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HomeMy WebLinkAbout020-1481-01-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 556319 0 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Oeverin Homes LLC, aka Oeverin Pro ertie Hudson, Town of 020-1481-01-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 9?, Z 8,2- CiGJ~ 07.29.19.3050 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ~N 5 Septic y.., r Benchmark /b - 2 3. Dosing Alt. BM rte,' t 4*•.. Co,~..~... ~ ~ ~ / ~ S Aeration Bldg. Sewer Holding St/Ht Inlet 15 TANK SETBACK INFORMATION St/Ht Outlet 7 7 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ~a C-~-~, 5 4r~.w ~ O Septic Z4 / • A- f Dt Bottom Dosing Header/Man. Aeration Dist. Pipe -7.5 5-5, ~ Holding Bot. System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM ~'I Go✓~_ /d/.S Model Nu~m - TDH Lift Friction Loss System H Ft Forcemain 1014-- Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width i' Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~'00 SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: /6 / p I~ UNIT Model Number: CO ,t Jeoti~ b ~iy /j TIN- I 5~.DISTRIBUTION YSTEM . Ok Z 5 ,~Z f Z S TS /U'S Header/Manifolq Distribution x Hole Size x Hole Spacing Vent to Air Intake it Pipe(s) e,S Length (D 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 ~i - Bed/Trench Edges Topsoil Yes 5 • Z Fa No No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1028 Autumn Oak Lane Hudson, WI 54016 (SE 1/4 SW 1/4 7 T29N R1 9W) Whispering Oaks Lot 1 arcel No: 07.29.19.3050 1.) Alt BM Description 2.) Bldg sewer length = Z I - amount of cover ~o ` e Y' Plan revision Required? ® Yes No~J / Use other side for additional informatio ` Z 10 Date Insepcto Signat Cert. No. SBD-6710 (R.3/97) commerce.wl.gov Safety and Buildings Division County ( 201 W. Washington Ave., P.O. Box 7162 - 0 ./Z7 1 'sco n EIa / Madison, WI 53707-7162 Sanitary ermit Number (to be filled in by Co.) Department of Commerce v ® 6-5-0 1 5ani y fiiit Applieatig" ~ State Transaction Number in accordance with s. Comm. 83.21(2) Wis.:Win. Code, submission of this form to the apiio'- ~te ernmental /lh( unit is required prior to obtaininY t0F~Tlpt1E Application forms for state`-'awnkd 0„ are Project Addr ss (if different than mailing address) q~ submitted to the Department df'~it erce. Personal information you provide maybe used forsdary purposes in accordance with the Privacy Law. s. 15.04(1)(m), Stats. L 1. Application Information - Please Print All Information W77- Property Owner's Name Parcel -4 ,Coe 020 Property Owner's ailing Address Property Location ` 3a 1 s J Govt. Lot City, State 5Zip e Phone Number Section , trcle one) ' ` TN; REorW II. Type of Building (check all that apply) Lot # J / Subdivision Name or 2 ily Dwelling - Number of Bedrooms bad. A- hn4Ak Block ❑ Public/Commercial - Describe Use ❑ City of CSM Number ❑ Village of El State Owned -Describe Use 'fown of III. Type f Permit: (Check only one box on line A. Complete line B if applicable) A. ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV,Type of POWTS S stem/Com onent/Device: Check all that apply) n-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grra/de l Mound > 24 in. of Zsuie ,o I t / ❑ Movd < 24 in. of suitable soil e 1- Z r + M) V h h S - 3A ent Devt~~(expl ri)~ ❑ Holding Tani: ❑ Other Dispersal Component (explain) V. Dispersal/Treatment Area Information: De ign Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Propo d (sf) System Elev lion AS D17p VI. Tank Info Cupacity in Total # of Manufacturer i ,3allons Gallons Units tj ti New Tanks Existing Tacks/~/ "f! M-wt a U Septic or Holding Tank Dosing Chamber I VII. Responsibility Statement- 1, the undersigned, assum sponsibility for installation of the POWTS shown on the attached plans. Plumber's a !Print) Plumber' ature MP/MPRS umber Business Phone Number Plumber's Address Street, City, State, Zip ode) zv ~ ~z Z VII . Coun /Department Use Only Permit Fee Date Issued Iss g Agent ignat re Approved El Disapproved $ , U~ d (Z ~ ~ /y ❑ Owner Given Reason for Denial p{, t *LpRp p~-val/Reasons for Disapproval 3 1 Septic tank, effluent filter and 7 _ dispersal cell must all serviced / maintained ~2 / G~ sG r L! as per management plan, provided by plumber. 2. All setback requirements must be maintained s Attac o comp e e p ' for the system and submit to the County only1 on pappe,r, not less than 8 1 inches in size SBD-6398 (R. 02/09) (J'~ / °u Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 8/23/12 Owner: Oevering Homes Location: SE1/4 SW1/4 S7 T24 N,R19W Lot 1 Whispering Oaks Hudson System type: In-ground absorbtion system(conventional) Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Cbarntertross Section 4-6. Maintanance and Contingency P 7. Filter Specifications Sheet Signature License number #22690 PLOT PLAN PROJECT 'Oeverina Homes LLC ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SE 1/4 SW 1/4S 7 /T 24 N/R 19 W TOWN Hudson COUNTY ST. CROIX SYSTEM ELEVATION tt1-2 ~S2 j 1 Y_ 9 r 1 ROOM 3 CONVENTIONAL XXXX AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RAT ~ 3 ABSORPTION AREA 1500 # of chambers 30 EZ Flows BENCHMARK V.R.P. Top of 1.5" pipe ASSUME ELEVATION 100' Filter BEST GF10-8 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Amber Ridge Drive Pro 3 Bedroom Scale is F = 40' House unless otherwise noted 10' ST 99' 10' 99.5' 200' B-3 / 00. 2% Slope 50' B. 15'B-1 0' B-2- Vents 382' Property Line C c L O a > c U- N a) o W E C7 a) N N i.. 0 W^^ U- LL V n Q~ N ~a 5 i w tD G1 \ m Q N bi ' m N ii ''tt T N U) 0 :g V N C v a`) • CA -a of 0-0 L O n G Q j u.. V + _ cy N ^ m N LAC ~ ~-0 it 3 DO > NU C W N O v EQQ p _ ° C) E 16 '0 N LO O O} O V N N C 4 C Z w C~ W d' bo co o U- n W U a) fY ~ a~ (D o L. J (0 a _ , fd a) .r 4r + co (D N li p ~ ~ ~ cam! C ° 0 c ZY) U ~ 0 cn W Cl) d) m v~ N c n u- O 04 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS er e✓ Septic Tank Capacity /,X~ al ❑ NA it #S>a 3 EP Septic Tank Manufacturer ❑ NA L DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units -;P(NA Pump Tank Capacity NA al Estimated flow (average) gal/day Pump Tank Manufacture- NA Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer NA Soil Application Rate al/da /ft2 Pump Model NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA Fats, Oil & Grease (FOG) <30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) :220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <150 mg/L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD5) <30 mg/L n-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) <30 mg/L NA ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) <104 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size X in dia. ❑ NA Other: ❑ NA Other: Other: ❑ NA ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ m a~th(`) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one-third (f~) of tank volume ❑ NA Inspect dispersal cell(s) At least once every: G7 month(s) (Maximum 3 years) ❑ NA year(s) Clean effluent filter At least once every: / ❑ onth(s► ❑ NA /L ear(s) Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA ❑ year(s) Flush laterals and pressure test At least once every: ❑ month(s l ❑ NA ❑ year(s) Other: At least once every: p year(s)s I ❑ NA 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 crat;ks or leaks, measure the volume of combined 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 regulatory 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 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 pressuriz9d components, pretreatment units, and any servicing at intervals of <12 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. START UP AND OPERATION Page of ~ For new construction, prior to use of the POWTS check treatment tank(s) for the presence of panting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). 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 cell(s) 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 Ooerator 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 brine. 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 replace ent system: 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 shorild 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 and 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/OFD INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DI°_ATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAIN R Name Name ` Phone - Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AU?'HORITY Name Name t Phone I J = Phone JJ Li This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. RLTER CARTRIDGE INSTRUCTIONS rl~ Installation f I I Dry fit the filter case onto the end of the outlet pipe to ensure it is f centered under the accgxs opening. If not, then either insert more pipe into the tank through the outlet or solvent weld (glue) additional pipe onto the outlet pipe. While the case is still dry fitted on the outlet pipe, measure the length of I%-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. x r i' a For installations utilizing the optional supplemental side support: solvent weld the y,-inch pipe onto the filter case, if side support method is not Utilized, proceed to step four. Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing dawn until the filter locks into the bottom of the case. sr If a VAS switch is utilized: insert into the ~u<• clockwise 90°, filter and lack by turning ''f,~ Maintenance 1. The effluent filter should he cleaned every time the septic tank is serviced. { 2. Open the outlet access opening to inspect the tank and filter. " f 3. Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been towered below the invert of the M outlet pipe, firm) y pull up on the filter handle to dislodge the cartridge from the case. S. slide the cartridge up and out of the case for cleaning, w 6, If a VRS switch connected to an aierm is present, the switch should he removed by turning counterclockwise 90° and cleaned with water only. 7. While holding the cartridge on its side (large flat surface facing down) over the access opening, rinse off the cartridge with water ' is n only, making sure all septage material is rinsed back, into the tank. r a. If VRS switch is utilized, replace by inserting into filter and ` turning clockwise 901, 9, Insert the filter cartridge back Into the case, pressing down until the fitter locks into the bottom of the case. 10. Replace and secure the access opening on the tank y . WWW bearonsite.COM 877-MLRLTERS (653-4583) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 01 Owner/.Buyer Mailing Address v Property Address -(Verification required from Planning & Zoning Department for new construction.) City/State f (1(J~ Parcel. Identification Number ac~Q -Ai )w of 0ZnD LEGAL DESCRIPTION 30 ) Property Locatiort-, % ,-;/a , sec. 7 T~ N V fW, Town 0:-/--- Subdivision Lot # olo, - - Certified Survey Map # - Volume - r--, Page # Warranty Deed # Volume - - , Page # Spec house no Lot lines identiftabl r . no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure t,) handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 St. Croix County Sanitary Oadinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that(]) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private ,sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural f.esources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/wrs am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms AIGNAT C)F APPLICANT(S) -----DATE ***.Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a col ry of the certified survey map if reference is made in the warranty deed. (REV. 08/05) _o PAID Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _1___. of ,vision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code minty 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 (BM), direction and Parcel I.D. _ _ / percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Phu, Please print all Information. Date personal information you provide may be used for s ~aCy As. 15.04 (1) (m)). Property Owner lovt. operty Location N~ / - ( Lots 1/45j(j1/4 S T2,9 N R E (o Block # Subd. or CSM# Property Owner's Mailing Address A~ I ~ city fate . zip Code PPhhD j 1p City Villag WTTwn Barest oad c ~P !yam '"au, New Construction Use f Residential /Number of bedrooms Code derived design flow rate Q GPD ❑ Replacement _ ❑ PubG r commercial - Des e: Parent material ,2 ate'- fGt~!! Flood Plain elevation if applicable ft. / ~~JQQ / andreomcornments mendations: //1540 ~y's` c, ,Q shaXocd ~ <e~ qi, System Type System Elevation ie Boring D a zoid Boring # ':gL pit Ground surface elev. ft. Depth to limiting factor lav in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0-/0 J0, 3 -7 2 -3a , ~~3 6 0- '0 -,f 6 W-5- S 4: l~ ~//4 > 2 1VqSVj 5.7 ys~ Boring # ❑ Boring •lr~U Pit Ground surface elev..1~-' ft. Depth to limiting factor in. Sol licatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 0 /Al, 3/1 -r 2. -36 13 L' I 1 1 In q -7 0- • Effluent #1 = BOD > m:5 220 nW~ TSS >30:S 150 mg/- Effluent #2 = BOD < 30 mglL and TSS < 30 mglL CST Nwo (Please Print) Signa CST Number Bird Plumbing, Inc. Shaun Bird 226900 09 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 - f -/v 715-246-4516 M Parcel ID # Page of Property Owner _ Boring ©Boring # C] S pit Ground surface elev. ~ Depth to limiting factor in. Sal -Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff `Eff#1 `Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. C j Ilr q~ ' ~ t' 3 i l.• - - S I 2 /'~S ( r4113 m r ~S - d U S S rn w I 141 ZJ-0c, (q ❑ Boring F-I Boring # ti ❑ Pit Ground surface elev. ft. Defer to liming factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fE: 'Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ❑ a Boring # Boring Ground surface elev. ft. Depth to Igniting factor in. ❑ Pit Sod ication Rate Horizon -)epth Dominant Colo r Redox Description. Texture Structure Consistence Boundary Roots •Eff#G~ 'Etf#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ` Effluent #1 = BOD5 > 3o5 220 mgIL and TSS >30 < 150 mg/l- ` Effluent #2 = BODS 5 30 mg/L and TSS < 30 M91L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SOD-9330 (RA=) Soil Test Plot Plan Project Name NWP Holdings Shaun Bir Address 573 Cty Rd A Hudson Wi 54016 CSTM Lot 1 Subdivision Whispering Oaks Date 10/18 ~16900 SE 1/4 S W 1/4S 7 T24 N/R19 W Township Hudson ❑ Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1.5" pipe System Elevation TBD *HRpSameasBenchmark Amber Ridge Drive Scale is 1" = 40' unless otherwise noted 99' 200' B-3 99.5' 2% Slope 50' B. 15'B-1 40' 0' B-2 382' Property Line O_ THE EAST LINE OF THE SW 1/4 OF 4z ¢ Z C6 vi r w 0 a SECTION REFERENCED S TO THE ST. 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I PG. 178 o -71 -S00"13'45"W 664.01'- ` 31~` i 112'` J M2' 4 9 77'//\ 01-0 \4 OW 1W )U., cut Ir IN \ N VOL. 23 PG. 5588 I I i LOT 3 1"1 LOT Z CD I LJ gel \ ,11 =3 w ~I ¢ ~ \ ~ ~ -l ~ _ - ' -S06° 1'00"W 1f; t.3 J I w ~ b I ~ I \ \11 ' 1 362.07 •l c7~ ~I r-o~ "o, 7 .I V'WN - - I 171 J of LL L ass I m x ever ~ ri:i:% yx>::i .:.:...o.:.:..,..: 110.71!70 - • - - - i N00"01'00"E 405.11' _ I - - - - s 1 ~ - ~ 1 ~ ~127.m I - ~ ~ .126: - ~I • _ - .t J Q LOTS I (i_18.; ~ w VOL. - - 2 P81.437 - se ,es I I (n 21 soo"oala'E 2.87 LOT 1 jsj \ \ _J Vo- 20 PG. 5-388 SMALL 160 . \ 145' 1251 \ 140• / m I \ \ EAST N F THE ST 1839.78' OF THE SW Y4 -J1 TRACTS SMALiLTRAC7 ~ 1 ~ Parcel 020-1481-01-000 08/24/2012 09:33 AM PAGE 1 OF 1 Alt. Parcel 07.29.19.3050 020 - TOWN OF HUDSON Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 11/08/2011 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - NWP HOLDINGS LLC NWP HOLDINGS LLC 573 CTY RD A STE 100 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1028 AUTUMN OAK LN SC 2611 SCH DIST OF HUDSON SP 1700 WITC Legal Description: Acres: 1.360 Plat: 11-039-WHISPERING OAKS 020-011 SEC 07 T29N R19W PT SE SW WHISPERING Block/Condo Bldg: LOT 01 OAKS LOT 1 (1.36 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-19W SE SW Notes: Parcel History: NEW FOR 2012. RETIRED 020-1002-50-055 TO Date Doc # Vol/Page Type CREATE 8 LOTS & 2 OUTLOTS. 03/22/2012 952988 COVNTS 11/08/2011 945347 AGREE 11/08/2011 945346 11/039 PLAT 06/24/2010 918098 EZ more... 2012 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/18/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.360 35,400 0 35,400 NO 05 Totals for 2012: General Property 1.360 35,400 0 35,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2 8 0 8 0 0 7 3 WARRANTY DEED TX:4060369 962095 BETH PABST THIS DEED, made between NWP Holdings LLC a Wisconsin limited liability REGISTER OF DEEDS company ("Grantor" whether one or more) conveys and warrants to Oevering ST. CROIX CO. WI Homes, LLC, a Wisconsin limited liability company ("Grantee", whether one or more), the following described real estate in ST CROIX County, State of 08/21/2012 4:14 PM Wisconsin: EXEMPT#: NA REC FEE: 30.00 Lot 1, Plat of Whispering Oaks in the Town of Hudson, St.Croix County, TRANS FEE: 89.70 Wisconsin. PAGES: 1 RETURN TO St. Croix County Abstract & Title Co. Inc. 219 S. Knowles Avenue New Richmond, WI 54017 Tax Parcel No: 020-1481-01-000 This is / is no omestead property Exception to warranties: Municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, and further except 2012 real estate taxes. Dated this 17th day of August, 2012. NWP Holdings LLC a Wisconsin limited liability company By J hn Parotti, member AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 20_ 1 f COUNTY OF ST CROIX ss. * TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me this 17th day of August, 2012, the above (If not, named NWP Holdings LLC a Wisconsin limited liability authorized by § 706.06, Wis. Stats.) company, by John Parotti, member to me known to be the person s) who executed the foregoing instrument and acknowledge the s THIS INSTRUMENT WAS DRAFTED BY ( - Robert L. Loberg / Loberg Law Office Notary Public _St. C oix County, Wis. 1211650 J alm V 's My Commission is pe?tnaz>;ent. (If not, staietiexpriration'datt~! m (Signatures ay be authenticated or acknowledged. Both are o, t. t not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures. %yAd"NTY DEED Form No. 1-2003 ra \ {91 6.861 LOT 2 ~ 45,691 SQ. FT. i + 1.05 AC. SS3°46'25" 1 ~ 1°g4gA-rC 38271' y LOT 43,906S( r Lets 1 1.41 AC. 59,24.1 SQ. FT. tk ► 1.36 AC. i S06°00'26"E o cm t f 12.26' c 270.12' S89°58'32"V t w Cn S89°56'01' W 250.12' i E !v -20.09 CO o i E S89°58'32"W 147.01 E N o E E Cl o r ~~3 E r_ E Z Gz.1 w 0 t t Ca r C7 ~ G7 k ° o I` r E C t i f =c^ ( a f,1 .Aa y t e G= ms c~ f 11 w m