HomeMy WebLinkAbout020-1023-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
567239 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:
Oevering Homes LLC, aka Oevering Propertie Hudson, Town of 020-1023-30-000
CST BM Elev: Insp.BM Elev: BM Description
No:
00 (3 1 GS—F. 14.29.19.104F
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER ,ny4 CAPACITY STATION BS HI FS ELEV.
i
Septic , 1���� �1� •^ z , Benchmark
r7 �l (...Z...1 �. 2 s /2/Y /2. 3 112 .3 lelef)
Alt. BM I
Aeration --- Bldg.Sewer g / ,i5
Holding St/Ht Inlet r ,, S/6s, $5
St/Ht Outlet
TANK SETBACK INFORMATION 3 .4 ia1,7
TANK TO /L WELL BLDG. ent to it Intake ROAD Dt Inlet ^`
it 1 / ,6-(4.5"-4,.........
Septic 7 50, ,� yq y 75 Dt Bottom
Dosing Header/Man. 7.0 /Di •3
Aeration Dist. Pipe $• 0 /04- 3
Holding _ - Bot.System 9',3 /63.3
7.Final Grade / p
PUMP/SIPHON INFORMATION ki,'St, s,*� �
q 2/. 3 D
Manufacturer Demand St Cover I Jr �. b /
GPM F,'4, Co✓-u_ //S•� , / //z•`/
Model Number
TDH 'Lift Friction Loss System Head �TPH Ft (,,,,,,__
Forcemain Length pia. Dist.to Well �_
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Length / No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 96 Z ��c_,L-� `-- .—_. ----_ ---...-
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
INFORMATION / CHAMBER OR -714 f"i^
'( 14-14,1.1-a—
Type Of System: , / Q, UNIT L_ 1�
/ 1 0 7 O ' /v� Ai NirJ MOrf�l✓ �G./� 'r ��t w�
C.C1 vl✓�f�f l 0 A'c�/� (�
DISTRIBUTION SYSTEM 22.4-ZZZ 4-f1-- /"/0�
Header/Manifol), I I Distribution ` x Hole Size x Hole Spacing Vent ty Air Intake
8 Pipe(s) \ .\ \_ �y �` /`-I o('i-'(-..
Length Dia Length Dia Spacing e,....-ca S
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 Bed/Trench Edges Topsoil
N.,....., Yes ri No Yes 0 No
COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / / Inspection#2: / /
Location: 761 Holden Lane Hudson,WI 54016(NW 1/4 SE 1/4 14 T29N R19W) NA of Parcel No: 14.29.19.104F
1.)Alt BM Description= ` ' I ^ Go✓� �j�w�`r r �G`�� d`�'
2.)Bldg sewer length= 3
-amount of cover= / 0-0-5L-'
I i i
Plan revision Required? 0 Yes (No IS /11 13
Use other side for additional information. Ir� ✓f�_____!
SBD-6710(R.3/97) Date / Inse. or's Sigfure Cert.No.
A
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4S 14 /T 29 N/R 19 W TOWN Hudson COUNTY ST.CROIX
10/18/13 BEDROOM 4
MPRS Shaun Bird 226900 DATE .
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 .7 ABSORPTION AREA 890 # of chambers 44
BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL *H.R.P. Same as Benchmark
Holden Lane SYSTEM ELEVATION 104.9/103.7'
Scale is 1" = 40'
unless otherwise
noted
All piping shall be SDR 30/34,within 10'
of tank,piping shall be Schedule 40.
Vents
t � B-2
2-3' X 90' cells with
>3' spacing
B.M.* Ni
A. 50' B-3 \cr
Pro 4
45' Bedroom 250'
14% Slope House
B-1
0' ' ! "u5T - 20' 200' ►
•
20'
110'
106'
108'
Vent
>6,, Quick4 Standard
Leaching Chamber
of Cover with 20.0 ft2 of Area
r-
5.6ft^2/pair of end caps
4' Long Property Line
34" Grade at System Elevation
•
xrcvr - - - - County
r ``dpi Industry Services Division
r-% '1400 E Washington Ave Sanitary Porrnit Nurnber (to be filled it by Co.)
P.O 7 7
;NN Nladi VV~ - :5(, -22
Sanitary Permit Application StateTiansaction Number
)4,)#A7
In accordance with SPS 383.21(2), Wis. Adin. Code, submission of this form to the appropriall vernnien:tnl Unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POW ty,submtlted to Project Address (it'dif erent than maili ig address)
the Department of Safety and Professional Servies. Personal information you provide may be used fbrs'ee'd~ty
purposes in accordance with the Privacy Law, s. 15.04(1)(rn), Stats. 76 / Ap/ a-, a~
1. Application information - Please Print All Inform_atiol _ - 7
Property Owner's..Naame _
Parcel ti -
13
Property Owner's Mailing Address Property Location
Govt Lot..-
city, /Q
state L,i Code Phone Number Vn Sectiol/, 1
1Ue.,- r , (w~ . Ol 7 ~ de one
11. T pe of Building (check all at apPl Lot {f
I or2 Painily Dwelling - Nunberot'Bed o oms_ Subdivision Name
' OIL ~ ~o Block Hr\
❑ ! ublic/Commercial -Describe Use
i
Cilyol
❑ State Owned - Describe Use CSM Number _ Ilagc of
04
ow I of
2, r.G,(5 22- r ZZ - - -
111. Type of Permit: (Check onl one box on line A, Complete line B if applicable)
A' New System ❑ Replacement System ❑ 'freatrnent/Holding "I'arik Replacement Only Other Modification to Existing Systr n (explain)
1t• ❑ Permit Renewal ❑ Permit Revision i ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date esued
Before Expiration Owner
IV. Type of POWTS System/Component/Device, (Checic ali that apply)
~
Non Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound _24 in of suitable soil ❑ Mound <24 in of suitable soil /
❑ t ding'Tank ❑ Other Dispersal Component (explain)---_ Pretreatment Device (explain)__
V. Dispersal/Treatment Area Information;
h wion Rate(gpd Disp
Dispersal Area Rec aired (sO c:rsa ret 'roposed (st) Systun Elev on
Des~r Flow ( 1d) esl n Soil App
66 (€I s
1 6,1 k-
V1. Tank Info -Capacity in Total d of MaIufacturer
Gallons Gallons Units r a~ i $ + Z
New Tanks Existing Tanks 1 b
W LG.~-• ~ rtJ r ~ w in y v~ ii C7 aSeptic of f-loidiiig Tank
Dosmg Chamber
Vii. Responsibility Statement- 1, the undersigned, assume r sibility I'or installation of the POIN_"I'S shown on the attached plans.
Plumber's Name (Print)- - Plumber's Si re MP/MPRS Number Business Phone N, tuber
umber'sAddddyess (Street, City, St lip Code)
12
Vlll. Count /De Iartment Use Only,_ _ J~/ -L - - - - -
Approved Permit Pee Date Is Lied lssumg t Signature
en Reason for enial L.~l~• 150 16 Z3/J,3]
IX. Condit(pAfWrfgR! asons for, Disapproval 3)
1 Septic tank, effluent fitter and
I ur ~Je ` ' `~"n o
dispersal celi.must all be ser*es r maintained 5 M a J tirJl- ti t-o 1~•~-a -.tom
as per management plan provided by plumber. kl
AN sett~ack requirements must be maintained
as per appNeabie cods r adinanas: ✓ _ C .?~U?-... r ~y a c~ g"'
_ Attach to complete plans for the system and submit o If. e County only o„ paper not less th 8 1/2 x 1 I inches in sire
cL a'l.
SBD-6396 (R0313)
Cover Page
Shaun Bird
Bird Plumbing Inc.
1432 120th St. New Richmond Wi 54017
715-246-4516
Date: 10/18/13
Owner:Oevering Homes
Location: NW1A SE1A S14 T29 N,R19W 761 Holden Lane 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 Specifications Sh
8.-10. Soil Test
Signature
License numbe 6900
PLOT PLAN
PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017
NW 1/4 SE 1/4S 14 /T 29 N/R 19 W TOWN Hudson COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 10/18/13 BEDROOM 4
CONVENTIONAL XXXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK
MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 890 # of chambers 44
BENCHMARK V.R.P. Top of steel fence post ASSUME ELEVATION 100' Filter BEAR Filter
❑ BOREHOLE O WELL * H. R. P. Same as Benchmark
Holden Lane SYSTEM ELEVATION 104.9/103.7'
Scale is 1" = 40'
unless otherwise
noted j
All piping shall be SDR 30/34, within 10'
of tank, piping shall be Schedule 40.
Vents
B-2 II
2-3' X 90' cells with
>3' spacing
B.M.*
B-3
50' 0111 0'
Pro 4
45' Bedroom 250'
14% Slope House
B-1
0, ST 20, 200,
20'
110'
106'
108'
Vent
>6" Quick4 Standard
of Cover Leaching Chamber
with 20.0 ft2 of Area
5.6ft^2/pair of end caps
Long 12 7f Property Line
34" Grade at System Elevation
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
5.6ft 2 pair of end plates
Finish grade elevation
Typical Installation 109.5'
Vent A/ Grade Vent
3' 4" 3'
A;-~'30/34 Septic Tank
5' Long 1 5' S' Long 119
3691 Grade at System Elevation 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-1 04.9'
B 103.7'
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of-~
FILE INFORMATION SYSTEM S12ECIFICATIONS
Owner Septic Tank Ca~ pacity _ - al ❑ NA
oe~~,rj -
❑ NA
Permit# Septic Tank Manufacturer 1 7
DESIGN PARAMETERS Effluent Filter Manufactuver _ `~!s.~ ~ ❑ NA
❑ NA Effluent Filter Model ❑ NA
Number of Bedrooms
Number of Public Facility Units A Pump Tank Capacity al NA
Estimated flow (average) _ Z776rr~ gal/day Pump Tank Manufacturer NA
Design flow (peak), (Estimated x 1.5) Pump Manufacturer T - - NA
al/da
Soil Application Raise al/da /fe Pump Moclel NA
Standard Influent/Effluent Quality Monthly average" Pretreatment Unit NA
Fats, Oil & Grease (FOG) <_30 mg/L ❑ Sand/Gavel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BODs) 5220 mg/L O NA 13 Mecharical Aeration El Wetland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection!-_ ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) 11 NA
Biochemical Oxygen Demand (BODs) 530 mg/L -Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) 530 mg/L NA ❑ At-Graae ❑ Mound
Fecal Conform (geometric mean) 5104 cfu/100mf / \ CI Drip-Line--„ - ❑ Other:
- - _ _ _
Maximum Effluent Particle Size 3k in dia. ❑ NA Other: ❑ NA
Other: - - 0 NA Other: ❑ NA
Other: - ❑ NA
`Values typical for domestic wastewater and septic tank effluent.
MAINTENANCE SCHEDULE
Service Event Service Frequency
h's) (Maximum 3 years) ❑ NA
Inspect condition of tank(s) At least once every: ❑ mont ear w
Pump out contents of tank(s) - When combined sludge and scum equals one-third (16) of tank volume - - ❑ NA
fwth',s)
Maximum 3 years} DNA
Inspect dispersal cell(s) - At least once every: ars(
onths s) NA
Clean effluent filter At least once every: ar(s,
_ ~
Inspect pump, pump controls & alarm At least once every: O monthss) NA
❑ year(s)
_ 0 monthis) NA
Flush laterals and pressure test At least once every: p year(s)
Other. 0 month{ s) NA
At least once every: ❑ year(s) -
Other. - - - NA
r
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 Semi(: ng 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 or 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 (6) or more of ti ie 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, mecharical or pressurized components, pretreatment units,
and any servicing at intervals of 512 months, shall be performed by a certified POWT5 Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of cc,mpfetion of an!, service event.
Page of
START UP AND OPERATION chem hat
For new construction, printo use
and/or dam ge the dispersal tcetank(s) fr the ll(s). if high concentrations rafare detected have there nten~ts loftthe
may impede the treatment process 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 ab3ve 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 tho pump tank removed by a Septage Servicing Operator prior to restoring power to the
effluent pump or contact a Plumber or POWTft 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 di:opersal 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; condoins; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain
(sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scrap: 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 takfm to insure that the system is properly
and safely abandoned in compliance with chaptor 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 property disposed of by a SeptagEe Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their coves 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:
suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system.
T e replacement area should be proiected 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 POV1WFS.
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the hiomat 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 ASEPTIC, 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 `
Nam
Name
Phone
Phase e
- ~
SEPTAGE SERVICING OPERATOR PER LOCAL REGULATORY AUTHORITY
Name Name
Phone Phone j
This document was drafted in compliance with chapter l3PS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) 8, (3), Wisconsin Administrative Code.
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ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHT CERTIFICATION FORM
Owner/Buyer Q f 1 n
Mailing Address 10 at -1L
Property Address 76 rX1I~w .Q~
(Verification required from Planning & Zoning Department for new commw ion.) -
City/State Parcel Identification Number 30
LEGAL DESCRIPTION
Property Location Y/,, , Y4, Sec./6/ T 1!~ L-N R/ Town of _
Subdivision
c3 Lot #
Certified Survey Map #
'Volume Page # ~
Warranty Deed #
Volume Page #
Spec hour yes no
Lot lines identifiab ye no
SYSTEM MAIIVTENANCE AND O,pyNER 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 eve
the system can affect the function of the rY three years or sooner, if needed, by a licensed pumper. What you put into sep responsibilities are specified in §Comm. 83.52(1
tank as
waste al system. Owner maintenance
in chap 12- Stage in
t3' Sanitary Ordinance.
The property owner agrees to submit to St Croix County Planning & Zoning owner and by a master plumber, journey plumber, restricted plumber or a licensedpuumper vV artment
a certification form, signed by the
wastewater disposal system is in proper operating condition and/or (2) after inspection and Ong that the onsite
less dian 1/3 full of sludge. pumping (if necessary), the sseptic tank is
1/we, the undersigned have read the above requirements and agree to p
standards set forth, herein, as set by the b maintain the private sewage disposal system with the
Certification stating that your septic system has been maintained must be completed and returned to the St. Croix oun'sclanii
Zoning Department within 30 days of the three year expiration date, tY Planning &
Uwe certify that all statements on this fogan are true to the hest of my/our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue o a deed recorded in Register of Deeds Office.
Number of bedroo
IGNA OF APPLICANT(S)
DATE
***Any information that is misrepresented may result in the Sanitary permit being
revolted by the Planning & `Coning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey nap if
reference is made in the warranty deed.
(REV. 08105)
STATE BAR OF WISCONSIN FORM 1 - 1998 II 111
WARRANTY DEED 8 Tx84 577 0
987802
Document Number BETH PABST
This Deed, made between Bruce A. Miller. married Grantor, REGISTER OF DEEDS
and Oevering Homes. LLC Grantee. ST. CROIX CO., WI
Grantor, for a valuable consideration conveys to Grantee the following 10/21/2013 12:47 PM
described real estate in St. Croix County State of EXEMPT*: N/A
Wisconsin (the "Property"): REC FEE: 30.00
TRANS FEE: 315.00
PAGES: 2
Recording Area
Name and Return Address
oevering Homes LLC
1433 Cernohous Ave
New Richmond, WI
54017
020 1023 30 000
Parcel Identification Number (PIN)
This ~ homestead Property.
(is) is not)
See Exhibit A attached hereto
Together with all appurtenant rights, title and interests.
Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances
except
Dated this "t day of 2013.
(SEAL) (SEAL)
Marlene B. Miller as Attorn y-in-Fact for
Bruce A. Miller
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State of Wisconsin,
} ss.
~c Ani" County authenticated this day of
Personal) ee b ore me this 9_ day of
n"~11Y~eY 2013 the above named
Marlene B Miller as Attorney-in-Fact for Bruce A Miller,
husban of Marlene B. Miller to me known to be
TITLE: MEMBER STATE BAR OF WISCONSIN er on who executed the foregoing instroment,,. ,
(If not, and wledge t e m
authorized by §706.06, Wis. Stats) • .4.
.v
' ~•I= C
THIS INSTRUMENT WAS DRAFTED BY vwak~
Burnet Title-Scott TranbyPVu bli ,State of Wisconsin t9" L
5151 Edina Industrial Blvd, #500 - +1+'
Edina, MN 55439 My commission is permanent. (If not, state expiration CJate:
13-14270
(Signatures may be authenticated or acknowledged. I Q/a - jg
Both are not necessary.) -
' Names of persons signing in any capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc.
WARRANTY DEED FORM No. 1 - 1998 Milwaukee, Wis.
1 of 2
Escrow File No.: 1315967
EXHIBIT "A"
Part of the NW'/ of the SE'/ of Section 14, Township 29 North, Range 19 West, described
as follows: Commencing at the E% corner of said Section 14; thence S0144'E on E line of
said SE'/o 1162.88 feet; thence S68°39140"W 455.51 feet; thence S88°49'18"W on S line of
N'/Z of SE'/ of said Section 14, 1455.35 feet to Place of Beginning; thence S88149'18"W on
said S line 215.0 feet; thence N28127'W 402.72 feet; thence Nl°06'20"W 275.0 feet; thence
N88°55'40"E on Sly line of proposed town road 400.0 feet; thence' S1°06'20"E 632.2 feet to
the Place of Beginning.
2 of 2
Parcel 020-1023-30-000 08/13/2013 E I OF A 1
PAGE 1
Alt. Parcel M 14.29.19.104F 020 - TOWN OF HUDSON
Current 0 ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
0 - MILLER, BRUCE A
BRUCE A MILLER
PO BOX 0398
AMERY WI 54001
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 761 HOLDEN LN
SC 2611 SCH DIST OF HUDSON
SP 1700 WITC
Legal Description: Acres: 5.140 )Plat: N/A-NOT AVAILABLE
SEC 14 T29N R1 9W PT NW SE; COM E1/4 COR, Block/Condo Bldg:
S1162.88 FT S68DEG W 455.51' S88DEG W
1455.35' TO POB; WLY 215'N 28DEG W Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
402.72', N275' E400' S632.2' TO POB 14-29N-19W NW SE
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 547/639
2013 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/17/2012
Description Class Acres Land I pro Total State Reason
RESIDENTIAL G1 5.140 29,000 3,900 32,900 NO
Totals for 2013:
General Property 5.140 29,000 3,900 32,900
Woodland 0.000 0 0
Totals for 2012:
General Property 5.140 29,000 3,900 32,900
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
EPORT
Wisconsin Department of Comm SOIL EVALUATION Page of
_L
Division of Safety and Bu' s
in accordance with Comm 85, Wis. Adm. Code
my
Attach completes an of less than 8 1/2 x 11 inches in size. Plan
include, but not limited to: vertical and horizontal reference point (BM), direction an G Pa 40.
percent slope, scale or dimensions, north arrow, and location and distance to n~rest roA~
Please print all information. C%Vp~~ j wed Da
orrnation you provide may be used for selgidary purposes (Privacy Law, s. 15.04 (1)'(tn~'pG Ceh l
Property r ri 7 Property Location
Govt. Lot 1/4 1/4 S T Z9 N R ZY E ( W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
r) G / ur
city State Zip Code Phone Number ❑ City ❑ Villa a JOITown Xr st R d j7& f
0ss (1Z)7 0602
9,New Construction Use: Residential /Number of bedrooms Code derived design flow rate v 0 U GPD
❑ Replacement ~~..~g_,, ❑ Public/~r commercial - Describe:
Parent material ~ i . c ~ck-3 ~ Flood Plain elevation if applicable
General comments
~'`l d vy+~/, G S %~P~9-~✓ g rv'c /
and recommendations:
AM. f /fir
System Type System Elevation VZO-3, Boring # El Boring Q
a Ig pit Ground surface elev. 0 ft. Depth to limiting factor I~ 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
1-0-6 31 z r s/ - 6 0
Z p -5 S z
30-11 L&L,-.Y1
[LQ
Boring # EBoring
FX-1 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
101,13h- S-/ '-or b
407 r
r
2- :
3 ya- Os~ ,4 C kid
• Effluent #1 = BOD > 30:5 220 mg1L and SS >34 1150 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Nalm (P"se Print) Sig CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 --G- 3 715-246-4516
Property Owner _ Parcel ID # Page of
a Boring # ❑ Boring ` C
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
n
0%, 57
-17
1/5
a 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
F-1 Boring # 11 E] Pit Boring
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 = BODS > 30 < 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BODS < 30 mg/- and TSS < 30 mg/L
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-8330 (8.6/00)
i
Property Owner Parcel ID # Page of
a Boring # ❑ Boring f }
® 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 j Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
9J_ e7
Q
`
❑ 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
F-1 Boring # ❑ ❑ pit Boring
Ground surface elev. ft. Depth to limiting factor in.
' Sal ication Rate .
Horizon -lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fP
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2
Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 1150 mg/L ' Effluent #2 = BODE 130 mg/_ and TSS < 30 mg/L
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 608-2648777.
SBD-6330 (R.1
1Soil Test Plot Plan
Project Name Steve Palme Shaun B1
Address 2318 Hamlet Ave N
Oakdale Mn 55128 CST #226900
Lot Subdivision Date 8/6/13
NW 1/4 SE 1/4S 14 T 29 N/R19 W Township Hudson
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of steel fence post
System Elevation 104.9/103.7 *HRPSameasBenchmark
Holden Lane
Scale is 1" = 40'
unless otherwise
noted
B-2
B.M.*
B-3
50
0'
45' 250'
14% Slope
IF OF
3 200'
B-1
110'
106'
108' Property Line