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Home My WebLink About020-1437-18-000 y u ~ 3 ~ O I 5i ~ c .. d C ~ ~1 ~ ~ m I 'o m ~ ~ d eo ~ 3 ~ ~ ~ 1 I ;~. M ~ ~ O Cn 3 ) T7 ~ Vl Z CD O O N cn O p A T. ! ~ CD S N O N N ~'I °C ~ y (:~ I C y N I K 7 N O• O fD N W E ~ F fQD is ~_ y ~ ~ a O ~ CO ? ~ ~]R ) n c o ~ a m W 7 ~ ^ N D. Gl m ~ ~ d rn ~ ~ su w a- y ~ ~ ~ N j ~ V ~"'! " 3 ` 1 I C CD 7 O C C ~ ~ C7 I N ~ P A'+ O ~ ~ o ~ CD a o W b I ~ ~ w O N N ° 0 ~ O 0 ~ w N ~ C i N ~ C 2 .i ~ 1 lr ~ I In Z D Of ,~ a ~° I to z D ,~ a ~• N ca D rn G N ~p O N a I c m °' W _ = ~ ~ °• I m m a ° I ~ w ~ ~ ~ ~ n i I ~ t o m N I rn co ~ ~ O N 0 0° O O C C O c' n O C ~ CT A ~ V V O O O I ~ !! 2 I ~ ', ~ I ~'• y C ~ ~ ~ w N~ Z o oov O O O O ~~~° ~~° < ~ ~ _ I ~ ~ o• ~ D O ' ~ ~ v fD ~ O _G ~ j ' ~ O ~ j ~ ~ y ~ C ~ N ~ ~ W I j A~ A O CD ~ ,' CD - N d 3 °-' °' I 3 °-' ~ ~' ~ .. I , ~ I w w N I Z ° z D~ z O ~; °~ ' ~ o D o v I < ~ ~ ~ I ~ I ' ~ ° N o I I ~' ~ v ~ o ~ ~ ~ CD ~y, ~ N ~ N d ~ N d I CJ ~ _: ~ ~ I d N ~ 7 f~D 7 J -~ N I o ~'~, D O I ~ o A? ~ ~ I ~i n I a I~ A~~ .. I ? I ~ (n ~ N m~N a~D 3 ! a -. 3 ~ z o° I °o cn ~ m ~ I y I y ~~ ~ y I v I n w to I ~ I ° 7 I ? a m' I ~ a I a ~~ I ~ rn m~ rn T I N m z C a y I ° z C a I o N :u o I a y ~ i I N rn y I m v A , I '~ I ~ ;C I ~ I ~ 'b I C CD ?C. O' • I ' I I 7 f0 ~ I I ~ tv y ~ I ~ ~ I I a O O Ii fD fD i ~ N I p O I o O A '`~ c ti Flip #67 10/69 Nisoonsin Department of Health And Social Services Division of Health ~ PEF@IIT APPLICATION ~ ~ for PRIVATE DO"fESTIC SEWAGE SYSTEMS ~ , ~~ A. OWNER OF PROPERTY TYPE OR USE BLACK INK Name Address (Street, City, Zip Code) ~ l ~ ~ ~ '' f 7 L .1? : 9 County B. LOCATION OF PROPERTY WHFR_E SYSTEM WILL BE CONSTRUCTED ALTERED ~R EXTENDF~ Check One: /~I ~~~~~~ d '~' /~ ~~( ~ ~ ~ ~ CITY VILLAGE LEGAL DES~C~PTIO z ' ;~ ' °~ TOWNSHIP /1,.''G1 %„,Z !~ /~~~ ~.! ~-!~ +~ ~C r ~Z~~! V / , J "" '` . ~~~1 C. IS LOCAL PEfd`lIT REaUIRED FOR THIS WORK? ~ YES NO ~~~ ~ PERMIT NUMBER D. SEPTIC TANK CAPACITY .fl t Gallons NEW INSTALLATION REPLACEMENT ADDITION MATERIALS; prefab Concrete Poured in Place Steel ~ Other NLR48ER OF TANKS TO BE INSTALLED; E. TYPE OF OCCUPANCY Check One; One or Two Family Residence ~ Commercial Industrial Other Specify Number of Persons to be Aceornmodated Number of Bedrooms F. APPLIANCES, ETCi Food Waste Grinder YES ~ NO Automatic Clothes Washer ~ YES NO Dishwasher YES ~ NO Automatic Potato Peeler YES ~ NO Other (Specity) G. EFFLUENT DISPOSAL SYSTEM NEW EXTENSION ~ ADDITION REPLACEMENT Tile Size No.Lin.Feet Trench Width Depth Number of Lines Seepage Beds Length Width Depth Tile Size No. Lines Seepage Pitt Inside diameter _~ Liquid Depth ~! PERCOLATION TEST Test Depth Character of Soil Hours Water Test Time Dro in Water Level Inches P.inutes Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall 1st Wetted Overn ht in Minutes Last Period Last Peri Period One Inch Example P- 0 36~~ To Soil 10" Cla 2b" 25 es or no 30 1 2 1 2 1 2 60 ~, ..t~ ~' ~ 7 ~ .~ '~! y ~j.,~ ., w~ N 31'~ .~ ~ ~ ~ L a ~ 1~ ~ ~ Y~ RECORD DATA FROM MITI MUM OF 3 TEST HOLES ompute Bize of absorption area in accord with H 62.20 Wis. Administrative Code. S 0 2 L B a R I N G S-Minimum 36" Below Pro osed Abso Lion S stem oring Total Depth Depth to Ground Water Depth to Bedrock ^~ umber Inohns W served Estimated Observed Estimated Character of So11 with thickness in Inches xample 0 72" 72" Black To Soil 12"• Cla 18~~• Sand 18"• Gravel 24'~ ~ 6~. .~ ~ y Z_ ~ a ~ ~ Z f s-, RECORD DATA FROM MIYIMUM OF 3 BORE HOLES CCiMPLETE OTHER SZDE r ~ ; I~ •the undersio ed, hereby certify that the percolation tests reported on this form were made by me or under by supsrvision ir- aocord with the procedures and method specified iri Chapter H 62.20 (3), Wisconsin Administrative Code, and that the data recorded and location of test holes are oorreot to the best of my knrnvledge ya~nd belief. NAME _ ~ ^ I J~` ~L~• C" .L L L' TITLE c.. Type or Print) ~ J1f j REGISTRATION N0. or MASTER PLJMBER LICENSE No. ~7 7 (t ADDRESS 1 ~ ` 1;.~ ~ J~1~_1!: ()I~? h /' F,~1i...~LG1 c~ .DATE 3~i~~ SIGNATUf~ ~'" ~`- (,l. -1~~.~yrl_yc_t~~ MAS'PER PLUfti3SR MAKING APPLICATION E ~ t• Signatures ~~~'~~ ~~"~~~~~'~~~~"`=1 ~ License Numbers MP RSW (To be pComp eted by Issuing Agent) Date of Application ~ { ~ Fee Paid $ / ~•~ ~l F ~/ permit Issued (date) j ._._. Permit Number ~_ 1,. Agent (name) / ~ ~ For• ~ y ~yf Town, Village, City, ounty, etc. (Specify) Note: The application cannot ba considered for filir~ until all of the above questions arc answered and the Pee paid. Agents will Porward application, the fee of X10.00 and Copy (b) of the Permit (yellow copy) to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not xrite in space below - FOA DEPARTMENT USE ONLY DATE RECEIVED y ~~-' y~ J ACCEPTED BY ~~ RETURNED _ (Initials) (Date) S~e/e Correa. FEE RECEIVED L-' VALID. NO. ~ ~`~J J PEFd"IIT N0. / ,~ ~~~ (Yes ur No) REVIEWED BY APPROVED DATE (Initials) (Yes or No) COMMEiiTS : ~ : i,'. Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used fur s@condary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Schwieder, Michael Hudson Townshi ;ST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ,~ ~~-~ ~ 7Jr/ •.1 75 , ~J` ~ .._- Dosing /~ Aeration ^,~.-~.._,.._. ... .. - Holding ......__ . •. .. PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Numyet"~ ,., TDH Li Friction Loss System,Nead ~' ~_ TDH Ft Forcemain Length Dia. Dist. to weu SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 463251 0 State Plan ID No: Parcel Tax No: 020-1437-18-000 Section/Town/Range/Map No: 22.29.19.2723 STATION BS HI FS ELEV. Benchmark Alt. BM ~ Bldg. Sewer ~ C, ~~ `.: ~ , SUHt Inlet << ` ~ ~ Z . ~'L; St/Ht Outlet ~ cy ~' " l I Z Dtlnlet Dt Bottom ` Header/Man. ~ '~ ~ / Dist. Pipe G ~ O 9,~ ~ Bot. System ~~ Final Grade 3.5 ~5 St Cove, `1 i• ~ ~ ~ ~ . ~Z ~.~5 ~~ BED/TRENCH Width i Length / No. Of Trenches PIT DIMENSIONS No. Of Pits ~" Inside Dia. i Liqui Depth DIMENSIONS '~ r~g~kLl v ~ (f~`` _ A ~J ~ ~~ " SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. ` ~/ ~ CHAMBER OR ` ~Z'!~ - INFORMATION Type Of System: / G ~ ~b l ~ Z~ 5/` lJ ~ / /M / ~l-1 ~ ~ UNIT Model Number: S~ r L C,ru.~i A DISTRIBUTION SYSTEM /lr..fL Ll_ tR1d'c,JC_ Header/Manifold ,~ ~. ~ Length Dia Distribution pipe(s) Length ~ Dia ~ Spacing ` x Hole Size \ x Hole Spacing ~ Vent to Air Int ke ~fa/.~'C?c a .~ n ~ `} SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Only " ~y~ Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedll"rench Center ~ ~ Bed/Trench Edg Topsoil ` Yes ',- `' No _1 Yes i ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / / Location: 812 Heritage Court Hudson, WI 54016 (SE 1/4 SE 1/4 22 T29N R19W) Kelly Estates Lot 18 Parcel No: 22.29.19.2723 1.) Alt BM Description = ~~ ~~ S~..r~, V ~ ~~ ~ ~ ~ ~ ~,~,~ a ~1 w- .,ti 5 ~- 2.) Bldg sewer length = /~ ~ 1 - amount of cover = L mkt ~~'~'`] 5'~wu-- I ~,J~ ,' 1- --r--- --- - ----- Plan revision Required? ;Yes No ~ G II ~~ I - _ ~1~ !~ - - ( /, _ -_J _I t/~ ~ Use other side for additional information. Date Insepctor's gnature SBD-6710 (R.3/97) C' Cert. No. , Serf and Buildi t ~ CO~ry ~ ~N~ l~ 201 W n ~ O.~ 7 ~ ~ ~ 7 162 -" ~~ terry P 't Natnber (to be filled in by Co.) ~sconslr~ 3ZS-~ Department of Commerce 2 st~ac P LD.Numbcr Sanitary Permit Application CRGI UHF In ac~rord with Cotton 83.21, Wis. Adm. Code. personal infomtation yo pron'~01V1 X Cpl J~ ddte~ (f ~ffuentrdian ttniling addtesa) may be used forsecondary purposes Privacy law, s15.04(Ix N(3 OFFI I. Application Ltformatlon -Please Print All Information Q~ p~ # N Block g property Owner's Narttc ~ ~• s~ Property owt~ec' M - Address ~P~S' ~j - ~ ~~~ Suction City. S ~~ ~ ~ 7rp/Co~de Phone Number ~/C/ 1 J' ~ r~~ E r W ¢ of BuiltWtg (check sII that aPPl7)~ S -vision Na • y Dwdting - Number of Boarootm PublidCottuuercial - Describe Use ~~, y-~ ovvasbip of State Owttod - l~xccibe Use ~ -- -otter . z~•z.3 III, Type of permit: (Check od one boz on line A. Complete line B if applicable) O 20 A laczmerrt S " Treaanent/Holdirtg Tank Replaotarertr Only t7~r Moditication sO ~~ ~° New System List Previous Permit Number and Date issued B. Permit Renewal Permit Revision Change of Pemrit Transfer to New Befort Expiration ~~~ Owner s~ l[V. T e of POWTS S Check all that s l 22 O P F Sand Filter -pcessucizod Lr-Ground Mound _> 24 is of suitable soil Mound < 24 in. of suitable soil At-Grade Single Sand Fd Constntued W Wand Pressurized in-Ground Holding Tank Peat Fittu Aerobic Treatment Urut • Synthetic Medra Filter Chanctber I.irte Gra less Pipc ( ) 2 !C • 7'~ ~ V. ecsaVrrrsrtment Area nformation: l~s ~ (~ Die ~ pm (~ ~~ evuion Design flow bpd) Design Soil Appficatioa Raoe(gpds~ ~v ` ~ Prefab Site rber " Plastic acs ;n Total Number Manufacturer Glass VL Tmslc Info ~~ Gslioas of Units ~ ~.~R - t~~ Constmctod Mew Fsistiog Tanks Tanks Septic or Hotdwg Tank . Aeco6ia Tteatatrnr tlni. Dosing (~arnber VII, onsibility Stn - the as5~udre nsibili for installation of the POR'1s sboen on the atta ~ P~ Nu Plu Name ~ PI ~g~n ~e MP/MPRS Number ~ t~ ~~~ ~ Z r ~~ Plumber's Address (S 'ty, state. ) l ~~ ym, artment Use Onl Date Lssued Tssain8 Sigt,atuto (N° Stamps) Sanituy Permit Fee (includes Groundwater Approv rove gutchatge Fee) ~}- 2 r~l ~ O ~ < Reason or {P J V IX. Conditions P t-sce~l 3 ~ ~' S ~ u~ SYSTEM OWNER: ~o ~ c.ee~ ~st~) ~ 1 Septic tank, effluent Filtac and dispersal cell must all be:3®wiced !maintained as per management plan provided by plumber. 2. All setback requirem®nt8 must be maintained as per applicable code/ordirrances A~b ~ompiete plant (to the County only) [or tl-e system oa Asper not less then S1/Z x 11 inches in sloe PLO PLAN PROJECT Michael Schwieder DRESS 812 Heritage Ct. Hudson Wi 54016 SE 1/4 SE 1/4S 22 ~/T 29 19 W TOWN Hudson COUNTY ST.CROIX MPRS Shaun Bird 226900 DATE12/7/04 BEDROOM 3 CONVENTIONAL XXX IN-GROUND RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 ,BENCHMARK V.R.P. Top of Steel Fence Post r. g~ ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark ~~ SYSTEM ELEVATION 89.9/89.4 6' below grade Alternate Benchmark Top of Survey Iron C 95.1' _--. Heritage Way Well is to meet all setbacks required by WDNR 2-3' X 69' Cells with P L >3' Spacing B. '~, Vents O ~ B.M. 30 ~ . 70' LL 25 ~l~ 5~ 5y P.L. ~/ Scale is 1" = 40' unless otherwise noted Vent >6" of Cover 11" ~ 6' Long 3 4" 8°Io Slope B- 1 coP~ 90' . J~~ Plans Designed Using Conventional Powts Manual Version 2.0 Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevation DW 20' 60' Existing 3 0' Bedroom House ell b ~` Heritage Ct PROJECT Michael Schwieder SE 1/4 SE 1/4S 22 , /T 2~9 PLAN DDRESS 812 Heritaae Ct. Hudson Wi 54016 19~W TOwN Hudson COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 12/7/04 BEDROOM 3 CONVENTIONAL XXXX IN-GROUND RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambers 22 ,BENCHMARK V.R.P. Top of Steel Fence Post . g ~ ASSUME ELEVATION 100' Filter Zabel A-100 ~, ^BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 89.9/89.4 6' below grade Alternate Benchmark Top of Survey Iron C 95.1' ___--, Heritage Wav Well is to meet all setbacks required by WDNR 2-3' X 69' Cells with P L >3' Spacing Vents Scale is 1" = 40' unless otherwise noted Vent >6" of Cover 6' Long 11 " ~ 34" 8% Slope 'r, ~ 90, DW .~ 100' T 20' 60' P.L. ~/ Existing 3 Bedroom House Plans Designed Using Conventional Powts Manual Version 2.0 Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area Well L -----~ at System Elevation , Heritage Ct Wisconsin Department of Commerce p o I F~ _.ORT Page of Division of Safety and Buildings ~ /~"--- "- raa_ric;e wnn ornm oa, vvis. ram. ~,oue my Attach complete site plan on er not less than 8 1/2 x 11 ches ~~i~ ~n~nu a t 'r . ~ p p ; ,C~~ indude, but not limited to: vertical and horizontal reference int (BM), dire io a ;Parcel LD. - ~ ~ " ~ percent slope, scale or dimensions, north arrow, and locati n andgiyst~p~nearest road. ~ Q Z D Q j ~ - Z~NIN X ~~~-NTH Please print all informati G OFF~~; R 'ewed by Date E Personal iMortnation you provide may be used for secondary purposes (Privacy law, s. 1 Property Owner Property Location -7 Z j (j~ + _ c.~ p~ N R E ( r) Govt. Lot 5,~ 1 /4 1 /4 S Property Owne ailinyf}ddress Lot # Block # Subd. Name or CSM# r // ` / Cily S fate Zi a Phone Number ^ Ciry ^ Vill e Town Ne rest Road ~ ~ a 6 c ) 3/~-/S3 ^ New construction Usesidential I Number of bedrooms ~ Code derived design flow rate `~s~ d~C replacement ^ Public or merdal -Describe: ________ __ _________.__ _- Parent material LJ~~ Flood Plain elevation if applicable /L/ / ~ tt. General conxnerrts ) /~, and recommendations: 5y~~. ~ 6,~~{/4-~'+~,~ $~ 7~g ~, ~ .~ i ~ _ Boring # ,~/~ Boring ~it Ground surface elev. ~ / ' ~ ft. Depth to limiting factor _1~ in. /-" '` Soil lication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/Ft' in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 ~~ ~ r~lL c ~i _ ~o S" .~' a6 t^ r ~ 3 G d ~- --- s s / ~ ~ 1~ ~ ~~ # ^ Boring ~it Ground surface elev. ~~ ff. Depth to limiting fador ~~ in. Soil lication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 fl - 7 r ~~ ~~ ~ ~ 17 ~ ~ / ~.. ~ „v l~t~ r ~ g r ~_____. s ~ ~~ /• ~ • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 `Effluent #2 = 80D < 30 mg/L and 755 < 3V mg/t_ CST Name (Please Print) r CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Cond ted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~~ - Ll/~ 715-246-4516 Property Owner _ Parcel ID # Page of Boring Boring # Pit Ground surface elev. ~ ft. Depth to limiting factor) 3 ~ in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DlH? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 .~~ o r ~~ .~-~ s rn ,~- ~~ ~ .~-- m ,,,, L „~ X9.90 °% a Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Bonng Bonng # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil iration Rate Horizon Depth Dominant Cdor Redox Description- Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mglL 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. san.saw ~e.eroot " Soil Test Plot Plan Project Name Michael Schwieder Shau rd Address g12 Heritage Ct. Hudson Wi 54016 C M #226900 Lot 18 Subdivision -------- Date 12/7/04 SE 1/4 SE 1/4S 22 T 29 N/R19 W Township Hudson Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 89.989.4 *HRPSameasBenchmark Alternate Benchmark Top of Survey Iron @ 95.1' Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is riot exceed those required as per Comm. 83 ncy Plan ~__ 'q ` p , . ,If system fails, determine cause of failure, use ~arnate a~r>ra and instal new ested replacement area. Option # nstall system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 COUNTY ENT: - ST Ctto ENpriCE A~~ . "SEP'fZC~T ~~ ~ gORM " ° : "" ~~Eg,~'HIP CER'T'IFICATION G ~ ~ GG~ ' pwnerBuY~ ~ ,. lviailin8 Address _ ~ _ - _ - mess ~ ~.-~-~ Pla~g D,~~ncnt for new construcnoa) Property Ad ~ p o , ~~3 ~ _ ~ g- cxso ~ 2 X23) (Vorification nq~cd from / Pareol Identification Alurztb . City/Mate Lew si, DE~~C'R TIO--~ s2~~ ~,~=-1--N_ `-~'W, Town of ,~ . ~ ~ ~/., ~~-- '~'' Sec' Lot #,e'~. T~ ~ ~ Page # Subdivision ~-~-- Volume ~-- • ed Survey MnP # ~ ~ Page # 3~O Cert~ ,~ 't~olun1e 2- ~eed # x-15 ~ ~ O no Vyarrant3' I,ot lines idontifiable%~ 0 Cpec house D y ~e~,sstes.Propermunteaia~ failure to t sa its pfema~ That you Put into the ~ your septic system could resin cdaa by a licensed Pte. S eruseas-d eves ~ or sooacr, waste dssposal system.. f consists of pumP~ out she aepdc tsaY ss s '~ staSe ~ ~ cation form. ~~ ~' ~ °~ ~systca can affect the ~ti°a. of the tep~ Dcparrmem .a ~t (1) tl~+c on ~ ~ a~1~I3full of slud8e. _ t. Croix Z.oaiag than owa~er agrees so ~ ~ pl symber or s liceased~u~IIe essatYg tho 5epdc taalc. The proPe~' plum. ~~ ctioa sad Pump ~ syrtem with the ataadard mastorPlumb~~~ ~ a aad~or f2) ~ ~o m~ the private sowage ~~ of Wisconsin- 3 is is gsoPCZ °P ~~ ~ agree to ar~ t of rtatursl Resounes. ZoniuB p ffce within d have read the above of ~asmerce ~ she Dep returned xo the St.' CrO3X Cow Uwe, the. ~ ~ ~ ~ ~eparta~~~~~ ~yyt be comPl~od ~ set forth. ,~/ ,O ~~ tbst Your serPtu irstioa emu. DATE days o OF APPLICANT ~ o„~cs(s) SI(~1~IAlVRE ~ ymowledgc• I (we) am (arc) ,,,~,~~Q GER-r~FIGATIQN forest an ~u to the best of mY {ours I (~) o~y that au natemea ~f a wausatY ~~ recorded ssi Reg~sur of Deeds Cff~~• /~ ~ ~ v T described above, by vutue the pro 'PATE the Zoning Department. s" r SIGNATURE OF ppPLIC~ ennit being evoked hY 'on that is mis-~~'°~~`Y result in the sasiitary P :sss+~• prey faformati a~n~ ~~ from the Register of Doeds~ ~~ ~ warz~tY aced w if reference is ~- this tpp~eadon: s st~~ the certified survey rnaP a Include with a copy ~~ 219~P 386 S~'ATE BAR OF WISCONSIN FORM 2 - 2000 nocumentNurrtber WARRANTY DEED This Deed, made between Reliant Developers, LLC, a Minnesota limited liabilityciimpany Grantor, !mod Michael L. Schwieder and Bonita M. Schwieder, hdjsband and wife, as survivorship marital property Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) 1~, Plat of Kelly Estates, 5t. Croix County, Wisconsin. --~_ Metro Legal Services EDIRET 385645 A 253359 ~~'D 179377 Name and Return Address Edina Realty Title, Inc. 400 S. 2nd St. -Suite 115 Hudson, WI 54016 ozo-io6o-3aooo ~lc~ 3~5'b`FS Parcel Identification Number (PIN) 'T'his is not homestead property. (Kx} (is not) Exceptions to warranties: Easements, restrictions, and rights-of-way of record, if any. Dated this L to ~ day of March Area AUTHENTICATION Signature(s) authenticated this day of March , 2003 * Nn~~~, D..4.t:,. TITLE: MEMBER S~l.~ t~tVVi'~~ii~ (If not, authorized by § 706.06, Wis. Stats.) ACKNOWLEDGMENT STATE OF WISCONS ST. CROIX 7 1 5E386 KATHLEEN H. iIALSH REGISTER OF DEEDS ST. CROIK CO. , ~iI RECEIVED FOR RECORD 04/04/2@03 08:30A!( MARRANTY DEED EXt]IPT ~ REC FEE: 11.00 ?RAMS FEE: 554.70 COPY FEE: CC FEE: PAGES: 1 uv ) ss. County ) Personally came before me this ~o ~ day of March , 2003 the above named Reliant Developers, LLC, a A4[nnesota limited liability company, By: 1?-i ~_ T~s_~n_ Its: ~..,~.~ to me latown to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY * b (~llYt ~ P hG-iri rou.~ h Brent R. Johnson, Esy. -Lommen, Pelson, Cole & Stageberg, P.A. Notary Public, State Of WISCONSIN Hudson, Wisconsin My Com scion is permanent. (If not, state expiration date: (Signatures may be authenticated or aclmowledged. $oth are not necessary.) ~ ~ ~ r r~~ ~ ') * Names of persons signing in any capacity must be typed or printed below theit• signature. WARRANTY DEED STATE BAR OF WISCONSIN INFO-PRO (800)655.2021 www.(nioproEorms.com FURM No. 2 - 2000 ,2003 Reliant Developers, LLC, a Minnesota :~t ~ ty company _ u: ~ ~~~_ * gy; Rick Toston ~..~, /~}y _ T t` \~ \ ., ~,~ (~~ I ~- ,~9 91i~ M 80,SOoLON ~ ~~ zM ~ :~y~ =\ Q~~ C ~~ ~~` N3W3SV3 JNIQNO~/~~~y^ 1 1 1 ~ , - - -X ~ <. ~~~;~~ t~s `~ \ •~~ .£9'Lf t 3r80,S0.lOS ~k ~ ~ 1 1 a ~ `~ o ~' •~ \ 3 °D CSI r~ j 1! N M ~ ~ ~3 M~< ~ m~ ` I-;~ x;11 $< ~" Q N< ~ \ ` ZWO W ~1 w \ 1 `~. ~N ~; I ~, I ~I 1 .-.. ~ , I I ,oS `mil 1 ;,I ~~ I 1 1 __ _, ~ y , ®~ ~ '` ~~jr~~ ~~ M.9t.0!•~ls J L ~ BS~OI \~o // / 1 ' ~ ~ ~ `. i d ~ ~ _ ~ ~ ; 1 ' ~ ~y . ~;' ~, s o, ~ v ~ ~ I ~ 1 ~ '~ ~~~ ~ ~ ~\ I ' ~ a < ~ ~ i / I ~ I ~ ~JVf ~ w z~i / ~ \ \ ~ ~~H •® / 1 ~ $~ boo $~ /// ~` . o~ ` ~,\ \ . `~.r ~ ~ ~ 1 2.03. ~ Z w o ~,,i x ,`.: N ,9r ,p1.06~= fr ~~ I~~ ~ ; W 1 ~p5 1~! N10 33 ~~ ~ ~ I 1 ~ ~ ~~ ~~ o vi < ~. 1.r .., .b i ~'~~ T _~\ MS ssti~_;'~ \ h ,ff'9L9 i i ~~, ~'~~~g'9~ ~ ~' '~ a r ~ I I £z 98 _ ~'. 3 s s~t?~~. _ ~ ~ • ~ - •84.t~N W I I ~w _ Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service County Attach complete site plan on paper not less than 8h x 11 inches in size. Plan must fit. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LR. percent s{ope, scale or dimensions, north arrow, and location and distance to nearest road. g Please print all information. ~ ~~q/~ .Z ~ ~ ~ i / S'- R ~ By Date Personal information you provide may be used for secondary purposes (Privy Law, s. 15.04 (1) (m)j. ` 0 2 Property Owner ,, ~. -, ~ t;:A~ Property Location 7 ~ . Reliant Qevelopers LTQ ~~ " " 4 ~ ~ Covk. Lot SE 1!4 SE 1/4 S 24 T 24 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 8900 Valley Creek Rd. Suite 135 i ~~- ~) ~? i`.~(~~ 18 na Ke!!y Estates City waoc~ lS~try State Zrp Cone Phone Number City ~ Village Tawn Nearest Road MN 551 6ST=~'~'[=174 Hudson Heritage Ct 1177 New Cces#ructien Use: ~+ `~ esidential /Number of bedrooms 4 Code derived design flow rate 600 GPD /, Replacement _ Public or commercial -Describe: Parent material outwash plains and stream terraces Flood plain elevation, if applicable na General canments d d ti d S 7 b l ~ //~~ a- Q~` z an recommen a ons: ystem elevation >39.60ft trenches spaced and ow gra e depth to code .OOft e ~ a tT O - ~ c~ Doting # Boring 12Q Pit Ground Surface elev. 96.$0 ft. Depth to limiting factor in• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/FtZ 'Eff#1 "Eff#2 1 0-6 10yr3/2 none sil 2msbk mfr cs 1f .5 .8 2 6-24 10yr4/4 Wane sicl 2msbk mfr cs 1 c .4 .6 3 24-36 7.5yr4/4 none sl 2msbk mfr cs na .5 .9 4 36-120 - 7.5yr4/6 none ms osg ml na na .7 1.2 .~-- ~ ~- ~. $0 r S`I~Z~ a Boring # Boring i~ Pit Ground Surface elev. 96.$0 ft. Depth to limiting factor 125 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Corsistence Boundary Roots 6PDHt2 *Eff#1 *Eff#2 1 0-24 10yr3/2 none sil 2msbk mfr es 2c .5 .8 2 24-4>3 10yr4/4 none sicl 2msbk mfr cs 1 c .4 .~ 3 46-55 7.5yr4/4 none sl 2msbk mfr gw na .5 .9 C t# i~ 4 55-69 2.5y5/3 c2d7~ 5yr5/6 sal 2msbk mfr gw na _4 .6 5 ~9-12~ 7.~yr4/C none ms osg ml na na .7 1.2 ~~TA tttluent ~t = t3oD s> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS <30 mg/L SST Name (Pl~se Print) Signature: CST Number David J_ Steel ~ 245956 4ddress Steel Soil Senrioe Date Evaluation Conducted fielephone Number 9564 CR GG, New Richmond, Wl 54017 10/7/2002 715-246-5055 property Owner Reliant Developers LTD Parcel ID # Pending Page 2 of 3 Boring # .Boring 10 95 Depth to ft limiting factor 140 in ,t/' Pit Ground Surtace elev. . . . ~~ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0-13 10yr3/2 fill sil na na cs 2c .0 .0 2 13-19 10yr4/4 fill scl na na cs 1c .0 .0 3 19-38 10yr3/2 none sil 2msbk mft gw na .5 .8 4 38-58 10yr4/4 none sicl 2msbk mfr di na .4 .6 ' ~~~, r'1 5 58-72 2.5y5/3 c2d7.5yr516 scl 2msbk dft di na .4 .6 / 6 72-96 7.5yr4/4 Is osg dvfr cs na .7 1.2 7 96-140 7.5yr4/6 none ms osg ml na na .7 1.2 ^ Boring # !Boring Depth to ft limiting factor in Pit Ground Surtace elev. . . Soil application Rate Horizon Depth Dominant Color Redox Description Texture Stnucture Consistence Boundary Roots GPD/ft' *Eff#1 *Etf#2 ~L~~, g~Zo * 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. ff you need assistance to access services or Boring # !Boring _ _. . _ _ . Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM Reliant Developers LTD New Richmond, WI 54017 Lic. # 248956 SE1/4,SE1/4,S 20,T29,R19W (715) 246-6200 Town of Hudson, St. Croix Co. (715) 246-5085 Kelly Estates lot 18 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for i~z~ 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 1" = 40' ~ Benchmark El. 100.00Ft ~~, GS~~a~+- op of %2"pvc pipe Alt Benchmark E1.99.20Ft ~~ ~~~ A Top of 1/2" pvc pipe 5 ,~,0 6e ~o,~r ~~ ?(,, oo~~ o =Borings Boring Elevations ~ ,_. B1 =96.80Ft ~'~ ~ yd~~ ~ B2 =96.80Ft B3 =95.lOFt B4 =OO.OOFt ' SI ~ ~ S`~ ~~~ ° ~~ s s .~".`" y l~I~~~ob~ .,y C 'k . -~ ~ c L i ' ,, // 0 u S ~ `~ / 76 /~i 4~ w e. ~~ .~o be l~_7 °2 ,' ZONED AG-RES _' ^T NORTH uNE of THE SOUTHEAST QUARTER OF THEE --~-- -= -~~a.3~-~~,,.,a,,~~~~~_ ''~` ,~~1£"`SOUTHEAST QUARTER SEC. 20j T. 29 N. R. 19 W. ,~= .~ _ ~:y~,. ~ ~ ,9~ -- -,,.,.. .~ ~L-... .. -i _~J '~ ~~ SE'S- `~ / i _ _-:.v~•:'.t`'`':-::•. i Zb ~ 8 a to `''g`._ J ~ j 1 _ J ~J n ~= "-` 106703 S.F. ~ ~ / !/ ~ 'i 2.450 Acres - ~ ,~ -- 110810 S.F~~ '~ , ~ s ~ ~. '~ ~ ! / '~ . "~. ~ - 2.544 Acres :3~~ / ~"'= / ~ ®,913 -" G/ .-- -~ ~ ~ ; ~-s,- v i ~~ ~ / ,.- "° ____. ~ / /" ~ ~ ~ ~ ~ / ~'w 105086 S.F. ~ ~ -~` ,~z-~ ~9 1~, ~'~ / 2.412, Acres ~ v- j ' ~_a3~- ~ ,.. ~ •~~ ;' (90642 S.F. S~ _D // ( ~ .~ ~42 f i ,: ,l ` ~ ~ A 205L68 ` 259.3 t' / ~ ~ (~' y , /o ~ , i `~,,' . - ~ I AG WA ~ - .; - ,~• _ '• _ ~ . .. .&,,, .. .. ~ S8.23 ~ ~ .~ 224 .'62 . ~ `~" __ ~ _-- - .. __ . ,. .__ .._ __ _TO ~ TH --- -- ..._ i p PUe~r -~ ~- .._,~~ ~. ..._ 1. M ~D- -, ~~ ~ 425.90 .~ _ Acres ~' ;ti 104509 S.F. / ~ ~ O ~~ `- OpEN~~A _- _ _._ :' 2.399 Acres ,i~ .' ~, ~ :` ~ jq- ~ `~ _.._ I ' "'-~ i .- ' .~ ~ ~-~~- ;' "- s 123159 S.F.c ~ Y _ ~'•`x / -~. -- ~ 1' sn~ ~ ~ /_ ~..__~~ ~ . (18 364 S.~F~. , ,~, _ ~~ _ - o .o B1~4 _ .~ ~ , ~~ 103018 S.F. , 111288 S.F. -- -_. ,. "~- - -s:~.~~ .~ \ 2.365 Acres y~~ ~ ~' ~ 2.555..~~s _ _ -}~°,`- '-'~i ~ \ -' '(92335 S.F. ~_ ~ ~.___ -- ~~~'-` - - . -- \ ~ 612 ~ ~ - "~ ~- ` v ~ `yj ~- \ ~ 23,1123 a_~ `. 84 . ~ _ __~- --' T- i ~ 3