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HomeMy WebLinkAbout032-2149-30-000 (3) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 645498 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)I Permit Holder's Name: city Village Township ' Parcel Tax No: Andrew and Alexandra Yarosh TOWN OF SOMERSET 032-2149-30-000 CST BM Elev: Insp.BM Flay: BM Description: Section/Town/Range/Map No. 02.31.19.1299 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt.BM Aeration Bldg.Sewer Holding St/Ht Inlet StiHt Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist.Pipe Holding Bot.System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift 'Friction Loss System Head TDH Ft Forcemain Length Dia. Dist.to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION CHAMBER OR Type Of System: UNIT Model Number DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent 10 Air Intake Pipe(s) Length Dia Length Dia Spacing_ 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 �� Yes [L] No [; Yes [] No COMMENTS: (Include code discrepancies,persons present,etc.) Inspection#1: Inspection#2: Location: 2336 61ST ST 1.)Alt BM Description= 2.)Bldg sewer length= -amount of cover= Plan revision Required? ❑� Yes 0 No Use other side for additional Information. SBD-6710(R.3A7) Date Insepctors Signature Cert.No. SRC 7- -000 2- .""..4 ) , Industry Services Division County (mtidr Y o .� 4R22 Madison Yards Way PEtmi A/ l.1 1_' #- v a x kQ _ Madison,WI 53705 Sanitary t N Ro hoe filled m by Co.) mob P.O.Box 7162 * ,,'herni,,./ ,1! I Madison,WI 53707-7162 G/4sy 7 Q Sanitary Permit Application stale T"°_etien Number In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate ,vemmental unit is required prior to obtaining a sanitary permit.Note:Application forms for stagy e C + Inject Address(if different than mailing address) the Department of Safety and Professional S..rii...s.Personal information you. t.t� . '; `1;,L purposes in accordance with the Privacy Law,s.I5.04(I Xm),Stan. Sfi- I.Application Iafanmads.-Please Print Al Information 2-3 3 G 6 1 �� Property Ovmer s Nan // /�,p / JAN 1 2 ZOZ3 Parcel# p6ty - 'sMailio AYrcu 4ii 3l !'/"1� N 5t. C.uix Cuunty Property J9—,7[J'f�/) .—Qi99 V 4/, ' - d� liAI,_i-L Community Development Govt.Lot City,,State Zip Code Phone Number p ) I Ooni //////�_/J/� Ss',-,�- �4i 4 {l!-_ vn, Section -/ ,�0y.�Type Of B�cheek all Wt apply) Lot N T N R 1 I E on() ) Ell or 2 Family Dwelling-Number ofBedmoms L7 3 Subdivision Name J WWWW++++ Block# Q4.{,J bkiJ TiC� D'ubadCommereial-Describe Use — any of - DState Owned-Describe Use CSM Number OVillagc of _ �p/JEç ___ W` 'ownofHI.Tpe.f rowTs Cheek eItbe or"Replaemeat"and other applicable o.line A. Cheek one box s.line B.Complete KmC if applicable.) A. OM System 1 EIReplacement System Other Modification to Existing System(explain) Additional P..,..,ana,nt Unit(explain) B' Diold ng Tank gn-Ground Oqt-Grade Mound 0Individual Site Design Type(explain) ugyoRona,) c. O Renewal Before D Revision OClunge of Plumber OI'rensfer to New Owner List Previous Permit Number and Date Issued Expiration l " - IV.Dispersal/Treatment Area and Tank Information: a 1 3 t jC `D -fri. t t0r L �¢e Design Flow(gpd) Design Soil Application Ratc(gpNaf) Di al Ara Required(sf) [Dispersal AAA,,,E��aa10)� 00 7rn s Elevation ✓ Capacity in Total ft of Manufacturer Tank Information Gallons Gallons Units ?coyote_ g t�, .. g.e o -a u New Tanks Existing Tanks •eau u u u 1 i U in w u. .. Sepia or Holding Task ks7.5 f) _ N, 1 tAJiEs)e.,e i l L i RE Dosing Chamber V.prIty Stasenae.t I,the a.. n.r e ,awme I-..- daa PORTS&awn am the attached plus. PI ) 1 Phrmber'a t / MP/MPRS Number Business Phone Number r) (/ o f 14.4./1 ‘ t� _�� — /.3 7I.5— 3c&-7917 s ,.ass(Street, ray,�Zip Code)r l // ,�D`� 3'C.1 E '.Ea/ [tip .�fCc.?/. VL Cos ty/Dep.rtcaeet Use Only gApproved ❑Disap roved Permit Fee lssued IssuinE Agent Signuure 0 Owls-9f o Idaes for Denial s 53 S� 77-174,Z,3 elf►/1�4'•`�t"A`y_" Conditions of i r.D;.4 4 .v.."1 3 ` 4 N- -,_ _ ,.(_ e ^ 1.Septic tank,effluent filter and dispersal cell /) v�l� µQC must be serviced/maintained as per `i) 1-1 n `rid/ ''� �k`a2- b ArN �`� management plan provided by plumber. t ..a fur h°L-Lesa- s 2.All setback requirements must be maintained 5-) .ca c ,7 �.'- - i ►A.t.(,(.. — as per applicable code I ordinances. ato Attach to es.plete plaas far the ryate=sad Wald(is the Camay ally ea paper sat less than 8 la 1 II inches la site SBD-6398(R.03/21) i ` . ,1 _ �`. I 01:!..r-77. . . - 14ik• lc. „b. . A...... _ joL.,....„ 404aohltz -4,,,,,,Noll .. w., E r....\.,,,&4%...,..N... - ciji 4, .4„.........„,,,,,.*-f:‘ /: .' iii 11 o _; ' ' /- -\ ..Cir N.-4,4.6„,,,—.... " 71 / , ,r—• .. \\ r_sir 411 \ \--- / • / , '4..(Tc\l\. \.- \ / ,.." I , `K 44 1 /4/if- 1 i \ ' •.• - Eit 6 -Y / ' \ xl '. '' ,c1., 4...".. _.. .._ 711. "/ / V- ' !illall‘ /*lb Z 1 far. 77..1) .41-4 to . ao 044.4z-re.-4 4 . ' -**1-wr • T l ‘" ve!" - / m 4 99 /. Ri / r:r ---:\"'"-\ ie6 �'h i sr6 o 0 • / t /+ �� r . � 8E6 L11 Nd N' th. . I • s ie O 1 0 CONVENTIONAL COMPONENT DESIGN ReddenNal Appiadlon ME&AND 7111E PAGE Project Name: 1 41 /_ Owner's Name: s 5e(i J L Al�XAai eocli Owner's 4. 249R V/.]oIG lLg- 4414 I Lt n a io_A/ Legal Description: Mr) _ -:.34-7 /9111 Township: r"�`.Svd County: n_< f Subdivision Name: (�l(,/glhi_.I 44 Lot Numner Parcel ID Number- Pagel Index and Oa Page 2 Plot Plan . Page-3 SpielD eking&C ose•SeeAon Page4 Filar Specs P899 b Mslrterrarrtas Inforneelkin page 8 PAanagement Plan Page T St Croix Qv Sepia Tank Yelatenaroe Farm • Pl08 8 Wenzel!),Deed Nem9 GSM orPlat Afkachmaalsz Soil Teat&House Puns Deabgner,Piurre v./1 /1 297711/5 l/ lie Number: ®3 D Phone J-.�:�� Number g= -71'/ oestrous possassit i Sol Mame=o.re...etflninr Nor POWT8%OM20seD.+alsrgurimej` mime/ o •cis. �`1�1 IL <% _______,--N. ..-7- / 4? 04....s. ----- .. • 1 1 *4 :cc r." ------- . / 4 , , . \___. . .._____./ ///,-- •\ # 6r-- ---/ // /1/ - 411 46... \• / / / • - ' 1 ! , .--- 8 P6////: S i 1 ' "c 4 t' I -s � � -- , l: " , ' - \ t%INI 4. 4a v. qi iedi1/4 ---N /kaki z ,„..... ,:i , ,s731•)t -. , , ...akirivo„„,_iiii 445 3 -&2, - .4114 q"" S.tblIP: - 2 ...•— ` y96 � 996 n o / . 0,tojir f r i 0e6 - Saa Ah>oo §an Snml p c gjyi0e cam PVCvatFte vistcap E 7 ft Leading Chamber 6�6on a 1 u Soil Absorption Simeon Rae'View 9) tt 111111 .1111111111111111111If II 11111111 IIIII I11111I111111111RIIIIIIIIIIIIT II f Oj pe 1 Ttt tdt, I rChambers 11111 #1111mI 11mmirll1l mllliN(IfIII(iuIlillllllililll inv- IP\ 13, I Trench 2 I F(e cim- I elsamber a And 3 t / .� �11 t d4�ll /( 7 G:er 9pdpesign Flow_ Sod Appicabon _ - 77 BSA= y Chambers 2 toes at ,- dts tom_ vage —3 of / _p Pm ( • ) .. Inc ,�„o„tiora Precut , � i. PL-525 Effluent Filter B Wetnnra hodxtr a OIMYon o1 Po1ON Inc. PL-525 Filter The PL-525 Filter is rated for 10,000 GPD(gallons per day) making it one of the largest filters in its class. It has 525 linear feet of 1/16"filtration slots.Like the Polylok PL-122,the Polylok PL-525 has an automatic shut-off ball installed with every filter.When the filter is removed for cleaning,the ball will float up and temporarily shut off the system so the effluent won't leave the tank. Features: 1/16" Filtration Slots . dr— Alarm Switch • Rated for 10,000 GPD(gallons per day). (Optional) • 525 linear feet of 1/16" filtration. ► .�aA insf • Accepts4"and 6"SCHD 40pipe. Accepts t" PVC t Extension Handle • Built in gas deflector. • Automatic shut-off ball when filter is removed. ted for • Alarm accessibility. to,owGPD • Accepts PVC extension handle. PL-525 Installation: Ideal for residential and commercial waste flows up to 525 Linear Ft. 10,000gallonsday(GPD). Fit/tio per ( ) Filtration Slots 1.Locate the outlet of the septic tank. r 2.Remove the tank cover and pump tank if necessary. 3.Glue the filter housing to the 4"or 6"outlet pipe.If Accepts 4p pip the filter is not centered under the access opening use a , Polylok Extend&Lok or piece of pipe to center filter. 4.Insert the PL-525 filter into its housing. .;;ram. �'""'^r0011121 to 5.Replace and secure the -- .tic tank cover r c«ttnad NSFNSIaAN3t Standard 46 1'8„ The PL-525 Effluent t ters wi operate ' e'en y .r several years under normal conditions before requiring cleaning.It is recommended that the filter be cleaned every time the tank is pumped,or at least every three years.If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing.Servicing should be done by a certified r Gas Deflector septic tank pumper or installer. ; - Automatic Shut-Off Ball 1.Locate the outlet of the septic tank. 2.Remove tank cover and pump tank if necessary. 4.Pull PL-525 cartridge out of the housing. 5. Hose off filter over the septic tank. Make sure all solids fall back into septic tank, not into filter housing. 6.Insert the filter cartridge back into the housing making sure t}Ieflltei1S inserted. OutdoorSmartFilter®Alarm Fxtend&UV"' properly 8Polylok.7abe1&Beat filters accept Easily installs 7.Replace and secure septic tank cover. the smartFitter®switch and alarm. into existing tanks. Polylok,Inc. 3 Fairfield Blvd. Wallingford,CT 06492 7bll Free:877.765.9565 Fax:203.284.8514 www.polylok.com POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page -1-of FILE INFORMATION SYSTEM SPECIFICATIONS Owner ffirLOX.t.i-Lcf f �7�1y9 (.4S,/ Septic Tank Capacity D gal IDNA Permit+ISeptic Tank Manufacturer lets / 0 NA DESIGN PARAMETERS Effluent Filter Manufacturer }7I 0 NA Number of Bedrooms 0 NA Effluent filter Model - J 0 NA Number of Public Facility Units g NA Pump Tank Capacity gal IR NA Estimated flow (average) YO0 gaUday Pump Tank Manufacturer IR NA Design flow(peak). (Estimated x 1.5) Pump Manufacturer INA g �D� 9eUday Soil Application Rate r 7gaUday/ft2 Pump Model NA Standard Influent/Effluent Quality Monthly average' Pretreatment Unit %NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel filter 0 Peat Filter Biochemical Oxygen Demand (BOD,) 5220 mg/L 0 NA 0 Mechanical Aeration 0 Wetland Total Suspended Solids (TSS) 5150 mg/L 0 Disinfection 0 Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA Biochemical Oxygen Demand (BODE) 530 mg/I- tet In-Ground (gravity) 0 In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L IA-NA ❑ At-Grade 0 Mound Fecal Coliform (geometric mean) 51O4 cfu/100m1 ❑ Drip-Line 0 Other: Maximum Effluent Particle Size Ye in dia. 0 NA ref: 0 NA Other: 0 NA Other: 0 NA •Values typical for domestic wastewater and septic tank effluent. Other. 0 NA MAINTENANCE SCHEDULE Service Event Service Frequency DI Inspect condition of tank(s) ,3y Year(s)At least once every: awls/ l (Maximum 3 years) 0 NA Pump out contents of tank(s) When combined sludge and scum equals one-third IY,) of tank volume 0 NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) 0 NA ,.) RI year(s) Clean effluent filter At least once every: Q monthls) 0 NA > ) la year(s) Inspect pump, pump controls&alarm At least once every: ❑ month(s) )Sd'NA O year(s) Flush laterals and pressure test At least once every: month( s) $1 NA Y Other: At least once every: 0 month(s) 0 NA ❑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 arty 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,1 or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of In accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW(4/01) Page 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(s1. 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 celllsl 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 bnne. 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. ❑ The site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS a soil end site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC. PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALL POWTS MAINTAINER Name 12��;k1/ Name Phone 11�5= � , 79/7 Phone SEPTAGE SERVICING OPERATOR(PUMPER) LOCAL REGULATORY AUTHORITTY Name Name _-cj 3D ,�r ( 44/ Phone Phone 7/6-- - -V '-n This document was drafted in compliance with chapter Comm 83.22(2)(b)l11(dlf!(f)and 83.54411,121&131.Wisconsin Administrative Code. File N: ST Ctto NTY. SANITARY SYSTEM Office Use Only OWNERSHIP/ADDRESS FORM Created2/2021 Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed form and educational information will be sent to you by email. OWNER/BUYER INFORMATION Owner/Buyer Andrew & Alexandra Yarosh Mailing Address 2199 Vining Drive Unit L City/State/Zip Woodbury, MN 55125 Phone Number(required)507-954-4091 Email Address (required)ayarosh444@gmail.com Parcel Identification Number 032-2149-30-000 (found on the property tax bill) NEW SYSTEM: LEGAL DESCRIPTION Property Location Sw '/4 , NW 1/4 , Sec. 02 T 31 N R 19 W, Town of Somerset Subdivision Plat: Grandview Estates , Lot# 03 Certified Survey Map# , Volume , Page # Warranty Deed # (before 2006)Volume , Page # Number of bedrooms 4 Spec house i] yes ■ no Lot lines identifiable yes C no OFFICE USE ONLY r,¢� New Property Address 2-3�(o S�r GS po F U ' (Verifi tion of new address required from Co.mmuni & rnent Department for new construction.) (Staff Initials) (Date) This form must be submitted with all Private Onsite Water Treatment System (POWTS) applications. New System:Include with this form a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. Community Development Department—Land Use Division 715-386-4680 St.Croix County Government Center 715-245-4250 Fax cdd@sccwiyov 1101 Carmichael Road, Hudson,WI 54016 yvww.sccwi.gov 0lam',Drawing R<wm.LLG 2022 ilr pijit . . .. ae1 :1 . . .. giills ll lll!i ea litDr „nil!,l ! ! y � fi -- �eei. , ! �II IMI IRw 'I 1 MN 1 IIIIIIIIII Inns 1 Ili I 1 I 11 ii (l 1 , ,n III { n9n � 1 ; 1-'1� III I I I� ; �I� p' `` '� t1'! ! .l ` 1 PI I„I 11 . i l i l + ^ f I _____ i Zgit"' 1� o�11 _ ' 11 ' I I igs (2§ 15 ;�� vim - I11111� ti A81, o Ill { I • z o z m o =m . I IIIMiIIId ad : pll ) 1 1 I Illll I) 111111 ThI11111 h 2 I i` �I ' I II I'�I • 1.1 HI 111111111- I , 1 11 1! I1) 11I 1 Itq iI ( ,IjI !I I I Ill . �EI ? I I! .__ .I I � I i, I I _ II 2 / I I 1i zT Q niliuiul — ,� 1 4iI , o 70 I I1I11I!IIII — I o CO 11111111• .►I a NO —I z 0 g o z _a5 re il� �unc_roe R ! h'loa Drawing Room.. R Andrei+6 Alexandra Yoromh e E iA4' 2 5'5 oistrtreet.fomuxr Nil 34023-Lot 3.Grandview[Motes i E .d�. 0lams Drawing Roan.U.0 2022 ,`'zits rr ►a1 II:li' iTi at�ail t'all , •'M IO . )9 !•O 1O ' � i.0 riO yfy fi 111 a - 1Y i 1f8 :;Nit p 'till Y ♦ { 4_ j a ;?: Y 4"'WSW). ''E ao i J 1` �S e ~ t 91111J ��� , t © ' 1€ e i �2 7i a no < C91 A n 11j1411 a i a.q e8 I: l p 4ie.a a ■ u pp CAb 9 6 . 4 , . L 4 -i. S • • e- .1 • r i•f t }[r trvO atl re ere. •nu .fl r O O 70 O Q O0 N O -- I- 0 c � Q 00 z N a i a Idn'a Drawing Room- : C;3 a Andrew d Alexandra Yarwh -p$i➢t 1 2356 OL+tJtreetjarnereet Nil 54023-Lot 7,Grandview[slates Eli 112 w Q lea orawng Room.LLC 2022 illit :If .F '.�41=1 WO il 'iiii ; r+ Tip t +i, so ,a , av ev . ra r., rc , rr er ,v •r � � ' Ia � i.i and I I46+�•e�m� i G g' ell �� y 1 I ,. � IITT w E !' ! IL 1+?li: V ✓r fir', I � —, i li ,.Q L p 1 , S .\1... t - iS •h - + a [ 1 11 MY� ' Yt.v If 4 y L , 1 1 -0 i. 1 1 ry if ,4,r ,rr o70 70a 0 oz Z � cno -4 Z 701- e Z S/Q,IL'IQ a ! AIM. loins Drawing Room- S Andrew&Alexandra Yarosh pp I i i i,1 2.136 ObtJtreet romerset VI34023-Lot 3.Grandview[states P •v.... 0Ia.A5 Drawing Roan.LL.0 2022 rli rj ii 9E► a : iINO ro . i !TO 1,.. , .0• .:a r,.K1 , fi 1 e ... - 11 R 's 1 1�1 G !- Q ill 0 + 4 YJ tea. 7 4 { 5� O Ammo a 40 .. . 4 S • Al g ri [ ; %I�I ac . e a ' Qr : 9' .-r • U j I sy � {.� F , P is i ; � ai• :4 Q ;o, r 1°' ; ' •a -' 1 I 1 ‘,-..-.--. .•f ♦ .f r ''l' ea it O O O0 70 0 O O0 cn O --1z 70 1— G _ z Z ; a $ �.t Andrew&Alexandra Yoroah EC ruscrezrae a ian Drawing Roan `' q ,&4➢a' 2330 61stJneetJanenet HI 54025-Lot 3.t:randrlew[states ��`.&$ Alit rvwa�. Ian laes Aarnng Room,LLC 2022 ag`'r�tt ill' hi!! 4 *-1�4 ' R33 EE ,: a`fJ i 714 di 3 FF lL R I J _ 4 a 4-4 1 a= . . K2r� 70 CO 0 7a v v nz O0 cn0 iz c � r O R r�ax_rc� Iain'a Drawing Room 7;Y a ,s aaa - � Andrew d.Alexandra Yarosh E i94 2356 61s1JMeiJomerxl VI 34025-Lot],Ciandviev[states {{ yy 1138236 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI State Bar of Wisconsin Form 1-2003 RECEIVED FOR RECORD WARRANTY DEED 09/01/2021 01:57 PM Document No. Document Name EXEMPT#: REC THIS DEED, made between TRANSFEE .00 TRA FEE 22828.00 Scott Bohnen, a married person PAGES: 2 **The above recording information verifies that this document has ('Grantor,"whether one or more), and been electronically recorded &returned to the submitter Alexandra R.H.Yarosh and Andrew J.Yarosh ("Grantee,"whether one or more). Recording Area Grantor, for a valuable consideration, conveys to Grantee the Name and Return Address: following described real estate, together with the rents, profits, Alexandra R.H. Yarosh and Andrew J. fixtures and other appurtenant interests, in St. Croix County, State Yarosh of Wisconsin ("Property")(If more space is needed, please attach 2199 Vining Drive, Unit L addendum): Woodbury, MN 55125 032-2149-30-000 Parcel Identification Number(PIN) This is not homestead property. Lot 3, Grandview Estates,Town of Somerset, St. Croix County,Wisconsin Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Dated: 23rd day o 'ugust,2021 1At 11. Scott Boh e 1 , (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 2003 STATE BAR OF WISCONSIN FORM NO.1-2003 'Type name below signatures St. Croix County 1138236 Page 1 of 2 AUTHENTICATION , A OWLEEDDGM`ENT Signature(s): Scott Bohnen, a married person STATE OF ,�U \)\�\ 1a` •21 authenticated on COUNTY OF� 41 Personally came before me this the above, Scott Bohnen, a married person, to me TITLE: MEMBER STATE BAR OF WISCONSIN known to be the person or persons who executed theforegoing instrument and acknowledged the (If not, same. authorized by Wis. Stat. 706.06) THIS INSTRUMENT DRAFTED BY: Edina Realty Title, Inc. \ Mary Kay Long g 520 Commons Drive Notary u lic, State f Minnesota Woodbury, MN 55125 MARY KAY LONG e Notary Public-Minnesota t`1''My Commission Expires Jan 31,2025 ry V.% (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 2003 STATE BAR OF WISCONSIN FORM NO.1-2003 'Type name below signatures St. Croix County 1138236 Page 2 of 2 -Sby,rc.9arp.. GRAND VIEW ES TA TES +� LOCATED IN PART OF THE SOUTHWEST QUARTER OF THE SOUTHWEST QUARTER AND THE NORTHWEST QUARTER OF THE SOUTHWEST • •^ QUARTER ALL IN SECTION 2. TOWNSHIP 31 NORTH. RANGE 19 WEST. TOWN OF SOIAERSEL ST CROIX COUNTY, YASCONSIN. — r } .. 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E 4 1.S� 4 4 Ail ill �l iF =am•-•-iv I 91 g .tram mwnaasp CURVE DATA _ •Osss �s',la�t.1.s1 ,ra'tl.ssr .41ta as asett a't sa s 2sss '.•• a51.11'1.51i1 .saws r.[t:atl•ar•:malt sr Ar Oss • MI5 Il/'.••1 .s sno t>• .,.;a . ..L am a. a•s.assL alas Me w srlF.s•11.Iss<11..E a a-:a.ems* a a..rsl a a.a.a,.ana[t•a:rma T a s'.f:�• aas•I 5 Y a 1_wee+a:mania r*..0:ale rslae a alas►la:ata• •ICles...'•ss'.1. ,!..t11�_ r..mim e'a.c[ra.r:a'tlas:a•F a l a as I�tImtiSYLW[ tO ii'�iit.,5_s_;i1 e_s_:!s1�'.4.51. .:a.I.:a.a s e.aca.AI a s:D•a.aid s 'rs•r.:a-al ma s r,a..aids Ii.Mel to.,,e205.bf1MG TSTI<i.e5.le40.M1 masts:a••1.: L ..:_aala•a.s a:a a.t:mass a-.t las.t:a.a.as1 aaal:51a•s.,,:tt s'a.MIN MOM:'.asi:a1s.s=Mi.•0.a1. s a•t a:a,••mar la:a:Ms O______ •Ie-s SI,..:•Emu i•'Mae llit/.a1�a:.l O s:a.a.ar.assa'a Ar east"a'ass .0 4w5S1*To.a.N..R Iw[u W<.ea l,e} s•I9'S 1,1r':t/ ,.:.5 NMI.).as—.,I.:Hasi'aC 4,.ssrl.l AT a s ra:a1as P.,,...r.r.[iwy. 15 SHEET 1 OF 2 SHEETS COt1MY F701Ari T r- __ _ _ __ LI O 01 t• ,:- / I ( I \ \ I I / -. • Ike.- 1 / / 1 / / I 1 / • ttwwN33 % / t / 1 / /! 7 / / / r 1 / / L,, / / r/ 1 I / / / w" _ 1 / , / / / / / / / a '` .� / I (_/ / I ! / I / m n i r' ` \ / / / / "_ / / / n, a \ \ -- / / - / 1 / ^ c . `. / // ( 1.-- / / / n 1 f .- �\ .\ / / /1 / I / v. �� • -.Rim, // / / / I / F \` •\`. \` p �/ // 11 11 I . . ` . �- 6 I / I I 1 / 11�\ ` \ \ \ .. / // / w 14 \\ . \\ \1 \\ \ \1. 'i'i1 ' // •/ .. r �'• `'`1 I \ /\ x V. 1 \ , \ • / 1I . /iii\ 1 \ \ \1� I \ . SF0/ / IN \N. \ \N. / / 9111 ! ii \ / / / i \. \ ., \ / / -/ \\.. ```-.--- // / \ \—\\.—\\``-- /- // - . \ — ' / ip 1 t N.N.`'��\�,`-- / �j BE,!lN(S ARE I \ '. •�---- /-- 5 • M}7E'R}7M.TD TO TI IC ST. X -a - -..... ! COI canm Or, N. \--- El CTMIMOINOTE SYSTEM \ \ --.••••'''•---- gl i i U4/11,11/22 — \ . ' / \ \ t: \ • ! 'r. Mani UMWgw�_ r ..•Ij illinsmcx BUILIERS(YM091 cocoa) EC--Lit— • MOWN, BEE ' ---, =c 2.13811011,4 SOW a w1aQr.sc aim mrrr,RRRODSI ' HOUSE PLAN kortooksthindoiss_ SW IAN SIR _. .. ....wl.- - .. 1051 Wisconsin Department ofCo n an° SOIL EVALUATION REPORT Page I of 3 • Division of Safety and 8t*kigs In accordance with Comm 85,Wis.Adm.Code Tom Schmitt Attach complete site Oe n on piper not s 1 Plan mist County is ;„7- andSt. Croix .nude.tot na rhea to owed am '+"!' ----- - — percent sbpe,rote a dinerlldorls, •.!'1jt!r,and location 'w,"* to nearest road. Parcel I.D. �� 0,2 - z/449- 30 -CVO( (244) Please • r , 11 i Q �y BY Date Palatal Yaonarm ya ponce '_ .:..Ipr� iM..'"IP3Seg( *I s al nl04 .}.)- •- FED fall`f owr>or INProperly� � �'� 2 u•� i-- Location S t. eat Lo na NW 1/4 SW 1/4 2 T 31 N R 19 W Property Owner's Mailing Address M of-cPtAFEE 'Lots •Blodt a Subd.Nome or CSlla 1359 Awatukee Trail . 3 na Grandview Estates City Statjaire Number J City J Village d Town Nearest Road Hudson I WI I [ b14_ Somerset Cty.Rd. I d New Construction Use: d Residential/Number of bedrooms 3 Code derived design flow rate 450 GPO J Replacement J Public or commercial-Describe: Parent material Outwash Flood plain elevation,if applicable na General comments and recommendations Suitable for a conventional system with a 0.7gpolsgft rating. Possible system elevation for Area I, step trenches,(high trench)98.07(low trench)95.11.Based on a 8%slope. 1 Boring* -) Being >t0t__in. Sal el PR Ground Surface Ne,-_ 100:90_ ft. Depth to limiting factor Application Rate Hartron Depth DO., rl Color Rados Oeectlption TesOse Sbucwre Consistence Boundary Root GPOnt in. Munn. 0u Sz.Cont.Color Gr.Sr.Sh. 1 I 0-8 10yt3/3 none all 2mgr 1 mfr cs tf .5 .8 2 8-19 10yr4/4 none ad 2msbk mfr dw tf .4 .6 3 19-34 10yr4/4 none sr' 2msbk mfr gw — .6 .9 4 34-42 10yr4/8 none cos 0sg ml at — .7 1.8 5 42-101 10yr5/4 none ma Osg ml — — .7 1.2 ..i ---- - af• %Ati S-}.94193. 9 6 2 Boring a J Borng d Pit Ground Surface elev. 100.90 ft. Depth to limiting factor >120 in. Sol Application Rate a Horizon i Depth Dominant Color i Redo*Description flaws SbucWe Consistence Bounder, Roots In Mural !I Ou.Se Cat Color Gr.Sz.SR *Ef f- 1 0-8 10yr314 r none lid 2fsbk mfr cal 1f .4 .6 2 8-15 10yr4/4 none sd 2fsbk mfr gw tf .4 .8 3 15-38 7.5yr4/4 none sr' 2msbk mfr gw — .5 ''e® 4 38-42 10yr4/4 none sr' 2msbk mfr at — .5 •9 5 48-120 10yr5J4 none ma 0sg ml — — .7 1.2 S?9(0 3-°I 4 •Effluent a1-BODS>30<220 mg/L and TSS>30<150 mg/L •Effluent 02=GODS<30 mg/L and TSS<30 nlg&L CST Name(Please Print) Signature: CST Number Thomas J. Schmitt �� 227429 Address Tom Schmitt Dale Evaluation Conducted Telephone Number 586 Valley View Trail,Somerset,WI 54025 5/21101 715-548-8651 • • rioperty Owner M&G Inc Parcel ID# Peps--2-01_3_ • • 3 Boring# J Bowing ei PR Ground Surface eiev 98.08 ft. Depth to limiting factor >102 in. Sd Mikan Roe Horizon Depth Maenad Color Redox Description Tedae Struchne CariMume Boundary Roofs 0141112 In Mussel Cu.Sz.Call Color Gr.Sz.Sh. "EMI 'E1W2 1 0-12 10yr3/3 none I 2mgr • mfr cs 1f .5 .8 2 12-34 10yr3/4 none sd 2fsbk mfr gw 1f .4 .8 3 34-48 10yr4/4 none 81 2msbk mil. ors — .5 .9 4 48-72 1005/4 none cos Osg ml cs - .7 1.6 5 72-102 10ye518 none ms Deg mI — — .7 1.2 94- 13•531 s`f/4o 1 I Boring# J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Applralbn Rate Horizon Depth Dominant Color RectorDeanipSon Tease Structure CarMarce Boladery Roots 'Efltl GPM' it Murrell W re .Sr.Cat Cdor Gr.Sz.Sh. Boring# J Boring J Pit Ground Surface elev. _ft. Depth to limiting factor in. Sol Applration Rate Horizon Depth i Darnilad Color Rados Deacdplm TexWe I Strumae r Condolence' Boulder/ In. Ho ery Roots 'EIIt1 fft2 Ansel W.Sz.c Cola or Sz.SR , •Effluent#1 =BOO S>30<220 mg&l.and TSS>30<150 mgll 'Effluent t2 a BODe<30 mg&and TSS<30 mglt. The Department of Commerce is an equal opportunity service provider and employer. 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