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HomeMy WebLinkAbout030-2041-60-200 r — wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ' Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430152 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Thompson, Dan I St. Joseph Township 030 - 2041 -60 -200 CST BM Elev: Insp. BM Elev: BM Description: Lt _ Section/Town /Range /Map No: 171D .a J D• b� 11L PO L � � $tM 25.30.20.492110 TANK INFORMATION 0 ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic !r"-> Z Benchmark h'C Sit, Dosing Alt. BM • 0 Aeration Bldg. Sewer Q / Holding St/Ht Inlet f TANK SETBACK INFORMATION St/Ht Outlet q. O TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' � Dt Bottom Dosing Header /Man. "k il t � Aeration Dist, Pipe Holding Bot. System (3. O 2 . o' � 1 PUMP /SIPHON INFORMATION Final Grade t7k 1 Manufact er Demand St Cover GPM Model Num er TD H Lift Friction Loss System Head TDH Ft F emain Length Dist. to SOIL A JLJ SYSTEM 9!D RE C Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM S a �� 7r SETBACK SYSTEM TO ��77 P/L 4 1 BLDG IWELL LAKE /STREAM LEACHING fa INFORMATION CHAMBER OR c r T • Type Of System: ( � tF 22� UNIT Model Number: 14 It . DISTRIBUTION §LSffM Header /Manif Distribution x Hole Size x Hole Spacing Vent to Air Intake NAil Length Dia L Dia SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil F � : Yes [] No Yes COMMENAS; clude code discrepencies, persons present, etc.) Inspection #1: / _j_ Inspection #2: Location: 1312/Cty V Hudson, WI 54016 (SE 1/4 SE 1/4 25 T30N R20W) NA Lot 6 . l Parcel No: 25.30.20.49 10 1.) Alt BM Description = � oh � °Ate% / Aa - I �' t 2 '� L 2.) Bldg sewer length = +�'�M &% 1 �" amount of cover = 7 2c�Y k� C� %A CA Plan revision Required? Yes No Use other side for additional information. .~71 T �; SBD -6710 (R.3/97) u 1 �,_A '.� S Insepctor s Signature Cert. No. r Safety and Buildings Division County ' 201 W. Washington Ave., P.O. Box 7082 . S isconsin Madison, WI 53707 - 7082 Sanitary Permit Number (to be filled in by Department of Commerce (608) 261 -6546 S Sanitary Permit Application Plan I.D. Np on ,v � In accord with Comm 83.2 1, Wis. Adm. Code, personal inforrrggjww yewpravid± may be used for secondary purposes Privacy Law, s 5.04(1)�OA r 1 roject Add (if different than mailing address) I. Application Information - Please Print All Information / 7 ) °) G .�• (/ 6 2 prop Owner's Name lcel # t # Block # r Property Own Mailing A /� -° ro �j /� ..5 .� _ 5/ 6 /. (J City, S to Zip Code Phone Number section Q/ 1 _ 1 33 - c _ l :1 le one) J 7 T 5 R orW — II. Type of Building (check all that apply) or 2 Family Dwelling — Number of Bedrooms Subdivision Name C M ber k v 114 - ❑ PubliclCommercial — Describe Use = ❑ State Owned— Describe Use Des -l-' CU S tN Q� Dalyy ❑Village*own of 677 III. Type of Permit: (Check only one box online A. Complete line B if applicable) A. XNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal ❑p Revision ❑ Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a 1 X Non - Pressurized In -Ground ❑ Mound?: 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑ Prip Line ❑ Gra -less Pipe ❑ O (explain V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Requt (s , Dtspe Area Proposed (s System Eleva ' n VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Plastic Gallons Gallons of Units /n `. Concrete Constructed Glass New Existing �/ / y'� Tanks Tanks Septic or Holding Tank 6 Aerobic Treatment Unit Dosing chamber VII. Responsibility Statement- I, the undersigned, as surne-reslic"@ibilIfy for installation of the POWTS shown on the attached plans. Plum 's am (P 'nt) Plumber' PRS Number Business Phone Number Plumber's Address (Street, City, Stat , ip Code) ZZ (7 /v B 0 � II. Coun /De artment Use Onl @Uxl pproved ❑Disapproved Sanitary Permit Fee (incl es Groundwater Dat Issued ssuing Agen Zgnre s) ` Surcharge Fee) �E?� r yt W / ❑Owner Given Reason for Denial IX CoAditions of Approval/Reasons for Dlsa 19u„w4/ eon, . U, f/ - 7 / • 'r 3• �3 } l�/1 -YT G �, Attack com to plans (to the County oa ) for the system on not Ins than 81R 111 lack sa ize � nU�,�,�,'T /�t�,, S 1 o 0 t T3 3 edam, fis . (Q 0 SB -6 98 (R. 08/02) Iab w- a �y ���ytc, - fdr�• �1 J 1 . �,K ti 1 / /Lg t = /a / /W, sa 7 A 9-3 c 0 a 3, q -4 CCP w- i 1�` A Ot P 7 Y - " A/ 93 .� 0. �� 3 D �-�- 9 -3 l sY C7 G- q -)6 1314 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 030- 2041 -80 -100 Please print all information. eviewed y Date Personal information you provide m , s. 15.04 (1) (m)). 1 0 Property Owner Property Location 1 Emerson Homes Govt. Lot na SE 19 SE 19 S 25 T 30 N R 20 W Property Owner's Mailing Address WjAY 1 3 2003 Lot # Block # Subd. Name or CSM# 913 Florance Ln 3 na CSM Vol. 6 Pg 1705 City St 4e Zip33'od" _j City _j Village a Town Nearest Road Hudson I � ' `'�� ' StAoseph Cty HwyV 10 New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement J Public or commercial - Describe. Parent material Glacial Outwash Flood plain elevation, if applicable na General comments l� � and recommendations: System elevation 94.15ft, trenches spaced and depth to a 4.75ft below grade v Boring # Boring M Pit Ground Surface elev. 98.90 ft. Depth to limiting factor 96 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 -12 10yr 3/2 none sit 2msbk mfr cs if .5 .8 2 12 -36 10yr 4/4 none sicl 2msbk mfr gw na .4 .6 3 36-5,3 7.5yr 4/4 none sl 2msbk mfr gw na .5 .9 4 53 -96 7.5yr 4/6 none Is osg mvfr na na / .7 1.2 �2 SAX yo F2] Boring # J Boring Pit Ground Surface elev. 98.90 ft. Depth to limiting factor 9 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 I *Eff#2 1 0 -12 10yr 3/2 none sil 2msbk mfr cs if .5 .8 2 12 -38 10yr 4/4 none sicl 2msbk mfr gw na .4 .6 3 38 -96 7.5yr 4/6 none Is osg mvfr na na 7 1.2 * Effluent #1 = BOD 5> 30 < 220 mg /Land TSS >30 < 150 mg /L Effluent #2 = BOD s30 mg /L and TSS < 30 mg /L CST Name (Please Print) ature: CST Number David J. Steel z i 248956 Address Steel Soil Service - Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 5/6/2003 715- 246 -5085 I Property Owner Emerson Homes Parcel ID # 030 - 2041 -80 -100 Page 2 of 3 F31 Boring # I Boring 0 Pit Ground Surface elev. 92.80 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -12 10yr3/2 none sil 2msbk mfr cs 1c .5 .8 2 12 -41 10yr 4/4 none sicl 2msbk mfr gw 1f .4 .6 3 41 -56 .5yr 4/4 none sl 2msbk mfr gw na .5 .9 4 56 -96 7.5yr 4/6 none Is osg mvfr na na .7 1.2 (VV Ste_ O `7 �f�� f ❑ Boring # 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 GP D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # -� 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 GPDffF 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST - POWTSM Emerson Homes New Richmond,WI 54017 Lie. #248956 SE1 /4,SE1/4,S25,T30N,R20W Bus.(715) 246 -6200 Town of St Joseph, St Croix Co. Fax (715) 246 -9372 Lot 3, CSM Vol. 6 Pg 1705 Legend 1" =40' ♦ =Benchmark Ele. 100.00Ft Top of 1/2" PVC pipe • = Alt Benchmark Ele. 100.5017t N Top of 1/2" PVC pipe 0 = Borings Boring Elevations B1= 98.9OFt B2 = 98.90Ft B3 = 92.80ft B4 = 00.00ft l5G 5Z r 6,5 � o L- 9y �T if /3z I �� -O3 POWTS OWNER'S MANUAL &MANAGEMENT PLAN Pa of 2 FILE INFORMATI N SYSTEM SPECIFICATIONS Owner Septic Tank Capacity at 13 NA Permit # s Septic Tank Manufacturer ` ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 7 ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model 1 ^ p ❑ NA Number of Public Facility Units A Pump Tank Capacity a l ❑ NA Estimated flow leverage) 410 6 gal/day Pump Tank Manufacturer 13 NA Design flow (peak), (Estimated x 1.5) al /da Pump Manufacturer ❑ NA Soil A "n; te -- alJday /ftz Pump Model ❑ NA All tandard IflEfflMonthly average' Pretreatment Unit NA 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD _ <220 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 In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids ITSS) 530 mg /L NA ❑ At -Grade ❑ Mound Fecal Coliform (g eometric mean) 510" cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 13 on is s ) (Maximum 3 years) ❑ NA Jif 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: month(s) (Maximum 3 years) ❑ NA yearls) Clean effluent filter At least once every: ❑ month(s) ❑ NA year(s) Inspect pump, pump controls & alarm At least once eve monthls) ❑ NA Ins P P P every: ❑year(s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: ❑ yearls) Other: At least once eve ❑ month(s) ❑ NA every: ❑ year(s) Other: ❑ 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 dispo *ed 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. 2 Page Z of � 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: ❑ 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. W/* alua " a o ing tank �f2044115 r E5.M �i2 H/ ✓ CflNS7Rt1c�t D ❑ 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 Name Name Phone 7 � j .. 4 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name 15t C ( d Phone Phone —7 /S— 3e(0_ This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.540►, (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP Ci:;RTIFICATION FORM I Owner /Buyer �} Mailing Address �1� 1 �Q 1 kAl Property Address 1 �3-401 (� (Verification required from Planning D partment for new construction) City /State a gyp , (�� Parcel Identification Number � �d�( LEGAL DESCRIPTION Property Location SG ' /,, S� V�, Sec. Qla T N -R,ZW, Town of f Subdivision Lot #, Je Certified Survey Map # 6 s ( 2 to a , Volume. . Page # Warranty Deed # _ _?dam Volume Page # Spec house ❑ yes no Lot lines ideatifiable'�yes ❑ no SYSTEM bL41NTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance . . consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the finiction of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, jourmymanplumber, restrictedplumberor a licensedpumpervcrifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the SL Croix County Zoning OflYCe within 30 days three nation / � SIGNATURE APPLI ANT DATE OWNER CERTIFICATION we) certi that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the ownet(s) of the w4za ab ve, v a warranty deed recorded in Register of Deeds Office. I ATUA OF APPLICANT DATE «s « « «s Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * *s * *• `• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed i L00 'd LIMES :01 60/06/90 00L59bZSiL 9NIllaAH3X3 110HA F lt V 2129P 402 - 710 �s STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. NALSH REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO., NI RECEIVED FOR RECORD This Deed, made between Robert H. Haedtke and Barbara J. 02/04/2003 08:30AK Haedtke, husband and wife DEMIPT # Grantor, and Daniel A. Thompson, a married person REC FEE: 11.00 TRANS FEE: 181.20 COPY FEE: CERT COPY FEE: PAGES: 1 Grantee, Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name and Return Address Part of SE '/4 of SE '/4 of Section 25, Township 30 North, Range 20 West, St. Croix County, Wisconsin described as follows: Lot 6 of Certified Survey Map filed December 20, 2 001 in Vol. 15, Page 4223, Doc. No. 66 030 - 2041 -60 -200 Parcel Identification Number (PIN) This is not homestead property. (1$) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this f 54 day of January 2001 + + R ert M. Haedtke + + Barbara J. Haeti AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF Wi,9CON.SW ) ss. County ) authenticated this day of Personally came before me this f S day of January 2003 the above named Robert H. Haedtke and Barbara J. Haedtke, husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, authorized by § 706.06, Wis. Stats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina Ogland Notary Public, State of AW- iccaasia c't} Hudson, WI 54016 My Commission is perm pent. (If not, state expiration date: (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. dafflMNo . Fond f. Lac, wi STATE BAR OF WISCONSIN N Mmm. # 1390316 a 5 WARRANTY DEED FORM No. 2 -1999 Notary Pjbk-C*c rnq y Coo* of San Luis fl» My COW. EP. DOC.14, 2006 r1 66.5862 VA N__ 15 4223 KATHLFEW H. WALSH __.....__.._ REGISTER OF DEEDS ST. CROIX CO., WI Located in the Southeast quarter of the RECEIVED FOR RECORD Southeast quarter of Section 25, Township 12 -20 -2001 3:30 PR 30 North, Range 20 West, Town of St. COPY FEE: 3.00 Joseph, St. CrQ,ixLCounty,- ...W*B_ onsin RECORDING FEE: 13,00 _.` ' ._... replacing that CS PAGES: 2 reviaitlg' and M reco�r3ed� in.Valume...6,_..page Owned by: Robert & Barbara Haedtke 1314 County Rd. "V" Hudson, Wisconsin CEP T I FI ED SUP VE Y MA �'t1t11fNI /N,� _CEP TIFIED - SURVEY MAP VOL. 3, PG. 853 t�� , r,0JV's N 88'57'56'E 319.02' _ HARVEY O. {� JOHNSON Z s -1899 0 5 HUDSON Q wrs +,•�. � m 5 LOT ' � � m C z b q oe SUR`I� c - � lost$N w E 1 /4 Corner �� Section 25- 30 -20. Qf o ti l z o in ti� v Z iu �� g • 0 Q. w h / � • Si+eo's f/1 � in W / 7..1 ' N 88 57' 56 "E A o ` 198.39' T v _j 3 3 N v N 88'57'56 "E 344.00' ~ d o 2 _� v 293.99' so.o U S o ° o v ~ n LL 6 , m !n m o z H O N 7a��2 ol � p O �J CO m o t � o Z 610.11' 7 ts,• N w S 88 '56'W 660.12' s0o z.sz ` UNPLATTED LANDS 50 41, w _o -- - - -- - -- w v an 'A :n vp In0 0 LINE BEARING DISTANCE SE Corner i S 32'12'38 "E 160.31 2 S 60'28'42'E 127.15 Section 25- 30 -20. Legend Lot sizes • 1" Iron pipe found. Lot 5 - 176,901 square feet (4.06 ac) including right -of -way. 0 1 "X24" Ironpipe weighing 1.68 168,027 square feet (3.86 ac) pounds per lin. foot set. excluding right -of -way. Previous lot line. Lot 6 - 95, 725 square feet (2.20 ac) including right -of -way. Bearings referenced to the East line 95,250 square feet (2. 19 ac) of the SE1 /4 of Section 25, assumed excluding right -of -way. S00 007155 "E. NOTE: No new lots are being created. Town and county approvals are not required. This instrument drafted by Sheet 1 of 2 4012719 Vo1.15 Page 4223 Parcel #: 030 - 2041 -60 -200 07/19/2007 02:08 PM PA 1 O F 1 Alt. Parcel M 25.30.20.4921 -10 030 - 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 - THOMPSON, DANIEL A DANIEL A THOMPSON 1312CTYRDV HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1312 CTY RD V SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.200 Plat: 4223 -CSM 15/4223 SEC 25 T30N R20W SE SE FORMERLY LOT 3 Block/Condo Bldg: LOT 6 CSM 6/1705 NKA LOT 6 CSM 15/4223 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 30N -20W SE SE Notes: Parcel History: Date Doc # Vol /Page Type 02/04/2003 708125 2129/402 WD 07/23/1997 797/619 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: ,Last Changed: 07/09/2004 Description Class Acres Land rl8p2r ve Total State Reason RESIDENTIAL G1 2.200 80,600 00 26 3,100 NO Totals for 2007: General Property 2.200 80,600 182,500 263,100 Woodland 0.000 0 0 Totals for 2006: General Property 2.200 80,600 182,500 263,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i 605862 �." tC1 W__.. 15 F7" tA» C_: 4223 KATHEEEW H. WALSH ___.....__._. REGISTER OF DEEDS ST. CROIX CO. WI Located in the Southeast quarter of the RECEIVED FOR RORD Southeast quarter of Section 25, Township 12 -20 -2001 3 :30 PM 30 North, Range 20 West, Town of St. COPY FEE: 3.00 Joseph, St. Croix'County, Wisconsin, RECORDING FEE: 13.00 revising and replacing that CSM recorded PAGES: 2 in Volume 6, page 1705. Owned by: Robert & Barbara Haedtke 1314 County Rd. "V" Hudson, Wisconsin CE/z? T .I F E0 S UR V E E Y MA P - CERTIFIED - SURVEY _MAP VOL 3, PG, - 853- i�� S'i N 88'57 "E 319.02 HARVEY O. 7� JOHNSON ° �� HUDSON � w1S Q . s LOT 5 � z I �SW,-, NO s up , M __j $as$a E1 /4 Corner i ° `s f ✓ l I Section ZS-30-20. C)1 o \� -II Z iU -jI g o Q_ W " © SHEDS N ins D I ^� t 17.53 j o N 88' 57 ' 56' E o 698.39' ✓ y ah yo h I " N 88'57'56 0 E 344.00' U f' Q i 2 `° a v� 293.99' 50.0 to v� ✓ ° o i y a N L 6 ' 'a rn in .41CO CD 2g•4 M..... .s,• U) + w W S BB 57'56 "W 660.12' �ISOOi I z 66.48' + 50' 4t25� W Q LJNPLl1TTED LANDS 11 of n ao �$ o H LINE BEARING DISTANCE SE Corner 3 S 32'12'32 "E 160.33 Section 25- 30 -20. 2 S 60'28'42 "E 327.15 Legend Lot sizes • 1" Iron pipe found. Lot 5 - 176,901 square feet (4.06 ac) including right -of -way. ° 1 "X24" Ironpipe weighing 1.68 168,027 square feet (3.86 ac) pounds per lin. foot set. excluding right -of -way. Previous lot line. Lot 6 - 95,725 square feet (2.20 ac) including right -of -way. Bearings referenced to the East line 95,250 square feet (2. 19 ac) of the SE1 /4 of Section 25, assumed excluding right -of -way. SOO °07'55 "E. NOTE: No new lots are being created. Town and county approvals are not required. This instrument drafted by Sheet 1 of 2 4012719 V01.15 Page 4223 Z 1519 U Wisconsin Department of Commerce SOIL EVALUATION REPORT � to ,!r � Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code P A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8' %x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - - - -" percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 030 - 2041- 80 =rt00 #25.30.20.492 / Please print all infonna #on. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1),(m)). Property Owner Property ocation Bob Haedtke Govt. tot SE 1/4 SE 1/4 S 25 T 30 NR 20 W Property Owner's Mailing Address -. L ;' Block # Subd. Nave or CSMN 1314 County Hwy. V *iwr C SM Vol. 6, Pg�.705 City State Zip Code Phone Number J Village Town Nearest Road / L Hudson WI 1 54016 1 715- 549 - 6840 StAoseph I County Hwy. V New Construction Use: 01 Residential ential / Number of bedrooms 3 Code derived design flow rate 450 GP Replacement � Public or commercial - Describe: Parent material Glacial outwash Flood plain elevation, if applicable na General comments and recommendations: Site suitable for At -Grade system installed on 103.47' contour. ❑ 1 Boring # _�j Boring Qom t I 1d Pit Ground Surface elev. 10 3.50 Depth to limiting factor >97" in. Sal Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD/it *Eff#1 *Eff#2 1 0 -5 1Oyr3/2 none sl 2fcr mvfr cs 2fm,1c 0.5 0.9 (, 2 5 -24 1 Oyr3 /4 none Is 1 msbk mvfr cs 2fm,1 c 0.7 1.2 �- 3 24 -33 7.5yr4/6 none sl 2msbk mfi cw 1 f 0.5 0.9 tp 4 3344 7.5yr4/6 none Ifs 2msbk ds CS 1 f 0.5 0.9 S 5 44 -50 7.5yr4/6 none s Osg dl cs - 0.7 1.2 6 50 - 97 1Oyr5/6 n s Osg dl - - 0.5 0.9 Fi#5 contains 1/4" - 2" bands of 10yr4/4 om Ifs at 6 -16" intervals. Leading rate reduced to reflect restrcited permiabil' ocaited with banding. Boing # �j Boring 1 Pit Ground Surface elev. 103.52 ft. Depth to limiting factor 40° in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft *Eff#1 *Eff#2 1 0-4 1Oyr3 /2 none sl 2fcr mvfr cs 2fm,1c 0.5 0.9 2 4 -31 1Oyr3/3 none Ifs 1msbk mvfr cs 2fm,1c 0.5 0.9 3 31 -40 1Oyr4/3 none Is lmsbk mvfr cw 1I'm 0.7 1.2 4 40 -52 1 Oyr5 /4 f2f 7.5yr5/8 Is 1 msbk mvfr cs 1 fm 0.7 1.2 5 52 -96 1 Oyr5 /6 f2f 7.5yr5/8 strat. s Osg dl cs - 0.7 1.2 * Effluent #1 = BOD ? 30 < 220 mg/L and TSS >k < 150 m91L Effl #2 = BOD,, 30 mg/L and TSS <30 mg/L CST Name (Please Print) Sign re: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lance Lane, Osceola, WI 20 12/17/01 715- 248 -7767 I A Prgxxty Owner Bob Haedtke Parcel ID # 030 - 2041 -60 -100, ID# Page 2 of 3 3] Boring # = Boring IM Pit Ground Surface elev. 101.77 ft. Depth to limiting factor 53" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -5 1Oyr3/2 none sl 2fcr mvfr cs 2fm,1c 0.5 0.9 t 2 5 -26 1 Oyr3 /4 none Is 1 msbk mvfr cs 2fm,1 c 0.7 1.2 3 26 -53 1 Oyr4 /3 none Is 1 msbk mvfr cw 1 fm 0.7 1.2 4 53 -98 1Oyr5/6 f2f7.5yr5/8 Ifs 2msbk ds - if 0.5 0.9 Ocontai >3 ,no o, 1T (� Siefst . 4 " - 2" bands of 10yr4/4 Om Ifs at 6" -16" intervals. Redox concentrations found at intertface of textural changes. Loading rate reduced to reflect restrcited permiabiliity assocaited with banding. F 4] Boring # Boring 16 Pit Ground Surface etev. 104.02 ft. Depth to limiting factor 29" in. Soil AppiwAw Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0-6 1Oyr3/2 none SO 2fcr mvfr cs 2fm,1c 0.5 0.9 , IP 2 6 -12 1Oyr314 none SO 2fsbk mvfr cs 2fm,1c 1.2 3 12 -29 1Oyr4/4 none sil 2fsbk mfi cw 1fm 0.5 0.9 (, 4 -32 5yr4 /4 c2d 7.5yr5/8 sl Om ds cs 1fm 0.5 0.9 -� 5 32-40 1 Oyr4 /6 f2f 7.5yr5/8 s Osg dl cs - 0.7 1.2 6 40-63 1Oyr5/6 f2d 7.5yr5/8 s/ls /sl Osg dl - - 0.3 0.5 FIN consists of an unsorted mature of Osg s, 1 msbk Ifs & Om I Oyr4 /4 sl. H#7 contains 314" - 2" bands of 10yr4/4 Om Ifs at 6' -16' intervals. Loading rate reduced to reflect restrcited permiability assocaited with banding. Boring F-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 GPDIffZ *Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 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. J ■ �i I Q b SC((/0. t��C- r� 5ckle: / VC v 5 0 8 17 � ■ ' U 6 to \ IW � � I i 6Z ® - c O o c C cz O M O) C ' O ._ ° oar ... 3 S I °�c oN C� v c I 0 N s Nap N y O N N U N ;` N N — C d N v N O 7 O C -0 0 N Er • p ;r- C L .0 N (0 N 4) : 0 1 NY-1 N 6 U m - C C '. 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