � 1��► ®I /,► 1 ��/� %�� /��� % EMI e w1filmrdo WA PAP 08080000000 ©08090 00 ®0®® ®9® ®00000 ®8 88008000088080980 . - �����I��!i����� 0088000080088®® ®0 googol googol 0000000000080 al 00000800800080 ©00 0080800000008 ®880 0oo0 ®880 googol 000 8000880000080 ©080 t000000o000 igloo 00 00000o0o0000n® ®0®" 00000oo0o000m00 ©D . �-= - 00088800000808 ® ® ® 800888880 ©0000080 00o808o00000o0000 00000 all 88 ©�0��00. 1 11111111111mumm�0 80088008 ©0000008 000088088 ®���0080 80800000® ®D0© ©0® ®l 00088880 ©80000 © © -- 800000 ©00 ©000880 888008808Q © © © ©0�0 080880088000 ® ®B0 I gloo00oo00o088 ®0© Doug 000 ®cocoa 0ago 0000000009 ©0000 ©D 080880© ®80000000© 88808800808808080 8008 ® © ©0pplocal . 0880 ®8 ©mems - mmoo .. 0000 ©0 ®0000888880 - _ • From: To: KEVIN Date: 7/22/2004 Time: 11:33:22 AM Page 1 of 3 FACSIMILE COVER PAGE To: KEVIN From Sent : 7/22/2004 at 11:33:22 AM Pages : 3 (including Cover) Subject : TODD NEEDS TO RE -ROUTE THE TANKS FOR THIS SYSTEM AND WANTED ME TO LET YOU KNOW SO THERE ARE NO SURPRISES WHEN THE INSPECTION NEEDS TO BE DONE. ANY OTHER STUFF YOU NEED RING ME UP AT THE OFFICE 381 -1704 THANKS, SHERYL 1 U N 2r �oo� N 0 �s O • N N �+ Z : cu r O ,1 9 h y � £ ;0 £ a6ed VW ZZ:££: L L :awLL b00Z/ZZ /L :a1ep NIA3N :ol :wad Safety and I3niIdin s Division Cow V 201 W. WashirtRt n Av j�fqq1ED T. CROIX ��� � Mn iistm, 1 53 ) S vitary Permit Number (to be filled in by Co.) Dt'partment of Commerce (fiOR 261 -6546 43 Lill ry 5anita Permit Applicati n _S_ Plan I.D. Number ce In aord with CAwrm 93:21. Wis. AdnL Code, pertarttal int'omiat you obvfilROIX COUNTY may be usW for scxxx,dary putposes Privacy Law, sl ).0 t Xm) ZONING OFFICE rr Ixt .Address (d dttferenithan mailing address) L Application Information — Please Print All Information _ (227 CEDAR DR. W) HUDSON, WI 54016 F�Iy (.hater's Nattn; -- - - - - -- -- �---- ---- -- Parcel 9 Z tat # Block # 030 - 2021 -40 -00 , 030-2020-40,4 C q 6G JOHN AND MARTHA JOHNSON 030-2021 &Q-000(- 4 &Wl 1 (hyrax's Mailing Addre Ns Properly Location L-J ' . 9130 - 195TH ST. E. n/a y,, pa/ ;,, s ", 1 City, State Zip Code Phone NumlxT rarcle ruin) PRIOR LA M N 372 715 - 386 -5050 T 29 N., R 1913V w IL Type of Building (che& all that apply) I or 2 Family Dwelling 13 Number ol'eilivorm 4 BD RMS PER SUBMITTED HOUSE PLAN Subdivision Nam CSitA �:ianiter Pttlriir Cotmr�rciai - fleazrihe IiC N/A ❑ State Owned - llcscribe I ise ❑City -- ❑village MTownship of JOSEPH 111. Type of Permit (Check f1R oa to A. Complete line B if sppliciubk) A- � 1�plac culad Systm ❑ Treatttxxdlllokling Tank Repiaex mem only Fj Other modification to Existing System $• F] Permit Renewal ❑ Pernat itevision 13 Change of ❑ Permit Transfer to New List Previous PemtiE Number and Dale Issued tlerorc Expiration Plumber Owner iv. T e of POWTs S tem: Check all that i [T Non -h swrizet1 lu- (3rwnd I -J ltauitd> 24 (n. of suitable sail ❑ A'found < 24 in- of sortable soil ❑ At -Grade 1 singic Pass sand Fih-r 1-1 i cmtstructed wetland ❑ Pressuriz d ln-Grat»d I.._l llolaimg Tardy [_ I Pcatt F;ncr C I Aerc. f c Trc ament i)rit i.J Recirculating Samd Filter ❑ Rcrirmiating Synthetic Media Filer I t eac,in 1 Drip ine ❑ C nv - Pipe ❑ 0dicx (e ) usin 28 -1 1 " BI efu er bets V. DispersaItTrfttment Area Infornasti .(Zabel A -100 filter Design Flow (gpd) lksign Soil Application R gpdsf) Dispersal Area !Recµtir ( if) Dispci - Area Pr up used (sl') Systcin Omfian 600 .7 858 1 168 7.5 1 93.6 VL Tank Into why in Tote! Number Manufaettmr Prefab Site Steel Fiber PlaStic (;& lions (Wkxls of Units Concrete Condruc:ted Glass Existtt� T :wAk Tanks septicarllold glank X 1250 1 WIESER X Aerobic Treatment Unil nmi'T. CPAmhar X 1000_ 1 WIESER X VII. Responsibility Statement- I, the urAerAgmed, sasuroe raspomdbOky for instalLulkni of tyre POWTS sbua ®e the amched prints. Plumb Name (Print) 7 er's trrlber'. S Number l3aaincv� i,nne Number TODD FEATHERSTONE 242514 7 15- 381 - 1704 Number's Address (Street, City, State, ode ) P.O. BOX 467 HUDSON, WI 54 12 -5 -03 VIIL t"oatr !De artnteatt Use Only --� — .. - - -- Approwd U Disapproved sa,iitary Permit Fee (includes Groundwaler Date Issued uin Agent Sipnatt No Stamps} Surcharge Fee) 11 er Own Reason for Denial ✓ r5 1X. Conditions of ApproealfReasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter ana 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. Attacb mapitle plan fie tine Caeoty ady) for the system on paper na less the SM x 11:Khes ie Am R � � n N a f4l. 0 N ,W ;n O • 'N O z N �O dol o yo POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of 2 FILE INFORMATION' SYSTEM SPECIFICATIONS Owher JOHN AND MARY JOHNSON Septic Tank Capacity a l ❑ NA Permit # 53 0&11 1 Septic Tank Manufacturer WESER ❑ NA DESIGN PARAMETERS Effluent Filter Manufacture� ❑ NA Number of Bedrooms 4 ❑ NA Effluent Filter Model A - 1 00 ❑ NA Number of Public Facility Units �(NA Pump Tank Capacity a l ❑ NA Estimated flow (average) 60 gal/day Pump Tank Manufacturer ❑ NA WIESER Design flow (peak), (Estimated x 1.5) CID gal/day Pump Manufacturer ZOELLER ❑ NA Soil Application Rate ] gal/day/ft' Pump Model ❑ NA Sta[d Influent /Effluent Quality Monthly average* Pretreatment Unit XNA 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 _ <30 mg /L ❑ In- Ground (gravity) [I In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu / 100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: S�lA Other: O Other: 4NA *Values NA Values typical for domestic wastewater and septic tank efflwnt. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ,3 6 year(s) 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: ❑ yeast j(s) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ month(s) ❑ NA 1!iyrear(s) Inspect pump, um controls & alarm At least once ever ❑ m onth(s ) ❑ NA Ins P P. P P y' ❑year {s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ year(s) Other: At least once every: ❑ month(s) KNA ❑ year(s) Other: cNA 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. GMW (4 /01) Page 2 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 cells) 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: A —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. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a fast resort to replace the failed POWTS. ❑ 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 Namep( / 5 4 > Name FEATH RST Phone 7l _ �p�y Phone 715 - 381 - 1704 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name PiNKY'S Name - 5 —(, ozo !x �3�v1) I ►� Phone 651 - 436 -5788 Phone 715 -3 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. DEC. = 03'03(WED) 16:44 BRUCE LENZEN INC TEL:7153861999 P, 001 ST CROIX COUNTY S EPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM w A hiH1¢ 4 ncrlsgyct �r� M� Mailing Addr= 155 --{q 5 Tw r,'r: lraRuty+ Address -"j C.*VATJ, T) R 4 CC"(" (Verification required from Ptaming Dcpartmad for new construction) Ol3D -20'2-1 • ems- 600 City/state � ri ISe�arlSi.tPatrel Ideut 5mdau Number ^ 030 - 2 - fiD -000 p'�D -zzl - I - Go — 000 O Property Lcrcatioa J44 R /l, 1b! `4, Sec. T -R-ILVJ Town of - �o E4 ubdi '+► �� Lot # 3 S vision CcrtffW Sarvey Map # volume __ . Page # QPmuty Dodd # �� �g volume ysa Psge # Spoa hom ❑ yesAuo Lot H= idrw.ftbte U yesU uo me and. afyM spFficriam coum Mob is itspgamtt�fsilueeto iwu4eMastrs, a4�A ooausi:ta ar ymp" *219= septic tame ffl=y etmae y= sa tn=a; u medal by a lint %d P=PCr- What yvtt peel into elan apsteta can a$act duo of tba wp& tt* as a tradasw stage in Ow wade lu pmpcsty owm to asbawt to St: Crain ZQGkg Iasi a clow, fftm by ft owna tod by a that ttheod- aitc+ra e+vatadiapasatt ac a tiAr�aedp� v�cnfymg (I) urasttaG 'plaa�'3�tj��'°'dplombrr is is preper op=dq coodidan "or (3) a&x m:{ aDem ad A=ping (if W= ay). do sqgk talc is 1= d= 113 64 of dodge. Uwe, the aaftsi aed bava toad the *= mq+niaemmaa go agm to to bbia ft pAvau smga diWoul systmn with the smadu& as W by Me Iqarttww of Camerae sad ft Dcpaftcut of Natural Resoaa —, Stuata of Wisconaitt. ps ' septic lws bc= Miataiaed mast be eougktcd clad reamu d to ft St Groin C MY Zoaiag Ot'm tdri wa 30 data to three ti data. A� / ijaMTM OF 11YPLI A'PL D w ttae best (cur) bw*iedg+e. I (we) &M (at) o.+tux(s) of I (wve) oert[fy that sI1 a�taments ou thu t'am are true try j virntc of a vrauaaty dead r000ttiad In moister of Ikeda Ctl�icc. --� DATE SIGNtA be revoked by lbc Zmiag DWN=BW� IN *40o ♦sssss � it3fO�at30t3 that � ►riRrtc� �Y tri111t as ti1G fl111iaSy 1 U �$ »• Wade with Ws appticstiea: a 60mPed warranty deed fMm the Rzgiittx of Deeds orrme a copy of the certified atittvcY trap if rafcnat m u tondo iv the warranty decd i P Wisconsin pgpartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 430611 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)i. Permit Holder's Name: City Village X Township Y 9 P Parcel Tax No: Johnson, John & Martha St. Joseph Township 030 -2021 -40 -000 CST BM Elev: Insp. BM Elev: I BM De 4 Section/Town/Range/Map No: 1-0 d U • V C_ ��SQj4` -�o S S � 01.29.19.427E TANK INFORMATION ELEVATION DATA VIZ �� 100- t 1 TYPE MANUFACTURER CAPACITY STATION B FS EV� l 4 2 t Septic B enc k 3 •S /6 4 Y I&D d Dosing D 2 �..� Alt. BM VZA Aeration h S Bldg. Sq; er , Holding St/Ht Inlet aJZ,Q tom•., l 1;2 ga - �tl 6 ? • �3 > St/Ht Outlet 7 1 TANK SETIR C INFORMATION ` (o 7. TANK TO P/L WELL BLDG. Ve o Air Intake ROAD Dt Inlet Septic t Dt B m Al� 4 e) . l0 3.1 Dosing Header Man. t t n Q r„ G. 6. rC¢{MQA Aeration Dist. ipe S s44_ Holding Bot. yst S 13y gm t Final Grade PUMP /SIPHON INFORMATION C " CtVW.0- - 7 , �' rj 7.5 S ,- 97 p y Manufacturer -]� Demand St Cover ,C'i k5 f G Model Number n - * - 5' , �I r s - 1 44 0 (�/ TDH Lift F,� Syste d TDH Ft �_ �� Ca 3 2 �S" r 0 3'� .gZ Forcemain Len „ is . to Well a 6 io 67 � 1 -7� 8S �� � SOIL ABSORPTION SYSTEM / X r fi 7i l 0 17 BEDITRENCH Width rencfie s PIT DIMENSIONS No. Of P' Inside Dia, Liquid DIMENSIONS /T 3 SETBACK SYSTEM TO WELL LAKE /STREAM EACHING Manu ct r.,. INFORMATION Ty p Of System: � tm� S 1 > 20e) >2—()D d IT Model Number: DI IBUTION SYSTEM Header/ anlold Distribution �� / x Hole Size x Hole Spacing Vent to Air Intake ength_� Dia Length Pipe(s) 7J Dia pacin g L G7 v+ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Y Y Y Y �G Depth Over , Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center ' �/ Bed/Trench Edges Topsoil VVV Yes f] No Yens/ �No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /( 7 Inspection 2: / 7 /a / � s 2 � ifw Location: 227 Cedar Drive West Hudson, WI 54016 (Government Lot 3 1 T29N R19W) NA Lot GL 3 P rcef No: 01.29.19.42 1.) Alt BM Description T iAl/N 2.) Bldg sewer length = C�� �d Y tttitt^— - amount of cover = � Plan revision Required? v1 Yes No F I Use other side for additional information. _ r Date Insepctor's ignature – Cert. No. SBD -8710 (R.3/97) SYSTEM CROSS SECTION BRUCE LENZEN HOMES, INC. JOHN & MARTHA JOHNSON MAN HOLE INSPECTION PIPE GRADE SEPTIC F ZABEL FILTER 1250 GAL. 87.5' /SYSTEM ELEV. 93.6 V14 BIO DEFUSER CHAMBERS P.T. p 87.5' 1000 GAL IO DEFUSER H IERS PIO #E NW 1/ NW 1/4,S 1 T 29 N,R LWIE LOT 2 &3 13L SUB GOVT. LOT C 0 V T-- MPRSVY 242514 A• `0 cu . � I%b o N , ;n �� �� N cu N N v 1 0 ! "� 0 pvj RECEIVED a 1388 Wisconsin Department of Cc meJOV 2 0 2003 SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildi s m wi h Comm 85, Wis. Adm. Code Steel Soil Service ST. CROIP fft�f P County Attach complete site p n size. Plan must St. Croix include, but not limited to: vertical and horizontal reference pant (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. 1 Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). &C. s Property Owner Property Location Johnson, John & Martha Govt. Lot 2 & 3 NW 1/4 NW 1/4 S 1 T 29 N R 20 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 227 Cedar Dr. West na na Na City State Zip Code Phone Number J City I Village rI Town Nearest Road Hudson WI 1 54016 1 715 - 386 - 5050 St.Joseph I Cedar Dr. West 01 New Construction Use: 601 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD I Replacement ,] Public or commercial - Describe: Parent material Pitted outwash plains Flood plain elevation, if applicable na General comments and recommendations: Conventional system, system elevation 93.60ft. Trenches spaced and depth to code 3.00ft below grade. Boring # Boring 64 Pit Ground Surface elev. 96.60 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I "Eff#2 1 0 -9 10yr3/4 none sl 2msbk mfr gw 1c .5 .9 2 9 -22 7.6yr4/4 none Is osg mvfr gw 1f .7 1.2 3 22 -96 7.5yr4/6 none ms osg ml na na .7 1.2 316 Boring # q Boring 10 Pit Ground Surface elev. 96.60 ft. Depth to limiting factor 96 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 1 0 -8 10yr3/4 none sl 2msbk mfr gw 1c .5 .9 2 8 -23 7.6yr4/4 none Is osg mvfr gw 1 f .7 1.2 3 23 -96 7.5yr4/6 none ms osg ml na na .7 1.2 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/L * Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 11/19/2003 715 -246 -5085 Property Owner Johnson, John & Martha Parcel ID # Page 2 of 3 3 ] F Boring # Boring V1 Pit Ground Surface elev. 90.20 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/4 none sl 2msbk mfr gw 1c .5 .9 2 8 -25 7.6yr4/4 none Is osg mvfr gw 1f .7 1.2 3 25 -96 7.5yr4/6 none ms osg ml na na .7 1.2 ❑ Boring # .1 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Boring # I 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD S 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST - POWTSM John & Martha Johnson New Richmond,WI 54017 Lic. #248956 NWl /4,NW1 /4,S1,T29N,R20W Bus .(715) 246 -6200 Town of St Joseph, St. Croix Co. Fax (715) 246 -9372 Government Lots 2 &3 Legend 1 " =40' Benchmark Ele. j�iLma op of '/2" PVC Pipe Alt Benchmark Ele. 99.90ft p of ' /2" PVC Pipe ❑ = Borings Boring Elevations B 1 = 96.60ft B2 = 96.60ft B3 = 90.20ft 7Z LIC /2 6 B4 = OO.00ft /'Lip L l v�. 52' 4 2 / g� �r �LQ � � J • ' 4 � � ti _ .o.. ... . _.�.. .. � -. +�- U 2 4 5 0 P 6 4 5 745698 STATE BAR OF WISCONSIN FORM 1 -1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX Co., WI Document Number RECEIVED FOR RECORD This Deed, made between Sharon R. Blomguist. single , Grantor, 11/06/2003 09:36AN and John Johnson a married individual Grantee. Grantor, for a valuable consideration conveys to Grantee the following WARRANTY DEED described real estate in St. Croix County State of EXEMPT # Wisconsin (the "Property"): REC FEE: 15.00 TRANS FEE: 3000.00 COPY FEE: CC FEE: PAGES: 3 Recording Area Name and Return Address JohAjohnson 227 ar Dq T0: Hud , w %et Title bto 504bnce Ave. S. �go3 First Floor 5 1� Edina. NIN 55435 -• n ClOCins Centre'] 030 2021 000 & 030 20 ?2- y - CP 03D anal -t — pDb Paroel Identification Number (PIN) This is homestead property. See Exhibit A attached hereto (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 17 day of October 2003. (SEAL) (SEAL) ` SShiaron R. Blomquist I (SEAL) (SEAL) r � AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. authenticated this day of St. Croix County b Personally came before me this 7 day of Q9121?gi 2003 the above named Sharon R Blomouist single to me known to be the person who executed the foregoing instrument TITLE: MEMBER STATE BAR OF WISCONSIN and acknowledge the same. (if not, authorized by §706.06, Wis. Slats) THIS INSTRUMENT WAS DRAFTED BY No Publi , to esin� A/E�TaT Coldwell Banker Burnet 1301 Coulee Road My Comm Ion is permanent. (If not, state expiration date: Hudson, WI 54016 3-59803 02 p C ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NANCY L 1111100!S I rMyPts4.1■ 0 1 11 w css mkdmiitttlnbLILM Names of pe rsons signing in an capacity must be or rinted below thef STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. WARRANTY DEED FORM No. 1 -1998 Milwaukee, Wis. U 2450P 646 EXHIBIT "A" Legal Description File No. 3 -59803 A parcel of land located In Government Lots 66 and 11 3 ", Section 1- 29-20, Town of St. Joseph, being further described as follows: Commencing at the center of said Section 1; thence West along the South line of Government Lot "2" a distance of 523.10 feet to an iron stake, the point of beginning; thence S 0° 12' E a distance of 250 feet to a point; C ti thence West and parallel with the South line of Government Lot "2" a distance of 770 feet, 1 1- 4� more or less, to a point approximately 20 feet East of apparent hi water mark , o a e Croix; thence Northwesterly along a meander line a distance of approxim a eef tS�'ii C! iron stake; thence as a �-w ovemmen o ' a distance •" �� of 529.64 feet to a point; thence 2' W a distance of 389,3.feet to an iron stake; thence East a distance of 250.00 feet to an iron stake; thence S 0 12' E a distance of 180.30 feet to the point of beginning Also Including all land lying between the meander line, the 1,111ftik and the Westerly extension of the South line and the 529.64 f eet alonsa the North line of the a bove described parcel. ) Together with an easemen or ingress an egress over and across Government Lot "2 ", the centerline of which is described as follows: Commencing at the center of Section 1; thence West along the South line of Government Lot "2" a distance of 523.10 feet; thence N 0 12' W a distance of 165.3 feet to point of beginning of centerline of a 30 foot wide easement to be described; thence East 15 feet; thence N 0" 12' W 807.46 feet to the end of said 30 foot wide easement, being also the beginning of a 70 foot wide easement; thence N 42 40' E along the centerline of said 70 foot wide easement a distance of 328 feet more or less to the Southwest line of S.T.H. "35" being the end of said easement. Excepting and reserving an easement over and across the North 30 feet of parcel herein conveyed. A parcel of land in Gov't Lot 11 Section 1, Township 29 North, Range 20 West, St. Croix County, Wisconsin, being further described as follows: Commencing at the center of said S » Section 1, thence West alp the N line of Gov L along t of 3 a distance of �,8 O�, feet; thence S 38 45' W 320.56 feet to the point of beginning; thence continuing S 38 45' W 307.7 feet• g� j thence W parallel with the N line of Gov't Lot "3" to the water's edge of Lake t. CS roix; � t en she e o the pointOf intersection with a line drawn W from 12 0 - 0 the point of beginning and parallel with the N line of Gov't Lot 11 3 "; th ence E parallel wit the N line of Gov't Lot "3" t9 the —paint of beginning. Further, granting an easement 75 feet in width to the parties of the second part, their heirs and assigns, for purposes of ingress and egress, commencing at the NE comer and running Sly along the E line to the SE comer of the following described parcel of land in St. Croix County, Wisconsin: A parcel of land located in Gov't Lot "3 Section 1- 29 -20, Town of St. Joseph, being further described as follows: Commencing at the center of said Sec. 1; thence W along the N line of Gov't Lot "3" a distance of 48 feet; thence S 38° 45' W 628.30 feet to the point of beginning; thence continuing S 38 45' W 371.70 feet; thence W parallel with the N line of Gov't Lot "3" to the water's edge of Lake St. Croix; thence Nly along said water's edge to the point of intersection with a line drawn W from the point of beginning and parallel with the N line of Gov't Lot 11 3 "; thence E parallel with the N line of Gov't Lot "3" to the point of beginning. Together with an a 100 foot wide strip of land for ingress and egress easement purposes located in Gov't Lot 11 3 ", Sec. 1- 29 -20, Town of St. Joseph, being further described as U 2450P 647 follows: Commencing at the center of said Sec. 1, thence W along the N line of Gov't Lot "3" a distance of 48 feet; thence S 38 45' W 1000 feet; thence W 516 feet to the beginning of the centerline of said 100 foot wide easement; thence N 11° 37' W 282 feet along said centerline; thence N 3 28' W 141 feet to the end of the centerline of the 100 foot wide easement being described. Together with an easement for ingress and egress over the following tract of land: A parcel of land located In Government Lot 2 of Section 1, T 29N, R20W, Town of St. Joseph, St. Croix County, Wisconsin described as follows: Beginning at the NE comer of that parcel recorded in Volume 756, page 72, St. Croix County Register of Deeds; thence Easterly 25' on an extension of the Northerly line of said parcel; thence Southerly 96' parallel with the Easterly line of said parcel; thence Easterly 30' parallel with said Northerly line; thence Southerly 20' parallel with said Easterly line; thence Southwesterly to a point on said Easterly line, which point is 160' Southerly of the point of beginning; thence Northerly 160' along said Easterly line to the point of beginning. Together with an easement for ingress and egress over the easements as described in the documents recorded in Vol. 527, page 504, Doc. No. 328860; in Vol. 586, page 371, Doc. No. 353865; and in Vol. 549, page 469, Doc, No. 338289, in the office of the Register of Deeds for St. Croix County, Wisconsin. NOV. -1 U3 JF91) 1 U : 07 BRUCE LENZEN INC TEL: 7153861999 P.003 • 7� � �• z 9.62• , �y2i;G- fro • f'n�cE� f3 ,. N g � � r wit • N 8 7 67'a' 0 $7 '29 ' :fsL Li OI 4"mvav r ra m e 4RVX a. logo / 40CAT6G► /N i wr cw G v'r. .f ors Z 3 of See l , Ta , #N, RigW, Av . oor Sr. ,oscfW, _ sr CAM Co. O SUR VE Y ING I NC G O Guam NP vn - :?%W P is A � e $r`w" ow�puTEO ar N6J NNO FLftGGF-O. (R 1 SURVEYING 6 MAPPING a,N spRV�s�u fp?•• cNAY�.�s snParw�r HU050N. WISCONSIN o.Te 9/20/9'/ , v • 05/08/20 Parcel #: 030 - 2021 -40 -000 07 09:38 AM PAGE 1 OF 1 Alt. Parcel #: 1.29.20.427E 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - JOHNSON, JOHN JOHNJOHNSON 227 CEDAR DR W HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 227 CEDAR DR W SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 1 T29N R20W PT GL 3 COM 523.1 FT W Block/Condo Bldg: OF CEN SEC 1, TH S 250 FT, TH W 770 FT, NWLY 53 FT ON MEANDER LN TH E 529.64 FT Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) TH TF3 A- L 3, TH E TO POB ASSESS 01- 29N -20W TH P426G Notes: Parcel History: Date Doc # Vol /Page Type 11/06/2003 745898 2450/645 WD 11/06/2003 745897 2450/639 TI 07/23/1997 1096/533 WD 07/23/1997 767/405 more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 030 - 2020 -40 -000 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 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