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HomeMy WebLinkAbout030-2128-60-000 ST. CROIX COUNTY ZONING DEPARTMENT ' 0 7 0 b AS BUILT SANITARY REPORT Owner 5 �l 5�d v G- ' 1 1 4 A] a G- 7.U'� ,51 TA� Address Z Lo / G e �-- � /� /c'i Dom-- �� �S - uc 7" D,c> City /Stat yQSOI'd LV/ Sy0/ Gle9S7"e Legal Description: RiO a Lot 6 Block Subdivision/CSM '/a � '/4 , Sec. , T,�Q N -R W, Town of _5 % • 70 SE�??� PIN # 0 ,)0 • 2-1 Z • ( o •oa"D SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: • s rh 1,v 0A-s � Tank manufacturer / `� • Size ST/PC ' / Setback from: House Well ' ' P/L Pump manufacturer Model �_ v .S T e1 � e e ?X - � �� Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SA IL ABSORPTION SYSTEM tai o F>� SEA G�/�5 g Type of system: Width 3 Length ` Z Number of Trenches Setback from: House ?' Well it PP/L — I' Vent to fresh air intake ;' 75 ELEVATIONS C sT s /2 „ s �� 1-11;A`( Ga 7` Description of benchmark G' /N'�' Elevation Description of alternate benchmark Elevation 9�eD • � y'' Co��`�2 Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Heade Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) ) / l 62 7 Bottom of System ( } ( ) Final Grade ( ) () S'q 7 49 a c f . 2 - Date of installation / / Permit number ya d L ' 3 5 State plan number Plumber's signature License number 2-2- Date Inspector _ �"rl � ,y,✓ G 1 L , - Complete plot plan NA L =rnvc -4 0 c 0) \ ohm P. a �1` p70 v p i l` ¢ m 0 C ' N i o o � kA o N o ho � a CP Ni l sr kA X, Sh 7 0� o ° co 2-4 0 (n 1� Q 00 O v m cp r > m .c� G Q U) w * 4 , :n-oN o 0 r m a` m�� y J >Ox 77 H `� a rs ZIN y VN Vl 56 y I � 1" y - +ment of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix .mg Division I , INSPECTION REPORT Sanitary Permit No: 408235 0 , INFORMATION M (ATTACH TO PERMIT) State Plan ID No: .al information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. ,nit Holder's Name: City Village x Township Parcel Tax No: Son , Susan I St. Joseph Township 030 - 2128 -60 -000 CST BM Elev: insp. BM Eiev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / 6 r /4z Benchmark /J lD j /D. ! Alt. B S;7 ^ e,6 5 Aeration . See w ` l op, .14 Holding SVHt Inlet Z z ib3 -g t � /D TANK SETBACK INFORMATION SUHt Ou D "L TANK TO P/L WELL BLDG. Ve Air Intake ROAD Dt Inlet Septic n / / 1 Dt Bottom rng I v HeaderlMan. (� Aeration D' t Pipe Holding Bot, Sys i qq,5' PUMP /SIPHON INFORMATION Final Gra Manufacturer Demand St CQv /� GP al I N+�-O- !ST S c.r O , d/ a • I i Model tuber " . 7 - - TDH Lift Fri Loss System Head T Ft Forcem Length I Dist. to Well SOIL ABSORPTION SYSTEM %5 Airn BED/TRENCH Width 7 t Length / No. Of Tren es PIT DIMEN� S No. Of Pits Inside Dia. Liquid Dept DIMENSIONS �.� SETBACK SYSTEM TO P!L BLDG WE LAKElSTREA LEACHING Ma cfurer s, INFORMATION Type Of System: �. / CHA UN OR Model Number: �� S ,r ,Z.111-k� DISTRIBUTION SYSTEM 0.b Header /Manifold / D /l? p Distribution x Hole Size Hole lVent to Air Intake Pipe(s) / 1i & /-- Length Dia Length Dia " "` Spacing ( J 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 nl VV Bedfrrench Edges Topsoil A�T EelYes O No A COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: �d / j 1 _L � , Q Inspection #2: Location: 1326 Birch Park Hudson, WI 54016 (E 112 SW 1/4 25 T30N R20W) Ridge at Birch P of 6 Parcel No: 25.30.20.104 1.) Alt BM Description �� 2.) Bldg sewer length - amount of cover ytLAZJ �• ,�/ — — Plan revision Required? Yes No Use /Ir ?? rorC�{.G( 1_ Use other side for additional information. � ! _ _�i SBD -6710 (R.3i97) Date Cert. No. Insepctor's S' nature Safety and Buildings Division County 5 T CR p X ■� 201 W. Washington Ave., P.O. Box 7162 consin Madison, WI '53707 - 7162 Site Address / 3 z 4 1 Afle DepartmentofCommerce 7 -Z -OZ- -- 3SJj0 Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 19 q Z35 may be used for secondary purposes Privacy Law, sl5. 1 m ❑ Check of Revision I. Application Information - Please Print All Information State Plan I.D. Number N//9` Property Owner's Name Parcel Number C�� p Z✓ i 7 ci SuS�4,v sou lr LANs ,t3 --�'o Property Owner's Mailing Address Property Location U— �Z ( — ZZ3 SgG /*A- GN. � ff Num ° �i Y2 u ic;S T 3'0 N,R2-0 Lf City, State Zip Code Phone ber Lot Number Block Number J U L �� � � j02 Subdivision Name t'3i'vliiatnber- c <; OD&Z SF H. Type of Building (check all that apply) QS ZO'�IN(" ���� ❑City �1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Commercial - Describe Use ptr ownship ST f0$ ❑ State Owned N arest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 XNew 2 11 Replacement System 3 11 Replacement of 6 ❑ Addition to For County use system Tank Only Existin System g• ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued N. Type of Permit: (Check all that oppiy)(numbering scheme is for internal use) 44 K Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate /Systernx Vation Final Grade Required Proposed Rate(Gals.iDays /Sq.Ft.) (Min./Inch) .S Elevation I J 0 0 3. 0 s 5-64e, VI. Tank Info Capacity in Total Number Manufacturer Prefab Si Steel Fiber Plastic Gallons Gallons of Tanks Concrete nstructed Glass New Existing j ESrvz Tanks Tanks Septic or Holding Tank Tstv itJ SEZ' /FS • VII. Responsibility Statement- I, the undersigned, assume responsibtlity for Installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature m/MPRS Number Business Phone Number Q or3r=r " ZUZ iG 4T 2 _ > &3 - 7 S 7 3 e6 , cf ,?S Plumber's Address (Street, City, State, Zip Code) & 55 6' iv E Z_ 7Z 0 Y VDSo,.-) 4� /. S f1oi VIII. Count /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature (No Stamps) Surr: a Fee) 11 Owner Given Initial Adverse . Determ 2 Z s IX. Conditions of Approval/Reasons for Disappro 1 S t s c o S' sbi s y �� s� 3 if plans County o I ) r, Im th 01 per n less 1/2 s es In size / SBD�6398 � i � N ORIGINAL ej 1 0 ' p 33 iva,e /yl, Ga r o — 0 , • ms s` 4 r = _ _ _ = _ _ V i�PENGG. t i c // 13 ox s AC 90 gyp, vt , o , aV) J c� I�, K s 13461 So, G nr �4- , 660 jet THIS POWT SYSTEM SHALL INCORPORATE PER COMM. 83.44(2)c A PROPER ZABEL FILTER MODEL P1* 7_5 • ULDI- ZICUIT & ASSOCIATES CU. 655 O'N611 Pond • 1 ludsvn, WI 54016 neg..Vesigners of Engineering Syslenrs 715486 Private Sewnge Consultants PROJECT INDEX c� PLAN ID H Nl /f - DATE OWNER s'US/), SDrJ G- 114,V /7 / 4 P11ONE A mm E s s 2 5 a. G,v . /�vDsa,� 4- S y a i LEG DESCRIPTION 1- -bee / /3 1,ec4, TOWN OF S T ' 70S f COUNTY 'S T • e 0/' cs T . &Z -so,J 3 k 7 LOCAL AUTHORITY/ SUPERVISION 57 ( fleOt K C �'X Z0 X 0 / A_ 6 JJ-p PROJECT DESCRIPTION: 4 5 4co0,1C Sete f - /XO S . - S O-' 7 THIS POWT SYSTEM SHALL , INCORPORATE PER COMM. Goa 83.44(2)c A PROPER ZABEL / FILTER MODEL # d , ` ro r Ulbricht & Associates Private sewage Consultants /p 'r1( 6 O'Neil Rd. " F / Hudson, Wis• 5401E3 Pg.l INFILTRATOR SIZING WORKSHEET P9.2 SYSTEM PLOT PLAN P9.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. P9 .4 11 11 11 it It P9.5 OWNER MANAGEMENT PLANS & ZABEL FILTER SPECS P9.6 (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK. PG-7 (OPTIONAL) PUMP PERFORMANCE SPECS. The attached plans and specifications are based on "In- Ground Absorption Component Manual For Private Onsite Wastewater Treatment Systems." (Version 2.0) SBD- 1075- P(NO1 /01. • I y o w y i� II I � Mill LA (1 4 O � w r � y � VI) 4> • w �O esT's / S F -�►..� p i �� �o � � yo' 33 ya'le ;V� Z-dT L , o o . - o Cow ' pfrw �• '' �" I yo �a y1 85 O p I-ecAja, 13 � �f5TRi6uT�o� 13 o x t: S • �3 �D l � T w r s s �I ?06—C i S� 1311? 1 . Sa, GaT 6 ' ,q c / r-o u C� THIS POWT SYSTEM SHALL INCORPORATE PER COMM. 83.44(2)c A PROPER ZABEL FILTER MODEL # , /a X -2o �� \ e co �N �.. p I ro ,____ g ._____. ,,� r✓,eo, m F Cat o� s 6 AP 1 � / a iff y 6 5 SE c Tio,) o;jc: ,, 13,• P ffivsEes /�v G-- S ox 13i oDt Gv i'dZt 31• F F `Tv T l e. /U4, s ice 7 cv � 12- off tl . y -,Q4 OF cea e rp oOV- O S P& (1 AP ,�l U Iff v Di v, y68.5 CVO - SEC Tiox) o;or- sQ, FT ; Tv T j L p-4, s gL-- c 7 .v . ow / /,'e AIV 2 '' Iff LQ TIP D • OWN � i I • ER s MAIN'r11INCE OF I:y SEPTIC SYSTEM '� POWTS (landowner) is re m aintenance Of thi possible maintenance system. R Pro operation and s ervicin g is necessary egular far for the safe Periodic inspections and S ystem. The owner is re health p m quired by code y o of. this aintenance /inspection rep submit all necessary ports to the controlling authorities, SPECIFIC CON'T'ACT - AGENTS * Governmental authority/ inspectors: ' * Licensed Installer, responsible for providing a Users manual: n o a t i o n/ Uibricht & Associates Private Sewage Consultants 655 O'Neil Rd. Hudson, wis. 54016 * Licensed serv kCe / In ��l - G r� agent other than installer: 3 � 3 d * Electrician, for pump, electric' controls, wiring un II I ts. I IMPORTANT OWNER MAINTE NANCE RE UIREMENTS i• Winter traffic area shall beledding, shoveting etc. not permitted ) across the freezing u the Permitted, frost can /will the cell, winter, (a vaeezinon p system. Discontinuos penetrate into lead to freeze u trip► resulting use in the ps• g in no water use) can also 2 • Water conservation needs to be exercised) Water design Overloaded and destroyed. or system can be fined for a maxi y This sv � stem was mum wastewater flow of .. 3 ' POWTS are — gals. daily. not designed to accomodate disposal unit, or waste Any in troduction any other unnatural sources O a garbage. destr f such waste materials waste. Y this system, will overload and 9* in a power Outa , fie occurs or a temporary Overload P tails cell, which ma of effluent being it may result r y adve n m a dversely impact the c g pumped into the allowing hat a licensed ell (leakgge). It is Consult g the pum empty the dosi pumper emt Your p to return to dosin 9 tank, � installer imme g the correct a di 5 • Neglect Immedia for advic mounts. 9 ct of the vegetative io n preventive) cover (the Bros cc' traffic also ca can lead lls insulation n to fail. & REGULARL destroy t he s ystem COmPacti01 O the Y WATER THE VEGETATION Ystem, It IS NECESSARYrTOeavy ystem beneath IS NOT OVER A SYSTEM!! fir cover, sufficient aloe Effluent i 6, a to maintai:) a ' Periodic Inspect pections by the Into the Inspect Pipes ander� °r his agents, is inspe on the mound Ports have been laterals, a pipes)' c the M basal area in corporated each t terminals (effluent level out. The filter s tip - For flushin °n the pressurized ground cover Ystem in the g and cleaning Perso /manhole), Oni tanks the (via a locked laterals should be Performing a licensed above & g this properly quali6ied severe safety risks Systems t reatment Evidence effluent ponding i work which involves health the ce21 shall also n n be re u g larly inspected. 4 Wisconsin Department of Gommerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St Croix � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. R viewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l) (m)). Property Owner Property Location ❑ El Quest Development, Inc Govt. Lot E 1/2 114 SW 1/4 S 25 T 30 N R 20 E(or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Suite 150 10700 Old County Road 15 6 1 Ridge At Birch Park City State Zip Code Phone Number ity Mvillage ■ Town Nearest Road Plymouth MN 1 55441 ( 7p3 -595 -9512 County Road E Q New Construction Useo Residential ! Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD E] Replacement F1 Public or commercial - Describe: Parent material f .oess over outwash sands Flood Plain elevation if applicable NA ft• General comments This site is suitable for a conventional system and recommendations: Boring # Boring Q pit Ground surface elev. 103.47 ft. Depth to limiting factor >98 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -5 10yr3/2 1 2msbk mfr cs 2f .5 .8 2 5 -16 lU r4/6 sit 2msbk mfr cs If .5 .8 3 16 - 10yr4 /6 sit Imsbk mfi cs - .2 .3 4 36 -98 7.5yr5/6 fs 2f r mvfr _ - .5 .9 z t q •� 2 Boring # FI Boring >98 Q 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/ff in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 l 0 -5 10yr3 /2 1 2msbk mfr cs 2f .5 .8 2 5-17 10 r4/6 sit 2msbk mfr cs If .5 .8 3 17 -38 10yr4 /6 sit Imsbk mfi cs - .2 .3 4 38 -98 1 7.5yr5/6 s Osg ml - - .7 1.2 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = B 5 < 30 mg/L and TSS < 30 mg /L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 10/16/01 715- 246 -2454 I i • Property Owner Quest Development, INc Parcel ID # 2 3 ❑ Boring # Boring 90 Page of Pit Ground surface elev. 107' ft. Depth to limiting factor >98 in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary oots Solt /fF Gr. n Rate in. Munsell Qu. Sz. Cont. Color ry GPD/f i Sz. Sh. `Eff#1 * Eff#2 1 0 -4 J Oyr3 12 _ 1 2msbk 2 4 -20 10 r4l6 _ mfr cs 2f .5 .8 3 20 -45 Ivfs Os mfr cs _ .4 • 10yr416 sil 1 msbk m 6 M171 cs 45 -98 - 4 7.5yr4l6 _ • .3 s Osg ml - - .7 1.2 ❑ Boring # � Boring Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary oots Soil iioation Rate in. Munsell Qu. Sz. Cont. Color ry GPD/ft= Gr. Sz. Sh. "Eff#1 *Eff#2 El Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil lication Rate in. Munsell Qu. Sz. Cont. Color ry GPD/fF 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. SDD- 8330Test (R.07 /00) I I ' 1 3 0�3 � &ac�r �. a� a � qo 10 1 Ntil� a��t �a ti Q _4A TO ?DCCOOdt, ►j loo j dl 103.L47 -as b j 1 o7, 90 T o j j 0 1, So h /�� 4f yp 136 9,o.z TH AVENUE N00'00'11 "W 1 225.00 .� IN3A35V3 un(in oNV 30 VNIVda ' ; n 1 x a \ I i LJ � N I AC1 t i t i a , 4Jgst �3i! ot ---- --- Lett _�._ — - W ,: o o o im em o o 't (7) t° o Cl) Z - ao U) Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. � J ?� • yO • �(� - �-U percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all iniformation. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner F - 1 Property Location rr-- � Quest Development, Inc. Govt. Lot E 1/2 1/4 SW 1/4 S 25 T 30 N R 20 E Property Owner's Mailing Address Lot # Block # Subd. Name or CSW Suite 150 10700 Old County Road 15 6 Birch Park City State Zip Code Phone Number aity nVllage ■ Town Nearest Road Plymouth MN 1 55441 1 ( 7¢3 - 595 - 9512 County Road E New Construction Use Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement n Public or commercial - Describe: Parent material loess over Ont wash sands Flood Plain elevation if applicable XA General comments This site is suitable as a below grade convention s stem. and recommendations: f"` y %•'� S — . < ; I X F] Pit # Boring ST Grp ..,. 0 pit Ground surface elev. 110.86 ft. Depth to limiting factor > 1Q `,, in. OOUNV 77 oF* bil ij06tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence cidrr¢ary Roots & DlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. +"'" r 1 *Eff#2 1 0 -7 7.5yr3/4 is lfgr mvfr cs 7 1.2 2 7 -20 7.5 r5/6 is Ifgr mvfr cs - .7 1.2 3 20 -30 1 7.5yr3/2 is Ifgr m vfr cs - .7 1.2 4 30 -110 7.5vr5/4 - s Osg ml _ - .7 1.2 2 Borin # ❑ n Boring 9 ❑ 99.96 >98 • 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -98 7.5yr6/6 s Osg ml - - .7 1.2 - * Effluent #1 = BOD > 30 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = B < 30 mgJL and TSS < 30 mg /L CST Name (Please Print) Si nature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 12/10/01 715 -246 -2454 Property Owner Quest Development.Inc -- ----__ Parcel ID # Page 2 of 3 ❑ Boring # Boring 10$ Q pit Ground surface elev. .71 ft Depth to limiting factor >110 in Horizon Depth Dominant Color Redox Des cri tion Soil lication Rate P Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 - E fW 1 0 -7 7.5yr3/4 _ 2 7 - is lfgr mvfr cs 2f .7 12 7.5 r5/6 - Is 1 f r mvfr 3 30 -110 7.5yr5/4 _ cs • 1.2 s Osg ml - - .7 1.2 ❑ Boring # � Boring pit Ground surface elev. ft. Depth to limiting factor i n. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil lication Rate in. Munsell Qu. Sz. Cont. Color ry GPD/fF Gr. Sz. Sh. *Eff#i *Eff#2 ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil licatlon Rate in. Munsell Qu. Sz. Cont. Color �' GPDlfF Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 m L 9/ * Effluent #2 = BOD < 30 mg/L and TSS < 30 mgJL 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. M- 8330Test (R.07 /00) I L �N o m a�- •'�8 u � d1 I .I LoA Of - 3 Top ofeQf)j { too t33 1 0 8 "71 I�A > v ✓ P�5AID /AN -- 1- TO B 1+Sr1 -�v 6-p + r.v© / I/ /P vfi L P/1V 6 STivG- -> cd,v T � r LvfS. 030•103�•Z.o -mob 'r 0 3 0 . z 03 y. So • ozry ZW& Ie..vS G� /4AS7�i r 0 30 • 2-0 /0 • 47aV plvll iqG`)IU "N 0 3a ` z, 0 3,V • 7 0 �� pti e 5 & Associates wsoa Consultants © 2-a � © Hu O'Neil 0 3 is. Hudson, Wis. 54018 - 715, 3 .' (o• 9195" 7/ 5 • • 3 _A 06/16/2002 17:33 7153815443 CROIXUET PACE 02 UPTlC TANlC E ORUMBNT AND �+ '� 1 OWNERSHIP CERTIFICATION FO Uwnd'tduyer l.Nlx r Mailing Addrentt Via` -?j Pte -tee .. — 0 01 w PMPedY Adc 1 32(c �tRc�t Q ,A (Verificttion required f om 1'funse ng l rhh0nt for sew conai �? Cit ytSt„te `'<— Parfet Identification Nate D d //0 �1P� r�1•tti}iv dam. Z v 3 . �, , lo � g � PtOPWY Location c vi, 5 � 2 , . �.... , 1., Scc. S x 3 N- w, Town of ST Subdivision WW A 1 � K I.ot # ctirllned slimy map N Voltune Page # w.t tralt( Deed # (P 3 vo, !q 0-7 . Pa # '97 . Spec 1loutte yea co no Lot linen k%aitiable 0 yde 0 no tntpropet not anA ttratntehnnced your septk sysierrt va M teatl in its ismneure Where to hsndte ww t, Proper mshetert mtm cottalsla of per T%11 oat the septic tank every three Yeats or Wne t, If heeded by t licensed ptlgm. what you put into the "em On OW, the &W -tion of the septic tank as a treatment owSe ht tltt woo dhgtwal sytterL 'Cite propeNy ownet eIreea to attbmtt to $t. C OIX Z00109 Dgtarltr A a certification fomt, aignod by the owner and by a master phmebet, f ontneyman phimber, reshicted phwber of a beet*sedpumper verifyin11 that (t) the oat -site wastewaterdiapnart aTslan it to proper opetating condition StWet (7) otter htapection and pumping (if w0coveaty), the septic tank is lest dM 1/3 11011 or #kWp i /we, the imdetaigned have read the Am requirements and agree b maintain the private sewage dispoW eyatern wim t1+o owndatdt set tQ* herein, At set by the MIMIniment of Commetee and the Iepattreent of Natural Resmacco, Swe or whkowiu. Carew ation - 11011111 that Yotit seplte system has been nuiMihted at be eotnph led and ietwaW to the St. Ctoia County Zoning 011iee within 30 day$ gl�the dwm r ezpirati 1 0 A11JR OF AP 1 NT DATE I (we) certi at alt statetitents an this farm ate into to the best or my (our) kntnrled&Q. t (wof fen (are) the owner(a) at' the rip deaeti ■have, by v) "f ■ we recorded in 1t.egider or [loads oQico. G ATU1tS A 1111 t,i AN1 rt DATE a + "aa• Any infotmatton fleet h mis•repretented may result in 1110 aanitatl pttmit being tevoked by rho Zoning Depatttuent, star t+ a; littlnde Vvlth tbls oppltettion. a slateeped warrstety deed from des Reghtet of Deeds ott'xae S COPY of the cewtified nwvcy crap it robteme is made its the warmly deed 4S I STATE 13AROF WISCONSIN FORM 2 -1999 ( 9 6 ] H. Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX Co., WI This Deed, made between Dakota Development, LLC, a RECEIVED FOR RECORD Minnesota Limited Liability 05 -10 -2002 91:30 AN WARWIM DEED EXEMPT f Grantor, and Susan E. Song and Hans Holmberg, REC Ffifi: 11.00 TRANS FEE: 427.50 COPY FEE: CERT COPY FEES Grantee. PAGES; I; 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 ca tr Name and Return Address Lot , Plat of Ridge at Birch Park in the Town of St. Joseph, St. Croix ounty, Wisconsin.�� c Z _C 030 - 2039 - 40,030. 2039 -80 Parcel Identification Number (PIN) This is not homestead property. 04) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any, Dated this " \. day of June 2002 Dakota Development, LLC • can -� a1K� AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) C r ) ss. t AQ� 4 County ) authenticated this day of Personally came before me this day of June 1 2001 the above named Dakota Development, LLC, a Minnesota Limited Liability TITLE: MEMBER STATE BAR OF WISCONSIN (If not to k own to b the on(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) s n Eand ] e t e same. THIS INSTRUMENT WAS DRAFTED BY Yt�C Attorney Kristina Ogland Notary Public, State of Wisconsin Hu son, WI I6 My Commission is ermanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) Q .) + Names of persons signing in any capacity must be typed or printed below their signature. r ro ms on r ar s o •r C F«M d+ t«, N 9ooas5.2o2r WARRANTY DEED STATE BAR OFWISCONSIN FORM No. 2 -1999 Tracy L. Tamer Notary Public State of WiSCDns I "'- t ^ t'.j r c a✓� 1 t 1 L I ' n al I 00- I ' o n L 1 CV zC! `;Z , 1 1 In ° I 'AR 1 c.sac.r l ncv.ua n. a 1 I r I CUT. in .✓ i � � \\ ,ov um,a t rte•.. i �' b {/ i „+ 1 f / � ".�'� � \ J I I y 1 'c`t / \ �.- soc +. o u�•cwr\ �.a/ i �,<� `,4 1 1 RQAQ A_ ° N' •.•i�{ I 4 !- scm tMa ura„cm,N TM&tunu , n ° ..c I I a� � 4 c� � JeF l •S 1 Go � \ h to \ le I .n«; ,., I S '. ;...t .• \J 1 \ \ \ \ 1 I I m van usc«dn I 1 \ t •% • • . ' 7 / , eeM Vao COMM 1 1 I ncv.nax. eaeo .i'.•' Y I r ncv.na . ss,.e \ t i / I I ' t / i • • •: •:' 7' �'_,m.c wro escaRr u I IV 1r .1.1 J L sm.« tr n t P I OUTLOT A I f I I - --------- ---- - - ---I a: NORTH £ngineeraq Ptonning R.vey n9 f�IQt tqM Ti lmd ft *ft w z � • �` . •`� ` " «""». �`•' Daiwa Dev qm" n a RPark n NO Pack Prollmiaary Prat / ❑ aim. scr /.M -aaw • i coin -asu � / TOM N ft JopIM. It d16ti7uttlT,0 1 vmI�Iff 1 �5"Y Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 0 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. .3 0 . 203 / v u V Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner 7 T j y v - r Property Location 0 )W Quest Development, Inc /i7 Govt. Lot E 1/2 1/4 SW 1/4 S 25 T 30 N R 20 E(or)W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# S uite 150 10700 Old County Road 15 6 1 Ridge At Birch Park City State Zip Code Phone Number aity nVillage ■ Town Nearest Road Plymouth MN 1 55441 ( 7¢3 -595 -9512 County Road E New Construction Use(D Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Replacement [:] Public or commercial - Describe: Parent material l .oess over outwash sands Flood Plain elevation if applicable ft. General comments This site is suitable for a conventional system and recommendations: A. n FTI Boring # Boring S'T a Pit Ground surface elev. 103.47 ft. Depth to limiting factor > In a Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ' 'toots G in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0 -5 10yr3/2 1 2msbk mfr cs 2f .5 .8 2 5 -16 10 r4/6 sil 2msbk mfr cs if .5 .8 3 16 - 10yr4 /6 sil lmsbk mfi cs - .2 •3 4 36 -98 7.5yr5/6 fs 2f r mvfr _ _ ,5 .9 ❑ 2 Boring # ❑ Boring >98 Q 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 1 0 -5 10yr3 /2 I 2msbk mfr cs 2f .5 .8 2 5 -17 10 r4/6 sil 2msbk mfr cs if .5 .8 3 17 -38 10yr4 /6 sil lmsbk mfi cs - .2 .3 4 38 -98 7.5yr5/6 s Osg ml - - .7 1.2 * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = 90D, 30 mg/L and TSS < 30 mg /L CST Name (Please Print) Signature CST Number Thomas C Nelson 227387 Address Data Evaluation Cclrxtucted Telephone Number 1432 120th Street, New Richmond, WI 10/1'6/01 715- 246 -2454 , q 4 1 A L Quest Development, INc 2 3 Property Owner Q p Parcel ID # Page of 3 Boring Boring a g 0 Pit Ground surface elev. 107.90 ft. Depth to limiting factor >98 in. Soil — Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -4 10yr3 /2 - 1 2msbk mfr cs 2f .5 .8 2 4 -20 10 r4/6 - lvfs Osg mfr cs - .4 .6 3 20 -45 10yr4 /6 - sil Imsbk mfi cs - •2 .3 4 45 -98 7.5yr4/6 - s Osg ml - - .7 1.2 F-1 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 GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Q Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 * Effluent #1 = BOD, > 30:5 220 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. SBD- 8330Test (R.07/00) 3 X3 c� �1�11 Ta P Qcewa loo � o ld 1 r q°:a? 41 1o��u7 � M, 43 r�1�y�► T O ,a N a P5tini ti 6- Lo p--- To B & ✓9-SS�'G�,v E-a c� 30 - 2ro,3 l - Z o • ono ce.v Tome, T k11 :5 3 - z o3 y. SO - uv L- r'G��c/,S�` �1 - ST6i D 30 • Z /©• Gov 3 0 • 2- o OOV Ulbricht & Associates 0 " Private Sewage Consultants � � d � © OS5 O'Neil Rd. Hudson, Wis. 54016 - 715. 3 .?(• 9l8 S 7/ 5 - 7-7 - 3 y�{Z-