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HomeMy WebLinkAbout038-1197-40-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: `M 463445 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Pefn.1 information you provide may be used for secondary purposes [Privacy Law, s.1 5.04 (1)(m)]. Pe it Holder's Name: City Village X Township Parcel Tax No: K pp, Steven I Star Prairie, Town of 038 - 1197 -40 -000 CST BM Elev:. Insp. BM Elev: BM Description: Section/Town /Range /Map No: Ia ' r dv „� -; arm 13.31.18.1038 TANK INFORMATION a c� ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic L Benchmark ,�ywU, '• v (o Alt. BM Spiv' /CO fi /' to Id l .(o Aeration Bldg. Sewer / Holding St/Ht Inlet T 13 1 Q q3• TANK SETBACK INFORMATION SUHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ' I 6 I Dt Bottom PA Dosing Header /Man. Aeration Dist. Pipe / Holding Bot. System C) C.) PUMP /SIPHON INFORMATION Final Grade 97, ks Manufacturer Demand St Cover Q q c� GPM �• v l /' S Model Aumber TDH Li Friction Loss System Head TDH Ft t'4 qZ Z.- Forcemain Length Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Length No. Of Tre nches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 6� CZ� 7. re�c� „ ` J� SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR i Type Of System: , ��r (1' N 1J� UNIT Model Number: DISTRIBUTION SYSTEM F}- Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Ai Intake 7 Pipe(s) VC A Length Length \ Dia \ Spacing \ \ v�� vim. SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over i Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center y/ Bed/Trench Edges Topsoil \ Yes No Yes _ No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: (P / (a/� Inspection #2: Location: 1311 216th Avenue Star Prairie, WI 54026 SW 1/4 NW 1/4 13 T31N R1 8W) Pine Acres Lot 43 Parcel No: 13.31.18.1038 1.) Alt BM Description = �+rJ �. ( "^ V-1— 2.) Bldg sewer length = �b l �k - amount of cover y � Plan revision Required? "Yes No 1 6 %,•{7 Use other side for additional in ormation. at Insepct s Si lure Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County ` _ M 201 W. Washington Ave., P.O. Box 7162 `SCOnsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co I Department of Commerce (608) 266 -3 1 � D�-- Sanitary Permit Applicatio State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you v d 14 may be used for secondary purposes Privacy Law, s I5.04(1)(m) M '.1\ Project Address (if different than mailing address) I. Application Information- Please Print All Information RECEIVE /� /� �/� 4'A0 Property Owne 's ame Parcel # Lot # Block # J Kw� JUN 1 4 200 Property Owner's Mailing Address 11 Property Location ST. CROIX COUNTY ,� / City, t tate l � Zip Code V4, # 0 1.1 Section - ci le on T N; or W II. ype of Building (check all that apply) �� //�� ax d.D 7KO�r Sub ' ision Name CSM Number amily Dwelling - Number of Bedrooms El Public /Commercial - Describe Use ❑ State Owned - Describe Use ❑City ❑vinag ip of III. Type o ermit: (Check only one box on line A. Complete line B if applicable) 4 A. tern ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal t Revision ❑ Change of ❑ Permit Transfer to New List Pre Permit Number and Date Issued Before Expiration Plumber Owner IV. a of POWTS System: (Check all that apply) - 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 xz s�c� Recirculating Synthetic Media Filt g Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain 1 ' ) V. Dispersal/Treat ent Area formation: Desrgn low (gpd) Design Soil Application Rate(gpdsf) Dispersal Are Required (sf) Dispersal 7P;ro ed (sf) Syste m Eleva �� VI. Tank Info Capacity in Total Number Manufacturer P Site tee] Fiber Plastic Gallons Gallons of Units Co Constructed Glass New Existing Septic or Holding Tank Tanks Tanks Aerobic Treatment Unit 5asin g Chamber VII. Responsibility Statement- I, the undersig ume responsibility for installation of the POWTS shown on the attached plans. Plumber' y Name (Print) Plumb a MP/MPRS Number Business Phone Numbe -51 Ct.r . �' / _ r' Plumber's Address (Street, City, State, ) � VIII. C un /De artment Use Onl Approved ❑ oved Sanitary Permit Fee (includes Groundwater Date I sued Issuing t Sign o Surcharge Fee) ❑ caner " en on for Denial IX. Conditions of Approval/Reasons for isapproval NIysm OWNER: �.` Sq tic tk*, *MueW film' and dial Cell must all be ser vices / mai -per msnagement plan provided by plumber. Z AN -lack requkernenta must be maintained M W a 0N* code/ ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) 6 RWTS1? � ;Mkpz t HA .:g - i'Fi(llk`i, et:6:-. �Iil6J+�U,�lri tK� t4 t31N/R PLAN PROJECT Steven Koon DRESS 1310 216th Ave New Richmond Wi 54017 1/4 NW 1/4S 13 /18 W TOW N Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 6/6/05 BEDROOM 3 CONVENTIONAL XXXX IN- GROUND RES SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 IL BENCHMARK V.R.P Top of Foundation ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O 9' WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 92.4/92.2 Plans Designed Using Vent Conventional Powts Standard Biodiffuser 218' Manual Version 2.0 216th Ave of Cover Leaching Chamber with 31.1 ft2 of Area 150' 11 " 6' Long 3417 Grade at System Elevation 2 -3' X 69' Cells with >3' Spacing AL IF 40' B -1 70' B -2 % Slope Well is to meet all 20� _ Vents setbacks required by WDNR 10' 35' B -3 Property ST Line 20' 50' B.M. Pro 3 Property Bedroom Line House PF i 293' Property Line Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code complete site Ian on paper not less than 8 1/2 x 11 inches in size. Plan must County Attach com � / J P P P Pe [ /� 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. Reviewed b Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location e Govt. Lot 1 14 1 /4 S /j T N R Z 6 E (o W Property Owner's Mailing Address Lot # Block # Subd. CSM# 3/ r-.- c9, / 6 � .�e-� ,� me or � City tate , Zip Code Phone Nu libe r 0 City ❑ Village ATown Nearest Roa New Construction us Residential /Number of bedrooms _ Code derived design flow rate 17 GPD ❑ Re lacement P blic or tom rclal - Describe: ! Parent material v t�C JG! Flood Plain elevation if applicable �✓/ / / General comments and recommendations: ��� / �(� ✓aCi�� �Z t �a t M ng # Boring l _ L..L` Pit Ground surface elev. r ft. Depth to limiting factor Soil Application Rate Horizon th Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff �P P ry in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 51 Boring # ❑ Boring �/ J�-'� Pit Ground surface elev. r ft. Depth to limiting factor ln, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consiste ce Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 - 3 Z ! ZX i Effluent #1 = BOD > 30 < 220 nVL and TSS >30 150 ' Effluent #2 = BOD < 30 mg/L and TSS 130 mg/L CST Name (Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date E luation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 —��� 715- 246 -4516 Property Owner _ Parcel ID # Page of 12J Bon # Boring r .i rin `F]�'Jl� it Ground surface elev. -� ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r31 , C F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 Boring # ❑ ring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. F 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 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/_ ' Effluent #2 = BOD < 30 mg& and TSS < 30 nVL 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 -9730 (8.6/00) Safety art3 Buildings Division County ( J 201 W. Washington Ave., P.O. VVisconS�i� Madi ,o _, WI 53 Vanitaq ermit Nu mber (to be filled in by CoJ Department of Commerce ( Sanitary Perini n oo I.D. Ni m er Tn accord with Comm 83.2 1, Wis. Adm. Code, perso on :you N(V may be used for secondary purposes Privacy Law, s >. (I)(in GRO\X`CE >1&1 Address (if different than mailing address) I. Application Information - Please Print All Information S - � Property Owner's Name Parcel # Block # y Property Owner's Mailing Address l 4Subdivision 4, Section Ci ty, State Zip Code Phone Number i circle en C c 1 ✓VL J` E of w,! II. ype of Building (check all that appl �,5 es' ��. �`•`� CSM Number r 2 Family Dwelling - Number of Bedroom —_ _ _ ❑ Public /Commercial - Describe Use __ _ __. ❑ State Owned - Describe Use — ❑City_ ❑Villag t ship of III. Type of Permit: (Check only one box on line Complete li ne B if applicable) A. 11 ew System Replacement System readnent li olding Tank Replac ent Only ❑ Other Modification to Existing System -- List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Ch e of ❑ Perm ransfer to New Before Expiration Plumber Owne IV. Type of POWTS System: (Check all that appl on - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil oun 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑Pressurized I Ching Tank i ilter El Aerobic Treatment Unit 11 Recirculating Sand Filter ❑ Pipe ❑ Other (explain) i Chamber ❑ ri Li ri Gravel -less Pip ( p ) it P Recirculating Synthetic Media F _ V. Dis ersaVrreatment Area I rmation: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispers Area Re ired (sf) Dispersal Area Proposed (sf) System Elevation 4/ 111 T Info Capacity in Total Number Manu cturer Prefab Site SteJI ' Fiber Plastic Gallons Gallons ofUni Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank /�- Aerobic Treatment Unit 77 / Dosing Chamber VII. Responsibility Statement- 1, the undersi , assume responsibility for installation of the WTS shown on the attached plans. Plumber' Name (Print) Plumb ignature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip rte �i X01 VIII. Coun /De artment Use Out _ - e Issuing t Signature s p Sanrta Perm: t Pee (includes Groundwater Date Issu g !'in Approved El Di oved rY Surcharge Fee i 3 T n oD C El er ' n R for enial ( J J ,I IX. Conditions of Approval/Rea ns for Disapproval 3 5 after... Fod 1 off- A q4 l.�a�S YSTEMOWNER: a I°1 q3• A�C 1 Septic tank, effluent fiker and 3 Q b�5� v� S k dispersa must all be services / intai �� �; pl �Gc , ,mJ5 i d2(i Gt em pli�nrnvid� by n ber Y l J I- 2. All setback requirements must be maintained tl, g+l fee. 1 Q�dC S5 I C' as per applicable code / ordinances. �a Attach complete plans (to the County 00 l for the system an paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) nn _ (e tom--- al— o � � ti5 � a v� i I l�s6�t.� � � D P Pjq0T PLAN PROJECT Steven Kopp ADDRESS 1310 216th Ave New Richmond Wi 54017 1/4 NW 1/4S 13 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/24/05 BEDROOM 3 CONVENTIONAL XXX IN -GROUN ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of 2" pvc Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Sameas Benchmark Well is to meet all SYSTEM ELEVATION 94.0/94.1 4JA elow qrade setbacks required by Vent WDNR Plans Designed Using 19 Standard B Leaching Cha er of C r Conventional Powts it 216th Ave Manual Version 2.0 6' Long 1 3 ra t System Elevation edr m House Property Line 30' 2 -3' X 69' Cells with >3' acing ST 30' B- Property Line B -3 60 -2 -5 Vents Vents 15' ' 30' 30' B 293' Property Line B. M. * 0' 40' COPY P OT PLAN PROJECT Steven KODD ADDRESS 1310 216th Ave New Richmond Wi 54017 1/4 NW 1 /4S 13 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE4 /24/05 BEDROOM 3 CONVENTIONAL XXX IN -GROUN ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 BENCHMARK V.R.P. Top of 2" pvc Pipe ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. SameasBenchmark Well is to meet all SYSTEM ELEVATION 94.0/94.1 4.5' below qrade setbacks required by Vent WDNR > 6» Standard Biodiffus Plans Designed Using Leaching Chamb Conventional Powts of Cover with 3 1. 1 ft2 0 rea 216th Ave Manual Version 2.0 6' Long 11 " Grad t System Elevation 34 19 03 Bedroom House Property Line 30 ' I 2-3'X 69' Cells with >3 Spacing ST 30' B- Property Line B -3 60' B -2 -5 Vents 30' 15' 30' 30' B-4 293' Property Line B. M. * 10' 40' Wisconsin Departanent of Commerce County. Safe and Building Division PRIVATE SEWAGE SYSTE St. Croix INSPECTION REPO itary Permit No: GENERAL INFORMATION (ATTACH TO PER T)' 0 Personal information to Plan ID No: You Provide maybe used for secondary purposes [Privacy Law, s.15.04 (1 )(m)J. Permit Holders Name: City Village X Township Parcel Tax No: Halle Builders Inc. Star Prairie Township 038 - 1197 - 50-000 CST 8M Eiev: Insp. BM Elev: BM Description: Section/TowntRange/Map No: ELEVATION DATA TANK INFORMATION 13.31.18.1039 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic - ��- Benchmark Dosing y �� °e�"'t • -!� 1� Alt. BM r Aeration p'3. Bldg. Sewer Holding 9 1 • (o�f St/Ht Inlet 16 T 6 • � o ' TANK SETBACK INFORMATION SUM Outlet . o �• TANK TO P/L WELL BLDG. Ven Air Intake 3 ROAD Dt Inlet septic Z r Dt Bo Dosing H der/Man. �• D Aeration ` • OO Dist. Pipe 1*4 Holding qt. System D .Zo •zr s., ' PUMP /SIPHON INFORMATION F a rade I Manufacturer De nd 4 0�l St r Model Num MH uft action Loss System Head D Force n Length ia. Dist. to Well SOIL RPTION SYSTEM ' f ENCH idth DIME 3 f Leg No, PIT Dt SIONS No. -W its side Dia. Uquid Depth SETBACK SYSTEM TO NFORMATION P/L BLDG WELL LAKE/STREAM LEACHING ct r Type Of =14. : CHAMBER OR 5 UNIT Model N , ber. z ��• )ISTRIBUTION SYSTEM isader/Manifold Distribution ength Dia Len h x Hol x Hole Spacing Vent to Air Intake is Spacing j ;OIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Over Depth Over adrr rench Center xx Seeded/Sodded edlT Bed/Trench Edges T De of \ xx Mulched G Yes Q No Q Yes R No OMAANTS: (include code discrepenaes, persons present, .) Iris ection #1 1�•1 -19 L'V etc P �.� — 1— Inspection #2: / 3cation: 1315 216th Ave nue Star Prairie, WI 54026 (SW 1/4 NW 1/413 T31 R1 8W) Pin A 13.31.18.1039 /Alt BM Description= �p{{� c� 5 0�_ �o�Q / _•.Q.� )Bldg sewer length = - amount of cover = 2y r! • / * 7 9 an revision Required? W Yes N No � - e other side for additional Information. Date -- — El i .. D-671 0 (R.3/97) Insepctors Signature Cert. No. J -- I ' N�✓ ;S .�!3.�7"'' ..! X11 i -+�_.. _ �., ;_.. 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CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF STAR PRAIRIE COMPUTER NUMBER 038 - 1197 -40 -000 Parcel Number 13.31.18.1038 OWNER NAME: First JOSEPH A & YVONNE E Last DUFALA PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1311 216TH AVE SECTION 13 TOWN 31N RANGE 18W %160 NW 1 /440 SW Line Description Line Description TOTAL ACREAGE 1.810 PLAT PINE ACRES 2000 LOT43 BLK 01 SEC 13 T31 N R1 8W SW NW 15 02 LOT 43 PINE ACRES 16 03 17 " 04 18 05 19 R � � 06 20 07 21 U ^ �� 08 22 09 23 110 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev, Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit / ? 0 / — }i / m / 0 ° t § (D / , / c a ƒ o �E _ > , % L" § \ 2 ; E CD o § / ■ 3 E E ee § 8 r o k co (D © RBI E e >� % q 3 \ - \ § $ E 4 # U y Q z § § ; n r ■ ° 2 S E § & \ . � @ z o 0 0 \ Oro 9 § \ 1 3E ■ ■ / k ƒ m J ( D � k ƒ i 7 7 m § 2 2 % CL , z 5 /If G � t = CD a ; CD : i ( -can } ! c \ � 8 0'. E k k \ r% d 0 s _ fk\/ / * / 2 { 2 k 0 CD 3 E� C z � � � �� S ƒ E 0 e z x m_; 7 2 $ k 2 BC D � �__> !� = ,Q C ; = ¥ 'D 0 =m » C ) CD Z % �Zi( E CA CA CD § / � \C ` �+ 2 �m f 0 . m § \ � 69 � \ % Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of _3 f Division of Safely and Buildings in accord with Comm 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal referen direction and �� d , X percent slope, scale or dimensions, north arrow, a oat Drl a d to nearest road. Parcel I.D.# APPLICANT INFORMATION - P/ a ;�Wn t a /l�formafi!o `., __ _ Pendin Personal information you provide may be used for d ry pur�baas (P�„ Law s-15,194 (1) (m)). V B y Date 9 d Property Owner - .P rty Location Lak &Hills Development O)vtLot 1/ N W 1 /4,S 13 T 31 N,R 18 ❑W❑ Property Owner's ailing Address „ Lot # Block # Subd. Name or CSM# a k AD , X43 -- Pine Acres _ lty State Zip Bode Plie Lr#gi5irlb t~rC = = City Village [Town Nearest Road h 7 &-©V y40 dry d",ei 216 TH. Ave. ❑ New Construction Use: N Residen 3 ❑Addition to existing building -g ------- - ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .7 bed, gpd/ff .8 trench, gpd/ftz Absorption area required 643 bed, ft 562 trench, f? Maximum design loading rate .7 bed, gpd/ftz .8 tr ench, gpolft Recommended infiltration surface elevation(s) 94.2 ft (as referred to site plan benchmark) Additional design / site considerations Parent material------ - - - - -- Flood plain elevation, if applicable - -- - - -- ft S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ❑ S ❑ U ❑ S ❑ u ❑ S ❑ u I ❑ S ❑ U ❑ S ®U ❑ S ❑ u SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Structure GPD/ft in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistent Boundary Roots Bed Trench 1 1 0 -10 10YR3 /3 -- - - -------- - - - - -- 1 lmsbk mvfr as if 4 .5 2 10 -19 10YR4/4 -- - - - - -- 1 1 msb mvfr gw 1 of A .5 Ground 3 19 -38 1 0YR4 /6 ------------ - - - - -- cl lmsbk mfr as - - -- 2 3 elev - -- - - - - -- -- - - -_... - — - - -- 98.5 ft. 4 38-59 7. ------- - - - - -- cs osg ml cw - - -- 7 .8 Depth to 5 59 -93 10YR5/7 ------------ - - - - -- cs osg ml - - -- - - -- 7 8 limiting 5 ,r ❑ - - - - -- — - --- - - - - -- -- factor -- - — >93" Remarks: O Q 77 5 2 1 0 -12 10YR3/3 ------------ - - - - -- 1 lmsbk mvfr as if .4 .5 2 1 -23 10 YR4/4 -- ----------- ----- 1 1 msbk mvfr gw 1 of .4 .5 Ground 3 2 -39 10YR4 /6 ------ - - - - -- cl l msbk mfr as - - -- elev 2 3 -- - - -- --� - - - - -- 98 ,5 ft. 4 39 -54 7.5YR4/4 ------------ - - - - -- cs ' osg ml cw - - -- .7 .8 5 54 -92 10YR5 /6 ------------ - - - - -- s osg ml - -- - - -- .7 .8 Depth to limiting j s, factor >92" Remarks: CST Name (Please Print) Signature: Telephone No. _ J acque Hawkins Y) L' y y Y 4 Address fh Date CST Number Ref # )Y .76 , u 6 !t tee 4, ZA11' JY2 4/10/00 7 L 416 PROPERTY OWNER: Lakes & Hills Development SOIL DESCRIPTION REPORT Page 2 of J PARCEL I.DA Pending Depth Dominant Color Mottles Structure GPDlfP Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh, onsistence Boundary Roots Bed !Trench 3 1 0 -10 l 0YR3 /3 ------------ - - - - -- I 1 msbk mvfr as if .4 .5 2 10 -24 10YR4/3 ----------- - - - - -- 1 l msbk mvfr g w lvf .4 .5 Ground - -- elev 3 24 -3 10YR4 /6 ------------ - - - - -- cl I msbk mfr as - - -- .2 .3 _ —. 98.S ft. 4 38 -57 7.SYR4 ------------ - - - - -- cs osg ml cw - - -- 7 8 Depth to 5 57 -93 10Y /6 -- ---------- - - - - -- s osg ml - - -- - - -- 7 8 limiting -- -- - - - - -- - - - -- - - -- -- - factor >9 3" D / - - - -- — Remarks: 4 1 0 -11 l 0YR3 /3 ------------ - - - - -- I I msbk mvfr as if .4 .5 2 I1 -22 10YR4 /3 ------------ - - - - -- 1 lmsbk mvfr gw lvf .4 ! .5 Ground - 3 22 -37 10YR4 /6 ------------------ - - - -- cl lmsbk mfr as - - -- .2 .3 elev — -/; 98.5 ft. 4 37 -58 7.5YR4/4 ------------ - - - - -- s osg ml cw - - -- 7 8 Depth to 5 C 58-94 10YR5 /6 ------------ - - - - -- s osg ml - - -- 7 .8 limiting - - - - -.. - - - - - -- factor 5 >94 11 -- Remarks: 5 1 0 -10 10Y /3 ------------ - - - - -- 1 lmsbk mvfr as If .4 .5 2 10 -23 10YR4 /3 ------------ - - - - -- 1 lmsbk mvfr gw l vf .4 .5 Ground - - -- - - -- -- ---- - - - - -- elev 3 23 -36 10YR4 /6 ------ - - - - -- cl imsbk mfr as - - -- .2 .3 98.5 ft. 4 36 -57 7.5YR4/4 ------------ - - - - -- s osg ml gw - - -- .7 .8 Depth to 5 57 -94 10YR5 /6 --------- - - - - -- s osg ml - - -- - - -- 8 limiting — - - -- - -- - - factor >94 11 Remarks: Ground - - - - - -- - - -- — -- elev — — - - - - -- -- - -- - -- — Depth to limiting — - - -- - -- - - factor Remarks: s1 a t � � r `J 7 Nc— f� G l L Ij 7 1 J o i ' *yj '.1�:`. 8'2 .. �r J. . t ly •.,,16 acres a . ` F' 4 ` '� � 995.1 - 9999. - ' 1`�. _ . • �� ..�� \ �.. 9 . i U se 9 � •r" - 8 8�8 D % 0 7. I .bA T"gem� d I I sq. ft. 1 fo' P I I js�`ee a s. + 7 78 0 1to... 996.3 :.:N - -I.- 994.3.. q' X 311.66 1" 993.7 0 `, 7 �• 9 92. 74 77:� 1995.4 �' w °j v ,1.2 o cr �� - s • r( �,7 I 41 acre" 0. 1R4. x sass t x I - 8 . = N "�-� x� ``�, 994.9 x ooh I X 998.9 039 PT x 1 Ow y �� ' O 38 1.16 ac 996.8 X \ \ 999.7 X O \ j \ ,• I17 O �,�' x 1 00.5)< • 1 89.15 a 0' 0 999.3 100 s � +\ 8 1000.9 ' B IZ+ 1001 18913' 150.47 4 \� X- ' 1 S89'o656" 6 -lu- 6.�..fT ` R� I i x 1 1157 acree`` X9_99 L _ 1000.9 C 1 ! 63.536 s - _ J I q.ft. I � 1.46 acres 79 " b3• s� 6:427 s�ft y,ye, 998.8 L 66, 504 sq. f ��9 ° X a=21 ° 1A 997.4 000.9 o f 0 1. es I X x �' - L I O I ! J; " ar 998.12 ! x 86 t. 1 ' x �` 1 S8967 26 E 23 I 999.1 1.99 8 e8 1005.0 .\ 336.62----' x i 81.401 sq. _ 4 9 c 998.2 i s ' � 1.87 acres � .4 8 4 (y ., J 1 47 ii" , 999.70 �� , 4 9 TT s ` 1 1001.4 v. 1003. 994.8 .� 9999 � gX6.3 4o I x 998.8 X x 65, 74 65, 451 s4 ft. Wlicrel "I '2 sq.ft. X 1.503 g � , ♦ 996.3 x 61.086 s a - , . ft 1.40 61.220 i 1 ! I 1.41 acres 1001.1 1092.7 - `- _i X 1002.9 inn n ood �¢�ise � �''ri s_ x --- _ � Ente �- • `- C&ft4 ROOd "ti-_ . ' - 997.5 998.2 _ r ` k X L - f hMon o F 1004.3,.r d IM � � x � o r 1002.3 � ---..1 54017, ,o o x o� � E �o 2141 ; Inwo6d Enterprises nterprises i 1 ,•Lounty Road "C" 2141 County Road "C" ZO lOT 1 1 010`.2 ' ' New Rkbmond WI. 54017 New Richmond 1005.2 N WI.. 54017 x NED AC. - RE.S'., 1003.1 '� ZONED AC. X- RES. ,._� ......................................... .. ......... ........ ....... ................. . .......... ... ....... . .......................................... AND 'I 'CATICINN FORM OWNER. -11P CERTUF I x c) - n Planning Department for new (Verffica:ion roquirrd fiot C'i1yPAate.,_ Parcel Identification Numbcr_.. Prop'! v Lo, n . 1'. n . .. .... ..... . . ........ . V4, Sec. . ... ...... .. T N.R. (\AI)TUWn of*_:��`F� . ...... . ..... tt Cert-Cied Sur.t NUp 4 Pap A. ....... ....... un Vo l spe.-C, -louse 'Its 110 Lot tines identifiable/D yes Q no Lupro N! r i sle and mairl of your septic system could result in its premature 14i lure to handle wastes. Proper nxa nlewnce consft.;!.; of put,lpiv " out the septic tams: every three ye.= or sooner, if rierdrd by a licensed pumper. What you put into. tfw, systom Can 111-act the Till ian of the septic tank as a treatment stage in the waste disposal systern, The owner 31! to submit to SL Crom Zoning DepAutruent a certification fortu, signed by the.wwner,a.t4d by a mute, r.oluxubc 1;11:&r1CY= rcatzioxcdpluuabcr or a Liucasedpwum Ycrifyiag that (I the qu•slto, Nvastowaterdispc sO. is in .)p-.r op �v: q g c ondition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 A111 of.' Mudge. IJWC, ie undws0 have rear the above requirements and agree to maintain the private sewage disposal system With set to) j 2� heii x*i.!,* zj:i set by the D. epartment of Coa=erce azd the Dep utrncut of N aihniLl Resources; State of W isconsin.' Cei statinp:="t yoiir. aic system 1 been maintained. ust be completed and returixed to the St. Croix Courity Zoning. OffilcolviNu 30 da o' ehr eb:z -C ......... ..... DAII C TH &Tj 0' I N' I (we) that &H t�tatctnents on this form are true to the best of my (our) lcnowled I (we) am (are) die ov of the pt:,,5erty dt:v(.!! iod above, by virtua of warranty dried recordedui Register of Dec& Office 05 Y� iJ' DATE nus-rcpres . ented may result in the sanitary 'mit being revoked by Zoning Any irifornation that i% p ej 11hi::,ude With h 19 applicittfi►n: a *st4mped warranty dead from the Resister of Deeds office a copy of the cenified sw - vey,txiap if reference is made in the warmlary deed U 2792P 036 793401 State Bar of Wisconsin Form 2 -2003 KATHLEEN H. WALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD 04/28/2005 09:45AN WARRANTY DEED EXEPPT # THIS DEED, made between Joseph A. Dufala and Yvonne E. Dufala, husband and wife ( "Grantor," whether one or more), REC FEE: 11.00 and Steven F. Kopp and Megan A. Kopp, husband and wife TRANS FEE: 123.00 COPY FEE: ( "Grantee," whether one or more). CC FEE: PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is needed, please attach addendum): Name and Return Address Lot 43, Plat of Pine Acres in the Town of Star Prairie, St. Croix County, Wisconsin. WESTCONSIN CREDIT UNION PO BOX 269 NEW RICHMOND WI 54017 038 - 119740 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated It O.hi 1 �. 0 5 (SEAL) (SEAL) * Jo eph . Dufala 1 C - (SEAL) (SEAL) * vonne . Dufal ' AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF authenticated on ) ss. COUNTY ) * Personally came before me on APRf L /3 i o2G a 5 TITLE: MEMBER STATE BAR OF WISCONSIN the above -named Joseph A. Dufala and Yvonne E. Dufala, (if not, husband and wife authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Attorney Kristina Ogland Hudson, WI 54016 Notary Public, State of ,qG %�o2nii My Commission (is permanent) (expires: `)' 102o10.o (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED O 2003 STATE BAR OF WISCONSIN FORM NO. 2 -200;1 • Type name below signatures. 1111111111111ft0w Legal FIM - infoproforms.com M o COMM. 01514687 Notary Public Cilttbrnia a Z Contra Costa County. M Comm. Ea ' es S! t. 2E, 2006 I Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. installed in 2. Eff luent filter is to be cleaned once a year. Please note: a larger filter Is being order to extend the maintenance interval of the filter; the inspections pipes at the ends of 3. Once every 3 years, cells are to be inspected via p the cells. age, and water conditioner discharge into the system. 4.Owner agrees to limit greases, garb 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. Comm. 83 � required as per C s y stem is not exceed those req g, ge into y "r tingen' Plan i n #1. If ystem fails, determine cause of failure, use �ernate area and install new Opt o tested replacement area. option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. able for replacement area, and system elevation Option#3. adeq No ad uate area is s un cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -45 St. Croix County Zoning 715- 386 - 46 80 Pumper Tom Mondor 715- 246 - Shaun Bird #226900 Parcel #: 038- 1197 -40 -000 05/03/2005 04:34 PM PAGE 1 OF 1 Alt. Parcel #: 13.31.10.1038 ' 038 - TOWN OF STAR PRAIRIE 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 * DUFALA, JOSEPH A & YVONNE E JOSEPH A & YVONNE E DUFALA BERGREN BARBARA BERGREN BARBARA 2173 CTY RD H DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1311 216TH AVE SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 1.810 Plat: 2304 -PINE ACRES 2000 SEC 13 T31 N R1 8W SW NW LOT 43 PINE ACRES Block/Condo Bldg: LOT 43 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13-31N-18W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 08/28/2001 654993 1707/623 WD 06/07/2000 6244360 1517/272 WD 2004 SUMMARY Bill M Fair Market Value: Assessed with: 31228 29,400 Valuations: Last Changed: 10/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.810 30,700 0 30,700 NO Totals for 2004: General Property 1.810 30,700 0 30,700 Woodland 0.000 0 0 Totals for 2003: General Property 1.810 16,600 0 16,600 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 J I DI * CO I a 4 1 141 5 23000' 77,213 sq. ft. 0 1.77 acres o �' P°" 0 ,' `IR K'� g61.2 100 100' _ i `��— - -- ti v S89'06 m p 360.07' O ° \ a O i o$ f W 4 2 �� 170,462 Z N �3g p , \\ 3.91 Z 65,952 sq. ft. � -2 0 1.51 acres � 40 145, 804 sq. ft. p � � •' N89'08'29'W _ 06 3.35 125.89' 3.35 acres 70' 211.84' 97.08' X81 co C6 — p. �. o . $ OUTLOT 1 O N C60A .0 8 72,161 sq. ft. N N 1.66 acres 50' I ............. "- 7 Q: o0c� North line of jp o 50' 7: a� 1 d� Qh�6 i Lot 1, C.S.M. 9/2460. n I $ N N 311.66' -, rn co 7.6 6 Z � 7 • o 8w3 o� 43 - -- — 1 E w 3 3 � � S8 Q, N00 517.67' 0 78,848 sq. ft. ��, 1.81 acres N 587 "I�+ 'a+ \ w ` 5 7s 4 �h w 124.46 - - -' s 6 �=' e w 5 C�'i o __ Southerly line of wi 'v `'/ � Q / � � � - - - - -- Lot 1, C.S.M. 9/2460. O A� 44,./ / w N m w 4 w E \ . mo o;'/ • C ti 2 o^ , , Woo ryo 44 IJ O 4.13 b8'56'E 68, 765 sq. ft. � S89 \ q 189,13 , 150.47 1.58 acres � �- C, Mont therly line of \ Lot 1. C. .M. 9/2460. 4x $ C k� \ 66,504 sq. ft. K I fW g' 0 �� kg 1.53 acres 100' N I 2 s89ro72 6 0 4 7 E ".62' 86,543 sq. ft. 1.99 acres`' 48 i 46 g 65,685 sq. ft. 0 65, 451 sq. ft. 0 1.503 acres. tt 1.51 acres N 1 � 333.64' 177.28' 47.96'