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HomeMy WebLinkAbout020-1300-40-000 C c a ~ o M 0. C i y I O of N ~ O L ~ y ~ C O d e 0 o x 6 0 o V z° N tOL c m 0 0) O N a 3 ~ 7 Z y E . o Z N w d m ~ z c c O z Z o v u n o - Z d C o fn F- N Z c E 'o 2 m O N 05 ` N 0) C- N N N N d • M~Z a U) _O O O N a 4 co Z M Z o N Z o Lo y E _ E N w a d - a3i o a ';e c LO LO W N d 0 N N 0 0 ` ~j o c a E (6 N N L ~ = N N a > 7 w N o o _ 0 0 ►+w `000 m Z00 •rV ro U a a a a o m t! J U U rn (o (o aoi ?►j - Y 00 LO "l\i rn o W rn 00 O (O O E N N N ~ O 7 A N N i a 6 ) y 0 0 od O a Y m O O O c c E W 0 0 a^ 3 H y N(n y~ rn o o o C d o w L O ~ s E E E E N Lo N N N 'O N H F- N O O d' i..i O N N 3 N N E E U 0 T- U) C4 a O CC r+ r E d a L: CL • a m U y y c rr`I~V E c ~1 A Ua21 0 mv STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER T ?-j2AN g.'e `)ANOQ L41 ADDRESS ?35 Crripp- SUBDIVISION / CSM#_ flf-VvV)?u C Self S LOT # 133 SECTION (_T_)_N-R__LL_W, Town of t'1U D cJ« ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM S' as Note: h'IIP~~ole S zi I 39 8 yi1 J9, over oufl-Pt B~~ le O is aaa 9 Y ~Qoz()om Hom? LIDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: a 5~~ ( ~od R, Ne ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid capacity: (a(>~ } Setback from: WelloVeR So House Other f Pump: Manufacturer Model#Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length (-Q'~ Number of trenches Distance & Direction to nearest prop. line: Setback from: well :6Ve~- 50 House_ 9 _ other y1 ~Nn 4y. ~ ~ - 9 `E• I ~ ELEVATIONS C weF ry$ . yS' Building Sewer ST Inlet, ~ y. 9 $ ST outlet q a9 PC inlet PC bottom Pump Off Header/Manifold Q Bottom of system Existing Grade .SGry\A Final grade 91 S5 DATE OF INSTALLATION: W PLUMBER ON JOB: \ LICENSE NUMBER: ©l INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: 26 496 GENERAL INFORMATION Ur~'{ne: TERRANCE & ALANDRA City ❑ Village Town of: State Plan ID No.: PSAN.Do HUDSON CST BM Elev.: , Insp. BM Elev.: BM Description: r~ Parcel Tax No.: /40,~i A9600155 TANK INFORMATION ELEVATION DATA /P// TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV- Septic ;'7 rZc Benchmark Dosing r M Aeration Bldg. Sewer H~1etPn9 St / 10 Inlet TANK SETBACK INFORMATION St/ bK Outlet 7C~ 9yi Vent to TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet Septic X56 ' NA Dt Bottom ` Dosing NA Headers---- Aeration NA Dist. Pipe r Ing Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 3.55 Sly r Model Number TDH Lift riction t L Forcemai Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED /TRENCH Width / Lengt i I No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSI LEA- Manufa -1 _ SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION Type Of ti C'c;;Z , CHAMBE Model Number: System: Jae,, ti >7d 3 (D OR U DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole S 7i ntake Length ,4e Dia. Length Dia. Sz Spacing (L w SOIL COVER x Pressure Systems Only xx Mound Or At -G ;systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil El Yes No des--~] No COMMENTS: (Include code discrepancies, persons present, etc.) L CATION: HUDSON.17.29.19W, N, SW,, LOS' 133, 107T AVE i 1. Y°YTL~ Y°Ad? Y 1.-... ~YIC ~ ..~`Y~~! \ /i:+' ne t`.•~ - i~ /f^n/}` C-.-~^. ert...- r,.,G' c~ fl.:r,.lt''..~'~ `°3....~-».-YY~/tyy'ti~},Q Yk")f.1-~ r~!~'C~; ! ~-'Y• Plan revision required? ❑ Yes No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signs ure Cert No i-i* Bureau ofBuildi g WaterlSystem! v■11L.r■n SANITARY PERMIT APPLICATION 201 E. Wash i ngton Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. Oi` • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check it revisitslrm~i~t(fpd. sTppl" all (Privacy Law, s. 15.04 (1) (m)1. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Pr erty Owner Name Property Location Eva U 1/4, S T oZ , N, R ~y E (or) W Pro erty Owner's Mai IIng Address Lot Number Block Number Cit S ate Zip Code Phone Number S ivision Name or CSM Ny~mb r / Al /1 -If J16 /(a IMIJ27119-Adl II. TYPE F BUILDING: (check one) E] State Owned C] ❑ i Vil(age t St Road Public 1 or 2 Family Dwelling - No. of bedrooms Town of r 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/Condo oc;2 0 y 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ------System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11"'Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Reg Ma (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation Q la(j~, 1);0 Feet .S9 Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- steel glass Plastic App New Existing structed Tanks Tanks r Septic Tank or Holding Tank a Old q 2 k}-S ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans- Plumber's Name: Print) Plumber's Signature: (No Sta ps) MP/MPRSW No.: Business Phone Number: 0 (Q Plumber's Addre s (Stree , City, St te, Zip Code): (1`111 P-166A) A] 4JS6AJ IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing A nt Si nature (No IT Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determination DCJ/~ X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Divasion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any ne,,w criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system; contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815- To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dw=elling_ III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7- V11. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. , d: 6_7.. _ PLOTA 1.11 OSS r-m~s _ 6 r N AM C ~~a ce AM- W L 0 CAT 10 N_._&~: -1C C E N S E0, Y-e~ I 1) A T A,= (~M - 'la" Stec n► N ekfi 10 ' U=A~khoe P(ts L~a~~e ~~1 N2 R.Q • 0\ eock to (Np o P't Pq p 40.0 kcitGo rP~~ CAKtK CiRC,~e aKWkw~~o Note : Ad~ac'erj t~ 1 w=r►r ~ ArztkeiL fil,pN Ibo, 'rRum Se c a 5 ~zlve. N FRGS11 Kil: 10L1:'1S MID OBSERVATWU PIKE CI;Q-S SECTION Approved Vend Cap Minimum 12" Above I NAl G~~~2' Final ya„ 4 4" Cast Iron Above Pipe Veit Pipe To Final Grade- " 'Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road"' APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION VIEWS TE A PR ERN OWNER: PROPERTY LOCATION - - GOVT. LOT 1/4G 1/4,S / T~...~R E (or& PROP RIFY OWNER':S MAI G A RESS LOT # BLOCK # SU M e 33 )TY, STAT ZIP CODE PHONE NUMBER [:]CITY VIL GE 1 NEA ( ) -Q lys;a t - 4' C c New Construction Use M Residential /Number of bedrooms [ ] Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required 12 0 bed, ft2 10D ° trench, ft2 Maximum design loading rate _5 bed, gpd/ft2 • trench, gpd/ft2 PRecommended infiltration surface elevation(s) ft /(as referred to site plan benchmark) Additional design / site considerations h.. /r✓~ _ v' cro o% a*& o" f rH hdQ f.:., Parent material Flood plain elevation, if applicable It S = Suitable for system ONVENTIONAL MO ND IN-GROUND PRESSURE T GRADE SYSTEM N FILL HOLDING TANK S ~'U U = Unsuitable fors stem ❑ U ❑ U *0 S ❑ U EPS ❑ U ❑ S AN C] SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ~ l d ' s" ~ ~ S/ ray 12 m Air r c~ t , 5 . Ground 3 S v~~ft Depth to limiting f to Remarks: Boring # r 2 z ZS" 3 S l ,~Pr ~r , S G LI) 3 3q,. /0 ~3 IS err c - s Ground / elev. 39 -11 AP Lt C "i r7 i 5y WOW Depth to limiting faclor Remarks: CST Name:-W1,PX/ ~ez ! Phone: 7/s ~~C 90av Address: Signature:. Dat p CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page,, of- PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends 77- (\Y 3 •'R. t kti Ground y,. ~p~'jC ~0/ S /pt Y 5 qV, -/OV Ld Ye A/ Depth to limiting factor O' Remarks: Boring # I /J J f Ground elev. 7i Depth to limiting factor , Remarks: Boring # G~ Z~ S le be Ground v. , ft. A Depth to limiting factor Remarks: Boring # k: Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) o _ o .9 ~o N v o 0 3 o v V C2~ i STC - 105 i j SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County y 1 OWNEWBUYER _ I YAi tC~ ,lf~ Sandra Sailc1q1c,s7~---- MAILING ADDRESS 'N3` 167 ` wl 5gQ3 ~e -addr. wt / h_6usc ~3 bw (f (rD q3S Car~rG~.~ PROPERTY ADDRESS I3S CLrler Girele~ _ (location of septic system) Please obtain from the Planning Dept. CITY/STATED SQ n~_ ~l 1 PROPERTY LOCATION A/9' 1/4,_ 5 w 1/4, Section /7 T 0"I N-R_ W TOWN OF ST. CROIX COUNTY, WI " SUBDIVISION Park UIeu.I &5-kf S St-/,fh 14ddI'H0n , LOT NUMBER 3 CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed { by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a tnater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and j pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. t I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and retumed to the St. Croix County Zoning Officer within 30 days of the three year expiration date. t SIGN St. Croix County Zoning Office Govenunent ('enter r 1101 Carmichael Road 4 Hudson, AV'I 54016 111913 I i I v . " too This application form is to be completed in full and sicced l ;the owner(s)- of the property being developed. Any inadsq",c only result in delays of the permit issuance.- shd development be intended for resale by owner/contractor-1 house), then a second form should be retained and compie~t+td ;than _ the property is sold and submitted to this offict ;with, the appropriate deed recording. - - - ------+r J G h U _ Owner of property Le rrGncE Alandra Location of property__g!!j~_1/4 5W 1/4, Section T_.Z~ N-R ~{u1~ y 7 ' Wi 6 Township k u-ason Mailing address n Address o site C135~ Ca k4n e ircl e, - f icr S Lit. 5 01 ~p i 9 subdivision name PGrk.yi eLJ ES4a-f -~9 racPcfi fi ~h Lot no. J 3 Other homes on property? Yes_,)(_No Previous owner of property lea l'Yp j ~ E~'Cc! Ner& Total size of property (pQ QCres a. Total size of parcel I- ~U GtG~Y1 Date parcel was created Are all corners and lot lines identifiable? _ Yes Is this property being developed for (spec house)? Yes No volume _ and Page Number Z as recorded with the Ragi*ter of Deeds. OOCc~driPx5.12~¢ - - - INCLUDE WITH THIS APPLICATION THE FOLLOWIN4:FE _V:w GE A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME "A NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In *60,', a certified survey, if :available, would be helpful so as.: t., d delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Suakw "-leap shall also be required. PROPERTY OWNER CERTIFICATION s I (we) certify that all statements on this form are true t` .nhe best of my (our) knowledge that I (we) am (are) the owner(s) vf,,the property described in this information form, by virtue:.-of a warranty' deed recorded in the office of the County Reg3* Of Deeds as Document No. and that I (we)'~c"tly own the proposed site. for the sewage disposal system d I (V a-) obtained an easement, to run the above described propertyi►"` construction of said system, and the same has been duly reco±~w3n the office of the County Register of Deeds as Documoht.°'V Signature of >A icant C -Applic t Date-of Si gnature Date bf Signature~ CCA$1-w(S1114 MNE Of SECT ON 17 E N4f' 4'44-E S✓ CORNER _ SECTION I7 vas is CERTIEIED SURVEY MAP VOLUME I PAGE 182 Mc D0 329659) ~ I 1 589.11'40'wI 588'5655'W 735.48' 12500 402 14' 208.14' nR. I I I SAtihQw3f S $o$ 105 LOT 134 LOT 133 _ t , 1.81 ACRES , f I so ACRIS ~7 CY 8 a, 83.002 SO.IT. 49.604 50.It' LV LOT 135 waro'NT x000.1 x R ACRES S88 48'30'W 92•088 so I7 149.79' 0 ti, q1 a - °a. ~a"' I to I ~o W 1 F-1 2 e M1""~ N.. tIt NI F-1 g 4O~M1 rod ( OI WI _ LOT 132 LOT 130 1=i Q I N)7 ~6.xa•w / \ ic.00i 5-0 FT M 1w2{{ lo? 11CRO f DI OI Fi l+Y.lx' R N,St! SQ R. 106 Oi 0:1 0 c ai LOT 136 p ; 1.35 ACRES Ni St,T40 so. 1'7. 1 Ntt•86'85,E 257.02 ! Z 1 0; / 7. ~ 116Po'N't 8000 ~ . - - - ✓ S88'46'46tilt 4 t 141 LOT 131 g 149.98' I N6i 56'85-[ ]0f.40' 9 \ too ACRES - 4!,747 60. It BROOKWOOD DRIVE - : - N LOT 137 s s w :n.47 CTi ~G4 M1M1 1.00 ACRES - 49,849 soft W !0 LOT 146 " \ t`I p LOT 138 'g ✓ LRI ACRES \ tt1 \ 0i 31 loo ACRES Q a 80,046 soli. q W_1 388• sa3•w 210.00' 44.734 fO. IT. \ 1 v,` ; ~~.(t ~7 tl OD 91 JJ ~~1 ~ 67A ~ ~11 'C S0 1 LOT 145 si a 11.4'x'.\ w 1 LOT 139 aN4 ~yytA~~~ ~0 1.14 ACRES s sa M1d• 6 ~Si~9.♦ •0.174 so It. 1 . 0\ 6•:Z'~~ .Ja\/ 9 owlY CP ~J. M1t 1; i ~ ~00 ~ \ ml ZI + / J 1 ei • O 1.72 ACRES LOT 14T Iit 1 0 AA 0 I k'' NI 0I SI / s LOT 142 4 57,376 6o. It. \ \ HI / .T ACRES \ 8 d 81,007 sO.Ir. 0.4 7 7 1~ vs~~ Qi LOT 141 1.01 ACRES LOT 43,630 SO.It i iM1 / ACRES 104 45.248 so Ii. Tfi e / \ o u LOT 143 till ACRES 4 b ~1 21 _ o LOT 140 p8,~ 31.167 so rt 8 NI L1 / 8 102 ACRES e M1M1 j /LLj pp $ 44,4[9 fO IT. pJ. •p - W CRAINAGE ~~•.r CXTENSgN 55.00 PONE) 21T.37' W b YI 4 :Ta.s7 tr1 / I~ t ~ fs4•00'24" .I Sf7•S0'00'E N Y dI x zeaoo' ~ 1 ~yk~ y R OUTLOT 2 / 4.21 ACR[3 hl la7,i3t SO./l. NI rl PLAT LOCATION State Bar of Wisconsin Form 2 -1982 544857 WARRANTY DEED DOCUMENT NO. Val_ REGISTER'S OFFICE ST. CROIX M, WI Darrel E. Wert and Beverly A. Wert, husband and rhedbrRwd -wife, indivi ua y and each in eir own rig JUN 6 1996 _ at 8:00 A.M conveys and warrants to Terrance S. Sandqui:t and -R 0.41, Alandra J. Sandguist, husband and wife, as mail dD"ft marital survivorship property THIS SPACE RESERVED FOR RECORDING DATA - NAME AND RETURN ADDRESS VYY.i.1V LAW FIRM, S . P.O. Box 106 Hudson, WI 54016 St. Croix the following described real estate in - County, State of Wisconsin: 020-1300-40 (Parcel Identification Number) Lot 133, Parkview Estates Sixth Addition to the Town of Hudson I This iS not homestead property. (is) (is not) Exception to warranties: TOGETHER WITH AND SUBJBC-T TO any other easements, covenants, reservations or restrictions of record, if any, but this shall not be deemed to extend any such other recorded encumbrances beyond the term established by law therefor. Dated this day of June 19__96. (SEAL) (SEAL) * Darrel E. Wert (SEAL) (SEAL) * Beverly A. ert AUTHENTICATION ACKNOWLEDGMENT 0 Signatu're(jj H. STATE OF WISCONSIN ..T n n . ss. St _ C`rc~i x County. 2'' 1 Wiscoi Jn Dgpartment of Industry, SOIL AND SITE EVALUATION REPORT Page of Lamed Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ` COUNTY g Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or D. # j dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION IEWE~/lay D ~ PROPERTY OWNER: PROPERTY LOCATION r T C O u j T't?rr Sandquist GOVT. LOT SE, 1/4 SE It , u /X,N,R 19 r) W JA- PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. N CS 4030 Isle Ave. na na csm CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE SOWN N Lake, Elmo, MN. 55042 (612)777-1092 Hudson Ave. New Construction Use [ ~c Residential / Number of bedrooms 4 Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd1ft2 .8 trench, gpd/ft2 Absorption area required 858 bed, ft2 750 trench, ft2 Maximum design loading rate • 7 bed, gpd/ft2 •8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 95.25 & 93.00 trenches ft (as referred to site plan benchmark) Additional design / site considerations alt. site trenches C 92.00 & 90.00' el. Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ®S ❑ U ❑ S 13U ®S ❑ U ❑ S ®U 13S ❑ U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 -11 10yr3/2 none 1 2msbk mfr gW 2f .5 .6 1 2 1-22 7.5ry4/4 none scl lfsbk mfr gW if .2 .3 Ground 3 2-46 10yr4/4 none sicl lfsbk mfr GW if .2 .3 99.25ft 4 6-96 7.5yr4/6 none is Osg mvfr na na .7 :.8 . Depth to limiting factor Remarks: Boring # 1 -9 10yr3/3 none 1 2msbk mfr 9W 2f .5 .6 2 -33 10yr4/4 none scl 2msbk mfr gW if .4 .5 kin 3 3-90 7.5yr4/6 none is Osg mvfr na na .7 .8 Ground elev. 99.10 ft. Depth to limiting factor +90" Remarks: CST Name:-Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200 New Richmond, WI. 5 017 Signature: Date: CST Number: 4-10-96 cstm 02298 _ PROPERTYOWNER L. Sandctuist SOIL DESCRIPTION REPORT Page ~of PARCEL I.D. # Fending Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 0-7 10 r3 2 none 1 2msbk mfr 2f .5 .6 3w; x x 2 7-23 10yr4/4 none scl lfsbk mfr gw if .2 .3 Ground 3 23-43 7.5yr4/4 none sl 2msbk mfr gw na .5 .6 96elevv..O ft 4 43-86 7.5yr4/4 none is Osg mvfr na na .7 .8 Depth to limiting factor +96" Remarks: Boring # 1 0-10 10yr3/3 none 1 2msbk mfr gw 2f .5 .6 we none scl 2msbk mfr gw 2 110-29 10 1f .4 .5 4Yr4/4 ::~:?k~;•.:.,:,:` is 3 129-45 7.5ry4/4 none sl 2msbk mfr gw na .5 .6 Ground elev. 4 5-88 7.5yr4/6 none is Osg mvfr na na .7 .8 94.00 ft, Depth to limiting factor +88" Remarks: Boring # 1 -14 10yr2/2 none 1 2msbk mfr gw 2f .5 .6 w<; ..5 2 14-37 10yr4/4 none scl 2msbk mfr gw if .4 .5 3 7-88 7.5ry4/4 none is Osg mvfr na na .7 .8 Ground elev. 93.4 ft. Depth to limiting factor +8 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) r STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 'Terry Sandquist New Richmond, WI 54017 MPRSW 3254 SE4SE 4 S12-T29N-R19W (715) 246-6200 town of Hudson N 1"=40' Bn.= nail in aspen tree C el. 100' D j4% a 12-3 Gary L. Stee 4-10-96