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"Wisconsin department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township LaCasse Develo ment, Inc ,Town of CST BM Elev: Insp. BM Elev: BM Description: ~1/~, ~• ~ (1jY~. \ GSA TANK INFORMATION TYPE MANUFACTURER ~ r~s9 ~! CAPACITY Septic 1 f B W D~^+ b0 /z ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO E P/L~ WELL BLDG. Vent to Airlntake ROAD Septic 750 ~ N~ ~'~" ~Z ~ 7 Z6 ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand PM Model umber TDH Lift Friction Loss System Head TDH Forcemain Length Dia. Dist. to well SOIL A6SORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: ` 514820 State Plan ID No: N~,qt. Parcel Tax No: 02.0 - ~y7$-ZZ -aoo Section/Town/Range/Map No: 13.29.19. 0 STATION BS HI FS ELEV. Benchmark /, /O/. ~~~ Alt. BMA .~,, (~,~- Co ~. 8, ~.7 4 Z. ~ 3 Bldg. Sewer )a, ~ ~ `JO ~ ~o Z SbHt Inlet /l•a~ ya, SVHt Outlet II.I$ 9o•z Dt Inlet ` \ Dt Bottom -~. Header/Man. Dist. Pipe ~~ ~ ~/ _ ~ G ~ g J Bot. System /~' SZ ~~ , ~~ Final Grade S ~ .~ ~r .5 °J Z . `j St Cove L ~G~-- C .~t~. ~. ~Z SZ.'! 3 BED/TRENCH Width r Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS .3i ~i$' (~ v Z ~ w`~ ~` ~- SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufactureri- 1 •I ~"~ ~ CHAMBER OR ~t"~` ~~ • INFORMATION Type Of System: /~ ~ .ZQ ~~ ,_ ( n f Q- UNIT Model Number:^ • t11STRIRl1T1(~N SYSTEM IG.w.1L- HeaderlManifol~ •~ Distribution x Hole Size x Hole Spacing Ven~ fir tak~l ~ Pipe(s) ` ci S \ th Di L a e ~ Length Dia pa ng a eng ` .. - C(lll C`C1VFR ., o.,, ~.,, e.,~•e...~ nni., ,... Mnnnrl nr A4_r:rarlc Svcfams (~nlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~• d Z Bed/Trench Edges ` Topsoil ~ Yes ! Ji No ~es [ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / i Location: 861 Hillside Trail Hudson WI 54016 (NW 1/4 SE 1/4 13 T29N R19W) Alexander Meadows 1st Addition Lot 35 Parcel No: 13.29.19. ~ l~e.,~- Ga,1e~ r 1.) Alt BM Description = ~ V Z ~ bJ 2.) Bldg sewer length = ~l; ~,`~- rJ ~In.a~..--~- - amount of cover - i P _ ~o ~ ___ _ ~ ,__ Plan revision Required? i`' Yes ~o ~ ~ ~ a ~ ~~~ / 75 Use other side for additional information. Date Insepctor's S' nature Cert. No. SBD-6710 (R.3/97) ~omrrterCe'wl•gpy Safety and Buildings Div, O~~' ~ 201 W. Washington Ave., P.O. (m Madison, WI 53707-71 Sanitary Permit Applicati®n In acconlance with s. Comm, 83.21(2), Wis. Adm. Code, submission of this form to ro ris unit is required prior to obtaining a sanitary Permit. Note: Application forms r statereyy~ submitted to the Departrnent of Commerce, Personal information you pro fide b~~ es in accordance with the Priv Law, a. 15.04 1 m ,Stets. y I. A lication Information -please Print All Information Property Qwner'a Name , . , City; Zip Code II. Type of Building (check all that apply) ~1 or 2 Family Dwelling - Number of Bedrooms ^ Public/Cammereial -Describe Uae ~ s" ~~` / t`~ Sffite u~ ,.umcer (to be tilled in by ~l `fR7n /V m Address (if different than rosiling address) ~ni~ i ~ LUUQ P # ~ - a za-•/`~7Fs- Zzr~O ZONING OFFICE rtyLocation ~ ~~ Z' vt. Lot Number ~~'" ~ ,cx~r,` vti ~_'/,, section ~_ j /- (circle o TAN; R-~Eo~ Subd~~ffivis'on Name ^ State Owned -Describe Uae CSM Num er Z ~~sd C,~LI~ w ZZ~- Zz G~w III. Type of Permit: (Check only one boz on line A. Complete line B if applicable) A. New System ^ Replacement S stem ^ T r---~ Y reatmendHolding Tank Replacement Only ^ City of ^ Village of Town of ,r,,,~ ^ Other Modification to Existing System (explain) B • ^ Permit Renewal P 't Revision Before Expiration ~ ^ Change of Plumber ^ Permit Transfer to New Liat Previous Pemtit Number and Date Issued ~ Owner IV. T e of POWTS S tem/Com onent/Device: Check all that a 1 ~ ( °`' Non-Pressurized In-Ground ' ^ Pressurized In-Ground ^ At-Grade ^ Mound> 24 in. of suitable soil ^ Mound <24 is ofatriffible soil ^ Holding Tank ^ OUtet Dispersal Component (explain) - V. DisaerasUTreatment Area Informations ^ Pret<eaanent Device (explain) / - ` `- - ~sr~=~ .napetsat area Required (af) Dispersal Area Pm Posed (atj System Blovation VI. Tank Info Capacity in ~ "2 ,/ Gallons Total # of Manufacturer Gallons Units New Tanks Sxiating Tanks Septic or Holding Tank g / ~I 1 ~i U ~ ~ C~~" ~ 1 ~ f~ Ua'" ~ it ~ ~ . j w a Dosing Chamber ~~. VII. Reapo ibility Statement- I, the undersigned, sesame reapo Plum 's ame (Print) ' ibllity for installation of the POWTS shown an the attached l Plumber Signs 1 ~ :~ / ._ p ena, ~- ~ MP/IVIPRS Number Business Phone Number ~ Plum is Address (Street, tty, Sffi ,Zip Code) 3 l ~~~ ~~ VIII. Coun /De arhne t Uae Onl ~ PProved Dtsappro Permit Fee $ Da Issue Issuing nt Signature van Reason far Denial ~~ d ~ ~~S d O Dr. Condi Stitp~~gf Ap~i~pNea~na for Disa Y TEM~7W PProval n (~ 3\ 1. Septic. tank, effluent filter and 6J; (dce~ f J IUe~e.lol~- ~o ~(aJ. ~, t~e,c,.~ dispersal cell must all be services / maint fined as per management plan provided b l ~,~, 1 ~eoa`~`r ~'`'~ a ~ ~ `'`''~°''~' ~~' ~'~'^~ y p umber. 2. AN esAbeck rWuirements must be maintained a,.~-~ • •• naaun ro comple't'e pLns Tor the system and sobm[t to the Coan onl on s tY Y p per not less than 81/2 z 11 inches in ela SBD-6398 (R. 01/07) Valid thru 01/09 7 ~ - /~ - -- ~. `~~ ,y ~) - ~ _ ~~ ~f,~ _~ __ `.t ` ,~ l '~= j'o'scg~ ~_ ~, .:; -~. x ~~ Sb' I ~ `~ t ~ ~ / _~ ,ti !~ '~ _-- - r ll~q~~p i ` /~ ~_ ~~~ic~=~ 1~ ~ ~ '~ f ~ ,\. ~ ,~ t ~ ~~ act 3~ ~.~ ; ~ ~ ,~ ~ '_/, ', . ; ~, ~ CAP 1 ~ ~~ ~ ~! y o ~ `\ i 0 .'~ ~~ ~f/ ~~~ ~~ s~,~i~ l ~~~ / ~~r r ' ~ 1` f ~ ~- f --~ ~~ ! !r 4 ~~ ~ ~~ I - - ~ -. ~ ( i ~. ~_ ,~ I ~~~aost~ _ _ _ _ _ ... © I ~ W ~. ~ ~ ~ '~ ~ ~ .i '; r ~-K/! 6 `: .,~ ~~ ~, ` ~` l~' _. a (~. ~- '-~ ~\ / \! ~i. ~' ~ . ~ ~ ~, /~ ,~/ ~; ;~~ yi ' •'~ ~ .r 1 / m.w ,, \ „~ ~j~~ ~~ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of~ Division of Safety and Buildings m accoraanoe wrm ~.omm oo, vws. nam. ~.oae lan on er not less than 81/2 x 11 inches in size Plan must Att h m lete site a _ - County p p p p . ac co indude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. Z Z "~ Z / ~l ~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Q - ~ ~ Please print all information. Revie by D Personal informa5on you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~ 5 ~$ Property Ow ner Property Location n ~/ ss ; - l - - _ , ~ ~ Govt. Lot ~' 1/4 - 1/4 S ~ T . N R (o~ Property Owner's Mailing Address Lot # Blo # Subd. Name ar CSM# City r Sta Zip Code Phone Number ^ City ^ Village ~ Town Nearest Road ~( New Construction User Residential / Number of bedrooms Code derived design flow rate ~tf~ GPD ^ Replacement ^ Public or commercial -Describe: Parent material _ _ ~~~n ~„~~ %rf•5t~ Flood Plain elevation if applicable ft. General comments ~~ 7 ~~ Q~~ , / and recommendations: ..S' ~~ o/ /~au-sc G,-sa yyi6~)Ko - floflr.,0 i ~ V •~ Boring # ~ Boring pit Ground surface elev. _,~~_ ft. Depth to limiting factor 'S~ in. Soil lic~tion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 ~ ~ ~ /i Boring # ~ Boring ,~ pi( Ground surface elev. ,~7 ~_ft. Depth to limiting factor ,~~?h in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft? in. Munsell 4u. Sz. Cont. Color Gr. Sz. Sh. "'Eff#1 "Eff#2 •S ~ ~ ~ 4 - 1 / ~ ~ Q rr Cj ~7 "Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ffluent #2 = BOD < 30 mg/L and T55 < 30 mg/L CST Na ease ri Signature ~ CST Number ~ - ~/ ~% Address Date Evalua on Conducted Telephone Number Properly Owner Paroel ID # Page of ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil liration Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DItI? 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 Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Ef(#1 'Eff#2 Boris # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlffl? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 =BODE > 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODs < 30 mg/L and TSS < 30 mglL 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. SBD-8330 (R.07/00) ~~ ~~~ -,-- -. ~~ ~~ ~ ~ ~ ,~ ~. ~' ; j __ _. /~~/ ~ Q ~`Y {ji=.ti~i~t`~ ~~ ~7 _ ly'e' yet ~''- ~'~~ %G~;C ~. ~~ .~ ~`' J'~' // T~~ j!s "1 ~iS~/ ~. `'~ ~} ~ `. \. C-,~~k 3 v ~~ ` ~1 _~ _ _ ~_./ - j ~' '~ ~ ~ 0~ ~~ ~ so~ ..~ ' i commerce.wl.grnr Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ' ~GO~ ~' ~ Madison, WI 53707-71 ed in by Co.) b til Sanitary Permit Number (to Repsrtment of Commerce ~ /' 7 ~ J~ O G t~ Sanitary Permit Application sa°t;°nl~tt~b~` ~(J /~-~ submission of this form to the appropriate govemmenta Code Wis Adm ce with s 21(2) Comm 83 cc rd I , . . , . . . n a o an unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS aze Proj t A ss if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary # u oses in accordance with the Privac law, s. 15.04 l (m ,Stars. , ~ j _ I. A lication Information -Please Print All Informatio 1(J Property Owner's Name ~ ~ Pa I # - -- e Property Owner's Mailing Address Pr try Location '~ G .Lot. City, Stat Zip Code Y Ph neN ~~''-~- ~°' Section ~~ ' ZONING OFF CE circle o,,n~e,`~ e of Buildi!!a (check all t kapply) ~ II Lot # _ . yp I or 2 Family Dwelling - Number of oms ~.. Subdivision Name / L JS f~W Bloc ^ Public/Commercial -Describe Use D ~A. ^ City of ^ State Owned -Describe Use CSM Number ^ Village of Town of }~ • ~ ~/ III. Type of Permit: (Check only o e box on line A. Comp ine if applicable) '4' ~, New System ~~ ^ Replacement System ^ Treatment/IIoI Tank Replacement Only ^ Other Modification to Existing System (explain) B. ^ Permit Renewal ^ Pctmit Revision ^ Change of Plumber .r ^ Pe ~t Transfer to New List Previous Permit Number and Date Issued ~ Before Expiration Owner ~~ ' 1 IV. T e of POWTS S stem/Com onent/Device: Check all that ~ 1 Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grad ^ Mound> 24 in. of sm le soil ^ Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretrca t Device (explain) V. Dis ersaUTreatment Area Information: Design Flow (gp~ Design Soil Application )~ (gpdsf) Dis al Area Requi ~ (sf) / J Dispersal Are posed (sf) System Elevation ~ ,l VI. Tank Info Capacity in Total # of Manufacturer ~ c Gallons Gallons Units p ;: ~ j d N T k tin Ta k E i `` p :; ~ ~ ~ ~ ~ ew an s g x s n s /', w G5 ~ 1"r ~ v v~ ~, v~ i,., c7 w Septic or --rioiding Tank -~- / '' Dosing Chamber VII. Respo ibility Statement- I, the undersigned, assume res sibil' for installation of the POWTS shown on the attached plans. / Plumbe 's - me (Pr' t) ~ Plumber's Si rc ~ M P/MPRS Number Business Phone Number / I / i .t; ~ i .~ ! ~ - ,/ .~~ 7 P um er's A dress (Street, City, State Zip Code) ~~ ~ J ,~ VIII. Coun -/De artment se Onl roved ~ p isa A Permit Fee Date ssued Issuing nt Signa pp ~~ $ ~~ ~ / r ~~>1 ~ ~~ ivcn Reaso enial ~ / ~ I IX. Conditig~~~~easons for Disapproval ~, ~r~ /per !q^,t - J (b y+ /1Q,bJ rM 1. Septic tank, effluent finer and +I 1 "'_ j ~ dispersal ceA must all bgservlces /maintain `.1+~>~ OrJ~~- ~ , ~ ~Q''~ "" ~-~^~'w''~' as per management plan provided by plumber. 2. Altsemack requirements must be maintained ~t ~ J~ Attach to complete puns for the system ana saomtgto me counry Dory on papa. noa ass ...~.. o .., , „ ....:..W ... SBD-6398 (R. Ol/07) Valid thtu 01/09 "{' °~r-, .~-~°. ,,,,,,.r.d- ~"" _. . ,4' ,. . !; r~ ~.X= G• /V .-~/ .5'S / -- ~ -- ~ ;.;'~ jR ~ ~~~~ P ~;IG i ~~ ~,~c ~' /, iLL~/ i `~~ _st.~ ;~ I ~~ - r' ~~ ' - -~- -- - -_~ , ~ ~~ t , - 1 _ '~ ~'_. J' ~-> ', ~~ I~ '~. ~,, ~~ _, /~ ~E, / / J/•J // I ~' /~-. I °~' i 7i i ~; J ~ ~ .~~J ~. ~ . , , --- ~~ / `, `~, ~ `~ ~~ ~ -~ _ ~ ,. ~ - -~ ~ ~Y ,~ \\ ~ ~,n~' ~ ~ h'~ \ ~, '~. f ~ ~ ~~ x~~ /Y ~ ~ ~ ~~ f~ c~~v ,an~J ~ G~,ekc / /~~~ 3 /-~ ,JFS -/ ~,~J I ~~ i~~Q~ ~~~ sa~ ~. ~~ ~ ~. ~. 7I~ \ ~~, ~ ~ 9-~ ~ '~/ '~1 -~- ~ \ \~ ~ ~~ d , Lv `. ~ 1 ~ L3~ $~~ 79 RECEiV~®~~~. ~ ~~f~i~/"~i~"t SOIL EVA UATION REPORT #2034 Department of Commerce DEC O i~a~~nce wi h Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Steel's Soil Service ST. CROIX OOUNTY County Attach complete site plan on paper of less than 8'/2 x 11 inches ins e. Plan must St. Croix include, but not limited to: vertical a ~ ~ ,direction and percent slope, scale or dimensions, north arro d location and distance to nearest road. Parcel I.D. Pending Please print all i at" Revi ed Date Personal information you provide may be used fo econdary os (Priv cy Law, s. 15.04 (1) (m)). ~z ~~ / D(~ '1 Property Owner Property Location LaCasse Development , Inc. Govt. Lot na N 1/4, E1/4, S13, T29N, R19W Property Owner's Mailing Address Lot # >' S Block # Subd. Name or CSM# 573 Cty Rd " A" :~1' na Alexander Meadows First Addition City State Zip Code Phone Number ~ City ^i Village ~] Town Nearest Road Hudson WI 54016 715-381-5405 Hudson Alexander Rd. ^ New Construction Use: ~ Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ^ Public or commercial -Describe: na Parent material Stream terraces and pitted outwash plains Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 90.20ft. Trenches spaced and depth to code 3.OQ,ft below grade or and recommendations: to be adjusted to sand depth at the time of installation. Boring # ~ Boring Pit Ground surface elev. 93.20 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10yr4/4 none sl 2msbk mfr cs 1vf .6 1.0 2 10-33 7.5yr4/4 none Is osg mvfr cs na .7 1.6 3 33-100 7.5yr4/6 none ms osg ml na na .7 1.6 U' Za , 2., ~r 7 L ' Boring # ~ Boring Pit Ground surface elev. 93.20 ft. Depth to limiting factor 100 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 0-9 10yr4/4 none sl imsbk mfr cs 1vf .4 .6 2 9-33 7.5yr4/4 none Is osg mvfr cs na .7 1.6 3 33-100 7.5yr4/6 none ms osg ml na na .7 1.6 ~I 2 I ~ t Lb "` Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/Land TSS < 30 mg/L CST Name (Please Print) Signatur CST Number David J. Steel 248956 Address Steel's Soil Service ~ Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 11 /21 /2006 715-760-0347 SBD-8330 (R.07/00) Property Owner LaCasse Development , Inc. Parcel ID # Pending Page 2 of 3 3 ^ Boring 3,a ba/ev+ Coia..JL-t Boring # Plt Ground surface elev. 96.50 ft. Depth to limiting factor 100 in. ^ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-21 10yr4/4 none sl 2msbk mfr cs ivf .6 1.0 2 21-33 7.5yr4/4 none Is osg mvfr cs na .7 1.6 3 33-100 7.Syr4/6 none ms osg ml na na .7 1.6 y3. ,~ ~~ ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft~ 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 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ 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 = BODS < 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. SBD-8330 (R.07/00) Steel'S Soil Service . . STEEL'S SOIL SERVICE 1"=40' • =Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • =Alt Benchmark Ele. 100.55 ft Top of 3/4" pvc pipe ^ =Borings Boring Elevations ~ B 1 = 93.20 ft 7~ B2 = 93.20 ft 1 B3 = 96.50 ft B4 = 0.00 ft David J. Steel LaCasse Development, Inc. 994 200th St. CST-POWTSM NE1/4,SE1/4,S13,T29N,R19w Baldwin, WI 54002 Lic. #248956 Town of Hudson, St Croix Co. Direct 715-760-0347 Alexander Meadows First Addition, Lot 11 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as sho , as permanent lot lines were not established at the time the soil test was conducted. r I ~ ~/~ Legend N av .3, ~ y yo `~ ~~''i 7 ~~9 133 ~i ~~ ~o, ~ ,3,-fir ~~ y5; 3of3 ~~5~~~ l/ z~°~ .~ ~y Z~ ~~s ~- ~~ ~- ~' ,~, T ~ ~ . ~, ~ ~ ~ ~ 'r i N ~ / X94.8 1 t € ~, "s -~ 1 `~ 1 ~ _ f 1 /H~ ~ 1 1 '~ a ~ ~ 1 • ` ~ j t a f / J f ",~ ' ; ~ • ! ~ { EXISTING z (i.~i'•ACt.) ~ ~ ~ ; ~ ;y ~J Jew .' ; /~' ~ f ~ I ~ !f ~ it i ; ~ ~ J ~ ± j © ,..,\ ~•,~ ~~~ ..M•, ' ~ ; r j i ; X938. a s ~ ..... ~~ ~~~ / s -. • :~K; ~> > € ~ ' \ ~ \~ } / 'fib ~ s ~ ; ; ~ ~ / 1 t i „~ ~- - - ~' % i 3 € ~ F ~' 930. : i i : ~ 29 ~V ~ ~ ~ ~at'i i ( ~, ~ ...: •, ~1•~ AEI ~ . ~°... -. / / , / ~ : ' ~. fr• \ ~ • '~ • i s i r ~ • i { 3 • L ' ~ X96'.0 ~ ~®~~ 1~ \ / ~• \ v~. • ` ~~"" 4 /• ~, I ~' ` ~~fN! why \ ~ ~ ~, ~ ~~r OT ~ 2 ~ ~ t./ { ; ~ { :i ~ ; t~ ,\ X965.0 \, \ ~`,~ \~ ~~, -` '~'~ -~.~~ Q ~, \ \~ ~ ~ ' ` ...... . \ ~ \ j * ~~ \ ~~ ••\ ~ ~ ~ :\ ~.`• `` ~-..... ........ •~ ~3 .. ,~ ~ \ .•. \ ~ / 949.0 ~~j~~ ~~ ~ 1 •. _ •• .~~ .. ~ ~ ~ \~ ~~ '~~ ,~~ c ~ `~ a POWER`• .....,..~., ~~_.\, `-»,• -" _...,-•.••'-~ _ ,,. ,,,, ~\ ~ ; ' \ j ./ %: ' , ~ •~ ~~~- ~ ~ .- ••'"' ~ _, ^ ,. 963. , ~O~;l ~ DRIVEY~IY £ ~ ` 1 i\~ ~~ ~ TYPICAL •~, ,' rf !# // -- ,~ ~ •_ Jul ~~'~ `J 3 ' X95t.o \ ~ ,/ • ~ ;, : ~~ ~ ~ xe67.o ~ ••'•-p ~ ,%~' ; , ;. = ~ ~ ``. ~• _. ., - 9~ LOT ~'O f s .S i .. '- / / ~ `•~: ~\ ~ ~ / / / ''~ ~ ~ r E~9~bb.o ; -' i (1.29 At»).....-... _~ ~ -~ \. / # ~ \.~ ~~ •~ / ~, j Imo` ~ ••?- / Mi~~~.~ ~ .r ••"` y~ / ". `~~ i ..,.... 1 \ \ . ~/ I• 57.0 i ~ •~ , 1515 T // ~ li /~ i 7 / ~, ` ~~ ` ~ `;~~ ' /~-V r i.'. .~t4j~ i ~ ~ Z ;~• ~~'ij "'•.~ .~ % ^ _ -^ -' . .~~~i ~ ~ // . ~ ~i,,~\ `...,. ; .• • • ~ ~• / ~ 970 ~ e F ~ ~~ !959. ~j ~ •',,. ~ ~,,, °,~ ~ ,~; ~ . _ `~'.~~ \` j ~'~r. ~ ",. _._ 1 ~ .r _ ./' _ / /. ! . i r .. ' ~ :ti\ \.. \ • ~ .,-,....e ± J f E t ~ 1 ' _ r j i i f i t r . •'i ~ i LOCATION SKETCH TOWN OF N!/OSON t__.__. Y • ~~ c ~~ cM nalti-~ - Foc%c Ha nose ` couN,-,r PulLr oF: ALEXANDER MEADOWS FIRST ADDITION LOCATED IN PART OF THE NW t/4 OF THE SE t/4 OF SECTION 73, T29N, R19W, 70WN OF H UDSON, ST. CROIX COUNTY, WISCONSIN. PREPARED FOR: N s ~ 4 - r I vl. [N. ,n CURVE DATA TA i NLms ,p JT BLE (ui E N CT) -1 (AC 1.41![11 ~~ J C a,•IU •va wrvr I ~ l 1 ~ I pen lanpml n u bw/ WI Lwpln Mye sswOnq LmpM Sanp C1m Bw.00 ]pwp'Sp• w5'E a2 2 SoeD)l~E [ 1 ulJ LOT AREA TABLE L2 IBW ~ea;z.• 5,Y],'w5~ 21st >J= BBB o'~~ rBes, E !illlllllll'ill~lll!III!IIIVIVIIIIIIV cJ I > W Hea33'SB'E IDOOe t E Nap ]2 to E IIIIIIIII~ l r CI W 12150'b• s0p20']1•E w).53 a90'aJ Nap'J2'Ja•E SOBTB'le•E ~ ~ ~ /~ ~, '-Oh S LOT 23 I Bt]) 2BB S ZS 3J.d) tpOp'00' H>.V5'N'E BO BB INO']2'f a•E 5et1B'M•E ~ LoT z. tzelte xae. LOi 23 1 W b353Y re 3o•aJ.s-E v Jp BenWw•E sw22vp•E 85F~ 1(i b p3Ya5• Sb23'50.5'E 150.2. te25J SSO2Y{0•E 'O{2 2e 211 ' • ' • LOT 2> 0 2001 .00 0 ta E 0{ C SOe2p 10 E btlT23• 500'NJ'20. S'W 121.m 12250 SOe2B'feT S21'SB'OTw B .W 3 {]'2p• S)OM't0.5'E 820a ].]2 r0en2'20•E SM'w'Y12 .W 21Y3 2p N]031 105 W 81.02 B0.J0 N89 - LOT 20 a5 SS W NeetlYm W R19W\ HaaTH t/{ LOT b t~b5p isss ~ 2JJ.W ae3]5e• s{nt•Ja•w 2aee 2e.)o s3etla•]0•w s{{'b•m•w gqWpNER SECTION 13 T29N • t o ' • ' , , eez z3tt n eaW ]a3YJe 52>22 Lorn t o 1J W 1s.e3 b.lJ s{{3e u•w rotls'sa•w Y 3ECngJ tJ 2 l]Ba>s In Lor ] cm zesla•te• N] )aoo ne•5e•w 101OT J2a gs slom•s • ' r ::IIr+I^.1 - . a 1 w 3p s E sea Lor u tops 2s{ 2a >0.00 wtlrta• swop•31sw de.m ap.m rravx•w swlvulY ~ ,.;.r.<~ ;J cr; ~ ~ ~ DMINACE LOT a t]f)ee 1025 b )D.oo w2s•Je• sJO2e•m•w 40.11 u.ae 5501]1J•w Nmz111•w / J ' ~ • " • ' LOTss 103{18 2]]I JI )0.00 b•H 10 N)03B S1 w H.IJ H.BB H0821'11•W NST]e'Jt•w /"J -H EASEMENT TABLE"U• 10.00 8T{0'28' N18'{1'10•W 10.11 82M N52'b'J1Y x1312'S5•E 'Cr,~.+T_~ ._{L~//-~I7 ilEOI.nFR G/'i~EE[~; I / 52 / dRELnCW drl, mt >3 )0.00 e0tlY15' x5318'J2S•E BatO Nt51T'SS•E Sea3p'SO•E lJIB' UJT 501TJ'TOW 158.3>' 80,00 0514'28• N02W238•E OA08 SBa39'S0•E NbW'a2'E 0 J ]I528'JJ'w 9 C2 t0).pp ]e3{'S9• N10'M1]•E ifOJ1 1 ]DM'aYE NW2Yf0^N UJ 5 DJ'19T ?6865' Ulf NlST2'OJ•W ! CJ 10>.p0 1213YJ0" NOB20•a1•W 29208 J515Z H0020'le•W r{p32'ta•W B SJ TB'TI"W JS. BJ' U15 NSJ50YJ'W N Cif 2]1.00 JBtl)'2a• SB835'S0•w ] Sa03Yta'w v5 sJJ'20'TI •W IJI.16' U 20'!>"W T T' Ct5 10.00 aJle'00• SbIYSYW a 51500 5013Y00•W 08'E vJ 19 JT'lIE /JY O>' U J' yp T __ CI6 BOJ.00 ]2YJ'3Y Sb'Ia'Za 5"E N2.J0 NJ IZ Sta20'JO•E 13E B ] I I Ve NJI e5T "IY gJ T T I `~ -3.: WErT t,. I U E _ 9 .. - .... WES / v [ ORNER n SEC W 1J ^^//~~ rs JJ Ir tl w I SB9 3T 24 W 1333 52 ` I_ JHIW . _ `r~2eT 2e -- ~ '' __~ _..,. r, ~ • If].SB 23.10 2 ~ ,r rr° I2 G CH ~.. tit st .. ~ W I j q ~. , ..y~.- \_BENCN MAR%. TOP E LVAIIM O.,Pi n~ ) )] \ r . ~-_ m$I 0 0 \ I ELLYATON 9®a I ~ fir- - "•\ ~~ I . DRAINAGE I EASEMENT • ~a ~ r ,\ \ ~ ;t ~ ~ ~ TABLE V A rn ~m rl ~_ ~I ~ °~- LOT 23 B]e.o `.\ m ~ e LOT 25 ~ LOT 26 2 "("' ,Z l f __ j9 +I / _ J~ , ~ ..~ \ ~ \ ~ ~ ~ " S/~ ` ' ,• a £ - ,~ eLHa YN1P. TGP eENCN uAPp: TpP V ;, ' OF 1' IRW PIPE \ OF 1' IP011 PIPE - // R Yat - tt \ , ,. a . t ..... n FIEVATW p9s.0 FIEVATON 9]22 ~ ('..C p'.1~4' ~ _. i0 I I g -_- I SBB36'{t•E 4N.w' v w ., a / - ~ 4m ! b tl _ r I / xfuAxu j N. l , ` ~ ImL~ _____~~---~~~~_~~~~__ q ~. ~ , S /, BUFFED ARE M $ ' ~ ~ ~ 1 ~m ml r / NR ,, ADMH E S .~ t 9 LOT 2 1`n~.~lds ~ c Jt3aT ~ ~ / ~ ~, I Q I ~ _ 2 ~ / \ \ Hit.yylP aEHCJI 4ApN T I qn sphry/ dj tW-~ ~ l " I - - Lf I I ~'~,. A \ t ofiEV \ e" .perry i ry ~ ~ ~ ~~ osas ~ ~ ~ I .~ ..~ I ~ ~ , t 3~ S U~ I / J h LOT 3 '\ \ _.. - c] .- ~ a Is LOT 2B _ _- °' HILLSIDE TRAIL- - ~ N _ ` HILLSIDE TRAIL ~ _/ -- ~?- ~ -c" .~ .r b~°a - - - _ sa \ f _ I ~'7 - -~ ~ I ~ eao - tw a' ' U 1 Jv (1ai "~ ~ ~ ~ t I ~ ~ ~ \ \ ~ N r / / 1 ,a. ~ . .. ~ / Y .... L Yu rs fi[ ~ ...... (~( ~ ss ttt0/ l 1 1 LOT 34 ' 1 1 ~ . ;e _. ~m8 1 - ~'~'I ri Ol e N I ~ J ' ~. SOB 13 35 E -o PoUla M / ~ ` OB• I ) V IK.~. / a r r - ' o (~'F \` : r / ... I / ~ a ._.._ - - - / I .. bb `I ~ w/ I ' Gw/ JRU W i I / \ Iw J U~ i ~ v\ II, LOT 35 i % ~. ~ - r = 2.. _. ' ~~ ~ z r ~ . I : ~i k ~~.+ o Y„ ~ ~ J \~. I l' ' _ .. ~ ~ ~ SCOUT TRAIL n \ r f J \ ~1\\1 ~ A0 4 ms' b ~j J II i ~! ' E~ I' ` L ff ~\ ~~ 5 \ ~~,J6 B ~' .. S J e \ yw ~., ~ m r, ~..J , J ILnr~':I \ , a O I ~ ~ X I`•' J''•. Lxzit EAT' tp~~''w~ \ J I ~ \ ~ , .~ LOT 29 L 1~Ih LOT 32 % ~ ; ~ i y~~ '.Y "`-3, ~ J Loo-.BBJ.G d ~ HWi Bpe DRAINAGE J \~ .~ J ~~`_~ ^~ W ~, .~ = EASEMENT ` .M1 .x. / I ~ `~ ,wa. ~ ~ E TABLE "W" ~ ~ j - ~ \ 9 , j.o i Y ~ ~ \ S : ~ LOT 31 ~ LOT 30 ' ' X00 Y~ q ' , .. - , ... ., . / .. - ,. =a,~~ F b ~ , sfcnox la w '4+. ~ -- ! a• LEGEND •0 ~ - 4~ ~. ~ ~ ~ 2 © FWNO ALUY NUY CWNtt ~-~~~- - -r>-~---. SECTIXI CORNER 4WU4ENT E f ~ ' ~ - ~- ' .. r . ]8109 ~-. SEi t t/A• gAYE1EA BY 1B• ------- - OP N89°3 ~ NC { t)] ' L C ~ _ J5. t 03'E . wB@~ L BS rw UNEAA OO ¶ e]Y.OS' C\ \vA q+~ets ~ LsW ALL n1EN LDT CORNFRB )U I TH uNE OF ME u 1ED MI1N t 0 -_ - __.__ HWI/a of THE SE1/e IRON %PE WEIgNNO t.t] lBS PEP (WEAR PWT LW \ `~ \\ I -.- __ /W VARIABLE W1DT1 DRAINAGE EASEMENT TABLE"X" \ \ _ _____ WARALE EASEMENT BWNOAPY ..__ / 9/51. / / n ' ' so w Jae.ea ~ N~ J x DPIYEwxr LOCAnW MONITOR WELL ACCESS ~ /1i ~ ' - W HNT - BOa.B HKN WATER ELFVATg1 eW)ul la rownwN: mlM to Ne Mrm•N OeOarUnant eJ w 65 >O NOIL STiUClURES MAY of AfiELTED BY 4ULTPIE •In mmllr .e0 Th• w•wlmf T9T J e • . p pMwWVn Mti mh fa N• pwpaw of emtNVaO ob•rvUm el x5 NJe'/0'TBT / Ttl'F ST Y' 'IY"! LBO ~ 080.8 LOWEST BUILOINO OPF]lINO -TIE LB.Q (LONEM BUpgNO OPENING)) IRICTONr 4 Ir LOWEST WINDOW ON DOgt EIEVATW. DEPFNIIINC UPON 111E pIACDANT K TIE r1RUCNRE mY mmllr ••IIWY NWOML t uNo14Nr4 R•wurceN r II• repre•m1a11wA X6 N9B'IJ:sJ'E d9 'W}T"! J EACH OT BIIILOFN SHI11 BE pF'SPONSJBIE fqt • rau s o acc o • a• Mn o • lot Omr. . -- -- - 1Z' UTUtt GSF4ENT DEIFRWNING PPOPW r1PIICTAIE ElEVAT011 ANO APPpOPPIAIE 9TE OpAgNG CONSTRUCTION EASEMENTS to SJ'F r1' ,- H 9 11' . ~~~~~~~~'~ •~~~~~~ ~ POAO SEIBAIX (Ar SHDMN) NOTE: 1X15 Pi10PERtt Ir LOCATED W11HIN A LOk Re and 2B are wbwcl IP Lem wort cmewctm w•rnmtW nrwY ~~` ~" ~J F "' SPEOAL WE21 LONSTRIICTW APFA ALL WELL In B Th T J • N d~ Han Oa m aln NUewrri. 4 N~ e.m ~Lnat 't."r ~. ~ v , r•.-. „° : .-." Y ,.:. ~-- EXIBTNC BMB MRE FENCE CWSIRUCTg1 WILL PEWIRE VABINICE APPPOVAL 4•~ereleW eI p T e e Hw s M61S wmq THE L e ~' x p .;~ ..nr e.. rn . o4• In am.wa amL o mT i g i ~-e-- E%ISTNG NDtWII iFil¢ OENnW~13W F E AY RE SUBJECT TO wet bwitlM OI N •~IaL Up~ cmrv •lbn of .a0 m•L q• ,r i ADOI REW PEYENIS l t S ti tlm I In B b . oo ra n cwn • ~ l ALL ELEVATWS ARE RETERENCID rNn. al- aY • wcal•d. In•w cm•Irvcl w•em•n • or ea wmt.d - 'I TO TIE NORTi AMERICAN tERTCAL NOIG EACH PARCEL SHOWN W TN S MAP 13 •M~ ~ DA1U4 a IBe0. WBJECi TO STAIE CWNtt AHO TOWNSHIP ~• ~~ ( ' L m ~ ~ p C~55 TO CONSTRUCTION OF SCOUT TRAIL wYUU loT g~ n DRAINAGE EASEMENTS ~ cYy ErcJ BFFapE PupCHASJNG pIt • r o1 HNe.m ne. e•Lr,nM•e lost Ue pm•walxn r wgrownml x ~ a ~Y NO OMNDI Oft RE5IDBIT SHALL DO ANYMRG OElELOPMO ANY PMLG CONTACT TIE ST. at Scaul Tat b not W N. b••1 Yltrwt eT N• Lem al UN 1YRe. II le WMW WWID IHRRFERE MIIH OR CHNV4E TiF RANG 0f)1CE NIq 1HE 1DNH Ne ~1m'bn PJ Ne I` m to ode mtl prwrv Ue Hpnl-ot-WaY and UTILITY EASEMENTS ERATON OF 1HE AP%i0VE0 LOYPPFMFNAN: OFN UDSCN Fq1 ADNCE em• e m •e••mm • enom m N4 plot Ir Jelun cmeVUC1AWl r NO PRE M BUPIED CARIES ME TO BE PULID B l M l- t I M In l Nl dtl H d Q Lr ~ C[ ~~: wr o -m an n~wnrlE n na waY eI s emw • wl EUCM THAT TIE RSTAWTW NdAD g51LIpB ANY WAiPA ORNNAfE ANO SqL EP090N PLAN PDR PLAT. TNr IN¢OOES BUT IB NOT UIIITEO nb rolNale N• tom le con•WCl r Ynpwtw wY Scml Tml n SLJpt(v 5TA[E OP CBSINUCT NSHkJ ALONG 1HY wl• bl l tA 1 W Lb Y I U . o N` N eN Om ` n r nprowm n • OT lHE W STREET LRE. ME gSNPBANCE OF A 0 MIY•mtr w Ncm•~ M BUItO1N0 UPON, OBSIRULTHG ALIFIGNG o • am nu a rb 4 Ie b• c•n•eycl•d w L vEY rTANf BY ANYgIE R A NOIATW OP NWNO OR IXGVATNQ OR PIIHTNC IN ANY e pnowtl, Ne cP•t• of •ucA cm•LUCIM w ImDrarornmL• enWl be bam ~Mlgp 2Je ap qF ylY`ONyp STANT:S UlI1JTT POND OR DRNNAOE cevuEN15 WATfR o r r M I N• N ln •L arlr al N• Smin l E , • .. apr P r m w• GSELENTS AS HEPf]N SET FORM ARE FOR ME gtNNACE gTOIES WRIER IeJNWAYG WAIF]T OuMr of Sm11m 1A T2BN, R10W. Th• tom wll dw •elgn IV Inlrml ~ N WLVEATr, BEILYr Op CRArr SEEDWGB. M sold caneevclbn wwmwl• to wY emr a dsWepr a! U•B USE Qi pUBIIC BOOEr ANO PRVATF PUBLIC replnl UTUTEr HANNO THE p1OIT TO SEAN: 1HE MEA. ~ iNE TOWN OP HUDSON, DR 115 REPPESDITATIE. ~n 5 fRANIED ACEErS TO ALL OG TIE DPNNACE FASFLENTS 9lOMN HEREON FOR TIE PUPPOY a INSPECTp1 YARTENANCE OP RS Mf , PEPN OF STOp4WAlEP CDl1P4 FACIUTEr CgITNNm SCALE IN FEET MITIIH SAW EASEYENIS 1~ T11s IMSTXUMENT OpAfIFD BY: WIWAY NANE JOB N0. 90q-ta GTE: 0{/10/20m PENSEO: a5/38/2WJ SHEET 1 OF ] 0 B 821 2qe Ce ZSS ' • ' ' ' ' • ' i _ ~' .~ ~~~$ y ~ \' I~ ,~~'~ ~~~ ~ 1./ ~~~ ~ ~~ ~s ~3 ~~ ~ ~~~~A ~~" fr%' ~ ova ~~,~ PS ,r ~ ~ ~ 'yp.°' I ~ w i~~ •°f~' SS ~~~~id~0~~ ~wi9dr ~ ~ ~ ~ &~ 1 ~ ~ .~ ~~ .~- ~ ya e + ~_ k a a a' l~ O il C R a D -r E V R ~ 9 a z ,_ a a a 0 V' ~+ i y a a v+ g e a a c i ~r a A a a< r ®x s ~r - 94 V ~~ ~ a, a~ a a~ R ~a ~ ~ ~~' e ~, ~ ~ ~ `A ~ ~. a L yC 4 ~ ~'*3 .~ s ~~ sAF¢~ ~~~~ ~~ ~ ~ ~ ~~ a ~ a ~~ ~a ~ ~~ ~ ~ ~ a~ ~ s '~ ~~~ l~ 9 F ~g~. ~~ ~ ~ ~~~ ~~; ~ ~fif 9 .~ ~ ll ~.~ ~yZ ~' as ;3 ~el ~ ~aT ~' ~ 9 ~ ~ ~ ,, ~, ' `~ ~ ~~ a ~ C qj~)~~~ ~ ~~a ~ ~ S ~ 9 • ~"' ~ ` ST. CROIX COUNTY _ - ~~"~~SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIl' CERTIFICATION FORM - OwnerBuyer _ ,, n?CA~S~,, ~~~~ ~,~ ~.,~~~~' /yVG Mailing Address Property Address (Verification required-fr City/State ~,~~,J. /~ ~r LEGAL DESCRIPTION ,j & Zoning Department for new construction.) Parcel Identification Number Property Location '/4 , ~i% '/4 ,Sec. ! 3 , T Z `l N R~~W, Town of ~~~ ~-~ Subdivision ~' 1. e.,X ~~~?~(~c~ti''~'S ~ 5~- r~~ ~ _ ,Lot # ~~ Certified Survey Map # ,Volume ,Page # Warranty Deed # ,Volume ,Page # Spec house yes no Lot lines identifiable yes 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. Uwe, 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. Uwe 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 of bedrooms ~ SIGN UT~E OF APPLICANTS} f Z // 2/~ 17ATE **,*Any inforrnation that is misrepresented may result in the sanitary permit being revoked by the Planning c~. 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} 1 8457 1 '9 STATE BAR OF WISCONSIN FORb1 7 - 1999 Document Number TRUSTEE'S DEED Paul A. Spott as Trustee of Renee Spott Trust dated January I5, 2001, KATHLEEN H. MALSH kEGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD @3/02/20@7 12:@@PM TRUSTEES DEED EXEMPT # REC FEE: 11.0@ for a valuable consideration conveys without warranty to LaCasse 'TRANS FEE: 2220.08 Development, Inc., a Wisconsin Corporation, COPY FEE: -- CC FEE: PAGES: 1 Grantee, the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area The Northwest Quarter of the Southeast Quarter (NW 1!4 of SEIl4) of Section N~t d~R~ rn Address Thirteen (13), Township Twenty-Nine (29) North, Range Nineteen (19) West, Town `.t~ 9.-!~~) t~ of Hudson, EXCEPT that part located within the Plat of Alexander Meadows. r-;i,lLl , , ., _, ' ~sAC'i $~ TITLE 1200 HOST=0Rl7 STREET, SUITE 201 HUDSON. WI 04016 020-IO18-20-050 Parcel Identification Number (NIN) Dated this ~ 5't" day of March 2007 Trustee AUTHENTICATION Signature(s) authenticated this day ofTCaC~ L. TUrrler o.ary a ec' Ji~E~'4t'~ic~ nn n c i n ~ ..7GVrr~rr~- * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) * PAULA. SPOTT Trustee ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX County ) Personally came before me this l~ day of March 2007 the above named Paul A. Spott as trustee of the Renee Spott Trust dated January 15,2001, to me known to be t~~erson(s) who executed the foregoing instrLmentandradtr~~arlecYertll the same. THIS IN5IRUIv1~T1' WAS DRAF'I~ BY `^~ Judith A. Remington, Remington Law Offices, LLC * P.O. Box 177, New Richmond, WI 54017 N ary u 1' •, State of Wisconsin My~gm/fission ispermanent. I not, state exprraUOn ate: (Signatures may be authenticated or aclarowledged Both are not necessary.) LL (J~.. ~f \ ) * Narnes of persons signing in any capacity must be typed or printed below their signature. ~Monnatlon aroressanai: company, Fond du tae, wi soor~ss-zozi TRUSTEE'S DEED STATE BAR OF WISCONSIN FORM No. 7 - 1999 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ~ of FILE INFORMATION Owner J .l -~' ~9 I' Permit # DESIGN PARAMETERS Number of Bedrooms ^ NA Number of Public Facility Units ~ NA Estimated flow (average) gal/da Design flow (peak), (Estimated x 1.5) gal/day Soil Application Rate gal/da /ft2 Standard Influent/Effluent Quality Monthly average* Fats, Oil & Grease (FOG) <30 mg/L Biochemical Oxygen Demand (BODS) <220 mg/L ^ NA Total Suspended Solids (TSS) <150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand fBODS) S30 mg/L Total Suspended Solids (TSS) <30 mg/L ~ NA Fecal Coliform (geometric mean) <_104 cfu/100m1 Maximum Effluent Particle Size Y8 in dia. ^ NA Other: ^ NA *Values typical for domestic wastewater and septic tank effluent. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer - S ^ NA Effluent Filter Manufacturer -~,T ^ NA Effluent Fitter Model ^ NA Pump Tank Capac'rry gal ~ NA Pump Tank Manufacturer 1~NA Pump Manufacturer ~ NA Pump Model .>~ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ~ NA Dispersal Ce(lls) In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: ^ NA Other: ^ NA MAINTENANCE SCHEDULE Service Event Service Frequency inspect condition of tank(s) At least once eve n'' ^ month(s) (Maximum 3 ears) ear(s) y ^ NA Pump out contents of tank(s) When combined sludge and scum equals one-third 1%3) of tank volume ^ NA inspect dispersal cell(s) At least once eve n'' -a ^ month(s) (Maximum 3 ears) year(s) y ^ NA Clean effluent filter At least once every: ^ month(s) ~ year(s) ^ NA 'ns~ect pum p, pump controls & alarm At least once every: ^ month(s) ^ year(s) ANA rE~ak la-=rals and pressure test At least once every: ^ month(s) 1~NA ^ year(s) ~`=" At least once every: ^ monthlsl ^ year(s) ^ NA C ilk ep~ ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined .accumulation of sludge and scum in any tank equals one-third (Y3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of <_12 months, shall be performed by a certified POWTS Maintainer. A service report shall be prcvided to the local regulatory authority within 10 days of completion of any service event. :• START UP AND OPERATION Page ~ of For new construction, prior to use of the POWTS check treatment tank(s) fior the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell{s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shalt not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or eliminat)on of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: I~ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to ident)fy a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. It no replacement area is available a holding tank may be installed as a Last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < < WARNING > > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL E Name r, Phone - _ ~ - SEPTAGE SERVICING OPERATOR !PUMPER) Name Phone POWTS MAINTAINER Name Phone LOCAL REGULATORY AUTHORITY Name / ~ ..tea > Phone - -~ - This document was drag,=~ `- ~:-c a-~., ..~i;h chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54111, (2) & {3), Wisconsin Administrative Code. .. STAk°T UP AND OPERATION Page ~ of For new construction, prior to use ofi the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell{s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shalt not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicin O erator i r r Power to the effluent pump or contact a 9 P pro to estorin P 9 lum bet or PO WTS Maintainer to assist in manually operating the pump controls to restore normal Levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream POWTS: antibio ' may improve the performance and r tres; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers;) d sinfectantsf fate foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails andJor is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All Piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTAL E Name Phone _ - -_ ~ - SEPTAGE SERVICING OPERATOR POWTS MAINTAINER Name Phone .PUMPER) LOCAL REGULATORY AUTHORfTY Name Name Phone Phone this document was drat;=~ °- ~_-_ --_o ,, .;t;, chapter Comm 83.22{2)(b)(1)fd)&(f) and 83.54(1), (2) & {3), Wisconsin Administrative Code.