Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
030-1088-81-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village Township William & Marie Schachtner TOWN OF SAINT JOSEPH CST BM Elev: Insp. BM Elev: BM Description: (OD J�� 0 0-t�� �Z� TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 1565" Dosing i Cj ri5Js 0 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 40 �D WeM 01 �Q0 S5 f(q ,I 100 \ 4; D� ,wS. Dosing IL Aeratio H Iding PUMP/SIPHON INFORMATION Manufacturer I Demand GPM 64 If, dr..wr 52 r `� Model Number TDH Lift Friction Loss System Head TDH Ft � � 15.1 Forcemain Length Dia. �� Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651270 State Plan ID No: Parcel Tax No: 030-1088-81-100 Section/Town/Range/Map No: 30.30.19.322A-10 STATION BS HI FS ELEV. Benchmark D w 1W.41 100.0 Alt. BM FAS; CD?_QS?__ C4-, Bldg. Sewer 7 St/Ht Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover q-to 4, S; 1� 3� BED/TRENCH Width Length No. Of Trenches PIT DI IONS No. Of Pits Inside D' Li pth DIMENSIONS � �IJ� � SETBACK INFORMATION I SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: Type Of System: I ADVOP fJ Model Number: I DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake i k Pipe(s) i i 5 Length Dia Length Dia ❑ Spacing 32 ❑ SOIL COVER x Pressure Svstems Only LX Mound Or At -Grade Svstems Only RR Depth Over Depth Over xx Depth of xx Seeded/Sodded Bed/Trench Center Bed/Trench Edges Topsoil " 12 � Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Location: No Address Available 1.) Alt BM Description = '6Vr cap° t�F- 2.) Bldg sewer length = - amount of cover = q1' -6Cje4-,041 2g +t) 4v Jk Plan revision Required? ❑ Yes ❑ No 1I 1 2 Use other side for additional information. 3 Date SBD-6710 (R.3/97) cx Mulched ❑ Yes ❑ No Inspection #1: to 1, 2023 Inspection #2: ot a. A L', j I e tor's Si a ure �tlir.: Lu '1n USL, VW;a e664t cog,. Cert. No. �Y 1P I RIF=C rff� Wlr=30 inaustry 6ervices i-mision 4822 Madison Yards Way %�%Jt I I I ty P Madison, W1 53705 Sanitary Permit Number (to be filled in by Co.) A 1(" 14, 14 9 OT P.O. Box 7162 Madison, W1 53707-7162 N •State SanitaryTrermit Application 0 �LeL� Transaction Number 0� Z I�= hi accordaiice with SPS383,2fM 11, ,, WWyAdmv-6de, 50missioii of this forni to the approprHate governniental unit Project Address (if different than illailing address) is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats. I. Application. Information Please Print All Information, — Property Owner's Name Parcel # OX) 0 4n Property Owner's Mail ing Address Property Location t e I Al i 'Lef Govt. Lot '14 '/4) Section H- - City, State - '- , Zip Code '� 01 Phone Nuinber +r LA �t T -t� O N R .---E or W ,It. Type of,Building,(cliec'li all that apply) Lot # n Narne Subdivision I or 2 Family i 1-y Dwelling - Number o f Bed roo nis 4 1:1Pub1ic/Conunercial - Describe Use ez 44 Block . ❑City of E]State O%N(hed - Describe Use [:]Village of C SM Number Mown of wt, %70 !3 C A, 111, Type of POWTSPermit: (Check,either- "New" or:"Replacement" and other applicable on line A. Check one box on lineB. Complete line C it applicable.) A, ew System Replacement System EloCher Modification to Existing System (explain) OAdditional Pretreatment Unit (explain) B* OHolding Tank In -Ground DAt-Grade mound Individual Site Design Other Type (explain) (conventional) 2- C. D Renewal Before EIRevision [:]Change Of Plumber Dransfer to New Owner List Previous Permit Number and Date Issued Expiration ,IV. Dispersal/Treatment Area and Tank Information: 2- Design Flow (gpd) Design Soil Application Rate(gpd/so Dispersal Area Required (so Dispersal Area Proposed (so System Elevation Aft P-A 3, 3D Tank Information Capacity in Gallons Total Gallons # of Units Manufacturer Lt L+ec 2 V)0New +-J Tanks ExistingTanks:3 0 Septic or Holding Tank 6- Dosing Chamber hu I if I I e, 5 1 0I . Res 1) on s 1 b i I i ty S tate rn en t- 1, th e u n d eilgign ed, vile responsibility for inst9l1ation. of the PONAITS shown on the attached 0l'anS. V41 PlUrnber's Nanjr,,( ring P I i ii , is S, t MP/MPRS Number Business Phone Number Plumber's Address (Street, Cit State, Zip Code) CLIO Vt. County/Department Use Only F Permit Fee Date Issued Issuing Agent Signature Approved oved: $ W/ [tner 'T 7- t 12Z l R-ft<1 for Denial 3 Giver_ 73 Conditions cJApprov,!T/R,,c13Gi6 i0f LjiSaPVT07 - ),kU O-AO_ LAA• SYSTEM OWNER: I.- Septic tank, effluent filter and dispersal cell q) CL 8a 4 a, a.1 + e,., must be serviced / maintained as per " � managemnt plan provided by plumber. Ka,,) 2. All setback requirements must be maintained as per applicable Code / ordinanc8s, Attach to complete plans for the system and submit to the County only oil paper not less than 8 1/2 X I I illelles ill size SBD-6398 (R. 03/21) System PLOT PLAN PROJECT William Schactner ADDREss 4751 NW 58th Terrace Hudson W1. 54015 SW 1/4 SE 114 s 30 /T 30 NIR 19 W TOWN St. Joseph COUNTY ST. CRG1X SYSTEM ELEVATION 94.3' DATE �816l235 DATE ROOM CONVENTIONAL A,,r-GRADE CONVENTIONAL LIFT HOLDING TANK N110CxND S3L3f xxx SEII�C TANK E 1585 Gallons LIFT TANK SIZE DOSE TANS{ SIZE 950Gallon HOLDING TANK SIZE LOAD RATE' 1.9 A13SORPTION AREA 752 # of Chanibel-sNone kk BENCHMARK V.1z,P, Top of 3/4" Pipe ASSUME ELEVATION UO' Ffltei' Lifetime BOREHOLE WELL :f:11, R . P , same as benchmark � 40;5 0' caivert runart away ,t from system Area 15' Below Mound is 1% Slope to remain undisturbed 0' Property Line "CIVIC V 1CVv LCu #C Well is to meet all WQNR setbacks 641 ` Property Line Wisconsin Department of Safety and Professional Services Division of industry Services 4822 Madison Yards Way PO Box 7302 Madison, Wi 53707 August 23, 2023 OUST ID NO.: 226900 SHAUN R BIRD 1432 120TH ST NEW RICHMOND, WI 54017 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/23/2025 MUNICIPALITY: TOWN OF ST. JOSEPH ST. CROIX COUNT' SITE: WILLIAM SCHACHTNER 1301 EAGLE VIEW LANE HUDSON, W154016 SWI14 SEI14 S30 T30 NA 19W FOR: Design 'wastewater Flow Value: 750 Bedrooms: 5 Limiting Factor(s): 24 Inches Maintenance Required: Effluent Filter w� wa . 1�1 % Phone: 608-266-2112 Web: litti)://dsi)s.Nvi.gov Email: dspsLci)wisconsin.goy Tony Evers, Governor Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-082301820-C Application No.: DIS-082335275 Site ID No.: SIT-119791 Please refer .to all identification numbers in each correspondence with the Department. Mound Component Manual -- Version 2.1 (May 2022-2027) Pressure Distribution Component Manual - Version 2.1 (May 2022-2027) SITE REQUIREMENTS • A full size copy of the approved plans, specifications, and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and signature shall be on the plans which are used at the job site for construction. The following conditions shall be met during construction or installation and prior to occupancy or use: A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a '/4-inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state -approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5 Insulate building sewer beyond 30 feet per SPS 382.30 (11)(c) • Well setbacks to meet ohs. NR 811 & 812 Tank Installation to follow all manufacturer's recommendations. Verify property line(s) prior to installation. 0 Pump Floats to be set and verified per the approved plan. OWNER RESPONSIBILITIES ■ The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval and Wis. Admin. Code SPS 383.54 1 . ■ In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. All permits required by the state or the local municipality shall be obtained prior to commencement of con strut t i on/i n sta l l at i o iVop erati o n. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. The Division does not take responsibility for the design or construction of the reviewed items. Inquiries concerning this correspondence may be made to me at the contact information listed below, or at the address on this letterhead. Sincerely, r_41.'�eo Katie Petzel Division of Industry Services Phone: 608-574-1189 Email: katic.petzel@wiscoiisin.gov Fee Required: $250.00 Fee Received: $250.00 Balance Due: $0.00 Refund Ex ected: $0.00 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 08/6/2623 Owner: William Schachtner Location; Sw114 SE114 Sao T 30 N,R 19w 1301 Eagle View Lane, St, Joseph Manuals Used: Mound component Manual Version 2.1 (May 2022-27) Pressure Distribution Manual Version 2,1 (May 2022-27) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound cross Section 4, Pipe Cross Section/Pipe Layout 5. Pump chamber cross Section 6. Pump curve 7. Filter Specifications and cross section 8-9. Maintance and contingency plan Attachments: soil fiAet Shaun Bird Signature_ License number Page 1 of 9 System PLOT PLAN PROJECT William Schactner ADDREss 4751 NW 58th Terrace Hudson W1. 54015 SUIT 1/4 SE 114 s 30 /T 30 NIR 19 W TOWN St. Joseph COUNTY ST. CPG1X SYSTEM ELEVATION 94.3' DATE �816l235 DATE ROOM CONVENTIONAL A,,r-GRADE CONVENTIONAL LIFT HOLDING TANK N110CxND S3L3f xxx SEII�C TANK E 1585 Gallons LIFT TANK SIZE DOSE TANS{ SIZE 950Gallon HOLDING TANK SIZE LOAD RATE' 1.0 A13SORPTION AREA 752 # of Chanibel-sNone kk BENCHMARK V.1z,P, Top of 3/4" Pipe ASSUME ELEVATION UO' Ffltei' Lifetime BOREHOLE WELL :f: H , R . P , same as benchmark Property Lin Property line Scale 1"= 40' Property lin 0' 40' 80' Grading to be done to divert runoff away 150, from system Area 15' Below Mound is 1% Slope B 3 to remain undisturbed 93' d Yid ~ 2 93.3' 93.5' rs� Wieser Well is to meet Combo all WQNR Septic Pro 5 setbacks Bedroom House 550' Property Line Eagle View Lane 641' Property Line Mound System Crops Section and Plan View own Mo."Me. memo:.. �.....N. ,..._ ......�........o. s..0 ......: _ .,..........�... OW. *M 0%^ "M ft". J t i. A w r t i :l i 1 00, K lip B Dimension Feet Topsoil ATNi„33;y'R -== Clean aggregate- 4in, sch, 40 pvc ... , i sand fill Y2 to 2 '/2 in. dia., obser0 vation pipe Cap Material ��ti•4 .; lift Geotextile � I Rr' h1`T C', r �d• �rr•v'•v'• Ft �Z qq, ` - l -N 1 7 1 7 1 1 1 1 A A A it A.A. tie NEIC •C tiL `6 `1 - . k 'S-. • . ' , a . 45sl - 3-Ft Contour Plowed Surface Slope Direction GENERAL L INSTALLATION: The mound area is staked out along the design contour, existing vegetat ion is mowed and raked off the site. The mound basal area (L x w) is plowed with a moldboard or glow, Plowin not proceed if the soil is wet enough at the plow depth to forma '/� Inch soil wire chisel � g may when a sample is rolled between the palms of the hands. . AST CW33 quality sand is placed immediately after plowing, Sand is placed with a trackedmachinekeeping 12 or more Inches of sand under the tracks o�• •s placed overhead by a bacldzoe• Special care must be used when placing sand of less than one foot � thickness to minimize compactionof the plowed surface, After the topsoil cap is placed, the enure mound 's seeded and mulched to promote vegetative growth, limit erosion anti protect front freezing, The � observa tion pipes are slotted in the lower6 inches and secured in place with rebar or a closet flange. 10107 Igj Page of - Man Presstirel,ateral Layout Two Laterals — End Manifold v, o r c e tvia1n uvl ....... Distribution Tety rk ecificatxans Lat cral Diameter In. - Manifold Diameter Orifice Diameter �, . , In, fice S In. r acin (Lateral Len th �I11 f {�+�yt�11 r �{ {iY�t= �,Y,L t�C��.i.lLilLi 1J�r.1„L Lit. ... Force Main Diameter In. Force Main Length Ft, * s • 0 s Grade • 6-8 Inch Lawn Sprinlde,r Valve Box fhreaded Cleanout Plug Long Sweep 90 Bend Pressure System Cox'strUction Laterals are construoWd of Schedule 40. PVC pipe, Orifices are drilled perpendicular to -lhe pipe with a sharp drill hit and face down. Lateral turn -ups terminate with a threaded cleanout plug and are enclosed in a 6• 8 inch diameter lawn sprinkler valve box acc+�ssi ble from finished grade. L page ��� of 03/05 lgj y 0 0 T�ii-ik. Cross Seet-,ion And PUMP Pcrf.'Or.mance SPec;1fications r r "railk anufacturor To .l raA Capacity Max, Bury DE,ipth � �- iL ater ma.i1awtarer Mininitim Pump f erformanue Required GPM, Ft *r'D� Outlet Manhole Min, 4" Above grade Witli Looking Domice. Inlet: Manhole 6" Below GO& Sealed `w'atertljht I r i ..* �. �,.. VON"to.i Nii'shed t•ada r+ fr i it'k��'t•t`!'1':'t'! •y't'1'Y'k"1 �! -k ktlatlir�tr�!►rt11 IL— r+L3 r E �. Outtet Filter�nlet Baffle Irxl 't pump plxrnp Model Number Alarm Manuf40turer Alarm Model Nrzmber "witoh Typo , _. w wl r r✓-. - - �.«.�.....«...r�_ Yam. Total Dynamic Read (,rDH) - Foot Eloyatlo-n Road ........r,.� . live —1 Network X1oss Poroe Main Loss rrotal Secui-oly Mounted WODAer-proof Itinction Box NEW Wk* WMN Manhole Min. 4" Above grade With Looking Dev icc 1• t i i r� k f�► ritiYlrYi{ttrl iYy1t{yt}[tti fk+! ► .1 -t _ y . t .1.1 . ! . } _! , t .! .? 1 � I � i }.i Li..1w1L.Mra�a' � t = [t rtr ftri[ r�tr ly[tr :y rt r yt ,...�........... etts aneser ; witch jngd Reserve Capacity trt� rl�i tk�► tl: rtft es A. :yLy r Tangy. Volume;;_- S GPI • i�fYi ='sr= Dimension. Znchos Volume Cial+ t�k�k I�iyi µ (rosei-ve) Ai t rl'i Y i ['sir .t La ��T) B 2 .5r-0 yfrfl �"j y� off .�"�-,' 1.:�1 vatton C drr}�s r - r �� ri f! i (dead) ttYt eyflt Total I .,, +tip! r�:r�rirY�t�Tsrl{trlrrf►ty ri+'► ..� ti+l i'' i'�" i`� "T'�'"�'E"""F srisrcY•Yrt+tefstietstrrrtil�tstrtrSl ttrkriit<fl;kftif4Q7;1;rrtt;;t�tiiRYttitiittkittt[stt7,t i}} t T 1 k t l y t>!! 1 1!} y r t 1 t 4 f} It j 1 ! k 1 i 1 !k! y t tifl'1.14 1 r[[t[r[4l��tLt�iIYf T �.I.�....w..,�,,.....f.r—. r Disconnect meam Y 4 11 we(�p Hole Bottom Rlevation Ft G E410L INSTALLATION: ION: The septic/dace tank is bedded and bank filled in accordtince with the manufaotaror's produot approval spoofflioatlonst Maximum depth of b&y as spool"fod by the nnanufiteturer may not be exceodledwithout prior 4pprova[, Manhole co,vura exposed to grade have an offootive looking dovicc (padlock) installcdl Piping at tho Inlet atid'outlet fs of approved material, connected to tho tank w4h watertight fittings, and laid on sf,abl sail to prevent settling oi' sagging. The foroe mahl 'is slcovodwith 4" S.A. 40 PVC to bricigc the tanl( r r � _. . � � t and �axn 1 6.28, exuavaticExx m2d the, sleeve is scaled ,watextight. �.leotrical ser vibe complies with NBC 30 } ar m 02/05 U' Page ... - of �. � 290AWSERIES 3/4 hp Submersible Effluent/Sump Pumps The Liberty 290 series provides a cost effective "mid- range" pump for on -site waste water systems, liquid waste transfer and commercial heavy-duty sump pump applications that require higher head or more flow. Designed around Liberty's unique "Uni-Body" casting, the 290-Series will provide years of reliable performance. All Models Feature: * Semi -Open impeller permitting passage of solids Up to 3/" * 416 stainless steel rotor shaft * Permanently lubricated upper and louver ball bearing * Epoxy powder coat finish * All fasteners - corrosions -resistant stainless steel * 11/2" D.lscharge * Stainless steel bottom screen - easily removable * Maximum fluid temperature: 140' F. * 290-Series Cord Lengths Model 10' 251 (-2) 35' (-3) 501(-5) 290 Standard Optional Optional Optional 291 Standard optional Optional Optional 293 Standard Optional optional NIA 297 Standard optional NIA NIA 1 0' cord length standard on all models. For optional lengths, add "-2, w3 or -Y suffix to model number. Example: for model 290 with 35' cord. Order 290-3 Motor Specifications % hp 50 Hz 3450 RPM Oil filled, thermally protected 115 V, Models 10.4 amps 208/230 V. Models 5,3 amps Performance Curare: 290-Series 60 45 40 35 30 26 20 15 10 0 Flow (GPM) 38 78 114 151 180 227 205 303 341 Liters Per Minute ► im ensional, Data: Weight: 31 lbs. Height:13" Major Width:10" (model 297) Minimum Sump Diameters: Model 291, 293...14" Model 297 VM F...10" Factory switch Model 291, 293 Model 297 settings 'IMF Turn on level 13" 9.5" "turn off level 711 4,011 The Model 293 features a fully adjustable wide-angle float. Differential adjustments can be made easily by tethering the float to the discharge pipe or other mounting point. Vertical float model 297 Is not adjustable. Model 290 Model 291 Model 293 Model 297 Manual Wide angle wide angle VMF-Series no switchfloat switch float switch Vertical mag_ with quick- with series netic float for disconnect (piggy -back) smaller pits -- plug evill operate in a 10" diameter sump ate r Rrr . MA CO3 ff p] t MEMBER C u5 Certified 5peciticetions are sublect to change wlthaut notice. L l<h erty Pumps * 7000 Apple Tree avenue * Bergen, New York 14416 • Phone 800-543-2550 Fax (585) 494.1839 W11Vw.1ibe)1yputnps.com Copyrlght U Liberty Pumps, Inc, 2011 All rights reserved. LUT 6681 R09/11 Q54,5200 A .0 1 G�co beiween C45e and Serpentine Sr'_'-CTION, :00 -7� POWTS OWNER'S MANUAL & MANAGEMENT PLAN page _ of FILE INFORMATION Owner Permit # 0.00 DESIGN PAkAMETERS Number of Bedrooms ❑ NA Number of Public Facility Units AA Estimated flow (average)jjq allda I Design flow (peak), (Estimated x 1, 5) gal/day Soil Application Rate bo allda Ift Standard Influent/Effluent Quality Monthly average` Fats,' Oil & Grease (FOG) _-�30 mg1L Biochemical Oxygen Demand (BOD6) s220 mg/L ❑ NA Total Suspended Solids (TSS) :�l5o rng/L pretreated Effluent Quality � Monthly average Biochemical Oxygen demand (BODs) Sao mg1L Total Suspended Solids (TSB) :�,30 mg/L ;1 Fecal Coliform (geometric mean) :�j 04 cfU/I ooml iMaxlmum Effluent Particle Size in dla, ❑ NA Other: 'Values typical for domestic wastewater and septic tank effluent, MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity El NA Septic Tank Manufacturer ivy e je ❑ NA Effluent Filter Manufacturer �,i ❑ NA Effluent Filter Model'' ❑ NA Pump Tank Capacity .� al ❑ NA Pump Tank Manufacturer ❑ NA Pump Manufacturer v� , 0 NA Pump Model 0 NA Pretreatment Unit NA ❑ Sand/Gravel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other: Dispersal Cell(s) ❑ NA ❑ In -Ground (gravity) ❑ In -Ground (pressurized) ❑ At -Grade /1§uound ❑ Drip. -Line ❑ Other: Other: 0 NA Other: ❑ NA Other: ❑ NA 3 Service Event MEOW- Service Froquency llnspect condition of tanks} At least once every: �' rnont (S) ears (Maximum 3 years) ❑ NA } JPump out contents of tank(s) I When combined sludge and scum equals one-third M of tank vdiume 0 NA Ilnspect dispersal cell(s) At least once every, ❑ month (s) ears (Maximum 3 years) ❑ NA !"lean effluent filter At least once every: 4. month(s) ear s C.7 NA Inspect pump, pump controls & alarm At least once every; ❑ month(s) jt year(s) ❑ NA I�laterals and pressure test At least once every; ��' 4lush mear(s) onths} ❑ NA Iather; At least once every: ❑ month(s) �- ❑ year(s) _ ❑ NA )they: It s .,_ _ 13 NA MAINTENANCE INSTRUCTIONS llnspectlons of tanks and dispersal cells shall be made"by an individual carrying one of the following licenses or certifications: Master IPlumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator, Tank inspections must linclude a visual Inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of Icombined sludge and scum and to check for any back up or ponding of effluent on the ground surface, The dispersal cell(s) shall be visually Inspected to check the effluent levels In the observation pipes and to check for any ponding of effluent on the ground surface, The ponding of effluent. on the ground surface may indicate a failing condition and requires the Immediate notification of the local i°egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (%) or more of the tank volume, the entire contents of j:he tank shall be removed by a Septage Servicing Operator and disposed of In accordance with chapter NR 113, Wisconsin Administrative Code, III other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, land any servicing at intervals of S0 2 months, shall be performed by a certified POV TS Maintainer. .1� service report shall be provided to the local regulatory authority within 10 days of completion of any service event. page , .. , of W- .' N � alntln rvducta or other chat�tcais tl��lt START UP AND OPERATION for the presence ❑ p g p tan r�ior to use of the POtJ�'S check treatment tani��s} p vntratlons are detected have the contents of thl, For'new construct , p e t process and/or damage the dispersal cells}. if high cone may Irnped� the tl eatt�t t� p tank(s) removed by a aeptsge servicing n pet'afar pr1vr to use. System start up shall not occur when soil conditions are frozen at the Infiltrative surface, � will b ev61s. When power Is restored the excess wastewato uerrli. um tanks r)lay fill above normal highwater result In the backup 01, surface discharge of offl � urit�g power outagese sal ells In one large dose, overloading the cell(s) and may t' power to tl le dlsohar ©d to the lisp r � � b s SQ toga Servicing operator prior to restoring p al levels g To avoid this situation ,have the contents of the pump tank remove y manually OP orating the primp controls to restore norm urr► or contact a Plumber or P�VUTS Maintainer to assist In mats Y effluent pump within the pump tank, t drive or park over, or otherwise disturb or compact, the area within Do not drive or park vehicles over tanks and dlaper5al calls, Do no 15 feet dawn slope of any mound or at -grade soli absorption ayes. ce and prolong the life, of the POwl':0: from the wastewater streat�r may Improve the per�orman disinfectants; fat; foundation drF31in Reduction or ���n��na��on �f file following cotton swab; d�grea5ers; dentaflnsbi �lapere3oil: alrrtii�g prad�i�ils; antibiotics; baby wipes; cigarette butts, onr�dams; cod se,' herbicides' mast scraps; medications, e , I� sur n urn) water; fruit and vegatabla paellt1gs; gasoline; grease; sanitary napkins; tampons; and water softener brine. pesticides-,n' ABANDONMENT s shall be talt� i� tv Insure the# the system is propsjly ndtor is permanently taken out of service the following step dg,. When the PawTS falls a and safely abandoned In comp llance with chapter �orr]rn �3,��, Wisconsin Administrative t� 0 All piping to tanks and pets shall be discar�nected and the abandoned pipe openings sealed, g oved and properly disposed of b}1 a Septaga Sarvicln� operator. ! The contents of all tanks and pits shall be removed p • u in all tanks and pits shall be excavated and removed Qr their covers removed and the veld space fitted with ssl�ii3 After p me, g, gravel or another inert solid trtaterial. CONTINGENCY PLAN ar gust bo taken, to provide a coda cQmplitlrnt If the POWTS falls and cannot be repaired the following measures have been, replacement system: s be utilized fat' the leQatlan of, a replacement sail absorption sys � � 0 A suitable replacement area has been evaluated and may coon and should not be infringed upon by r$qu t The re lacement area should be protected frUt�i disturbance and compaction protect the re lacement area will result In the need from existing and proposed structure, lot lines and wells, Failure t❑ l�r t s stems must comply with the rule l In setbacks for a new soil and site evaluaftn to esfabilsh a suitable replacement area. Replacement y effect at that time. and/ soil limitations, Barring advances In PowTS technolo, 11 a U A suitable replacement area is not available due to setbackwTS. holding tank may be lt�tstalled as a last resort to replace the failed P and site evaluaijion cement area. Upon t�;illure of the POw�'S a soil a � The site has not been evaluated .to Identify a suitable replacement at.ea is awaiiable a holding lank may be installedl as ust be perf'vrt��ed to locate a suitslalo replacement area. 1f n4 replacement a last resort to r•oplace the failed POWTS, moval of the blomat at the infiltra'livo Mound and at absorption systems may be reconstructed in place following regrade sail absor p Y urfac e, Reconstructions of such syetoms must comply with the rules III effect at that tinge. <<WARNING>> CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN, Do NJOT SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY C� Y GIRGtrlM�TAN��S. C��A'TH MAY R�SU�T, RESCUE 0 " A ENTER A SEPTIC, PUlvlp �7R OTHER TREATMENT TANK UNDER AN 1..�. PERSON FROM THE INTERIOR OF A TANK MAY 13E I)IFI�ICUI.,T OR IMpOSSlB +. f.,----- ADDITIONAL COMMENTS P�wTs INSTALLER MAINTAIN �R Fe,, NameName PhonePhone T71J ...� .,�, S EPTA GF SERVICING OPERATOR UMPER LOCAL REGULATORY AUTHORITY Nagle , Name �� w.w.•r�•• mowPhone . Phone •�" ..._.... tiattc� with oh�apter ePo 383.22(2)(b)(1)(d)&(o and 383.54(1), (2) & (3), Wisoonsin Administrative Code. This documentrom was drafted in p fi~AkIAj,;r Wisconsin Department of Safety and Professional Services Page of� ' Division of industry Services ta `tic '.1 SOIL EVALUATION REPORT Count In accordance with SPS 385, Wis, Adm. Code St.Grof x Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to; vertical and horizontal reference point (sM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road, 030-1088-81-100 Please print all Information, Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)3, Property Owner Property Location � Q William Schachtner Gov(, Lot SW jr SE S 30 T 30 N R 19 E (or) w Property Owner's Mailing Address Site Address or GSM and Lot #: '4751 NW 58th Terrace Lot 10 Field at white Eagle City State Zip Code Phone Number ❑ City ❑ Village a Town Nearest Road Hudson Wi 54010 St. Joseph Eagle View Lane New Construction Use: 0 Residential) Number of bedrooms 6 Code derived designflow rate Z5QGPD �] Replacement Public or commercial --- Describe: Flood Plan elevation if applicable N/A .ft. Parent mmteria! General comments and recommendations: System Type Nound Boring 93,q- � � . Boring # Ground surface elev.�ft. Depth to limiting fackar�fn. l elev. fit, Fs]pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIFtl In. Munsell Qu. Az. Cont. Color Gr. Sz, Sh. *Eff#1 *E€f1f2 1 0-14 1 oyr3l2 none L 2mgr mfr cs 2m .6 .8 2 14-26 10yr514 none Ci 2rnabk mfr gw 1f .4 .6 3 26-48 7.5yr416 c2d5yr416 - Ci -mw mfi nla nla n.p, n.p. Boring # C]Boring NPit 93.0 - 25 Ground surface elev.,� �ft. Depth to limiting factor -- in. / elev. ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture In. Munsell Qu. Az. Cont. Color 1 0-11 1Oyr312 none L 2 11-25 10yr514 none Cl 3 25-48 7.5yr4/6 c2d5yr416 Ci Structure Consistence Boundary Roots GPDIFt Or. Sz, Sh, *Eff#1 *Eff#2 2mgr mfr cs 2m .6 .S 2mabk mfr gw 1 f ,4 16 -mM mfi n/a nla n,p,_ n.p. CST Name (Please Print) Signat CST Number Shaun Bird 226900 Address zwvaluatlon Conducted Telephone Number 1432 120th St, New Richmond Wl 54017 123 715-246-4516 * Effluent #1 = BOD } 30 5 220 mgtL and TSS > 30 :� 150 mg/L * Effluent 42 = BOD, s 30 mg/L and TSS s 30 mg/L SBD-8330 (R04f21 ) Page of F] Boring �3' ft. � Boring # 0 Pit Ground surface elev. ft. Depth to limiting factor in.1 P g elev. Soil Application Rafe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ft2 In, Munsell Qu, Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 1Oyr312 none L 2mgr mfr cs 2m .O .8 2 12-24 1 Oyr514 none Cl 2mabk mfr gw if .4 .6 3 24-43 7,5yr415 c2d5yr415 Ci -m- mfi ....... . .. ... ... .... -- n/a n/a n,p. n.p. Boring # �] Boring [] Pit Ground surface elev, ft. Depth to limiting factor in.1 elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPDIFtz *Eff#1 *Eff#2 [] Boring Baring # �] Pit Ground surface elev. ft, Depth to limiting factor in.1 elev. ft. * Effluent #1 = BGD a 30 :5 220 mg/L and TSS > 30s 150 mg/L I Effluent #2 = BCD, S 30 mg/L and TSS s 30 mg/L ' Project Name Soil Test Plot Phan William Schachtner Sha ird Address 4751 NW 58th Terrace Hudson W1 54018 Lot 10 Subdivision Field at White Eagle date s U 1/4 st 1/4S 3a T 3o NIR19 w El Boring 0 Well PL Property Line BMorVIZ' Assume Elevation 100 ft System Elevation 94.3' Prol 818I2 3 Township St. Joseph County ST, CROIX Top of 3/4" Pipe * H R pSame as Benchmark Eagle View Lane Property Line . File #: ST. CR.bi :� {.� -NTY, SANITARY SYSTEM Office Use Only 00 32-CCy.`"�"„",:,11i OWNERSHIP/ADDRESS FORM Created 2/2021 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. If you would like to view your issued sanitary permit online, you can do so by using the Pror)erty.. Files Scanned weblink. dWXffl'ER'_/B,UYER-4"N'F y :R'MATION Ii -�t_ Y Owner/Buyer Mailing Address -�Mac City/State/Zip -HVAV,4 P �71�`�hone Number trequ�red} Zq0 Email Address re uired ` � q } Parcel Identification Number (.2 C2 01) (found on the property tax bill) NEW S : °ST' N LEA L. ESCRI PT=C3:N R Property Location5(01/4 51/4 Sec. , T R W Town of �I�yr41 Subdivision Plat; Mama�� fit' ' , Lot # /0. Certified Survey Map # , Volume _ . Page # Warranty Deed # (before 2006)Volume Page # Number of bedrooms Spec house E3 yes no Lot lines identifiable yes ❑ no New Property Address (Staff Initials) L:PIC OfSUS = N LY l • ."V (Verifica 'on of new address required from Community Development Department for new construction,) 2 (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 wrap if reference is made in the warranty deed. Community Development Department — Land Use Division 715-386-4660 St, Croix County Government Center 715-245-4250 Fax cdd@sccwi.gov 1101 Carmichael Road, Hudson, Wl 54016 WwW'sccwl aav VENT CALCULATIONS I RaqLbm RaqLmmd 1 Roquifed Available Rdgowt Minimum b3W !Upper VmM RdgoVont I;bdgD Pala sowerl N. AreaVeMing (In 1 Required IM ft) (EA) Omaiption I Longm FLI�J, W, irl'i u is, 133 7 151 11STFLOOR 117-415116- 12ND FLOOR [917 1? i 3-06 11,53 E 7'j612' 11.70 122 Is vo 'J1 I 10:12 tanz ROOF PLAN PITCH OVERHANG HEEL 10112 2or 11-6 TfF ------------------ ------- . . ........ ........... ........ . . k .7 ................... ............. FRONT -RIGHT VIEW 6112 24- ll-QFRONT PORCH 12 60# ROOF LOADING 11 lD Il] 11 El El [I lD 1-1 IETEI DJIDDEDOLl F-111:1 Dll'--IllDll[]El L D D El El El 11-1 ......... Z ............ N 13 dill REAR VIEW IV.T-c' LLLI 12 FRONT VIEW W', V-c' .. ........ 00D DD i r CUSTOMER APPROVAL tiff [ 11PPA�NL THE'. N -A Nr T H A�T N C) rl PUCTkO RAL CHAWILi WILL Ut MACE CINCI AP11ROVM -Gt DATE• kFn -T Qu L it MA f u A E CHECK APPUCAULZ C FRTjGT D W.NF.D w4D U ALED I ALA- BllAYVrN4S IrOA Tkic M, M-OUREI) FOR T 5"IPMENIT OP7 *ejmE PLEASE SIGN AND RETURN THIS COPY TO AMWOOD 0i2 !:� r A z 0 0 1h 0 � A ILI du tl 7 k ZE .1) t 41; t 0 t OtHri"DMTD,,",�', F(U01%, NO OCE-23021 RIGHT VIEW 02019 AMWOOD, INC - ler - 1,.C, 7111=23 318:22 PM CUSTOMER APPROVAL S'-3 ?.,Us 7r 74' 7-r W-V 12r-r WC Ar-PP(jut TH 6 PLA*4 A:: '.WW%K ANV 4-T 1cr.1 7.6- i LjrMErTZ TA ND THAT NQ STRUC-URAL CHA'rE5 WILL 9E Wbv 0Wt APPRO4 D _DATE_ ,ZNZ, u 14f. CH Pr-K FlU0W tF APPL rCAVrL E C CfZ I REC, S2GNr:Cl ANn ��EALEl) TRV!3; CMVM �S POR —4— "Ir L FF. REQU19FO FOR lMSHS2050• 10USHS2050 31,1 rP-V[rr,>F7 AC,hA[ 100G )2P80611 7- :j - - - -- - 1 j PLEASE SIGN AND RETURN {I i n j HRTH. I 1 THIS COPY TO 4AMWOOD BREAKFAST IOGG02PBD61 I ST B�gQR PLAN NOTES 11) F=A =4E FOOTAGE 15 C&M-ATED70 WEATH04 PA", VM BY 0TPCRS j21&L OW-HSO4 AAJ; To -" f:,kcr mns molm ir BOOR 7=1 ti i 13P WAL MUTPON PY V'lIWZ5 - AM&= TO MULATE CORACAS AND TUMIMEA AREAS ,ERECT VEW FfEPL9X, Oy Ml,"S DRY:ITACK -rCW VCWER FACM 705MRMKlGW08130TH (4) LOAD43EARM DDOR AND Wr4DOW HEAMR5 TO K a ZXIC 72 & STUDS , F-- ly-I vrcLo IIGT. Itr-I lir CLG. HCT 0 xs XOWNER Z .68 s- GREAT ROOM 0 BEDROOM Ei 9r.ARW WALL KrrCHEN 4. '1- . .. ........... . Z 2rti L. .................. ......... WtLCORTRU53 SE BLARNGWAU IS.ZCC ADUVC 2, IA' 203HO r CLAD 44 4%c' PANTR ue lez, 41 A, T-11, : I I w VLOW TRUZ UP 11) 9 e 1 7 �Ya�lj Ir I:R I I j DC ABU/tTH v -17, lq-7 1A rj j jj mirqm=m lum la Z$ a m lam= c;imu=lm w RXUWI Amv�= r or 41� 1 W.I.C. FOYER T DINING 6 =/LAUNDR Al z;' BCWP#C WALL !� = 1: 1p o lm5K53Dw CC60 - (2) CCA3400SL.LE CLAD r-wbol 0 tr GARAGE Hg� 1-4311�'TALLWALL -2 -- - -- - - - -- --- - - - - - - -------- FRO. N't nUH AD wlalw)Mlllrtl CAW.= 5WCR Aw ��LL iff 2�1 7fr A8V IV qDM io-W-A-0 I ; ! aASr: PLAN: CUSTOM IL rf�TBCIAIA I wTV TITLE, DUE NORTH t HOMES • SCHACHTNER I Gloyslo O.H.D. CLAD B'f -6y—1 CODE DATE M-T7 odlism WAK 1 ROL 061103 ---Tcc2 AM WAH coi N010 O.H.Q. CLAD 1 7.1i irr 1�4 IT T-5 trT T-Y vr lo-7 I rz- V-11 aw zr-& 7rlT lZAI, C, lr-r Tula It /�OWNER 0 0 4S 'V 141 I nT, "r C oil 1st Fk)or Plan xsa lZ' A -LID 08 NO OCE-2302] IST FLOOR PLAN IIST FLOOR 11881 sF—1 WIDE CASING I 02019AMWOOD.INC. 7117=23 3:19:24 PM 17-11 irr AM BEDROOM 3 a) BEDROOM 2 LL- I U 11-IF1 BATH 1,41 I I I d �j It 4 ze- - - - - - - - acm cm i BEDROOM 4 PEAK VAULT /912 PIT" ILLWIDE CASING1 6�' Err 1 lrr F6-5 IrT - 2ND FLOOR PLAN 4— TOTALFUN FRAMER TO FAS" S111114%ft, 2X SPACER AM STUD IN WALL Wn R W = nCkM Cog -.TMCE-R StdlDff WrM § OR VDW RMERS USE 3 SCREWS PER EACH OUTER -RA&W PER CCOE , aj f,I-= FLAT VT % = To }m : KR STRNCm st"ON WTN If OR UWE L RISERS UaJ =75= CA.1i WEER STAINCER i 14 TKAM 0 1 Ir • IT-11"IMALRIM STAIRS AfIr MOTTO K tHMA= UVM ROM 15 POURED MO MUST M rASMN0 TO WALU MR THE ABOVE NOTE; , BASEMENT FLOOR PLAN lie- r4r FLOOR PLAN NOTES CUSTOMER APPROVAL fl)FUM I.MME 1:00TACE r, MWA= to smrATHNa rAcc (21 EXTERPM DIWENSIM ARE TO S= FACE: LMESS NOTED. WE APPAOVC THI' I PLAN A5 5k4QWN- AND INITRICA DWEN3*93 Am TO -,= FACE ILIND ERSTAND THAT W, tTRUCTUIRAL CI-4ANZEC (3I WALL N=ATCN or O1KR5 - AMMOOD TO (N3WTE CORNCAZ VJILI- Af. "Dr Qw-�. APPROVED "Tuboic"AAWAr SrINED DATE 1491 WA04XAMG DOM AND W14MW H[ADM TO BE (2) 29io or, Ar om:pirtg=NOTED kFCK BE LOVJ IF APPLCAULF. CE rATrFG0 C1-6NED A ND SEALED M u &RAMNO 3 rci' rHE STATE W�_ w2tL 131; rEWiRF0 FOR. tTpj�X VU 'j pci�w TO 'HWMENTCY HOR�E. PLEASE SIGN SHRICEG MER M= VENT - AND RETURN THIS COPY TO AMWOOD SELF SEALING SHIFICLC S ON UN DERATMEW OVER 5r Me 1II"ZING 6ASEIAEHT NOTES 1. WDADiT MNWW4 OTHERT" NOTED,70 VE SLXD AND wrwrm or uLPPLDER. 2- CONOtm PLOT W4 AND Mms SmLL BE fic pircacto JN ACCUROANZ WnH LOCJU- AWDS. STATE PUU)M CO= ICCLWATM DiaD 1TtAR=SS OF WtAtZ, ROTIOU 00 fOMMS StALL Ot Mk= ON MM UfrlTURMD SOIL 2m 5utsA=A 7 x F 5CF;:(TLFASCIA CYOTKk� 0 -0 Ic DO v M SOLE PLATE CLUED A MAXED Ir FICIDR TAIM Ly p m zz� TOP PIAu t v 'R Xj PIE,= ,-MATURE 2A?i stucs ig 1cr oc WALL ALIGN. .9 SOLEPLATE IWI&GO5113sc CLUED JL kALm re z USS -c lir PLOOR TR N 2)(cp-T-SILLPLA APPROMMAn MOM POUIXD OMC;CTL WE PLOW CUSTOM VNM WALL TITLE- DUE NORTH HOMES - SCKACKTNER POLVETHMENE rkm VAPDR RETARDER CN /4-LAYMCMPAC-TV CRM" rILL By CODE DATE MT DG117 GARAGE WALL ALIGN. n WAK 1 $nx OG11=3 lq'xr CCVC. FOOTING WAN ccz 107111123 WAH ccm 0711423 NOTE: REGARDLESS OF DETAILS, BOTTOM OF FOOTINGS SHALL BE PLACED ON FIRM UNDISTURBED SOIL NOTE. CONCRETE FOOTINGS AND SLABS SHALL BE REINFORCED IN ACCORDANCE WITH LOCAL AND I OR STATE BUILDING CODES, TYPICAL WALL SECTION Has=ontPlan A-2.00 SOB NO OCE-2302 102019AMWOODANC. 7M7rnM 3.1825 PM I)OC:lf1T1l'11t NI1lf1 bel State fiat' of \Visoonsin R)rm 1--200 AIARRA MTY D E EI) I)octIrllellt `IM11C 111 IS DEED., € i,-ide between Fields at White Ea{71e, LLC, a Wisco€psi€) li€ -ilted _ C"G€-anlor," whethe€- one oi- n1[)€ ), ,ind William Schachtner and .Marie -us..b-an and _.f���urvivorshi-�ar-'!P�611-aillec,---�p- t•i�)Ct '1' oilC Ur, t)lUl-C}. Grit€)to t-, 661- a valuable constderatlot), conveys to Grai-Itce the rollowirz( described 1-eill estate, toWether with the rents, I)t-ofits, fixtures and other appurtei)ant interests, i€) St. Croix County, State of Wisconsin ("Property") (if i))ore space is needed, please attach -iddenduni): Sec attached Exhibit A 1166121 BETH PABST REGISTER. OF DEEDS ST. CR.OIX CO., WX RECEIVED FOR RECORD 04/ 27/ 2023 08:55 AM EXEMPT#x REC FEE 30.00 TRANS FEE 587.70 PAGES: 2 **The above recording information verifies that this document has been electronically recorded & returned to the submitter 1.ccordlm Awa Name and 1�{.'tl rn Address I-i1n(1 ,1,itic. 111c. 2200 \V st CoI niv C, Suite 2205 Roseville. NIN �5I I') 674790 03 0-088--81 -- 00 farce! Identificati011 NLIIIIt)er I-11 iS 1 S NO] homestead property. (is) (is €lot) Grantor warrants that the title to the Pi-operty is good, hidefeasible it) fee sii iple ai)d Ii-ee and Clear of e€)cu€libratices except: Easea-Tents, Restrictions and Covenants of record, i r ally. 4/25/2023 Dated Fi lds-z� White Eagle, Ll SEAL__( A L-'-- - SEA. L __( } ) l)ll� itcol�)b, Vice President (SEAL)(SEAL) AUTHENTICATION ACKN0WLIui)GM I'-NT S1t.?l12-1tL.II-C(S) audict)ticated on STATE C)1-= Mi€1i)esottl Washil){,)to€) } } ss. COUNTY LINTY } Personc,illy calve be f ore €iie on J w)ttar\, 11, 2023 the �ibo%te-i)wned .Io€) \k1h1tconib- Vice President of Fields at 1-1-11.J1-:: MEMBER STATE BAR OF WISCONSIN . . ........... White Lat�flc. LLC. a W15Cof)51I1 Ii1)1ited IiitbiiitY cot) )('1l1v �I f, not. to me ktio\-�li to be the I)rSOI)(s) \ 1)o CXCCLIte.d the fo€-eooii). cWthorized by Wis. Stat, S 706.06) insti-tiniem and cicki)o�� 1ed{)e(1 the � I I I I S I N S T R t_1 M I= N I DRAFTED t3 c _ ._ W. . '101111soll 1_.a€ i �� S. Motil)tail). Attori)e�� at Lau Nomry PUblic. State of� IM i€)t)c�S01a __ - M �-, Cot))€))issiol) � i� pCI� M111L tat } �t xpirCs: } f Si r)illlll is 111,11 he atltllcrlticaled or ;Ict:ilm le{hoed. B{1I11 are not I1ct osar \ .1 N43'I L: TIlls 1. :1 5'I';iNI)ARD FOUL ANY )IODIFIC'ATIC)tiS TO THIS t=f)It�t tillf)t l,t) tit. C1.1:'Mi'1 II)I:V F II••II•:I). ".IICiZAN 1 I)I:I:I) { 2t1t13 N•t•:k l l•: B-M ()I•• WP• ( ()\Sl1 * I \ pc 11A1111C.' h4'Ilm til"fliit[IrL'ti, 00 r � 0 0 0 St. Croix County 1166121 Page 1 of 2 LT File No. 674790 EXHIBIT A Lot 10, County Plat of Fields at White Eagle, Town of Saint Joseph, St. Croix County, Wisconsin, 5t. Croix County 1166121 Page 2 of 2 13 T, 5-955Q. FT. 3: 02 ACRF5 CBA=2.02 ACRES 05� 1 ese 0 50 _ e J �S� EAST LINE of THE SW < �t j •5 1/4 OF THE SE 1/4 --1-_-� a C1 � LOT 70 si 752, 560 .SQ. FT. 3.50 ACRES CBA=2.43 ACRESCY f 1 — . Q k kn V ts� Q ` �50 r TSB d Co r> � J $SG� CO ER OF THE 5\W 1�4 ` TH (R=S87°41 r39 -E) 556 �N �3 �` 555 of - THE `JAG /He 5E 1/4. 0E (R-13%9. 28') _ C73' f CORIE1� Q 4 QF SEA. 30 33N88°os23"� i ' SE � f . �- TEE � . 555 � 0 1 This map contains areas that are subject to the Shoreland overlay Zoning District; additional restrictions apply. Contact the Community Development Department for further information. Parcel #: 0330-1088-81-100 08/2e/2023 03:52Pm PAGE 1 OF 1 Alt. Parcel #: 30.30.18.322A-10 030 TOWN OF SAINT JOSEPH Current 1XI 8TCROD<COUNTY, VNSCON8|N Creation Date Historical Date KUap# Sales Area Application # Pennit# Permit Type #ofUnits Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner 4751NVV5MTHTER CORAL SPRINGS FL33U67 Districts: 8C=School 8P=Special Type Dist# Description 8C 2611 8CHO|8TDFHUO8ON 8P 1700 NURTHVVOODTBCH Legal Description: Acres: SEC 3OT3ONR19VVPT81/28ESEC 31 T30N R19VVPTN1/2NEFIELDS ATWHITE EAGLE LOT 10 A COUNTY PLAT Plat °~Primary °11'132-F|ELD8ATWHITE EAGLE O3O-2D22 11-132-F|ELD8ATWHITE EAGLE O3O-2O22 11-132-FIELDS AT WHITE EAGLE 030-2022 propertyAdd ^=Primary 1301 EAGLE VIEW L�� Notes: NEW FOR 2O23AFTER PLAT TAKES ALL DFEA |O3O108O-5O-OOOAND O3O1088-80-ODOAND PT OF EA 030-1088-95-000 AND O3O-1D89-3O-00OFOR 13LOTS AND RD. Parcel History: Date Doc# Vol/Page Type 04/27/2023 1106121 VVD 12/27/2022 1102521 11M32 PLAT 07/08/2022 1155804 32/7134 C8M 04/202022 1152105 VVD Tract: ��-R 4ou1om/4o4 BkockxCundoBldg: 30-30N'10VV SE SE LOT1O 30-30N-18VV 8VVSE LOT10 31'30N'19VV NE LOT1O 2023SUMMARY Bill # Fair Market Value: Assessed with: Valuations: Last Changed: 05/ G/2O23 Description Class Acres Land Improve Tot | State Reason Totals for 2O23: General 3.500 87.500 O 87.500 Woodland 0.000 O O Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Special Assessments Special Charges Delinquent Charges F� f F7D Wisconsin Depart' entof%8af'ety-find Professional Services Page of F �4\. Division of Industry Services $P SOIL EVALUATION REPORT AUG -0,8 2023 1Y In accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on pa$er�ff&fik-a'r 8 1/2 x 11 inches in size. Plan must include, St.Croix but not limited to: vertical an'd'�ho-r'Jzd6tdl'�6-fef6kio- Parcel I.D. e,point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 030-1088-81-100 Please print all information. Revi wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l)(m)). Property Owner Property Location ❑ 0 William Schachtner Govt. Lot SW 1/4 SE 1/, s 30 T 30 N R 19 E (or) W Property Owner's Mailing Address Site Address or CSM and Lot #: 4751 NW 58th Terrace Lot 10 Field at White Eagle ©Town City State Zip Code Phone Number El city El Village FE Nearest Road Hudson Wi 54016 St. Joseph Eagle View Lane :ND New Construction Use: E Residential/ Number of bedrooms Code derived designflow rate750 GPID I Replacement OPublic or commercial — Describe: Flood Plan elevation if applicable N/A ft. Parent material General comments and recommendations: System Type:Mound # 013oring Boring FmPit Ground surfelev. 93.4 ft. Depth to limiting factor ��ace in. / elev. ft. I Soil ADOlication Ratp I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftl *Eff#1 *Eff#2 1 0-14 1 Oyr3/2 none L 2mgr mfr cs 2m .6 .8 2 14-26 1 Oyr5/4 none Cl 2mabk mfr gw 1 f .4 .6 3 26-48 7.5yr4/6 c2d5yr4/6 Cl -m- mf i n/a n/a n. p. n. p. Boring # [:]Boring 93.0 25 ro-1 P it Ground surface elev. ft. Depth to limiting factor_ _in / elev. ft. I Soil ADDlication Rate I Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftl *Eff#1 *Eff#2 1 0-11 1 Oyr3/2 none L 2mgr mfr cs 2m .6 .8 2 11-25 1 Oyr5/4 none Cl 2mabk mfr gw 1 f .4 .6 3 25-48 7.5yr4/6 c2d5yr4/6 Cl -m- mfi n/a n/a n.p. n-p- FA CST Name (Please Print) Signat, CST Number Shaun Bird 226900 Address Evaluation Conducted Telephone Number 1432 120th St. New Richmond Wi 544017 4'a /Z, /23 715-246-4516 Effluent #1 = BOD > 30:5 220 mg/L and TSS > 30 s 150 mg/L Effluent #2 = BOD, :5 30 mg/L and TSS :5 30 mg/L SBD-8330 (R04/21) 3 Boring # I ❑ Boring 93. 0 0 Pit Ground surface elev. ft. Page of Depth to limiting factor 24 in. elev. p g � 1 ft. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIFt2 In. Munsell Qu. Az. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 1 oyr312 none L 2mgr mfr CS 2m .6 .8 2 12-24 1 Oyr514 none Cf 2mabk mfr gw if .4 .6 3 24-48 7.5yr416 c2d5yr416 C! -m- mfi nla nla n.p, n.p. Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. l elev. ft, Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in.1 elev. ft. * Effluent #1 = BUD > 30 < 220 mg1L and TSS > 30 5150 mg/L * Effluent #2 = BGD, :5 30 mg/L and TSS :5 30 mg/L Soil Test Plot Plan Project Name William Schachtner Sha Address 4751 NW 58th Terrace Hudson W154016 5TM #226900 Lot 10 Subdivision Field at White Eagle Date 8/6/23 S w 114 S E 114S 30 T 30 NI1319 Township St. Joseph E] Boring 0 well PL Property Line County ST. CROIX BM or VRP assume Elevation 100 ft. Top of 314" Pipe System Elevation 94.3) * H R pSame as Benchmark A' F-agfe View Lane Property Line Parcel #: 030-10 88-81-100 08/28/2023 03:52 PM PAGE 1 OF 1 Alt. Parcel #: 30.30.19.322A-10 030 - TOWN OF SAINT JOSEP Current I -XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 07/06/2022 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner WILLIAM SCHACHTNER 0 - SCHACHTNER, WILLIAM MARIE SCHACHTNER C - SCHACHTNER, MARIE 4751 NW 58TH TER CORAL SPRINGS FL 33067 Property Address(es): Primary 1301 EAGLE VIEW LN Districts: SC = School SP Special Type Dist # Description SC 2611 SCH DIST OF HUDSON SP 1700 NORTHWOOD TECH Notes: NEW FOR 2023 AFTER PLAT TAKES ALL OF EA 030-1090-50-000 AND 030-1088-80-000 AND PT OF EA 030-1088-95-000 AND Legal Description: Acres: 3.500 030-1089-30-000 FOR 13 LOTS AND RD. SEC 30 T30N R1 9W PT S 1/2 SE SEC 31 T30N Parcel History: R1 9W PT N 1/2 NE FIELDS AT WHITE EAGLE LOT 10 A COUNTY PLAT Date Doc # Vol/Page Type 04/27/2023 1166121 WD 12/27/2022 1162521 11/132 PLAT 07/06/2022 1155604 32/7134 CSM 04/26/2022 1152105 WD more... Plat: Primary Tract: (S-T-R 401/4 1601/4GL) Block/Condo Bldg: 11-132-FIELDS AT WHITE EAGLE 030-2022 30-30N-19W SE SE LOT 10 11 - I 32-F I E LDS AT WHITE EAGLE 030-2022 30-30N-19W SW SE LOT 10 11-132-FIELDS AT WHITE EAGLE 030-2022 31-30N-19W NE LOT 10 2023 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/16/2023 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.500 87,500 0 871500 NO 05 Totals for 2023: General Property 3.500 871500 0 871500 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 No. 157/ 2 �o . . ........ .... ...... . .......... .. ..... .... ...... I V .... . . N :'. I :::: . . . .. . . . 130 1 [.EV 14) CTREiI�SrLivi FNL`vv'r�L PREVIOUS NO. Sr,U .0 rN 11"]L " LIC AND/,.-.,E%L :1 � ISSUING urFICER !! D0,19 CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of the permit, county authority. lease contact the cvun P AASD t I MATI... D] MA 10 X.1] a Ulm' d . .. . .. ......... . . ...... : : .%:.: - . ... .. ............. .... ....... ... . ... .. SBD-06499 (RI 1/20)