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HomeMy WebLinkAbout020-1123-00-040 (3)n ~ ~ 9 i ~ ~ ~ D. ~ ~ ~ 3 ~ p ~ ~ ~ ~ ~ Q v c. = ~ ~ N N ~ ~ ' n ~ O O 0 CD ~ ~'+ (f' N ~ C ~ ~ ..a p ~` O W C .« i Z o_ N :I7 ~' a c a ao -o f 3 a N O m c m CD 7 N m ~ a chi, d. 3 ° ~. -J~ O'm O ~fQ ~ O ~ ~ N 10 m~°7 oZ m ? o `~,° 3 =~ a o ~ o ~ •F ~ N_ O N ~ N c'i n N ~ fD ~ n N `D3~ o d, .~ ~w ~ 3 C7 °c ~ ~ ~ ~ (D b9 ~ C1 °o ~- ~v,o. o m ~ ~ m ~ ~ b ~ ~ ~ ~ 3 ~* o cn --I '' ~ Q N flj V N ~ '. N: ~ ': A '. N N O ., w ~ ~ - '~ m N Q' .* d K ': d ~ ', O~ ~ ~ 2: c Q i O O NO ~-o~~ ~ r2 ~ ~ i N N N ~ v v v N ~ ~ d N 3 .°' 7 Z j Z D _~ ~ v ~ o ~ U1 p c N a N O 7 d O ~ C a ~ ~ a 3 o ;; 0 3 !!' Z f w C T C 3 C ado ~ n 3 ~? v ~ c m •• C ~ N N N O O ~ ~ ~ N o~p W O O ~ ~ O ~ 0 0 to .^.' S 3 ,D < A Z o y N N O A O !> ~ ~ N ?' Z n J ~ _M z. 0 .. ~ ~ Z -~ '~ G ~ Z ~ A ~ ~ m ~ A d m .~ O ~'[ O a. A A A F w N O O V d0 ;? ~ N ti l,t~ a Parcel #: 020-1123-00-040 01!23/2008 07:50 AM PAGE 1 OF 1 Alt. Parcel #: 07.29.19.547A-20 020 -TOWN OF HUDSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/06/2007 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - TOBIAS, MARK R MARK R TOBIAS 397 KRATTLEY LN HUDSON WI 54016 Districts: SC =School SP =Special Prop rty Address(es): * =Primary Type Dist # Description * 40~KRATTLEY LN SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 1.010 Plat: 5404-CSM 22-5404 020-07 SEC 07 T29N R19W PT NW SE FKA CSM Block/Condo Bldg: LOT 04 17-4579 LOT 1 (3.27 AC) BEING CSM 22-5404 LOT 4 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 07-29N-19W NW SE Notes: Parcel History: Date Doc # Vol/Page Type 06/12/2007 852625 QC 06/06/2007 852077 22/5404 CSM 08/04/2003 733700 17/4579 CSM 1239/237 WD more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06!18/2007 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 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 PECENED I%III%INMIA~pII~IVI~I~~IMI~IIHIIN ~. 3 Q ' 85~a~~' KATHLEEN H. WALSH ~ ~~~~ REGISTER OF DEEDS ~I~iVEY~i'Sii~CORp ST. CROIX CO., WI RECEIVED FOR RECORD 06/0612007 04:40PM CERTIFIED SIJRVE~ MAP NO. CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW 1/4 OF 7HE SE 1/4 OF SECTION 7, TOWNSHIP 29N, VOL: 22 PAGE: SyOSL RANGE 19W, TOWN OF HUDSON, ST CROIX COUNTY, WISCONSIN, BEING LOT 1 OF REC FEE: 13.00 THAT CERTIFlEO SURVEY MAP ,~73370D RECORDED IN VOL. 17, PG- 4579 OF PAGES: 2 CERTIFIED SURVEY MAPS. PREPARED FOR: OWNER: DRAFTED 8Y: Ronald Tobias Ronald Tobias 9rod4ey J. Bofiten 397 Krattley Lane 397 Krattley Lane Bohlen Lond Surveying, Inc Hudson. WI 54018 Hudson, WI 54016 N4227 750TH Street f ~---~ Ellsworth, WI. 54011 `~~' ~ = va ~ f~ . r ~ .r °~ ~- `~'~~~'~° o Z ~$~ Z~N i `~= SCALE IN FEET / '' c' !~ { ~O ~ 8 SEOEON T1~ ~AS~WSUMPTIONOTHAT~ ~ d J ~ ~ ~ ~ ! j _O~ ~, ~ TFE SOUTHERLY LMIE OF LOt 1 OF / ~ o .~..`! ~ 1 44,D 1A fLS1 ~ CERTIFIED SURVEY MAP ,733700 N >) '~-~ t HAS~EBEARING OF N~ 69.08' 40" W. '~-I ~F~?32~r j ~l E ~ E ~MENT 1 O .4'I'4 44. ~o S 8?'49~ 3 ~ " E 23s. ~ j I~ ,! 1 N 87.48' S2" W '~ \ "'~'..>/~`~~j(~ ~y~y~'I/ I WEIUI[ \ (2.26 A t ~ oo .\ R=244.24' ~ Cs 29.34' ~ +i, \ MAN 69' W .~ ~. ~`~ p\ ~ \ \ iOUTaN 38°26' ••9r' W ~, ~ 8u~~~j LEGEND: "'~-. ~ -s~L\. ~ 8.3p. *s>o ,ri... ~., ~ ;-~ ~ . ~ y ~ (.7'_ a L~ ~ MONUMENT WEIGHING 1.141bs~RPOENRPIPE ~-` `"'~CY~' `` ~\ `. 1 ~'vl LINEAL FOOT Ly ~, r` - it • DENOTES A FOUND ) " IRON MONUMENT `~ ~ - ~~ ~. ~~ DENOTES A FOUND 2" IRON MONUMENT ~• ~ NOTES: ~- _ - ^, ~V -THERE ARE NO BUILDING STRUCTURES ON ..y {J G~ Q~,t~,ps~ ` ~ LOT 4 ~- ~q - V / -THERE ARE NO SLOPES GREATER THAN ~ / ~ `, 72x CONTAINED WITHN LOTS 3 & 4 NOTE. The parcel (s) shown on this map is (are) sub'ect to ft State, County, and Township lows, rules, and •egulo~ions ~.c. wetlands, minimm lot size, access to parcel, etc.). efore purchasing or developing any parcel, contact the BOHLEN LAND SURVEYING, INC. St. Croix County Zoning Off ice and the appropriate Town 8redley J. Sables, 1-I. R,L.S. Board for advise. Q iwsar ~son~ sn~r, a.cswawrH, wi- s~o ~ f rit er~al z~a-exe Frx: t~fs) z~s-ax9 FUe n~nber: T6-1-06 SHEET 1 OF 2 SHEETS 1.r 1 of 2 _ A Vol. 22 Page 5404 ~~L ,/7 -~ ~~ d~ 7337mQti YOL ~ 7 PAGE 4579 ` I ZOO4 ~ KATRL~EA !i. MxZ~t" REGISTER OF DEEDS SY'. CRDIX CO. MI ti ~ ~ ~ ,u;`!}-Y RECEIVED FOR EtECORD ,.~r-_,..~_w.`~~_.. _ _...?~~CRD 88/84!2003 10s43A1I CERTIFIED SURVEY lIAP r-rr~: 2 CERTIFIED SURVEY MAP LOCATED I N THE NW 1 /4 OF THE SE 1 /4 ANO THE NE 1 /4 OF THE SE 1 /4 OF BEING PARS DF9LOTR18w~PLATNDFFEAG~EORIDG~. CRDIX COUNTY. WISCONSIN. r ~ rlv APPROVED p ~ '~ ~' sr. caolx couNrY ~ H ~ K'w„ / Planning Zonino aM Pa.~s r:^~"".~~ 10'~ . K.it BUG 0 4 2~3 ~' ----- to It not naootdW v~ithtn 30 days of ~ . ~ y! ~ • H aPP~ date spprovas shelf be H ~' ~ ~~t~~S '- ~ ~° nuN and void io ,, `.p~' ~+,~ ` ~ _ ~/ '~ '~IR+NC3'1'J~~j Mkt •..:.. ._ N031/03 .~. t` 1~ ~~ ~.1 / ~~ ~ " ~s vz ~to~ ~ ly lc ti , ~ ..~ ~ ~ rv ~ n ; ~ °~ r ~ ~ 0 ~ ~ N o • "'• 1 ~ ~ Q y ~ s woo 8 `~ H ~ k a ~ $ ~~~ y~ ~ ~ `b '*t a "~ ~ n1 e. uu ti s Z „`^\ r K] H b N ago ~ ; :.. N r.. ...- ;' ~~ O -• ~-~ ;. N ~ ~~ ~,.. t . 6' v 109.10' it soz•to o ~t"" H N _._.. aD ~~ N u... ~r ~~ ~ i-~ ~ r 10 o N r b `- N N eaal ~ LQI1@ ~+ N Kel I~ "~`~ ~O I~ ~m r~ ~~ ~g ~ "' ~~ r V ~ b ~w S ~~ l~ „rosin Department of Commerce PRIVATE SEWAGE SYSTEM ,afety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Persona! information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)I. Permit Holder's Name: City Village X Township Tobias, Mark Hudson, Town of CST BM Elev: Insp. BM Elev: BM Description: pb (~j ~ ~ G'S l TANK INFORMATION TYPE MANUFACTURER ~~ CAPACITY Septic 1 ~ ~ ~- f •lZa.w 1 / ~~ /~ ~ 1 u-~V Dosing Go ~~ i?~ ~ IOG.~ Holding TANK SETBACK INFORMATION TANK TO P/ WELL BLDG. vent to Air Intake ROAD Septic ,j~ ~,n u., ~f,7 Dosing ~ ~ ~ ~~ / ~~ _. Aeration Holding PUMP/SIPHON INFORMATION Manufacturer '' Demand a t1 ~ ~ r{ ~ i•V~~ GP M/ ~.. ~ Model Number ~ ~ ~ f~ TDH Lift `~J (p 7 Friction L s • System Fie TDH Ft -x,19 Forcemain Length / Dia. +~ Dist. to Well (p'~S L Snll ~RS(~RPTInN SYSTEM ELEVATION DATA County: ~ Sf. Croix Sanitary Permit No' 506237 0 State Plan !D No Parcel Tax No: SectionlTown/Range/Map No: 07.29.19. STATION BS HI FS ELEV. Benchmark ~' ~~ / b'~ /~ Alt. ~ l ~ ~` ~ q3 , 75 Bldg. Sewer .~i .7' -•-y ( ~Z ,' SVHtlnlet ~' ~ ~ ~,$5 ~'~ QQ• St/Ht Outlet ` ~ Dt Inlet Dt Bottom ~~, ~.4 •,~~ Header/Man. 93. Dist. Pipe ~, ~ 7Z • ~ 7 Bot. Systems ~~-- a ~ ` 9'4' • Ff`J L Final Grade 3 .~ 97~ ~~ St C~cer ~ 0. J., ~. off- / l• ~ 4 a • yS BED/TRENCH Width Len th 9 , No. f Trenches _ ` PIT DIMENSIONS No. Of Pit Inside Dia `_ Liquid D=Y\ DIMENSIONS 3 ~ 3 ~ e ~ ~'~-~ - SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufactu~ ~ 1 ~~ INFORMATION Typf Of System: ~ ~ ~~ ~~ ~ ~ UNIT Model Nu b~ -~ (...d 1~ V t ` f11STRIR11TIk7N SYSTEM Y.L.t L 7_Ce J.wd'~,._~..+ Header/Manifold Length_~ Dia Distribution ~ Pipe(s) ~ Length_~ Dia ~., ~~acing x Hole Size ~_ x Hole Spacing ~~ ent to Air I ake ~ f cnll c^nvFR ., o.-e~~,...~ c„~ro.,,~ n., i.. vv AAnnnrl (lr at_(;rariP Systems Only N ~- .~,..r~ c. a,~l~ Depth Over / Bed/Trench Center if~lg Depth Over Bed/Trench Edges xr. Depth of Topsoil xx Seeded/Sodded Yes No xx Mulch d Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:___i 1_~ Location: 407 Krattley Lane Hudson, W(I~.5,~4016 (NW 1/4 SE 1/4 7 T29N R19W) NA Lot4 1.) Alt BM Description = ` ` `~`` ""J~`"" 2. }Bldg sewer length = ~ "'1 - amount of cover = ~ ~ ~ 1 i ^5 J~~ ~, _ ----~ Plan revision Required? Yes ~o i Use other side for additional information. ~__~ ~ ~, ~ ~~ ~ Date SBD-6710 (R.3197) Parcel No: 07.29.19. ~1~~~5~~~~~ ~i ~' Cert. No. _,~ commerce.wi.gov Safety and Buildings Division County ~ 201 W. Washington Ave., P.O. Box 7162 St. Croht 1 ~~ '~ ~ ~' ~ Madison, WI 53707-7162 Sanitary Permit Number to be fill ~ by Co.) Department of Comtnetre ~Q Sanitary Permit Application State Transaction Number ~~ In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental ~ unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are project Address (if different than mailing address) submitted to the Department of Commerce. Personal infomtation you p ~ ses in accordance with the Piiv Law, s. 15.04 1 m ,Stets. Kratley Lane / ~ /'1 "; / (~ 1' I. A lication Information -Please Print All Information Property Owner's Name ^ ~~~ ~ JUN 2 5 2007 Parcel # ~~ MarkTebiw - ~ i 020-1723.00-025 /r ~~ t(1.1.c Property Owner's Mailing Address Property Location 397 Kratley Ave. ST. CROIX COUN9'Y ~~ Lot i 7 ' ' ty, State C Zip Code /+, 5E /., Section NW Hudson WI 54015 715381-0096 (ctaa:kone) T N R 9 ^ Q II. Type of Building (check all that apply) /~~/ L 2g ; 1 E W (/~C.i Subdivision Name ~/ 1 or 2 Family Dwelling -Number of Bedrooms ,~ Oj„ ~~ /^ a (~~~ Bl k # ' a Public/Commercial - Describe U ~ •LZ 5~0~ ^ City o . ~ ^ State Owned -Describe Use CSM Num r ^ Village of l ' ~ ~°~©7 a Town of Hudson III. T (Check only one box on line A. Complete line B if applicable) A' ~ New System Replacement Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) System B. Permit Permit Revision Change of Permit Transfer to List Previous Permit Number anti Date Issued Renewal Before Plumber New Owner Ex iration IV. T of POWTS S stem/Cum onent/Device: Check all that a / Non-Pressurized In-Ground Pressurized In-Ground At-Grade Mound > 24 in. of suitabl it Mound < 24 in. of sui ble soil ^ ^ ~ ~ Holding Tank Other Dispersal Component (explain) ~Pi•etreatment Device (explain) ~C ~ Z ~ V. Dis rsal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf1 Dispersal Area Proposed (sf) System Elevation 450 .7 643 650 T1 90.3 T2 89.8 ~, VI. Tank Info Capacity in Total # of Manufacturer Material Gallons Gallons Units New Tanks Existing Tanks septic or Holding Tank 1000 1600 1 Huffcutt Prefab Concrete Dosing Chamtrer 600 ~! VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWT5 aho on the tithehed plans. Plumber's Name (Print) Plumber's Si a MP/MPRS Number Business Phone Number Rick Brown 231251 715.419-0739 Plumber's Address (Street, City, State, Zip Code) , 319 Badger Rd. Rice Lake WI 54868 VI oun /De artmont Lise On pproved _ Disapproved Permit Fee Date Issued suing Agent Si lure _ Owner Given Reason for Denial $ / /'/i _ _ • IX. Conditions of ApprovaUReasons for Disapproval 3 // /~, ~ 0 7 7~R~Gv r SYSTEM OWNER: ' y~a~-d Q~¢-Q GG~a-~ ~' - 1 Septic tank, effluent filter and dispersal cell must atl be serviced /maintained ~ ~0 07.~1i/ ~ ~~~„ as per management plan provided by plumber. ~A,uayru .~yi7~ ~7-` ~x~~t flog-zt 7~ ~Yjfye. as per applicable ~d`~~/$r`if~~~~ for me system and submit to fde County oNy on paper not less than 8 U2 a 11 inches in e ~~n ^~ SBD-6398 (R Ol/0?) Valid thru 01/09 t~ ~ r~~/`~~Z"'_ ~'~l`Z'~~1.-°/. _,~ Page 3 of 3 o n. 2a n. ao n. son. 0 house d ~ d A Q A }` d O urain d `-~ age Easment Q B(VI#1 - X on fop of electric boy{ Diu rtn v~~~P . inn n~ .. B-1 97.9' 7% B-2 95.4 r B-3 96.6 / ~; ~ Ele~n`/ne ~~ Go ~.l~s /~ ~Po ~/ i~ Qm 90.3 ~ - Zi'9, g -~ 8M#2 -lot Corti~er Top of 1" pipe ~..>• ,~ ~;" 97:ft' BM# & Description ~~ Bench Mark ''~, B-1 Elevation foo, =Boring location & Elevation All unmarked property lines are grater than 100' from borings ,~ ~ --~ Owner: Mark Tobias Site Information: ComF ~ 3 / S 397 Kratley Ave NW 1/4, SE 1/4, S7, T29N, R19W Rick Brozvn Soil Testin Hudson, WI 54015 Town of Hudson W 319 Bad er S Phone: 715-381-0096 St. Croix County $ Road Rice Lake, W154868 Chambers ~' 4 /~ ~%~ Project Name: Tobias ~i ~ Owner s Name: Mazk T Owner's Address: 397 Kr Phone Number: 715-38 Legal Description: NW '/4, Township: Hudson / / / ~"` County: St. Crc ~ U~ Subdivision: csM ~ ~ ~S'_ ~t ~ 9 - O 7 3 9 Lot Number: Lot 1 Parcel ID Number: U ~- `~ S Page 1 ~, ~ Page 2 Page 3 Page 4 1 1V~ i~t i, PAS s P~ -~ c~nsf sz ~,~o,,~ nay ~ ~~ ~~~ Total Number of Pages 6 Designer Name: Rick Brown License Number: 231251 Phone Number: 715-419-0739 Date: ~ - .~ ~ - O S Signature: {~~ ~.r- Design Methods Used "in-ground soil Absorption component Manual for Private Onsite Wastewater Treatment Systems" (Version 1.0) SBD-10705-P (R-6/'99) Page 3 of 3 0 ft. 24 ft. 40 ft. 80 ft. - X on ~op of electric s~„rn~StdP = inn n~ d R!~_l, A \ B-1 97.9' d A 7% B-2 95.4 house ~~ .,~~ Iid ~Y'1 e Easment O Ede\~`/oe O d ' v / / p 96.6 ' ', ~~ , ~ ~ ~ ~ ~ ¢ ~~5~ ~Nia ~, ~~- ~ r ~ 3 G G (.~- ,,.~~ s S y sew. ~ ~~ ~ "''f i o ~- s 90.3` - ~'9,g` ;t .. BM#2 -Lot Comer Top of 1" pie 97;4' B~EIeCva iionpt'~ ~~ Bench Mark ~`; B_1 100' -Boring Location & Elevation Ail unmarked property lines are greater than 100' from borings -_--~ Owner: Mark Tobias Site Information: ComF '~ ~ 3 /1 ~ ~ 397 Kratley Ave ~ NW 1/4, SE 1/4, S7, T29N, R19W Rick Brown Soil Testi Hudson, WI 54015 Ph 715 381 0096 Town of Hudson W n 8 319 Badger Ro d one: - - St. Croix County a Rice Lake, W154868 d chambers Calculations and Drawings Page 2 of 4 Site Conditions Site T e R Slo e S # of Bedrooms 3 De th to Limitin Factor 125 in Soil Application Rate .7 gal/ft^2/ da Effluent uali 1 Desi Flow 450 al/da Max BOD m Max TSS m 1 Infiltration Elevations Cell #1 Cell #2 Cell #3 Contour Elevation 97 96.5 N/A ft Infiltration Elevation 90.3 89.8 N/A ft Limitin Factor Elevation 86.16 85.66 N/A Treatment & Dispersal Zone 4.14 4.14 Cover Material R aired Finished Grade Over Cell 97 96.5 N/A Distribution Cell Chamber T e ARC 36 Number of cells 2 La in Len 5 Ft EISA Determined Area 25 Ft2 n Bottom Area Ft2 Chamber Hei t 12 Inches Re aired Infiltrative Area 643 Ft2 Total Number of Chambers 26 Total Cell Len 130 Ft Total Cell Length: 88.0 Ft Cross Section of Cell ~~yy..~~ ~r'% ~serv~x.?ipe fNid~ _,____ •__`` __ Grard~ ~ ~ i _ Ca-:QP ~y` ,., ~~ ~. ~~ ! ~- Sysgn i+ Se tic Tank Se tic Tank Manufacturer Huffcutt Se tic Volume Chosen 1600 Effluent Fiber Selected Best Note: Access opening of sufficient size to be provided to allow removal of filter. ripening to terminate at or above grade. Actual Infiltration Area: 130 Ft2 Cross Section of Septic Tank Npft in rt~anFale~vu-~~`~4 -a"Mtin. 12'N6n. 1 78" Nrn All jOinte to ~--r __- `-bevrffiertigM D3034or `~ Effluent I j HMO Ffter _~ ~ 7' 9eddirg Under Tank Plan View of Typical Cell its , ~~ ~~s -_ I ~ ~~ Observation Pines --~~ ~ ~~ Width _~_ D3034 or Sch40 4" PVC Pipe Combination Tank Component Cross Section Approved Manhole Covers With Worning Labels and Locking Device / 4" Min. Above Final Grode Weather Proof Junction Box Electric per NEC 300 & COMM. 4" Sch. 40 Vent ~ 16.28 WAC > or to 12" Above Finol Grode Discon - _ Alternote Outlet Location W/Approved 4" Sleeve ~, r " Approved esT - Force Main Diom. -.. Inlet Effluent fitter ~l < or = to 1/8" eep Hote or Anti Siphon Device Baffle particle Site q gs' Gr , g Pump Off Elev. C Tank Mfr. ~"~-~~- ~ - S" Q D Dose Tonk Elev. Vertical Difference between Pump Off and Distrbution Pipes Minimum Required Supply Pressu ................................. _ - ~ ~_;._ FT. of ain x ~ F~tion Foctor/t OOFT. ... -- ~-Q Tota ~c Head .................... = 1~_ 9 Number of Doses ... - ~ Per Doy Gol. Per Day/ Hof Doses - 9._s2_ Gai. ...........................•---......_...................... _ ~O• .~`~ al. . Volume of 8ackflow ... .... ' Total Dose Volume .......... .... . ............. ...................... _ ~1_tYGal . Pump Tank Capacity ~OO Gallons Dimensions Inches GaNons Pump Tank Votune 1 9 Got/Inch A ~/-OS~ ~ ~~ 9 6 ~~~ 129. Pump Mfr.__~~ S C _ .S'=_ ©S' '~ s': S~ Pump Model L~4 ~ - p -i .2. ~ (~ 5~~ Minimum Dischorge Rate ~ GPM ---~ --.- Alarm Mfr. S3~ Atorm Model !•l~.~J ~D ~ Total-- y y. /~ ~0~~' rJr~ Bed Tank per COMM. 83.45(5) Anchor Tank as necessory to negate buoyont forces per COMM. 83.43{8){g). Not to Scole ~GOULDS PUMPS 00 10 3871 EP05 eF a APPUCATIQNS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICAT101NS Pump: EP04 • Solids handling capability: 3I4"maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. * Discharge size: l'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BONA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 314 maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'r~"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BONA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. ®1999 Ga,ia• Pumps Eff~tive January, 1999 83871 Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single. phase: 0.5 HP, 115 V, 60 Hz,1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTOW with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. rwErERS SET 10~ s I- ~ 25 0 7 W x ~ s 20 5 } 5 A 15 q 4 0 F" 3 10 .- Submersible Effluent Pump ~~ Avaiilable for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^EP05 impeller: Thermo- plastic enclosed design for improved pertormance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thennoplas- ticcover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duly ball bearing construction. AGENCY LISTING . P° can S~n~r~ Asao~an (CSA listed model numbers end in "F"or "C".) soulds ~ 1S0 9001 nee~ee. . i , 5 GPM ,.___ 2s Fr t i --- ,- --- ; ~--- -- _-- -}----- - . - ---- .~ ------ i --- --- a-------- i , ----- -~-------- EP04. --- -- i --------- - -------- - --- - _. _ - -- -- ~-- - ~ -- -~ -- - - -- -. ; _ . . 1 ~ - 0 20 30 40 50 GPM s CAPACITY 10 12 mam Goulds Pumps ITT Industries a Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Attach complete site plan on paper not less than 8 'h x 11 inches in size. Pl mus County St. Crolx Include but not limited to: vertical and horizontal reference point d' Parcel I.D. 020-1123-00-025 Percent slope, scale or dimensions, north arow, and BM reference ad Please print all information ~ Rev' we ~ /Daate, 2 Personal information you provide ma Priv w, s. 15.04 (1) (m)) ,(/J/(/h, Y' Property Owner Property Location Mark Tobias Govt. Lot NW 'i. SE v. s 7 T 29 N R 19 E (or1 w Property Owner's Mailing Address JUN cL Lot # Bloch # Subd. Name or CSM# 397 Kratley Ave. 1 CSM 17-4579 020-03 City State Zip (~eC ^ City ^ Village C~1 Town Nearest Road Hudson WI - 6 Hudson W Miller Rd. ® New Construction Use: 0Residential /Number of Bedrooms_____~ Code derived design flow rate 450 GPD ^ Replacement ^ Public or Commercial -Describe: Parent Material Outwash Flood Plain elevation if applicable N/A ft. General comments and recommendations: Set system @ 80" below surface along any contour within single grained sand. Weakly cemented layers were present in layers above single grained sand. _~~---- 1 ~ Boring # H Pit ~ a Ground Surface Elevation 97.9 ft. Depth to Limiting factor 31-44 & >125 ~ Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "EtTIt1 "EtT#2 1 0-7 10YR3/3 None SIL 2-m-gr mfr gs 2f 0.6 0.8 2 7-14 10YR4/4 None SIL 2-m-pl mfr gw 1f 0.0 0.2 3 4-22 10YR4/4 None SL 2-co-bk mfr gw 1f 0.6 1.0 4 22-31 10YR4/4 None LS 0-m mfr gw 1 f 0.7 1.6 5 31-44 10YR4/4 7.5YR 4/6 f-2-f GRLS* 0-m m~ gw - 0.7 1.6 6 10YR4/3 None G S 0-sg ml gw - 0.7 1.6 7 55-125+ 10YR5/3 None S 0-sg ml - - 0.7 1.6 ~~f] Boring * weakly cemented `-~ - 2 Bo ' E(pit Ground Surface Elevation 95.36 ft. Depth to Limiting factor26-68, >125 ~. Soil licati n R to Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fta in. Munsell Qu. Sz. Con#. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-8 10YR3/3 None SIL 2-f-gr mfr gs 3f 0.6 0.8 2 8-18 10YR4/4 None SIL 2-m-bk mfr gs 1f 0.6 0.8 3 18 26 10YR4/4 None SIL 2-m-pi mfr cs 1f 0.0 0.2 4 8 10YR4/4 None c ~cRS 0-m / 0-sg mfi cs 1f 0.7 1.6 68-12 + 10YR5/4 None S 0-sg ml - - 0.7 1.6 * weakly cemented layers nwuc~u tr i - nvvs,- ~v . ccv iuy,~i, aiiu i ~~ ~ ~v ~ i ~v mgii, ~- - niuucu~ nc - nvLS . ~v ui~a, mw i oo . ~v i..gia. CST Name (Please Print) ~ afore CST Number Mazk Iverson ~ 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 June 21, 2007 715-796-5664 Property Owner Mark Tobias ParcelID# 020-1123-00-025 --~ Page 2 of 3 O Boring a-td, ai-iu 3 BO~g # EfPit Ground Surface Elevation 96.56 Depth to Limiting factor >125+ in. oil A I' ti Rte Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P DJt't~ in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efl#1 *Eff#2 1 0-8 10YR3/3 None S1L 2-f-gr mfr gs 1f 0.6 0.8 2 8-16 10YR4/4 5YR4/6 c-2-p SIL 1-m-bk mfr gs 1f 0.6 0.8 3 16-27 10YR4/4 None S1L 2-m-pl mfr cs 1f 0.0 0.2 4 -7 10YR4/4 None GRLS*~GRS 0-m / 0-sg mfi CS 1f 0.7 1.6 5 70-125+ 10YR5/4 None S 0-sg ml - - 0.7 1.6 * weakly cemented layers Boring # ^ Boring OPit Ground Surface Elevation ft. Depth to Limiting factor in. S '1 li do Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fi~ in, Mansell u. Sz. Cont. Cobr Gr. Sz. Sh. 'E~t 'E D Bflring # ~ Boring OPit Ground Surface Elevation ft. Depth to Limiting factor in. Soil A Pica ion Rate Horzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DJft~ in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *EtfAk1 *Etf#2 "Effluent # 1=130D5> 30 <_ 220 mg/L and TSS > 30 <_ 150 mg/L 'Effluent #2 = BODg < 30 mg/L and TSS 5 30 mg/L The 17eparanent 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. Page 3 of 3 0 ft. 24 ft. 40 ft. 60 ft. 0 d A\` BM#1 - X on fop of electric South: Side = 1~tl 0' B-1 a%s' / house d Q ~ A d o Dra;~a9e EaSm~nt El~~.ic Lln C~ e 7% , B-2 95.4 r ;~ B-3 96.6 / ~t vas `~Q~~ <O Q BM#2 -Lot Corr Top of 1"pipe 92 v1' BNi# & Description Elevation Bench Mark •`•., B-~ =Boring Location & Elevation goo' All unmarked property lines are greater than 100' from borings d Owner: Mark Tobias Site Information: Completed By: Mark Iverson 397 Kratley Ave NW 1/4, SE 114, S7, T29N, R19W 680 Larcom Street Hudson, WI 54015 Town of Hudson W Hammond, WI 54015 Phone: 715-381-0096 St. Croix County 715-796-5664 PSS#198 / CST# 46672 Standard Erosion or 1- FT 2-Famil Dw I ' ~ ~ f y e ling According to Chapters ILHR 20 St 21 of the Wisconsin U control information needs to be included on the plot ply / ~~~t ~N~~~~ to the issuance of building permits for 1- St 2-family dwt (/ " ~ the soil erosion control provisions of the Uniform Dwellil Erosion Control Plan is provided to assist in meeting this ~t' S` Sad -' ~~/~ Instructions: Please indicate north by completing the arrow i\ -~ EROSION CONTROL PLAN LEGEND _ _ PROPERTY LINE EXISTING -' DRAINAGE --~ TD TEMPORARY DIVERSION FINISHED -' DRAINAGE _ LIMITS OF GRADING SILT ~~ FENCE ~..r_~ STRAW BALES GRAVEL ~ VEGETATION SPECIFICATION TREE PRESERVATION STOCKPILED SOIL 1. Complete this plan by filling in requested information, comp appropriate boxes pn-the inside of this form. 2. In completing the site diagram, give consideration to potent after grading: Water runoff patterns can change significantly as a site Is resnapeci. 3. Submit this plan.at the time of building permit application. r - ~ . , ... PROJECT LOCATION - ..... ,~ ~ ~- .: ~ ,/ BUILDER ~ y C•=r..:" . ~ ~"G r :-..r .. _~~, ~-,..OWNER ~~ :~ / -" ~, _:. _.,.. / .. ; Jr"' WORKSHEET COMPLETED BY ;t~'~~. w• ., : • . % ~ DATE ~ ! ~~".~ ~.°• i•d eOE=TT GO Ei ~nC P ~`~ ~ k~ ~d° ~~.5 ~ x ~f~ 8 5J 8G ~ ~~"`' Page 4 of 4 0 ft. 24 ft. 40 ft. 80 ft. ~l~l ~"~~'~~~ r~1 ~~ ... ~ A~ ~o~~~ ~ ~Q~~t~~ I"1W ~ ~ ~- ~N,~1D~~Z ~~ ~~~". "A ~~' ro ~ur~' ~' w~ r,~~'~. U ~ -yv .s~ PT I-(avs ~ ~ ~ f l2 Q'Y ,J ..a Fa utiv~ n n ~e~ .sue ~L~ ~ ~ So 6vl~DIN ~`. pia Q~~~ . ,~~~ Qi° D fa % ~ ,c° W ~ LL ~ ~ / M#1 -Top of 3!4"P E'L O ~ {.~' 100.0' \ ~ /~~~~ L ~ ~t,~~ ~ ~ ~rS ~~, S~~`~ ~~r~ BM# 8 Description Elevation Location & Elevation All unmarked property lines are greater th~f- 100' from borings ,-, ~~ ~ r.-,-s . ,~~' ~ / ~`~~~~ -fa~;.7d ?~~~ n ~ ?~`~ ~~ ._ /G~~~. ~-;'= ~,;~~ Owner. Ronald Tobias Site information: Completed BY: Mark Iverson 397 Krattey Ave NW 1/4, SE 114, S7, T29N, R19W 680 Larcom Street Hudson, WI 54015 Town of Hudson W Hammond, WI 54015 Phone: 715-381-0096 St. Croix County 715-796-5664 PSS#198 / CST# 46672 Phone Pedestals ~a ~ ~- ~~~~~'~ - lo~- ~ t:OM1Y1@rC@.Wi.gOV Safety and Buildings Division oun 201 W. Washington Ave., P.O. 62 . C ~ s e o n s i n Madison, WI 53707-716 ~ Sanitary Permit Number (to be filled ;n by Co.) De artment of Commerce ~ p Sanitary Permit Application State Transaction umber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS j~ Address (if different than mailing address) submitted to the Department of Commerce. Personal information you pro afdary ses in accordance with the Priv Law, s. 15.04 1 m , Stars. LJ / ~ / ~ ~ ~-I t1l/ I. A lication Information -Please Print All Information Property Owner's Name ~ 2007 JUN 1 3 ~ ~~ ~ ~ ~ cel # Rai . ~ ~ C h, Y 20-1123-00-025 Property Owner's Mailing Address operty Location 397 Kratley Ave. ST. CROIX COUNTY vt. Lot City, State Zip Code P NW '/., SE '/., Section 7 HudsonWl 54015 715-381-0098 (C1is~o"'- R N T II. Type of Building (check all that app{y) Lot # ; 19 ^ E Q W 29 ^/ 1 or 2 Family Dwelling - Number of Bedrooms 3 ~ Subdivision Name n Block# ~ ZZ ~~V „A,~' V Public/Commercial -Describe Use ~ ~~ ~ City of ^ State Owned -Describe Use CSM Number OS ^ Village of l. 17 -03 U o' / ~ Townof Hudson III. Type of Permit: (Check onty one boa on line A. Complete line B if applicable) `~~ / New System Replacement Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) System B. Permit Permit Revision Change of Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Ex iration IV. T of POWTS S stem/Com onent/Device: Check all that a / Non-Pressurized In-Ground Pressurized In-Ground At-Grade Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil j} ^ Holding Tank ^ Other Dispersal mponent (e in) Pretreatment D •ce{explain} n ~ ~ ~ -- /G ~J V. Dis rsal/'I'reatment Area Information: Design Flow (gpd) sign Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersa Area Proposed (sf) System evation_ 450 .7 ~ 643 850 98.5 //'~~ 1 l{ l (' 'V ~T!.~ ..T ~ ~ VI. Tank Info Capacity in Total # of Manufacturer rial ~ ~ ~ (J1~ ~ Gallons Gallons Units j1 ~ / ~ ~/ ` New Tanks Existing Tacks . I U 1 S~tic or Holding Taak 1000 1000 1 Huffcutt Prefab Concrete Dosing Cliamt~er VII. Responsibility Statement- I, the undersigned, assume responsibility for instaBaNon of the POWTS shown oa the attached plans. Plumber's Name (Print) Plumber's Si r MP/MPRS Number Business Phone Number Rick Brown 231251 715-419-0739 Plumber's Address (Street, City, State, Zip Code) 319 Badger Rd. Rice Lake WI 54868 , VIII. Conn /De artment Use Onl _ Approved _ Disapproved Permit Fee Date Issued Issuing Agent Signature Owner Given Reason for Denial $ 1X. Conditions of ApprovaUReasons for Disapproval ~ ` _~~ ~~- mss- ~ ~ yG~ ~ Ln ~ ~ .~/~ u~~- SYSTEM WNER . O : ~~~~ ~l• D ~ ~ ~7tt/?~.~ ~_ Q. 7,d`e-~ 1 Septic tank, effluent filter and ~S ~~(o , dispersal cell must all be serviced /maintained a ~`1~~.. ~¢-- ~ as per management plan provided by plumber. GG as per applicable co~e~o°rr~'inarlces~'~ ror "" system ana subarfr m me C'onnty, only nn paper oar tens tdan s rn 8 tt inches in size SBD-6398 (12.01/07) Valid tluv 01/09 chambers Cover Page Project Name: Tobias Owner's Name: Owner's Address: Phone Number: Legal Description: Township: County: Subdivision: Ronald Tobias 397 I~ratley Ave. Hudson WI 54015 715-3 $1-0096 NW'/4, SE'/4 Section 7 T29N, R19W Hudson St. Croix CSM 17-4579 020-03 Lot Number: 1 Parcel 1D Number: 020-1123-00-025 Table of Contents Page 1 Cover Page Page 2 Calculations and Drawings Page 3 Management and Contingency Plan Page 4 Plot Map Total Number of Pages 4 Designer Name: Rick Brown License Number: 231251 Phone Number: 419-0739 Page 1 of 4 Date: ~ "~~lj U ~ Signature: ~~"~ Design Methods Used "Ir--ground Soil Absorption component Manual for Private Onsite Wastewater Treatment Systems" (Version l.o) SBD-10905-P (R-6199) chambers Calculations and Drawings Page 2 of 4 Site Conditions Site T e R Slo a 1~ # of Bedrooms 3 De th to Limitin Factor 5'$ in Soil Application Rate ~ gaUft^2f Effluent Quali 1 Desi Flow 450 aUda Max BOD m Max TSS m Infiltration Elevations Cell #1 Cell #2 Cell #3 Contour Elevation O Y D , D ft Infiltration Elevation ~ , S' ~ ~ S` ft Limitin Factor Elevation /7 ~ . /7 ~'4 / Treatment & Dispersal Zone 3 3 ,3 Cover Material Re aired , Q ' / , O ' /, O Finished Grade Over Cell ~/, S" ' ; S' ' 9y ' Distribution Cell Chamber T ARC 36 Number of Cells 3 La in Len 5 Ft EISA Determined Area z Ft2 en Bottom Area Ft2 Chamber Hei t 12 Inches Re wired Infiltrative Area / Ft2 Total Number of Chambers ' " y,~ Total Cell Len ~n2.,~ Ft Total Cell Length: ,2,ZS t Cross Section of Cell ~d~a~ Firaf Grade _ ! _--- Grarrl~ ; ~ _ Con:aa ~, ~~ I ~~ -~ _, system, _leva:icr ~dttF j Se tic Tank Se tic Tank Manufacturer HUFFCUTT Se tic Volume Chosen 1000 Effluent Filter Selected Best Note: Access opening of sufficient size to be provided to allow removal of filter. Opening to terminate at or above grade. Actual Infiltration Area: (/~t2 Cross Section of Septic Tank art in _ a" Min. rnar>hde oa~er--~~4 iz• inn. ; ,--=- ' 7t3' Mn WI joints to be vrater li9M a D303~4 a Effluent I i ~ ~ Flter ~ ~ i ~~~ - 3" Beddirr3 lkder Tank Plan View of Typical Cell ~~ Observation Pines ~ ~ ~dth ~.. D3034 or Sch40 4" 46!06/2007 11:24 FAX 17133497902 FINANCE 0~. ~4R R 80R ~~ ~ ~ ~~ ~ ~ ~ n d 0~ ,, ~- ~ ~-~ 1 ~ o y~~ ~`~~' r~ ~'/" ~~~ ~~~ ~- ~- s . '~% r ~~ _ sr' N ,:C ~~ ~4' a~ ~ ~, soum propa~r Ana ~a bs de~anrtirred ~' S~-ec~C.-~i~'l ~°-r'~ = Barrh Mark ~, ~ g~ troce6on & ea-elia~ AiI rarn~foed prcperijr Ides area gae~lerUren 1a0 irom bairps . I ~ ~ ~~~ ~"~' TOE ~MQ11~0~ ~ Rick Broz~m Soil Testing ~g ~~ ~ ~ y~7y' r'te' RiBW 319 Badger Road ~~ 775.3x1-0086 9t Crobc Canty Rice Lake, WI 5486$ ~ o0~~004 N ~,1,~ ~ T ~ ;~ j ~ ~ ~' ~ti~ ~ ~~~ s-~~- , ~- r~~~~~~,e~~ ~ so' Oo/06/2007 11:24 FA}~ 17153497902 0 R. 24lL 4b fr 8011 FINANCE f~001/004 ~~f ~.~~~ ~D ~~, ~~ ' fire. 3 ~ y ~ YS-v , S~ 5,~y,.. ~~t ~. ~a,s' a~~a~ _ ~, Au unma~lted prdpa~ty Imes are gear than i 0~ from booms Owner Ranald Tobias Site k~iormadon: ~ . ~, 3971Ciatley Ave NW i/4, 8E 1/4, S7, T~$N, R1 ~ ~ ~ L G <t~,> w Hudson. IM 54475 Tern of Hudson W ,3 f 9 ~~ ~~~ Phone: 715381-0096 St Crolx Cotr~ty -~ ~ Lev/~ wZ ~ ~~~~~ Chambers Cover Page Page 1 of 4 Project Name: Tobias Owner's Name: Ronald Tobias Owner's Address: 397 Kratley,Ave. Hudson WI 54015 Phone Number: 715-381-0096 Legal Description: NW t/a, SE t/4 Section 7 T29N, R19W Township: Hudson County: St. Croix Subdivision: CSM 17-4579 020-03 Lot Number: 1 Parcel ID Number: 020-1123-00-025 Table of Contents Page 1 Cover Page Page 2 Calculations and Drawings Page 3 Management and Contingency Plan Page 4 Plot Map Total Number of Pages 4 Designer Name: Rick Brown License Number: 231251 Phone Number: 419-0739 Date• 6 ' 7 " (~ 7 Signature: ~~" ~"- Design Methods Used "In-ground Soil Absorption component Manual for Private Onsite Wastewater Treahnent Systems" (Version 1.0) SBD-10705-P (R-6J99) chambers Calculations and Drawings Page 2 of 4 Site Conditions Site T e R Sloe 10 # of Bedrooms 3 De th to Limitin Factor 110 in Soil Application Rate .7 gal/ft^2/ da Effluent Quali 1 Desi Flow 450 al/da Max BOD m Max TSS m 1 Infiltration Elevations Cell #1 Cell #2 Cell #3 Contour Elevation 100 100 NIA ft Infiltration Elevation 96.5 96.5 N/A ft Limitin Factor Elevation 92 92 N/A Treatment & Dispersal Zone 3 3 Cover Material Re uired Finished Grade Over Cell 100 100 N/A Distribution Cell Chamber T ARC 36 Number of Cells 2 La in Len 5 Ft EISA Determined Area 25 Ft2 en Bottom Area Ft2 Chamber Hei t 12 Inches Re uired Infiltrative Area 643 Ft2 Total Number of Chambers 26 Total Cell Len 130 Ft Total Cell Length: 88.0 Ft Cross Section of Cell ~~ OCserva~a^ ?ipe FinalQ~~ _- -- Gwid~ , i Contar ~~ i ~~ ~~! ,~ .~-~~ Sysi?m evaticn ;_ ---~-- Se tic Tank Se tic Tank Manufacturer HUFFCUTT Se tic Volume Chosen 1000 Effluent Filter Selected Best Note: Access opening of sufficient size to be provided to allow removal of filter. Opening to terminate at or above grade. Actual Infiltration Area: 643 Ft2 Cross Section of Septic Tank VerC in naNtde ahrtr--~~' ~ _y.. Min. '1TNB'n. ~1 ~ 28" Min All iants tc - rbe~ern9M D3034a LEtfluent ~ ' Rner I StltaO I ----~ J' Bedding UMer Tank Plan View of Typica{ Cell _ ~-, __ t~,~, ~i - Observation Pines -~C~ ~ NA~ tlth D3034 or Sch40 4" PVC Pipe ' Wisconsin Department of Co ce '~~OIL EVALUATION REPORT Page 1 of 4 Division of Safety and Buildi accordance with Comm 85, Wis. Adm. Code Attach complete s' 8 % x 11 inches in size. Plan must County St. CroiX Include but not limited to: vertical and horizontal reference point (BM), direction and Pazcel LD. 020- 12 -17t7-025 and BM referenced to nearest road. north arrow Percent slope scale or dimensions , , Please , 1-i~' on Revie d by Date Personal information you provide ay be ~qj oses ( ivacy Law, s. 15.04 (I) (m)) /z ~! a Property Owner Property Location Ronald Tobias ~~ Govt. Lot NW v< SE ~i< s 7 T 9 N R 19 E rorl w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# , / ~ T 397 Kratley Ave. cROix couNT`~ 1 CSM 17-4579 020-03 /t/f ~" S ~ City State ip Code Phone .___,_,,~_. ^ City ^ Village ®TOwn Nearest Road Hudson WT 1515 ~- ~ - 715-381-0096 Hudson W Miller Rd. ® New Construction Use: ®Residential /Number of Bedrooms ~ / ~ Code derived design flow rate GPD ^ Replacement ^ Public or Commercial -Describe: ~~ L{~'~t', V~'~4~ ~~~" ~~ ~-~ ~":/~ ~,~ Parent Material Outwash Flood Plain elevation if applicable{, N/A ft,, General comments aad recommendations: A conventional system t~*'btgtsti~tl'ed db~ve the 9T contour at 18' below~surface with a 0 4 GPD/sc~ ft. loadirtg rate or a,~ave, the ~,~.ptour at 52 to 74 inches below, surface w,a. 0.7 GPD/sq. ft. loading rate. If additional space is needed to meet building setback requirements the system may be placed between borings 2, 3, and 4 or 1, 2, and 4. a~ d Boring ; hb~',, G ~, •~M 1 Boring # ®pit Ground Surface Elevation 95.3 ft. Depth to Limiting factor > 110 in. c..a e.,.,uM+~.,., R~+o Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eft'#1 *Eff#2 1" 0-17 10YR4/3 7.5YR4/6 f-1-f SL 1-f-pl mfr gs 1f 0.4 0.6 2 17-34 10YR4/4 None LS 0-m mvfr cs 1f 0.7 1.6 3 34-110+ 10YR414 None S 0-sg ml - - 0.7 1.6 I 2~~• ~.-- • Effluent #I = B()lls > 30 5 2Z(1 mg/L and 't JS > Sl) <_ 15U mg/L " Emuent txt = nvu$ 5 su mg;L ana t a~ ~ w mg;L CST Name (Please Print) ignature CST Number Mark Iverson ~~~ ,--- 46672 Address ~ - Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 Nov. 27, 2006 715-796-5664 Boring # ~ Boring ~` Area IS hileaJCilSturf)eq aria COmpaCleQ ®Pit Ground Surface Elevation 93.8 ft. Depth to Limiting factor 58 /in. Sal fi ion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 'n. Munsell u. Sz. Cont. olor r. Sz. S . *Eff#1 *Eff#2 1 0-7 10YR3/2 None SIL 2-m-gr mfr cs 3f 0.6 0.8 2 7-17 10YR4/4 None SIL 2-m-bk mfr cs 2m 0.6 0.8 3 17-42 10YR4/4 None SIL 1-m-pl ds cs 1m 0.4 0.6 4 42-58 7.5YR4/4 None SICL 3-m-bk dsh gs 1 m 0.4 0.6 5 58-80+ 7.5YR4/4 7.5YR5/8 c-1-d SICL 2-m-bk dh - - 0.4 0.6 4 ` ~ -1 ~ The Department of Commerce is an equal opportunity service provider and employer. If you need assistattce to access services or Need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Page 4 of 4 0 ft. 24 ft. 40 ft. 80 ft. n- ~ s- 0 Phone Pedestals / -,-~. Q~ ~` ~" „~ r~~n~ -~; ,~~ ~ ~ >3 /,~~ ~~ ~BPti~ ~~ ~~ ~~ ~`~<~ .~ __ %~ si+n~ ~ oescriptio . Bench Mark B"1 - Boripig Location & Elevation Elevation 100, - All unmarked property lines are greater than 100' from borings Owner: Ronald Tobias Site information: Completed By: Mark Iverson 397 KratleyAve NW 1/4, SE 1/4, S7, T29N, R19W 680 L_arcom Street Hudson, WI 54015 Town of Hudson W Hammond, WI 54015 Phone: 715-381-0096 St. Croix County 715-796-5664 PSS#198 / CST# 46672 Page 3 of 4 In-Ground System Management Plan pursuant to comm. s3.s4 w.A.c. Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department-approved individuals when necessary in accordance with their approvals. The use of chemicaUbiological "treatments" is not required or recommended. If such additives are used, make sure they are approved by the Department of Commerce, Safety and Buildings Div.. Effluent filters aze to be removed and cleaned as necessary, with provisions to keep solids from passing the septic during removal. N more than 1/3 ofthe usable tank volume may be occupied by sludge/scum. 3 year inspect: If tank has greater a\than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspect to be watertight and of good repair. Absorption Cell The absorption component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep-rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicle, etc...) could compress the component and reduce its absorption capabilities and/or possibly cause it to freeze in winter conditions. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank or other components therein (including floats, alarm, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the absorption component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by removing the clogged bacterial mat, aggregate/leacbing chamber cell, and distribution piping within the cell and replacing failing components in order to return the system to proper working order are required If repair is not feasible, a new system is to be constructed in a designated replacement area. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 1"tQ (/~j ~ , ~C~ U ( G~, `J Mailing Address Property Address ~~ 7 ~.~~~G~ (Verifi ation required from Planning City/State /'1 U~aIV , ~~ Parcel Identification Number 7 ~ff'N Zoning Department for new construction.) LEGAL DESCRIPTION oao ~/~2-~3-~ao--~~S Property Location ~ ~ '/4 , cSE '/a ,Sec. 7 , T Z~N R~W, Town of TlltiG/5~ /7 Subdivision Lot # Certified Survey Map # ~' ~ S~~ 7~ ,Volume '~~" ,Page # ~ ~~/ Warranty Deed # ~ 2~Z~ ,Volume ,Page # Spec house yes Lot lines identifiable ye 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 licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary 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 (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 Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number~f bedroo /` SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) State Bar of Wisconsin Form 3-2003 QUIT CLAIM DEED Document Number ~~ Document Name THIS DEED, made between Ronald A. Tobias and Judith C. Tobias, husband and wife ("Grantor," whether one or more), `~ and Mark R Tobias a married person __ ("Grantee," whether one or more). Grantor quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendtun): Part of the NW 1/4 of the SE 1/4 of Section 7, Township 29N, Range 19W, Town of Hudson, St. Croix County, Wisconsin, being Lot 1 of that Certified Survey Map #733700 recorded in Vol. 17, page 4579 of Certified Survey Maps, and further described as follows: Lot 4 of Certified Survey Map recorded in the Office of the Register of Deeds for St. Croix County in Vo122, page 5404 as Doc. No. 852077. 1111111 IIIII IIIII IIIII IIIII IIIII IIII 111111 IIII III * 8 5 2 6 2 5 1 ~~~~~ KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR REGORD Ofi/12/2007 08:45AM QUIT CLAIM DEED EXEMPT A 8 REC FEE: 11.00 PAGES: 1 Recording Area Name and Return Address `"~y~lLµ~~ //~/ ~Ct~,$' Part of 020-1123-00-025 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Dated - d * * nald A. Tobias '~ (SEAL) ' ~` (SEAL) * * rth C. Tobias AUTHENTICATION ACKNOWLEDGMENT Signature(s) ` authenticated on STATE OF WISCONSIN ) ss. eT rRnrX COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Kristina Ogland Estreen & Oaland 304 Locust Street, Hudson, Wisconsin Personally came before me on ~O - ~ ~ ' Q / the above-named Ronald A. Tobias and Judith C. Tobias husband and wife to me known to be the person(s) who execute~~h~t~~~biq,~ instrument and acknowledged the same. `~~.~`ap.p, , , , ~~',Q'~i,~~ ~~~~ ZA Notary Public, State of W ~ SAS ~^ "s~ ~G . 2 My Commission (is permanent) (expires: ~ ~a~i~' ~~ (Signatures may be autbenticated or acknowledged. Both are not necessary.) -'ijtt"~~C~~ O~;t,S ```~~`' NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDElv7ITf QUIT CLAIM DEED ©2003 STATE BAR OF WISCONSIN FORM NO.3-2003 * Type name below signatures. 1NF0-PROT'" Legal Forms 800-655-2021 wvrn.infoproforms.com EXHIBIT A Part of the NW 1/4 of the SE 1/4 of Section 7, Township 29N, Range 19W, Town of Hudson, St. Croix County, Wisconsin, being Lot 1 of that Certified Survey Map #733700 recorded in Vol. 17, page 4579 of Certified Survey Maps, and further described as follows: Lot 4 of Certified Survey Map recorded in the Office of the Register of Deeds for St. Croix County in Vo122, page 5404 as Doc. No. 852077. WAIVER AND RELEASE The undersigned, Mark R. Tobias, purchaser of property located at Krattley Lane, Hudson, Wisconsin, the legal description of which is attached hereto on Exhibit A, does hereby unconditionally release ATTORNEY KRISTINA OGLAND from any and all liability and responsibility that may occur as a result of any defects which may be found in the title to the above described property, including but not limited to, unsatisfied mortgages, judgments, liens, etc., since it is our decision to close this sale without having any legal examination of this title. I acknowledge that I have been advised by Attorney Kristina Ogland that a title examination is recommended and suggested prior to the closing of the above described property. Dated this ~ day of June, 2007. ~~ ~~/~-- Tobias i mill iiiii iii~i iiiii uiii i~iii im mill iui iiii X 8 5 2 0 7 7 2 . ~~zo~~ KATHtEEt6 H. WALSH REGISTER DF DEEDS ST. CRDIX CO., WI RECEIVED FDR RECORD Ub/Ub/ZUU/ U4:4UYM CERTIFIED SURVEY MAP NO. CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW t/4 OF THE SE 1/4 OF SECTION 7. TOWNSHIP 29N. VOL: 22 PAGE: S~~ RANGE 19W, TOWN OF HUDSON, ST CROiX COUNTY, WISCONSIN, BEING LOT 1 OF REC FEE: 13.00 THAT CERTiFiED SURVEY MAP ;y733700 RECORDED 1N VOL. 17, PG. 4579 OF PAGES: 2 CERTIFIED SURVEY MAPS. PREPARED FOR: OWNER: DRAFTED 8Y: Ronald Tobias Ronald Tobias Brodley J. 6ohfen 397 Krvttley Lane 397 Kratttey Lone Bohlen Land Surveying, Inc Hudson, WI 54016 Hudson, WI 54016 N4227 750TH Street / _ . --- Ellsworth, W1. 5401 1 ~~ i ~ W / / I _ ------- _ ~~ ~- t~~~o .FO~~° ° ~~~--om? ~a~~ ~~ ~I `~z SCALE IN FEET N ~ ~ ~ ~ ~ ~ ~ J ti v~ } ~ THE BEARINGS SHOWN HEREON ARE I BASED ON THE ASSUMPTION THA7 / ! O~ ~ ~ THE SOUTHERLY LINE OF LOT t OF ~,QJVV j„~ CERTIFIED SURVEY MAP {)733700 / ~ _~_/ / ~ 4O 51^p.tt-S) ~ RECORDED IN VOL. t 7, PG_ 4579 / / ClttE HAS A BEARING OF N 69°08' 40" W. (` _` 0 7)•25.05.. 1,. 1 ~ A~NpGE ~so., ~/ 44.10 S 87`49' 31 " E 235. I E ~ / SEp,~EIJT I N $7°4$x52" w \01 ~ } I -../.._~~ `~,.. y : - ,.:...~ t do LOT 3 ~~ ~' 3 \ ~'..,~:. .'~. /` ~ WELLM .~ ~ ~ (2.26 A \ ~ ~ ~ ~ ~,../, y v °~ V 6RAD~EY J. ~ c.~ / ~ I R=244.24' \ ~\\ ~ $~~ ~ ~ ~ La730.90' C= 29.3 0' ~ O ~ ~ I c6 ~ ~53 aT 25" w '~~ ~ IN=N 69° W O G ~ `~ ~ \ ~ ~ `OUT=N 38°26' 16=' W S-~pv V '~c \ ~"-'y ~/• t^ et ar c~ toTr s•~ t~ =i` ; ~r•,. - .-, ~ ~-~_ 289,x, • '°~ +s,9 y . ~-=::,;,, ~.~: C] pENOTES A SET 1" x 18" IRON PIPE ~ ~ "tiC MONUMENT WEIGHING 1.141bg. PER `' ~~'~,c~ J~~`~\~ _ '~-- ` LINEAL FOOT `' ~._~ ~i~4',~ ~.,1\ ~•~~` ~ DEN07E5 A FOUND 1" IRON MONUMENT ~ ~ ~ ~~_ ~ M © DENOTES A FOUND 2" IRON MONUMENT \ _ \ '~,` -~ . M ^~ NOTES: ` ~' ~ -THERE ARE NO BUILDING STRUCTURES ON ~ ~q C~ ~( GLYh.PS~' LGT 4 -THERE ARE NO SLOPES GREATER THAN 12% CONTAINED WITHIN LOTS 3 & 4 NOTE: The parcel (s) shown on this rrnp is (are) subject to Stott. County, and township laws. rules. and regulot ions e. wettonds, minimm lot size, access to parcel etc.). ~efore purchasing or developing any parcet, contact the HOHLEN LAND SURVEYING, INC. St. Croix County Zoning Office and the appropriate Town f Bradley J. Bohlen, 1f T. R.L.S. Board for odvise r~227 75DTH STHFf7, ELL3wORiM, w1 SW 11 Ptr. (715) 27]-8586 FA%~ (713) 273^8589 FilO T6-1-O6 SHEET 1 OF 2 SHEETS 1 of 2 Vol. 22 Patae 5404 p C~~G~DdC~ 7337m0 ~~:,: ~ '- 12OQ4 ; ° KAT'RLEER H G ~457~----. ~- REGISTER OF DEEDS ST. CROIX CO. MI g r ~ ~ ~ ,,; ,~~ RECEIVED FOR RECORD '.~.~>,.~~.... ~ _.Z~~^RD 88!04/2083 10s45AN CERTIFIED SURVEY NAP CERTIFIED SURVEY MAP r-~~ 2 LOCATED I N tHE NW 1 /4 OF THE SE 1 /4 AND THE NE 1 /4 OF THE SE 1 /4 OF BEIN~DPAR7' OF9LOTRiB~~PLATNO~FEAGLEDRIDC~. CROlX COUNTY. WISCONSIN. a ~ ~ APPROVED p ` '~' ~' sr. caolx couNrr w '~''' K~i+ / Planning Zoning aM vans ~._^~:~~," ~ 10~ Kal BUG 0 4 2003 ~ -~- _ r- - --_ ~~ / r ~~ ~ If not noordod vwthln 30 days or' ~ ' ~ , s~~;o11 ~ • \ F-l approval lots spprovsl shall be ~ 1f , , , , • ~' ~~~\ tW null and void ~ / , ~,~p~ ,. • •"~ '' t,p, • `1 1R1 ~ r.. Qs ~ N ro ~ ~~~ r S b I~j ~~ O • c ~u u ~ ~~~ C) ~ '~i ~ 'N O o ~ , ~~ ~ g~ C ... . s rw-oo $ ~ t~i- x° m ~ :$ ~ ~ ~~~ ... s ~ ~~. '+~ 'o t~ ~ r ~... H 41s (~ ~f/~ • ,V . r' ~.,. m ~ ~~N / ~~O ~ . ~~ a N v~ ~-~. ~ i t 6' 709.10' r. so2• t o o ~' b H --- b .~. ~m ~ ~~ ~ ~~ 1~ ..___.___. ~ ti-'~ / v+ r ea H p N f-i s N h. w S0~•30 JO --..-..._ ~ABI QE ~ t0I 1 H H N K~1 i~p '''' ,o I~ ~~ ~m ~~ ~S ~~ r ti ~~ ~ ~ i ~ r 1~ f ' s~, CERTIFIED SURVEY MAP LOCATED IN THE NW '/. of the SE '/. and the' NE '/. of the SE '/. OF SECTION 7, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN, being Part of Lot 18, plat of Eagle Ridge. DESCRIPTION That part of Lot 18 of the plat of Eagle Ridge, located in the NW '/, of the SE'/, and the NE %, of the SE '/, of Section 7, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin, described as follows: Beginning at the most southerly corner of Lot 18, plat of Eagle Ridge; thence N 69 degrees 08 minutes 40 seconds W along the southerly line of Lot 18, also being the Right of Way line of ICrattley Lane, 681.65 feet; thence continuing along said Lot and Right of Way line on a tangential curve, concave to the east, having a Radius of 244.24 feet, a Central Angle of 130 degrees 49 minutes 14 seconds, 557.66 feet, to the most northerly corner of Lot 18, also being the northwest corner of Lot 19; thence S 28 degrees 19 minutes 30 seconds E along the common line of Lots 18 and 19, 244.24 feet; thence S 87degrees 49 minutes 31 seconds E along said common line, 235.00 feet to the west line of Lot 20; thence S 02 degrees 10 minutes 30 seconds W along the common line of Lots 18 and 20, 145.76 feet; thence S 67 degrees 16 minutes 03 seconds E along said common line, 170.88 feet; thence S 77 degrees 22 minutes 20 seconds E along the common line of Lots 18 and 21,178.57 feet; thence N 88 degrees 38 minutes OS seconds E along the common line of Lots 18 and 22, 255.87 feet to the southwest corner of Lot 23; thence S 07 degrees 30 minutes 30 seconds W, 121.55 feet to the southerly line of Lot 18, also being the northerly line of Lot 17; thence S 87 degrees 08 minutes 40 seconds W along the common line of Lots 18 and 17, 218.55 feet to the northwest comer of Lot 17; thence S 20 degrees 51 minutes 20 seconds W along said common line, 92.00 feet to the point of beginning. Contains 5.626 acres (245,053 sq. ft.) SURVEYOR'S CERTIFICATE I, Gordon Christenson, registered land surveyor, herby certify: That in full compliance with the provisions of chapter 236.34 of the Wisconsin Statutes and provisions of the Town of Hudson and St. Croix County Subdivision Ordinances and under the direction of Ronald Tobias, I have surveyed, divided and mapped the above described parcel of land and that this map is a coaect representation of the boundary thereof. _.~~ CONr, _ Dated this / ~ day of 2003 * GOROON t.. ,/A CHRISTEN&OAi ~~ ~c4 1 - .. COON iRAP10$,, Gordon L. Christ nson 5-1204 ~.~ MN ~• North American Surveys ~- _ _,,yQ,;~ 7) ~,~~ ~ of 3 ~ono.l~ To~lag ~o~ z ~.~ ~~ ~ c~ loan 1.~~ Ca'~ C ~. aa°~ S 9 ~~ ~ `~ `~ ~ ~~~~s 1~P~- ~ ~f ~~ 9~.' ~t Sc~~s~ l~' = ~ o ~ ~ ~~ 1 ~".P ~ ~Q~~ ~ ~~. o o~ ~' ~~2 ~p o~ S~rkt ~ oc~.q~, ~1 q~.8~ ~~ ~~~~ ~~ ~~.8~ Z 1 h~o~~~t~;•h z~~ ~ a7