HomeMy WebLinkAbout020-1481-08-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
556350 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:
Delta Construction, Inc. Hudson, Town of 020-1481-08-000
CST BM Elev: Insp. BM Elev: BM Description: f i2-2 Section/Town/Range/Map No:
V__7
S SAP 07.29.19.3057
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark i
1(~Ol~- 5 da '77
Dosing Alt. BM
q1_
Aeration Bldg. Sewer
Holding S Ht inlet
Ht Outlet fit'
TANK SETBACK INFORMATION , 5-Y
TANK TO P/I i WELLi BLDG. Vent to Air Intake ROAD Dt Inlet
Septic 'L 3 5 / i 6 I Dt Bottom
rG YD
Dosing Heade3r/Man.
/ 7. -7 3,Zj
Aeration Dist. Pipe
Holding Bot. System
g'. ~
PUMP/SIPHON INFORMATION Final Grade
~L 3. y~.~
Manufacturer G ~ Demand St Cover i N
A GPM
Model Number
L IrT I -1~9Z TDH Lift Friction Loss 3ys'tem He d TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width t Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 NSETB
ACK SYSTEM TO P/L BLDG WE LAKE/STREArM HE anufacty , ` iT
INFORMATION 7AM ER OR '~J'h
Ty Of System:
IL--Model Number:
DISTRIBUTION SYSTEM s / 0.7- V
Bader anifold r JDistribution f x Hole Size x Hole Spacing Vent to it Intake
Q / I Pipe(s) - / r
Length a Dia Length N I D Dia Spacing r~
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx
Bed/Trench Center r Bedlrreench Edges Topsoil Depth of xx Seeded/Sodded xx Mulched
H Yes 0 No Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:t/t 7- Inspection #2: / /
Location: 346 Miller Rd Hudson WI 54016 (SE 1/4 SW 1/4 7 T 9N R19W) Whispering Oaks Lot 08 Parcel No: 07.29.19.3057
1.) Alt BM Description
2.) Bldg sewer length= - amount of cover
Plan revision Required? ° Yes 'No
Use other side for additional information.
Date Insepctoes Signatur Cert. No.
SBD-6710 (R.3/97)
PLOT PLAN
PROJECT Delta Construction ADDRESS 400 South Second St. Suite 135 Hudson Wi 54016
SE 1/4 SW 1/4S 7 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/1 /12 BEDROOM 4
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers5 Gj
,BENCHMARK V.R.P. Top of steel Fence Post ASSUME ELEVATION 1001 Filter BEAR Filter
❑ BOREHOLE O WELL 11 H.R.P. Same as Benchmark
SYSTEM ELEVATION 92.6/92.3 6.5' below qrade
All piping shall be SDR 30/34, within 10'
of tank, piping shall be Schedule 40. Well is to meet all
Scale is 1" = 40' setbacks required by
unless otherwise WDNR
noted
177' 3 CR)S 1^d 1-7 B.M.* 340' Property Line
ho-
97' 20'
S~ -2 100' B-3
+v wad
N/ 30' ND ~L
lZo ~wnda~~
99' 50'
5% Slope B-1 3 Area of poorer soils
S
2-3' X 102' Cells with >3' spacing 5
911
Pro 4
Bedroom
House
y'~/~~-✓ LA/C7
Road
Vent
>6„ Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
10.2ft^2/pair of end caps
Scale is 1" = 40' 4' Long 12"
Grade at System Elevation
unless otherwise 34"
noted
( I
1 t
I t 0.sa'Easy
PROPEpTy
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66 - FOOT WIDE ACCESS
i
t I EASEMENT AS SHOWN ON <<"„ ° •
I 1 CERTIFIED SURVEY MAP
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- - MILLER PAN
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t w 68 964 SO. FT.
} $ 1.58 AC.
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{915.97} ; e
i S83°46-25V 28:1.53' r '
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LOT 6
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oolmtraera~'Vd C Safety and Buildings Division Count
201 W. Washington Ave., P.O. Box 7162
~J 4L
seonSlln 0 X12 111adiSOri, WI 53707-7162 5nnLuryYernileNurn6ur
Qepertmetnt of Co 55 c c tin ru,a ,n ny
Sanita>sy Application State lr«ion NJUmber
In accordance with s. Comm. 83.21(kAW A 1t, ode, submission of this forrn to tl i to governmental N
unit is required prior to obtaining a sanitary permit. Nate: Application fonts 11'~gb~w
submitted to the Department of commerce. Personal information you provide maybe us ~ for Tt are project Address (if different than mailing addr )
u ores in accordance with the Privacy Law, s. 15.(14(1 m , Slats.
1. A kation Informtation - Please Print All Information
Property Owner' ame Parcel #
141g ae
Property Owner's Mailing Address Properly Location
S. f-)-,go C° C 3057
City, S - • ~ G vt. Lot
Zip Code Phone Number ~
l/lJ a C ~ ~ Section
rile one
II. Type of Building (check all that apply) Lot # T N; R E U wJ
or 2 Family Dwelling - Number of Bedrooms Subdivisto C
g n Name
6k- o d /1 ~aA- Block " f r .c V
❑ Public/Conur►ercia! -Describe Use
All,
❑ City of
❑ State Owned - Describe Use CSM Number ❑ Village of _
Z tJ c'.S G ~~1~. of
IQ. Type of Permit: (C eck only o e box on line A. Complete line B if applicable)
A.
New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only El Other
- Y Modification to Existing S stem f(explain)J
B. 11 Permit Renewal ❑ Permit Revision 11 Change ofPlumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
a~.
ype of POWTS System/Component/Device: Check all that apply)
*on-Pre
ssurize
d In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound 24 in. of suitable soil ❑ Mound a 24 in. of suitable soil G4w..r. "
ding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Disper sal/Trea eat Area Information:
Design Flow (gpd) I Design Soil pplication Rate pdst) Dispersal Area Required (si) Dispersal Area Proposed (s System Elevation
CIO X~
VL Tank Info Capacity in Total # of Manufacturer
Gallons Galion, Units
New Tanks Existing Tanks 'R N U
av G~ ge fir,'! a 8 w
(Septic or Holding Tank
~ r
Dosing Chamber
1/7
VII. Responsibility Statement- 1, the undersigned, assnm s onsibility for installation of the POWTS shown on the attached plans.
?1u4er's Name (Print)- Plumber' M MP/MFRS Number Business Phone Number /
ZZ
C
L5'
~ItunberA
ddress (Street, State, Zip Code) ~ ~ l J
d) 7
ICI ount /De artment Use Only
Approved Disapprov Permit Fee Date I ued Issuing t Signature
$ /75.60,
7 Z /L
'D~JiTLrftr ven Reason for Dental` -T
~X. ConditlF~lReasons for Disapproval 31 Q~.?•~ wee P/rD✓," /1G,r.! rue
1. $epgc tank effluent fifter and ,dispersal cell must all ll be services ttnalntattud -M.,44- X-15 /'Natr4,k
vt,ebwt~t. w~w1'7 ,
as per management plan provided by plumber,
2. Allse(back hogs VemeMs must be mainWmN
" #e per q4 ft", code / OF o
Attach to complete plans for the system and submit to the County only on paper not leas than s to s 11 inches in size
-6398 (R 02/09)
'1313
L
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 10/1/12
Owner: Delta Construction
Location: SE1/4 SW1/4 S7 T29 N,R19W Lot 8 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. Chamber Cross Section
4-6. Maintanance and Contingency Plan
7. Filter Sp4ation eet
Signature
License n0
PLOT PLAN
-PROJECT Delta Construction ADDRESS 400 South Second St. Suite 135 Hudson Wi 54016
SE 1/4 SW 1/4S 7 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/1 /12 BEDROOM 4
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers 50
BENCHMARK V.R.P. Top of steel Fence Post ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All shall be SDR 30/34, within 10' SYSTEM ELEVATION 92.6/92.3 6.5' below qrade
piping Well is to meet all
of tank, piping shall be Schedule 40.
Scale is 1" = 40' setbacks required by
unless otherwise WDNR
noted
177' B.M.* 340' Property Line
97' t220'
B-2 100' B-3
Vents 30'
99' 50'
5% Slope B-1 30' Area of poorer soils
ST
2-3' X 102' Cells with >3' spacing 5
5
Pro 4
Bedroom
House
Road
Vent
>6„ Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
10.2ft^2/pair of end caps
Scale is 1" = 40' 4' Long 12"
3 4" Grade at System Elevation
unless otherwise
noted
.
Cross Section of Infiltrator Quick 4 Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard Leaching Chamber
with 20.0 ft2 of Area per Chamber
10.2ft^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation /e 99.1'
Vent Vent
i
Grade
A~30/34 ti T
Sep c ank
ALong 4" 3'
1 5' S' Long 1
Grade at System Elevation
3 6" Grade at System Elevation
Spacing 5'
2-3' X 102' Cells
Same on other end Observation tubeNent
At end of cell
A
B
25 chambers per cell
System elevations:
A_92.6'
B 92.3'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity ❑ NA
Permit # al
Septic Tank Manufacturer ❑ NA 4Zd
)ESIGN PARAMETERS Effluent Filter Manufacturer ? ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units A Pump Tank Capacity of 13 NA
Estimated flow (average) gal/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5)gal/day Pump Manufacturer 13 NA
Soil Application Rate t al/da /ftz Pump Model IAI NA
Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD5) 530 mg/L In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L ANA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line ❑ Other:
!Maximum Effluent Particle Size X in dia. ❑ NA Other: ❑ NA
(Other: ❑ NA Other: ❑ NA
"Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
IAINTENANCE SCHEDULE
Service Event Service Frequency
!inspect condition of tank(s) At least once every' 11 month(s)
ears (Maximum 3 years) ❑ NA
(Pump out contents of tank(s) When combined sludge and scum equals one-third (X) of tank volume ❑ NA
IInspect dispersal cell(s) At least once eve ❑ month(s)
ear(s) (Maximum 3 years) ❑ NA
ry'
Jkx
Clean effluent filter At least once every: 'XT ❑ month(s) ❑ NA
ear(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA
❑ year(s)
[:lush laterals and pressure test At least once every: ❑ month(s) ❑ NA
❑ year(s)
I6ther: At least once every: ❑ month(s) ❑ NA
ti ❑ year(s)
ther: ,
❑ NA
MAINTENANCE INSTRUCTIONS
!Inspections 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
!include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of
ic;ombined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cells shall be
visually inspected to check the effluent levels in the observation pipes and to check for an ondin of effluent on the round surf
'l'h Y p 9 g ace.
e ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local
1'e9ulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (X) 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.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
land any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page of
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals thElt
may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of thjs
tank(s) removed by a se to a servicing operator prior to use.
ved b p 9
System start up shall not occur when soil conditions are frozen at the infiltrative surface. excess During power outages pump tanks may fill above normal highwater levels. When
power is restored
surface di wastewater of effilllene
backed the
discharged the dispersal cell(s) in one large dose, overloading the cell s) and may result in th p
to restoring power to the
To avoid this s situation have the contents of the pump tank removed by a Septage Servicing Operator prior g P
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. the area within
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact,
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 POWT :
antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; s disinfectants; oil; fat; painting foundation fond dralin
water, ; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medication ils;
(sump pump) ralin
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 safety 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 stpil,
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 compliilint
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
/ he replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled
setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the neled
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule:l in
effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technologN 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/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name Name 1~ ,
czu. /
Phone ~
Phone - - C ~
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY
Name Name
p2 ~0 Phone
Phone J
This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(fl and 383.54(1), (2) & (3), Wisconsin Administrative Code.
RLTER CARTRIDGE INSTRUCTIONS
.y= 0
Installation f
STEP I Dry fit the filter case onto the and of the outlet pipe to ensure it is
centered under the access, opening. If not, then either insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe onto the outlet
pipe.
STEP While the case is still dry fitted on the outlet pipe, measure the length
of -U-inch pipe needed to brace the finer to the tank end wall If utilizing the
optional supplemental side support. If side support method is not utilized,
proceed to step four.
!s-T P + 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 cartridge into thevcaset pressing down n until the filter locks into the bottom of
the case.
If a VRS switch is
utilized: insert into the filter and lock by turning ~y
clockwise 906
Maintenance
1. The effluent filter should be cleaned every time the septic tank is
serviced.
2. open the outlet access opening to Inspect the tank and Rfter. '
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 lowered below the invert of the
outlet
Pipe, firmly pull up an the filter handle to dislodge the
cartridge from the case.
S. slide the cartridge up and out of the case for cleaning.
6. If a VRS switch connected to an alarm Is present, the switch 7
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 isr. fh„r'
only, making sure all septage material is rinsed back into the tank. c f:'
a. If VRS switch is utilized, replace by inserting into filter and
turning clockwise 90°.
9. Insert the filter cartridge back into the case } n,
the filter locks into the bottom of the case, pressing down until
id. Replace and secure the access
opening on the tank. ,
tr :ft':. ~AA~:r J?irC '4 u: Q:^ r'..',yrai'~.l;i :Xr...
www bearonsitexom 877-MLRLTERS (653-4583)
12
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address
Property Address
(Verification required from Planning & Zoning Department for new construction)T
City/State Parcel Identification Number DOS eq L"v U
LEGAL DESCRIPTION
Property Location SE 1/4 yq , Sec._7 T Z
N' R_ _W, Town of
~
Subdivision
Lot #
Certified Survey Map # ~ m----- ~
Volume , Page #
Warranty Deed #Q b ^
Volume Page #
Spec house / e no Lot lines identifiabl esI no
SYSTEM MAINTENANCE AND
OWNER. CERTIFICATION
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 li~,ensed 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 Ordinance.
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 verTying 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 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 R esources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned tc the St. Croix County Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this rm are true to the best of my/our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of a wa my deed recorded in Register of Deeds Office.
Numb r of bedrooms
GNATURE OF APPLICANT(S)
DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Pimning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
s
gis
340.55
{922,151
T~z Cl) LOT 8 0 co
13
73,462 . FT.
1.69 .
L.R.O.
. 'fir
II IIIIIIIIIilllllllllll IIII III
8 T Tx: 9 7 7 6
4 68861
STATE BAR OF WISCONSIN FORM 1 - 2000 964081
BETH PABST
DocutnentNutnber WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
THIS DEED, made between NWP Holdings, LLC, a Wisconsin Limited 09/25/2012 11:41 AM
Liability Company, Grantor, and Delta Construction z n c . , r a n t e e . EXEMPT#: NA
Grantor, for a valuable consideration, conveys to Grantee the f1) o iiiwo g REC FEE: 30.00
described real estate in St. Croix County, State of Wisconsin (the TRANS FEE: 142.50
"Property"): PAGES: 1
Lot 8, Whispering Oaks, St. Croix County, Wisconsin.
Recording Area
Name and Retum Address:
Land Title Inc. File # 336153
2200 W. County Road C, Ste 2205
Roseville, MN 55113
Together with all appurtenant rights, title and interests. 020-1481-08-000
Parcel Identification Number (PIN)
This is not homestead property.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
Easements, Restrictions, Reservations, Roadways and Rights of Way, iI"any, of Record.
Dated this 7th day of September, 2012.
j NW tpl~-
Uohn Parott i , Member
'0~s ~-Jz-,
AUTHENTICATION " NOTARY ACKNOWLEDGMENT
of Signature(s) k ."0.100 STfvTE 01: WISCONSIN )
, S u CROIX COUNTY. ) ss.
authenticated this 7th day of September, Personally came before me this 7th day of September, 2012
le above named John Parotti , the Member of NWP Holdings,
* ..G LLC , a Wisconsin Limited Liability Company, to me known to
TITLE: MEMBER STATE BAR OF WISCONSIN be the persot1(S) who executed the foregoing instrument and
acknowledged the same.
(1 f not,
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFI'L"-D BY e lee J. 13une
Notary Public, State of Wcousin
Larry S. Mountain, Attorney at Law My commission is permanent. (]fnot, state expiration date:
10/27/2013 )
(Signatures may be authenticated or acknowledged. Both are not neceSSap.)
*Natnes dpersons signing in any capacity must be typed nr printed befuu their Si Unalurc
1 of 1
WARRANTY I).en STATE BAR 01 'WISCONSIN r•010-1 No. 1-21)(10
Oct 01 1202:04p p.4
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PAID
r
nsin Department of Commerce SOIL EVALUATION REPO Page of
1Nisoo
ihsion of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code r.
• County '54. 71,
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. /gyp
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. OZ t7 - l J a l 0 J, 27D
Please print all information. awed b Date
Personal information you provide may be used for secondary purpons. 15.04 (1) (ml). Property Owner c^!F roperty Location
1 V C0 /0 40~ 1,VJ G:V ovi. Lot s 1/4550/4 S T 2,9N R E (o
Property Owners Mailing Address of # Block # Subd. ~ame or CSM#
goo-
-52--3 nrl 3 GrJ (n Q
city tate Zip Code Phffii Number City ViIlag T earest cad r 1 JCI gT.GKUpt ?~r
'Xe 'd
New Construction Use•~tesidential Number of bedroans .3/V Code derived design flow rate av GPD
00 77-
❑Replacement ❑ Publi orcommerciai-Des
Parent material Flood Plain eleva)ion if applicable A--~IV ft•
General comments S /t`~
and reoarwnendations: /
Gta--G~a-CJ~-G.P d C"-L System Type ~~?Ur42 j System Elevation 7- fS to
u q~ S 5
❑ Boring /
®n# ja pit Ground surface elev.. ( ft. Depth to limiting factor 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
a-8 31z-
JOY
i
-f2 D .yll .r// Al
41
I
a ~ # Boring
Ground surface elev. ! / L ft. Depth to limiting factor /,-I?- y in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
6-/-s 0 31 L S/ Y In '6- 17-r-
S r--- rnl n'I
1-3-.?Y
S la AIM Of 17.
01q- /77Z AIM AI)d
` Effluent #1 = BOD > 30 220 mg1L and TSS >30 11 5" Effluent #2 = BOD 130 m 4l- and TSS < 30 mg/L
CST Name (Please R" CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 ~,f -/v 715-246-4516
-Property owner - Parcel ID # Page of
❑ Boring 1
Boring # S Pit Ground surface elev. Vk Depth to limiting factor in. Sal Application Rate
a `
'ion Texture structure
Horizon Dominant Color Redox Description e Consistence Boundary Roots GPDIf(
Depth 'Eff#i 'Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
All
U-I /0 S 00 In l h/) h~l~4
Boring # ❑ Boring
❑ -
11 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
Gr. Sz. Sh. 'Eff#1 'Eff#2
in. Munsell Qu. Sz. Cont. Color
❑ Boring
❑ Boring # Ground surface elev. ft. Depth to Ihniting factor in. Soll ice<ion Rate
❑ Pit
th Dominant Col Redox Description • Texture Structure Consistence Boundary Roots GPD/ftz
Horizon "lep •Eff#1 'Eff#2
in. Munselt Qu. Sz. Cont. Color Gr. Sz. Sh.
' Effluent #1 = BODE > 30 < 220 mglL. and TSS >30 150 mgA- ' Effluent #2 = BOD, < 30 nXVL and TSS 130 mill
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-8330 (RAW)
Soil Test Plot Pla
Project Name NWP Holdings Sh Bird
Address 573 Cty Rd A
Hudson Wi 54016
# 26900
Lot 8 Subdivision Whispering Oaks Date t1l/10
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 Steel Post
System Elevation TBD *HRpSame as Benchmark
177' B.M.* 340' Property
97' 20'
B-2 100'
B-3
5% Slope 30'
99' 50'
B-1 EF4 30'
Area of poorer soils
Amber Ridge Drive
Scale is 1" = 40'
unless otherwise
noted
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Parcel 020-1481-08-000 08/24/2012 09:40 AM
PAGE 1 OF 1
Alt. Parcel 07.29.19.3057 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 " 346 MILLER RD
SC 2611 SCH DIST OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.690 Plat: 11-039-WHISPERING OAKS 020-011
SEC 07 T29N R19W PT SE SW & PT NE SW Block/Condo Bldg: LOT 08
WHISPERING OAKS LOT 8 (1.69 AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
07-29N-19W SE SW
07-29N-19W NE 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 M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/18/2012
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.690 40,400 0 40,400 NO 05
Totals for 2012:
General Property 1.690 40,400 0 40,400
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