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HomeMy WebLinkAbout020-1393-15-000' c~vi0 3~n ~ c °: ~ c ~ o ~ ~ ~ A ~ ~ ~ ~ ~ ~ ~ ~ :: ~ ~ ~ ~ ~ ~ n I ~ ~ ~ = _~ ~ o n 3 _ ~ 7 Z N to O _ ~~~ _ C N N ~' ~~ jj `C ~• ~, d, m ~ ~~ y W fD j x d IV Q ~+ co FBI d . rn I~ c ~ m o j ~ I ~ m a w o ` 1 v ~ I° tD j o ~~ o 3 p ~ y N l O ~ I ~ c ~ ~ C ~ I tnzD ao e~ m c8 Dy a 'v, C .D ~ W a ~ - m ~~ 3 i o ~~ ~W~' N a o I N °~~ a N o c ' ~ ~ C . . ~ -3 ~ ~y, ~ I ~ ~ 3 to to cn °' j ~" o ~ ~ m %+~ m I o ~ ~~ ~ 3 m ~ '' ~ ~ N I Q ~ ~ a ~ - ~ m I Z .. o ~ _ I ~ ~ O . --~. ~ D °- o m ~ °- O ~ 7 ~ I ~ y p c ~ C O N 7~ A d W ~ ~ O N m ~ ~ 1 N p N ~ ~ A Z T a A d y ~ I ~~ I ~ ~ N W ~ I ~ a 3 i ~ Z ! a ~ ~ I p ; * ~ ~ ~ I H ~ m~ z I ~ ~ I ~ n D a I v ~ ~ 0 a ~ °-' ~ I ~ o a I ,Q I Do ~ i ~~ ~ ~ I ~ ~ i ~ I ~ ~ o a I m . ~ sp 1 ~ r 7 N ~ O O ~ _ ~ N i O i y i ~ I I ti I o b °p I ~ i oro I ~' ~ I ~ ~ ° ~ a I $:. ~ ~ Parcel #: 020-1393-15-000 01/12/2005 08:34 AM PAGE 1 OF 1 Alt. Parcel #: 12.29.19.2388 020 -TOWN OF HUDSON Current ^X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner "ASPEN DEVELOPMENT INC ASPEN DEVELOPMENT INC 6442 PENN S BLOOMINGTON MN 55423 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 1027 MOONBEAM RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.500 Plat: 2187-MOONBEAM RIDGE 1ST ADDN 020/01 SEC 12 T29N R19W PT SW SE MOONBEAM RIDGE Block/Condo Bldg: LOT 15 1ST LOT 15 2 500AC . Tract(s): (Sec-Twn-Rng 401/4 1601/4) 12-29N-19W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 05/25/2004 763736 2580/142 WD 08/26/2002 688279 1959/251 W D 09/12/2001 656457 8/69 PLAT 7(lfld CI IMMARY Bill #: Fair Market Value: Assessed with: 50284 71,500 Valuations: Description Class Acres Land RESIDENTIAL G1 2.500 55,300 Totals for 2004: General Property Woodland Totals for 2003: General Property Woodland Last Changed: 04/29/2002 Improve Total State Reason 0 55,300 NO 2.500 55,300 0 55,300 0.000 0 0 2.500 55,300 0 55,300 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 bilisci9r"s`It~Department of Commerce 'S01'L AND SITE EVALUATION Divisirin,~ Safety and Buildings Page ~_ of 3 Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and (ZC , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel .D. # APPLICANT INFORMATION -Please print all information. iewed by Date Personal information you provide maybe used for secondary purposes (Privacy law, s. 15.04 (1) (m)). ~ ' ~" /(, o Prope~Owner Property Location //~~ R ~E (or)10LJ N T 1/4 1/4G S L ~\ A , ~ , , ~~ ~ Govt. ot ~S Property Gwner's Mailing Address _ LCT~ ) ~ ~Blo/c/k# ~ me or CSM# _ /J y State Zip Code Phone Num it C City ^ Village ,® Town Nearest Road t 1 t•~ v ,v ~ ~ s'1 o I (~~ IS) Sy - ~• "}-'~ ~QSOr~ oo e-a,,~• Iz.c~- New Construction Use: ®Residential /Number of bedrooms ~ ` y Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~ ~r~c~'~ gpd Recommended design loading rate bed, gpd/ft2~trench, gpd/ft2 Absorption area required ~_bed, ft2Zct~rench, ft2 Maximum design loading rate ~ bed, gpd/fit--~ trench, gpolft2 Recommended infiltration surface elevation(s) ~J p.U~ ~ ft (as referred to site plan benchmark) Additional design/site considerations ~"F ~ (`~~ L/ Parent material ~ V ~ u ~ ~ Flood plain elevation, if applicable . ~~ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U - Unsuitable for system [~ S ^ U ~ S ^ U ~ S ^ U CAS ^ U ^ S "~ U ^ S ~ U Boring # Ground elev. ~G . ~~ft. Depth to limiting factor t4a in. Boring # ~? Ground elev. `1f(3 `lft. Depth to limiting factor ~,~t in. CAiI 1'1FSCRIPTION REPORT Horizon Depth Dominant Color Mottles Structure C i B d R t GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. stence ons oun ary oo s Bed ,Trench ~~, ~ y y - L ~ Vti, c.5 - ~ ~l dlc7 y - tM- Remarks: I a-t to 3 - ~, Zw4 = ~s Lug .~ ; 6 Remarks: :ST Name (Please Print} S' J_ Telephone No. ~c~m ~~uma~er ~- - ~1sJ zy7-~v~' 4ddress _ Date CST Number SOIL DESCRIPTION REPORT ' ~ PROPERTY OWNER Page 2- 'M~f ~' PARCEL I.D.# ~ ' Boring # Ground elev. ~I~.f~/ ft. Depth to limiting factor ~in. Boring # `~ Ground elev. `I~.n. Depth to limiting factor ~in. Boring # 5 Ground ev. ~~ft. Depth to limiting factor ~in. Boring # Ground elev. ft. Depth to limiting factor Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~- ~o \ ~~ c - s ~ 6 '3 -4 y 4 1 L Remarks: 1 v-rt o 3 5 ~~ V~b -..~ ~ ~ I v I' ~ ~ 4~-~ o ~t - Ls ,~ t,..~ ~_ - ~ ~ ~ Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench t - cs - ; Remarks: m. Remarks: SBD-8330 (R.9/98) _, M' ~. PAGE 3 OF NAME CU IIC~ y~ LOT# t LEGAL DESCRIPTIONSw '/b E'/<,S IZ TL`~,N,R I,~E (or)~_ SCALE: 1"= ~~[~ ~ BM I ELEVATION ~UU• ~ BM I DESCRIPTION ~Q //a--~ ~~ ~ (`oPP~ Q~ Q~ BM 2 ELEVATION ~l(/• ~ I BM 2 DESCRIPTION 0_~ ~-~h ~,1/~~uJ s, ~ y ' SYSTEM ELEVATION ~ ,. + ALTERNATE ELEVATION ~ 3' ~ ~ ~ CONTOUR ELEVATION ~~- iCl .} Wisconsin Department of Commerco ,,division L-f Safety and Buildings Bureau of Inteyrateti Services ' S~~iL' AND SITE EVALUATION in accordance with Comm E33.09, Wis. Adm. Code Page ~ of 3 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must """"`y include, but not limited to: vertical and horizontal reference point (BM), direction and .~ Q C , percent slope, scale or dimensions, north arrow, and location and distance to neares road. Parcel .D. # O Idl1 S=erL lsr ~~Jd~ v zo -13`~ 3 - is-a~c~ ( APPLICANT INFORMATION -Please print all information. ~;i~~~~'° Reviewed by Date Q Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). -}'7~ .I- y~, ~/'~ I Q3 Prope Owner Property Location ~ 'L7j /~ ~ ~~ M (~;~~ Govt. Lot s~ 1/4~,~ 1/4,S ( T 2 ,N,R ~E (or) Ip(.) Prop wner's Mailing Address Lot Biock# Subd. Name or CSM# C,it1y r~ u New Construction ^ Replacement State Zip Code Phone Number City ^ Village ,~ Town Nearest Road Use: ®Residentiai /Number of bedrooms ~_ Addition to existing building ^ Public or commercial -Describe: Code derived daily flow ~ a~ gpd Recommended design loading rate ~ >~bed, gpd/ft2_~trench, gpd/ft2 Absorption area required _~S? bed, ft2_ ~ t^ sq-f aximum design loading rate / bed, gpd/ft2_'~trench, gpd/f12 Recommended infiltration surface elevation(s) J . U ~~ ft (as referred to site plan benchmark) '~ - L' L Additional design/site considerations ~~ " ,. Parent material U U T~-~ u ~ ~ Flood plain elevation, if applicable /~/`~_ft S = Suitable for system Conventional Mound in-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system [~ s ^ u ~ s ^ u ~ s ^ u [~s ^ u ^ s "~ u ^ S `,~ u SOIL DESCRIPTION REPORT Boring # r d elev. (i,~ . r ft 7 Depth to limiting factor tta in. Boring # Z Horizon Depth Dominant Color Mottles T Structure i t C da B Roots GPD/fit in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. ons ence s ry oun Bed ,Trench ~ ~ ~ ~ i u SL w, h VHF ~2. ~ 1,, ~- `f ' S' ,_ . `~'" ,~ . ,~` ~ ~ ~i U :,' N ' , ~%~Q,C/tiL ` S eL~a <Z(/1~1~~-a-C ,~~~T pi .~ /lYL ~P_ t1 1~ \` i~ Remarks: Z 0 ~ ~ ~St ~ --r. b k. r~ -= I - S ~ ~-~~ ~ 1 ~ - ~ 1 ~.c ~ ~R - ~- ~ ~ / lr -~ , u elev. `1£f. s' yft epth to limiting factor ~ ~ /41 ~ C~~ ~! in. Remarks: CST Name (Please Print) Signatyre ~~a.---- / Tele hone No. ~I ,- ,_ 1I _ _ _ ~ -- r ~ ll:~~Zy7-yU~' - ~' _. - - Address Date CST Number . ~ C~ - PROPERTY OWNER PR€iCEL I,D.# ~. Boring # Ground elev. qty ~r ft. Depth to limiting factor ~in. Boring # y Ground elev. c~~~~ft. Depth to limiting factor ~in. Boring # 5 Ground v. • y ft. Depth to limiting factor ~in. Boring # Ground elev. ft. v'vYL L+c_J1.it 1i1 Il.,,r{y 1iL.i V111 ant ~/~~ Page 2- of Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~ 0-It ~~ ~- ~~ Z~b Lti~w- ~ ~ F 7~ 6 .Z to l _ 1 ~h ~ _ c - ~ 6 Remarks: (~-tZ p -?j S~~ IM.~bk ~F (_ ~ V1~ ~ c~-bo o k - Ls t.,. ~ !-.~. t -- ~ ~ ~ ~ -~0 ti Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed .Trench to `1 ~ ~ ~ 1 t~ _ k ~.,~.. r; - ~- ' 6 ~' 1 -`- ~ 5 - ~ ~ ~-i 62-~~.~ ~ 6 -- 1~5 v J~ w` ~ ~`~ ~ ~. ; K O" ' Depth to Q limiting factor ~n' Remarks: SBD-8330 (R.9/98) Remarks: PAGE 3 OF /~ NAME CU (GU LOT# ~( LEG,4L DESCRIPTIONSw '/b E'/4 S TL N R E or SCALE: 1"= ~~)~~ ~ BM I ELEVATION IQU•O BM 1 DESCRIPTION {U~ o~. ~~ ~ ~o~p~c ~;(~ BM 2 ELEVATION ~tl/• ~y I 'Z BM 2 DESCRIPTION _Tp~„ ~-~h ~,1/~,FioJ S, U `( ~ SYSTEM ELEVATION ~ _ + _ ~~ ~ ALTERNATE ELEVATION ~ 3' ~ CONTOUR ELEVATION ~~~- ~ ~ ~~ ~~ ~- l~ ~ 1'~"'r`~ ~~ a ~~ ~ ~ ~ S~ s~~ ~- ~ ~•~~ ~~~ ~~ ~~6~ ~ ~ ~ ~ ~~ i ~,` . ~~ o~~~ l iATE -`J f~-~C~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTAC X70 Pc~RMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. 'ermit Holder's Name: City Village X Township Mielke, Earl Hudson Townshi :ST BM Elev: Insp. BM Elev: BM Description: SANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing _._ Aeration - ~ " Holding ~ TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~..., 4y -~ ~-- Dosing Aeration _ 1 Holding '~ __. --- PUMP/SIPHON INFORMATION Manufac urer and GPM Model Numbe TDH Lift Friction System Head TDH F Forcemain Length Dia. Dis . SOIL ABSORPTION SYSTEM ELEVATION DATA county; St. Croix Sanitary Permit No: 453201 0 State Plan ID No: Parcel Tax No: 020-1393-15-000 Section/Town/Range/Map No: 12.29.19.2388 STATION BS HI FS ELEV. Benchmark Alt. B Bldg. Sewer L cJ /uY.~S St/Ht Inlet SUHt Outlet -7.~fc-y 7v~.G3' Dtlnlet \ Dt Bottom Header/Man. ~ ~L t.~ lOG.7y Dist. Pipe 'r - t r.. v `' .'''~ ~~ t;~ > a ~ citi.z~ --~ ti-4 R7,Z Bot. System T - t ~ ~- /c. "~ ~ t . r_ 3 . ~ ~ _~ ~+ z Final Grade - i ti _v S- i y -``-' q~ St Cover ~--f f i' ~~ ~_ ~. u~ !v 5'_ thy. "ice t ~.t ~ ~ d:.~v ' r7 33 l Ub • S •-1. BED/TRENCH DIMENSIONS Width -'3 Leng~ ~ L No. Of Trends PIT DIMENSIONS No. Of P_ its`r__- In~~g_Dia:___ _ Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: ~ ~" r c ~ t• ~ C- ~ • Type Of System: ! ~~..-1V, ~v~~. ~-"'- ~;` _ ~ ~ ~j`7 f,~,~i.~4~ ~_ UNIT t~ pt, ModelNum ~,~ c,K l~ DISTRIBUTION SYST~N~~' L ~Y ~~ ~ -- HeaderlManifold ~ .e.1~' Distribution x Hole Size x Hole Spacing Vent to Air Intake / ~ t Length___~__ Dia 4 Pipe(s) ---_.., ..__.._....__~_._----- Length Dia Spacing - ' ~, t ~ t SOIL COVER ~ x Pressure Systems Onlv xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched BedlTrench Center ~ Bed/Trench Edges _ Topsoil - ~ ]Yes ~ No ~- '` ~ Yes I No ~ ~. COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: L ! `Z`~ /~ Inspection #2: ! ! Location: 1027 Moonbeam Unknown (SW 1/4 SE 1/4 12 T29N R19W) Moonbeam Ridge Lot 15 Parcel No: 12.29.19.2388 _ 1.) Alt BM Description = - ~ r= ~:.. ,..~~ ''~~ C c ~ ~~ r ~> ~u = e ,L ~~-' ~-(> Bu tiL oZ S ~ s'S A ~ ~ ?~ `~ , r, 2.) Bldg sewer length = C ~% ` ~~ - amount of cover = ~'j ~~~~~ -- ~ Plan revision Required? Yes i No f I ~ ~ ~ ,~ Use other side for additional informatio r ___ ~ i _if I i ~_ I SBD-6710 (R.3/97) Date Insepctors Signature Cert. No. Safety and Buildings Division County ~~•• G.~O/. / /`- ` s ~ "' 201 W. Washington Ave., P.O. Bo 7082 / ,s~Q~s ,~ D t Madison, WI 53707 - 70 (608)261-6546 ~~~ Sanitary Permit Number (to be filled in by Co.) Z e ar ment of Commerce s o d ~._ Sanitary Permit Application state plan ` . Nambe~ in accord with Comm 83.21, Wis. Adm. Code, v may be used for secondary purposes privacy' w, s '1~'~ ~~ ~ ~ Project Address (if diffeyyrenyyt~~than mail~'ng address) ~~ ~~ ~ ~ I. Appliatioa Information -Please Print All Information jry~ h 6 ~ /'~ Y:~:A M F r ~ ~ ?' ~ O D • ~ • ~S• D~ Propexty Owner's Name ~f1'~ ~ M i~~~~ C Parcel # Lot # Block # ~ 5 Property Owner's Mailing Address ~ , F I ~ ~: • ~ ~ ~ ~ Property Location ~ • / ~1 ~ ~ ~ .5 St~ ~ t~ City, t Zip Code hone Number % Yti Section c - l /' ' U~J ON W/• / ~~a~( / P ~l • ~/O 9 e) ' ~ ' ,! p / N. R ~ T W II. Type of Building (check all that apply) ~ or a 2 Family Dwelling - Number of Bedroans __ - / S/u~b/dJivisi~oyn Name 2.4Miimmber~- 1 O ~~~ l ~? ^ PttblidCommercial-Describe Use ~ " r C/ ~ ' ~"~~. 0/~ / / ^ State Owned - Describe Use ~f,ST ~~~ ~ (~~// ^City,^Village (~l'ownsbip of V D Q/l7 IIL T ype of Permit: (Check only one box on line A. Complete line B Uapplicable) - A' ea+ Systtxn ^ R htcentent S ep ystem ^ TreatmentlHokling Tank Replacement Only ^ Other Modification to Existing System B • ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber :Owner IV. T of POWI'S S tem: Check all that a 1 Non -Pressurized In-Ground ^ Mound ? 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Gcade ^ Single Pass Saari Filter ^ Consuvcted Wetland ^ Pressurized -Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filer Leaching Chamber ^ 'p Line ^ Grav Pipe ^ Other (exp 'n) V. Dis ttltl'reatment Area I r atioa: h Design Flow (gpd) Design Sol) plication Rate(gpdsf) Dispersal Area Required st) dt~ ~ 7 C Dispersal Area Pr (sf) Syu Lion `~ o ~ 5 ~~3. ~ See VI. Tank Info Capacity in Total Number Manufachuer Prefab Site Stcel Fber antic Gallons Gallons of Units Concrete Constructed Glass New Existing ~i ~r pr~~ ~ J Tanks Tatda Septic or Holding Tank ~ / _[ Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the nadersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print 2•~~r3~-~~T Pl tuber's Si re •lotP/MPRS Number iz~3~s Business Phone Number pis •~~a.-3~t~ Plumber's Address (Street, City, State, Zip Cade) zgiZ io ~.. .ig-vie . Sp,~~~vU- ~i4// ~/ . s y~~ 7. VQI. un /De artment Use Ont proved _ ^ Disapproved Sanitary Permit Fee (includes Groundwater Surcharge Fee) ~ n ~ S Date ed suing Ag Signa ) ^ Owner Given Reason for Denial ri IX. Con ' aURes,~ons ier Disapproval/ ~'~t./ 1~ / ~~ ~ yZU(,~/ ie~~~ ill 1 eptic tank, effluent filter and ~~« ~~~~ /~ ~3, dispersal cell must all be serviced /maintained as per management plan provided by plumber ~' 3 S s~ y ~~~~ 2. All setback requirements must be maintained ~ ~GZG ~ v as per applicable code/ordinances. -~ ~. wrrata eotaptete pleas (to the Cwaty eery) [or t m sa pa(feTr not less ttfw 81/2 x I1 lachea la size V 7i ~vi~ SBD-6398 (R. 08/02) .ULBRICHT & ASSOCIATES GO. 2812 10th Ave. • Spring Valley, W1547fi7 Re9• Designers otErx,~ineerng Systems - 715-772-3442 Pyre ~~ ~O~"~ PROJECT INDEX r PLAN ID # ~~/~- DATE ~I ~1`~ s- ~~ OWNER ~~L /t't% ~L/E~~ PHON-E 71.5 `~~~ ~ 3~~D ADDRESS ~~S Cj'~fi7/~G/~' ~/~i9-.t] ~/2 1~UDS0~ 5~~~ ' LEGAL DESCRIPTION f,,d ?~~- JS - it~IDD,(1,~~r~,~ . TOWN OF /~b0<.SD~ S~' CIeOP ~ ` COUNTY _ - CSTM LOCAL AUTHORITY/ SUPERVISION -ST • 1i~0/'it' c.~~ ~,y ~• ,~ ~- . PROJECT DESCRIPTION: 1fD.~ .-~.esr~~,. ~~t-sr~~-rte ~~o~ = ~°~ ~~--~ ~~~ ~5 r~ ~. 7 p~ ~~ z ~'s Ste: r~3C~ ~iC ~~ /,~ /c~~U~v~ Cpl U~'.v i i~,c~ ,~-C. '~. ~j . C~ . ~' ,S s . Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, ~~/! 54767 ~~,~5 ~ ZZ43~ S /~ s-ay `¢~1 Pg.l INFILTRATOR SIZING WORKSHEET Pg.2 SYSTEM PLOT PLAN Pg.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. Pg.4 ~~ ++ „ G n t C a n 0 m r D n A N m 7 m 3 ' '`- ~~ o 0 ,~, ~z~ ~ r ~. b ~ a '` ~~ ~' ~ ~ N ~l ~~ ~ ~ ~ ~, -~~ . ., .~ ~ ~; ~ ~ ~ ~~ ~ ~ ~ ~, ~~ 1 ~°`.. ~,` b M 41 ~~ V, ~~ '`~ ',f3~ ~~ d ~~ * ~ m ~ ~~ ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ~ w ~ ~ -~. ~~ ~ ~' ® ~ ~. ~ ,~ ~. ~~ tom, .~ ~ \ ~ 1 c 1 r L ~~ 1 -_ ~.,..J S ~ ~. . - ~ a ~ ~ ~ ~~: ~ `~-~ ~ ~t _c, ••/~ -~ „wZ~ ~ :~~- m~o~' O~ 7D ~ v ~ ~ -o O ~ D ~ ~Dm~ -v { ~ -~ ~ ~ ~ ~ mom ~ ~ ~ n ~~D ~ r.~~ ~ ~ ~_Z~ ~~ ~ ~ ~~ Ito ~~ a '~1 ~Go .n ~~~ o~ 4 V~1 `v Y ~ ~ / may, ~ ~~_ \ ~ G1 ~-Q ( 4 ~rU~~ D N 1 ~ ~ ~ ~ ~" ~ ~o' ' o• w , ~< ~o d o 1 I ~ k l ~ o ~. 11 ~ ~ 1 ~ r 1 f ~ -~ 1 ~ G ~ 1~ ~ !~ _ -~- X t ~~~ ~ 1 ~ jf ~liN. ~ 2 ., ._ l-- y ~~ ~ ~~ ~9Pf'~°Drr~j> U~,v 7- c,9f 1t/! 3~ 1 -. ,F ~ ~ '' A1'.~~ /a>~~~~rT4~' i~ Sc~. ylo h--~~c fiP~¢f~~" /~0. S~ ~ ~~ .~- ~. _ ,, ,. - - /T S~~ ~~ ~i~v, ~~ , s- ~ C~a SS Sic j ~o~ ©~ T~P~'A~G~I~' ~~ qv~~~~ / i _ .~irv. ~Z ., ~~~ t ,.1 ~~ ~ ~ ,. ,. ~- ~ !/!t 5c~, ~o 9~~A~ /o z - O T~~~ ~ ~, ,, /3 f~~P~~?U~' ~~ l.~sp~Gll~,.~ ~~ N 3 ~v 1 I/~ .~Jiv, i z ,, _. ~ ,, ~,r>~eT~Td~ ~~~~ ~__ l z '' ------_ CrFlc a ~~~'` ' ~~'~ '~~ . ~- f1Pf'~'v~~p Usti 7- c,9~' ~,v ~NSp~cTi®,v ~0,~ {~~/ - sc}~ . Qo '~-PaC 9~~~~-- ~©3. L~ UAL ~E'/4~~l~ - TiiP~r~~ ,-~ S~/S T~~ r _. , cif o SS Sic ~ ~o~ ©~ T~'~~c~ls l~ ~~ 1 1/~ _ ~ 11 , 3~I 1„ `~I ,, ~~.~~ ~,v~ ~Tx~T"o~' ~,~ .,vsp~~T~~,,, p,,~,e, ~ ~rii .~c~. ~o ~---p~c ~z_ ~jv~S~~D ~~•~~~- ~a y c .~-=~.: . OWNER's MAIIdTAINCE~-aP..SEPTIC SYS - TEM - POWTS (landowner] is rePonsible for maintenance of this system. Re ular proper operation and servicing is necessary for thegisafe healthY~operativnoof,this syste=. The owner is required by code to submit ail necessary, maintenance/inspection reports to the controlling ,authorities:. SPECIFIC CONTACT~AGENTS * Governmental authorit ST C?~l'x pry - Y/ inspectors: y~~~,,.d,~. . * Licensed installer, responsible for providing an operation maintenance-"Users" manpa3: / * Licensed service / inspection agent other than installer-: . *.._Elsctrician, for pump, electric controls. wiring units: N/~ IMP©RTANT OWNER MAINTENANCE RE UIREMENTS 2 • Wintertraffic' (slecidin , area shall not be g' shoveling, etc.3 across the the cell, free~in_-Permitted, or frost can/will penetrate into. winter. g .up_ the system. Discontinuos use in the (a vacact.ion.trip,- resu~lting<-in no water use} ~~n aZso lead to freeze ups.` . ,.- .~. Water _conservat-ion needs-to be exezcised! Or system can be . hyarOjicallY overloaded and destroyed. This.svs em w designed for a maximum wastewater flow of ~ as -~ gals .. daily. ~. POWTS are not designed to accomvdate wastes from a ~,_ disposal unit, or an x garbage:, , "~ Any introduction of suchhwaste~materialsuwill overload .a °' de`s troy this system. nd ~~ 9• If a power outage occurs, or a .. in a temporar Pump fails, it may result y overload of effluent being pumped into the cell, which may adversely impact the cell ~-recommended that a licensed pumper empty theedasgreig•tank,s allowing the pump to return to dosing the correct amounts. Consult your installer immediately for advice, ~' Neglect of the vegetative cover erosicsn preventive {the cells insulation ~ traffic ) can Lead to fai3_ure. Compaction or heavy also can destroy t he system. It IS REGVI.ARLF WATER THE VEGETATION OVER ,A SySTEMNECESSARY TO _ the steal beneath IS 1dOT sufficient alone tU Effluent in gra~~covwr. maintain a . 6. Periodic inspections b ~,-, necessary. Inspection y the owner, or his agents, is into the Pipes and ports have been incorporated . system: on the monnr~ :,».~, ~, fnre~s...~ ~ -- - __-- - wrsoortsin Deparanent of Conxrrerce SOIL EVALUATION REPORT oivis~n of Salary and buildings v. aI.I...n.,w..ww ..~.1• /•w~~ OG •~tw •J~ /•. J. ~ /~3 w. wVU. w..a.4 mow.. VM..•.. VJ. •.Fl. IN/I Ii. VWG r~~ \/ X Attach complete site plain on paper not less than 81/2 x 11 arches in size. Plan must include, but not flmited to: vertical quid horizontal reference point (BM), direction and t l Parcel I.D. p 1 O ' 00 O / 3 ~ 3 • I S percen s ope, scale or dimensions. north arrow. and location and distance to nearest road. , r, • Please print a/I information. R ~ ~~ Personei inrormetion You provWe may be used for secondary purposes (Privacy Law. s.15.04 {1) {m)). /////----- /~ P~~ Owner ~/~L /~L ~~ Property Location Govt., Lot ~~ 1/4 'S £ 114 S / ~ T Z ~ N R ~~ ~ (or) W Property owners Hi~aig Address ~~ S G/~ ~G/~ ~yi4~ ~i~ • Lot !t ~ 5 Block # Subd. Name a CS(W/ Mo ~ti l3~"~ - lsT,gDl~iT.' ~Y State ~ Code Phone Number /f UOS~i~J ICJ/ Syo/l~ 7 ~5 ~ 3~~0 ' 3//O ^ G{y ^ YdlageTown Nearest Road u ( UDSo ~v MDO. l3~~~-1 New COfOrt User. ResiderNiel / Number of bedrooms Code derived design flow rate t!D ~ GPD ^ Rent ^ Pub6c or oormr~ncial -Describe: Parer>t material .S !7 ~ '7'~' Flood Plain elevation 'rf applicable ___ ~~~ tt. General aortrrrerrts j ,) ~ I v~ SIB / 8rid re00rr1rrlBrldatlOn,-: °I ~ s -~' ~ a0. o ~'~ y ~ ~rr~ -~ec~~ ©# ~ lei' y~ y ~8 Pit Ground surface elev. ft. Depth to rirrdting factor ~. ~ Rate Horizon Depth Dominant Redouc Description Textue Strur~tire Consistence Boundary Roots &t. Munsep Qu. Sz. Copt Cobr Gr. Sz Sh. 'Etf#1 •Eif#2 ~ ~- / /o y ~ zfsbk ~ fR ~ 3f . ~ • ~ • a ~S -- ~5/L z•f ShK n~+~(' ccv z 3 ~•s R - ~ n~f~ a-S 1-f- ~ ~• .~ GS /nt~ c - ~ G s i7 • S /. ~ a # ~ Boring p . b > ,{ ~ , Q G d l ~ ,,U ~ roLm su e ev. Q. Depth b flntiting, in. . Pit ~ Rate -HoYizon Dominartt Redox Description Texture Structure Consistence Boundary Roots GP DNP ~. Murrseq Ctu. Sz. Cont Cobr Gr. Sz Sh. 'Eff#t 'Efl#2 ° •/b % L S ~ ntit f 2 ~c7 1~ • ~o Z D • p ----- SQL Lf S C ~ .3 ~ Co 3 ~2 '3 ~• s y2 --- sL. ~ 2 ~ v-FiZ a.s -F , ---- L d ,5 - /• Cp Effluent }/'1 = BOD_ > 30 < 220 moll and TSS >30 < 1 50 maA_ • Effluent #2 = BOD_ < ~ rno1L and TSS < 30 mall CST Name (Please Prirrt) (~ 3 '~ S TZor~El2.r ~~Ri c~7- ~ 22CSTNumber Address Oate Evaluation Condrx~ed Telephone Number ~~i~~ 30 ~lS• 7'7~• 3~tY Z Ulbricht & Associates ,2.00 y Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 ~o T` ~ S r (7Wner ~ (~~" ` ParcBl 1~ # Q ZO i3 ~3 ~ ~ S ~ ~ Z. ,~ 3 n^1 Bonng 3 ~ IaI Pit Ground sufaceelev. ~~ ~ • 7~ Depth a Irni6ng >a~or /~ ~ ' in. Sod Rate Horiaort ~ Dominant Redauc Desaipfian Texdxe St-vdtxe Coru~tence Boundary Roots. GP O/lf in. MunseB Qu. Sz Cont. Color Gr. Sz Sh. •Et(#'I 'Etf#2 ~~ q ~o ye ~ -- ~ ifsl~ ~ R w f , y . ~ ~- /L Z.-F~ n~f l C ~ Co . 5 2 SG I f ~ vf/Z ~ S t ~- 7 S• 5 ~ . S L S D s ~Q ~2 a-S • -7 /• ~ 0 • /D 7 S p ~ . ~S # a ~~ Ground ~,rfann ~A„ n r~.,.r, ~.. ~..:~.... s~.s... Horizon Depth Dortunent Redox Description Texdre v Struchxe -- - Consistence _.. Bourxiary Roots ~ GP ~ D/fF in. Munseq Qu. Sz. Cont. Color Gr. Sz. Sh. •EtT#t 'Ei<#2 oBo~# ^ ^ Pit Grax~d surtaoe elev. R Depth m ' facbr in. Soti Rate ~~ Dept Darr Redaa Desaiplion. Texdxe Cow Boundary . Roots GP DAI= in. Munsea t]u. Sz Cant. Color . Sz. Sh. •Etf#1 'Efl'#2 ' E119uent #1 = Bt~Da > 30 < 220 ngll, and TSS >30 < 150 mglL • EtAuent tr<2 = Bt3Ds < 30 nglL and TSS < ~ mglL The Department of Commerce is an equal opporrimity service provider and employer. If you need assistance to access services or need material in an alternate format, please c~ntacK the department at 608-266-3151 or TTY 608-264-8777. seo-uwc~wao~ 1~ ~, A0 ~. '\ '"'~ :~ ~ D, G .~ i~ O P G.,3 (? ~ , Q T 0 ~, ~ _ lit ~ W • O l ~1 m ~ ~ °v :s~ 0 ~_~' G -i~--~ ~ ~- S'~' Cit{}IX C'U[lht'~'~' SEP~'IC 'l'l~NK MAINTENANCE AGREEI~~ENT 1~,N1} _ ..._ t)WNERSI(II' CI;RTiF3CATfON rORM Oyvtttrf(3ttyer - ~~L Nl DEL K~ 9 Mailing Address Properly Andress ~a {Vetil'tcatiort recltrired from Planning Department for new construction) CitylStat~ .~U~sa~~~~ • parcel IJenliiicatsvn Number OZO • /jq3 • 1,S • DOa LLGAL UESCRII''~ IU~i I'ropetty Lacativn 5 ~ rf., ~ `' 'f+, Sec. ~ ~ , ~' ~ I N-R / ( ~V, Town v~ / / U ~-S4 n~ Subdiv,siatt /Ill DiV ~E~¢-/'~ /sT ~4~Or~r . tat # I ~. Certli~ed Survey lt~np # , Volume .Page C~ ti wrrrran[y deed !# ~ ~ ~ Z~ ! , vvlwne ~~ 5 ~ ,Page ~# Z S ~ - Spec itctuse yes p no L©i litres idet~titiable~yes p no SYS'1'~iVi MAI~iI~NANCiu trrtrtcrpcr use and maintenanceof your septic system could result in its premature failare to handle wastes. Proper mainte~ consists of pumping out the septic tank every three years or s~tner, if needed by a licensed pumper. What you put iota the s3 can aft"cct the fmretion of the septic tank as a treatttrenE stage in the waste d'tspasal system. _ , The property owner agree,5 to submit tv St. Croix Zoning Deparitttent a eettiftcativn Cotta, sighed I1y the owner and master plumber, journeyman ptttmber, testrictcdphmtber or a licenscdtnmtpcrverifying that(i} the mt-site wastewa[erdispvsal s3 is in proper operating condition andlot (Z) alter inspection and pumping (if necessary},the septic tantc ~ ices iltatt 1/3 Calf of sSa ihvc, the nndcrsigned have read ttre above regerirements and agree tb maintain the private sewage disposal system with the stan+ set forth, herein, as set. t:y the DeparMrent of Commerce amt the Deparfrrrent of Natural Resources, State of Wisconsin. Certi["ic stttti»g that your septic sysirm tree hcen maintained musi_be wmplttcd and returned to the St. Croix County Zoning Ott'tce withi days of the drree year expiraiiorr date. SICxNA~~IRE Cp API'F.lCtt 'r . t (wej certify that ail statements on this Cvnn are true to the best of my (out} know}edge, the rflperty described above, by virtue of a warranty decd recorded in Register oC Ueeds ORice, ~~.. sl~rrA~t~vRE ar• APrLICA T ~ ~~ ~~~ DATE 1 iwe) ern {are} the ownet~ ~ ~~ 41~ DATE 'r* •#*' Any inrortnatian chat is mis-represented may result in the satritaty permit being revoked by the Zvtting Department. '"r "'~ lncirrde wlth this appftcatten: n starrrped warrrnty decd frmn the Registcrbf Deeds office a co~ry of ttre certified survey map if reference is made in fire warranty deed /~ U 1 9 5 9 P 2_S 1 I STATE BAR OF WISCONSIN FORM 2 - 1999 Docaroent Numbu WARRANTY DE~p , , 'i'bis Deed, made between P. C. Coilova Builders, Ina, $ Minnesota Corporation, and Daniel R. Beer and Kimberly A. Beer, husband and wife Grantor, and Earl I.. Mie[ke aad Nancy J. Mielke, husband and wife Grantee, Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area 2M2 Name and Return Address Lot 15, Moonbeam Ridge First Addition in the Town of Hudson. St. Croix , county, Wisconsin. DAVID .~. ESTREEN 304 LOCUST ST. HUDSON, WI 54016 ©~p ~ /393 -~s Parcel [drntification Number (PIN) This M not homestead propeny Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this _ ~ day of Augnat ~L ~. dam, * Daniel Beer .Kim erly A. Beer AUT1iENTICATION Signature(s) P. C. Collova Buildm, Ina., s Mliwnesota Corporetion, by P. C. Collova, President and Daniel R. Beer and authenticated Chi day of Ausust 2002 Kristine Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §'706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland €I-u on, (Signatures may be authenticated or acknowledged. Both are not necessary.} • Names of pwsons signing in any Capacity must be typed or printed bckrw thti 6A8iZ79 I{ATRLlifi11 H. t1ALSH REGISTER OF D6BDS ST. CROIX CO. , NI RECEIVED FOR RECORD 08-26-2002 9:30 Atl MHRRiDiIT GEED EXEtPT i REC FEE: 11.00 TRAMS FEE: 186.00 COPY FEEL CPEARGT~COPY FiE: dL) (is not) P. C olbva Bu r Inc ~t~_ • P. . Collova, Prestdent s ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. County ) Per~nalty came before me this day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, State of Wisconsin My Commission is permanent. (If not. state expiration date: _ •) Ir/orm~+ ProfNrionaY ComP~7• Fond A, tae. WI aoo.essaoar WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 ~ ~ ~ ~ MINIMUM BUILDING ( ~ ~ p~ o ~ {~ eLEVatioN eze.72 1 ~ ~~ 0 ELEV =925.5 I Ifn I ~ ~ . ~ .. I ~m~l (1 __~~___! ~ LOT 16 I I~ml z, ~ ', 2.50 ACRES I ~ ~ i (109,927 SO. Ff.) I I I '~ _ ~~ _ i _. _ _ _ S89°5T29'E 447.35' ~' I ~ i 4 i - ~~5~ - 188.78' I ~ ~ ~ ~/ i 00 ~ U`' ~ I W I I ~QO /~ I H.W.L. =923.5 i Q~ ~~ ~~, L12 ~~~ i ~ ~---~~ ~ ~ I ~ • 30' ORp,I1dAGE~ _ ~'~ I ~ OZ N i r ~ ~s~ ~ EASEMEM- - ` ~•~ ~ I z ~ Oi ~---' tea ~.~ ($ „~~~ i I~; ~ ~ ~ •. LOT 15 ~' I~`v ---~~- ---~ w ~ 2.50 ACRES ~ I ~ `L T 4 , - - ~, i - \ (108,881 SD. Ff.) ~ I ~ ~ ~ ~ 2.50 ACRES ~ ~O ~ MINIMUM BUILDING ~ (108,939 SQ. FT.) ~ ' , ELEV = 925.5 I 24 - A ~ `~ ~~ ~ ~ ~p ~ i MINIMUM BUILDING o i \ ip ~ ~ ELEV = 925.5 ~1• ~ •. ~---- -~----------- ~~ ~ ~ ~ L5O LJ~ d ~o~o~o ~11V -- 7~/ ~ } \ c ~ ~ - - - ~e_[~~o 94191... ... ~- ~ 2 ~ -- ~ _ - ~ -~ ~~ N88°38'23'W 235.60' ~ ~-- ~ ~ MOONBEAM ROAD ~ ~°'"'~ ---- - -- - i ~ ~ C~o~oGVlo Ofivl i~ )4 G~a~3`t7so ~ \ / L~~ lJ ~ ~o~oUl'No OG~ ~ ~~ vo ~~_ G°~C~o ~ ~9 `t7 i i ~ oo' 200 __. _ ~. S'I'. CIZUIX COUNTY ZONING llEI'AItTM + N~~C~IV~~ AS I3i1ILT SANITARY REPORT' ~~w ~ ?004 ~„ Owner ~/ ~ S l ~~ ~~~z; ,, c~~,~,,; ~ . S ~ !~d+hc^S ~ ~. Q~~(f /~ ZONING OFFICE Cit r,~;State .J ~'~~~~ ~ Soso wi. syo~ ~-~ L,eRal llescri~rtivn: Lot ~S Rlock Scrbdivision/C~kfi/ /y~d.(! '/~ ~ '/~ ~, Sec. ~, T~N-R,f~W, Town of ~ PIN # ~?.O• ~,~3 ' ~S'dd SEP'T'IC 'L'ANK -- bOSIJ CIIAMBEIt -- BOLDING TANK INTOIZIVIATION: Tank manufacturer ~I~S~ ~ ~ Size ST/PC / Setback froth: House ~ Well P/L _ Pump manufacturer Model Alarm location (1IOLt7ttYG TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location Qv~~tk g - iNf'~ r1P~t~~ s SOIL ABSORI' I'IUN SY ' ' + M: Tyhe of system: Width `3 Length yy Number of Trenches Setback from: house Well P/L ~ ~ Vent to fresh air intake > 2 S ELCVA'T'IUNS: ' , Description o£ benchmark ~ ~ D.v GOT L- Elevation Description of alternate benclunark ~ 0 ail! ..G S • Elevation _ Bui lditt Sewer ~ D y 2"5 S'f/lIT Inlet ~~ 3 3 Q ~ /4 2 • ~ r ~'~' g ST Outlet ~~_ PC Inlet X0,5. t.,,' PC Bottom Neader/Manifold ~ Top of ST/PC Manhole Cover _„~_. Distributiron Lines O SE"~' /4 S ~ ~ U~'LT pL0) ~'' ~L~¢,v . [3ottom of System ( ) ( ) ( ) Final Grade ( ) ( ~ ( ~ z3 '2~ ~y ~~ ~'~ ys 3 ~/~-- llate of installation / / Permit namber State plan number Plnrnber's signature Inspector /y~~ License namber ~'~"~° 3 7 s Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, Wl 547fi7 ~i~1 /s ~- .t~o~T-. %~. ~2 j, j ~- ~.3~ pate / / Corrgrkte plot plsr C7 ~n ~. U~ .~ ~i `. t ~~ , ~~ -• c ~~ a ~"~ ~1 cn •-.-5 ~~ ~ ~ o !~ ~ o-` J b ^` '~ ~'~ ~' ~ 1 "' ~ vl nA "'v ~ ~ ~ ~ ~ N ~ ~~ ~ ~ ~~ 'C ' n1 ~ \ ~ o ~ w ~i C C~ ~- o ~ ~ ~~ ~ ~ ~ ~ ~ Cn N '~ C ~ j° ~ a. ' N V ~ tD 3 p ~ '~` ~ ~ W ~m ~D~ D r n ~c~~ ~~m~i -N~ ~ C7 ~i ~ ' t ~' t'~ -n °° Z -i ~~n~ m~0 ~ N ~ O Q O m D~ ~ k ~ , 1" ~ "c .~ ~ O ~ ~~m ~ ~ ~ ~ ~ ~ r i-- , r ~ ~ ~ ~~_ ~ ~. -~ ~ It t~ i~ ~~'` ~ ctt o ~loa~l flol, oo~i ~~~ _~ - ~ li ~' 1; 1~ ~ .. b ~ ~r ' ~ o /~ v. N -~; ~ S ~. , ._ , , i •. 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