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Home My WebLink About020-1435-01-000Wisconsin~Departmentoi~Commerke PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes (Privacy Law, s.15.04 (1)(m)1. Permit Holder's Name: City Village X Township Steiner, Allen son Town i H u d s h CST BM Elev: Insp. BM Elev~ BM Descriptigr\~ - o - „' ~i0 TAO'" ti ~ ~ / ~ ~/J~ , ~ ~ ~/v" r(J ' t ~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~C~y,~Ji ~ 2 Dosing w z"~~'~ ~ ' / d Aeration Holding TANK SETBACK INFORMATION TANK TO P/ WELL BLDG. vent to Air Intake ROAD Septic ~ ' \ .J / 2Q r ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufactu Demand GPM Model Number TDH Lift Friction Loss S ead TDH Ft Forcemain Length ia. Dist. to We11 ELEVA'f''ION DATA County: St. CroiX Sanitary Permit No: 453083 0 State PI ~ Nq: _ Parcel TaxParcel Tax No: - 020-1435-01-000 Section/Town/Range/Map No: 11.29.19.2701 STATION BS HI FS ELEV. Benchmark t~'I ~ ~~ ~ /~O Alt. BM Sr. Ca~~ Bldg. Sewer `~ ^/ !i I y SUHt Inlet ct~-t i-W I o ~ ('h-4b ~: 7S SUHt Outlet ~ ~ ~ • ~ ~~v !~ T Dt Inlet ~~ Dt Bottom ~ Header/Man. G~.Q,S Dist. Pipe 2 ~' .r m I I Q . ~ y3 -o • a~ c~.3 Final G de ~I mow- ~L ~ ~ 7• ~ St Cover 7/(/~5 ~ .~ ~O- ~ SOIL ABSORPTION SYSTEM `-! f y ~/ U oZ~ ~~ ~ BED/TRENCH DIMENSIONS Width ~ 3 Length 0 Z ~~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth f ~ SETBACK SYSTEM TO P/L BLDG / WELL LAKE/ T EAM LEACHING Man r r: INFORMATION r- CHAMBER O ~~~.. ~~, Typ Of System: ~l ~ ~ Lv"__ UNI Model Number: ~_ DISTRIBUTION SYSTEM I ~ ~"~~~ ~rj' Header/Manifold / Length ~ Dia Distribution ~ ~ ~ 1 Pi e s e -i Length 7 ~ Dia Spacing x Hole Size x Hole Spacin Vent to Air Intake SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstems Only ~G Depth Over ~ ` Depth Over xx Depth of xx Seeded/Sodded xx Mul / ~' Bed/Tre~gh Center ~0 BedlTrench Edges Topsoil ~~ Yes ~j No ~.~~ ~ , Yes IJ Nd~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_,~/~/ /~2~ Inspection #2: ~/ ~~;~'-~, Location: 1036 LaBarge Rd. Hudson, WI 54016 (SW 1/4 NE 1/4 11 T29N R19W) Joshua Hills Lot 1 Parcel No: 11.29.19.2701 1.) Alt BM Description = / ~ '~•~` r1 2.) Bldg sewer length = ~Q ~ "~/ -amount of cover = ~j ~ ~ l~Q ~~ ~ ~Q/ Z ~~ ``~~~~ `YU ~ ~- ~ Qd ' ~~~1V~d S 0 UF~ t-2 _ ~ -- ---- --- - ~ -i Plan revision Required? es U No CC~~I -2 Use other side for additional information. L_L__L' J _~ -__ _ _ _ ~~~Lr/1.Gs~ ~ _~ Date Insepctor's ignature Cert. No. SBD-6710 (R.3/97) ~J ched t, °~~^_ ~,~ ~ d ~~ ohm= a ~`°l ~ S ~a1 ~ ~,~,~M i// li A Safety and Buildings Division 201 W W hi A P O B County ~~ ( ~ ' ' . as ngton ve., . . ox 7162 M d ` ,~. ) ~S~ ~ns ~~ a ison, WI 53707 - 7162 (~8) z66-3151 Sanitary permit Number (to be filled in by Co.) Department of Commerce Sanitary Permit Application - ~ P I.D. Number In accerd wilt Comm 83.21, Wis. Adm. Code, personal information y 'provide may be used for secondary purposes privacy Law. s15.04(lx r i-I 1~1 (~ ~ 2 ~roject ddress pfdiffererit than mailing addn-ss) L Application information- Please Print All Information ~~; . ;;F?Q iX ~;~'J '?~` ~0 3 ~O '~~' ~~- ZONING OFFI E t'ropeRy Owner's N parcel # Lot # Block # ~~ Owner's Property Location '7~f/ ~ City S Zi C d P uY r--~ Section . ~ p o e hone Number CiL/ ~ ~~~ ~C"j ~ (ci o ~ W ~ N II. Type of Building (check all that apply) c ~ ~ : or ~ ~ ~ 1 or Family Dwelling - Number of Bedrooms _ Subdivision N umber /2/Ip~ C Pu6lidt;ornruescaai - Desaibe Use " ~~~ Static Owned -Describe Use ~ ! s'T C ~ ~ ~ '~ Cl -~" 1• ~ 'ty_ Village township of III. 't: (Check only one boz online A. Complete line B if applicable) f ~~ .~ rj, l • ~ ~ A' New Syste Replacement System TteatmenUliolding Tank Replacement Only Other Modification m Existing System B • Permit Renewal ' Perntit Revtsi Mange of Permit Transfer to New List Provious Permit Number and Date Lssuod BeforeExp iration Plumber Owner ,Cfs3 Q p ~j Lf/-~ (~ G rv. • (Check all that a 1 Non -Pressurized In-Ground Mound ~ 24 is of suitable soil Mound < 24 in. of suitable soil At-Grade Single Pass Sand Filter Coastruct~Wetlaiid~- Pressurized in-Groan olding Tank Peat Filter Aerobic Treatment Unit Recirculatm~ Sand F ter Recirculating Sytlthetic Media Filter ' g Chem Drip Line Gravel-less R Other (explain) ~'~ ~/ ,~ V. Di reatment Area Information: ! D S~ T ~ Desi Plow (/gp)d) Design Soil Application Rate(gpdsf) Dis Area Roquired (sf). Dis _Atoa Proposed (sf) System Hevati /~ VI. Talc Info Capacity in Total Number Manataeturer Prefab Site terl F plastic Gallons Gallons of Units Concrstc Conshutxed Glass New ExisGog TaAks Taoks Septic a Holding Tank 9 a !/ Aembrc TreaimeAL Unit ibaiAg Chamber Res onsibility Statement- I, the and ed, a responsibility for Lasfallation of the POWTS shown on the attached tags. Plumber's Name (Print) S~r Plumber's Si MP/'`M~/PR~jS/N/`umb/e[J~jr Business Phone Number /~ / L. ~ !~ V L/ Plumber's Address Street, City e, Zip - ~ _ VIII. Coun /De artment Use Onl Appro ~PProved Sanitary Permit Fee~j('includes Groundwater Surti;irarge ~, ~ D/ate Issued Agent ignature ) Owner Given Reason for Denial '7 ~ 1~ Z Q' j~ IX. Conditions of Approval/Reasons f real _ ,( ,, - - ,uh~ ~ (/ ~SY s-~-t.°~. ~ ~-~~ °h- .~-~ 1~~~~~0~ ~3~ t~s~a-~~~- ~L~.4-~-yG~ ~~E ~~9~2' u~l ~c~r*c~ Attach complete ptu~s (to the County only) ror the system oa paper not less than 81/2 x 11 inches in sine Soil est and System PLOT PLAN PROJECT Allen Steiner ,' DRESS 324 Ctv Rd A Hudson Wi 54016 i SW i/4 NE 1/4S 11 /T 29 19 TOWN Hudson COUNTY ST.CROIX 5/31 /04 BEDROOM 4 MPRS Shaun Bird 226900 DATE CONVENTIONAL XXX IN-GROUN ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 933 # of chambers 30 ~,~ BENCHMARK V.R.P. Bottom of egress window ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL *g,R,p, Same as Benchmark SYSTEM ELEVATION 96.2/95.0/93.8 4' below grade 280' Well is to meet all setbacks required by WDNR nVent >6" of Cover 6' Long~11 " at System Elevation25'~ ~[ 12' B-1 18% Slope , 40 15' Drainage easement Property Line 15' Line Pro 4 Standard Biodiffuser 40, Bedroom Leaching Chamber House with 31.1 ft2 of Area B.M. 25' 40' Vents Property Line ~ To be >5' r from property 20' line Plans Designed Using Conventional Powts Manual Version 2.0 520' Property Line nt~pi gin C c~~ l ~ m 0 A ~1 I ~; ~~~ ., 3 3 '~ ~ ~ ~ ~ ~ ~ ~ I a O ~ ~ C) ~ ~ z N N O o ~ cn ~ ~ _ ~ ° C N ~ , ~ t ~ 3 ° ~ ~ ~ x `, ate, ro y wm o c° ~ I N S m a ~~ D ~ m v' ° ° I o° ~ ~ = ~ I ~ o v ~ ~ 0 3 I ~ y °w °~ ~ o p Cy ~ m u> Z D n D '~ ~ A n. m v ~ a ~ ° ~ W a ~ o o m ~` ~ o -.v L ~ ° ° •°' i N V O ° O O ~, A a v, A O C - N I ~ i • a ; 3 ~ N• 'o 'v ~ ~ °: z (n ~ ~ ~ ~ °' c I o ~' ~ ~ c ~ ~ m ~~ _ = I ~ ~ ~ N ~ fl- ~ 3 ,,,. Z •• ° C W Z =i 7 °" o ~~~ oo~ 0 ° o o' m ~ N N N ~ ~ ql ~ C I CD .-. ~. w C Ro ~ v a Z N N ~ ~ -~ ~ t/1 I t ~ o a ~~ ;? z o 1 j ~ ~ W ~ ~ ~ I ~ Q, ~ ~ 3 -. z I m ~ ~ ~ I ~~ 3 i m ~ N ~ ~ ~ ~ I ~ I I ° ° a~° D mm~;~ a a N n "p ~ Vi < i ~ . 1 _ O ~ c ° ~. ~ ~~ ~ ~ I ~ z ° a I I I r:o~ y d ~° ° I I ° ~ ~ am N~ p_CD y N y (D ~ ~ ~ ~ O ~ a ~ ~ I ~ < m ~ A ~ m a o a ~ ';,e .~ c ~ ~ ` ~ fi a° o> j ~ ° O ~7 N ! A ~ ~ ~ 7 ~ i ; N ° `c' a I p a ! ~ N b ~ O ~ ~ a i O a ; ~ I o ~ o m I tap ~ W N fD O tD ~ a ~ Z D D a ~ ~ ~ W '0 d C 3 ~ ~ N c I m ~~l(i~ m v' ~~~ ~_!' I C> I a Q O I ~ Z !n I I I • ~ ~ ~ O ~ °o a ~ ' c ~ ~ o C7 ~ , », E ~ ~ 3 ~ ~ ~ 3 'pr. to ~ ~ v ~ ~ ~ ~ ! 3 B d ~: ~ ~ ~ ~ \ 1 r: .. ~ O o a cn ~~ 2 ~ ° ~ ; am! • W ~. I (1 N i0 y N ~ ~ 1 D i ~ ~ ~ N ~ R 7 ~ 0 O ~ O ~ ~ N (J ~ O ~~.,. C ~ a W a ~, °~' A Q I N O ~ 1 3 7 ~ ~ //~~ ~~ ~~~f/ SSSS SSSS ~ ~ ~ ~ t_ y N~ ~ ~ N l ~ ~vv ~ c , tD I i ~~ ~ '~ ~ A 3 re .. C ~ Z m ~ ~ o ~ ~ 7 ~ N ! ~ C I ~ i ~ i 3 Q a ~ ~ ~ I ~ ~ N ~ i ~ ~ a _ A 7 i ~ .. ~ ~ ~ W '~ C < tND i ~ -t ! a 9 ~ Z ~ c ~ m y ~ .. Z ~ A A G T i C 7 a C y ~~ I VV ~V O A I A ~ I ! ti ,b 'r A ~ (iq 0p (0 ~, a ,~ ~O~c/c'~h- Wisconsin Department of Commerce SOIL EVALUATION REPORT Page r of " Division of Safety and Buildings rn accoraance wrtn Comm Attach complete site plan on paper not less than 8 1/2 x 11 inches i ~ C size. Pl~rfmhSt~t~~ - --°~ ounty ~ ' ~~"~ ~ indude, but not limited to: vertical and horizontal reference point (BA ), direction and parcel D percent slope, scale or dimensions, north arrow, and location and di9 tance to nearest road. ~ . . ~~i ~ ~ ) ~ ~~ D Please print all information. ' ' evie ate by ~ Personal information you provide may be used for secondary purposes (Priva y Laws, t ) ) : ~; y > . - x'44 X41 ~` 1, ~ r I ~:, ~ D~~,v ~ ~" Property Owner a ~,~~./ ~ oh- _ -.-~ Govt. Lot 1/4 X1/4 S ~ T ~ N R ~ E (or) Prope is fling Addr Lot # Block # Name or CSM# S . ~~~ ~/~ / ~I City State Zip Code/ Phone Number ^`City , illage Town Nea st R ad New Construction Use: esidential 1 Number of bedrooms Code derived design flow rate GPD ^ Replacement ^ PublLic or co era I -Describe: _______. __- Parent material ~/~~.L~~ Flood Plain elevation if applicable ^~1 ~ ft. General corruner>fs (~ n /Q o and recommendations: sl/3 Y.~ G ~i ~ ' Z q C ` ~ ~ ~ ' gyring Boring # pit Ground surface elev. ~~ Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Cdor Redox Desaiption Texture Structure Consistence Boundary Roots GP D/f€ in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 •Eff#2 II ~~ ~~ U '~~ # O Boring ~it Ground surface ele~. U2~ y eft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. nsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 2.., ~ ~ --~_' ~ / Iii- " '~ ' Effluent #1 = BOD > 30 < 22U mg/L and TSS >30 < 150 'Effluent #Z = BoD < :317 mg/L and i 5.ti < ;w nlg/L CST Name {Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evalu lion Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~ ~-~ _ l 715-246-4516 Property Owner _ Parcel ID # Page ~ of Boring # ^ Boring U Pit Ground surface elev. ~ ft. Depth to limiting factor ~~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 4 / f ~_ ~/" ~ f ~ C ~ Z~~ ~ ~~ ~ ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox DesrxpGon Texture Structure Consistence Boundary Roots GP DIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Cdor Redox Description. Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 'Effluent #1 = BOD; > 30 < 220 mglL and TSS >30 < 150 mglL • Effluent #2 = BOD, < 30 mg/L 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. SB0.87J0 (8.6/00) a f and Buildin GO°0ty ~ Saf B Q-~ 201 w. Washington Ave., .0. ~~;~ ~~-.- ~,~~0 ~ Madison, WI 5370 - 7082 Saoi ermit N ba (to be ir.`.ed in by Co.) (608) 261 ~ ' 6 ~ Q ~ h P`..... Department of Corfimerce state Play i.D. Number • 'anon lit niter Permit App ~. ~ ~ ~ Sa 4 ~, information yo rondo ~ ~ mania eddras oc1 n81 teas ifdifferebt 8 ) e. Add . G P~ 'ect Z with Comm 83.21, Wis. Adm G~;~~; Prod In accord x15.04 l (m) may be use! for secondary purposes Privacy Law, ~ ( ~i ~ - ~' ~ /0 3 ~ ~ Q~~~'~" I. Application Information -Please Print All Information /~ S ~ O / 3S- ~/~~C~ C~ Parcel # Lot a Block as Property Ownea's Name ( ~ / ~,/ Pr • Location ~~ property Ownex's Mailing Addtess ~ ) Yom' ! / o~ f Zip Colde~/'~l / Phone Ntunbet ~/ II. ype of $uilding (check all that apply) ~ Subdivision Nam/Q CSM Nutp or 2 Family Dwelling -Number of Hodrooms T ~ S il. ~ ~+L~ / ^ publidCommercial -Describe Use (]City ^villagevnsbip of ^ State Owned - Desrn~be Use 1 ST ~ C ~~-~ - / lIL Type of Permit: (Check only one box on Line A. Complete line B if appliesbl) O Ocher aiifieatioa to Existin ,+, ^ Treatrnent/Holding Task Rep cart Only ew Sysre~a ^ Replacement System List us b d sued ^ Change of `,~ ^ P ~'t Transfer to New B. ^ Permit Renewal ^ Permit Revision Plumber O`a'r Befaro Expiration IV. T e of PO~'-'7:'S S stem: Check alt that a 1 -Pressurized in-Ground ^ Mound>_ 24 in. of suitable soil ^ Moon <24 in. of suitable soil o^ Uni~C RccircularinP~ Sand Fur~^ Holding Tank ^ P Fil~t ^ Aerobic Trestm S~ Constructed Wetland ^ Pressurizod to ound la O er (explain) s Pi ^ vel-lea . ^ Drip Line e bet Recira+latia Synthetic Media Filter 1-eat]>ing 5 'oa. Ares Proposed (at) tea In orm is r atment A s - pe V. Dis enal/P t Dix ersal Required ( 11 ligtion Rare(gpdsf) p t Deli Soil App . Drsi flnw (gpd) ~ AA '~ ~ a. q g~c ~/~ Q ~ ~ ~ u prefab Site Stezl Fiber Plastic l.J Capacity is Total Number }~ Concrete Constructed Glass ~y1~ VL Taak Info ~,eJ/~~!`l,~i.2(~~= /Q -~j,'~f U Gallons Gallotrs of Units New Fx~ttiog Tanks Tanks Septic a Holding Teak Aerobic Tmatmem llait fbsiag Chamber ' S shawa oa the attached p es• some respoos{bility for iostsllatioe of the PO Husinesa P/onaNu bear/ ~~ VII. Raponslbility Statemeet- I, the waders MP~ o u~bu C?~ fj/ !/ Plumber' Name (Prim) /) Plum igndture p ~'y ~ /~/~ ~'/~ ~ww d~ i rtJ~ ~ Plumber's Address (Street, City, S . Z od % /~ _ ~ ~ ~l own /D actment Usr Oni Date tss ed umg A r Si sure pE) Sanitary Permit Fee (includes Groun~+s~rer ~ Approved ^ Disapproved Surcharge Fee) ~ ~ ~ / ~ 7 ~, 7 ^ Qwaer Given Reason fot;bettial ~~ l7 IX. Conditions of ApprovaUReasoas f rDisapproval 3 S ~~~~~ ' SYSTEM OV'INER: C~~6'1'lil'Y~ ~-3 ,5~ I 1 Sep Ic ,effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. _. All setback requirements must be maintained not lean than sla : tl tomes la avs as per applicable code/ oal for tat mum ea papa Attach eoarpkte pleas (te the Coualy y) ~3~y3-I SBD-b398 (R. 08102) PL PLAN • PROJECT Allen Steiner DDRESS 324 Ctv Rd A Hudson Wi 54016 SW 1/4 NE 1/4S 11 /T 29 /R 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATES/31 /04 BEDROOM 4 CONVENTIONAL )OOC IN-GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE ~ 260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 ,BENCHMARK V.R.P. TOp Of 1/2" PVC Pipe ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark ~ SYSTEM ELEVATION 94.0/93.0 5' below grade Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 Alt. B.M. is top of 1/2" pipe C~ 100.05' 5' 13 10' I.13.M. 20' ~-' 15' 4 4' 9% Slope Alt. 2-3' 23' B.M X 88' Cells with >3' 58' Spacing B-3 62 Vent 6' Long J,11 " B-2 >6" of Cover Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation 90 520' Property Line PL PLAN PROJECT Alien Steiner DDRESS 324 Ctv Rd A Hudson Wi 54016 SW 1/4 NE 1/4S i l /T 29 /R 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATES/31 /04 BEDROOM 4 CONVENTIONAL XXX IN-GROUN RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 872 # of chambers 28 ,BENCHMARK V.R.P. TOp Of 1 /2" PVC Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.0/93.0 5' below grade Well is to meet all Plans Designed Using setbacks required by Conventional Powts WDNR Manual Version 2.0 Alt. B.M. is top of 1/2" pipe @ 100.05' 5' 13' 10' .M. 4' Alt. 23' B.M 62 90 20' `-' 15' 04 9% Slope 2-3' X 88' Cells with >3' 8' ~^ Spacing B-3 Vent >6" of Cover B-2 11" 6' Long Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation 520' Property Line r Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in ~renrrhnee wi4h Rnmm AF Wic At1m r:nrlP 1316 Page 1 of 3 Steel Soil Service County Attach complete site plan on paper not less than 8'/2 x 11 inches in s¢e. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. parcel I.D. O Z 0" / .3Sr _ ~/ ~'~jC7 Please print all in rmation. R sewed Dat Personal irdorrnation you provide may be used for ndary )). ~ 6 Property Owner Prope Location Felling, Bill & Liz ~ ~ Govt. L t na SW 1/4 NE 1!4 $ 11 T 29 N R 19 W Property Owner's Mailing Address of # t Block # Subd. Name or CSM# 1026 Tanney Ln. 1' na Joshua Hills City State Zip C de Pho~~-~M~~FF~CF City _J Village ~/ Town Nearest Road Hudson ~ WI 54016 715-381- Hudson Labarge Rd t/ New Construction Use: pI Residential / Number of bedrooms 4 Code derived design flow rate J Replacement J Public or commercial - Describena Parent material Sream terraces and pitted outwash plains Flood plain elevation, if applicable General comments and recommendations: System elevation 94.25ft, trenches spaced and depth to code 4.75ft below grade. 600 GPD na Boring # ~ Boring 1/ Pit Ground Surface elev. 99.00 fl. Depth to limiting factor 120 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/R' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-20 10yr 3/4 none sl 2msbk mfr cs 1f .5 .9 2 20-120 7.5yr4/4 none ~~ osg ml na na .7 1.6 ~ ~b`Zo ~ .r7 d ~ v ~i s. l0~ , a Boring # ~ Boring i/~ Pit Ground Surface elev. 99.00 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-26 10yr 3/4 none sil 2msbk mfr gw 1f .5 .8 2 26-45 10yr 4/4 none scl 2msbk mfr cs na .4 .6 3 45-96 7.5yr4/4 none Is osg mvfr na na .7 1.2 .~ 93' z`' -ate ,o' `Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/Land T55 < 30 mg/L CST Name (Please Print) ~ 'nature: CST Number David J. Steel Gam' ~~ ~~ 248956 Address Steel Soil Service Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 5/14/2003 715-246-5085 Property Owner Felling, Bill & Liz Parcel ID # Pending Page 2 of 3 Boring # J Boring Pit Ground Surface elev. 95.00 ft. Depth to limiting factor 96 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-24 10yr 3/1 none sil 2msbk mfr gw 1f .5 .8 2 24-39 Oyr 4/4 none sl 2msbk mfr cs na .5 .9 3 39-96 7.5yr4/4 none Is osg mvfr na na .7 1.2 ^ Boring # J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ~ Boring Pit Ground Surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L 5- 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. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 1564 Cty Rd GG CST-POWTSM Bill & Liz Felling New Richmond,WI 54017 Lic. #248956 SWl/4,NE1/4,S11,T29N,R19W Bus.(715) 246-6200 Town of Hudson, St Croix Co. Fax (715) 246-9372 Joshua Hills, Lot l Legend 1" = 40' • =Benchmark Ele. 100.00Ft Top of 1/2" PVC pipe ' I N • =Alt Benchmark Ele. 100.O5Ft " PVC pipe Top of i/2 ^ =Borings Boring Elevations B 1 = 99.OOFt B2 = 99.OOFt B3 = 95.SOft a t B4 = OO.OOft 73' S ~~~°'.' ~~ ~2+ 2~' '~Z ~ ~ ~ 1-0~" !~~ ~- . q~ ~ ~i ~g 3 ~ ~~ -~.~ Y ~~ °~~ I ~ ~ ~a~ ~i c'~ . •-tn~'. J:/ - t • ~ i rT~.F~y ~ , -~ ---•---•--~-` •`'-- - - ~ 38.19 7.31' ao_ _ ~ %~ /r•~.~. t '-~.~„~ ..--"" 09 23' --~_ \!~~ `L„_ _ ~-_ ~2 J 3~1 .2T 18~•' ~ /-.~.. _~ / ./~~ i. _~" ~. ~ ~ -._.-,-- -- _ \-~. ~-~.~_ ~ ~ _ ~ %'~ -~ / min _~ ~. / ----- -2?~-i~ . '~. ` ~-, ~- ~- ~•----•- - ~0 `- ~_ -~ ;~ _r,- : ~-.900 ` ~ ~ ~.`.~-`._- .; ~-,. -~-; -`•_. - ~ Oj t - ~ ~ i I 1' I I ~ ~ t--t-•~' ~-- ---- ---~ - ~ .fir ._.---~~1:~~-~I-~~+-~ + ~ ='--_ - _ I ~ ~--~ ~ - ~ ~ ~ ~ ` \ ~ ` ~ ~ - _~ ~ i, •~. f j i / / / t it -~.~ \. .lllj'~'t ry ~h`'~`t.1 I ~ ~ j ?~ N'-- ~- - _ i _ _ i ~ / ji ~ ~~%i t I' ~ % /~_ ~' fir``' •~I -1~t n '` ~ ~./_a~- % i i i ~ ~/% /o i. y I '/ '~~ i;~ ~"~~ ~ ~ i iii \ •\_ Rl (~ -~ ~ ./ ~ ~ %i' ~Y.i %" -~~ I' ~ ~I ~ ~ ~ i t ; t-~~. ~ 1 ~.~.~ `? - C / C ~/ C, `~ \~.` `y-?~Y'~ / ~•i /•~ ~.i ~ ~ i ~ /~'i % ~{~ ~ I I^ I ~l;' Y~ t t I I ' I ~-. ~. \ ` • ~- `•~._ _ "-~-- ~:-/ %' .~f%~I~'y'•r'" Try- T _~I ~ I I I ~j' ! ~ / ` /I/1/ - -~P\~ I ~ I I ' ' I "1. ~ \ \. ~\-~ '~ ~--~'Y~1 ~'~Y ~i i-~{~~~~ ~"~ y~• t I ~''- 1 ~-\`-\. `~ 1 f ~o, ~I I I • I I I t~ \'~. -•.-\. 89p kt-t~ ~-tyV.~t- ~ ~.~ t ,./ ~. ;~ ~i • r Q'~.~' ~ I :I I i .1 ~ .~ V.I~J`\I. ` -.~----f`~'/i't.Crt'i t~.t• .~ _~.~ -4~t~-' \ -b- ~: 1 \- - C ~- r-L t I ~ ~'-y4~, ~--+~---~-I~~~.~t•--r 1,- i I I I' L''(/ ~-IT •r- +'•.~ ~' ~ ~1 j `-{1 \ `~~_~ ~ t~~C'iR+l~-I~.I i • i~- ~'--~~~JJ-1t-Lt _I1-f ~'(~ I I 1 I I '~ L~~t~~___ 1 ' ~' ! ~.I . (H1 ~ . ~ . L-~ L-'(I.Y lit ''1 . ~ - r. OwnerBuyer Mailing Address ' ST CROIX COUN'T'Y PTIC TANK MAINTENANCE AGREEMENT- SE .AND p~$RSHIP CERTIFICATION FORM /r^~~ ~ d Property Address _, artsnent for new consr (Verification required from P1at~g Dtp parcel Identification Number City/State _____-- LEGAL DESCRIP7~ION ` ~-,- l a~N- w, ~-f/ i/.,~~'/`~ Sec. ~ T property Location _ ~- Subdivision Certified Survey Map # ~-' d # ~ ~ CO ~-~.! ---~------- . Lot # _~- ,Page # ~ Volume ~--- Volume L/S ~ ,Page # ~ ~ Warranty Dee _______---- Spec house D yej~o Lot lines identifiabl~eS ~ nO SYSTEM MAINTF'NANCE remature failure to handle wastes. Proper maintenance of our septic system could result in its P a licensed pumper. What You put into the system hnproper use as d maintenance y out the septic teak every three years or sooner, if needed by consists of P~p~ osal system. can affect the function. c f the septic tank as a treatment stage in the waste disp ed by the owner and by a o'xner agrees to submit to St. Croix Zoning Department a certification form, sign The property er verifying that (1) the on-site wastewaterdisposal system masterplumber, journeynaaplumber, restnetedplumber or a licensed~ump necessary), the septic tank ~ less than 1~3 ~ of sludge. is in proper operating ca ndition and/or (2) after inspection and pump g (~ ee to maintain the Private sewage disposal system with the standards Uwe, the undersigned h<.ve read the above requirements and agr t of Commerce and the Department of Natural Resources, State of Zonioag Off ce ~fi~ 30 set forth, herein, as set 1r y the DeP~ica leted and returned to the St. Croix County stating t y septic s ystem has been maintained must be comp ~ / days th ee y 'Kpiration date. ,~ DATE PURE F APPLICANT OWNER CERTIF:CATION our) lrnowledge. I (we) certify t'aat all statements on this formdeedr ecorded to Register of Deeds Office. the pro a described t;bove, by virtue of a warranty APP' ICANT I (we) am (aze) the owner(s) of f DAT SI NATURE 0 ~~ *«««« ~ rmatian that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. # ..Any tnfo ~zo-~y3s~0/~v ~~~~ Town of #«~~«« d warranty deed from the Register of Deeds office deed '`« Include with this a pplication: a cot py f the certified survey map if reference is made in the warranty ~~530~3 Maintenance and Contingency Plan for a Septic System Maintenance Pian 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees, nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 C cy Pian ption #1. system fails, determine cause of failure, use alternate area and install new sy em in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other: failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 LEGAL ST. CROIX COUNTY, WISCONSIN NEW TXSCR02 REAL ESTATE TOWN OF HUDSON COMPUTER NUMBER 020-1435-01-000 Parcel Number 11.29.19.2701 OWNER NAME: First ALLEN & ANGELA Last STEINER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1036 LABARGE RD SECTION 11 TOWN 29N RANGE 19W '/.160 SW '/.40 NE Line Description Line Description TOTAL ACREAGE 2.210 PLAT JOSHUA HILLS LOTS 1/5 020/03 LOT01 BLK 01 SEC 11 T29N R19W PT NE SW 15 02 JOSHUA HILLS LOT 1 16 03 (2.210AC} 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit - ~ 2'~58P 191 STATE BAR OF WISCONSIN FORM 2- 2000 WARRANTY DEED Document Nurnbei ,THIS "DEAD, made between William J. Felling and Elizabeth E. Hurley- Felling, husband and wife, as marital survivorship property, Grantor, and Allen Steiner and Angela Steiner Grantee. ' Grantor, for a'valuable consideration, conveys and warrants to Grantee the following"described real estate in St. Croix County, State of Wisconsin: Lot'1, Joshua Hi11s, Towri of Hud§on, St. Croix County, Wisconsin. A'2 0 -- ~~3 y= oZ ~ a~' Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this3l st day of October, 2003. ~~~,8~~ Recording Area xATHLEEN H. MALSH REGISTER QF DEEDS. ST. CROIX CO. , YlI RECEIVED FOR RECORD 1]!]812003 @8c2@Alf MARRAHTY-DEED. EXEMPT # REG FEE: 11.00 TRANS FEE: 264.70 COPY FEE: CC FEE: PAGES:. 1 Name and Return Address: Edina Realty Title, Inc. 400 S. 2na St. -Suite 115 Hudson, WI 54016 409791 arse dentificatton Number (PIN) /~ Z ~ This is riot homestead property. ~~~~- * illiam J. Fe * Eli eth E. Hurle - Fellin *. ..AUTHENTICATION ,Signature(s). authenticated this.3lsfday of October, 2003 TITLE. MEMBER STAT~ B° IL' bF; WIS~I~( (Ifntit, ~ ~~lCfr ~)i i-`l~ iC atithtiri~ed by § 706. 6,,X~rs.,S.rats`) ~ `;,:~~;,zV ~ , TH1S 1N5'TRUMENT WAS DRAFTEDBY Edina Realtiy Title =Doug Berg 400. South Second Street #115, Hudson; WI 54016 ' (Signatures may be authenticated or aclmowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature * ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COiJNTY. ) ss; Personally came before me this ~ ~ day of ®j~...t,Vy~~7~,/ _ the above named William J. Felling and Elizabeth E. Hurley- Felling, husband and wife to me lrnown to be the person(s) who executed the foregoing instrument and aclmowledged the same. *Diane M. Barron Notary Public, State of Wisconsin My conunission is permanent. (If not, state expiration date: 11/19/2006 ) WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 • ' G;]OC~C~~4C~aD ~ ~4 ~DD~4~0[~ I ------------- - ~ i ~Q51'~3~ i~ ~44Q ~.~ I ~ ! 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