Loading...
HomeMy WebLinkAbout020-1437-04-000I I I I ~ p~j 01 N O m ~ 3 ~ \ ~ ~ p ~ w ~ ~ O ~ p ~ OJ ~ A ~ cnzD m cam' D ~' ~ a. W ~ o "~ i o i I Z O C '0 ~ ~ ~ ~ Q I o' ~ m I o Q N ~ I a I Z 0 I =~ ~ T a~ O o c <_, m ~ A fA ~ ~ a o ~1 ~ ' fD C O c ~ W Q n N d ~ N Z O ~p ~ ~ ~_ N n ~ O 41 3 O ~ f0 v N N a N ~p ~ (np N q fD a~ od ~ ~t D o _~~ ~'~ a ~ cvm ~ ~ a a 3°$`°mm ~ ~ a m ~ ~; w ve,~D~a m cmo~m°~o O d ~ 'p ~ y ~ ~. (0 C N_ S ~ N ~ 01 7 O ~ ~ fD f~ N O) co°-m~n°~w i ~°g~~~o m ~•~ ~ O A 3 ~ I yo c-•o~ 0 I 3 ~ v N ~ y L 7 O7 ~ N 7 N a j i ~• ~ ~ o ~ N fD 0 NQ 1 ~ O ~ 2 O L ncnO' 3~n T`~ b ~ ° o ~ ~1 ~ ~ ~ '`• ~' A a ~ ~;~ ~,; ~ 3 ~ ~' ~ ~ ~ ~ '. ~ O ~ N C N N • ~ Ji C w (7 ~' ' N Q ~ F~1 ~~ 01 D ` l/1 C 111 ~ N ~ _ ~ W C v j V ~ J A nee,! N ~ ~ O R O ~ S O ^rt+. 7 M~ j .y. ~ ~ ' ~ O C d , ~ a ~ ~' a o N!, ° ° ~ N 0 J N I y O 0 o a n r cn '~ A ~ C 3 ~ Q • ~ ~ ~ (yam 000 '~ art it y N ~ ~ ~ ~ ~ i ~ ~ ~ m y e'o ~' ~ ~ ~ m d 3 ~ :. y ~ .. ~ o I ~, 'o ~ o ~ N N C C n N. 'P ~- I N ~ I I ~ ~ ~ O A Z n N ~ D. ~'i A 2 O li ~ W G ~ N C ~ G. ~ Z ~ '' A :0 O •'•' !A ~ B m ~ W ~ .P A c a I I ~ A i fi ~~ I O A ti N ~A A ti Parcel #: 020-1437-04-000 03/22/2005 09:25 AM PAGE 1 OF 1 Alt. Parcel #: 22.29.19.2709 020 -TOWN OF HUDSON Current X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner * BUZICKY, MICHAEL J & TINA MICHAEL J & TINA BUZICKY 812 ROSS RD HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 812 ROSS RD SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.229 Plat: 2149-KELLY ESTATES LOTS 1/21 020/03 SEC 22 T29N R19W PT SW SE KELLY ESTATES Block/Condo Bldg: LOT 04 LOT 4 (2.229AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-29N-19W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 12/27/2004 783372 2720/629 WD 06/03/2004 764718 2588/121 WD 03/29/2004 757836 2535/495 WD 01/17/2003 706202 9/47 PLAT ~nn~ ci innnneQV Bill #: Fair Market Value: Assessed with: 50581 32,200 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.229 24,900 0 24,900 NO Totals for 2004: General Property 2.229 24,900 0 24,900 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 .~~ j~M ~ -~-~ ~ s s u ~V % a G,A CA SS e A~u~, I o .p . S'I'. CR(.)IX COUNTY ZONING UI;PARTMENT AS BUILT SANITARY REPORT ~ Utivtter AS ~'/~ ~~~~~ /I-~1~~" -' ~w l~/f~ (~,~.~~I..s O 51 T '~dsltcrs O S S R,,,D ~ /_, r '~~~.~~.~ /~ Cit}:%State i ~ ,S O/ JUL 0 6 2~p~ Le~ai Description: ~/ Lot Rlock Snbdivision/6S-Ia1'#"~ x'E~~1 ~S~"~•~"~"~ S t~~r.Cr~;xC«uwi,~ <n:~1~N~ ~ (1FCIr"~r '/~ ~ "/+ ~ Sec.'LZ-, T~N-R I~ W, Town of Tank manufacturer Ptttnp manufacturer Alarm Ivcation PIN # (~ lt9 ~ ~' S~ 12 l Z,.S b Size ST/PC / Setback from: House ~7 - Model ooc 270 [ON: Weil ~ P/L 9~ (I[OLI)It~IG 'T'ANKS ONLY) Setbacks: Service road _ Meter location Alarm location c~u- i ck y s N~F r l.'t'12 ~Y`oR s SUIL ABSOiti'~I'ION S + M: Tyne of system: Width 3 Length g~'" Number of Trenches Z Setback from: House Well ~ P/L a~ ~ Vent to fresh air intake > Z $ IIIJcvATZUNS: Uesrription of benchmark )description of aitertlate benctttnark Elevation Elevation y~~~° ~~YZ ~~!~~ ~ Building Sewer S'T/fI'f Inlet ST Outlet PC Inlet PC Bottatn header/Manifold Top of STIPC Manhole Cover nistributivn Lines ( ) ~ E ~ /~ S • B v i L T (~ [r~ 7"' ~~~,. Bottom of System ( ) () () Final Grade ( ) ( ~ _ ( ~ ~{ 5 3 Z ZZ- ate of installation / / Permit number Slate plan number Plumber's si nature ~' ~'~'4 3 7 S g License number inspector ChM QV 1 ~J~1 ox~~nv~. No cv~~l t~s-fa~~- Vent to fresh air intake Water Line r~~y 3_of/ Date / / Complete plot ptar Ulbricht & Associates Private Sewage Consultants 2812 10th Ave. Spring Valley, Wi 547fi7 i11 o T ~ it i ~ 12 ~'~ L- IA] S-~~E t(~4Tlo N ~ . V W ~5"f" F'RopEl2Z`y Zent ~ ~ ~ ~ ~ A ~ A ~ Z ~ ~ N ,~ .,-: -~ ' -~ L •,,, 4 ~ 1 Q Z ~ ~I ~~ cu N ~ aZ G ~ a~ ~ s ~~ ~©~. o o ~, ~,~ -a w ~ L ~ a r rn -~ D° 0 -~ ~~ ~i °. D ~~ w 0 \. .p 0 ~ `~ N i7lt ~ o ~ _ w .a ~ ~ f N~ N ~~ ~ G - , N N .D ~ ~t b ~ ~ ~ ~~ ~ ZA 'q~'N~ o`~ ~~ a~ p g ~ o ~- ~~~' m ~ ~ -o ~~ :~ ~ w ~ m ~ ~ -~ n m i p ~ m ~ s a ~ ~a` r~~A ~' x1' ~ 6 LN~ ~a u . ~ n _~ ~ WisconsinDepartmentofCommerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15:J4 (1)(m)]. 'ermit Holder's Name: City Village X Township LaCasse Develo ment Hudson Townshi .ST BM Elev: Insp. BM Elev: BM Descri lion: ~ ` /a b~ o ~ ~° ~~ ~ i ~1 ~ ~ 'ANK INFORMATION ELEVATI N DATA TYPE MANUFACTURER CAPACITY Septic l~n w ~ w ~ v r Dosing - ~ ~'.' (itf / ~Cl I Aeration Holding TANK SETBACK INFORMATION TANK TO /L WELL BLDG. Vent to Air Intake ~--- ROAD Septic \ ~~ ~ l r-l ~" Z ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Model Number _i n SOIL ABSORPTION SYSTEM BED/TRENCH Width 3 ~ Length„ DIMENSIONS "/ill SETBACK SYSTEM TO INFORMATION Typtq Of System: DI IBUTION SYSTEM Demand . Of Trench P/L/_ B~cL,,D'GL WEl ~EJ~' ~ `7 / 1 --~„ county: St. Croix Sanitary Permit No: 453222 0 State Plan ID No: Parcel Tax No: 020-1437-04-000 Section/Town/Range/Map No: 22.29.19.2709 STATION BS HI FS ELEV. Benchmark ~ 3/ (U 3 , ~ O ~ ' Alt. BM sT , ~ L~ Bldg. Sewer e ~ ~~ St t Inlet ~-n ~. s S t Outlet . ~ - 2 Dt Inlet ~~ Dt Bottom ~ Header/Man. ern- 0~ 9, 0 Dist. Pipe~b~ D ~ ~ ~ ~' 9d Bot. System ( ( ~ l S .~ ~'7. ~ Final Gr+ e~ _.__. ~~ ~ b / l~2 St Cover ~ ~J ~ ~.~ 9~- ~/ ~,y g2.jb Dia. (Liquid Depth LAKE/STREAM UNI Model Number: .G,U ~iR ,A Oh 11• i32Q.Q~ Header/ anifold Distributio r x Hole Size x Hole Spacin Vent to Air ntake 7 -i !~ ~ ~ Pipe(s) Z d h Di i / ~ ~ -~ ~- Length Dia ng Lengt a _ p c SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv ~ n ~ (iLiLlilYr ~~~, Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ;~ Yes No ~ <::~ Yes [ t No COMMENTS: (Include code discrepencies, persons present, etc.) Inspe-{~n #1: ~O~/ 36 / O~ Inspection #2: ~ /_L_A~~ Location: 812 Ross Rd Unknown (SW 1/4 SE 1/4 22 T29N R19W) Kelly Estates Lot'4 ~ " " `~ ~ yt~~~ Parcel No: 22.29.19.2709-'~~ /' ~1,-,~,~/ ~S (std 1.) Alt BM Description = `J7-'~,ivV G ~'' /s Q ~7 {'~P~ w~~ / ~••Q~S~ J 2.) Bldg sewer length =~,L{. ~ ~ - G ~~ ~ ~~~ ~, ,, e~ / -amount of cover =~ ~ ~ G r~ ~ Plan revision Required? Yes L] No ~ r Use other side for additional information, ~____l_.__~ ~__-_________________- __._ ___-__~ ~~ ~~~-_! SBD-6710 (R.3/97) Date Insepctors Signature Cert. No. S'I'. CROIX COUNTY ZONING llEPA[YTMENT AS i3UILT SANITARY REPORT Owner L R CfiSS E' D ~/~ t,c~Prtgnl T '~.drlt c^s 5 73 UZ vin ~4 CityrState 1-iUDS~p~ j~l 1__ [,egat Description: I,ot '~}' Rlock N ~ Subdivision/CSM # !< b 1.-t..l~ E5Tf1 T~;, S '/~ ~'/, S~ Sec. a+2, T~N-R I~W, Town of k~' V.pSptJ~ PIN # SCPT'IC TANK -- DOS11 CIiAMBER -- BOLDING TANK INTOIZMATION: Tank manufacturer _WtESe"iZ Size ST/PC ~?~ Setback from: House ~ Well ~~ PiL 50i Pump manufacturer - Model Alarm locatioa~ (iIOLbING ')'AIVKS ONLY) Setbacks: Service road Meter location ~ _ Atarnr location X x Vent to fresh air intake x Water Line `~ SOIL ABSOIZI'~1'ION SYS'T'EM: QJrGK 4 Tyhe of system: _~N~t~'rRA1riR Width 3 ~ Length ~~ Number of Trenches Setback from: House ~_ Well '!'S'a P/L X50 Vent to fresh air intake +5 t~ ELI;VA'TIUNS: X70 l3~',BoTT,t>M oFSl,tat~~i~ Description of benchmark TDP O F' fONGR+r'T'E OrJ 1n1 ES'j' S I p ~ Elevation l00.O~ Description of alternate benclunark N V~ LoT Go2r•1 i;,R ~/Z,~' I t¢.p,~l P t P E Elevation /0~5~ Building Sewer 9(o•'a~ 0 S'I'/II'T Inlet q ~~ ~a ST Outlet ~'q'• I l PC Inlet -" PC Bottom ~ I-Ieader/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) ( ) Bottum of System (t) 9 ~ • 31 ~ 2) ~- p ,ij o1 ( ) Final Grade ( ) ~ c~ . ~a O 9s•ga llate of installation 4 /3W tl~Pernrit number State plan number Plumber's signature y~ yl/l~t„/~ License number _&'S°?' t3'~- Date l~ ~+ Inspector h A N- caul a ~ Uibricht & Associates Private Sewage Consultants 28i 2 ~ ath Ave. Spring Valley, Wl 547ti? a Compkte plot plat J W O a', T 4 Z'~. Q 0 ~ G.1 ~~ J 0. ~ ~ F ~- ~ 8 ~ ~ ~ o 0 ~a o w .. ,~- ~ ~ .#~N 2 V~ t'' ~" O~ Z ~ J' U w }f otU a J ;~a N ~' v. a? W4Wa ~ ~~ ..; a ~~ w ct d ~, ---~ 6 ~ ~ $ ~c z ~~~ ry ~ ~ _ ~ to a ~, ~ e! C' ~ aK- m F°, p? cr N ~g O a' m 6yo o ~ ~ ~~ I~ r~ N O~ O d fy 0 N ~ 4 ~Z ~ ~9~ ~r ~J ~ 7, 0 ~ u ~ u d O ~" 0 N s ~ r N ~f l~ ~~ Z ~,,,, La Case be% Paroel ID # Page ~ of ~ ~9 # ~ ~~ 7 ® Pit Ground surface elev. ~I G • $ 7 ft. Depth to N~tin9 factor ~ in. Soil Rate tioriaon Depth Dominant Redox Oesaiption Texture Structure Cansistenoe Boundary Roots GP DHF ~. Munse® Qu. Sz Cont. Color Gr. Sz Sh. 'Etf#1 'EtF#2 I 0- )~- ro YR~~~ - SG•I ~5lo~f yvt-f-r Gt~J 3v-f ~ 4-LZ ioY~ I "' ;c.I ~sbl~wl r ~ a w 3~f 3 ~~30 {DYR 5Jb 5 d 5 WI 1 a i ~ 30' 1 o YR 5/,~ ~ - ~s o ~ -- l ~f ~a n# o ~~ ~~ ~,_.~ t-J e:J Pit vrouna sunace elev. • •• • ~ n, uepai w ~mam,g ~acwr ~ - •~ ~~. ... ~oY Rate tiorirort Depth Dorninarrt Redox Despiption Texture Str~x~n'e Coruisterme Batxidary Roots GP D1iE in. MunseN Qu. Sz Cont Colar Gr. Sz Sh. 'Ef~i - ~. f _ 4' 15 ~oYR3/~ -' SGI ~5 K -~ tMfR Gw v f r ~ 15 ~~ io~,rt`~ - iG~ Kwl fit. Z w 'oZv-~- 3 ~4 3.Z WY2 5~b ~ I s D m ~ ~~ t of `~' ~ 5/~ s v~ t -s'` 1 Uf a ^ Pit stafaoe ei~r. R Depth to 9 factor in. # ~ ~~ Soil Rate HOriaon Depth Dominant Redox Despiptlon. Texture Structrxe Coruistenoe Btxmdary Roots GP DVfE in. Muraa4! Qu. Sz Corrt. Color Gr. Sz. Sfi. 'Eff#1 'Eff#2 Etriuent #1 = BODa > 30 <_ 220 mgA. and TSS >30 < 150 mgll ' F_flk~erK #2 = BODs _< 30 mgA. and TSS _< 30 rrglL 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 608-266-3ISI or T'IY 608-264-8777. seoauopebroot Wisoorrsirr Department of Corrrrnerce SOIL EVALUATION REPORT p~ I ~ oZ Division ~ SafeNand eur~rras m aoooroarroe wrtn wmm rs~, nr~s. Aan. woe Cotrdy $? G RO L ~ Phan must 11 inches in size 8112 t l th l . x y on paper no an ess Attadt complete site p include. but Wort l~nited to: vertir~i and horizontal reference pant (BM), direction and Paroel I.D. perreM slope. scale a dxrrensions, north arrow, and location and distance to nearest road. Please print all InformatYon. Reviewed ~' ~~ Peesand i-tonnsfion Y~+ P~'~~ ~Y bs used for seoondsry V~P~~ f~~Y ~. s. 15.04 (1) {m)). Property Owner L A c q ss ~ TJ E~~LOPM ~~T ~nY ~~ Govt. Lot `Jw 1145E 114 S ~l~tT ~9 N R ~`~ E(or)® Properly owners r Address Lot # Block !1 subs. Name or 5 -73 L-t' A ~i N/A- KE t',~ EsTfl-r~5 State Tp Code Phone ^ City ^ ViNage .®Town Nearest Road a5o~ wl 54~t6 i ~ ~ N Ross 2D New Carrstrrx~iorr t1se: ~ Residential / Nrxnber of bedrooms ~' Code derived design flaw rate ~ DO GPD ^ Replaoemer>t ^ Pub6c or oormr - Desaibe: Parent material Flood Plain elevation if applicable _ ~'~00 INSTg1.Li}7lf~N 5oic, REPa2T and prtvious~r~ clone isloa /Zoport ~ . .7 ~ <d sand -Ft~und afi S ha //or/u' c~e~'m 5 R a ®P0 Ground surface elev. 9 ~ ~ ~ iL DePlh b factor } b $ in- ~ Rye # ° _ floriaori -Depth DarNnant RedoorDesa~rtion Texture Structure Carrsisterroe 8otnrdary Roots GP I in. MrrrrseM tlu Sz. Cant Cobr Gr. Sz. Sh. 'Ei~1 'Etf/12 1 O-!2 oyR3/2 SC asbk-F I»fr CW 3vf 2 ia-so io Y~4 - s Is a ~b ~ a, ~ 3 v f 3 50• t o K~ s/4 -- 5 D nil ~ - ~ of ~~ # ®pi Ground surface elev. 9 5.75 R peplh to 9 factor ~~ in. Soil Rate Flaizon Depth Dorrrirrarrt Redox Desaiption Texture Strucdxe Consistence Boundary Roots GP Dllti &~. Mrmse6 Qu Sz. Cont Color ~ Gr. Sz Sh. 'Eff#1 'Eff#2 ~ p- loyR3/a - SCI asbK I»fr Ci~J 3vf a J4 -37 1 D yR - G 1 K ivr a w 3 v f 37 ~ 1 o y2 4 4 - j s D s rn ~ oc. ~' 2 Jf • "7 1 . ~ 7l~ Enr,~rirt #1= BOD_ > so < 220 mmL and Tss >ao < 1 so moll. ~ Efifluent /a = B~ < 30 m9IL and TSS < 30 rrt~glL . csrrwnber ~~. t RU L-6R1~t1'T ~.s,..t~.y°~ ~59q 34 qdd~ Date Evak~tion Condix:tad Telephone Number Zq -2 io~'~ AvE s t~t~tt to/~°l~°`1' '1 is~??~-4470 P yArt..l,~/,t W 1 Safety and Buildings Division 20I County ~_ / n ~ (/ r. m ' ' W. Washington Ave., P.O. Boz 7082 / 7 j,~ `~ CO~S ',n Madison, WI 53707 - 70$2 Sanitary Permit Nwnber (to be filled in by CoJ De artment of commerce (6°8)261-~ ,~~3Z2Z Sanitary Permit Application p State Plan l.D. Number ~~ In accord with Comm 83.2 t, Wis. Adm. Code, personal information u vide _ nay ~ used ~ Y P ~vacY wS s1,~iaAEl)(an}~ ~ ~ ~ .1 Project Address (if different than maitin address) i. Application Information -Please Print Al! Informatio Property Owner's Name ~ C Ll ?' ~. ~ ~ 1 # Lot Slack # G ~ !J- S F 0 ~.; ~~ ~ w~ Property Owner's Mai/li~n~g/Address ZONING 0 FF ~ L ~~ PfOP~y Locati Z ~' ~' City State ~s ~`' Secnat , ip Code._ Z Phoce Number ~ ] ~v~~~/ ~ ~~ e J ~~ ~ 3 ~ / ~. ~ J W e) .r 2 N R ~ ~ (ci$o Ii. of Building (check aU that aPPIY) ~ ~ S t"^' r , ~1 ~ 2 Family DweAing - Number of Bedrooms CSM Number ~s+Qon~ame ~ ^ Public/Commercial - Descm'be Use t1«~ ~. y' j C'rit/~ r;~~ / .~'~`~ ^ State Ownod- Describe Use `vet 'ty_^Village l~`['ownship of III. T ype o! Permit: (Check only one z on line A. Complete line B if applicable) (~ZO - ~ / f 3 ~ -- ~p e2~o 9 A. ,New System ^ Replacement S ^ Trestntent/tio(dirtg Tank Replacdn my ^ er 'fication to Existing B. ^ Permit Renewal ^ Permit Revision Change of ^ Permit T for to New List it Before Expiration PI Owner « rt / IV. T of POWTS S stem: Check all that a I ~on -Pressurized In-Ground ^ Mound > 24 in. of suitable sail ound < 2 , of suitable soil ^ At-Grade ^ Singte Pass Saari Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Pea ilt ^ Aerobic Treatment Unit ^ Recirwlating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line vel-less Pipe ^ Other (explain) / / V. Dis rsaUTreatment Area Information: Design Fbw (gpd) ~ l Design Soil Application Rate(gpdst? 5 Disperse[ Required (s Dispersal Area Proposed (sf) System Elevation ~ • /x X220 VI. Tank Info Capacity in Total Number Manufacwrer Prefab Site Stool Fiber Plastic Gallons Gatlons of Units ~ ~~ `/~ a Constructed Glass New Tanks Ex'tstiag Teaks ~ T Septic or Holding Tads _~ , ~ ~ / n . ~G Auobic Treatment Una ~ ~' A Nrfi D~iag Chamber YII. Responsibility Statement- k the aadersigrted, ame responsibility for installation of the POWTS shown on Nte a ched pleas. Plumber's Name (Print) R • 2t[.t3 R i ~~ Plumber's Si tore PRS Number aZ-to31. S Basin Phm-e Number 7/S • '77a ' ~ S~~ Plumber's Address (Street, City, State, Zip Code) 2 ~~ ~ io ~- U.e.. s/~~~,u t1- i/~ / ~y7~e VIII. Coon / D artment Use On Approved ^ Disapproved Sanitary Permit F (includes Groundwater Date Issued [ss ing t Signature (1'1 Stamps) ^ GivenR for Denial Surcharge Fce) ~7 25~ ~ ~ IX. Conditions Approver -fer.Binelrprortel p SYSTEM OWNER 3~ 1~~ U~~ 1 Septic tank, a uent filter and ~,~ S ~. , ~--~q ~~'~; ~~ / n/ ~ ~ JJ dispersal cell must all be serviced I maintained ~ ~~ ~ "~ ~ . ~,f;;~GixxRa t w D. ~c~pcC /1~2 ' as per management plan provided by plumber. ~ 2. All setback requirements must be maintained ~c¢¢ n I u 0.~~ ~ o li bl d / di ~ ~' . ~ o ~ . or nances. _ e co e as per app ca / I Atteeh complete pleas (to the Ceaaty oaty) fir thr system ea paper set less than 8112 : I l inches is sift SBD-6398 (R. Q8/02) ~-Bi o -_ s --~ ~ ~~ ~ ~ ~ k "~ .." ~~ cv~s T Go T L. w-~-- ~ Z s ~ _ ___ _- ~ 0 D ~ ~ 00 -< ~ N y ~ ~ /~ o r / ~ f/~iw ; a a~ ~ x ~i i ~ ~ l ~ j r i ~ ~ ~~ ~~~ /1 ~/ ~~ l! ~ /~ ~ ~~ ~ f / ~ ~ ~~~~ ~~ ti ~ ~ l / I I ' o ` ~ ~ i. . ~' ~ o .~, ~~ d a N• ~~~ ~ a~ ~~~ s :~ ~ ~ ,~ ~. ~' '' ~~ ~ '' ~ ~ \ ~, ~ .. ~ ~ ~~ ~ ~~~ ~~ << ~ ~ O .. ~ ~ ` to s w n ~ _. v~ ~ U N ~ ~ O ~= ~. ~ - s r--~ ~- ~' .~ ~. Q ~~ ~/ ,~'° Gc' „~--~ ~~~~ ~~~ N ~~ OO a yam .-."~ ~ ~ -~ ~. ~ a ~~ --~ s ~ ~ o y ~ ~k ," ,~ •-- ° ULBRICHT & ASSOCIATES CO. 2812 10th Ave. • Spring Valley, WI 54767 Reg. t)eslgners of Engineering Systems Private Sewage Consultants ' 715-772-3442 PROJECT INDEX / PLAN I D# N/1~" DATE ~~ ~ l `~ T owNER ~ Ci~q.SS~' ~~t~~f`Q~iwL.Q,~- PHONE 3~~/• Syas ADDRESS S7~j ~~j! ~~ ft- ~~~~' 4J~ 5 ~la~(P LEGAL DESCRIPTION LOf" ~ Y~ /~llV EST~7'~S Slv ~C, Sic. zz, TZ9, iZ lq~ w TOWN OF ,~(JQ..SQ,y ~ COUNTY J~~•GLQ/`~ CSTM ~yl~ S~~ ~ ~u~~S LOCAL AUTHORITY/ SUPERVISION S~- GJC~DIX G~`',/. Z~a~ (~ ~ . PROJECT DESCRIPTION: r?v`' ~~ i lv ~i• L`f72u-~ ~2. G?-~5 ~~'~~~ Far issuance of permits and designing Contact: Ulbricht & Associates Registered private wastewater consultant and ptumb~ 2812 10th Ave. Spring Valley, WI 54767 715-772-3442 Pg.l INFILTRATOR SIZING WORKSHEET Pg.2 SYSTEM PLOT PLAN Pg.3 CROSS SECTION OF SYSTEM, WITH ELEVATIONS. Pg . 4 ~< <~ ~~ ~~ _ ,~ ~~ G n C C rt v m D s~ Q n a a~ 0 ~~ 4 1 W ~'{/ ~W vl _~., V 4 ~.:~ =v Ci- I~ ~' ~ ~ '"r. 1 . `"'~ t ~ ~. ~~ (~~ 1. a t _ -r. \1 ~' ~ z ~(°'~ ~ ~i`1 W "~~ V s ~, t Q3 e~ W ~ _- ~_ O o 1 ~ • ~. N .~ ~ cn ~+ `~-- ~ ~ Z d was T ~-o T 6i iv.~_ Z 5 / .._. -'~ ~~ ~ o '~ # ~ ~ ~` c7_ ~, -- -.1~1 0 D 0o t~ 00 -c a ~n "~ op ~ -.1 ~ ~ ~ r 1~a' ~ !! i ~x ~~ i~ ~/ ~~/ 1/ ~/ ~/ ll ~ ~ i ~i ~ f/ ~/ it ~ I! / // ~ 11 !~) ~v // o ~ o ~/1 +~ ~ i `~~ ~ 1 _~~ r. /~ ` a ~ a d z 6~ a N yl a~ • .~ io ~i v~ N c h ~~ ~~ l -C Q ~. ~~ ~~' ~ ~ ~i m .~ O ~ ~ N ~ ~ ~~ ~O '~ ~m"Dm~ r.~ ~ ~ 00 _ `~ ~~ ~ i,A ~` ~ V1 ~` ~ '~ ~ Z .. ~, ~~` c ~ ~ O 0 y ." i ., ,, << t2 g f "~ it/Sp~cTlr,~ ~~~ ~ !/t/ sue: go ~/~~~ ~~ FiiviS/f~~"l7 ~,~~~~-- y3. ~`~~`. ~~~~ ~~ .i ~~ . ~ y ~'~'~ SS Sic ~ ~o,~ ~,~ T/~~~~.~ r~ „ ~~ ~c~ ~ rte,. f I I -=''' ~~s~.,~~o~ ~°,~,~~'~~` S'~C. 7°~'~ ~,,~ -I v8 .,1 ul /UIIN . / Z.. • ` ~/~ j ,, ~~.r~v~ ~.U~:TT~~~' U~ ~1vSjdEcTlt,c1 ~~~- ~ ifl/ sc~. ~o ~-,~r~c "2~ ~~:u~S,f~,EI.~ ~~'~~ cif ,~ r~ / -~ O JAS SAC ~/O~ ©~ T1~L~~LT.r-CS C~ ,~ ~ ~~ 1, ,ti1iv. i 2 ' 1 jj ~ .. ~~~ M (~,-:. ---- .~ ~ ~ ~9Pp~oU~~ ~~~T ~~j° l~// SCE . 40 --~.-~~c ~. F,:r/is~t~D y/Sri ~--- T~P~~ ~~ ,i ,. C ~. Sys T~~ ~~ ~-~~~ ~ ._ - " - >: . aWNER's MAINTAINCE ~ OF'~ SEPTIC SYSTEA4 _ POWTS (landowner is proper operation and maintenance of_this system~IRegular eri servicing is necessar P °dic Inspections and s stmt.- Y for the safe healthy operation of,._this. Y The owner is required,b y code to submit all necessary .maintenance/inspection reports_to the controllin g ,authorities; SPECIFIC CONTACT AGENTS ~,( * Governmental authorit ~/' ~D/`,I~ C~y 70,V ~~~(1-. Y/ inspectors: * Licensed installer, responsible for maintenance."Users" manual: Providing an operation/ * Licensed servnrce l inspection agent other . ~~~ !' .~7'~' ~ than installer: ~~.v l~llJj~'1~-,tom ~ . ~.E.tectrieian, for pump..electric controls . wiring units: /f//~T _ - - _> 'IMPOI$TANT-OWNER MAINTENANCE RE UIREMENTS 1- Wintertraffic (sleddin . area. shall not`be g, shove ring, etc.) across the the cell .permitted, or frost can/will penetrate -in°tQ:. freezing uP the system. Discontinuos use winter. (.a vacaction trip, resultin ~ ~n.the lead to._.freeze ups.` _" g in no water use ca*~~-also 2 . Water , c°nservation•needs to be exercised! hYdrolically overloaded and de.stro ed. Or system can be _ designed i'or a maximum Y This svs~em was wastewater flow of / . ~O~ ` gals. daily. _ ` 3• POWTS are not d ~-'-"-" disposal unit, orxaned tQ accomodate wastes from a ,Any introduction of suchhwaste~materiasources of avast"e~age .. destroy this system. is will overload and ~.° 4• If a Bower outage occurs, or a In a temporar pump fails it ma l cell. which Y overload of effluent bean ~ Y result may adversely impact the Cell (l.ealch ento the ..:..recommended that a licensed allowin Pumper em t g )• It is g the pump to return to P Y the dosing tank, Consult-your installer immediatelylfortadvicerect,amounts. , ~• Neglect of the ve erosion preVentive)tcanYe cover {the cells insulation ~ traffic also lead to failure. Compaction REGULARLY can destroy t he system. It or heavy WATER THE VEGETATION OVER A IS NECESSARY TO the-~Ystem beneath IS NOT SXS'PEM+! Effluent yt _ ~~cover. sufficient alone t0 maintain an 5• Periode ins necessar Factions by the owner, or his a into theYs Inspection pipes and gents, is Ystem: on the mound basaltareaveobeen incorporated inspection piDACt ..,-- ,~ 1211 Wisconsin Department of Commerce SOIL EVALUATION REPO T P;~ ~~ ~. ~~ ~ ~ ,~. age 1 of 3 ,_ ~IE,~? Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service Attach complete site plan on paper not less than 8%Z x 11 inches in s¢e. Plan must oun ( -~~~roDc include, but not limited to: vertical and horizontal reference point (BM), direction and """` ""---~-° percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. pending Please print a-l infarmathon. R 'ewred By ate Personal information you provide may be used for secondary purposes (Privacy Lew, s. 15.04 (1) (m)). ~ ~ 03 ~^ 3 Property Owner Property Location Reliant Developers LTD Govt_ Lot SW 1/4 SE 1/4 S 22 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 9900 Valley Creek Rd. Suite 135 4 na Kelly Estates City (,~dbCouXy State Zip Code Phone Number ~ City Village Town Nearest Road MN 55125 651-731-3174 Hudson Ross Rd / New Construction Use: ~I Residential /Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _~' Public or corr-mercial -Describe: Parent material outwash plains and stream terraces Flood plain elevation, if applicable na General comments and recommendations: System elevation 89.60ft, trenches spaced and depth to code 5.OOft below grade Boring # Boring / 96 Pit Ground Surface elev. 94.60 ft. pepth to in• limiting factor Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-23 10yt3/2 none sil 2msbk mfr cs 1vt .5 .8 2 23-39 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 39-45 10yr4/4 none scl 2msbk mfr gw na .4 .6 4 45-60 7.5yr4/4 none sVls 2msbk mfr gw na .5 ~---- .9 5 ~9 6 7.5yr4/6 none ms osg ml na na .7 1.2 .a/ Boring # _. Borin~ 96 Pit Ground Surface elev. 94.60 ft. Depth to limiting factor in- Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 *Eff#1 *Eff#2 1 0-12 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 12-28 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 28-37 10yr4/4 none sl 2msbk mfr cs na .5 .9 4 37-72 7.5yr4/4 none Is osg mvfr gw na .7 1.2 5 72-96 7.5yr4/6 none ms osg ml na .7 1.2 tmuent ;<c~ = taw ~ su < zZU mgiL antl T55 >30 < 150 mg/L * Effluent #2 = BODS < 30 mglL and TSS < 30 mg/L SST Name (Please Print) Signature: CST Number 3avid J. Steel G /7~~J/~o~~~, ~ 248956 address Steel Soil Service ~-~--i/ !~ Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 10/20/2002 715-246-5085 Property Owner Reliant Developers LTD Boring # + Boring S V Pit Ground urtace elev. Horizon Depth Dominant C~or Redox Descripti 1 0-13 10yr3/2 none 2 13-26 10yr4/4 none 3 26-36 10yr4/4 none 4 36-96 ------ 7.5yr4/6 none i ^- C~ 8 t ' Sro _._- ~f~18~( Borina # Boring Parcel 1D # pending Page 2 of 3 91.50 ft. Depth to limiting factor 96 in. Soil Application Rate n Texture Structure Consistence Boundary Roots GPD/ftz 'Eff#1 'Efi#2 sit 2msbk mfr cs 1vF .5 .8 sicl 2msbk mfr gw 1vf .4 .6 Is osg mvFr gw na .7 1.2 ms osg ml na na .7 12 ~---- 'Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Boring # Boring _ __ _ _ _ David J. Steel CST-POWTSM Lic. # 248956 Page 3 of 3 STEEL'S SOIL SERVICE Reliant Developers LTD SWl/4,SE1/4,S 20,T29,R19W Town of Hudson, St. Croix Co. Kelly Estates lot 4 1564 Cty Rd GG New Richmond, WI 54017 (715) 246-6200 (715} 246-5085 This soil evaluation was conducted to satisfy a zoning 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 test was conducted. Legend ~~' ~ n ~~N /~ Jf ~' ~ ~ S•!_-U=-1~~L.C1.-L-1-1,J1-~--V_LL1Y-L_ Fi 'n aac s~~N i Z•• `~ ~. ~ ~; 1710.70 ~IO1'O2Y7^M ~. ZONED AG-RES 1 • ~ ~ ,~ ~!~ 4 No: ;:\.~ ~.~;_ ..,_-- -_ize2.~ so1ro2'1rE--'- ~T.._ - - - --' = 1 ` \ ` ~ N ~ _ _ ~ , I 1 ~~ 1 _ _ ._- jI `' ~ ~---s--- ~ ~ ~ .. R '... ~ ~ ~ ~ ~ ~ ~, ~ ~~ • ~• -$ i crn 1d . i Obi ~ - c • I .7460 .: •c1z ' I. ;n `* ~ , 1~~ I~J~ ( ~ b N ~ 1 1 I I -__--- ~ z'• so 1 ~ ~ ~ v "~~ ~ ~ ~ .•- . ?77. 031. ~~ ; ~ 1 ` N w"a 76 ~ \ ~ ~ / _,...~ - ~. 1 _~ Cat ,. ~ .«~ ' _.. , ~ ~~•_~ ~~ ~ _: A.~ ~ ~ ~ '~_ `` - ~ ~~ ~ •r ` ~{~ i ~f ' ,, s• ,1 ~ ~!'w, ` 1 ~ i~ i • 0 T~ ~ It `I ! IK j ~ I 1 ~ • i x r+ y rN-. ~ r ~ 1 ><: t 1 jai ~°° : , --_ = ~' '` "'_ / ' ~- I l ~ ~ +`j ~_• ~' ~ :~ / /~ .`t~ tl~+6uo~~s.1 .]70.47, _ ..'w I I ~ 1i ~. ,/7000 NCMOOED- \ ,_ ` '•". ! ~.~ ~ :• N- t 'f ~9~•.'a,... f ~~ w fie- '' 1 , I ,1 . ~~"tew ; ~ ~ •' y~~~1,+~ ` -'- `1 1,1t ~~' { f~ 329 _ 1 ter ~ ` ~~~• ~ ~ , _ • ~ I l ~l! I N' ::~:~ ~ .18 N03 '~~ ~; E "~iI ~ ' 1 ` ayti' PO EASEYENT3~ •ia ` _~- ! J i:• 1 I g -~n ` 1• ~~ ,.,~ Z ~ 416.03 N01°0508 1~1 ~r ~ ~ , ~~ ~ i ~•I ~ 11 t1 i I ' = y . ~ r 1. csr YOB. n t)'X )'. ~ 1' + lf~. I-~1 -~ --• 1~ ~ ~I S'I' C1i:0IX CUUN'1'Y SLI''I'IC '1'ANI{: MtIIN'1'LNANCL AGItI?l?ML~IJ'1' AND - UWNI?1tStI11' CI?[t'I'II~ICA'I'ION I~OIZM Owllcr/L3uycr ~4-C4S5 e. 1, p.91Q. _.. ~~,.,~~' ~ZS ~' e7 y0~ Mttilittg Address Prop®rty Address City/Store I'ttrccl Itlctttiticuliitn Nnntlter pZp - f 3 g - o -t5~ . 2~09~ LI~GAL III~SCIZiI''I'ION CW s~ z G G Properly Location S '/,, '/., 5cc. 2' , 'I' 2 / N-IZ ~ / W, 'T'own t)f SuUdivisian ~` S T~T~ S v~s'o~/ Certlifled Survey ~R~Itrp # -1 (~ l__,~ '~`-_, Vulttut~ e~ 1'nbc ~l ~- ~Vne•e•nudy IJecd # 1 ~ ` b ~ l~/~ Volutttc ~ J 1'tti;o ~~ Spec house ~ yes [~ no Lett lines idcntiliatltlctl~l yes U no ~SXS'i'LM MA1N'I'I~NANCL lnytraperuseand nrafutcuauceuf your septic syslcnt coul,f result in its ptcntalme failure to l-andlewnsles.!'ropcrutainleuanec consists of pumping out the septic lank every lh,ec years or sooner, if needed by a licensed puntpcr. What you put into. rite system eau atfcct the function of the septic tack as n hcaintcut stage iu the waste disposal system. ~"'"~__ The properly owner agrees to sttbtnit li, St. Croix 7,onittg l~cpatlnrcnl a cctti(icatiuu form, signed by the owner and by a enasterpluuthcr, journeyrnanpluritber,restricted plunrher ur a licensed puntl-cr verifying Thal (1) the ou-site wastcwal~erdisposal system is iu proper operating condition aurllor (2) after inspection and pumping (if necessary), the septic tank is less titan 1/3 full of sludge. t/wc, the undersigned Iravc read the alutvc rcquircnrcnls and agree to utaintain the private sewage disposal system with the standards set forth, herein, as set by.tlre DepatUucnt of Cunuucrcc aunt the !)eparlntcnt of Natural Resources, Stale of Wisconsin. CettlGcalion slating that your septic sysleut has teen maintained must be cuutpleted and retuurcd. to the Sl. Croix County Zoning Office within 30 days of the titre year expiration dale. S l~ o / / SIGNA'I'U OF AI'pL1CAN'C I)11:'1"Lt O1'~~NI!.R CIfiR'I'fI-1CA'I'ION t (we) certify that art stntcntcnts un liris tout( me true to tl,c I~cs1 of n,y (~,ur) knowledge. I (wc) not (are) the owner(s) of rite no terry descri ect aGove, try virtue of a warranty ,.Iced tecnrdeet in Register of I)ecds Offiee. s i~ o ,/ IGNA' IL ~ APPLICANT llATL~ **~"°"' !~n}~ irrforrnation tlraY is ntis-tcprescntc~t Wray result in lire sanitary pcnr-it t,ciug rcvokec! by lire Zoning Departnretrt. ****** 4'" fneludc tvittt lEtls ~pI}!i^_stiorc: a slantt,cc! ivnttat-4i~ cicc~I fr~tn Ei,~ I(c~ist~r of I3a~:is ofrce. ' -'- - '., ~ a ciiht~:r~," (l~r cc.tiiiu4~sitra~c:~~ ti,nl:-i` f'.t~ticv is utac~i.ir,; (t:~~~titraitty~ctti"~ ~ _ -_ .. .. 5 ~~ G7T/ ~iZ /c~a (Vcrtficaliou requited (into !'tanning 1)Cpi)IltllCnt fUr IlC4V COIISII11Ct1011) U 253SP '195 STATE BAR OF WISCONSIN FORM 2- 2000 WARRANTY DEED ~~etween Reliant Developers, LLC, Grantor, and I.~Casse Develnn:tas c., Grantee. Grantor, for a valuable consideratioq conveys and warranLS to Grantee the following described real estate in St. Crone County, State of Wisconsin: Lots 2, ~, 7, 8, 9, 11, 13, 14, 15, 16, 17, 19, 20 and 21, Plat of Kelly Estates, St. Croix County, Wisconsin. ~-' Recording Atea 75736 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR REGARD ®3129/2814 89:18AK MARRA ~ EED 8£C Ffifi: 11.18 ?RAIiS FTiE: . 487.18 C~~'Y~ PA13ES : 1 Nettle and Return Address: Edina Reahy Titic, Inc. 400 S. 2°d St. -Suite 115 Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights-of--way of record, if any. 423495 020-1060-30-050, 020-1059-90-0 p0 Aarcd Identiticatiar Number (P1N) This is not homestead property. Dated this 26th day of March, 2004. Reii velopers LC '` 'ck Toston, Chief Manager, Reliant Developers, LLC s Signature(s) AUTHENTICATION authenticated this 26th day of March, 2004 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stars.) THIS IPiSTRUM[1V'C WAS DRAFT®BY Peterson, Fram & Bergman -Steven H. Btuns 50 East Fifth Street, St. Paul, MN 55101 (Signatures may be auth~ticated a aclcrwwledged. Both are aot aooescaryJ 'Names of persons signing in any capacity must be typed or printed below they sigraArre i • ACKNOWLEDGMENT STATE OF WISCONSIN ) ST. CROIX COUNTY. ) ss. Personally came before me this March 26, 2004 the above named Chief Manager, Reliant Developers, LLC t~known to the person(s) who executed the foregoing instrument and ackn ledred the same. Notary Public, State My commission is PI 11/4/2007 J State of .- WARRANTY DEED STATE 8AR OF WISCONSIN FORM N~.2-2000 1.13 L$. PER FOOT, SET (;) < C' ~- - QUAF I /'~T ~ 1 1 (NO'E 1.00) PREV10U3LY RECORDED DATA ~.v I- _~_ ~o ~ i Y~ S ~ OUAF '`~I IrA(~A 61T t~ 1~1 ~• • • j rl~t~T ~ ~f,.~.C~aeT1L~1 ~.l1,11 , + ;`. 33 33 ~ • ~. lh~c !_ ______ 241.24' 392.46'- - - - O',, - ; 66. }~ ~-. ~. y~ ~ ~~` IRON PIPE FOUND ~v~ O~APE - 31= t g ~ ~ ~ ,~~yOSAI~%HT •__N03'S1 16 E 0.56 M ~pN ~,ENt ~ iv ~ ~ "~ ~ Sf C ~iy F FROM COMPUTED EI-`-+E' :~ ni' . N ~ t+: rs.~ 'F'~fiV~ 0 CORNER OF PLAT ~r^. ~ ~.eNV Nip ~ I ~ i 5 I ~~ I ~ ~ ~ ~• I ~• 33, I i°c 104459 S.F. ~' (2.398 AC.) I 1~ ~ 1 ~ 50' 1 1 I 1 1 I ;~ 6 ~ ~ ~ ~ ~ 112406 S.F. ~ ; ; ~ (2.580 AC.) 1 11 ~~ _ _ _ _ _ S89'12'38"W 394.71' - - - ~ 1 1 .~ ~ 1 1 1 II 1 1 ZI I ~ tl QI I ; ;I ~ I ; ~I ~ I ~ X150• I _ ~ I 'I ~0 1 pl N 1 ~ ;I 1 1 I I 'I o ~.' I ~ I I ~ I _ ~~443 I $85'57.00 420.37' _ ,_ . _ - © ~'`-~ Q 'W ,n I __ _ -.,_~_-- _-1 0 ~I ~_~__.....----- I M ~ r ~~~ ~ ~ I r_ zl N ~ z I ~ X100 NI o I cr • cn ~ 50 cv 3 N~ w W g t 05836 S.F. ~ ~~ ~. w- I ~ ~ N (2.430 AC.) I ~ ~ ~ ~ 1 1 1__x_1'_ ~_