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HomeMy WebLinkAbout020-1414-30-000 ncnO', 3~n r.. ego ~ ~ °' ~ eo ~ n I ~ ~: ~ ~ ~: ~ o A 3 (_ ~ K~ N O O v 01 C O N ~ ~• N > ~ ~ y ~ A ~ ~ O y > ~ ~ ~ ~ ~ '~ ~ I~ ~ ` ~ a o n m~ m ~ °~ o ~ O 3 o ° - ° ~i , ~ H ~ o c C I N C `~ v a s ~ ~ D ~' ~ ~ ° W a c_ ° < ~ O a ~ CD m ~ ~ ~ I ~ ~ ~ c~rtn !~i ° ( 3 ~ r. w ~ o OOO~I ~ I gg gg y N~ '~ v I ~ c 3 I o n i I ~ ~ ~ A ~ ~ °' ~ O ' ~ u i m ~ ~ A ~ ' " I d ~ a I of A I o 3 N c D 0 =+ ~ O ~ ~ I ~ m o c3 N • w ~ ~y, ~ C C. N ~ fD I w ° ~ 3 A a ~ I I - Z 7 ~ N ~ R O ~ N -1 ~ C p Z ~ ~ ~ I ~ a I A Z~ ~ I ~ I (A -~ N O ~ m ~ o -' Z C ~ A y G C Z I ~ ! A ? I a°io'm~ a i v ~ _<. o- ~ O~~ ° 7 TI ~ - 7 fD y ° Z d fD a ~ I ~ N ° (D °- 07 7 C ~ ~ .y. ~ 'O I D ~ ~ ~c ~' - ° ' o -~ _ N O ~' ~ 7 fD n ~ ~ ~ N I ~ y ,. m ~ I j n ~ O O O (gyp O N I tv ' ~ ~ _' O a O ~ A ~ • N I _ m 40 vwi o ~ ~ '„ , N N O ~ I ~ y . ti ~1 Wisconsin Department of Commerce.. PRIVATE SEWAGE SYSTEM SafE~yand 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 Barrett, Jamie Hudson, Town of SST BM Elev: , Insp. BM Elev: ~ BM Description: L n' _ TANK INFORMATION ELEVATI DATA TYPE MANUFACTURER CAPACITY Septic ~ l ~ C J Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic /+ ~ ~ ~ Z S ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufact rer Demand GPM Model Numb TDH Lift ric' Loss System Head TD Ft Forcemain ngth Dia. Dist. to Well County: $t. CroiX Sanitary Permit No: ~ I 479481 „{ ~~ State Plan ID No: ~ - Parcel Tax No: 020-1414-30-000 Sectionlrown/Range/Map No: 20.29.19.2611 STATION BS HI FS ELEV. B 6 c~1~.~Sr` 3,f~~ la 3,~~ Qty. ~ It. BM Bldg. Sewer S, ~D 6 ~, ~ t l SUHt Inlet ~'S.. R~ ~ r SUHt Outlet ~ ~O 95,. ~ r -/ Dt Inlet Dt Bottom Header/Man. )3,9p ~ (©1 Dist. Pipe Q- Bot. System Final Grade ~ ~O 13,gp ~ // 1 St Cover~2 O t s O. g~ 3 3g" I SOIL ~St,RPTI~N SYSTEM ._ .G.~,t /-~--v-o..b1.~ EN Width Length No. Of Trenches . PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM S t '7 r 3 \ O tea. SETBACK SYSTEM TO /L BLDG WELL , LAKE/STREAM LEACHING M n t INFORMATION CHAMBER OR Type Of System: ~ ~ ~ C > I ~r UNIT Model Number: IIISTRIR11TInN SVSTFM HeaderlManifold tl ~n 2 S Length-\ `~ Dia ~ Distribution Pipe s) Lengt Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake ' ~ r SC111 CnVFR ., e.e~~...e c..~•e..,~ AnLr vv Mn~~nrl nr Af.r;rade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bgd/Trench Edges Topsoil l Yes ~l No [ f Yes ii J No C MENT (I clttde cod Isere encles, pens ns resent, etc.) inspection #1: -~rv Inspection #2: Location: 731 Martin Avenue Hudson, WI 54016 (S 1/4 SW 1/4 20 T29N R i9W) The ~ e ar S T. w-oM.l~.e~ coa,•er. 1.) Alt BM Description.--~~ ~~ ~~• 2.) Bldg sewer length = ^• 3 (~ r 1r.t `I• a ~'p~ 15~( _ ~ ,11 r -amount of cover= ($..,~„ ~'~• ~~ ~ ~y,clp~8'~'l I~~92- = ~•~~ ;mss l _- --- -~ _ ~ - Plan revision Required? I"' Yes /~~cl No Z~'~,CiJ~j , Z„ I Use other side for additional informs on. ~ ___ i _ ~ __ .. __ -__ ~j, Da 1 / Ins pctor's ignat~ure ~ ~ SBD-6710 (R.3/97) T) ®~~ (~1s-.tiJ~~°-t~~- ~°-f~Q, S;~ r~^Q~.4un~n`' Q.d. tt~ ~ e~ ~ u ~ ~) `~ I syn.- ~ ~,~~ Q~saYy 5~~~ ~~ -- - ~ ~J rt. Db. ,,,, I ~ __ -~v' . sus Z~/ ~ ~ . ® ' ~.,,., .~, ,~~-~r~ ~ S ~ s ~ ~ 5 ~ (z) ~ ~'' ~ Safety end Buildings Alvision Counry ~ 201 W. Washingtoq Ave, P:Q. Box 7162 ~`J7C Xo ~' j S~On~~~ Madison, WI 53707. ~62 5anitary Permit Number (to be filled in by Co.) De artment of Commerce ~64g7266-3I y 7 9~{~/ Sanitary Permit Application State Plan I.D. N u mber f~ In accord with Comm 83.2], Wis. Adm. Code, pe>sanal information you provide ma b d f d , ~ l / `~ y e use or secon ar~r purposes Prrvacy L st5.Q4(Ixm) - roject Addross (if difFerent than mailing address) I. Application information -Please Print All information x.31 ~ ~ y'7`, ;cJ ,6T d~ Property Owner's Name APR 2 7 2 0 0 6 Parcel # Block # ~H'i' -CJ 5' ~ Y's• -r°- ~ ~ ~O~ l Property Owner's Mailing Address IX COUNTY Property Location i Se:;tion ?~ ~ ~~/, C ry, State Zip Code Phone Number . _T , ~ f ~ ~/.~ ~ ~ j 1 ff lv ~ ~ (circle o Z ~ ~ 1 C ~ , ar o o ~ ~ II. T e of Buildin check all that a ! ' Yp A { Pp 3) d ~'. 5 ~(` Sv iM,. cc N; R E or . . or 2 Family Dweltinl;-Number of Bedrooms ~~ Q ~ ubdivision Name CSM Number . ^ Public/Commercia! -- Describe Use _ ~f~/ ~/~ ~ ~.7 4- ~~ _ /_ ^ State Owned- Describe Use ~Sd'. C.e-BLS /5'f' /J~ ~" /,~ ~ awJO~(^ ^Ciry ^Village ~I'ouroship of h--del' ' ,l~ III. Type. of Permit: (Check only one box on tine A. Complete tine B if applicable) Z~ - ~ _ _ OQ~~ A" ,New System .--~ ^ Replacement System ^ TreatmendHolding Tank Replacement Only ^ Other Modification to Existing Systen[ B• ^ Permit Renewai ermit Revision ^ Chenge of ^ Permit Transfer to New Ltst Previous Permit Number and Date Issued Before. Expiration ~--°-~ Plumber Ownor ~ 7 ~ ~ ~ / TV. T e of POWTS S s tem: Check all that a ! Non -Pressurized In-Ground ^ Mound ? 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed W ^ Pressurized in-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating S nthetic Media Filter Leaching Chamber ^ Dri Line ^ Gravel-less Pi ^ Other (ex lain) V. Dis ersal/I'reatmentAreo In ormation: ~ g Design Flow (gpd}/ Design Soii Application Rate(gpdsf) lispersal Area Rewired (sf) Dispersal Area Proposed {sf) System Elevation YI. Tank Info Capacity in Total Number Manufacturer Prefab Site Stee! Fiber Plastic Gallons Gallons of Unite Concrete Constructed Grass Naw Existing ~~ /t !~b I/ " Z Tanks Tanks ~ `/ a/.r~- ~d ~ Septic or Holding Tank ~ ~-~ ~ ~ / ,~ ~ Aerobic Treaunent Unil E Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for ins Ration of the POVJT5 shown on the attached plena. Plumber's Name {Print) Plumber's Signs PRS Number Business Phone Number Plumber's Address (Street, City, State, Zip Code} ~L ~/ / l Sc ~~ /7~ c~--.S~~ ~ ~ r S^/ G~ VIII. Conn ! De artment Use Only Approved ^ Sanitary Permit Fee (includes GroundwaEer Dat Issu Issuin A ent Signature tam s ' ^ Surchar a Fee g } ~ ~~' ab ~ Z7 ~~ er n Reason Denial IX. Conditions of Approval/Reasons for Disapproval SYiTEMOWNER: 3~ v ' ~ ~ ` I<2J ay~ ~ o T ~,~-J a ~ ~~1 ~Sr 1. tank, efAuartt fNter and dispersal ceN must all be services 1 maiMalrted G. ('2~c. . ~ per management plan provided by pltanber. 2. AN semack n>quiretnents must be maintained as per applicable code / ordinances. compwte puns tto sae eonnry only) rot me system on paper nor ins than 812 x 11 inches in Liza SBD-6398 (R. Q1/03) ~, ~~~-1 ~ ~~ ~ b~ 'Y ~ ~ ` v ,~~ __ ~~ ~~ ~ s ~~ ~~ ~~~ ~ ~ t ~ ~ ~`~ ~~ ~ yC ° a ~ ~ ~ ~ ~ s ~ ~ ® /~ i ~ ~ a ~. ~ ~ ~~ ~ ~~ 0 7 ~ ~ ®. ~ ~ ~~ d ~ ~ ,a\~ ~/ ~ Y c ~~ ~v .~ e „~ ~ ~~ a~ o c ~ ~ i~ a h ~ ~ v ,,v `~ .~ ~~ J ~~~--~~~~ ~~ ~7~~~ y~~ ~o~ v~saonsin Department of Commerce SOIL EVALUATION REPORT page ~ ot_,_,~ oiv{sion a Safety and e~Adings in Comm 85, IMs. Adm. Code Attach complete site plan on paper not less than 81 in .Plan must County include, but not Amsted to: vertkal and horizontal reference' diro and Parcel I.D. O Z 0 percent slope, scale or dimensions, north arrow. and dis el~earest road. ~ ~ - 3 0 - ~~ PleaS@ p-i Revi p~ Personal IrNomwHon you provide maybe ra Property Owner Property locatlon Z' S`~ ~c ~ % APR 2 7 2 0 0 6 Govt. l.ot 5~ 1 /4 Sli /4 s~ T ~ ~ N R E (or) ltl~ Property Owner's Mailing Address lot # Block # Subd. Name ar CSM# ' ST. CROiX COUNTY 'y ~ f«,\ ~y State p ^ Clty ^ village ~ Town .,Nearest Road New Construction Use: ~ Residential / Number of bedrooms 3.=y Code derived class n flow rate ^ Replacement g -~~~~a~ GPD ^ PubAc or commercial -Describe: ___ Parent material l5 u -~-s.J o 5 ~ Flood Plain elevation if applicable ~f///~ ~ ~ ~~ ~n8 # ~ Boring pit Ground surface elev. ~ fl. Depth to limidno factor ~ Z (~ ~., Horizon -Depth Dominant C l R Sd7 in o or M ll edox Description _ Texture Structure Consistence Boundary Roots GPI . anse Qu. Sz. Cont. Color Gr. Sz Sh. .E~~ ,- 34, I ~- z ~ ~. ~ I ~ ` r . 2- rf r•--, ,- , 'Eff#2 ~~ # U ovnng ~,/ Pit Ground surtace elev. ~Qft. Depth to limiting factor ~ / d in, Soil ication R~ Horizon Depth Dominant Redox Description Texture Stnrcture Consistence Boundary Roots GPD/fF in. Mansell Qu. Sz. Cont. Color Gr. Sz Sh. •Efi#1 'ER#2 d ~~ r ~~ ~ r ~ ~/" L ~. ~ z 4 , ?i 7rd' ~ L - i ~ 7 7 ~ ~ r - cnarem ~1 = BC7D > 30 < 220 mglL end TSS >30 < 150 mglL ' Eflluera #2 = 800 < 30 ntgll: and TSS < 30 mgll CST Nerve (PI@ase^Prini) ~° a; ~02~ ~ ~ CST Number / ~ Date Evaluation Corxluded Telephone Number tt+ ~ !G~ ~ ~w~~~ -,~~ ~ ~ ~ .~~, -~- i z - s -cis 7~.s =7~0 -viz ~9 ` ~ ~~ ~ ~ Parcel ID # ~O,~,- Page Z ~ L PtopenY OwK-er ~ f ('' ~ ~ Boring # ^ Bonng ~ ~ J~ ~ Gam, py, Z ft. ~• 'bepth to limiting factor ~-- in. 5~ icaUon Ra' l.,.r1J 40' Pit Ground surface elev. ~(.~ Texlye .Structure Consistence Boundary Roots GPO/fP Horizon Depth Dominant Redox Description •E~ •E1f#2 in. Munseti t1u. Sz. Cont. Cdor Gr. Sz. Sh. s L. ih~~ ~ .1 t~ r -1~1 r, r ~.~~ :~ ~s # ^ Boring ^ Pit Ground surface elev. tL C1eP~ to liriting faces ~' Soil ication Ra Roots GPDIf!< ~n th Dominant Cdor Redox Description Texttne Structure Consistence Boundary •Eff#1 'Eif#Z in. Mansell Qu. Sz Cont. Color Gr. Sz Sh. ^ Boring ~ . Q Bonng # Ground surface elev. ft. Depth to limiting favor Say icatan Ra ^ Pit Consistence Boundary Roots GPDIfP tiaizon Depth Dominant Redox Description. Texture Stnxx~uure .E~1 •Eft#2 in. MurrseA Qu. Sz. Cont. Cdor Gr. Sz Sh. = r < and TSS >30 <_ 150 mglL ' Etfkrent #2 = BODs _< 30 mgA-and TSS = 30 Rtgll' Eflluertt #1 BODE 30 _220 m~L The Department of Commerce is an equal opportunity servrce provider and employer. If you need assistance to access services or acrd material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. aao•u~e boor ~~~ ~- Paroel ID ~ I Q`~ ~ ~ ^'•~ / Page.. ~ ~ ~' , "'~ ~ U Boring .. L.,~j,,1Ji ~ Plt Ground stuface elev. ~ Zd ft. - ' bePth !o lirr~g factor ~ ~• Fforiaon Depth Dominant Redox Description Textare ~ Structure Consistence Boundary Roots Gr. Sz. Sh. in. MunseA Qu. Sz. Cont. Color ~ 1 Q`~' ~ ~ -ill r ~;~:- ~.,~ ~ ~- ~ Rate GPO1fF 'Efl~1 'EIf#2 ` ~- ,r U Boring ~~ ~ Ground surface elev. fL Oepth m IimNing fade ___...-- ~. ~ icaUon Rate ^ Pft GPD/ff Horizon th Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots •EtfAr1 'Etftt2 in. MunseA Du. Sz. Cont. Color Gr. Sz Sh. Boring Q ring # ^ Pit Haimn Depth Dominant t in. MunseM Ground surface elev. ft. ~ Depth m gmNing factor in. ~ . SoA Redox Description. Texture Stnx~ure Consistence Boundary Roots GPD~ Qu. Sz. Cont Cdor Gr. Sz. Sh. 'Eff#1 'Efflf2 > < and TSS >30 _< 150 mgll • Etlluent ~2 ^ BODs _ 30 rrgA-and TSS `_ 30 ^>glL E1Ruent !!1 BODE 30 _220 mglL The Department of Commerce is an equal opportunity service Provider and employer. If you acrd assistance to access services or need material in an altercate format, please contact the department at 608-266.3151 or T'fY 608.2648777. ~.tsmat.~+oot ~i St~'h'l C(2 y • 7 e ~?~C c-u Cs~-YcZ c ~. ~3~~3 ~~~ ~ ~ Safety and Buildings Division _. 201 Iv. Washington r- '~ 4~ tx.. ~, ~ t~ya,°X /~~~~~~~ Madison, WI 370' -, " Sanitary ermit Number (to be filled in by Co.) De artment of Commerce {6G8} 26 -3151 ~~9 ~( SaIII>~aI'y P+EPIIlIt~ 1~ 1C tI01Tl~ .l •.. , fate Pt LB. Number In accord whit Comm 83.21, Wis. Adm. Code ersona ati ~u provj~ ( ~l t, ( ~ ~ ,, ~ ~ may be used for secondary purposes P ' Law, s O , ~ `~'~ ~ ~ ZONING(?FFI '~ ro ect dress l~ J '~ (ifdifTerentthanmadingaddress) -~„ I. Application Information -Please Print All Information ~~'~ ~ ~3~ ~Pr~--~N f{J~ Prape wner's Name Parcel # Lot # Block # yr e l Pr a pett}' caner ailing Address I ProperEy Locatiot ~~ // car~Q ~ D.'YY~ ° ~~~ '/ ~~% Citv 6tate , C Z d ,, ., Section ~•~ ~ o ip e ~ Phone Number ~'.~.+~ ~ ~~~f ircle ~ T a~ N; R~E oI.l I II. `fype of Building (check that apply) ~ ~.rSu~~ C.:Y ~t or 2 Fatnily Dwelling -Number Bedrooms _._~ S. Subdivision Name T CSM Number ^ PublidCommercial -Describe Use / _~ ~- µ e~ ___. _~ ~_ _____ ^StateOwned-DuSCribeUs ^City,^Village~'oemshipat~6,~D~ III. Type of Permit: (Check only one box o ine A. Complete line I3 if tpplicable) p- f A. New System ^ Replacement S,vstem ~ Trextmmt/I3oidmgTank Replacement Only ~ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ange of ^ Petmit'fransfer to New List Previous Permit Nurnber end Bate Issued Before Expiration Plum r Owner IV. 'T a of POWTS S stem; Check all that a I 2) ~ Non --Pressurized In-Ground i^ Mound > 24 in. of suitable still ~ found < 2~ in. of'suitable sail ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Weiland ^ Pressurized In-Ground ^ Holdit•g Tank ~ t F•'ilter J Aerobic Treatment Uu+t ^ Recirculating Sand Filter U Recirculating Synthetic Media Filter Leaching Cham ^ Urip Line Gravel-less Pipe ~~ Other (explain) _. g ~ V. L1is ersaUTreatment Area Information; -'' t' -~- f/, Zv a~~(~ _ Design Flow (gpd) Design Soil Application Rate(g st) Dispersal Area Requ d (st) Dispersal Area Propose stem 1;tevatian 4~ ~ 5`? ~~~ ~((o ~ /easy `l~~o ~ I,~ P~ ~~- Manufact r Prefab Site Steel Fiber Plastic VI. Tank Info Capacity in Toys Number D C d Gl G ll lo fU i 1~ C C ass oncrete a ons ns o n ts ~~,~Q --1c~ onswcte tt)C ~ New Existing r ~'~ ' ranks Tanks Septic or Holding Tank of a~ ~~ d ~~~ ~ / Aerobic Treatment Unit e '~ Dosing Chamber ~~y , ~ ~ ~ VII. Ttesponsibility Statement° the undersigned, assume respoasibilit}• for ins ation of the YUWTS`' , own on the attached plans. Plumber's Name (Print) Plumber's Signature P' PRS Number '~.,~ Basint5s Phone Number lumber's Address {Street, City fate, Zip Code) "?rk i "u ~LL-~.St~ ~ ~, ` ~ o_~, o VIII. Coon /De artment Use Onl ~~ Approved ^ D' oved Sanitary Permit Fee {includes (noundwatet Da°~ Issued I in gent Si store (No Stamps) e ; ~ ) / --_~ !Surcharge l e O ~ n Rea3ron for Denial ,~ ~~ f 9~ ~~ tX. Condition Approv sl SYSTE WNER: ~`', 1 Septic tank, effluent filter and dispersal cell must all be serviced / malntaine as per management plan provided by plumbet. 2. All setback requirements must be maintained as per applicable code/ordinances. I _ Attach complete plans (to the County only) for the system on paper not leas than ail2 x 11 inches in size // :~~ = se.e_ . 6Z . ssr~-b3~s ~R. a ~ ~~~> ~r ~~ ~ ~ 0 ~~ ~ ~; ,~ ~ ~~ ~~ I i b~ ti 8% I ~ ~~~~, y a ~~r ~ ~ ~ ~ ~~~. "-~, `~ ~ ~~. ~,,~ ~ ~. ~\ 3 ~~ 3 .~ ~~ G ~~.~:~ G V l~I/h G .~' ~dY/~f ~// ~ /~O~ f~ ~~/~~ ~~V /~ ~,,~ ~U~,r/~O l~ G~~ u~SO.~ ~~ ~~ 0 v ;; .~ ~~ ~, N ~~~~ ~- ~, I ~:, e3 h ti ~ ~8 h ~ . } ",~~ ~ ~ ~ ~~~~ ~~ ~ ~ ~. rg ~ ~, ~' Y,' ~ `v '~'~'~e, i V ~~ 3 ~ `~ Q I'~ ~ 1151 Wisconsin Department of Commerce SOIL EVALUATION REPORT p~ 1 ~ 3 Division of Safety and Buildings inaccordance with Comm 85; Wis. Adm. Code Steel Sal Service County -Attach complete site plan on paper not less than Sh x 11 inches in size. Plan-must St. CroIX include, but not limited to: verticalarxi fiorizontal reference point (BM}, direction and percent slope, sere or dimemsior-s; north arrow; and location and distance to nearest road. "Parcel C.D. Pend~g Please print all information. _ .-~--~-- R ~ By Date Personal information you provide may be used for secondary pu ~ f5~`~`~L~ wl~n ~_ l Z 3 Q3 Property Owner Property Location Sienna Corporation Ggvtot 5E 1/4 SW 1/4 S 20 T 29 N R 19 W ..Property Ownerrs tiAailing Address ""~~ 2~~ S~ L stock# sc,bd:Name«cslin# 4940 Viking Dr, Suite 608 1 Z;; ;i!', ~ ` ' na The Glen City State Zip Code Phone Nu 5~ a Town Nearest Road x.~'~~ tU1N 55435 r-/51-~35 "Hudson Cam~ichaelRd. 1iR' New Construction • t1se: K Residential /Number of bedrooms 4 Code derhred design flaw rate 600 GPD ,Replacement Public or commercial -Describe: Parent material Pitted oufinrash Flood plain elevation, 'rf applicable na General commerrts and recommendations : System-elevation 9^1~ , #renches spaced- and depth to code~9ft'Sebw grade Boring # Borir-g ~ /; Pit Ground Surface elev. 95.90 ft. pep{h to limiting factor in- Sod Application Rate Horizon Depth Dominant Color Redox Description Texture .Structure Cons~tence Boundary Roots GPD/ft2 *Efi#1 "Eff#2 1 0-12 10yr3/3 none sil 2msbk mfr cs 2f .5 .8 2 t2-21 1Oyr4/4 none- stet 2msbk mfr gw na .4 .6 3 21-29 7.5yr4/4 none sl 2msbk mfr cs na .5 .9 4 -29-96 7.5yr4/6 -none ms osg ml na na ~ 1.2 r ~3,~~~ Boring # _ Boring /' ~ Pit Ground Surface elev. 95.90 ft. Depth to limiting factor in. Sod Application Rate Horizon .Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfftz 'Eff#1 `Eff#2 1 0-11 1Dyr3/3 -none sil "2msbk mfr cs 2f .5 .8 2 11-19 10yr4/4 none sicl 2msbk mfr gw 1f .4 .6 3 19-31. 7.5yr414 none scl 2msbk mfr. gw na .4 .6 4 31-46 7.5yr4/4 none sl 2msbk mfr cs na .5 .9 5 46-56 7.5yr4/4 none cos osg mvfr cs na ~ 1.6 6 56-96 7.5yr4/6 none ms osg ml na na .7 1.2 ~~ `~ `'1 ~ " l ~;PZ d -{o C ~n Prt ~ o ~7 so-~S -fns s~ ~ - `F~ ~ "'.v=~%v ,.. i . _ w s ' Effluent #1 = BOD ~ 30 < 22D mg/L and TSS >30 <-150 mg/L. ,~„ ~,, ` Effluent #2 =HOD. < 30 mglL and TSS < 30 mg/L ~OtL CST Name (Pk~se Print} Signature: CST Number David J. Steel ( ~ 248956 Address Steel Soil Service ,77X1 / Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, W 15401 9/19/2002 715-246-5085 o,s Property Owner Sienna Corporation Parcel 1D.# Pending Page 2 of 3 Boring # i3oring ~ ft 91 Depth toiimiting factor 96 i . • Pit Ground Suiface elev. n. ~ application Rate Horizon Depth Dominant Cdor Redox Description Texture Stnxture Consistence Boundary Roots GPD/ft2 'Etf#1 "Etf#2 1 0-11 10yr3/3 none sit 2msbk mfr cs 1f .5 .8 2 11-23 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 23-44 7.5yr4/4 none eos osg mvfr a na ~ 1.6 4 44-96 7:5yr4/6 none ~ nsg ml na na ~7 ) 1.2 ~-"j~ r,.`.. ~ ~ ~~ ~(~ M~,Q~u~t-.~~( ~'y~J / I~LST~-~'~G[s~7~1"~ ~ H Y'I ~, ~°~ n Borin~# Baring _ _ ........ _ . Effluent• #9 =130D ~ 30 < 22D mg/L and TSS >30 < 950-mglL " Efftuenf #2 = BODS <30 mg/L and TSS <_30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you nced assistance to access services or n Boring# Bong _. _ ........ _ . Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Sienna Corporation New Richmond, WI 54017 Lic. # 248956 NE1/4,NW1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715} 246-5085 The Glen lot # 17 This soil evaluation was conducted to satisfy a zc-ning-requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the soil tesE was conducted. Legend 1" = 40' of ~~ • = Benchmark El. I OO.OOFt 0f ~ ~ ~ ~ Top of '/2" pvc pipe ~ s =Alt Benchmark E1.10090Ft h'~~ 32 Top of/2" pvc pipe r ~ ~ ~ b ^ =Borings Boring Elevations ~,o ` B1 =95.~OFt B2 =95.90Ft B3 =91.60Ft B4 =OO.OOFt I~~ .y3 ~~ ~s fliS ~ 12~~ !~ S~6P~ 3 ~ ~, k` ~z f~ ~~ 9bfF ~ ~_/r?-d ~ ~~ g3~5o~P 9/•(~F~ N i~, `~~~ •:. ... / :._ I t ~- .-_ r , " / '"~ ~, _,~, z' - X11 ~ ,~ c ,, \ I _.-_ 477• ~ ~ __ __.___-_ __-_ . ~,~, \ ', ~5$ I • ~ '~ ,~ 881 J ~ - t s 60 _ / `~. ! . 0 t } 1 1 \ l ~R> ' •. ~ i ! ` r ! ' n • 148' t - .~ _ ~ . _y Y . . _, ~ .. - - - ... ~. 1 ~, ___ - ` ~` . _- - ; }r'=,h79; .., 78~;•, ,t:l r 1 ,.t fig,." ,~ t _ r - ., : _ __ - .~ r ~I,. 1i~1 'a~ a /.// ~ + 4 1 - ' - - .345 ` s f \ S. ~ -- .` 1 ~ ~ .~ j~ ~ \, ao - , 1 1 ', ~' `~ - -- L.~S ; ~ \- r a~ ~ \ -. .:~ ,~ .. ' ~1 ! `1 ' ~~! 344 .~ `•. ~.. ! `( .' • r~~ ~ _ ~ !r'ft "~S '*`. 6~.... _ .I t\•,, 1~~ ~ - tt~ ~~' •~; ~ 'V~x.. -' 1'1 _ .. \ ~~ I 4 / Lr /t , .I . .`, f 3 _ 296 ~ • • \ '~ \ 1 ~ .• w ~ 1 ~ f ~ /~ 1. ~t .- . _ 1 ` ' 1 69 ^' ' " .\ ' ~;• ~_ ! ~ -c- ~ P /" ~.' ~• . ~~ ~ 1 ~ ; ~ r `:. t 2AS ' • t ` ...738 .. _ 332 1 ry~7 ; :\ f t ` `'1 /f ~ i f` _ ~~` , \` 'tl 11, ,1 ~ ! 1 ~ t )},. -• ~ - .-ky _ ~ ~~ ~.F . t. -, _ ~, ~.~ _ .. , , .. .. I. • 33 . ~. 7 y , ~ ~ ~ 1 F/. ~~\_ ~, - ~\, ~ ~' , IM 11f'_ J tt ~' ,` fit i:. ~_ I f f 1 t 1 ~ ~. \ a 1. ;, I 6 ! y~M 1' ., ., tf ,, I ~ - ~. --- 1 ~f N ~ --------- rr / t 1 {•f I ga~'r 1. i ., li, 1 t n.-1 w I~ `\• ~}j'j~- ~, t t I •j 4 ` ' ''` ~ ~,~ II ~ t ^ ~ 1$ h.. ., 1. ~: ..: ~, I ( 277 _ t .1 /r 19 ~ t~•+'• I j I _ r; f7 ~~~. 1 ---------------- I t ` " ~4 .1. r ~. ~" / SEPTIC' TANK ~ PL)MP CHAJ'i$Fl~ E:R~SS SF.C:TIGN P.ND SP'x:CSFiCATZ'~:~S ~+" CZ 'J ENT PIPE I?" MIN. ~A80VE GRADE £ 75' FROM DOCR, WaNDCW OR FRESH AIR INTAKE FINISHED GRADE ~ „ " 4" CI RISER --~ 18" IN, 6" MAX. INLET I f-~, ~~- "'-" WATER TIGHT SEALS A ~~'P~av~o --~- 'IPE 3' INTO SQL I D "~"" C "' TOIL PUMP OFF ELEV . FT . ~` --~-- i D t~~Ar,~~R~~ooF JUNCTION BOX WITH CONDUIT ~ :. ~ ___1 ~', ~, ~' GAS- i IGHT ~ `~ [ ~ SEAL o ~ ; ALM ' ON •I ~ n, QFF' APPRflVEL MANHCi.E CCV ER W! PADLOCK ~ WARNING LABEL ~ >ti /ARPRdVED JOINT5 WITN APRROVED PIPS 3' QNTQ SOLID SOIL ~~'° RiSER EXIT PERMITTED ONLY IF TANK 'rI.4NUFACTURER HAS AFPROVAL 3" APPROVED BEDDING UNDER TANK SPECIFICATIONS SEP'T'IC / DO5E TANK MANUFACTURER: ~ ~~~~~ ~, ~. CONCRETE PAD NUMBER DOSES PER DAX: ~` ~APv~C SIuES: SEPTIC Ia~jQ aAL. DOSE VgLUME INCLUDING _._. _.._ DO5E $db GAL. rLOWBACK: I59 GAL. tiLARM MANUFACTURER: ~.tD y~A~w CAPACITIES: A = o?c, INCHES = ~'I~~GAL. MODEL Nt~'MBER: SWITCH TYPE: 'h~~p,~ B ~ 2 INCHES = ~~ GAL. ___.._r PUMP MANUFACTURER: ~~ C = ~ INCHES = ~g GAL. MODEL NUMBER : ~o c "°' SWITCH TYPE: rr1~eRc D = ~ INCHES = J acs uA;.. i4E~UiRED DI SCk~:ARGE RATE y `~ GPM r U!4P ~ ALARM WIRING AS PER I LHR 15.23 w'AC '1EkTI.CAL DIFFERENCE ~iETWEEN PUMP UFF AND DISTRIBUTION .PIPE,,,',,... '/~.. FEET + MINIMUM NETWGRK SUPPLY PRESSURE ' ~ :"~~ . 7. 5 FEET + _ ~ ~ FEET r 0~2CEMAIN X lobFTIlOC1 ~'T. FRIC~ION FACTOR , s~ FEET T,0 TAL DYNAMIC HEAD - -,~~~,~~F E ET INTERNAL DIME!v'ST_~JNS C3F PUMP TANK: LENGTH ~ ; WIDTH r-.r DIAMETER _ LIQUIJ~ ~"~ ~3~ " ~! Cr,~L pee 1'~ IGIv.~D : ~.~~---____. LICENSE NUMBER : ~.~,~ Q q '~ DATE ~/~~ ~~60ULD5 PUMPS ApPLlCATiONS Speclficaliy designed for the following uses: • EfBuent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewaiering SPECIIwICATIONS • Solids har~tiing capability; 9e 4u maximum. • Capacities: up to 60 GpM. • 7otat heads: up to ~ 1 teat, • Discharge size: 1'Jx" NPT, • Mechan~cat seal: carbon. rotary/ceramic•staponary, Bi~NA-N elastomers, • Temperature; 14~4°F (44`tr) continuous 144°F i64~ intermittent. • Fasteners: 300 series stainless steel. • Capable n# running dry without damage to components, Motor: • EP04 Single phase: 4.4 kP, 115 ar 230 V, 50 ka, 1554 RPM, buih in overload with automatic reset. "EP05 Singgle phase: 0.5 kP, 115 V, 60 ka, 1550 RPM, built in overload with automatic reset. • Power eord: 10 foot standard length,lGl3 SJTOW with three prong grounding ping. Optional ?0 foot length, 1Gr3 S1TW with three prang grounding plug (standard on EP05). • FuAy submerged in nigh grade turbine rit iQr lubrication and efficient heat transfer. Available for autamati~ and a~r>ual operation. ~±+to- rtratJc nw~irls incle iNechanical FIo3; $r+Wsch assembled and prase at the factory. F~Aauw~s O EF~04 Impellel Tharrn©plas- tic Semi-open design with pump out vanes fpr rnecharaical seal protecaan. Submersible Efflueirt Pump 3871 E~4 EP05 EPQS impeller, Thermoplas- tic entloseddesign far Improved performance. C~sufg artd Base: Ru99ed thennop _~tic design provides superior ttCength and corrosion 1l~i5~11Ce, ^I Motor Housing: Cast iron for effcient heat transfer, sttenpth, and durabiiaty, sw II!lgtQf Cover: Thermoplastic r~v~t With il~egral handle and flcllit sw!Itd1 attachment pdrtis. 1 Rower Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty bat! bearing construaion. AGENCY LISTING Cir>adlan Stendands Assodation (CSA listed model number end in "F" or "C".) Goulds Pumps is uo 9001 NeyisWred. 5 . i , ~ ~: n X51 _ ;- . ... _ ~. __ _. _ .,. _... _ ___ . . ~ ~ a ~ ~: ,_ svos o :~ t ,..... o ~ ,_ .. , .r._.. _~._.. .. , .. _. .. s~ :. ~ ~~. i .. ~... r ~ - a a - ~. r 9a zn ao ao so GPM fl 7 4 6 8 SO 11 m~/h u-Patlrv Goulds Pump 2000 oaulai Pumps ~ !TT Industries Eft•czive February, 2000 "~~ 83871 ~~ uick4~ .STANIJAR(l (.'HAMRFR Quicic4 Standard Chamber S1pE VIEW .~r~, IIVIV VItW ~I~ONT VIEW ~'QU Size (W xl x r. ~j i ~ - - r r ~1 If ~--- --'---..~_.~.~14 SIDE VIEW mina! Spet:ifieations "- ^3A"x52`x12" Etfec#ive Length ; 48° invert Height g• TOP VIEW rr'vr, ne`ti"`~1'~'TiF `'°~.,". ~: .,... f~~'~'A t"~'t~'~.sis +~4e, i?k °'~'•da,4Jr.~ `u:. M~Itif?oriMEnd Cap Flominal S` ecifications Size(Wxl:'xHi L, 34"xi6"x12" InvertHeighi 8" or 1.25" llVpiLTRATOR SYSTEMS, I~G, STANpAFdq LIMITED WARRANTY tat Tt,r structural Inreguiv of as .h rAamlvir, er~1 plate, wad,3e and olner a' cassury marlutnclurbd t+y r IM1I ~ ror { flit h whan mslallud z" "1 oylwraled in a W(h ieK1 d( an d15r{y 3er4iG sYblen +n a(.C4ldarr:e wtl 1 htlkators N,Sirix!tIO11S, i5 Warfall!rrd k) !! rr ,),rgillal µyfG;as~a' ('I•i;~ldq'' a[/alydl tAiayt~ rn Ir=nrils aril wrnkrnanship br awe year Inrrn Ina data Ihal tho sapti porr::e ias•.~ad lo; the SePI". sy5hxn carfuurnryg tM UnHS; providers. hdwevar. rh3 r a se~4• pprmi! :s ncN re~dtuo fry atxr6catae taw. ifw warranty penal wiU Lequl upon IIW r.1a1a Inal n>CtaOatial ct the sapl~: eyslcm u~rnn;errcr~. `;. Pxa isn its war. anty; Ir!hfs, Hrldrr muht notify kliNrator a, writing at ns Corporals Hea~tylrr to-. ^ in J!u Siybrordt, Ccxrnac;bcul wnhm !fieen ! Ifif da n! h] a!!aned delrrcl lnlidrator 'wrli supply replacement Units lo-tar»IS drtarmm9tl 6y nf.frair~r t~ be r:w•rxed try this l.lmdert f,Uranry, In It at $ uahl6ly spenP~catry e>tcludas tha cyst of renxyvel ZndJor inslatlatron of the Unl':. ry.,r Ti+f MfTrp y;APRgN7V AND REMFUICA IN SVI3PAHAGRAFH (a} AAE EhGLU3 V b11=RP AHE NO Cil hsFH wARFUUJI'iFS'NITii i~F6PEGT r ~ UN;rS. NCI-WJ.Nr; NV IMPItL'J WaAfiAN'fE80F MERGkANT+@IUT'I Qf2 FITir-.:~ Frih A PAti1lCtJlAF! F4iRPOSE: ,-._ T7- tr r N a iY ~h_,II t~ n li arry part of lM+ Char ,bar sys4lm ' ma rrrlach"e i U rvrr r Ihr ! k+ In1i~s rl s fhb sir. v rn an drxs '•~ L t 7 IV i t~ Uenlal f N,$rxiL r al, 51xiCla D< induecl d4n18(lOS I'dillr' t x St ,tit npl ba Ikl 11 (_: tail rJY ~. 4uidalex I,rn aga n Il I J luau +'i I)rtr t 1 on and l cols ia.Yx ar ma~.erals, uverrmad costs, or otYx3r 'ussa~ or exlx'n5a i r.un-c dY Ina Holder cr a ly nnra .wdy ?rx.-!Gcafy ekUUdr'd inxn Lr0„ad Warranty tYrVd'aga are damage fq the Uni?$ ddb 70 Crdlnafy wear an(t teat, eRaralro!1, aCCUirarl. m~ad50, i1nU5C IX n,rglec[ Ot Ihr Unhs, the Unrts Oeing ar:blectarl io veniGO Iraltie or other opMltiors wirion ars not lsa. r IIInrS by tha inalalla;H!n iras?ructgns, laih,r :o n-,ailttain the miniinr~m growrJ ewe's sa! firth In Ifw inetallato7n ErslruGans; Iha placarnoN or nlb'oVi,, matanals icto lh¢ stem c4ntainlrrg ih5 •Jnus; IaWre of :: Urtils ar the Sepl i systam rAre to improper silwlg rr impnropar sizing, sxrv;sive vratas- usryo, i+nprcpar gmasa d:sy,45a1, a imprgxx operaunn, a' terry c:R V r even[ nrN causotl by Infittratw. This Umitatl Warranty shall Cu, void J the HdOa- faNs b aimph~ with all of f: W tErms sat forth in !his Urnited 'Nanarrty Rrnhe '. no rve. t stxN Ir4ilha;or t rosl,ronsip~r idr any loss or 7amaga to i!ie Ho!tlar, I, g Units, U< drry third party rasuNing from inslalW;bn x ship- mor ~ c~ !rum any prpaurt iiai]ility clams of Hader or arty irlird p:i?ty. F~• (`»s l~mii4u wa e' ry to appty tnr- Unil,s muss ba insteilc+d ql aorrrdy;ur wir r le cgxLllwls rtl4rNrFid ny stale and local cudan; all other applicable aws: srd ;n;dua;oi t "rs!a r!iun in^trur;Grats. d7 4 %dV+aseraapve of M14tr.7t ran the au!hctliy io clwnge pr rtxtrixf Ih ,_i. hitr"i Mlarrr. ,iy: No warnr;ri apliws to arty party other ;han me origi- ,ia H k+cr T:-I ~:ww repra54nl the sndcxtl I.,~rrNled Warranty <:Eehwi CY Iriiikraf,lr • A 0 n0ci1 numhe~ (d stains m d ; ;,urlra fwus dillerenl w -runty re~+,ire- ma 43. Arty lvrcita er of rinilS eh3uid rxr42ra In}i.lral4r'a Golpwa!n Heal Juwkfrs in Ol7 Raybs+wk. QanrxK',eW. tlyrr ie su6h Ixuci,aLe, ro obtain a copy of [Aa applu;able Warranty, nrltl .houW cr3re,ruUy read that warranty pdcr to IM {'arhasur r:i Units. Q sysTEMS ~Nc Envdronmentai Onsite Wastewater Solutions°" 6 Business Park Road • P.O, Box 788 Old Saybrook, CT 06475 860-577-7000 • FA.`: 86G-577-7001 800-227 -4436 V J,~rV var u.v,I„/:iJr.,r10, It>,5, :1,32hY,: /t{; b,J;i9,Eyi4 l a-radian G'~tt~nls 7,329 959 2 004,5&4 Other patents penoinJ I ''linter Eti ia!{zar and 5ii~aVJtndar are regl,lered tratismarks cf lnfl(rr,ta Sys En , Inr, Inidaator rs a Irx~lstored tra,-lOtharK i^ France. Infiltrator Systems Inc. a !zgl~lrred trademark in h4ox"co. Contour, Contour Swivel Connection, fvUaof_eachin~ f`vfyTr.N, Snap..ock, L'.harnberSpaoar, PosiLock, Quick.ut. Ciuri<F!ay nECVCt.EOP~PEa ~~^d C:uick4 ara tradritnarks of Intillra;cx $yslan>;; lnc. 4J i0i;3 fr',fdhalor ~-VSIa'trs Ina Fr'^.ir,d in U.$.k. ~..,, ...,._ ,., .-. MultiPort End Cap P4WTS OWN~~"& N~ANI~Al. & M~ANAQEMENT PLAN SYI~TI;<M SPBCIPfCATiiGN3 Number of Bedrooms ~ Q h}q Number of Public Facility Unite, Estimated flow (sverage) pesign flow {peak!, {lstlmated x 1.5) ~'~ ® l/daA Soil Applioetian Rate 5tanderd Mfluent/Effluent O.uality Monthly ~~rer+Mrln~` Fats, Oil ~ Grease (FOG} S30 mgll. 6ioohemicai Oxygen Gemend {BODBf 52.'t0 rngll. Q NA Total Suspended Solids {TSSI st 60 mp~1. Pretreated Effluent qusNty Monthly ~yeri~Qe Biochemical Oxygen Derrtand (130Da1 530 m~lL Total Suspended Solids (TS&) 530 m41i. l7 IVA Fecal Ccliform (geometric mean) 510` cfu/10Qotll Maximum Effluent Partials &ize yi in die,. Q l~A Other: Q Nq- ' Valua~ typical for dorrtestk wastewater end septic tank effk~snt. P+Se of 8e(~tio Tank G'apaaitti'' ~ ,2 ~ al O N~ ffidpttC Tank Manufacturer O Nq ~ffipent Filter Manufacturer ~ ,Q ^ NA Effluent Filter Model ~~0' Q NA PtIr1'~ Tsnk Capacity al DNA Pymp Tank Manutacturer fr~,S ~, y, Q NA Pl+mp Manufacturer ,~ ,~.,~ /~ Ci NA pump Modal O NA RretFpatment Unit A Mind/aravei Flter 0 Maahanical Aoration t1 phdrtfection ^ Peat Fiftar ^ Wetland D Other: A Dbp~rsal Cell(s) ~$!~n•Liround (gravity! Q At•Grade q prfp-Line O NA L~ in-around {pressurized! D Mound Q Other: DNA r' O NA DNA MAINTENANCE SCitiEDUt.E SM'W01 I:verlt 8erVice Frequency inspect condition of tartklal At !seat anae ever: ~ 3 s1 a IMaxlmum 3 years) O NA Pump out contents of tankls) Whop corrobined •ktdQe and scum equals ono-third {}~) of tank volume ^ NA inspect dispersal c+sU(sl At Isest once every: ~ mon(~{sl illAaxintum 3 years) DNA Clean effluent fbteir At 1o~t pnae sv~ry; ~ ~ elks! °! ^ NA Inspect pump. pump controls 8c alarm At least pncs every; ..-~- ~~{al a ar(e) ^ NA Flush latsrsls and pressure test At ieiuEt Qr1C11 twerV: r--- ^ ~ ~ si C] NA Other: At least once every: ....- month(s) O earls) ^ NA Other: O NA IwAINTENANCI: IN8TRUCTiQNS inspections a! tanks end dispersal calla shall be nlede by an individual carrying one of the folbwing licenses or certifications; Master Plumber; Master Plumber Restricisd 5ewNr; POWTa lns~aotor; PQWTS Maintainer; Septage Servicing Operator. Taub inspections must include a visual inapectiort of the tenki~~ to +denttfY arty missing or broken hardwsre, kisnttfy any cracks or leaks, measure the volume of combined sludge and scum and to check for srty back up a pondlrtg of effluent on the Around surface, 'The diaparsal osllls) shall be visually impacted to ahpck ihs effluent levels in the observation pipes end to chock far any ponding of effluent an the ground surfsce. The ponding of effluent un th4 Around surface may indicate a failing condition and requires tits immediate notification of the local regulatory authority. When the combined eccumulatian of sludge and apym in Any tank equals one-third tysJ or more of the tank volume, the entire canients of the tank shall be removed by a SeptAge Servioin~ pperstor end disposed of in accordance wink chapter NR 1 ! 3, Wisconsin Administrative Code. All Other senrlCes, including but not limited tc the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and sny servicing at intervals at s12 months* shall bw performed by a certified PovvTS Maintainer. A service report shalt be provided tc the local reyultitary authar#tt+ within t0 day: of ocmp)atbn of any service event. DE8KflY_ PARAMETERS •apo~ enlte~#slu!wpy uisuoosiM 'E£i S IZi '! liti5'ts81~9 IliRlpi:t t1!q!(xlLt`~$ wwo~ ~e#dayo yunn aiaue!!dwao u! perieEp f!N- wewn~op a!1!1 •S •uayd 0uoyd ~~ )l,t,IaOHllltl Aa01V`If10~! 1tlJt?'1 1>!13dW11d11i01Z/bSdO ONIOIAli3S HQV1d~S euayd euiaN >~Nitl1NitlW t31M d ~13'1'1tl1SNl S.LMOd slNSwwoa ivNOU.iaatl '3"!gl$gti~IIN1 ~!0 ~1~101~~It~ ~~ AtlW SNtll tl ~O !!Oi>•131N13H1 WO»3 NOSa3d Y d0 3E10S;ikf 'llf1S~!! AtlW H1tl30 '830NtlJ.$Wf10?~10 AM'd' >d~UN~ ~Nd~ 1N3W1tl3~11 l~3fi1O !!0 dWtld 'Ot1dS8 b 1l81N3 lON QO 'NSOJIXt? iN~tOldelR3N1 !lOIONV S9SStl0 ItlH.L~'1 NEdJ.NOiri AtIW $SNVS 1N3W1V3lIl li3N1O CIN < <ON Nsilt/M9S> 'S1MOd Palls} ®41 •oeldo~ of #~ots1 see! s ss palls3su! aq new duel aulPlo4 Q novlouy~es SJ.MOd u! saousnpe 6u-aaeg •>auoi#siiwer Ilos ~o/pua ~dogles o~ enp elgsitene lou s! as~e iuausaoe!da~ alge~ns y 'lWii #ey# #e to•};e u! s•In~ •yi y#!nn A{duaoa #snw swa#s~ts #ueweaeida~{ •ea~s #ueuwae{deg eige#{rnl a 4stiq~~se o2 uo{~en1~na o#!s pue i!os nneu a ao; peeu ey3 u! #inse,- IP^^ es~e iueuaaosidaa ay# #ae#o~d o~ ean{{e~ 'stienn P'~ 9AUlf ib{ 'alfs;analo pasodoxf pue au!leixe wa; s~ioegies pennbei ,eq uodn pssu!~;u! eq #ou ptnoys pue uo!;aedwaa pue eotr~gJhae!p uso~~ ps~03C1~~ eq Pinoys e•ie #uauaaoetd®~ syl •ule#s~tc of loos a iios #uau~oeide, a ;o uo!#eaoi ay# ,o; pezi{!#n eq ~~w pue pe><~n~sne ue0q say ee~e #uewaaeide~ eige;ms y d/r u ~ q :weis~ts luew•osidaa 1uelidwca apoo a ap!no.ad o1 'uo~e~ aq #snw~~o 'ua•q eney gd~ns9ew du!~dper; Ayi pg~!sde~ eq iouuea puNstl'td AON3f?NI NOO •iel~•#ew prios #.tsui ~y#oue ~o i•ne~b 'qos y#!nn PeIE!} eaeds p!on ey1 pue psnowe2 s~®noo ney~ ~ penowea pug pgi~nodxa •q {lays e#!d Rue s~iue# lie 't3uiduund i•j;tl • •laie,edp 8u!o}nag at3e~dog a ~q }o pesods!p A~19d0~d pu+l! pendW~~ eq Ileys sild pue s~lue# i!e }o s#usiuoo sul • p•ie•s s6uluado ad!d psauopusga soy pue peianuuoaslp sq !lays sud pua s~ue2 oa 6uld!d pV • :spo0 eni#euslutwpy ulsuoosl~ 'Qsr'sr8 uiuto0 9w#d~4d y#!^^ aoue!idu,roo u! pauopuage ~tio;es pue ~ti~edo~d x! wezs~ts ey# xeyi aanscu of ueaiei aq !lays sda#s 9u!nnoilo; ay1 aoEn~s -d ino us~yei n)luauewaad s! :o/pua s!!e; S N3WNOONV8V •euuq tpus;;os ~aipnn pua ;suo+~.uel :sw~deu lue#luas :s•p!a!#sed :s#anpo~d fluuuled :I!o :suo!#eolpaua :sdeaas #esw :sap!o!gaay :esea~t3 '8u!loSSli :st3ulleod 9{t~132e~an pua #lna; :~83eM (dwnd dwns! u!aap uopepuno; :ie; :siueiao;ulslp :saede!p :ssao# Iwuep :s~eseaaBep :sgeMO uaiioo iswop~fad 'r;unq a##aseelo :sad{nn Ageq :so!#olglaue :S.LMOd aye }o a;!! ay3 @uoio~d pue aaueuuo}~ed ey# ~+no~du+! ~te~u w+es~xs 1•#ernlf#sghn •y1 uao~; 6u-nnollo; eyi ;o uoneu!wtla ~o uo!#anpsd •eb:~a uo#d~asga ilos ape~S-#a ~o punauj ~tue ;o •dois unnop ~a•; g t u<y><±nn ae~e ay# '#~edwoa ja q~n#slp es!nn~®y#o ~o '~eno ~i~ed ~b onuip ,du oq 'sjie~ les,eds!p pus a~{ue# nano esta!uan ~{~ed ~o •nl~p #ou °fl •~iue# dwnd ay# uiyv.M s{ane} ieuaaau eioieaa of sio~#uoo dwnd ay# Hul#ea•da Mlenueu~ ul #sisse of ~•Ws~ufeVri 51Mbe is ~egwnld a loawoo ao deund #ueni;;e ey# of ~ennod 6wlo#sa~ of ~o!id ioieaedp Bwoln~ag •be#dag s Kq ponriuua~ >luel tiu~tnd pUt ~o sue#uoo ey# sney uol#en#!s s!y# p!one off, •iuenl~o ;o ad~eyas!p eae~ns ~a dn~aeq eyi u! #ins®, tiew pus {sllloo I-y# Duipeo!~dno 'asap o8~ei ®uo u! !siiiea ies~sdslp ey# of p•O~eyaslp aq limn ~elenneasenn sseaxe ay# Pg~o#se~ s! ~enna0 ueyM •si•nei .ia#sN+yBiy Ertiuaou onoge i!!; Aeua s~ue# dwnd s•8e#no ~ennod Buun0 ~eae;ins eni#ita#I!1W sy# #a uox°a} ors suo!#tpuoo 1!os usyH+ ~naao iou pays do 1..is1s waisAg Iasi! oil ie!ad ,ias~edo dulo!n~ss •8e#des a nq panowe~ tsl~uei ey#;o slue#uoa eyi aney pe#oe#ep aae suollenueouoo ygt4 11 'i~llle~ iasi~dtili~ s4# o~ewep ~a~pus sseoad #uew#eaA sy# apedwl Aew #eya sleo!weyo Bey#o ~o s#onpwd 6u!#uled;o eaue:end eyi,o; teliiuet iu®uui<esiE ~bp~o S1MOd syi ~° asn a# NOlltlt~dO aNtl df11>ltl18 ip r_._ abed •ewi# #ey1 #e #ae~e u! sofn~ eye. y#!nR ~E{dt~tio0 isnua awa3s~• ydns ;o s:uo!#onrisuaae~ 'aae;.ins en!#s~#il;u! A~~t ~e ~euzola eul ~o lenouus~ Bu!nr-aiio~ ®oetd u{ pelah~upaei aq ~ceul sulais~s uoi#d~osge {{oe epe~8-#e pue punoiry ' ST (.ItOIX C4LtNT1' _,~ ,. SFPT~C TANK MAINTENANCE AGREEMENT AND OW1~IEP.SI~.IQ CFRTIFiCATION FUItivl Owncr/~uyer --r.,,,~~'° t:+~t ,~S -- -_I~ n t yr_ 7T ~f:,~~=C~ r - / Mailing Addrt'.ss ~ `~v ~ct.Y v~ l~uc~_ ~ R,-,,, ,c./ ; . ~_~ Aroperty Address _ ~ ~ l ,rye ~3 ;~~-~-, ~~ ...~ G . •~ %' ~L ~ ~ (Verification zequized from Planning Department for new construction) ....- City/State _ ~~ ~ ~' ~ 1?arcel Idenfil;ication lvnmber ~ 2ty `° ~~'~-~~ - ~ (.2.l~lt) LEGAL DIJSC~.II'~'IQIv Property Location S'~ . %., '/<, Scc..24 , T~ N-R~ ~V, To,ctrn of ~-/u ds o,-, __.,.,^. /~/ ,Lot # ~ l Subdivision ~'"'lt~ ~- ~~ ~ _ .~ ( i 1 . r ~ J Certified Survey N1lap # r- _~" Volume ~--- ,Page # _ -.---:...,._~ ~Varrttttty Ueed ~# _._.~^ ~`~ (~~ .Volume 2~ , Rage # ZO ..,...._• Spec house ^ yes ~no Lot lines identifiable ~ yes ^ no S'YSTF,Ni h1AINTENAI~'CE Improper use and maintenance of your septic system could result in its premature failure to handle wastes- Proper t3~.drrltenagce consists of pumping aut the septic tank e~•ery tltree yeazs or sooner, if needed by a licensed purxaper. What you put into ttre system can affect the fitnction of tlae septic tank as a treatatent stage in the waste disposal system. Tlie property o:vner agrees to submit to St. Croix Zoning Department a certification fom~, signed by the owner z,ttd by a rnasterpirttrrber, jourt2eyrnan plumber, restrictedpltunber or alicensed pumper verifying that (1) the on-site wastetvaterdisposal system is ib proper operating condition artd;'or (z) after inspection aad pumping (if necessazy), the septic tank is less than 113 full of sh~dbe. Uwe, the undersigned have rasa the above requirements and agree to mairttaita the private sewage disposal system with the st?tnd3rds set fortla; hejei,n, as set by th Department of Commerce and the Department of Nariual Resources, State of Wiscansitl. Certification st Ying tha~ septic sy a .has bee Maintained must b4 completed and returned to the St. Croix County Zoning .Office +Hithin 30 da s a e ee ear a 'ration da RF OF A4''PI.IGANT ~~Z~c'1S O~VNF FRTIFI :' TIOv_ , I (, e) certify i all scat entson this form are truero the best of my (o,tr) knowledge. I {wel rsnr (are) the ot4mer(s) of t prop~fty described ove, rtue of a «•arranty deed rccor.~ec9 in Register of Deeds t)ffcce. S AT(1RI~ Oi' APPLICANT p'°`~fi • ""'•"* Any information that is mis-represented may result in the sanitary perniit being revoked !>y the 7_aning Dcpartnlent. """+ •" toclud~ ~4•ith this application: a starnpcd warranty deed frail: the Register o.f Deeds office a copy of ttte certified survey map if reference is made in the wan•anty deed . ~ ~ U. 2730 P 208 I STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number I WARRANTY DEED This Deed, made between West Lake Builders. Inc., a Wisconsin Cotlioration _ Grantor, and James W Barrett and Sharon R Barrett husband and wife ___ ___~_ ~ Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin ~'lfm~e space is needed, please attach addendum): t 1 Plat of the Glen in the Town of Hudson, St. Croix County, Wisconsin. As additional consideration for the conveyance between the Grantor and Grantee herein, their heirs, successors and assigns, Grantee covenants and agrees that West Lake Builders shall have exclusive rights to make any and all improvements upon the property. 79 1 706 KATHLEEN N. ifALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 04/@8/2005 09:00A1I MARRANTY DEED EXt]PT t REC FEE: 11.00 TRANS FEE: 323.70 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address EAGLEVAt.LEY BANK,N.A. 2501 Hanley Road PO Box 70 oaal4la-3aooo Parce] Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this __~~~~ day of March , 2005 * * West Lake Builders, Inc. .: AUTHENTICATION Signature(s) _ _ _ _ - __ _ _ authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, ~~g1tnUN~rr~ authorized by § 706.06. Wis. Stets.) _ ~,,~~~~1~,J~ S ~~~ii ~~ ' ~F~'i ,. ~' THIS INSTRUMENT WAS D~A~'I'E)~Y Attorne Kristine land = to ' ~9L ' Z ----- y - --~-- --- - -_ -----~ ~ ' - - Hudson WI 54016 '~ 3 `+ ` ~ (Signatures may be authenticated or acktrowledge~.t•~~ij(}t~4~gT`~ * Names of persons signing in any capacity must be typed or WARRANTY DEED * --- ACKNOWLEDGMENT STATE OF ~~5G4~ ~ ) -- ss. . ~~~_ County ) Personally came before me this !~.1a- day of March , 2005 the above named W Lake Builders, Inc. - -._ . ' '~ ehw>c~ _~ R~~aF~r ~R ~ ~~ i1T to me known to be the person(s) wt~o executed the foregoing instrument and acknowledged the same. ,- ~~ - * Notary Public, State of ~~~ (1$ j fl_ _ -- ' My Commission is permanent. (If not, state expiration date: [below their signature. STATE BAR OF WLSCONSIN FORM No. Z -1999 Information Professionals Co., Fotd du lac, WL 800.655-7A21 ~~, ~~ ~ 28 I 46597 5.F.I t.08{ AC.~ i _. - ~1 --- 1 I SHEET 7 I I I 1 27 44339 AF. I ' R 1 I 3 i I ~ I 2s I I I {4399 SF. I ~ (,.019 AC.) I i I I I II 1 i ------- -- -- ~ --~ 1 1 1_ 25 1 I 4579s ss. 5y I (,.oa Ac.) I BLOCK 4 j ,I T I L--- ------------- ?"es'-,e~..~»'------------------- SEE SHEET I I I I ~ ~ 14 675 SF. I (L550 Ac) I ~ ~ o s I I I I -----.---------.I----------~-----------A O I I 3175' I I I I 1 s97s5ss. ~v sc+,so5-+1 +w.+r ~ I I ~ ' BLOCK 1 i ~ I I ____ ~ _ N9616~,5'E 1399.37 ~ ~ ~.. ~ - - - - ~ -- - - - - - - ~ FlOOR ELEYA710NS r--~ ---- 1 I 19 I 49043 S.F. i 1 (+.067 AC.) I ~ 16 ,,. s7o3o $.F. \ ~ // \ \ I I ~~/ ~/~ \ \\ _~~ \ \ \ ,- ,- ~ ' jai ~. ~~ ~ i~ ) ` \ ~ ~ \ \ \ \- - - - - - \ \ \ \ ~8 F I \ I \\ \~ . 51564 S. (1.t94 AC.) \\ \ . \ ~ •• i` \ \ \ ~ 24 \ 361 S.F 1. 769 ( I t- ,. • \ • \ 44797 $.f. \ \ '-.\ \ sa• " J- ~ \ ~ // \\ \\ // \ \ / 6t I• / ;' / I /~ ~ / /5~~~ / ®I /[,J i .' (,.769 AC.) . /~ ,``~ _ , , _ `~' ~, , i FLOOR ElEVA710Y5 A~ \v BELOM 693.0 ~ ~~\ /' I ~ ~.~~ ~--~ ~ / '' '~/~ I 3/ 14104- ( ~~ ~ - o Nµ',d46'E I,, 7 .~-k,~N, ~~ NO 04EL11 ~ Y Pulorlc EASEYENt v~ ~ \ ` ~ ~ _ `, $ E1 ~ - ~ ~ ~'~ gi / N j $ B k .s .c7 ~~ "'~1 zeo.49' ~ ~ -957.+1`--- --~.\ ~ u' i .r ~L / ~~/ a. ' ~) A -,/.r-1 >r-/. S89'30'27~W 50$.92 ) NOl°14t~~~ i-~_AYORiE uR~~G"sY°.~ ---'~ \ ~ N88 ~5~ _~ n h .. L_L_ h'. L_.. _ ("'~» 5.66 1 ,al. ,7, oA0( 3792 \ \ I/'ll 4 /+ ` A /~f- 4 EASTERLY EIfTtN910t1 AND 111E NORM I `,,,~`; -NORM LINES OF C.S.Y. MOL. 12. PIr i V ) h ~ WNE OF PARCE! REC. W VOL 407.- J 1 ' NORMME57 CpOKR i n"~'-i V V L.. t ll ~ n V L 1 .l v PAGE 455 A110 ME NORM TINE OF ( ~ \ 4v t Y _---------- ------_ C.Sx VOL 3. PACE 779 (N69S1']CW 1190.93) OF G4Y. VOL ,7. ~~_ ; /~ R-~ ~ t Inl ~ 7 ) A /~r' PACE 3792 ~ ~ - - - t tnl -- ~ /~ =- `) A /~r=-A A _ ~ ELEVAT011 ~ 946.79 y__.IVI.- V VL._-1 rllJ L_