HomeMy WebLinkAbout020-1014-30-150
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No: 453333 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
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:
Beer, Dan Hudson Township 02,t)
CST BM Elev: Insp. BM Elev: BM Description* Section/Town/Range/Map No:
166 4115;k I //7X a_;_ - C$'t4,V 12.29.19.
TANK INFORMATION juv ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic 2-e0 Benchmark 78
/ /d6
.
Dosing L4 Alt. BM 3 ~g
J~ 9g
Aeration Bldg. Sewer 3 5. 8`7
a.~ 12.1
Holding St/Ht Inlet 13,~D 85 0 t f
\
TANK SETBACK INFORMATIO St/Ht Outlet
TANK TO CIL V~(EL LDG. Vent to Air Intake ROAD Dt Inlet
Septic >\f Z ' Dt Bottom I(j
Z
Dosing L Header/Man. ~X•Ql 16-7
Aeration Dist. Pipe 1 $S 14
Holding Bot. System
11 db ~7~z1
Final Grade
PU /SIPHON INFORMATION • 2 `M S~
Manufacturer nn Demand St Cover
GPM Q
Model Number ~
Qo5' S~ IO.~ s 3s~ 75.3
TDH Lift ( Friction st ~ Syste 7A TD I. Ft ~ t / 3 6
eb'F'
Forcemain ILen
/g.[ - Dia. ii Dist. to 7 /660
SOIL ABSORPTION SYSTEM 21 0,,,
BEDITRENCH Width It h No. f Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3I SL e 3
SETBACK SYSTEM TO l P/L BLDG WELL LAKE/STREAM LEACHING Manufac urer.
INFORMATION CHAMBER OR T
Type Of System: t UNIT Model Nu er: Iv
IBUTION SYSTEM Sa,J 3
Heade alfpltt Distribution x Hole Size x Hole Spacing Vent to it Intake
CF r°
Length Dial _ Length Dia Spacing '7 f
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over G Depth Over xx Depth xx Seeded/S dkd xx Mulc ed
Bed/Trench Center Bed/Trench Edges \ Topsoil
es[] No Yes [ No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #14-a6L,.25;zm_ nspection # .
Location, 1057 Moonbe West Unknown (SW 1/4 NE 1/4 12 T29N R19W) NA Lot Parcel No: 12.29.1 .
GD Jdi` C~
1.) Alt BM Description=
r at~~
2.) Bldg sewer length
- amount of cover
Plan revision Required? Yes 1 No L j L/_ a 5
Use other side for additional information. 4Si Date InseCert. No.
SBD-6710 (R.3/97) j 4
1
i
~ ~2
{3 ~
Safety and Buildings Division County nn
201 W. Was
hington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.)
Nvisconsin
Commerce (608) 266-3151 5333
De artment of
Sanitary Permit Application State Plan I.D. Number
In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide
may be used for secondary purposes Privacy Law, s15.0 Project Address (if different than mailing address)
1. Application Information - Please Print All Information 1-
;W&01-A6&,117 Ue 6 ~
Pra .er's Na a r. ? 0 Parcel # Lot Bloc
y li(Ji~ 1 6i ZJJ~# #3a -oao
i2 40
J~ I~ee.r PAID ono - io/y 3
Property Owner's Mailing Address_ Property Location -
7<)i ;G OF FFK--- __a
51J y. /)r , Section /,Z
Zip Code Phone Number
City, State
5_0(O~ circle one)
T 29 N; R-Jeaw W
11. pe of Building (check all that apply) n per-
11 $ w.
1 or 2 Family Dwelling - Number of Bedrooms , UW- Subdivision Name CSM~fNumber
❑ Public/Commercial - Describe Use -77 Z t of ❑ State Owned - Describe Use ;;3('0 Ci ❑City_❑ Village 52Township of 4;0/1
Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable)
stem
TreatmentlHoldin Tank Replacement Other Modification to Existing System
A. VNew System ❑ Replacement System El g Only El g Y
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
1V. Type of POWTS System: Check all that apply)
UK. -Pressurized ln-Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At-Grade ❑ Single Pass Sand Filter ❑
Constructed Wetland ❑ Pressurized In-Ground Holding Tank ❑ Peat Fil.; - ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑
Recirculating Synthetic Media Filter ❑ Leac Chamber ❑ Drip Line ❑ Gravel-less Pipe ❑ Other (explain)
C,?S~
V. Dispersal/Treat ent Area Information: C.k &9eS a-4, 19, 0 6. Z. S -a
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) stem Elevati a tA1
(vG~/ o•s B70
10 ~62 r&B3.
VI. Tank nfo Capacity in Total Number A6lanufacturer Prefab Steel Fiber Plastic
Gallons Gallons of Units W r ~oncrete Constructed ass j -
New Existing
Tanks Tanks
Septic or Holding Tank
/.250 /.DSO I~$[ nC/'8 i
Aerobic Treatment Unit
Dosing Chamber
VIL Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plum 's Si a ure MP#AFftR Number Business Phone Number
Qe S ' a35l7S (71S G N-S1(16
Plumber's Address (S , ity, State, Zip e)
/d D. 0 o2 6 3 u),Md// Ile, 01 S~(02e
VIII. County partment Use Only
Apprvved ❑ Disapproved Sanitary Permit Fee includes Groundwater Date Issued Issuing gent Signature , o Stamps)
Surcharge Fee)
11 Owner Given Reason for Denial Z I
IX Conditions of Approval/Reasons for Disapproval &
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all be serviced / maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code/ordinances.
Attach complete plans (to the County only) for the system on paper not less than 81/2 x I1 inches in size
SBD-6398 (R. 01/03)
■ ~JO%/ Q da.~ua ~on
♦ E/tdarii~
d
/Da ,Qecr ~o ~oPc~ fy
3 GSM rol , Pa.
Sec. /1, ?n. of h4cdsov>,
S6.Crp;X Ce., aJ/.
to~vrvsexi
J I~roPosed
we t I --s~• bed ~atf.►-+ ' ~ eQ- 15~-~' -~iy~,~.
• ~c ;dente
(~1' ( aty/ b
99r~~ ( - o WiCSQI r -
no, carsso -m serof~c ta.,K
bw t sJEe
w/~a6.Ql ~4-~0o eFF/a~~
Zit F,'IEer'at ou,E/c E.
Gov
N
3trckes x
070
\ 9327, ~ ea ~ e
\ ~ ~ ♦ 9'09'
lot C-v,-Az = Pz.33 ■ a
BI ~ Qtstt'V2 area At- ■ EIG~= = 4
Qcp/4a~td,31aerSal fell 62-~
3/"2./4" So. lot lmc
i
' O~'lJOdC~en ;
.a~,
♦ 1
■ Soi/ a Vanua 6'p,
/ d
N
[)a.. Geer ~o~oPerfy
3 C.:,m (/o% , 10
Set. /2, -r,,. or h4edsc~,,
S6 - croix Co.,
u)
Proposed Prgose i
wel I ~5~~ot~n
74
• rc5idence
Proposed (.,OfeSwco»crAe
- grd. at W125-0 -M oe
Sepbctar,K
ilQ4 s.Ee
F~'IEerat ou-0~c
3trer+~j,es of 3'X S/,25;
Sy A-4 rv) e l c~ = 87
93,Q eDn L'OLCr
43 .C~/oiA'
~ 927 ~ 9908'
P.
■
/et Cornor = 9'2.33 BI \ PeS"Oe area ~'•o- ■ a
Qep/aeP,n.ntd,'sPersa/ CeU
312 . So. (.,t
o~'lJOdc!en .
w /t~S QSStsinPr✓o f0 = CY)•azl
~ IV E "D
a
L VALUATION REPORT Page of
t
Wis. Adm. Code /
County
<hes in size. Plan must
/V~A"'s 's it (BM), direction and Parcel I.D.
Q :1nd distance to nearest road.
e ' wed by Date
o ~ r--
s (Privacy Law, s. 15.04 (1) (m)).
9X~ Property Location
a
r
Govt. Lot,c~ F 1/4 s / ZT N R aE( )W
v
L lock # Subd. Name or CSM#
City ❑ Village [Town Nearest Road
6
S
III ,:4 "
New Construction Use. Residential / Number of bedrooms Code derived design flow rate GPD
❑ Replacement / ❑ Public or mmercial - Describe:
Parent material Ci v~C, Flood Plain elevation if applicable bt I ft.
General comments
and recommendations: S yS C V C (i~ D
0---It ,15
aBoring # Boring / Ca~..N9wn t,~, ~ • zcm `r
Pit Ground surface elev. ft. Depth to limiting factor ~ in. Soil Application 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
1-0-/3/d` r 3lzr S i t^ r 4°
16
o~
N Z
1 ~
❑ Boring
Boring # Pit Ground surface elev. ft. Depth to limiting factor / in.
Soil lication 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
2 n
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) Si CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715-246-4516
Conventional Septic System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained
in accordance with component manual SBD-10567-P (R.6/99). All local and/or state rules pertaining to system maintenance
and maintenance reporting shall be complied with.
Septic Tank
ection. The
The operating condition of th septic tank nd tlet filter hall be assessed at least once eve two years b in
septic tank contents shall be rem when the sludge and scum in the to excee 1/3 the liquid volume of the tank. The
contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to
service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment.
maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge
accumulation in the tank. Th ou et lte shall be cleaned as necessary to ensure paper o~n. The filter cartridge
should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed
from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank
manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for
service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective,
or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an
effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank
as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with
Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or
chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be
approved for septic tank use by the Department of Commerce, Safety and Buildings Division.
Soil Absorption Cell
Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should
be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for
vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface
within the system and will promote frost penetration during cold weather months. Cold weather installations (October-
February) dictate that the system be heavily mulched for frost protection.
Influent quality into the system may not exceed 220mg/L BODS, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not
exceed maximum design flow specified in the permit for the installation.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the
owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by removing
1 said components as deemed necessary or by c clogged adsorption and dispersal media and replacing ry y installing a
new soil absorption cell to bring the system into proper operating condition.
Questions on the operation or maintenance of the system should be directed to installing plumber, Joe Stang at
(715) 684-5166, or the St. Croix County Zoning Department.
~ _ 1
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Idaer D. &t_r
Mailing Address .4 Property Address - 1nrzn&-y1" ljes6s
(Verification required from Planning Department for new construction.)
City/State Parcel Identification Number_ _
P~w • 020 -/0/4~-3~ -v~~
LEGAL DESCRIPTION I
Property Location 540 1/4, 4Z- '/4 , Sec. /,Z , T N R/~ W, Town of
Subdivision , Lot # _ 3
Certified Survey Map # , Volume Page # 4.~_ 7-7 °L'
Warranty Deed # (06 9 , Volume ~PZd , Page #
Spec house s ❑ no Lot lines identifiable Wes ❑ no
SYSTEM MAINTENANCE
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 a licensed pumper. What you put into
the system can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and
by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal
system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1 /3 ful l of
sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Z0111 1"
De ent wi 0 days of the three year expiration date.
SIGNATURE OF APPLICANT DATE;
OWNER CERTIFICATION
Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the
property describe ve, by virtue of a warranty deed recorded in Register of Deeds Office.
'_C 27
SIGNATURE OF APPLICANT DATE,
Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department.
Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map ii
reference is made in the warranty deed.
"t+~►.r.. 4 t ~ . #MC i F ' P r S. ova 9= -
5 Y
i 2 1 ~p
WNOXM -pow It
Y~C 4AM WATS UM QOAINMWIR
37066 P PA t nese►
K r . 1~MI aeL1p~/r CATA
Ate. Ro~ qa r e c e r an r: rv y MISTERS C3FFICE
tc es h'n w e , . ; ` ST. CROIX CO,
1lItIS.
wbWM arareaoeyand an a Beer 'tsc'd f'ar Rword t1 . \
gay ~F 19a
Yeador f"". whntbsr sew mow, i air a: A~
sent dd spMS to
oonyq to Pnrdraear, . r
now of chit eo~rtrnet by ftd"W. h upat the Pmpt atd Cult pwo,
atber "awbi xvinty. tog tlw_with the Y
P'0~ ~ qd apps lutaewta~~ ad/~ ~ e
i Wiaoaasiw
r i I OMFI r 10 tom.
le-
tSEE ATTACHED SCHEDULE A}
1a d TJLj Mrsy
rift
A ~
7,
tc
_ X 5 u,
S ~
~F n` y
This- i
~y x F Pf' ~Y x $ ~ I h y~ zr
hoinest"d p~y{wyty.
PWCh"W
8O . the Progrtr end to pq to Vendor at A Ja s i an a A~ r, tie sunsof s 6 a . o -Ace
.
at th. aaentlsooof rms in dW~odng manner. $10.0 0 0. 0 0 - -----t--.4
leesotusarehpoetiow ~aedthsbadl.SQ•00E?.00 toisthsrw#tmtsrastiramdsq~ `
is a p ~jpiatime to elm W WOK sab ON six f 6 8-) pa cant m annuns, until pdo
pal installment aid $3,50p.OQ, plus accrued_ inCerest~
3aY DpaYable August 15, 1981. Annual
plus Principal, installments o€.=
accrued interest,,shall be payable'
each August and;" v,
15th thereafter gust 15, 1982
are full . Providing, however, princi al:aad interest
y paid on or before August 15, 1986.
Pwdmw. ValOM saaued by Yaodor. -91 stqr W
p4 maothlr to Ysodar
d~gments sa!&isnt t° the par.
meat Of twe6 ROeid aseeseare~ &bG and required
V* P lYments tot iOw". pembm the mteat eradved by Yeodor. Vendor agrees to ; .
boos when &L &a& ansonnh received by the
V"NA r for psymaes at ta>ooat stets and ia•
aJuanott wilt be deposited into as escrow fund w tsnatas but shut[ not bw k tenet
Poments unless otirrwLs by
shag be ayplled iteet to intreset an the unpaid bdnap It the rate spedfied and then to ~pai.
July
Vaodor,~ ►s4.~...IORi there ;
In dw sel" 01 be to ynpaymeot of priadpd with" pu mtgpim at
OW P+Pyment. this aoutraet shall not be tewW as in default with respa* to pqr=" so long as the nnpaia
>ess~thaa aid laud in andr sans Wtrwt fi+om mooch to month shalt be treated asnnpaid peiaeipal►is ,
provided that iedebte&wns wouU have bm had dw manthb pests Wn tells as &st• opodW abotiei
psynoots sW be coothyaW its the avMataiendlt ad mW prum& aE Deana ar n : the eaor
deemed pn mess being theenaftsr sm*A ed i, f,om.
Irtuehww states that Anthem is sade ied with the title as shown ~ tha dtb :
d= me% Mortgage' to. Roy Hopkins' and. Edna HopMins dated eptember 5,,1191778
recorded September 12, 1978, in. Volume 5$Z , page 95, as Document No,.
351616. •
Pwehaser saran to per the sat of tutu" eviCkum if We sviderca is in the form of an abstract, it shan be retained by
Vendor mug the tali purchase p" in psid.
Pt mbaor she! bo= Wd to tahspaeesssion of the Pmps ty on eves date her
"G1aMOetA~r , I$_
(To Be Used in Nou-C o finer Act Tramiaca -
wm ooKrs tcs- r rww.. rid a&r..r - sra'rs sws os " - _ -
Wrsoorsrx, rorat no, It- iK
Ytr PW whutr-axre
drl[rR 4 Y aodlor as demand rreetpte Buda Ord net tM rr opr~egr qr Ysndar'r hiterge L it a•d a
PWc
iatlt►_v-.WqF4neeuthe
ProP«'4lerneerdsodsrthrrrar d .
~
mepr
raft ftl Oak
~~a tfr►si9etatit v+nr~or =27, rp*til►fi+ew,vetrndedeowryr
by ve"m
olndnaderlif~anprntt, per, •ndarabrflaoteedpde, aaraoretmo
them as
Eeratr rttha Yasdor'r tataeaeR a na~iatlnt~ar atharwisr when dud.'! ddiei drsee the wmd,rd daiser
•W be,
wub Vincent. e►+i avw tMseiddaipaiieie.s ter
ardt Yredor WmWi ra I*- i~adlotdlersesiwrue rt andYendor. Ualeee
a~~,n~te n0e pee0eeda drail y
Y Ptt drd ohs Yirdre drama ti resU"ti
repam ft be ~ ar repair d *A Plopar IF
ao0 No nor W.
warty ft be cemmmW" 4s
her tiou Wr ' to b" the ft In
ordirmnoee and ngulatioosr. diuPrrlar trtbrlieo d And loan wtVt rY
Ysndar agrees the! i reed the pwch"Oplift with iater+est and otter y
4 pir6rared at the time and is tU meaner abaa eP d. Yesdoe eie~D br i~ pedd and air caeditiaae shal be h&
R'te'' Deed, In he ehrgrlr, of her Ig go deearod, roreulr aani &&W to ter Purchnew a
a
" eMad by for setae default at F' and deer d alb ~ aDd rrq, liras ae aieuanbeuer
and restrictions O a
~ aOe1 m ci z o
anso 8
chrem swift that f~mr in ~ " end is case at defi" in tln
of any at tu cmi*" love mvmmnto. or at ►aerrR'at nay prloelpd ar hitrreet when due, arts
fir, d ack d*"" 40011 went eancW14 the hereunder a mt rud st as mad, aH rlrt of the Pumbwr under athbsaaeerat
and at ligniddited demtder Eat the t dlnre comphtsay thb ~ Yindar'rpOp u rental otseed
notice Law U0 Itht ofEelr or. at the : and Vendor rhalltr
and without
wafved, the whore amount d °P~ oe Yeadae and without notice to >~rrhewr _ being hereby
clsed. the shag be demmad to tmw bo m~ dueaad '
. bateeort Oart>rer with aq annm whkh 3011W be exer.
be or Ln►r Dr ~ in caft eO~° °~1
dhdto bXtr sit the rate aforesaid shag be e~aetabb io a soft at hwar by by Vadw hredosmuatherein "cm~
dthe}ebtattar&wn shmanner aft manner as it do w who&le at 0 PriOdP had been dw at the time when
vp* mcbrace, with; and interest, ail the at th ti OW suds detwtt oocnred. and the in.
~ to enterer: any Me" did with hWereeO u ataeeeaid• In cur at
IMP
Y tsimfi G the rkcfpk beocow 40 a
inns red. and in cacti of reaeomblr a#m neyIs tees,
eW be ineJndad thet♦irt
poQ oemeut or dtnrtaE 1 ,pandeaoy of an* acd='ot mcEoeeee at Rhie
x pointmeot of a rgeel. of the r...t,1`«.ir ]piling isw'eat, to collect do con. PG"*"re 0OOmte to the ap
during
to. . pendency at such actin toad r~ assn nuts. and POW& of the Property
ihaA db~octr es. and Pro is when so ed0eeted shale be ` J held and applied
~ ~ as the court
:U firma of tldr Contract sisall be
i upon and insure to for benefits of the heirs, k!
cs-'`g= Of Vsodar and:.~+chs,, of 1ft as ow-er of the Property at able ~oMeon and
to raleass homestead,iabta in the "Nut apotise at Vendor for a va;aaSle carsider arena jaias bieeia
4,4- t
hereoLR Y and agrees to j on in the execution of the deed to be made in fulfillment
Dated thin R4 th !]CGh r -
I 7
(SEAU -
WEA"
F r, Roger E. Hetchl®r< f a M,
. Daniel R. Beer -
s, Mary I. et filer « 4 d (MAU
r ill
N AMEIII'ry~
SiSnaturesauthenticatedthia 74th.`" > AIyOWtEDtiM'
~Y d ENT
STATE OF WISCONSIN
lYta rc•h 14
of the above named
Roger E. Hetchler Ma Canary.
an ane - R. Beer I Hetchler, Personalty Mme before men thee
dq at
119 the above named
71.1 10
•
TITLE: MEMBER STATE BAR OF WISCONSIN to am, known to be the Weal who executed the foregoing
fTfsetr---------- iastrumI and WkwIledged the sam,
This 1n8trunmt wu drafted - No
r tary Public County, Wis.
Re in a t ra , Van Dvk h Klee dh am , S.C. My C on is P6=1== L (It not. state expiration date:
Attorneys- at Law .19
New Richmond, Wisconsin 54017
(Signatures may be auttsenticated or acknowledged, Both an not r,eoeaaary.)
sNamee of per•aorm The use of witnesses is optiomL _
signing is any capacity: hould be typed or printed below their siguturea•
"az` rj`.y'`vr x,. ' r r`T+'ti' i..er ,.'J' r.: •..o•;L,.
a --C
The West Nt1t ~bf the Southeast'
the East 33 feet of the South 264_ reet; " and jMY~ter fbt
East Half of the Southeast- Quaxtei ( of S30 4 Br ibe
as: Commencing at the Southeast, "cornor of, SectionY1~
t12; thence Most 462 foots thence Dtarth 264,,1
feet the-
' N at 582 feet ` t* ,a steel post- and the', Point oi"
thence test 276 feet to the Neste.`1ine: c~i~' said_ list Va2f_
Sdutheast Quarter (A of SEk)i thence North 236?:05
the North lint of said East Half df Southeast Quarters
SEW t . thenca< East alon said' forth lane 276,
tt that e~ '
South-to the Point of Beginnings and the South 53 rode."of
,
the Southwest Quarter of the N!2t eat Quarter (mac, ~?f
and the East 74 feet of the~ Souttj; S1 ;gods of _ the- Southeaat~~..
Quarter of the Northwest Quarter (s8k of, l OMPT,tb
following described parcels:
3♦
C(x= ncing rth
at the
Quarter (8E*} of Sect;No ►est'corner o 'tom°Boutbeaa
s ort `fwslvii`.-(12)1 ~thdtleeBast ''Tf, w '
t~ ~ ma
' feet; thence South 1480 foams thence Nest 163.1;7 ireast .
"t- Southwesterly to a point 165 ~ East of, the Southwest.
cot e
.than Southeast Quarter, (SE%) of', aaiC 8eatiasr Twelve ' 12~l.k
:_-thence dent 165 feet; thence Korth- -2640 f*ot~ ta` the ?oint. -
9gr TOGETHER WITS at nonexclusive 3 foot wider right F > }
of-Way easement front this parcel, tq6 the Tow* 2wdf
2. A parcel of land located in Lnet iiGuth46 Qlisrterr o 444 ' ,
the Southeast Quarter (SWk Of-- SZW_ and tbe4' 8o4the"V,Q'uar t ~
of the. Southeast Quarter (SMt of SZ of, Section T lv `
2), more fully descri~: as follows: Commencing at :tiler
South
quartos corner of said Section IlVelve ~4 t-~ then- ,
South 89" 56• 43"; East (assumed.: bearings: referenced -tdF
monumented East, line of sai "N
Southeast, Q)AartertSS~t~°
North " 05' 01" Ea t~ lbS.Ot feet,'alonq'tho South ;
said Southeast Quarter (SEkt tpreviousiyxre-vordet os°-East
to the Point- of Beginnings _thence. continuing 9660t.85* 56 "'s
43" East,,10?1.32 feet' along said:' lfna$ .th c!~ 8asterlf~
20.78 feet"along -the Northeily'right-of-4►ay~ ine of,
. a
%
e
xisting- Town: Road, an a 603.00 foot radius
- 5outherly-,~ whose chard bears 8011 31 . .Zaat#_ •24,,1~`
feet; thence North 810 32' - 51w East,,; 46 * 72 - loot along sxt
right-of-way line; thence North, 253'..55 feet along the y;
o r oposed TOiiRT
South 89y r51htl6f Sa t~ previ islr recorded aes~a - t
y `Sash
301.06 feet; thence North 00 02" 46"'Eastr'47.51% feetk
thence North 62'. 1511 West, 838.00 feett thence Soutk'-' 29" Basta 499.45 feet; thence-North 881 32-1 Ur Wes'gc
fee
ti: thence_Swou`th 36! 55r 27," Nest, 811.47 feet tri the,-`
a Point of. Beg,inntiii -
I-A
TWETHER WITH a< non-exclusive, ~easemen for ~inea -
egress over the- drive, and cul-de' sans as, prosentY fair` K
traveled, located in! exception two, ~ t 2I serge°• . an . *Uo
_N, f
eae nt for ingress- and egress. over, a arcel-'descr '
,n
Canasrenoing at the Sonth c~arter corner, oi~ 8eoti~'1,
fix, (12) t- thence South 89" 56``. 43` Xast 165 feet'alozW~ th '
'4 a South line of said Southeast Quarter. (SEti sr: thence Most
55' 27" Bast, 921.47 fiett J thentAf South W 39 C- 38'" 84st~"{~
¢ 343.31. feet;, thence South 16"=_ 08: East. `feet
the Point of Beginning; thence; North i6* d8 ~A at"` test` ,
r 107.56 feett thence North 880, 32'` ,38'-. West,,` 7S:_feetu- theric0- Z:'
t ~ ~Iouth. 16. Oat - 29" East to_ the, cul de sae above described; LLB"
`thence Northeast I
Y:long thacurve oft the cu saa~
g.dt
L the Point of Beg
innin
K UWATEO T* 9; ior4 T+reel~ (12} T40 ship ftenty-nirtj :
-mow (293 forth,. Range Nineteen t19) Westw
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5
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. rx .s3T - ~ 1E < s N Y: ~ d a ~ a9F s ~
reridence on ebF,_; blot % ot6°ctssfgn~i tY, . ~
heirs or. asaf a Aso ertY.-hersim ConVeye4,; ttuid ooct
existing bsll assist ~aintatn fnq and sepal iaPnschaBar,
4 driveway:, &PAUcul, de tnclud q s
Me
t enG4se WO (2)
resinq above said ed in ifte. opt
s
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on a rorata basis,: bss,4ed then umbered t•
veway and i deg +ao. umber of real- i''
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its is agreed property' ad f oini.t
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ropertfers . suer ; wish to have .livestocke on their ses z
ar and-Construction his heirs ~tfve
payment- br's8aigna. shallbe
their of e1 fahci responsibl
n
heirs or- assigns, w 4.if bpie
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bared
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Parcel 020-1014-30-150 09127/2010 09:50 AM
PAGE 1 OF 1
Alt. Parcel 12.29.19.61 E 020 - TOWN OF HUDSON
Current ❑ ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
06/16/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
BRADLEY H & MELANIE LEHRKE O - LEHRKE, BRADLEY H & MELANIE
1057 MOONBEAM RD
HUDSON WI 54016 0
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1057 MOONBEAM RD
SC 2611 HUDSON
SP 1700 WITC ,
Legal Description: Acres: 2.419 Plat: 4772-CSM 18-4772 020-2004
SEC 12 T29N R19W PT SW NE CSM 18-4772 Block/Condo Bldg: LOT 3
LOT 3 (2.419 AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
12-29N-19W SW NE
Notes: Parcel History:
Vol/Page Type
07/311/2006 WD
7/2004 771923 2639/424 WD
08/17/2004 771922 2639/422 PR
08/17/2004 771921 2639/419 TI
more...
2010 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/16/2010
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.419 92,900 245,600 338,500 NO 10
Totals for 2010:
General Property 2.419 92,900 245,600 338,500
Woodland 0.000 0 0
Totals for 2009:
General Property 2.419 86,700 269,900 356,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 06/1912007 Batch M 07-06
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
[qGOULDS PUMPS Submersible
Effluent Pump
MODEL 3871
EP04 & EP05
Ar" Series
APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermo- ■ Bearings: Upper and lower
Specifically designed for the grade turbine oil for plastic enclosed design for heavy duty ball bearing con-
following uses: lubrication and efficient improved performance. struction.
• Effluent systems heat transfer. ■ Casing and Base: Rugged
• Homes Available for automatic and thermoplastic design provides AGENCY LISTING
• Farms superior strength and corrosion
anadian Standards
• Heavy duty sump manual operation. Automatic resistance. Ass Cdation
• Water transfer models include Mechanical 0 Motor Housing: Cast iron for 0-s Fife # LR38549
• Dewatering Float Switch assembled and preset at the factory. efficient heat transfer, strength,
and durability. Goulds Pumps is ISO 9001 Registered.
SPECIFICATIONS FEATURES ■ Motor Cover: Thermoplastic
• Solids handling capability: ■ EP04 Impeller: Thermo- cover with integral handle and
W maximum. float switch attachment points.
• Capacities: up to 60 GPM. plastic semi-open design with m power Cable: Severe d
• Total heads: up to 0 31 feet. pump out vanes for mechanical rated oil and water resistant uty
• Discharge size: 1'/2° NPT. seal protection.
• Mechanical seal: carbon-
rotary/ceramic-stationary,
BUNA-N elastomers.
• Temperature: METERS FEET - -
1040 F (400 C) continuous 110-
1400 F (600 C) intermittent.
• Fasteners: 300 series 9 301
5 GPM
stainless steel.
• Capable of running 8 *25 rr
dry without damage to 25
components. °a 7
Lu
6- 20~
Motor:
• EP04 Single phase: 0.4 HP Z 5
115 or 230 V, 60 Hz, 1550 0 15'
RPM, built in overload with a a
automatic reset. o - EPOS
• EP05 Single phase: 0.5 HP ~ 3 - ! - - - - -
115 V or 230V, 60 Hz, 1550 EP04
RPM, built in overload with 2
5; _ = -
automatic reset
• Power cord: 10 foot
standard length, 16/3 0 06' 10 zo 3o
SJTW with three prong
ao so GPM
grounding plug. Optional 20
foot length, 16/3 SJTW with o 2 4 6 8 10 12 ml/h
three prong grounding plug CAPACITY
(standard on EP05).
Goulds Pumps
C 2005 ITT water Technology, Inc. <& ITT Industries
Effective January, 2005
83871
RECEIVED
JAN -2 2 ?004
Wisconsin Department of Comma S7-. cl~olx cuwSOIL VALUATION REPORT Page of
Division of Safety and Buildings LONIN 'OFFICE=
5, 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 Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. a wed by Date /
Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). C
Property Owneva"- Property Location
~ r- Govt. Cote( 11~JF 1/4 S ~ZT 2 N R E( ) W
Property Owner's Mail' Address Block # Subd. Name or CSM#
City State 74 Code Phone Number City ❑ Village [gTown Nearest Road
New Construction Use. Residential/ Number of bedrooms Code derived design flow rate 6 C) GPD
❑ Replacement /~~7 ❑ Public or c mmercial - Describe:
Parent material ci Flood Plain elevation if applicable _bi / l9 ft.
General comments Q
and recommendations: s y~,. l V C~/'~` o
Boring # Boring / / ~x~ .ti6u+n u~ FM • Zcw T
/J,
I Ground surface elev. ft. Depth to limiting factor in.
Pit
Soil Application 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
l3 v r vz S C .r- ~ Vvl
G , 2
~ 3-S ®rs ~ rr s 1<
Z4
o-~
1
Boring C] • Z "
Boring
# pit Ground surface elev. ~3' oft. Depth to limiting factor in.
p*Eff#l Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2
-fib.~
a~
42-/ 1 n
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/- and TSS < 30 mg/L
CST Flame (Please Print) Si CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 ~ 715-246-4516
ti 9
Property Owner _ Parcel ID # Page of
Boring # Boring
3 pit Ground surface elev. ft. Depth to limiting factor in. r*Eff#l lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#2
-I Z o , oz sI c a
Till
Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application 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
❑ Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application 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
Effluent #1 = BOD_ > 30 < 220 mg1L and TSS >30 < 150 mgA. • Effluent #2 = BODS < 30 mg/L. and TSS < 30 mg1L
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.
SBD-6330 (RAM)
Soil, Test Plot Plan
Project Name Dan Beer Sha Vird
Address 1119 Cty Rd A
Hudson Wi 54016 CAM #226900
Lot 3 Subdivision Date 12/15/03
SW 1 /4 NE 1/4S 12 T 29 N/R19 W Township Hudson
F1 Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Wood Corner Post
System Elevation 86.0' *HRpSame as Benchmark
Alt. BM Top of Survey Iron @ 95.0'
Scale is 1" = 40'
unless otherwise 467'
Property
noted Line
B-3
1% DOI- 50' 01
Slope
35'
B-2
B-1 100' ~ ~
30 3~`
.M.
312' Property Line M. El
8Q'