HomeMy WebLinkAbout020-1481-07-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
556389 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:
020-1481-07-000
Oeverin Homes LLC, aka Oeverin Pro ertie Hudson, Town of
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
6.57- 07.29.19.3056
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER n CAPACITY STATION BS HI FS ELEV.
le ~"7
Septic Benchmark Q 9 g L>
`f C7
f'~J ~TrGt~ ~ F'► ~ l
r
Bestr►g Alt. BM -K
Aeration Bldg. Sewer ~i. 35
5.5 3
Holding St/Ht Inlet 9 Z - (0 5
6•Co
TANK SETBACK INFORMATION St/Ht Outlet (o •`1 52.35
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
/VoC~- S 6t!-rv~
Septic 5a r N~ ~z 33 / Dt Bottom
Dosing Header/Man.
7•`f q1 8s
Aeration Dist. Pipe -7.4 '71 75
7•S 9/. 7S
Holding Bot. System LJe`,i g, >1S . 8'S
Ea 9a . 7 5
PUMP/SIPHON INFORMATION Final Grade
Manufacturer Demand St Cover
5
GPM ~•1l,, Go ~u 1. 7lj `771
Model er
TDH ~ift Friction Loss System Head TDH Ft
Forcemain L . Dist. to Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width /Length No. Of Trihes / , PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 9a -7 1 111_11,c,
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR .P' /
Type Of System: p / UNIT Model Number:
DISTRIBUTION SYSTEM Z CSC
Header/Manifold / f Distribution pfd x Hole Size x Hole Spacing Vent to Air Intake
Length I i 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 -7 Bed/Trench Edges Topsoil \ es Noes E] No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 1033 Autumn Oak Lane Hudson, WI 54016 (SE 1/4 SW 1/4 7 T29N R1 9W) Whispering Oaks Lot 7 Parcel No: 07.29.19.3056
1.) Alt BM Description GOJv Cf'"- ~k-
d
/ G
2.) Bldg sewer length = 2 3
- amount of cover
Plan revision Required? Fu Yes No 'Z, r ~s
Use other side for additional information.
SBD-6710 (R.3/97) Date Insepcto Signatur Cert. No.
I
I
L 1~f
lo,
Q~
PLOT PLAN
PROJECT Oeverina Homes LLC ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
SE 1/4 SW 1/4S 7 /T, 29 'N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 11/7/12 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers 44
BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
All piping shall be SDR 30/34, within 10' SYSTEM ELEVATION 92.5/92.4 6.5' below qrade
of tank, piping shall be Schedule 40. Well is to meet all
setbacks required by
Amber Ridge Drive WDNR
Scale is 1" = 40' Vent
unless otherwise >6„ Quick4 Standard
noted h of Cover Leaching Chamber
i1 with 20.0 ft2 of Area
12" 10.2ft^2/pair of end caps
We, ' 4' Long
~ bd
Grade at System Elevation
4
Pro 3 Bedroom
House
i
140' 'o
~e
10'
ST
2-3' X 90' Cells with >3' spacing
0'
B.M.* B-1 100, B-2 99,
20'
Vents
40'
Ke lace Qfec.~ 98.5'
50' B 3 1% Slope
lq_ 283' Property Line
- corf111'1e1'~Gm.Wi. OV g~1~ ,C Safety -,trod 13uildin
r County t
201 W. Washington Ave. -1-
Madison. Wt 5371162
M of COtI#tnfaCS
ffr' . +p
a 14' sw1liur
WAG Y Yaru)~
tC. .360 b- nud to by c, ,
sanlts J" ermit Application State'1'ra0sa5ctionn Number
In acsrordance with S. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the uPP-Priate governmental AA
unit is required prior to obtaining a sarrutary permit. Note; Application forms for state-owned POWTS are
submitted to the Department of Commrterce. Project Address (ifditfererH "inn mailing address) u Dees in a0ardatwe with Personal iatbrmativn you provide may be used
for secondary
the Private law, s. 15.o4(I m stets
I. A lication Iaformatilun - Please Print Ali Info' tt ~d 33 A'✓~^~ ~w,~r` Oc G
Property Owner's Name
Parcel #
r~ v
Property Owner's Mailing Address
CP Properly l.uuali
Govt. Lot r
City, S Ztp Code ) Phone Number"
Vol3 /K, Section
rcle o
. T pe of Building (check all that app! Lot # C N; I E W
or 2 Family Dwelling- Number of Bear msv Subdivi i n Name -
6k Gd Block
❑ Public/Commercial - Describe Use t°~/ / l Q
❑ City u
❑ State Owned - Describe'f Use CSM Number ❑ Village of
Z 8' 4~-^ l5 2Z 2 Z G11w. J- own of
III. Typo of Permit: (Check on[ one bolt on iine A. Complete line l3 if applicable)
A.
tSystem ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to l xisting system (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit'rransi6r to New List Previous Permit Number and Date issued
Before Expiration Owner
IV. Typo of POWT-S S stem/ComaoaentSevice: Check all that a t r
Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable: soil ❑ Mound < 24 in. of suitabhs'soil /'r` J -S~,
❑ Holding Tank ❑ Other Dispersal Cornponeat (explain) El Pretreatment Devine {explain) G ~al►~ S
V. Die ersal/Trea out Area Iaforntation:
Design Flow (gpd) Design Soil Application (gpdst) Dis erW Area Raqui (St) Dis emnal Area Pro sed (st) stem Elevati
VL Tank Info Capacity in Total # of ufacturer
Gallons Gallons Units
New Twits sting Tanks U
~1 v
rn m r/1 A
septic or Bolding Tank
1Josurg Chamber
IVII. Responsibility SYateme t- I, the undersigned, assu esponsibitity for installation of the POWTS shown on the attached plans,
Iber's Name (Print) Plumber' gnature MP/MPRS Number Business Phone Nu ber
'lumber', Address Street, City, State, Zip Code
~C f
Iil Count /De rtment Use Only
Approved Permit Fee Date sued Issuing nt Signature
Z
_ n lbr D $ / $ /
Re on ial
X. CondiiNglReasons for Disapproval TCA%- (aJJ G, onsr
~a•~ U ,Q r
1. Septic tank, effluent filter and
dispersal cell must all be services I maintained r ; y P►n ti.. .
as per management plan provided by plumber.
2 AU "Itpack requirements mtatz be mttintafnt#d 6~ ~
As per applicable Code I Wdihitr m. Al PaJ-a(- r
Attach to complete plans for the system and submit to the County only on paper a Ices than 8 U7 s 1 t inches in sise
•
lI;BD-6398 (R 02/09)
PLOT PLAN
PROJECT Oeverina Homes LLC ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
SE 1/4 SW 1/4S 7 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 11/7/12 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE • 5 ABSORPTION AREA 900 # of chambers 44
BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
All piping shall be SDR 30/34, within 10' SYSTEM ELEVATION 92.5/92.4 6.5' below qrade
of tank, piping shall be Schedule 40. Well is to meet all
setbacks required by
Amber Ridge Drive WDNR
Scale is 1" = 40' vent
unless otherwise >6„ Quick4 Standard
noted of Cover Leaching Chamber
with 20.0 ft2 of Area
10.2ft^2/pair of end caps
Long 13439 Grade at System Elevation
34"
Pro 3 Bedroom
House
140'
10'
ST
2-3' X 90' Cells with >3' spacing
0'
B.M.* B-1 100' B-2 99,
20' BOB
Vents
40'
98.5'
50'
B-3 1% Slope
283' Property Line
.
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St.
New Richmond Wi 54017
715-246-4516
Date: 11 /7/12
Owner: Oevering Homes LLC
Location: SE1/4 SW1/4 S7 T29 N,R19Wwhispering oaks lot 7 Autumn Oak LaneHudson
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 Specifications heet
Signature
License nu 44r #226900
PLOT PLAN
PROJECT Oeverina Homes LLC ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
SE 1/4 SW 1/4S 7 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 11/7/12 BEDROOM 3
CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers 44
BENCHMARK V.R.P. Top of 1" pipe ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
All piping shall be SDR 30/34, within 10' SYSTEM ELEVATION 92.5/92.4 6.5' below qrade
of tank, piping shall be Schedule 40. Well is to meet all
setbacks required by
Amber Ridge Drive WDNR
Scale is 1" = 40' vent
unless otherwise >6„ Quick4 Standard
noted of Cover Leaching Chamber
with 20.0 ft2 of Area
10.2ft^2/pair of end caps
4' Long 12"
Grade at System Elevation
34"
Pro 3 Bedroom
House
140'
10'
ST
2-3' X 90' Cells with >3' spacing
0' ~
B.M.* B-1 100, B-2 99,
DOE]
20'
Vents
40'
98.5'
50' B 3 1% Slope
283' Property Line
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 To be >1' above grade
10.2ft^2 pair of end plates Finish grade elevation
Typical Installation 99.0'
Vent Grade Vent
3' 4„ j3p
x/30/34 Septic Tank
5' Long 1 11 5' S' Long 1 Grade at System Elevation
3691 Grade at System Elevation
Spacing 5'
2-3' X 90' Cells
Same on other end Observation tubeNent
At end of cell
A
B
22 chambers per cell
System elevations:
A-92.5'
B 92.4'
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Bu er f eJ•P n
Mailing Address 3 P,1 _ - ~G
Property Address t 0 ~v-- 14~
(Verification required from Planning & Zoning Department for new constructian.)~
City/State Parcel Identification Number .0 A/ g 0 7`tV
LEGAL DESCRIPTION
Property Location '/a Sec. , T 2~ N R///' W, Town of Subdivision Lot # ,
Certified Survey Map # Volume Page # _ ^
Warranty Deed # (5) Volume Page
Spec house yes no Lot lines identifiable no
SYSTEM MAINTENANCE MP 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. 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 miaintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter .12 - St. Czoix 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 verifying that (I) 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 113 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 Resources, State of Wisconsin.
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning &
.caning Department within 30 days of the three year expiration date.
I/we certify that all statements on s form are true to the best of my/our knowledge, I/we am/are the owner(s) of the
property described above, by virtue of a arranty deed recorded in Register of Deeds Office.
Dumber of bedrooms
AIGNAT OF~APPLICANT(S)~ DATE
+**Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
(nclude 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)
POWTS OWNER'S MANUAL & MANAGEMENTPLAN Page of
PILE INFORMATION SYSTEM SPECIFICATIONS
Owner ? t Septic Tank Capacity ~M!t2 gal ❑ NA
Permit # Septic Tank Manufacturer ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ~ ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA
Number of Public Facility Units >16 NA Pump Tank Capacity al NA
Estimated flow (average) al/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) al/day Pump Manufacturer NA
Soil Application Rate al/day /ft2 Pump Model NA
Standard Influent/Effluent Quality Monthly average` Pretreatment Unit NA
Fats, Oil & Grease (FOG) s30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) 5220 mg/L O-VA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Disp al Cell(s) ❑ NA
Biochemical Oxygen Demand (BOD5) 530 mg/L -Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) s30 mg/L -14A o At-Grade ❑ Mound
Fecal Coliform (geometric mean) 5104 cfu/100mi ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size 16 in dia. p NA Other: ❑ NA
Other: ❑ NA Other: ❑ 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: ❑ monthi) ear s (Maximum 3 years) ❑ NA
Pump out contents of tank(s) When combined sludge and scum equals one-third (IS) of tank volume ❑ NA
Inspect dispersal cell{s} At least once every: ❑ monthss) -5 Ag(year(s (Maximum 3 years) ❑ NA
NA
Clean effluent filter At least once every: monthts)
years;
Inspect pump, pump controls & alarm At least once every: ❑ monthis) NA
❑ year(s,
Flush laterals and pressure test At least once every: ❑ monthis) NA
Cl year(s)
Other: At least once every: ❑ monthis) NA
❑ year(s)
Other:
NA
NIAINTENANCE 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 cracks or leaks, measure the volume of
combined sludge and scum and to check for any back up or ponding of effluent on the ground si.irface. 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 pressurized components, pretreatment units,
and 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 an!, 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 that
may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the
1 ank(s) removed by a septage servicing operator prior to use.
3ystem 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.
ro avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the
?ffluent 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
replacement system;
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
-replacement area should be protected from disturbance and compaction and should 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 romoval 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/Oft INSUFFICIENT OXYGEN. DO N
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEIATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
5OWTS INSTALLER POWTS MAINTAINER
Name Name ~
Phone U
'
SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUV'HORi ,Y
- Name C LQ.
Ivy
Name
Phone Phone
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.
FiLTER CARTRIDGE INSTRUCTIONS
Installation
STEP I pry fit the filter case ant, the and of the outlet pipe to ensure it is
centered under the access opening. If not., then aiti4er insert more pipe into the
tank through the outlet or solvent weld (glue) additional pipe Onto the outlet
pipe.
STFF 3 Whik the case is still dry fitted on the outlet pipe, measure the length
of '14-inch pipe needed to brace, the filter to the tank end wall if utinzing the
optional supplemental side support. If side support method. is not utilized,
proceed to step four.
S•rir•f' ~ For installations ut8lzing the optional supplemental side support:
solvent weld the '/,-inch pipe onto the filter case. If side support method is not
utilized, proceed to step four, y
Solvent weld the filter case onto the outlet pipe. Insert the filter
cartridge into the case, pressing down untif the filter locks Into the bottom of
the case.
If a VR5 switch is utilia -d_ insert into the filter and luck by turning
clockwise 9(P.
;.'1•"•' y, 1 h ,4;'a +y', ' j' a1''
Maintenance
1. The effluent filter should be cleaned every time the septic tank is
serviced. {
i I
2. Open the outlet access opening to inspect the tank and fitter, •
s. Pump the septic tank corrophetely, making sure to remove the sludge
layer on the bottom of the Lank 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 on the filter handle to dislodge the x
cartridge from the case.
5. slide the cartridge up and at it of the case for cleaning.
6, if a Vlts switch connected to an alarm is present, the switch
should be removed by turning counterclockwise 90° and cleaned r..
with water only.
7. While holding the cartridge on its side (large flat surface facing h ti.
down) over the access opening, rinse off the cartridge with water only, making a sure aY sto e> material p g material Is rlatsed back into the tank. .,.,X.*.
r..
a. IE VRS switch is utilized, replace by insetting into filter and
turning clockwise 901. #4ni ,n
9. Insert the filter cartridge back into the rase, pressing down until " ' .4.. .
the filter locks into the bottom of the case. 'w a
IQ. Replace and secure the access opening on the tank. "
ir' •.iW:.:.. d l: "°r; ~ •LPi l"4Y.'.TMr{! ' Ue:- n.' : irFt':.4~ '.N:+r!6ks •i....
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STATE BAR OF WISCONSIN FORM I - 2000 966857
WARRANT' DEED BETH PABST
Document Number REGISTER OF DEEDS
WI
THIS DEED, made between NWP Holdings, LLC, a Wisconsin Limited ST. CROIX CO
11/06/2012 O. PM
Liability Company, Grantor, and Oeverin~ Homes, LLC, a Wisconsin
Limited Liability Company, Grantee. EXERECMPT MPT#:NA
NA FEE: 30.00
Grantor, for a valuable consideration, conveys to Grantee the following TRANS FEE: 141.00
described real estate in St. Croix County, State of Wisconsin (the PAGES: 1
Praperty
Lot 7, hispering Oaks, St. Croix County, Wisconsin.
Recording Area
Name and Return Address:
Land Title Inc. File No. 390239
2200 West County Road C, Ste 2205
Roseville, MN 551 13
Together with all appurtenant rights, title and interests. 020-1002-50-055
Parcel ldcntification 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, if any, of Record.
Dated this 31 st day of October. 2012.
NWP old 1~:.
* J ht Parotti. Member
*
AUTHENTICATIOKN- ~A
-rk ACKNOWLEDGMENT
a 11 ~O
Signature(s) &''Vo% f, .ESTATE OF WISCONSIN )
`5-,SjT~,. CROIX COUNTY. ) ss.
authenticated this 31 st day of October, 20tl,sj~ Personally came before me this 31 st day of October, 2012
the above named John Parotti . Member of NWP Holdings,
rip
* LLC , a Wisconsin Limited Liability Company, to me known to
be the person(s) who executed the foregoing instrument and
TITLE: MEMBER STATE BAR OF WISCONSIN
acknowledged the same.
(If not,
authorized by § 706.06. Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY * e tl a J. Bune
Notary Public. State of Wisconsin
Larry S. Mountain, Attorney at Law My commission is pemianent. (If not, state expiration date:
10/27/2013 )
(Sien;ttut'e, may be authenticated ur at knuwlcdged. Ruth arc not ncccssaly.)
*Names of pcisons signing in any capacity IDUSl Ile hyped of printed below their timialure
1 of 1
WARRANTY DEED STATE BAR or NVISCONSIN F010-1 No. 1-2000
COO
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Wisconsin Department of commerce SOIL EVALUATION REPOR PAIDPage L of 3
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code
County Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must
ccu
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 aft Jnfonnation. evie Date 71
Personal Information you provide may be used for secondary purposes (Priv .04 (1) (m)). GI~YV~^' ~Q a7 ~v
Property Owner C 'Ivrtj P erty Location
/L/co 1 RE G A Lots 1/45014 S ~ T 2,9N R E(
Property Owner's Mailing Address 1Q Lot Block # Subd. or CSM#
10;4 jen~? -1
CC 2 20 - Cv r `A Q
city State Zip Code hone NundrOlX )0*11 FI Villag T Barest cad 1
A S ]It & ZONING 0 At ~ r I Y~ ~ e,
New Construction UseMesidendal / Number of bedrooms w Code derived design flow rate J~ GPD
❑ Replacement ❑ Publi or commerdal - Des
Parent material ~ax A? Flood Plain elevation if applicable ft.
General comments 9a L!/Q-&
and reoorrtrnendetiorts:
~
7 15
SystemType System Elevation
Boring # E] Boring
J? pit Ground surface elev. 0 ft. Depth to limiting factor V 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
Z~
Boring # Boring rn~
IR Pit Ground surface elev. z/ ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Desorption Texture Structure Consistence Boundary Roots GPD/ff
In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •042
o f z- )O r 31 L S T < <v
< <
Z 1.z-bI6 , S r S
411- 1
6G/ U r s s I - '7
1
r II
14
• Effiuertt #1 = BOD > 3 i < 220 mg/L and TSS >2k):5 150 ' Effluent #2 = BOD < 30 mWIL and TSS < 30 mg/L
CST Name (Please prktt) S CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 715-246-4516
f -7
l
arcel ID # Page _ of
Property owner _
❑
® Bodng # Boring g ° 1 vin.
Ground surface elev. ft. Depth to limiting factor Sh
Pit c wa ion Rate
~
Color Redox Description Texture Stricture Consistence Boundary Roots GPDJ
Horizon Depth Dominant Col •Eff#1 'Eff#2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.
1,
1 I I ~
Z r 5 Yr rn
10
E Boring # ❑ Boring
Ground surface elev. ft. Depth to limiting factor in
pit Soil Application Rate
❑
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fF
•Eff#1 'Eff#2
in. Munsell Qu. S7-. Cont. Color Gr. Sz. Sh.
❑ Boring in.
El Boring # Ground surface elev. ft. Depth to limiting factor Pit Soil ication Rate
❑
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
Gr. Sz. Sh. •Eff#1 'Eff#2
in. Munsell Qu. Sz. Cont. Cola'
Effluent #1 = BOD5 > 3o:< _ 220 mglL and TSS >30 150 mg& ' Effluent #2 = BODE < 30 mWL and TSS < 30 rngll.
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.
seau3o pe.6/o01
I 1 Soil Test Plot Plan
Project Name NWP Holdings Shauk*d
Address 573 CtY Rd A
Hudson Wi 54016 C&A #226900
Lot 7 Subdivision Whispering Oaks Date 10/18/10
SE 1/4 S W 1/4S 7 T24 N/R19 W Township Hudson
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of 1" pipe
System Elevation TBD *HRpSameasBenchmark
Amber Ridge Drive
Scale is 1" = 40'
unless otherwise
noted
140'
B.M.* B-1 100' B-2 99'
20'
40'
98.5'
50' B-3 1% Slope
283' Property Line
08/24/2012 09:40 AM
Parcel 020-1481-07-000 PAGE 1 OF 1
Alt. Parcel M 07.29.19.3056 020 - TOWN OF HUDSON
ST. CROIX COUNTY, WISCONSIN
Current ❑
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
11/08/2011 0
Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner
0 - 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 1033 AUTUMN OAK LN
SC 2611 SCH DIST OF HUDSON
SP 1700 WITC
Legal Description: Acres: 1.580 Plat: 11-039-WHISPERING OAKS 020-011
SEC 07 T29N R19W PT SE SW WHISPERING Block/Condo Bldg: LOT 07
OAKS LOT 7 (1.58 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 M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/18/2012
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.580 38,700 0 38,700 NO 05
Totals for 2012:
General Property 1.580 38,700 0 38,700
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