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HomeMy WebLinkAbout040-1283-20-000 r wisoonsin 0epachnent of commeroe PRIVATE SEWAGE SYSTEM SWety and Division County: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No. Personal intormatlon you provice may be used for secondary purposes (Privacy Law. s.15.04 (1)(m)). 3 84299 Permit Holder's Name: Cl City 0 Vi I e - 0 — T - 0 — W - 00 - F — Town o : State Plan IO No.: Millar, Sam I Troy Township CST 8M Elev.: Insp. BM Elev.: BM Description: Parce Tax No.: co.( U gw. - 1 40- 1283 -20 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �Z Benchmark Dosing A ll. BM 2 -`(b' Aeration Bldg. Sewer Holding 7 Ht inlet TANK SETBACK INFORMATION S Ht Outlet , o TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet Air Intake Septic Zg ` NA Dt Bottom Dosing N.^ Header /Man. Aeration NA Dist. Pipe 0% Holding Bot. System I'D -*2- / SIPHON INFORMATION _ Final Grade 5 ' ° Z Manufa urer Dema t I over Model Num r GPM TDH Lift on I System TOH ­A Forcemain ength Dia. Fi ell SOIL BSORPTION SYSTEM BED / TRENCH Width LengthNo O Trenches PIT No. Of Pits FM m side Dia. T Liquid Dept, y D IMENSIONS 3' 93.75 e Z DIMENSION anu +� y SYSTEM TO P / L BLD WELL LAKE / STREAM LEACHING adurer: SETBACK Z INFORMATION Type 3 , 5 s } OR UN T R o a N 4r: System: DISTRIBUTION SYSTEM Header MM'folcD Distribution Pipe(s) x Hole Size Hole Spacing Vent To Air Intak Length . I O . x 1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx th Of xx Seeded/ sodded xx Mulched Dep Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes C] No COMMENTS: (Include code discrepancies, persons presen lnsV*ction #1 :f�6 lob lo Inspection #2: / Location: 507 Little Orchard Road, Hudson, WI 54016 (SW 1/4 NW 1/4 9 T28N R19W) - 0928191596 The Orchard -Lot 2 �t� p wvry �v -P�p� 2 �C+« --��5 C� 1.) Alt BM Description= 2.) Bldg sewer length= Z b - amount of co er = a4•'� Plan revision required? ❑ Yes q No Use other side for additional information- f3 2 Cam^ N 580 -6710 (R.3/97) Date inspector's Signature Cert Nc i � g3 tat Safety and Buildings Division T- �Q-0 l 201 W. Washington Ave.. P.O. Box 7162 C V VIsconsin Meson• W1 53707 - 7162 Sine Address R Department of Commerce So L'rrTL.C-,- DP.C.itAZtS Sani Permit Number Sanitary Permit APP .In accord with Comm 83.21. Wu. Alm. Code. Pe you pro ❑ Check if Revision MILY be used sea PrivacilAwN15.040XIII L Application information - Plense Print All Int r� Sate Plan I.D. Number Property Oww Name t Parcel Number Owner's n Address k ` Property Location l COUtJTY r°/ ✓ ZOhfNGOPFICE Sub( Uhf S T,�% N. R/ B City, Saft Zip Code �,; Phone NtwrbeC. '' j Lot Number ; Block Number ' Subdivision Name CSM Number EL Type of Building (check aR that apply) / ❑City K I or 2 Family Dwelling - Number of Bedrooms ! ❑village public/Commercial - Describe Use Vtownshi 0e Nearest Road 3� 3, 7T 'rt2�" 415 5 D e-' 5 7, ? Fr � �'�i�m�F,,- L �' ff[ �. �i11/F�2p � IQ. T of per. (Check only one boat on line A (mmabeting ttcheme f internal use). Complete line B V applicable) A. 0 New 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County we stem Tank OW stem 8 Permit Number Date Issued B. ❑check if Sanitary Permit Previously Issued oq. g, I q J 9 IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) Scn �- S 44 -p Ind 210 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized b4 ound 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Area Information: Design Flaw (SA Dispersal Dispersal A Dispersal Area Soil Application Percolation Rate stem ©evasion Final Grade Reqired Proposed Rate( Gals. / Days /Sq.ft) (Mm./Inch) Elevation r VI. Talc Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass P IIR w Bxisd cks ks Ta Sepoe at Bolding Teak - / 2 G V r >C VII. Responsibft Statement - L the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's S' MP/MPRS Number Business Phone Number M I (: E M `.SON E LL- " a Phtmber's Address (Street. City. Sate, Zip Code) VIII. /De artment Use Onl f� roved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) 5� /►PP Surcharge Fee) arD ❑ Owner Given Iaitlal Adverse Determination IR. Conditions of Approval/Reasons for �PPi oval 1 I Attach MWkft Plans (to the Coaaty a dy) for the gates an Ova sot leas than $In a 11 Inches In time SBD -6398 (R. 05101) CA f r� x.08, 2ov f �....� F`1-s . �e - 8-4- z� ��� 2;f11 E z" 1 J 0 7 f IA ce t, T dl -z_ ! Gb a C' , c N Tie t, Ae A 5 TH jij 0 to f A 'Tit b T is 'IV I . I 7�1 I 1380 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings i - Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations 9 • County Attach Attach complete site plan on paper n Ass than 8 %x 11 inches m sizb:.,Plan must -- St. Cro ix include, but not limited to: vertical # horizontal eferen point (Bbt),_ #inaction and Parcel 1. D. percent slope, scale or dimemsi north arrow ;dbgon and dlstaneeo nearest road. 040 - 1039 -90 -300, ID #9.28.19.134D — P /ease print all fpJ6.ft"nAdon. B Date Personal information you provide may be used for secondary Drs (Privacy Law. s. 5.04 (t) (m)). I 2 uD 1 Property Owner �r ° ' r . I'lp": roperty Location w1 F Govt. Lot SW 1/4 NW 1/4 S 9 T 28 N R 19 W M iller, Sa . - -_ — Property Owner's Mailing Address 2 B1ock�Subd. Name or CSM# P.O. B 151 �, " _ —__ -- - - -- Plat Of Miller's Orchard City State Zip Code Phone N J City _J village sej Town Nearest Road Hudson WI 54016 (715) 386 -2769 Troy Little Orchard Road #M New Construction Use: 0 Residential / Number of bedrooms —_ 4 — Code derived design flow rate 600 GPD I Replacement J Public or commercial - Describe: — - -- —__ Parent material Glacial outwash — —_ __ — Flood plain elevation, if applicable na _ General comments and recommendations: Recommend installing 2 trenches at Tx 90.625', using 29 high capacity BioDiffuser infiltrator chambers at system elev. = 92.81'. Boring # I Boring > 133" in. Sod Rate LIf Pit Ground Surface elev. 98.81 ft. Depth to limiting factor - APPr Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots "Eff#1 PD Eff#2 1 0 -11 1Oyr3 /2 none sl — 2fsbk mvfr gs 2f 0.5 0.9 2 11 -27 1Oyr3 /4 none st 2fsbk mvfr — cs 1f 0.5 0.9 3 27-41 7.5yr4/6 none Is 1msbk - mvfr - cs 0.7 1.2 4 41 -60 1 /6 n s Osg ml gs - 0.7 1.2 5 60 -133 1Oyr5 /4 none s Osg ml - - 0.7 1.2 Boring # _j Bori Soil lication Rate 11 Pit Ground Surface elev. 96.79 ft. Depth to limiting factor — >126" —in. APP Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ *tfff I R * 1 0 -11 1Oyr3/2 none sl 2fsbk mvfr gs 2f 0.5 0.9 2 11 -17 1Oyr / none sl 2fsbk mvfr — cs 1f 0.5 0.9 3 17 - 27 10yr4 /3 none st — 2msbk _ mfr cs 1vf 0.5 0.9 4 27 -38 7.5yr4/6 none Is Osg ml gs - 0.7 1.2 5 38-63 10yr5/6 none L Osg ml cs - 0.7 1.2 none Osg ml - - 0.7 1.2 6 63 - 126 10yr5 /4 _ * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 _150 mg/L * Effl = BOD 30 mg/L and TSS <-�O mg/L CST Name (Please Print) S CST Number J ames K. Th ompson 5-- 3602 Address A.C.E. Sal i£ Site Evaluations Date valuation Conducted Telephone Number 4/23/01 715 - 248 -7767 340 Paulson Lake lane, Osceaa, WI 54020 r 3� Property Owner Miller, Sam Parcel ID # 040 - 1039 -90 -300, ID# Page 2 _ 3 F 3] Bonng # 1j Pit Boring Ground Surface elev. 97.36 ft. Depth to limiting factor > 128" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots i *Eff#1 *Eff#2 1 0 -11 1Oyr3/2 none sl _2fsbk mvfr gs 2f 0.5 0.9 2 11 -15 1Oyr3/3 non sl 2fsbk _mvfr cs 1f 0.5 0.9 3 15 - 1Oyr4 /3 none sl 2msbk mfr cs - 0.5 0.9 4 28 -35 7.5yr none Is Osg_ ml gs - 0.7 1.2 5 3 1Oyr5/6 no ne s O sg ml c - 0.7 1.2 6 60 -128 1Oyr5 /4 none s Osg ml 4 ] S`(• 6�°IO • c Boring # Boring 97.55 to limiting factor > 129" in. AP Rate Pit Ground Surface elev. _ _97.55 _- fl. 9 _ Sal plication GP /W Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -18 1Oyr3 /2 none sl 2f mvfr gs 2f 0.5 0.9 2 18 -23 1 Oyr3 /3 none sl _ 2fsbk mvfr cs 1 f 0_5 0.9 3 23 -36 10yr4 /3 none sl 2msbk mfr cs 1 f 0.5 0.9 4 36-42 7.5yr4/6 none Is Osg ml gs - 0.7 1.2 5 42 -70 1Oyr5 /6 no s Osg _ ml _cs _ - 0.7 1.2 6 70 -129 10yr5/4 - -- - none - s Osg ml - - 0.7 1.2 a Ong # Boring 98. ft. Depth to limiting factor > 126" in. Sal Application Rate pit Ground Surface elev. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots - *Eff#1 *Eff#2 1 0 -12 1Oyr3 /2 none sl 2fsbk _ mvfr gs 2f 0.5 0.9 2 12 -18 1Oyr3 /3 no ne sl _ 2fsbk - mvfr cs 1f 0.5 0.9 3 18 -26 1Oyr4/3 n sl 2msbk mfr cs 1vf 0.5 0.9 4 26 -36 7.5yr4/6 none Is Osg MI gs 0.7 1.2 5 3 6-66 1 Oyr5 /6 none s Osg - _ mi_ cs - 0.7 1.2 6 66 -126 1Oyr5/4 none s Osg ml - - 0.7 1.2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < mg/L and TSS <30 mg/ 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. Orc ca d ■ 50; / ObSert/a�'a� i Sec• 9, T. of 7 - oy� '56. Coo x C� •, w/. a� &,i cl, lark: Top o{ -YB `re Lo, flss�me.d 21e�: = ic�o.�' 6S ■ �[t .,8. ToP oF�B� P P p Ql� ■ U, -a 63 � 3 P 1<9 r q�A Qtr Qy 0 .n 82 ■ $'/380 I 1 F i V. 9 - Z ,C, i N < C ; 157 EIft'ruMZ s Ci4 <1 3o T ?,dL Bi o Diff user S 76" 10 o0 00 00 00 00 00 00 00 00 OD OO Old OO DD DO OD OO DO O OO �o Chamber 00 0o OD DO OD oo OD DO �� Height 00 00 00 00 00 00 00 00 0 OD �� OO 00 00 0 00 00 00 00 00 0 0 00 0 00 00 00 0 • 00 00 All three�81eDW41 ar�Wm �--� withstand H -104. installed with pr*pMiy4; ed Chamber and Com paded sails. -A tla W Height mum of 12" of cover is required.,for M -10 loads. The End View 14" High Capacity BioQiffusi is desigmed4or M -20 loads. ` A► minimum of 18" of cover is 34" regwred fear,H72D$19 ls. 4" Knockout .. . +, Universal End Cap Avcalable Sizes Chamb ; Length 76" 76 76" Width 34" 34" 34 Height 11" 14" 16" Invert 6.5 9 11.3 10 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Design Specifications Sanitary Permit Number $ 2 ° Number of Bedrooms Design Flow - Peak (gpd) Estimated Flow - Average (gpd) JO Septic Tank Capacity (gal) y Soil Absorption Component Size (ft) Sap Z Type of Wastewater D mestic Table 2: Soil Absorption Component - Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow - Peak (gpd) 2 -A Maximum Influent Particle Size (in) 1/8 Maximum BOD (mg /L) 220 Maximum TSS (mg /L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and /or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the se and outlet filter shall be assessed at least once every 3 years by inspection. Th outlet filte s hall be cleaned as necessary to ensure proper operat The filter cartridge s not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 f Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep- rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. MR�-- _A� 3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address i' Property Address S 7 �� 7y LcL- #1 rL c� (Verification required from Planning Department for new construction) City/State 1`/�QS 4t, Parcel Identification Number LEGAL DESCRIPTION Property Location ,::-�-, c y V., � ' /., Sec. `� . T °g N - j % W own of &division 6 2 c N 14 . Lot # Z-- CertiCed Survey Map # /a `� S !A 0 . Volume . Page # Warranty Deed # 6 f 0 7 9 4 2 , Volume /S S . Page # 3 Z Spec house kes ❑ no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its prerliature 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 function 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, journeymanplumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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. I/we, 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 St. Croix County Zoning Office within 30 da f e e year ex ira . n date. SIG 0 OCANT DATE rOWNER CERTIFICATION '.k -1 certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of rc desenbed abo , by virtue of a warranty deed recorded in Register of Deeds Office. TbAt pLICANT DATE •' * "• Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** '• 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 STATE BAR OF WISCONSIN FORM 7 - 1998 TRUSTEE'S DEED 632796 . KATHLEEN H. WALSH Document Number VOL 1555 PAGE 323 REGISTER OF DEEDS DANIEL S. SOLBERG AND KARLA J. SOLBERG RECEIVED FOR RECORD 11 -01 -2000 8:30 AM TRUSTEES DEED DANIEL S. SOLBERG AND KARLA J. 90LBE GG R£VOCABLEtee of EXEMPT N T UST DATED APRIL 26, 2000 - CERT FEE: FEE; COPY FEE: TRANSFER FEE: 2880.30 for a valuable consideration conveys without warranty to RECORDING FEE: 10.00 SAM E. MILLER, A SINGLE PERSON DES 1 RCa'ro�ry Ar"" . -_: . the fallowing described re Grantee, - - - -- .. al estate in X -- -- State of Wisconsin: County, ?Name and Return Address SAM MILLER PART O F;THE NW1y OF THE NWT AND THE SW1y OF THE NWT AND THE P.O. BOX 151 NF`G 09 THE Nally AND THE NA OF THE NEh AND THE NWh OF THE HUDSON, WI 54016 SA &".SECTION 9, TOWNSHIP 28 NORTH, RANGE 19 WEST, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN AND MORE PARTICULARLY:_ -_- DESCRIBED AS FOLLOWS: BEGINNING AT THE NORTHWEST CORNER OF 040 - 1038 -60 040 - 1039 -60 -000 SAID SECTION 9, THENCE S00 0 50'54 "E ALONG THE WEST LINE OF 040- 1039- 7n_nnn SAIDNA 2626.30 FEET TO THE WEST QUARTER CORNER OF SAID Parcel ktentficatkfn Number (PIN) SECTION 9; THENCE SOO "E ALONG THE WEST LINE SA OF SAID SECTION 9 150.31 FEET: THENCE S56 "E 70.00 FEET: THENCE N59 0 15'17 01 E 850.85 FEET THENCE ON AN ARC OF A CURVE TO THE RIGHT 102.10 FEET AND WHOSE RADIUS IS 403.00 FEET AND CHORD BEARS N 1 "W 101.78 FEET; THENCE N00 ° 21'49 "E 569.05 FEET; THENCE S88 °45'38 "W 250.00 FEET; THENCE N00 °50'54 "W 350.92FEET• THENCE S88 ° 57'07 "W 512.29 FEET; THENCE NOO 100.00 FEET; THENCE N "E�250.31 FEET; THENCE NO3 "E 202.31 FEET; THENCE N32 "W 95.25 FEET; THENCE NO2 ° 24'54 "E 136.96 FEET; THENCE S87 ° 34'25 "E 198.63 FEET; THENCE S ° 54'33 "W 149.41 FEET; THENCE N89 ° 46'50 "E 148.76 FEET; THENCE S2 ° 27'16 "W 256.95 FEET; THENCE N88 ° 57'07 "E 1065.55 FEET; THENCE N89 ° 12'30 "E 325.61 FEET; THENCE SOO ° 47'30 "E 10.00 FEET; THENCE N89 ° 12'30 "E 554.46 FEET; THENCE N55 0 31'03 "E 651.90 FEET; THENCE N38 ° 09'35 "W 413.25 FEET; THENCE ' S89 "W 142-03 FEET TO THE NORTH QUARTER CORNER OF SAID SECTION 9; THENCE S89 11 W ALONG THE NORTH LINE OF THE NA OF SAID SECTION 9, 2666.45 FEET TO THE POINT OF BEGINNING, SAID PARCEL CONTAINS 96.52 ACRES AND IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. Dated this � day of OCTOBER 2000 SEAL ( ) t A[ (SEAL) DANIEL S. SOLBER KARLA J. SOLBERG Tnut" Tr i AUTHENTICATION ACKNOWLEDGMENT Signature(s) Sta of Wisconsin, I Pact Count . authenticated this day of P n lly came ttefore me this L day of the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not, U to me known to be the person L who executed the foregoing authorized by §706.06, Wis. Suts.) I strument and acknowledge the e THIS INSTRUMENT WAS DRAFTED BY L H EYWOOD& CARI S.C. L OCUST O(`UST STRE OlQry - Wisconsin HUDSON, WI 54016 Notary Public. State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My commission Is permanent. (if not, state expiration date: necessary) - ) penpru signing in any npKny mist be typed or printed Oclow IIMr aignetun. TRUSTEE'S DEED STATE BAR OF WISCONSIN Witconsin Legal Blank Co.. In, No. 7 - 1998 MdwaWM. cars. l IBDIVISION Nom NORTHWEST 1/4, AND IN DRIVEWAYS FOR LOTS 2. 3, 15, 16, 19. 20, dr 25 SHALL BE 1/4 BEING PART OF LOT CONSTRUCTED IN CONJUNCTION WITH ROAD CONSTRUCTION AND SHALL i, PAGE 2985 AND IN BE BUILT TO ROADWAY STANDARDS. z GQ 1/4 BEING PART OF LOT J 1, PAGE 2985 AND IN 100' SETBACK VARIANCE - LOTS 28. 29 / 1/4, AND IN PART OF LOT FRONTAGE VARIANCE - LOTS 2. 3 SECTION 9. TOWNSHIP 28 25' SIDE SETBACK VARIANCE - LOT 24 X COUNTY. WISCONSIN. - - - - - -- - - -- 250.31' N88'57'O7 "E _ a 100.00' NOO'5O'54 "W- - - R.A. 512.30' N88.45'38'E COUNTY HIGHWAY FF 512.29' S88'57'O7 'W --- - - - --� 235.64' 276.65' N MATCH LINE / ? 3 ECM LOT i4 I DL._7 PAGE 1885 _ o ? 7LOT 6 o Ilo� LOT 5 \ 111068 Sq. �t. 11 672 Sq. Ft, w 1 2.55 Ac. n I '.A (nl 0) x $.54 Ac. £ N.B. 2.55 Ay. Lo < ZI / / Z J N.B. 2.54 C. % N� 111068 sq` ft. M ¢ I I JI / z d. N.� 110672 s�. ft. I I v ,� I J W g ' 283.01' S88-45'38 "W °I (wit $� , b 250 QI T s a 33.01' i m ' 3 LOT 7 • .08 Ft. I L, �.OT 4 o 2.oa ac. - - 1090 5 Sq. Ft. : I )aio s�tf. J 1 5 2 65 Ac. Ft. /�� 2P50 Ac. n \3 W F N.B. 2165 AC. N.Bj 2.50 AC. I S IO i N� N.B. 115648 sq. ft. N. 09095 sq. ft. I u�. N 3 I I Q I 33' 33' MATCH LINE g I oco�ATO \ \\ �i oEOUTeo To w LOT 25 \ - -' , ° L Q 4 a N )9435 Sq. Ft. F-I w , \ �. - - - - - - - _ - N 2.51 Ac. QI ( 9 ��`° Op d / •N S 1 82.48 '45 W' Z Z N.B. 2.32 AC_ ft. o Afi N.13- 101044 sq. j� to '� 6A'O\ ,��� ORCHARD R iry in 0 5 �> o " SOT i ss y �' gi h �I 408.71' d CN 110 5 Sq c . Ft. LOT 1 - - -- - - - -- �.- 2.53 Ac y _ N.B. 2.53 AC. / l 1051.99 N 88'45'38' I B. 110355 sq / 1f. ,0 127359 S Ftl - - - -- 1 34.11 2.92 Ac. I 297.0( o I 3 ' 9- N \ N.B. 2.92 AC. I � �''• \N .B. 127359 sq. ft. 2Ft. U a /yam h /LOT 2 / \ 11 a ; ,,� ►s 'c 1324/82 1. Ft. AC. a I/ / 3.04 S Ac. sriN N SYJ729 r sq. ft. y B. 2.64 AC. nC 1 w N.ti. 114922 sq. (L POND HWE" �_S • Y 69.20' / / yr1 908.00. 91 � , 1•F. . _ �.n /'w VV W FO 3" ALIMINUM �� • C�� " ' ` !'1 CIXENERNSEWESOtTI 1 $ �Q�� SM \- �'( -- � f o 0. i'S7'O7 "E Uri A� :e . - - w N ) N F OUND 3" ALIMINUM MONUMENT SW CORNER v S S 6• \ SECTION 9 o v �O 243 SCALE: to N 00. 6 0 50 100 200 \ \ DRAFTED BY: JASON PMWNER SHEET 2 OF 3 ST. CROIX COUNTY WISCONSIN ZONING OFFICE s o ul ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 Thursday, April 25, 2002 Sam Miller 507 Little Orchard Road Hudson, WI 54016 Regarding septic inspection for Sam Miller. Location of Property in St. Croix County: Municipality: Troy Township Subdivision or Plat: The Orchard Certified Survey Map: Lot: 2 i Address: 507 Little Orchard Road Dear Applicant: A septic inspection of the above reference property was conducted on February 08,2002. This property is located in the SW 1/4 NW 1/4 of Section 9, T28N R1 9W, The Orchard (Lot 2 ), Troy Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a 0 bedroom home. If you have any questions regarding this, please contact our office at 715.386.4680. Sincerely, 4-xj� � Kevin Grabau Zoning Staff cc: file