Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
020-1029-60-400
Jbisconsirrf.epartment of Commerce PRIVATE SEWAGE SYSTEM Safety~ind Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Wendorff, Dale Hudson, Town of CST BM Elev: /6 (~- v Insp. BM Elev: SM Desc~: /01~ ' v TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 12 ~j) Dosing ~ ~ ~~ ~ ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P!L WELL ~~ BLDG. ~ Vent to Air Intake ROAD Septi ~ ~ ~ ~ ! Dosing ~ (~ Aeration J.~j :r' Holding PUMPISIPHON INFORMATION ~if ILfi'Y 1 T! Manufacturer Demand GPM Model Number TDH Lift Friction Lo System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width ~ 1 Le~b ~~ r Nc DIMENSIONS 9' SETBACK SYSTEM TO P/L INFORMATION T e Of System: DISTRIBUTION SYSTEM ELEVATION DATA County: St. CfOIX Sanitary Permit No: 506381 0 State Plan ID No: Parcel Tax No: 020-1029-60-400 SectionlTownJRange/Map No: 16.29.19.133E20 STATION BS HI FS ELEV. Benchmark AIM yyt(,lih ~ ~ ~~ Bldg. Sewer ~ ~- y? SUHt nlet . ~ ~J ~ / ~' S SUHt Outlet ,~, ~ 7 3 Dt Inlet l~ Dt Bottom Hea Man. r~ '$ I 3 • f Dist. Pipe ~. ~ ~ IS ~3- S Bot. System I r~ 2-J final Gracie ~~ I ,.. ^ ^ 5 ~ , ~ ~~ St ver ~ r~ ~}`S ~ , __~ ~ Ctm ~ ~ /, o /0/ , (e c ~t , / k ~' r , L ~~ - PIT DIMENSIO No. Of PitsNo. Of Pits Dia. Liquid Depth ~ctur 1 NumberNumber: J j G WEL LAKE/STREAM ~i ~ b~ / a~ ram- - 1~(l' ~.~ --(~,~, Hea anifold / ~ Distribution ~ j ~ Pi e s !y/ ~ h ~ x Hole Size x Hole Spacin en o Air Intake / ~ Dia_~ ~ Length Lengt tt Dia Spacing^ _ ~ / ~ G{ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ .~ / Bed/Trench Edges Topsoil 0 Yes [~ No ~ Yes ~ No COMMENTS: {Include code discrepancies, persons present, etc.) Inspection #1:~/ ~ ~1~ "t ~-~ispection #2: / f Location: 518 County Ro~adnA Hudson, WI/~540~11,6 {SW 114 SW !4 16 T29N R19W)~ Lo -~~'Z'U7itiz~-/ Parcel No: 16.29.19.133E20 1.) Alt BM Description = ~ "/° ~ rn~' "`-" ~ //~ //~~ G~/~~ ,~ ~,,S~f2 2.) Bldg sewer length = G /.~~ ~, !~/~~"~" f~() ~'~~ 4G 0~'t~"~'+ .~0~~(X~ (.C1, ~ "' y~ S -amount of cover = ~~~ v~t/rti_~ ~~G~c~ __ dd Use other side foruadd tionah in Yes [~o ~ ~ ~~ ~~ ~ i formation. ~ __ - - - ~~~-~ ~- __~ SBD-6710 (R.3197) Date Insepctor's Signatu Cert. No. ~ ~rtlmor+eas.tiW,gt>,v Safety and Auildings Aivision Cowrty ~ 201 W. Washington Ave., P.O. Box 7162 „S' ~` ~ S~~ ~~ ~ Otltperitnsnt a1,~tsatsdros Madison, WI 53707-7152 Sani Pvmit N (to be fi11 Co.) Sanitary Permit AAplication State Traasaction Number to accordarce with s. Conan, 83.21(2), Wis. Adm. Cock, submission of this form to t}te apprtgtriata gavernnrr~l ~ unit is required prior to obtaining a sanitary permit Note Application forma for state-owed POWTS are p~~ A (it different than mailing address) submitted to the Department of Comnreroe, Personal informatioa you provide may be used for secondary in accordance with the Priv taw s. l5. l m State. ~~ (~ ~ ~ J Q I. A lication Information -Please Print Ali Tmforasation V / Q Gt / Properly er's Name Parcel # Property owner's Marling Address ProPen?' ~ / , n 3~ ~ / 9' p uJ -~- ?" ~Q rrJ ~ ~. -+ 5 l Govt. » ~ r i d b Ph N / , Section - '~ '/ City, State p Co e Z er one um Jc ~ +, S~ y / ~YOdrl r .d S p ~' 7 ~ ~ (ra-.dc on.l lD- Z 9 N; R Q ^ E ~ T II. Tape of Baildia6 (cheek alt that apply) Lot # . ~< o ~1 or 2 Family Dwelling - Number of Bedr ~ ~ 5ubdivisioa Name B-~# c~ m ~ ~ ~;~ PirblicJCommercial-Describe Use City of State Owned -Describe Use CSM Number ^ Pillage of / III. Type of • (Cltedc only one fro: w line A. Campl~e lice B if appBesble) A. New System Replacement Treatment/FIolding Tank Replacement only other Modi£tcation to Existing System (expkin) Syst~t- iB. Permit Permit Revision Change of Permit Transfer>b o List ~`~/Per~m2it Number end Date Issued 3 ~ ~ ~ I i)i ~ b j ~- ~ Renewal Before Plumber vvner New (O aation N. T of POWTS 8 temf aeatlDeviee: Cheek elf that = Non-Pressurized in-Ground Pressurized In-t3round At-fieade Mourtd > 7A in. of stthable lain) ^ Pretreatment Device (explain) ~ e t ( x ! C i ^ soil Urrd < 2b in. of suitable~~soil~ /J ~ ~>t"L~(/I't ompon n e p sperse Other D Holding Tank .~' , L~~ t v-~ Y. Die raaV!'r ertment Ares I tlon: ~ <'c! ~ Design Plow (ggd) Design Soil ppl' Rate(gpdst) Disperse! Area fj Dispersal Area Proposed (sf) Syatens ~~~ VI. Tank Info ~iH in Total # of Manrd'adurer Material Gallons Gatlmrs Units New Tanks F.xiMing Teaks Septic or Holding Tent X ~,2.$'D ~ ~.re'-~~' y C ~.VQ y G dr~ ~l Doming C6arnba VII. Res iibility Statement- I, the rtademlipred, sesame resporsabYky [~ httta>lalior otthe POVYTS ' or the nNaehed pirea. 1tS Alum6er Busies Phone Number s Signature / ~ Plumber's Name iPrintl Plumber Plumber's Address (Street, City, State, Zip Code) ff' ~ ~~ as ~ ~ tc ,.Ss~ . ~ C V Conn /D ent Use O pproved Disapproved Permit Foe Date sstted Ise ' g Agent S twhuo Owner Given Reason for Denial S~ ~ ~ C s Q ~%t/~._~ ns for Disapprove! lR es eo Conditions of Approval I1C . n ~i1 G{~ j _ D - /J~-6T1L~ ~ C~~~~P ~~ 1/ ~~n ~ ~ ~- ~s ~~ UU ~ ~ ~- ~~"'' ~ ~ r AFnCU lY e 5~ .,~c~ SBD-6398 (12.01/07) Valid thru 01!09 o-r~rel~ ~srnshesyaamn.na~ r// D(~ ,~ w ~G ,~ qs ~' ~ paPe~ nom tea ~ a us:1l ~ ~ ~G~~ ~~~ ~~ P~r~u/~~~-~ ~ ~ /~ ~' a ~~, i~ ~,~,~~ ~ ~"~' .~ ~ ~ ~ ~ ~~ ~~. Asa, ~~ 1 r=-~yf~ ~~ cs~ ~. ~~ _~ ~~~ S ~ ` ~ ~ ~ L L ~~ ~ ~ l ~~ li ~ 'v`im ~` ~~i~~'C~(/~' c. ~ t C ~ NE ~~~~ ~ !o ~ ~~ ~t- ~~~ ~ ~d ,1'~rt~~~ L^>,`~~ 1 ~~ -~ :~ ~~ ~~ ~ S ~ ~--~ ~b ~ Z~ ~ ~ ~~ ~ ,1 ~ y~r!Ac.''' C `fie Y ~ ~_ _' ti ~ s° 5 ~~ ",:t ~~ d ~ ~, ~ ~~ ~ ~ oa ~ -~ ~~,~> ~~ (/~ ~G~,~.-may 1 ~~ ~d ~ ~~r(~ ~~~ ~l~~j~~ - __ - - I r '/ r~-~~.~ a~~~- _~ r r v i '4 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of~ Division of Safety and Buildings m accoroance wrtn t.;omm oa, vws. Ham. ~.vaa County >' st Pl 1 i h i i 1 2 ~ an mu n s nc es ze. l x 1 Attach complete site plan on paper not less than B include, but not limited to: vertical and horizontal reference point (BM), direction and P~ l,p, ~'' L ~ / , l i'' ~ j percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~ ~ (J a Please print ail information. 04 1 j mj) 15 P i L Re 'awed ~ De ~ I li0 ( ( . r vacy aw, s, . Personal Information you provide may be used for sacontlary purposes ( Property Owner Property Location ~./ ~ Q ~ ~ ~ ~ ~. ~ Sw 114 $ W114 S ~ N R 1 ~ E (or1~W Property Owners M ' n9 Addr ss ~ ~ Lot # Block # Subd. Name CSM # / ~ , l~ 6 w r~ rt^ S S i City State Z+p Code Phone Nurrreer ^ City ^ ~tiage (,~ Town Nee Road f n Q~~~ Inc .~ 5 ~Q4 { ) o( K {~ New Construction Use: ~ Residential 1 Number of bedrooms ~,_, Code derived design flow rate _ ~D 4 Q~ _ GPD ^ Replacement ^ Public or commercial -Describe: Parent material d c~ ~ S In Flood Plain elevati~if applicable •~'v #- General oommerts S,,{ S .~.~ w~ ~~ C v _ (Q , L t ~ tow ~ /1 v r and recommendations: ~~~`t,~ fL. L_/r~Q,,?.~/L~iT ~~ ~ `p~- ~~f ~~Ltl~ %t Boring # ^ 8on"g U/ /n (j [lr} pit Ground surface elev, /(O'lX _ ft. Depth to limiting factor l Z ~ in. ~ ~~ ~ tion ri D R d Texture Stricture Consistence Boundary Roots GPDlti? Horimrr Depth in. Dominant Colo Munsell p esc e ox Qu. Sz. Cont. Color Gr. Sz. Sh. '~~ "Ei~2 a-Zf o r31z ~ ~~'~ i'~- w~ C f (v ~ r ~ -fL~ ! - CAS Irh ~ -- `" ~' Z f n 1 ^ Boring "`°~~~'~ t3 ~ ft. to limiti factor / L ~ in. ® Pit Ground surface elev. ~ n9 Solt 'on Rate ti n D ri d R Texture Structure Consistence Boundary Roots GP D/fF Horizon Depth in. Dominant Color Munsell esc o p ox e Qu. Sz, Cont. Color Gr. Sz. Sh. "E~~ "E~#2 Z 3 1(o~G ~~-~~ o. /Sj ~ ~ - S ~r S~ 3~ Vvl f _ ~ < G <~ 1 - a ~ . Z ~ ~ " Effluent #1 = BOD > 30 < 220 mgJl and TSS >30 < 1 BO mglL "Effluent #2 = BOD < 30 mgJL and TSS < 30 mglL CST Name (Please Print) . re CST ~~ in'~ ~ Q Address / Date Evaluation Conduc6ed Telephone Number r`en IG~t~ A_ ~ ,_ 1 ' . .1 ~yOZ~ ~- l ~ `d ~ '71~-7~P0-©Z 7~ ,~ r ~ v - .. - - - - -- - nn., ~,,,, ... _~._.. - A I r ' Page z of L '\C~CI ~J' ~" parcel ID # property Owner ~ 4 Boring # ^ B0ri"g Ground surface elev. '~G ~ ft. Pit j 2 Z Depth to limiting factor in- Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF `EfNlt1 'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. 5h. -7 YJ l J -- ~ C / Z o s I c S -- , ~ , Z , j ~ ~ ` ` Z ~l `, ~ -17.1_ ~~, r'~C (o -- _ 1 - ° ^ Boring # ^ Boring Ground surface elev. ft. Depth to-limiting tailor in• ~ IZp ^ Pit Horizon Depth Dominant Color Redox Desrriptlon Texture Structure Consistence Boundary Roots ~E~GPD ~~ M. Munsell Qu. Sz. Cont. Golor Gr. Sz. Sh. Boring ^ Boring # Ground surfaoe elev. ft. Depth to IimrUng factor in• ^ Pit Horizon Depih Dominant Cdor Redox Description Texture Stnidure Consistence Boundary Roots in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. ' Effluent #1 = BODe > 30 _< 220 mglL and TSS >30 <_ 150 mglL " Effluent #2 = gODS -` 30 mg1L a-xt 755 < 30 rrgJL 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 608-266.31 S i or TTY 608-2648777. 3668330 (RO7/00) ._ _. -~: ~s. i !~ tCN ~O r ~ ~„OT+I~ , NAMlE ~ / $cALea i" _ ~ ` eM { ~LlYAT GN • G RM f DE~-CRll~TIOP' ~ ~(a'~ ®M 2 ELevA~rcoN BM 2 pE$cRIPTION $YliTEM ELtYAT'IOh!„_~ v I i ~G /~. V ~ ~1 - $Y$TEM TYPE l " PAC~e ~ _Gi'' J ~~ G©' ~ i1 t -U~ ~ , U~ ~ ~-'~ Xi S- S5 'o~ 2x3 S`~~X I "~ ~- ~._ ~~ -2 ~\ t~U~ ~3~~ . 3D f BAGiNATUIRlC /~~_~' __ ~ -3 ~~ ,,~,y~ ~~ a~' / ~ ~b c~ DAT! ~ ~~ ~ O L) ' ~ POWTS OWNER'S iVtA[NU~A~,. & l~IANAGEME4111T PU4N Paco __,~ of ~. FIf.E_lfilFpfilAflA,TION C(~S ~rr. L ~ ~ Q O W ne-------°-=-e....~ r~~'.~.~_~.1~a ~ ~1.~ tom. Permit # 1 3 1 _ """"`~"~ IaESlOf4 PARAItl1ETERS Number of Bedrooms : ~I IAA Number ref Public Facility Units _ -TT~ L'1 Nl,?1 Estimated flow daverags} ~ +~ O (} alld~ ~ Design flow {peak}, dEstimated x 1.5} ~~ ai1/ Soli Application -Rate ~ ill/di! ,/ftx __~_ Standard InfluentlEfflueni Quality fvlonthfy a4sraga "~' Fats, Oil & Grease {FOG} s30 mg/!. Biochemical Oxygen Demand {BODr} ~ <224 mgrG l~ NA Total Suspended Solids (T55N 5160 mgjL Pretreated Effluent d0uaiity ^~ Month}y avers@e Biochemical Oxygen Demand {BdD~} s30 mgJl,. Tutat Suspended Solids lTSS} 530 mgJL Q NA Fecal Colifornt (geometric means <_10° cfui t t~Omi f~4aximum Effluent Particle Size ' --- Y® in die. M i Q NA 4tttier {~ N~ *'lnl~sr;s typicaP for ciamestic wastewater and septic tank Nftlliant. rutnrarTFr~awri~ sesa~cnru v ltYgT6AA SPECHFICaT10NS 5eptiC Tank d:apacity ~ ~,S d ad ^ NA Septic Tank Manufacturer ~ ~ ti ~5~,~ DNA Efflrfertt Filter Manufacturer ~~~~- ,( f, ._.. _ w ^ NA ,,._._ __ Effluent Filter Model __.~. ~._j9~~- ~~ Q NA Pump Tank Capaoity 8 Q i~_____...9_a~ Q NA P~,mp rank Manufacturer W ~~„ SE'- ~ ~ ~ NA Purrp S1Aanufacturer G O ~, ~ _ CJ NA Poona Model Q NA pretreatment Unit 4~ Sand.~Gravei Fihar h!lel;hanical Aeration E!'t8jtlfeCtion O Feat Fihor O Wetland ^ Other: DNA t~ieperaal Cellfa} Q In-torqued Igrevity} At-tirade i~ Drip-i.ine DNA ^ ln-Ground (pressurized} ^ Mound D other: _ S)tttpr: ~ f~ NA :0th@r;. Q NA t?ther: ^ NA Service Event 8ervloa Frequency ins act condition of tanklsf p At SeaSt once Byer y months} ,.,~ dfiiiaximum 3 years? DNA Pump out contents of tank(s)' When as~mbined sludge sr±d scum equals one-third (Y;i of tank volume O NA Inspect dispersal ceiS(sl _ _ _- ~ At least onca river ; y O months} •..~ )~ yearia} (Maximum 3 years} _ . D NA _ Glean eftlusnt filter ____...~ ~ ~ _._~,.,.....,,.. At least once eypry; ~~ -' d morrthlsi _ ....~ _-... ! ~ ~ aerial ~~~~~~'-_._ __ ^ NA _ .____ inspect pump, Pump controls & alarm At regal gr;ee ayery: ~, D year4•~ sl p NA Flush laterals and pressure test ~ ~" At least pnce every; ~-.-... ~ month(81 C) yetrrds} __ _--__ -~----"~- DNA gther: At least once every; D month{e} --- - DNA other: ^ NA iUTAINTENAItfCE tAISTRLfCT10NS ;nspections of tanks and dispersal cells shall be made py an Individual carrying one of the foAowing licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POINTS Irtrlpeetot; Pl7WTS Maintainer; Septage Servicing Operator.. 'Conk inspections must include a visual inspection of the rankle} ta`Id~nti}y i~ny missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum end. to check for any back up or ponding of effluent or; the g+ound surface. "he dispersal Ceti{s) shall be visually 'rnapected to chpok the trrffluettt levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of ei`ffuers# 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 scorn in any tar-k equals .one-third IY3} or more of the tank volume, the entire contents of rho tank shalt be removed by a Septage $efviaing Iperator a3nd disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. Ail other services, including but not limited to the xervicing of effluent filters, mechanical cx pressurized components, ~~retreatment units, and any servicing at intervals of 512 menthe, ohall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within f0 ddys of eompketbn of any service evens. START UP AND OPERATION ' Far new const; uctian, prior to use of the POWTS cheek treatment tank(ey for the presence of painting products or other chefnicais that may impede the treatment process and/or damage thR tii»persAl Ge~llei, If high concentrations are detected have the content. of the tank(sl removed by a septage servicing operator ptior..tA ~~#. System start up shall not occur when soil conditions ar~r lrgten at the Infiltrative surface: During power outages pump tanks may tilt shave norrr-el highw~tai leyele. When power is restored the excess wastewater wiif ha discharged to the dispersal cell(sl in one urge doses, ovarlgadinp the Celi{ai artd may result in the backup or surface discharge of effluent. To e•roid this situation have the cpntents o~ ttlb purj'i!p t(IftiC romoy,ad by a septage Servicing Operator prier 20 restLrrrq power to the effluent pump or contact a Plumber of (~WY~ Maint~inar to assist in manually opersting the pump con:•ais t.~ restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispert~ll ce{i~. QD not dtlva or park over, or otherwise disturb or compact. the area within 15 feet down slope of any mound or at-grade ao4~ eibnorption -eras. Reduction or elimination of the following from the +ntaetewater stream may improve the performance and prolong the silo of then POVVTS: antibiotics; baby wipes; cigarette butts; opricforflel agi;pn srv6ba; degreasers; dental floss; diapers; disinfectants: 'a;; foundation drain ?sump pump? water; fruit and ve9et~bt~ p4~ifn~b; glladlhn+}, grease; herbicides; meat scraps; medications; o,!, painting products; pesticides; sanitary napkins; tampon?; end Yv~thr aoftllrl rtbi• brine. ABANDONMENT When the POVdTS fails andior is permanently taken oe;t clt seryitre th® fallow+ng steps shell bs taken to insure that the syster*~ ;ti properly and safely abandoned in compliance with chapter Cttinlm $3,~3, 1Mk~QQnsin Administrative Code: Ali piping to tanks and pits shaA ba disconnected Nnd the abaridoh+rd pipe openings sealed. The conterrta of aN tanks and pits shall be rvamaved And praperl~+ disposed of by a Septaye Servicing Operator. After pumping, all tanks and pits shall be e>48sveited and removed or their covers removed and tho void space filled war.: soil, gravel or another inert solid material. CONTINt3ENCY PLAN tf the POVVTS fails and cannot be repaired the foilowin~ n~aast+res have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacernertit area has been evaluateg 8ntf may be utliised for the bcation of a replacement soli absorption system. The replacement area should fie pr4teQtitidd trpm disturiaitnce and compaction and should not be infringed upon V: ractuired setbacks from existing and proposetl eteuQtur~r; ipt iirltil irii3 walla. Failure to protect the replacarnent area w~i~ resuit ir, the need for a new sal! and site eveluAtidrl to eetablieh a ataitabfe replacement area. Replacement systems must comply with the rules in effect sit that time, ^ A suitable replacement area is not availably due to set~eck aRt~Jar soil iirnitatians. Baiting adVanCes in POV~TS technology a holding tank may be installed Ap 8 Batt -eial?r~ i;Q l•eipleC9 tl}e failed FOWTS. N~A^ The alto as not en evaluated to kientlty a s~rlxogie tV evaluation be erformed to locate a aaisai~ r ~plaaprJtent area. Upon failure of the Pp4'VTS a eoii and site p if~~elttent Irrlr<e. if no replacement area is avaiiabie a holding tank may b taste s a last resort to replace the fsiNd pQy~~; Mound aid at-grade soil absorption systems m!!y bt ~+sCOR#trticted in place following removal of th infiltratfve surface. Reconstructions of such aystgma moat oomply ,Kim the rules in effect 8t that time, a b~°mat at the < < WARNINtit ~ > SEPTIC, PUMP ANb OTHER TREATMENT TANKS iYlA1f CQiy'{'q!M L ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAiyK ~N06 ~R BASSES AN~i'OA fN&UFFICtENT OXYGEN, DO N07 PER30N FROM! Ti~E INTERIOR OF A 'T'ANK MAY BE alFpilaill.'~ D~ iMI-~Blat.lE ~ ~~ ~. Cf~f'Hf8TANCES, pEATH MAY RESULT. RESCUE OF A 1DGITIOhdA1 COMMENTS rUm'S iN3TALLER Name i 1~, ~1 t~ ~^ Phone s.+?t-/.>s~! ~ 3 g~J et,. SEPTAGiS SERVICING OPERATOR p ~ / a / Name f UMPFRI Phone ''-`------~,~ rhos dOCU!!}Anf yya$ drnh9d in compliance with chapter Comm 83.32f2~lblf 11111 +~r4Ji~ ~_ , J ~ ~` I ~tl' f2l & 131, Wisconsin AtlTinisirafive COQp. v?gN _ - ct START t1P ANU OREPtAT10N ~FOr new coast; action, prior to use of the POW7S cheek trae;menz tank-al far the presancr. of painting products or other chEmicals chat may impede the treatment process and/or damapa the dispense) caU{a), If high concentrations are detected have the content. of the tankts! rerraved by a septage asrvicing operaiflr jst'ior,t4 ut40. System start up shelf not occur when soil conditions oral t;o:en at fife lrtfittrat;ve:surface'. During power outages pump tanks may tilt above normal ttighwetar levels. When power is restored the excess wastewater will tea discharged to the disp$rsal cell{•! in one ;ergs dose, oiretltlatl;n~ ;~~ Cal{(s; bad may result in the backup or surface discharge flt of+!uent. To aleid this situation have the contents Q~ tllb s5ujyli~ tltfl~ retrioved by a Septage Servicing Operator prior to rsstLrinE, power to the effluent pump or contact a Piumbsr o- Pp~`(''S MsUtit~iner tp assist in manually operating the pump controls t:~ restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal .cells. 00 not dove oi• park over, or otherwise disturb or compac?, the arHa within 1 S feet down slope of any mound or at-grade ttpii t+becrptien -arse. Reduction or elimination of the following from the wa8telnratet stream rTl~ly improve the performance and prolong the life cif tn~: I'OVVTS: antibiotics; haby wipes; cigarette butts; Ct)ticlia(nQ; Gi-tttstt swvabisi dagreaser9; dental floss; diapers; disinfe3crants: '.a;; foundation drain {sump pump) water; fnrit and vegetable peeling; ~~dlinb; grease; herbicides; meat scraps; medicatinn~; c;!, painting products; pesticides; sanitary napkins; tamponti alnd ~~,#~ soit~rtsr brine. ABANDONMENT Vhhen the POWTS fails and;or is permanently taken oe+# of seruitz$ the fdllpWing steps shalt bs taken to insure that the syster„ ;~, properly and safety abandoned in compliance with chapter Comm $x,33, Vi/Isconsin Administrative Code: * Alf piping to tanks and pits shaA bs discannaG;ed e-ttd the ebalulohmd pipe openings sealed. • The contents of ail tanks and pits shop be r+ampvad Anil properly disposed of by a Sepiage Servicing Operator. • After pumping, all tanks and pits shall be exe+~ve~ted dr-tl removed ar their covers removed and thv void space filled ~~tr. soil, gravel or another inert solid malaria{. CONTINGENCY Pt.AN tf the POWTS faits and cannot be repaired the follaw!ia~ ttiQag~lret# have been, or must be taken, to provide a code compliant replacement system: ~ A suitable replacement area has been avaluRtad dr'Eti may be Utilised for the bcation of a replacement sot( absorption system. The replacement area ahauld !se praXerat#d frpm disturpAnCe acrd aempaetion and should not be infringed upon b, required setbacks from existing and proposed atrutiturlr; let IihAD aril wells. Failure to protect the replacement area writ result ~ ttre need for a new Sail and site evaluation to estahNeh a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ~ A suitable replacement area is not available ~u4 tGi >te4peak and/or soli limitations. Barring advances in POVrt75 technology a holding tank may be installed atr 6 bbl+t rel~~r`# #o r8p{8Ce the failed PpWTS. ~1~A0 The alto as rot en evaluated to identify tl 8af#$ble NN evaluation ~ be performed to locate a switalS r ~pia~~~e~t area, Upon failure of the P01NTS a aoi! and site h~ 1'I~tt+~ltt~nt tfrriid. if no replacement area is avaiiabis a holding tank may b tails s a last resort td replace the faltrd D Mound a.'•d at-grade soil absorption systettta mev fee ~eQgRcted in place tetiowin r g emoval of the biomat at the infihratlve sut-tace. Reconstructions of such systems rrtust p~~y, with the raise in effect at that time, < < WARNNYt#> > SEPTfC, tat1MP ~1Nb OTMER TREATMENT TANKS MAX CQN7'A11N ~ ' ENTER a sE~Tlc, aunnp oR oTHfR TREATMENT TgpK ~~,~ ~~~ I~AISSES AND/OR IN&UFffCiENT OXYGEN. PER801Y FR0149 T'Hl: INTERIOR OF A TANK MAY 8E ~~~~10if~~! Get lMl~{ate. 04 NO7 ~O~~i1,8TANCES, pEATH MAY RESULT. RESCUh OF ,4 kDGiT10NAl COMMENTS PowTS +NSrAUER Name ,~~ ~~-- Phone •`~~ ~~'~"1C' \ +t, SEPTA®E 8ERVtCIN(3 OPERATOR (RUi1gpERl Name phone _--`~"' h+s documenr wa$ d,=rrad in compfrance with chapter Comm -I ~eme ph9i6 t it~~{ti end ~r ~,r~ "----- -^ `- O n, 54{ f 1, t21 & ~ J l31. Wisconsin Aam+ isr.er;..e ^ C~a~. U 272~iP 062 Ttmothv J. Nelson and GWnthia H Nelson husband and wife individuall and each in their own ri t conveys and warrants to e wife as "oint tenants with ri t of survivorshi the following described real estate in St. Croix County; State of W isconsin: All of Lot Four (4) of a Certified Survey Map dated July 10, 2000 and recorded May 23, 2002, in Volume 16 of Certified Survey Maps, at page 4296, as Document No. 679767, in the Office of the Register of Deeds for St. Croix County, Wisconsin, said parcel being located in the Southwest Quarter of 9W, Southwest Quarter (SW '/+ of SW `/+) of Section 16, Township 29N, Range in the Town of Hudson, St. Croix County, Wisconsin. Together with and subject to an easement for shared driveway Southerly to County Road A, as shown on said Certified Survey Map. ~F33837 KATHLEEN H. 11ALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 12/30/2004 11:30AK MARRANTY DEED EXEMPT IE REG FEE: 11.00 TRAAS FEE: 168.90 CAPY FEE CC FEE: PAGES: i THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS: GWIN LAW FIRM, S.C. 430 Second Street Hudson, WI, 54016-1510 020-1029-60-400 PARCEL I.D. NUMBER This is not homestead property. (is) (is not) Exception to warranties: TOGETHER WITH AHD SUBJECT TO any other easements, covenants, reservations or restrictions of record, if any, but this shall not be deemed to extend any such other recorded encumbrances beyond the term established by law therefor. Dated this .~- day of N~~g+-T~ -, A.D., 2004. ///°Ci~~ /Is~~ (Seal) (Seal) AUTHENTICATION Signature(s) Timothy J Nelson and Cynthia H. Nelson authentic d 's day of h ~ . 2004. ~ * H H. Gwin TITLE ME BER STATE BAR OF WISCONSIN (It not, authorized by $706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY: Atty. Hugh H Gwin GWIN LAW FIRM. S.C. 430 Second Street Hudson WI 54016 (Signatures may be authenticated or acknowledged. Both aze not necessary.) ACKNOWLEDGMENT STATE OF WISCONSIN COUNTY (Seal) (Seal) Personally came before me this day of , 20 ,the above- named to me known to be the person _ who executed the foregoing instrument and acknowledge the same. Notary Public, County, WI• My commission is permanent (if not, state, expiration date: , 20 t,~ . ~ Parcel #: 020-1029-60-400 i 04/10/2007 03:41 PM PAGE10F1 Alt. Parcel #: 16.29.19.133E-20 020 -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): O =Current Owner, C =Current Co-Owner O - WENDORFF, DALE D & BETTY JO DALE D & BETTY JO WENDORFF 419 POWDERHORN PASS BROOKINGS SD 57006 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description ` 518 CTY RD A SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 9.385 Plat: 1480-CSM 16/4296 020/02 SEC 16 T29N R19W PT SW SW BEING CSM BlocklCondo Bldg: LOT 04 12/3346 LOT 2 NKA CSM 16(4296 LOT 4 9.385AC Tract(s): (Sec-Twn-Rng 40114 1601/4) 16-29N-19W SW SW Notes: Parcel History: Date Doc # VollPage Type 12/30/2004 783837 2724!62 WD 05/23/2002 679767 16/4296 CSM 12/31/1998 594896 1392/134 PR 09/22/1997 565652 1265/162 WD ~nn~ ci ~nnnnet~v Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.385 106,500 0 106,500 NO Totals for 2007: General Property 9.385 106,500 0 106,500 Woodland 0.000 0 0 Totals for 2006: General Property 9.385 106,500 0 106,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 wtscGns+n Department of commerce S41L AND SITE EVALUATION Page of Divlaion of Safety and eufldings !n accordance with Comm 83.09, Wis. Adm. Code Bureau of Integrated Services ~ ,,,}-~ Dy ~-~ 71 S 'y z s- 7 6 3 1 county Attach complete stte plan on paper not teas than 8 112 x 1 t Inches in size. Plan must ~~ ~Tc~ r include, but not limited to: vertkai and horizontal reference po+rr (BM}' d(recaan and pane! LO. ~~ percent slope, scale or dimensions, north arrow, and location and distance ro nearest mad. s Rev ed by ate APPLICANT lNFORMATiaN -Please print a/i information. vide ma k+e used for secondary purposes (Privacy Law, s. 15.04 (') (m)). Perrone( intOrrnat~n You Pro Y Property Location property Owner Govt. Lat ~ 114 5 L,Jf/4,8 /~j Tp~ ,NCR ,/ L., / / ~'"' /l/~! -t4' / Lot # Btock# Sub3. Name or CSM# ~ Property Owner's Malting Address ~ ~ ~_ Tyr Nearest Road City Smote 2(p Code Phone Number [~ City ^ VNage ~. O ~ Addition to existing building o~~v'evu Construction Use: residential 1 Number of bedrooms --~ -F-~ Rep!~~t ///~~^ Public or commercial -Describe: u ~~,,,2 ~ ~trench.9pd/fe~ Recommended design loading rata ~ ~ bed, 9i~" // Code derived daily flow ~~ 9Pd ~ 6 trench, 91~~ Absorption area required -bad, {±2~trench, ft 2 Maximum design loading rate "S bed, 9P~ Iq T ~. ~~ 7 l,' ~Y~ ,,G%~~4 (as referred to site plan benchmark} Recommended Inflltratton surface eievation(s1~-~- Additional designtsite considerations p~ pdaM elevation, B applicable ~//~ it Parent material _ „T_~..,ae i system in FlII Holding Tangy g Suitable for system U .. ~ UnSUitabl8 for System ^ V Baring # ~~~"' Depth Dominant Color ,.,,., in. Munsell ~~ ~ 3 L ~~`~~ s~ 6 SO1L DESCRfpTiON REPORT ~~~ Texture Structure pu. Sz. Cont. Color Gr. Sz. Sh. ^Ld ~ ^S~ ^S Conslstencel Boundary ~ hoots ~~ ,Ground - Q ~ ~5 `i ~V ~ ' Dspth to uniting factor in. Boring # ..:t, ~~-° "`~~ 'x~ ~~~ Ground a~e~ ft. C ~ _ sue. f ~ N~ Depth to limiting c~yr, 7~~n. Remarks: TeleQhone No. Signature ~ ~ ~ a ~ 6-~S~ CST Name (Please Print) 1;. ~ ~ k m ~ ; G„ ~~ ct. u- ti--' ~ ~ Date CS7 Number 19 dd 85s - ~t.~U 1 SOIL DESCRIPTION REPORT ,RTY OWNER page of iCEL LB.fI _. . r t Boring # Horizon Depth Dominant Color nsell M Mettles Ou. Sz. Cons Color Texture e u Stn~c Gr. Sz. Sh. Consistence Boundary Roots Bed ~ Trench .. In. u ' ~,y. ~f1..~ ~ ~ Ii Ground r,,? ~ ~~ SC n 9~~- Depth to ~i~gt9 ~S in. R arks Boring # Grouna ~~~~ Depth to limiting em ~ .~ ~~~y /~ _ C~J J ,,,r / 7 ~~ . factor ~j~in. Remarks: Boring # ~J/eGjro~und J6 • J it. Depth tC Ilrnidng Harizon z Depth in. ~ Dominant Color Munsei[ 2 ~~ Mottles Du: Sz. Cont. Color `L4~~'' Tttxture Structure Gt. Sz. Sh. Qt's t.,ortsisterx~ Boundary /~ G ~ Roots - ,~ Bed ,Trench . . ~ ~; ~-~. , 7 , ~ r° r In, Remarks: ~, .Baring # '~°0' w' :~ C~rt)Und ~ elev. ~l• I~ Depth l0 limiting factor i"~ Remarks: SBD-8330 (R.9/98) STATEMENT =''~ ~ir~i Pi~m~ing, inc. ~uti•~r • `'~ ;CE AGREEMENT Shaun Bird MPRS#226900 CS7M#226900 ' 1008192nd Avenue • New Richmond, WI 54017 'ION FORM Phone 7i 5-gas-4s1 s f~-Nz~~ C , ~~~. 7' a~~' 6L Oeposi! required on all jobs. Full payment due upon completion. FINANCE CHARGES OF /-1/2°~ per month (which is 1ti°t, per year) are applied to amounts 15 days past due. I I DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our} knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT / _ / DATE *~**** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department.'`***** 'ion) wn of Lot # ~, Page # ~, Page # ] yes [~ no allure to handle wastes. Proper maintenance ;ed pumper. What you put into the system n. ration form, signed by the owner and by a ~t (1) the on-site wastewaterdisposalsyctem septic tank.is less than 113 full of sludge. sewage disposal system with the standards esources, State of Wisconsin. Certification St. GYoix County Zoning Office within 30 ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Owner responsible for locating at! underground lines and electrical hookups to house. 1 year warranty on ail parts and material (tabor not included). Warranty void it water condltloner discharge Is disposed of in system 4 ~' ~ ~ Soil 'Vest Plot Plan ;oject Name Tim Nelson Shaun Bir ~~ Address 514 County Rd. A V Hudson Wi 54016 CST #226 00 Lot 4 Subdivision ----~~ Date 4/29/00 S W 1 /4 S W 1 /4S 16 T 29 N/R 19 W Township Hudson County ST. CROfX Boring (~ Well PL Property Line BM or VRP Assume Elevation 100 ft. Top of White Stake with Orange Ribbon ..System ElevationTj 95.7,T2 94.6RepA 94 *HRpSame as Benchmark Alt. BM Top of White Stake with Orange Ribbon ~a 100.1' . t a CERTIFIED SURVEY MAP v • r • r YOL~~•• • PAGE 4296 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 05-23-2002 9:00 AM CERTIFIED SURVEY MAP REC FEE : 15r. 00 LOCA IN H 5W 1 /4 OF 1 Ht 5w CROIX COUNTY ST I / 4 yr ~ jNCLUDING4 ALL ~OF~JLOT ~ 2, WISCONSIN , . TOWN OF HUDSON, CERTIFIED SURVEY MAPS, VOLUME 12, , PAGE 3346, DOCUMENT # 564969. LEGEND : ~~~ SCALE IN FEET 3 ® COUNTY SECT { ON CORNER ~ F z `d. I MONIMAENT , FOUND (TYPE NOTED) . ~ ~ w w 0 75 i 50 300 I o 0 1" X 24" IRON PIPE WEIGHING 68#/L 1 NEAR FUUT . SET . 1 ~ w ~o ~ z ~- ~ I QWNER5 AND SUBDIVIDERS I . z -~ z TIM ANO CINDY NELSON " " l[ PK NAIL SET I N CONCRETE SLAB . w j v N A , I 514 C.T.H. WISCONSIN 54016 HUDSON ~ 1 " 1 RON PIPE . FOUL . °D N N a , ~~•+ w ~` m w OUTLOT 1 „ N . ~ 1 1 /4 IRON PIPE , FOU D ~ ~=o . N~ V \ ~ ~ 3/4" REBAR , FOUND . ~ a ~ ~ 3 \ ` A\~j \ ~ 9 ~g't ` O 1 V ~ . • 3/4" IRON PIPE, FOUND. \ O ~~p0 ~ \ ,~yg~ ~ HOLE IN CONCRETE (3" FROM ~/ \ PK NAIL IN WOODEN FENCEPOST). OOQ/ ~E•-3E-- EXISTING FENCE . e, ~`~~ ~ 20 69 9~ ]EXISTING BUILDINGS. QQ`~ 10~~~~ ~= EXISTING TELEPHONE EASEMENT . ' ~~, E~,yg'1-~` 0 U T L O T 2 , 3. ~___.. i I 6,~°0'` 0.2647ASRES , 21 I N `° ~ - - APP 1 +oo ~`~ ST. C mtttee I Plainin9 Zoning ar+d Parks C~ • 3' , 22 I 2$~~5 ~ MAY 2 3 2002 -~ ~6ac~6 91 ~ ~ g~j .r road wttnin 3U days of ~_ If not recd oval shall be ° ~ i ~ $001 y approval gate appr oid o ~ ~ LO'~'~'~- z ~~~`"~ 75' SETBACK FROM THE. rn_ -' N ORDINARY HIGH WATER MARK `~ o ~,~..,~. 9.385 ACRES ___.ilfJ~l ~ ~ ,r„~!~~~ 408,812 S.F. ~~~ " ~ LOT 3 ~~ t ~ - ~U~ ~ 7.016 ACRES ~ O _i 305,595 S.F. _ _ _ _ _ UI~~ - w LOT. 2 ~ 5 89°39' 14'~ ~ ~~ - -~ o _ _ _ EASEMENT FOR DRIVEWAY SHARED ~.-"~CU~ o iv C.S.M. VOL, ~ 2 66.00' - ~I ,WITH PROPERTY TO THE EAST ~~oi ~, o PAGE 3346 ~ ~...._.SHE S 0830036" E }3.44= o~Ni ~ o DOC. ~ 564969_ SILO 372.3 ' W ~ z _ `~-!SEPTIC VENTS ~I.11 } ± N 9°39' 14" W 385.7 ' CSI :~ +t ' GARAGE ARN N Q - ~ 'O N 89°39' 14" w POINT OF- ~~ :N ~ HOUSE B~ N w " 36.00' BEGINNING ° 6 3 UNPLATTED __„ }00' HIGHWAY SETBACKS LINE wELI N - N a .: ~ _--_ "~ _ LANDS .~ f CENTERLINE OF -~- ° t` rn ' ~ `~' J EX15T1NG DRIVEWAY ~ °o °- ° ..E--CENTERLINE OF EXISTWG _. a ~:..._ ri i I ° ~ ° ~ nRtvf~wav fTO (•3F REMOVEDI CERTIFIED SURVEY .MAP LOCATED IN THE SW 1 /4 OF THE SW 1 /4 OFINSENC ~ DING ~ ALLg OF RLOTV~ 2, TOWN OF HUDSON, ST. CROIX .COUNTY, WISCONS , CERTIFIED SURVEY MAPS, VOLUME 12, PAGE 3346, DOCUMENT # 564969. OWNER`S CERTIFICATE OF DEDICATfON . AS OWNERS, WE HPRTO BEESURVEYEDATDjVIDEDSE-aIAPPEDLAND DEDCICABED ~S THIS CERTIFIED SURVEY MA REPRESENTED ON THE MAP. /~ DAY OF WITNESS THE HAND AND SEAL OF SAID OWNERS THIS ~~u 2aA8fl TIM N CINDY-NE ON STATE OF WISCONSIN). SS COUNTY) PERSONALLY CAME BEFORE ME THIS ~~ DAY OF 200~r~ THE ABOVE NAMED TIM NELSON AND CINDY NELSON, TO ME KNOWN TO BE T E SAME PERSONS WHO EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWLEDGED THE SAME. ! NOTARY PUBLIC , I COUNTY , W I SCONS I ~ 1~• r+N`"'~~ ~~~~ MY COMM i SS I ON EXPIRES ~~"' ' ~~ ~ '~ ' DATE: APRIL 12, 2000 ~ _ REVISED: JULY 10, 2000 ES D. FILKINS S-2246 JOB #99 2419 GISTERED LAND SURVEYOR OLDEN ENGINEERING COMPANY 113 WEST WALNUT STREET _~,„„w,,,,~._ RIVER FALLS , W I 54022 SG~~Sj''~y ~ 'y ~% OWNERS AND SUBDIVIDERS 0~. '~~ TIM & C I NDY NELSON ~~g '~ = 514. C . T . H . "A" B~;rL1d HUDSON , WISCONSIN 54016 ~VEA FARL3. 1Ai1 Q~ . suw'~~.~`~~~ ~ APPRavE~ rinnrtm+~+~::'~~~~ sr. cROlx counm~ Planning Zoning and Parks Committee D~PARTIIAENT OF I N DUSTR,Y, LABOR AND HUMAN'RELATIONS REPORT ON SOIL BORINGS AND PERCOLATION TESTS (115) (ILHR 83.0911) & Chapter 145) SAFETY & BUILDINGS DIVISION P.O. BOX 7969 MADISON, WI 53707 LOCATION: ~ %,uL y SECTION: i~ /T~9 N/R ~I E to OWNSHIP ff ~v.rd,~ ~ OT NO.: ~ LK NO.: ~sM SUBDIVISION NAME: ~E ~o ~~ ~ COUNTY: ~ cr?~ t a< ', C f{~`C~}~o Tif/r' , %2usT` ~ . MAILING AODRESS:~r~O ~;U~ v~/~G~/ ~~~`-j~A~'T ~ . i ~ zz o 2 GoovST ST. ffv/~..( o~ USE ~/O ~ lP . ~ , Z3 E UDR $ 3 - Z ~'/ DATES OBSERVATIONS MADE ®Residence N0.8 DRMS.: COMM R AL DES 3 p~ !f. N, ~. RIPTION: New ^Replace I nrJ,v~ I~ - ~ ~ fQ IJ,,._ i ~~7- ~C~'~a . RATING: Ss Site suitable for system U= Site unsuitable for system ~CS \`~~ ~I ~ ~QT ~ G ~`'t i`'t E Q T S~ ifs ONVEQQN ZONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM:(optional) If Percolation Tests are NOT re wired DESIGN RATE: 4 If any portion of the tested area is in the under s. ILHR 83.09(5)Ib), indicate: t; GsF S S ~- Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS r,,~ ~tGl'MiFL FT'. . BORING TOTAL ELEV TION P H T R UN DWATER-INCHES CHARACTER OF S IL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, A OBSERVED T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.1 B- / 9,0~ ~'~.oY` ~ > 9.D io' i~~s! .G7 ~ ~,r.csN.s~ /. 33' BN. s~ /o' N. ~ ~. S S o ' 7~I,v CS Z B. g /- Q ' q ~J // 1J.~7 / ~o > ~ o I Q ~ ~I~ SIB . G~~ D.r Q~ . S ~ . 33 ~ ~ti+ • S~ .~O ~ Te-.N ~s yo - r~t,~ v~,c ~s . _ B.~ (~ ~ O .S c7 Q /Z ~ / /, ~ > ~ ~ /, U ' 73 /,f'. S/, /, o ' 3,.~ . S ~ /. o " [?r • S ~ /. o Tyv cS S! s' ' TiJ.~ UE7E'f/ CS' ~ ~S Er- 13Eloru ~ ~ / B_/ _ ~or /~JZ.' ~ y~ „"-iVJ ~ ©O ' a ~` ~Qr .~~if s/~ ~, Q~ ~,~lJli~ ~0~~3 N. .S~ J.O~T?/~S/ B.S ~.0' ~'~~ ~ yM ~U,O ~ q ~+ ~j~ ~ • s' O.V s/i ~•o ~ /~r'v sl~~ . s~ (~,~ . ~s~ ~~~ ~.f'S~ S. o Tfi,~ ~oEn Y cS B' -A~ QoRi,~(T ~$• .3 F2o,,,, ~-' r- h.FD L/1ti°6 .(j Fr - sT TG.v~uE, out~2 ~Z . GiipF of d~.•v~ Mo rTXFp S~'L >•+ PPE~RfD o~L ew NoQ^jL~. Siy~tu,~lC OF BACI~(1cE PiT PERCOLATION TESTS ~~ ~~D ,uoT Appf~2 I~cPe~SENTn7iug- C¢ - A.d.Pu~ i ~ A.e C1 !Ir DEPTH , WATER IN HOLE TEST TIME OR 1 WA R L V - N H S RATE MIND ES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. P I O t P R- O PER INCH P_ r 3. ~S' ~, ~ L. Y P. 2 . o ' ~'-a- < Z Y P- -~' c z 4 Co p_ P- P- i'LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate sate or distances. Describe what aro the hori- ~ontal and vertical elevation roference points and show their location on the plot plan. Show the surface elevation at all borings and the diroction and percent of land slope. ~ 'SYSTEM ELEVATION. 9y. ~~ ~°'~ ~'~~~ ~'^ Q2^ ~3 r .. .. S~~ ~~a, P~~,~ ~~v~s~ s~i~- ~- ~~ ~ f~ TN.. ~.~~u° r itEJ~ (~ ~ ~z.~_ G~ to ! (~ LO '~ I~LPr~ - I • = 13A«'koE Ai TS ,~Cp = P E Qc S i r~S ,4. ~ (r S~EtL P~~t-2 ScT, Y E ~ E' u r ~-'r i'v,v / D D . 0 35 .- 1 HOMESITE SEPTIC PLUMiUNG CO. 655 O'NEIL RD., HUpSQN, WlS. 54016 ROBERT ULBRIGHT c S T ~ff 2 y~Z WIS. MASTER PlUMOER LIC. N0.3307 M.P.R.S. MINN. tNSTAl1ER i OESH3NER IIC. N0.006fi3 ~y r- ~ .._._ ___ __ 1 'Rc PLhGFr~e,.~T kREIr- $o ~~i. c rd _ _ ___ ~~ 6~ N I~ 6 33 ,. ~j ~ ~- p~ ~. ~ Q O 4 R~-F. Pf~ ~ I p r X !$ ~ Q ~ ~, ~ ~ .~ ,,s 4,4 ~ ~ ~ 1 L S COR1R1BfCe.Wi.C30V ~ 5atety attd kstutatngs vtvtston 201 W. Washiltgton Ave., p.0. Baz 7 kG2 x ~+/'~O Ms i ~"~ Madison, WI 53707-7162 Department oft Gomm/eree Sanitary Permit Application In accordance with s. t'.:nun. 83.21(2), Wis. Adm. Code, submission of this form to the a riate vern unit is required prior to obtaining a sanitary permit. Note: Application fom>5 for state ed P submntetl to the L)epal•tmem of Commerce. Personal infomtation yan provide may be use r sec purposes Ir, accordance with the Privacy Law, s. 15.04(1)(m}, Stars. I. Artnlication information -Please Print All tnfor att n ,` Property Owner's Name ~ ' V ~L ;i Property Owner's Mailing rlddress O C T 2 9 200 7 ~aunry +f'~ t ~ ( , Y .~. Sanitary Permit Number (to hi' tilted in by State Transaction Number ~~'~ ~ _ Iject Address (if differen~thanmaitingaddress~~ ' ~, v e ~. r-~-~sf ti' rcel ~ a o''/~t~~ ~~-./~ _ ~ ~perty Location ~ ~ ~~t,r ,. ~. ~.~~ ivt. Lot _~. ~- , Zip Code PhonaSiTlu ttS'~QIX COUNTv t9J '/,. ~W 'i•, Section ~_ City, ,rate ~ ~7~ ~ ~ /~ ~/~tn:le one f~ Q ._ 7 N, R~~ Eor _ , , j 11. Type of Buihlutg (check all Utat apply} ;=w,\ i.ot ~ ~ r ~~~ ~, ~ I Subdivision Name " t b ~ N d D li f © ^ _~•~ ..- er o e roon~s _ um aet ng - l or 2 Family ~ 4 , p ^ Pubiic;l: nmmerc.ial - Descrtlx Use - _=.` ~ ^ City ol• __ _.~ ~ -- CrSM Number f.. s. ^ Village of - - ^ Starr f)wncd - 17csttitx Use ~_~ y ~ ~ ~ t ~c~ ~r~ -~ Il[. Type of Permit: (Check nnty one box online A. Complete line if al iiicabte} __, A. ~~ ~- ip~NeW System y 66 ^ Replacement System I ^ f•reatnttnt/tioiding T. Replacen nt Ollly ~ the Moditicat t ~x In Sysrom (explain} ; ~ Q. ^ Pet~tut Renewal ^ Petzrtit Revision '•""" ~ist rev Pe ber and Date issued ^ Change of Plumber ^ P~ ranster to New ~I ~'. T before Expiration ~s ype of POWTS S tetn/Component/Device_1 I Owner (-C_h_eck aJl that apply) -I , , I' + ~Non•Pressurtzed In-Ground ^ Pressurized 1n•Ground ^ At-Grade ^ Ntou ? 24 in. ofsuitable it ^ Mound < 24 in of suitable soil I ^ Holding Tank ^ Other Dispersal Compontm (explain) Q"Freireatment lacy+ceje~~ _____ ~ ~ -- 'r--- ~ ~ --- V. Dis ersalffreatment Area Gttormation: Design Flow (gpd) - Design Soil Application R•ate(gpdst) Dispersal Area R ire -..-- .t7isps.salArerPropus st)• System L•tevauon Vi. Tank Info Capacity in Tatal i+of Manufacttuer i ~ - Gallons Gallons Units A E ~ _ rq~ ----_ - ' .... N ~ ~ ~ ~ W uu6 New Tanks Existing Tanka r` ~ ~ ' l d-+C.~ c' u v~ W t7 a ~ ~' ~ ~ I ~ Yti l ~ I:`^ Septic or Holding lank J _ Vll. Respansibdlity Statement- 1, the undersigned, assume res onsl try for Installation of the POti'TS shown on the attaehcd plans. Piuntber's Name :Print) Plumber°s Signature ~ P PRS Number t3ustness Phone Number Plumber's Address (Street, City, State. Zip~Cod~e) c,~ ~ 1,, ) r Vtii. Count~•/De artment U~ -) , _ .- Permlt f'ee Date Isaired [ssuittg/~ ant Signaturf~ ~.APProt:d Q'[5tsappa•o~.~: ,-., i >_ / `' r t ~+ ,. ~ ^ Owner Given Reason t'in<!~?enial ~ ~~ ~• ~ `' `l) " fJ"' 1X. Conditl~+~ -/~easous fur Utsapl,raval f '•' ~. 1. Septic tank, effluett4,lN!•rand ~' dispersal cetl musttW i~g,st!rvtctas / ntairttained • as per managemta-tf plant provided by plumber. , f 2 All setback ~ must be m~lintairted ~ Attuch to eornplert r:lans Ytw~ the system aoJ submit to Ule G,unl} only cn paper npt 1¢ss Ibsn 8 tta : I 1 inek¢s in size Sf3t7-639E (R. t)I/07) Valid thtu 01!09 ~~ ~~ ~~ ~~ e~ ~~ ~~ ~. °~ 4 • Wisconsin Department of Commerce SOIL AND SITE EVALUATION ~ Divisidn of Safety and Buildings ~ Page of ' Bweau of Integrated Services ~ ~,, in accordance with C ~ .09~ ~l!/+s. Adm. Code ~_ 4 Attach complete site plan on paper not less than 8 1 J2 x 11 inches in si ~,~a~ m st .e~ . County include, but not limited to: vertical and horizontal reference point (BM , dlreCtion ar~'~'", ti ~ ~~ ~ • ~~-~ r percent slope, scale or dimensions, north arrow, and location and dis} anc~ to nearest roan: ~"' parcel LD. # n ~~ APPLICANT INFORMATION -Please print a/1 inform~tidn, ; ,_~;,~;~, ~•\~ ` ,Bevis by ate Personal information you provide may 6e used for secondary purposes (Privacy l?~w s,15.04 (t) ~i1P)rti L _ Property Owner ~ Q Y ~ ~.. Property Location ~" Govt. Lot YI4• ~ (d )I/4,S ~ T~ ~ N R E ( } W ~ , ,, L-~ ~. , , Properly Owner's Mailing Address Lot-#: ~_, ` Subd. Nam or CSM# ll // City State Zip Code Phone Number ~ ^ City ^ Village Town Nearest oad /~n~ao,,.•. I ~~ ~,~ I Syt')/vl I ~/~/~~~5 t~'-~~9 /1,_ ~.... I ~n., ~ fit. /i~r~.~ ~Plew Construction Use: Residential / Number of bedrooms ~ ition t existing building ^ Replacement ^ Public or commercial -Describe: ~,{/yL Olt. ~" h/ Code derived daily flow ~~ gpd Recommended design loading rate ~ ~ bed, gpd/ft2 ~ trench, gpd/ft2 Absorption area required cJt/ bed, ft2 S~ treAnch, tt2 Maximum designdloading rate ~ bed, gpdJft' ! ~ trench, gpd/ft2 Recommended infiltration surface elevation(s)" /q ~ - !.S ? %a ~ /~~/;7 ~/ ~ (as referred to site plan benchmark) Additional designlsite considerations Parent material Flood plain e{evation, if applicable /~1~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ^ U ~ ^ U ~ ^ U ^ U ^ S /~-- ^ S~U, SOIL DESCRIPTION REPORT Boring # I Ground el v 9~ eft. Depth to limiting ~ctor L~ in. Boring # Ground e ev • ~ ft. Depth to limiting ~c rr ~ ~n. Remarks: CST Name (Please Print) ~ ~ Signature Telephone No. r~ ~ Lc 1 ~ 2~1/ cam- "-' !~J i r ~ j -off ~ 6~~s~, Address Date CST Number Horizon Depth Dominant Color Mottles T t Structure i C n t n e B nda Roots GPDlfl2 in. Munsell Qu. Sz. Cont. Color ure ex Gr. Sz. Sh. o s s e c ou ry Bed ,Trench I 0~ 3/L v~ ~' r ,~ ~ 9- s .6 ,~..~._ ~ ~ D.~ s ~ l ~ 1~ ? Remarks: ~ - /~ U ~- 3 ~z ~._5~-- ~ o7rn ~- C ..rte p7~ ~ ; ~ ~ ld s ~ 1 ~ ~` cJ ~ S : ~ .~ s~- ~ ~ D s ~, ..r ~ ~ SOIL DESCRIPTION REPORT PROPERTY OWNER Page of i PARCEL I.D.# Boring # s Ground lev ~~~ft. Depth to ' limiting act ' ~~in. Boring # i Ground ~~~ l tt. Depth to limiting factor ,Tin. Boring # Ground ~f/ e Depth to limiting ct r in. Boring # Ground elev. ft. Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench o- , j~Z .~ ~~ ~ ,~~.- ~ ~ a ~- _ ~~ s ~ ~~~ s- ~s ~ ~ ~ -~ f b n ~ ,\ l1 ~ a , ~.~ ~ ' Remarks: ! ' } , .;~~. s~ , Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots G D/tt2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed , Trench // orb 2 ~~ ~a ~ " /~' ~~ fy2,- ~ ~ ~ ~ O ~ d ~ mss' Qi~rs 1.,~' - 7;, psi ~ s~ -- ~ .~°~ .,~ , 1 1 4 ~ s~ + +_ ' , Remarks: Depth to limiting factor in. Remarks: SBD-8330 (R.9/98) ` PROPERTY OWNER PARCEL 1.D.# i Boring # i ~, Ground ~glev Depth to limiting act ~~in. Boring # Ground ~~ eft. Deptn to limiting factor ~ff~in. Boring # G' ~`"~ Ground ~f/ e /6 • J ft. Depth to limiting ct r ~~in. ', Boling # ', ~ Ground elev. i ft. Depth to Iimiting factor in SOiL DESCRIPTION REPORT Page of - c Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. 9h. ry Bed ,Trench __ ~. ~~ 4~~ , ~~; , Remarks: ~~? .~ z ~~ S f -J w ~~,'0 ~ so ~~ s/ ~. .~ s .~ i , r '~ , ^~~ s~~~ , Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh.' ry Bed , Tr e nch ~ / ~S/ / ~ SL' ~-- / ~L ,lo ~l , Remarks: Remarks: SBD-8330 (R.9J98) i r' . ~, Soil Test Plot Pla ~~ Project Name Tim Nelson Sh i Address ~ 514 County Rd. A Hudson Wi 54016 ST1V~ #226900 Lot 4 Subdivision ------- Date 4/29V00 S W 114 S W 1 /4S 16 T 29 N/R 19 W Township Hudson Boring 0 Well PL Property Line County ST. CFROIX BM or VRP Assume Elevation 100 ft. Top of White Stake with Orange Ribbon System ElevationTl 95.7,T2 94.6RepA 94 *HRpSame as Benchmark Alt. BM Tnr, of White Ctalce with flranae Rihlv.n rnl 111(1 1' + uyv t~, f SEPTIC TANK £ PtTMP Ci~ANSF:R C wSS SEc:~ 'I UN P.:~D 5PF.i:I~'.~CATI0:~S 4" CZ VENT PIPE 12" MIN. ABD~E' ~RAI? 25' FROM DOOR, WINDOW OR g°RESH AIR INTAKE FINIS~iED GRADE 4" C I RISER ---~-~ ? 8'' MIN . S" MAX . TER TIGHT 5 EALS ,PP?~aVEQ 'IPE 3' !NTO SQLID '0;~' PUMP OFF ELEV . FT. ,. ~~ .~._ B D ~'EA7HE~tPR0QF JUNCTION B0~ WITH CONDUIT .I~ t ~ I I GAS` , ' '; IGHT I `, SEAL I i 3" APPROVED BEEtT~ZI~`~ U~i~E~t TANK SPECZ~'IC~,TIONS k.PTi ~^, 7 DOSE ~Ar~x MANUFACTUREP.: ~ ~~.s~..~, i'AI~X SI~E5: SEPTIC ti].~Q GAL. D05E GAL. ALARM MANJFACTURER: ~ SUt~~t3r 6 ~ MODEL NUMBER: . , . ~t.y SWITCH TYPE: , '1`r~~..0.c_ P~JMF MANUFACTURER : G~ e MC}DEL NUMBER : p ® t SWITCH TYPE: ~~,~~ APPROVED ~.hNHCLE CGJiR `~'! PADL0C1~ F ~---WARNING LABEL ~4"-MIN. ~~ ~ VAPPROVED JQINTS ~IITN ALM APPROVED PIPE aN s ~ oxro I SOIID SOLI ~ OFF ~'~ RISER EXIT PERMITTED ONLX Z F TA:V K M.4NL3FACTURER HAS APPROVAL CONCRETE PAD NUMBER DCISES PER DAY: DOa~ Y QI~.iME I IvC LURING f ~ q GAL . F LOWBAC K CAPACITIES: A ~ INCHES =GAL. B ~ ~ INCHES = ~a- GAL. a~ ---_..----r C = b INCHES = `GAL. D = ~ INCHES = ~_GAL. ~:E~L'iRED DISCN.ARGE RATE yl7 GPM PUMP ~- ALARM G~'ZRING AS PER ILHR 16.23 WAC ?,RT~.CRL DIFFERENCE $ETW£E.N PUMP ~~`~' AND DZSTRIHUTZpN PIPE /e~,. FEET MINIMUM NETWORK SUPPLY PRESSURE 2.5 FEET } _~ FEET FORCEMAIN X ~©FTI~t~~ ~'T. ~RTCTION FACTOR ~~3~~_'j FEET T.QT~AI, 1~Y'NAMIC HEAD = ~ FEET w~'TERNAL DIMENSIONS OF PUMP TANK: LENGTH ,,...-- ; WIDTH .-~' DIAMETER ICY Q~ ~ S~ ~~" ~~ " ---~--..-. y ~ 1 ~r4~. PeR ~ ~;IGI3ED: ., ~:~~.~------- --- LSCENSE N1~MBER: ~~L i -~ v s~ATE: 3x'88 (gyp. GOULDS PUMPS Submersible Effluent Pump 3O~ 1 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPEC1FiCAT10N5 • Solids handling capability: '/." maximum. • Capaaties: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'h" NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BONA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C~ intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor. • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, f 550 RPM, built in overload with automatic reset. •EP05 Singgle phase: 0.5 HP, 1 i 5 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord:l0 fioot standard length,16/3 SJTOW with three prong grounding plug. Optional 20 foot length, 15/3 SJTW with three prong grounding plug (standard on EP05). ® 2000 Goulds Pumps Effective February. 1000 83871 • Fully wbmerged in high grade turbine oil for lubrkation and efficient heat transfer. Available for automatic and manual operation. Auto- matic models indude Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP041mpeller. Thermopfas- tk Semi-open design with pump out vanes for mechanics! seal protection. METEAS 9 8 7 6 s s 52 '~ 0 Q 3 z i 0 ^EP05 Impeller: Thermoplas- tic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor lover: Thermoplastk cover with integral handle and float switch attachment poirrts. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construdian. AGENCY LISTING ~,' Canadian Standards Assodatlon (CSA listed model numbers end in "F" or "C".} Dodds Pumps B 150 Soot Regis~md. GPM mi/h Gouias Numps iTT industries ~Q5 . NOV-23-2007 15:39 FROM:DRRPE 6056961605 70:87153862979 P:2~2 GLEN ,30EWSON PAGE B2 ~9'!'. C~O~ CO~1~`X sa~r~ r, ~~~rn~xaxct aa>~MSrrr A~ O~N~SHIP` G'fiR1"~'rCATI0IV i~4RM ~~o~~ j (vt~ tegeire$ fl~am Ptet~. & ~~~ ;~ , { ~tyls ~~11 (,v ~ S~{61~ Parcel tdendi~icatiton rlumbq', j~ b - D ~.~. (~ D= `]"'Oo I - I~i'~.'rty Locatl0!] '/. , ,~'/. ,Svc, ,~,~, T N R, if ~, T+cn~ pf ~ ~~ ~oY'~1 ! ~~~ 1 p !ff 8O1"'ir'~y ~p ~ ,.r....~ . _ ~_ , ~,.~ ~ ~.--....~,.. s UOll~t:a'3~ ~°. ; ,,....ter F ""II'p '# ~..~~-.....+ ~~ Deed # ,~,,,,,~,~,t ir~ V 0~11~C1!! ,_1,~ ~~ # ~ ~ ~~..: -~p+x b~ ~ ~ Lot lines b~ ~ ~o r .! ~l21f20B7 13:52 7153862979 lmprapes ~ 4ed tllamleasaaipe o~ Y'~ +'eP~c sYs~ oaalLcl t~eaulf !a i~ t~~ i~tnro to hra~la waatea. Pxoper ~teat:toe aomsitts o! pmrlpin,~ out file septic rook RvMtt'~- tlarce y~ ar sooa4r. it t-eeded, by a Hcevted pttaapar, ~t YeV put :ysoert++~w affaet the titr~cttav 4f fly aepiic ~k ex a treatment >u ttro aaaets diepos~l ry dwtr4t tni<gtte~e xfaa'bililir~ u~c speared iA ~froamo. 83.52(1 sac! in Chapter 1 Z - St. ~.Yaix Cva~ty Settilny Ot~di~ettce. The p;vpertr gwrwr moos bo wbnblt to St. E~aix Caw~1y tihmdgg dk ?~+nu~ Aep~R ~ eertJPlos~ tfanar ry ct~e let sad by a master Fhto~-er. J4ottae~ymsn phr~ar, eeatrict+pd phsmbet ar s tloca+sad Pte, vtarifyte-k that ~1.) t;te on•site tewatct d~fapoas! system is m proper o~tinB apx~tiuq mNOt (~) aRc~r iosF+vcliau grad, ping (ittleeotsaryj, the !sprit m~-is tlwrt lfJ Cutl of sludge, 1'/vy~c, the vslderaig:rcd Iseva t'eAd tIK about requirettoarsa And tq the ptiv~ erwagc dispaa~tl ayete~ eri~ the Lv aet baai4 as as by the Dt~aont of C sled the 1 of NuA>~ $~q~c4e, 8tato of Witrons~. stiotl stad~g ~ ~~ q ~~ bas f~ maiptsine9 must lit eott~ltfied rotd tettlrODd g0 the 9t. f:~t'oht C~tmty Pleegmbaa dE DtpArUment vvit}~ ~1 day. of the +9tree ycAe rxpaaEann date. Ilwe catifj- ihet all atateaaeero alt dtia &xm ere tnu io t}a; baw of at~lenr llttowtAdge. gave •fdare tits fix) op~be dcecrRbed above, bw df t~ rvarrrosi3r deed zecarded It! ko~iste~r of Daeda pi'~ae. l%1~U7 ~~~~i~7 ,~„ . -------~-, n~~ ~, ~• II ~uRy i=lfoz'tQatiat+ ttiet ro taute~presatlad ~ re~h ;n the etunitary permit belttR rerolnad by the Pletnuttg & 'loafing Departrr+etu, s ~• with this applicatir~a a ieaerded *tiu~nty deaf froRl t!~ i;+eaisaQr of Used: UtHce tacl al copy of the CerKi3ed sunTy map if e i,+ teu4s lathe werratsty decd. 679767 ' VOL_ • _~sAGE 4296 ' KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. ~ MI RECEIVED FOR RECORD 05-23-2002 9:00 A)h CERTIFIED SURVEY MAP RECTFEE~ Si5v00 MAP LOCA IN H 1 / W / 4~ ~, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN, INCLUDING ALL OF LOT 2, CERTIFIED SURVEY MAPS> VOLUME 12, PAGE 3346, DOCUMENT # 564969. LEGEND 3 ZW~3 SCALE IN FEET ~ !9 COUNTY SECTION CORNER ~ ~ z ~ I MONUMENT , FOUND (TYPE NOTED) . W O N ~ 0 75 150 300 I O 1" X 24" IRON PIPE WEIGHING ~ w ~o I 1 .68#/LINEAR FOOT , SET . N ~ ~ ~ OWNERS AND SUBDIVIDERS -' z TIM ANO CINDY NELSON I It PK NAIL SET I N CONCRETE SLAB. ~ ~ 4 z 514 C.T.H. "A", ~ w ~ v ~ HUDSON, WISCONSIN 54016 • 1" IRON PIPE, FOUND. oNNw ~ 1 1/4" IRON PIPE, FOUND. ~~p= \ OUTLOT ~ I X 3/4" REBAR, FOUND. N ~ U Q°~3 `w\S \ \ ~ 9 ati • 3/4" IRON PIPE , FOUND . PQ~/v ~ \ yip ,s`~ `~ \ h ® HOLE IN CONCRETE (3" FROM ~/ ~ \ ~' PK NAIL I N WOODEN FENCEPOST) . - ~,`OOQ/ ~- EX 1ST 1 NG FENCE . P~~ j / _2 0_ ,~ 9~g~' ('~~ 6 I~ EXISTING BUILDINGS. P ~ A~ -EXISTING TELEPHONE EASEMENT . ~,, F,~,~g`.L°'. O U T L O T 2 13' 1 °o'~' ~ 0.267 ACRES I ~ ~ 61 1 1,647 S.F. ~~ I I ? 1 APPROVE[) ~ ~~I I ST. CROIX COUN ~ ~ JI 2 2 I ~5 Planning Zonincr and Parks Committee I '~$~~ MAY 2 3 2002 3 W°I 56~ ~ ~ w ~6a ~' ~H- I ~ ~1 a1' If not recArdetl Wdnin 3U days of io ~ ~- i„ ~ a0• Z approval date approval shall be ; ; Q L On~t Anr~vAld o p~ I ~~~`"~ 75' SETBACK FROM THE o+ ~} JINI ORDINARY HIGH WATER MARK ~ 0 9.385 ACRES NZ ~ ~ ~ ~ ~) '~ ~ 408,812 S.F. Q ~ ~Id-I ~, ~ ~ ~~ .r N DO \ ~ „ LOT 3 ~ \a' W~ ~IUI o 7.016 ACRES ~ x ~ _~ _ 305,595 S.F. ~ _ _ _ _ _ ~ ~ U I I' W L O T 2 S 89°39' 14" E- - ~ EASEMENT FOR DRIVEWAY SHARED ~d ~--~~~ o ~ C.S.M., VOL. ~ 2 66.00' I WITH PROPERTY TO THE EAST ~\ o INI o, ~ PAGE_3346 ~LOHED I s o°s31.oo3s" E a I I DOC. ~ 56_49_69_ 13.44 . ~ 0 372.3 ' J W z °id,~SEPTIC V NTS 1 t °, ~~ :do I GARAGE ~ BARN 'o N 9 39 14 W 385.7 . ~ +~ t I ~ N C1.1 N ~ HOUSE ~ BA N N 89°39' 14" w POINT OF ~ W 3s.o~ BEGINNING ,N o 6 3 '~ ~ -~ -_., X00' HIGHWAY sETEACK LIA:~ WELL ~,- r,, ~~JNPLATTED 3 a ~n - - - I iv a /CENTERL~INE_~ ~~- o ^ ~ o LANDS ~ +I EXISTING DRIVEWAY ~ °o °_ ; Iap ..._ N 6 N~Gs. o o ~'-coN ~ER~INE~ OF o XIS~ING~~~^, I I^ ~