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HomeMy WebLinkAbout020-1022-60-050Wisconsin 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 Posel, Jason Hudson, Town of CST BM Elev: ' Insp. BM Elev: ~ BM Description: ~3 ~ Ido.~ ~cr~.~ ~ I ~~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~•~tiod Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic , ~ ~ ~ ~ ~ / ~ tp Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemai Length ia. Dist. to Snll ~RSnRPTInN SYSTEM/9f1)i•~.__. L. e.. ff'~~. ELEVATION DATA c°unty: St. Croix Sanitary Permit No: 499113 0 State Plan ID No: Parcel Tax No: 020-1022-60-050 Section/Town/Range/Map No: 14.29.19.103E00 STATION BS HI FS ELEV. Benchmark ~, 33 0~~33 jJD,~ AIt.BM ~ ~ /• /03.~~~ Bldg. Sew r (p~d,~ 99•zS'" SUHt Inlet ~ . nn ~ `7tj • SS St/Ht Outlet ~•~J p 20~ 0 Dt Inlet / / Dt Bottom ~' HeaderlMan. L ~o• o .2 ~+~ /~ I Dist. Pipe /0.2$ Ie. 3 S•: . o Bot. System 3• ~ Final Grade ,h , D r ~ ~P 33 St Cover RENC DIME IONS Width 1 3 Length^~ ~ • ~ ~J4 •) No. Of Trenches 2 PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING R OR Manufacturer: ~ INFORMATION CHAMBE Type Of System: ~•y~\/'• ~,,( VC ` ~ ~ ~ ~ f UNIT Model Number: rIICTDIQ11TInAl CVCTGM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ~n~ 11 Pipe(s) ,~, 2S-" 1 Length Cy Dia Length ~ Dia Spaci J Cnll rnVFR ., o..,~~•s c..~•e.,,r n.,l.. vv Mnnnrl nr ~t_Grada Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No ', Yes No CO~MEfJVT~• A~ln~ude co a di crep cies~personsplesent,~gtc~ Inspection #1: NON. ~ ~1~Z9'~ ~O Inspection #2: Locat n~~ss•7Y/7dH~o,IlCden Lane Un ow!'nTL NE 1/4 SE 1/~4 14~T2~9NJR~19>W) NA Lot Parcel No: 14.29.19.103E00 P~~~v„~,..•. off- k~.4R.1~ Cou-e~~gr • ~e~t,~•e~) a~J' -~Z 1.) Alt BM Description =~ 2.) Bldg sewer length = °~ - amount of cover = ~8 ~~.{ fms~ Co~.U-,. .. _ _ __ Plan revision Required? 'Yes No Use other side for additional informat on. ~ __ ~____ rL y ~` / Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division Cm+n4' ~ 201 W. Washington Ave., P.O. Box 7162 j , ® ~ ~ ~'S`'COns'~ Madison, WI 53707 - 7162 Site Address 2 ~ ~ ~7 ~~~~ ~ De artment of Commerce a~ Sanitary Permit Application ' Sanitary Permit Number ~ ~ ~~~~ In accord with Comm 83.21, Wis. Adm. Code, personal information you prov eck if Revision ma be used for seco ses Privac Law, s15. 1Nm I. Application Information -Please Print All Information State Plan I.D. Number ~~ Property Owner's Name Parcel Number Property Owner's Mailing Address Property Location , ( 9~ ~ /~/~E ~N UN7Y i4 E ~,4: S ~ T N. R ~ .)~' City, State Zip Code Phone Number r Block Number }~i,tpson? Vt)~sco~vs~,~ S~D/ ` t0 ~ ~ ~-~7~ ~l~ S vision Name CSM Number /al l~ '~ys~ ~9 II. Type of Btulding (check all that aPP1Y) 6/C ~5 ~ 5~~ru~ ~ ^Ciry 1 or 2 Family Dwelling -Number of Bedrooms ` ~«./~- o ^Villa ~ 8 ^ Public/Cotrtmercial -Describe Use ~'~"~ t... ®'I'ownship QSO N ^ State Owoed G.(,~ p ~ ~ i ~ b ~ Nearest Road Z. Q:~-- tl~ ~ -~- ,,,der ocv ',-~ L~ III. Type of Permit: (Check only one bo on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 ~ Ncw 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Ottl Ezis ' S stem B. Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ~ Non_-Pressurized In-Groin 21^ Moues 47 ^ Sand Filter 50 ^ Constructed Wetland n 1 J~' / ~ - ~ 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line h ^^ 2 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other ~d 1^t. 3Ca V. D' ersal/T~'eatment Area Information: ~^^ G Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade ~ Required ~~ Proposed Ratc(Gals./Days/Sq.Ft.) ~ (Min./Inch) ~ y~/ Elevation 6~a 1~ ~oo0 0.~ ~ 4 49,0 VI. Tank Info Capacity in Gallons Total Gallons Number of Tanks Manufacturer Q E~ ~ G ~ /~- g / Prefab Concrete Site Constructed Steel Fiber Glass plastic New F.xistiog k~ ~IL"r~ Q Tanks Tanks k T ldi ti H an ng c or o Sep o _ 126 O ~ ~ ~ k S , DosiaY Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plt~ is Name (Print) Pl is ignature MP/IvfPRS Number Business Phone Number J©t~+~ 5c~m~rr ~a37(~0 ~iS~sy~~-~6s1 Plumber's Address (Street, Ciry, State, ode) VIII. Count /De artment Use Otrl Sanitary Permit Fce (includes Groundwater Date Issu Issu' gent Signature o Stain Approved. ~PPro Surcharge Fee) ^ Owner en Im rse ~ ~~ ~ ~ ~' ~ ~ / ~~ 1, etewrtiGation I7C. CondiB?1~61UACpP'1"d5R!/Reasons for Disapproval ~ 9 ` ` fluent INftr Mitt) , ~ 1. Septic es /maintained b N ~ m t 5 ~~,'~'~ ~ / ~, b d us dispe-,a. a ~ ~ p~~Lw-a~t°~ as per rnanay :meat p1tlRi provided by plumber. b n~,~ ~ ~~`a ~ ~ ~ ; ,n, b No ~ 2 ; P~ 2. All setback recr_ ~remertt~ tlNlit be maintained se per applicable code / pdirgncss. ..,,. ,~. ,tie- Ri rz : r r ~~h~ U ~u SBD=6398 (R. 05!01) ~~ ~„ t~,:. ~~ . -:< as .,. ~,, ,.,:.3 ~,:~ . . ~-- 30 -~eLp~~; ~~~ ^'? • ALT ,6n~ ~'~vs ~~,~.~ r~ ~ ~AJ~ ,4~Gc; ~~~'~',~ c~.. ~ ~~ P~er~t,2ry Linr~ A~i. ~ i11 ~~ i~ _ ~ .~1 ~ 1 l~~ \ / 7 /Q ~Gj~~ ~ YY ~ % ~ ~ ~ - ~12C 3~ c~1Amr~~~5 ~ r ~~ ~/ ~ ~ i ~ a ~ ~ ~ ~ ~ ~~ t ~ I $ ~7 9~ ion ~N1 .~ . ~ '` w., y 9Q ~~ ~ ~ 1 ~ `~ 1 1 ~~ 1 Z~C ~~C. ~. i . w~6~S~- ~~/o-~- L ~~ r~ h , DR ~u~ why' / SRS ~cSC D fE~Qtk~>= ~ B.~Q~h~ M~wS~ {~~ov o~c A v~; r L1~- .~. ~y~~ ~/ 1~~~~~~" ~Z ~~©!( ri~~/~i~G~-~ ;~~/rte / sS~ %~ /~]~~~~ _ _ To ~eLp~N LA~~ ~~ ~ ~--- w gJ1'1 -~?K1/~. ~N C~~~ d~ox rG~E~P leaf E~ _ /~~.OC~ ~ l4Li. ~r~ .E)v3 Ti~t,f (C ~ t~Ot' ,4T Gc T ~ ~~`~~ t~. ; ~', l s ^ ~a2E /~-8L ~ S Air. B n1 ~~ '' = y~, 1 pR ILA W~}4" L~1 ~'' ~ ~ ` ~. y9a ~a ~ 1 ~s~CP~ ~ 3 ~~. f ~~' ~to~'~ ~, ~ ~., ~~ . Z~c ~~c. s.-. U1~e~s~ G~Fio=~- ~ r ~~w~~ r ~c. r~ h / PRG~osc D f R Q~ 6 E `f 8c p~tyoh~ NeuSE {~RoO o5G ~ 1!~? t L L- y~o sz~r~ i 1 r ~/ ~ , ~ ~~ ~qo ~~pvE ~~ ~, ' ~-3Xlo~ 7e~uc~Es ~ ~~~ ~12C 3(~ c~1~4M~F~5 ~ r - ~., ~ N / ~ M f i ` ~ ys ~~ 96 ~©~ 3y~~ ~/ ~A.~ e n- ~E~ t ~ ~q~ ~'~a~~t L, ~. ~ ~ Hn~~ ~ W Z AYE /( /~ ~ /~ s E /y s ~ y ~a~ rU~~~ ~e ~- w~~ti, g ~ ~~~~ 6/~ / J ~ ?"~ ~ J; Se ~~~ ~',2s~T Gt~.r ~ Yoe ~..~ ~7~'~~ ~~a376 0 f ., Wisconsin Department of Commerce Division ~ Safety and Buildings SOIL EVALUATION REPORT in arrnrrlanrp wiFh Rnmm RS Wis Orlm Crvfo 1888 Page 1 of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must l d it i b d h St. Croix nc u e, ut not lim e to: vertical and orizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road . Parcel I.D. 020-10 2-6 -000 Please print all information. Revi y Date Personal iMormation you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 7 /~ D Property Owner Property Locetion Arlen & Kathy Wente Govt. Lot NE 1/4 SE 1!4 14 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name o CSM# 779 Holden Lane 2 Proposed CSM City State Zip Code Phone Number J City J Village /_f Town Nearest Road Hudson ~ WI 54016 715-386-9713 Hudson Holden Lane t/ New Construction D~~ ~ Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement _j Public or commercial -Describe: Parent material Glacial outwash Flood plain elevation, ifGa plicable ~ na General comments ~5 and recommendations: ventional POWTS using two trenches-with combined E.I.S.A. = 8.20 sq. ft. at elevation of 94.00'. , '~ Boring # _l Boring ^ >119" 1/ Pit Ground Surface elev. 100.28 ft. Depth to in. limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3R none sil 2fsbk mvfr as 2f,m 0.6 0.8 2 9-23 10yr4/4 none sl 2msbk mvfr cw 2f,m 0.6 1.0 3 23-33 7.5yr4/6 none grls 0 sg dl aw 1f 0.7 1.6 4 33-48 10yr4/6 none grs 0 sg dl cw - 0.7 1.6 5 48-119 10yr5/6 none / s 0 sg dl - - 0.6 1.0 ~~ 5,~ -~ -ix ,3i: #5 contains 0 sg bands of 7.Syr4/61s, 1/7' - 1" t ick, at 17' - 1 'intervals. Loading rate reduced to reflect permiabilily restriction associated with banding. Boring # ~ Boring 1~ Pit Ground Surface elev. 97.33 ft. Depth to limiting factor > 108° in. Soil Application Rate Horizon Depih Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP Dlfts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3R none sil 2fsbk mvfr as 2f,m 0.6 0.8 2 9-30 10yr4/4 none sl 2msbk mvfr cvv 2f,m 0.6 1.0 3 30-40 7.5yr4/6 none grls 0 sg dl aw 1f 0.7 1.6 4 40-108 10yr4/6 none s 0 sg dl - - 0.7 ~ 1.6 it ~, H#4 contains 0 sg bands of 7.Syr4! s, 1 /2" - 1" thick, 12" -15' intervals. Loading rate reduced to reflect permiability restriction associated with banding~~ ' Effluent #1 = BOD ~ 30 <_ 220 m and TSS >30 < 1 "Effluent #2 = BOD <30 mg/L and TSS <~0 mg/L CST Name (Please Print) Signat CST Number James K. Thompson - 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. O a, WI 54020 1R5R005 715-248-7767 ~Ipl • 'property Owner Arlen & Kathy Wente Parcel ID # 020-1022-60-000 Page 2 of 3 Boring # Boring d~ Pit Ground Surface elev. 97.16 ft. Depth to limiting factor > 105" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-16 10yr32 none sil 2fsbk mvfr ce 2f,m 0.6 0.8 2 16-28 10yr4/4 none sil 2msbk mvFr gw 2f,m 0.6 1.0 3 28-52 10yr5/4 none sil 2msbk mfr cw 1f 0.6 0.8 4 52-68 7.5yr4/6 none grls 0 sg dl gw 1f 0.7 1.6 5 38-103 10yr5/6 none s 0 sg dl - - 0.7 ~ 1.0 H#5 contains 0 sg bands of 7.5yr416 Is, 1/2" -1"thick, at 17' - 16" intervals. Loading rate reduced to reflect permiability restriction associated wfth • banding. ^ Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots in. Munsell Ctu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 ^ Boring # J 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'EtT#2 'Effluent #1 = BOD ~ 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. "' ' / So;/eda/ua~:o~, ~~~~ ~ E/e da. ~%o.~ ` ~ , ~-rrrrrr~ , ~ "~ '~ .4r/cn~" ~/a.~ Gckn~t. v: `~ M Sec . /i! T , off' ,5/cc ~~, 02' /off coin-cr. Elea ~ 99. 9s.' '. (J.M. ~ Yla~ 1 in ~.~ ~~ E/d~ ~Re. ,~---- - - _ 97 0' ~ _ 9~.0' 98.0 ~ Q~ ' , ~. o ~ ,` ` ~h~ ~ ~2'~ ,` 3~SIoP~~ Ay: ;; E'' .;~~0 -~ ~ ~~~_o ` ~ H \vQ~ ~i ,~~~~~~ ~ -~,,r~ - ,• ~ -~ ~ ~`r ~ ~ ~ `h ~.. ~.- ~ Ip, t, ~ t ~ -% ~ /~ ~ ~ ,(3 3 , ~ , ~ , ~ ~ ` ~ 3 P, 30~~ r ,3 79t71~7~'t VOL 19 PAGE 4957 KATHCEEH N. W7(i:SR--__~ 157_L K Ut VttUS sr ceolx co., wI CERTIFIED SURVEY MAP RE EIVED FOR RECORD 03 30/2005 01:15P11 Located in the Northeast Quarter of the Southeast Quarter of CE TIFIED SURVEY t[AP Section 14, Township 29 North, Range 19 West, Town of COPY FEE: Hudson, St. Croix County, Wisconsin PAGES: <? (~ ~ • `S ~ W o ~ ~~ • CEE nJ C Found North 1/4 Comer Q o ~ ~ °c SCHULTZ ~ a ,~ Sec. 14-29-19 ~,~ `'~ ~ ~ ~ ~ 2031 ~ ~ i i Aluminum Monument O. ~ Q ~_ c .9 HUDSOW~W) ~.~ ~~ UNPLATTED LANDS I ~/~ Holden Lane I - N89'09'38"E 347.21'--~ ` _ r - - - - 281.21 N 4 ~ -66.00' 'o ~ Existing ~ o ~ M I -Drive -~'~-xWell~ ~ i ~ [V N m ~I .C ~ I ~ ~ I ~ Qi ~ `v ~~ `° I d O i ~ ~ W 3 x c ~ I V) ~; V O Q I ~ ~ ~ ~ Z ~ C I ~I ~ ~ I Southwest Comer 1 of the North Holf t ~~ ~_- N89'p4'51'E ma 1426.67'- _. - - c-- i B P O I . . . a~ I LOT 1 X ' w ~ Sep tic lien t 3'09'38"E 281.02 LOT 2 ~, N S89'04'51"W 346.91' 0 r7 c0 W tl7 ~I z ~I ~~ W F- l Q J ~ z~ ~I ARFA LO_T 1 109.444 Sq. Ft. 2.512 ACreS AREA LOTS 109,443 Sq. Ft 2.512 Acres South line of the North Half _ I UNPLATTED LANDS -- - _ _ _ - - N \ ~ - - _ ,.,~ w LEGEND 1 ~ m N ~ Q Set 1" (O.D.) X 24" Iron Pipe f 1 i ~ o t. weighing 1.679 lbs./linear \ 1 ~ c • Found 1-1 /2" (O.D) Iron Pipe • ~ Section Corner - - - - 100' Building Setbock Line } The beorings ore referenced to the North-South 1/4 line of Section 14, assumed to bear SOO'S2' 05"E 200 100 0 200 SCALE: 1 INCH 200 FEET Drafted by. G. Nill Drawn on: December 14, 2004 MELCHERT WALKI{Y Project No.: 24049 landscape arch;tecEure vas H1Qhw.y Field Book: St. Croix County No. 14 civil en ineerin Hud~oa, vri 8' B Phone (71lS~ land survey;ng Fex cal > Sheet 1 of 2 xslcxeltr wAltcxx Vol 19 Page 4957 ~ ~EC~~~ ' Wisconsin Department of C ce , SO L EVALUATION REPORT ~ Division Of Safely and Building ~`,~ ~_ ~ V ~ ~~' 00 ~ ~„~}h .nmm Rr, Wit Arlm C:rvla C N (v 1860 Page 1 of 3 A.C.E. Soil & Site Evaluations County Attach complete site plan n papeE~ot~q]h3u1.$~~ ~1~ idches i size. Plan must ° St. Croix include, but not limited to: erticall ~a ~jaEe in ), direction a percent slope, scale or di ms wn and dis nct ra~d ~ D Parcel I.D. 02U_1022-6D_000 Please print all information. [ ~ Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (t) (m)). Property Owner / ~ i C '" Property Location °J `, Arlen & Kathy Wente Govt. Lot NE 1/4 SE 1/4 S 14 T 29 N R 19 W ailing Address ~ ~~-t de eL ~ Lot # Block # Subd. Name or CSM# ~' ~~ Hol 779 ane City State Zip Code Ph Number ~ City _J Vllage 1/ Town N~rest Road Hudson ~ WI 54016 715-386-9713 Hudson 779 Holden Lane /~ New Construction use: ~ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD __ f Replacement ~ Public or commercial -Describe: Parent material Glacial outwash leyation, if applicable na Floo General comments chambers and recommendations: Install 2 trenches at 3 0 us 30 I thin n d r ~~ ~ ~ f ~~ ; g 0 g . ~ ~ -f-' Q~u f . ' Boring # --~ Boring ~~ >9 Pit Ground Surtace elev. 97.89 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D1fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-16 10yr3/2 none I 2fsbk mvFr cw 2f 0.6 0.8 2 16-36 10yr5/4 none sil 2fsbk mvfr cw 1f 0.6 0.8 3 36-42 10yr5/4 f2d 7.5yr5/8 sil 1fsbk mfr aw 1vf 0.4 0.6 4 42-65 7.5yr4/6 none s Osg dl cw 1vf 0.5 1.0 5 65-96 10yr5/6 none s & gr Osg dl - - 0.7 1.6 Comm. 85.30(3)(a)3 applied to discount redox. concentrations identified in H# . H ntains 1" - 7' bands of 7.5yr4/41fs at 5' -12" intervals. Loading rate reduced to reflect restricted permiabif' orizon associated with banding. Boring # J Boring /~ Pit Ground Surtace elev. 97.69 ft. Depth to limiting factor '94~~ 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 'Efi#2 1 0-18 10yr32 none sil 2fsbk ds cvir Zfm 0.6 0.8 2 18-27 10yr4/4 none sil 2fsbk ds cw 2f,1 m 0.6 0.8 3 27-44 10yr5/4 none sil 2fsbk ds cw 2f 0.6 0.8 4 44-48 10yr5/4 f2d 7.5yr5/8 sil 1 msbk ds aw 2f 0.4 0.6 5 481 7.5yr4/6 none Is & gr 1msbk ds gw - 0.5 1.0 6 61-94 10yr4/6 none s Osg dl - - 0.7 1.6 Comm. i35.3t)(3)(a}3 applied tc discount in H#4. H to ftect is " wealdy cemented in place parting to osg when distu oading e wn associated iwth cementing agents. • Effluent #1 = BOD ~ 30 < 220 SS >30 < 1 mg/L Effluent #2 = BOD < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson 3~ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osceola. 154020 10252004 715-248-7767 ~' t Property Owner ~~ ~ ~~Y Wente Parcel ID # 020-1022-60-000 Page 2 of 3 Boring # ~ Boring i~ Pit Ground Surface elev. 99.00 ft. Depth to limiting factor > 110" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-14 10yr3/2 none I 2fsbk ds cw 2fm,1c 0.6 0.8 2 14-23 10yr4/3 none sil 2fsbk ds cvv 2fm,1c 0.6 0.8 3 23-38 10yr4/4 none sl 2fsbk ds cw 1fm 0.6 1.0 4 38-58 10yr5/4 f2p7.5yr5l8 sil 1msbk ds aw 1fm 0.4 0.6 5 58-70 10yr4/6 none is & gr 1 msbk ds gw 1fm 0.5 1.0 6 70-110 10yr5/6 none s & gr Osg dl - - 0.7 -' 1.6 Comm. 85.30(3)(a)3 applied to discount redox. concentrations i reduced to reflect permiab n H#5 ' Idy cemented in place parting to osg when di ility r ion associated ivvth cementing agents. ~~7 l~r.,w-gyp ~a~n+r u-re7 •w-~ -~--~..~...s -•~ -- 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 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 J * Effluent #1 = BOD ~ 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. 370 Ul 28~5P- 161 State Bar of W isconsin Form 2-2003 WARRANTY DEED Document Number ~i Document Name THIS DEED, made between,Arlen L. Wente and Katherine A. Wente. husband and wife ("Grantor," whether one or more), and Jason J Posel ,an unmarried individual ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): That part of NE '/. SE '/. Sec. 14-T29N-R19W described as follows: Lot 2 of Certified Survey Map recorded in Vol. 19 of Certified Survey Maps, page 4957 as Doc. No. 790874. St. Croix County, Wisconsin. 8~~~~~ KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIYED FOB RECORD 07/18/2085 83:08P11 1lARRANTY DEED EXEl9PT tE REC FEE: 11.00 TRAILS FEE: 247.50 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address David J. Estreen 304 LOCIISt S'tteEt Hudson, Wi 5401 fi I.U1-1~~ti~ 020-1022-60-000 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Exceptionsto warranties: Easements, restrictions and rights-oi way of record, if any. Dated ~/ ~ Z~O (SEAL) * *Arlen L. Wente (SEAL) * *Katherine A. Wente UTHENTICATION ACKNOWLEDGMENT fe STATE OF ) Ju1,X 12. 2005 ) ss. COUNTY ) MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stet. § 706.06) THIS INSTRUMENT DRAFTED BY: Personally came before me on , the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Attorney Kristine OEland Notary Public, State of Hudson. WI 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 Type name below signatures. INFO-PROTM legal Forms 800-655-2021 www.infoprofortns.com CERTIFIED SURVEY MAP Located in the Northeast Quarter of the Southeast Quarter of Section 14, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin Description: Located in the Northeast Quarter of the Southeast Quarter of Section 14, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin described as follows: Commencing at the north quarter corner of said Section 14; Thence South 00 degrees 52 minutes 05 seconds East, along the north-south quarter line of said Section 14, o distance of 3942.71 feet to the southwest corner of the north half of said Section 14; Thence North 89 degrees 04 minutes 51 seconds East, along the south line of the north half of said Section 14, a distance of 1426.67 feet to a found 1-1 /2 inch outside diameter iron pipe, this being the POINT OF BEGINNING; Thence North 00 degrees 50 minutes 37 seconds West 630.93 feet to a found 1-1/2 inch outside diameter iron pipe, thlg pipe marking the southerly right of way of Holden Lane; Thence North 89 degrees 09 minutes 38 seconds Eost, along the southerly right of way of Holden Lane, 347.21 feet to a found 1-1/2 inch outside diameter iron pipe; Thence South 00 degrees 48 minutes 58 seconds East 630.45 feet to a found 1-1 /2 inch outside diameter iron pipe, this pipe marking the south line of the north half of said Section 14; Thence South 89 degrees 04 minutes 51 seconds West, along the south line of the north half of said Section 14, a distance of 346.91 feet to the POINT OF BEGINNING and there terminating. This parcel contains 218,887 square feet - 5.025 acres. This parcel is subject to all easements, restrictions and covenants of record. SURVEYOR'S CERTIFICATE I, Clarence E. Schultz, Registered Wisconsin Land Surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St. Croix County Subdivision Ordinances and under the direction of Katherine Wente, 779 Holden Lane, Hudson, Wisconsin, 54016, I have surveyed, divided and mopped the above described parcel and that such map is true and correct representation thereof. Note: Each parcel .shown on this map is subject to state, county, and township laws, rules and regulations (i. e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Hudson. ~~ Clarence E. Schultz, No. 2 31 Melchert Walkky, Inc. 749 Highway 12 Hudson, Wisconsin 54016 715-386-7736 ~`4i~~5 c o ~'s, ;~ 3 CLARENCE E. Date w~,4: ; SCHULR '1031 r;, ~•; HUDSON,WI '~ if AjAo~ ~ ;ifi ~ ~~ MELCHERT WALKKY landscape architecture vaa ~s C191I ep8lLBBT1DQ ph ne ]end surveying Faz {7 Sheet 2 of 2 BIODIFFUSER CROSS SECTION Approximate Grade `' = I _"' i T III .7.. -~ 4"PVC Inspection + Vent Pipe 1-i ~ - ~~- ~I~,I qj~ -~ tr'- ~.4d. -~~ ~ 3' - ~ ac ---~ Average OpM AreO Wipfh average '%n en area Wdln POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FllE INFORMATION Owner Jascn Posel Permit ~ DESIGN PARAMETERS Number of Bedrooms 4 ^ NA Number of Public Facility Units ^ NA Estimated flow (average) 400 al/da Design flow (peakl, (Estimaied x 1.5) 600 al/da Soil Application Rate 0 . 6 al/da /ft2 Standard fnfluent/Effluent Quality Monthly average ' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand leODb) 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODE) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Coliform (geometric mean) 510` cfu/100m1 Maximum Effluent Particle Size Y8 in die. ^ NA Other: ~ ^ NA 'Values typical for domestic wastewater and septic tank effluent. iRYSTEM SPECIFICATIONS . Septic Tank Capacity 12 6 0 al ^ NA Septic Tank Manufacturer Week's C . P . ^ NA Effluent Filter Manufacturer Best ^ NA Effluent Filter Model GF 10- 8 ^ NA Pump Tank Capacity al ^ NA Pump Tank Manufacturer M NA Pump Manufacturer ^ NA Pump Model ~ ®NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection O Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Celllsl 0 In-Ground (gravity) ^ At-Grade ^ Drip-Line ^ NA O In-Ground (pressurized) ^ Mound ^ Other: Other: ^ NA Other: O NA Other. ^ NA MHlnl l CIYNrY V C .76, r7 CU\J LG Service Event Service Frequency Inspect condition of tank(s) At least once every: ^ month(s) (Maximum 3 years) 3 ^ earls) ^ NA Pump out contents of tanks! When combined sludge and- scum equals one-third IY,) of tank volume ^ NA Ins act dis arse) cell(s) p P At least once every: ^ monthls) (Maximum 3 years) 3 ^yearls) ^ NA ^ month(s) ^ NA Clean effluent filter At least once every: M ear(s) p earl l(s) ^ NA Inspect pump, pump controls & alarm At least once every: s Y ' ^ monthls) ^ NA Flush laterals and pressure test At least once every: ^yearls) Other: At least once every: ^monthls) ^ year(s) ^ NA Other: ^ 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 {nspector, 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 IY,1 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 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event, Page of START UP AND OPERATION For new construction, prior to use of the POWTS check ueatmont tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damags the dispersal call(s). If high concenuations are detected have the contents of tf-e tank(s) removed by a septage servicing operator prlo~ ~o use. 4.x, . System start up shall not occur whbn soil conditions are frozen at the infiltrative surface. Otuing power outages pump tanks may tUl above normal highwater levels-. When power is restored the excess wastewater will be discharged to the dispersal call(s) in one largo dose, overloading tote 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 1 b feat down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater suaam 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. rr 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. r 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 walls. 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. __' D 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. D 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. O 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 INSTALLER POWTS MAINTAINER Name John• Schttiitt Phone ~ 1 Name Owners choice Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name c oice Rhona Name St. Croix Ct Zonin Phone 715 386-4680 This document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.64(1), (2) & (3), Wisconsin Administrative Coda. t FROM SCHMTT & SONS EXC PHONE NO. 715 549 6651 Aug. 03 2006 08:31AM P2 S'Tr CROTK COUNTY SEPTIC TANK I~~LAINTEI~IANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM twnerBuyer ---"'-~o•J oS~~ Mailing Address ~ .f-~/'~~ ~ ~/~'% ,~ ®~if ~//~f ~~U/LO 'ropariy Address ~~ ~~~ f~~ ~T ~~~/,~ ~ (~ (Verification required from Planning Department for new constriction) 1~-'~ ;sty/State _ ff/~~`' ~ Parcel Identification Number ~~ ~i0,~.~~ 6L~_-~ ;I~cAL tole ~ ~ , I~ 3 ~ ' Z~ ?rnputy Location ~_ '/., ~._ '/., Sec. ~, T~_N R,,..[~W, Town of ~Ua ~~ subdivision Lot # ,~„_. ~ertitied Survey Map # Volume ^ _. Page # PYamattty Deed # ~~~ '~5~2 ,.. .Volume ~ fi`t'. i .Page # / ~ ~ Spec house ^ yes ~no I.ot lines identifiable E~ yes ^ no SYSTEM MA][NTENANCE ~ : --~ Improper use cad maintenance of your septic system could result in its premature failare to handle wastes. Proper maintenance consists of pumping ont the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system esa affect the function of the se~ic tank as a treatment sage is the waste disposal system. i The property owner agrees to submit to St. GYoix Zoning Department a certification form, sighed by the owner and by a enastorPlumber. joumoyman Plumbix,restricted plumbcx or a Ticensedpumpcr vetifj+iitgthat (1) the on silo wastawsterdisposal system is is proper operating condition and/or (2) after inspection and Pumping (if neoessary~ the septic tank is less than 1/3 full of sludge Lwc, the uadc~sigood !save t+ead the above roquiremeats end agree to maiznain fire private sewage disposal system with tlu standards set forth, hetran, as set by the Department of Commerce and the Department of Natural Resout+oes, State of W iscousin. Gertif cation sating that your stptie system bas been maiaained must be completed and returned to the St. GYoix County 7.onlatg office within 3d days o~ lion date. i i~0~' SI ~ O APPLICANT DATE O R CER CATfU I (we) certify that sll satemeats oa thin form ate true to the best of my (Otu) imowlodge. T (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Aaeds Ofi'itce. . -----. / / ®~O SI F APPLICAN'T' DATE . ~ r, .•«sss ', ermit being revoked b th . ent. `•«+f. . Any information that ismss-represented max rtisult is the sanitary p Y ~~ ~P~ s. Include with ihls appliextlon: a stamped wanaaty deed froth the Register of Deeds office . a copy of the certified survey map if reference is made m the warranty deed ~" _ d y -~ ~ ~ ~ G ~~ z ~~ D A ~n A • D O O z A D i O x ~z A O~ O x ~ ? ~.~,,..e I~IIJIIIblIDT1F.i(~ ~~~~~°~~~~ ~vATIONS - - = - i w ,...-, .,.._ .., ..... _ ... ~.p ~~~ ~,~,~ ~~S~N ~~ L~ ~~ J~~~ ~~ r.p \V U~ ti ~ ~ No H ~} ' R .: ~ 1p ~ ~a i `p~ g7 Ft ~~ ~~ Y " ~ j ~ $ ~R ~~ y~ 3 ~~ i ~ ~~ ~ ~~ ~~ t ~ ~ { ~ ~s ~ f F DD t r ~ $ ~ ~ ~~ ~ ~ ~~ 4i~ ~ ~ . ~~ iY0' ]a'-0' !o'-0' .'-0' -0. s a d -0' 3Y-0' 3s'-0' sY-0' SCALE: I/4` . I' . O" ~ ~ ~ ~ ° ap ~ ~ 5 e ~ iU~TIl7Pl~ID IB~IIDII~iQn i0lJNDATION PLAN ~_ . . 4. ~ 14k1 ~ ~ ~qF y s ~~d a3 Q ~~~ 6 F ~ q i s ( ~~ ~ g ~~ ~ ~~'; ¢ ~`~ !~~ i~~ n ~ y w !~ . . , ,4 1 ,d ,. i ii ~ .-. ~-' _ _ _ ~ a - .a' FLOOR twae Fe . FiY o.c. ~ A ~ . , ti . -- _ . ; ., _ , ; . . ; , ;, . . .~ ~ ~ i - a - ----- --.-----. --------------- - .---------------. :- , I ' I - .. . . ~~ i Y .;k b F ~ a'-~• ~~*~ ~ 11'i' i ~ ~ ~ ~~ ~ ~ - ~ d r .. . d i9' FLOOR iRUl6 F2 • IS]' O.C.' l d l ~ D qg q~ tl y . . , . . . , . ~ . ... .. - ------ e 8' a ~ I q ~ i i ----- --------_-__-- x • ---._.---_-_--_-.-_-- . _--__----__-.--_--__--__- . . ____.-_-__-. ' ; Parcel #: 020-1022-60-050 os/11/loos 02:02 PM - PAGE 1 OF 1 Alt. Parcel #: 14.29.19.103E-20 020 -TOWN OF HUDSON Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/30/2005 00 0 Tax Address: Owner(s): O =Current Owner, C =Current CaOwner O - POSEL, JASON J JASON J POSEL 494 PRAIRIE LN HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 777 HOLDEN LN SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.512 Plat: 4957-CSM 19-4957 020-05 SEC 14 T29N R19W PT NE SE CSM 19-4957 LOT 2 2 AC Block/Condo Bldg: LOT 02 .51 2 ( ) Tract(s): (Sec-Twn-Rng 401(4 160114) 14-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07118!2005 800652 2845/161 WD 03/30/2005 790874 19/4957 CSM 07/23/1997 708/525 9Af1R CI IMMeRY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres Land RESIDENTIAL G1 2.512 71,000 Totals for 2006: General Property 2.512 71,000 Woodland 0.000 0 Last Changed: 05/30/2006 Improve Total State Reason 0 71,000 NO 05 0 71,000 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