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HomeMy WebLinkAbout020-1450-03-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit - r (ATTACH TO PERMIT) 463088 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Parcel Tax No: Grand Properties L.P. I Hudson Township CST BM Elev: Insp. BM Elev: IBM Descri Section/Town /Range /Map No: l�b' L9 C7` U .Dry � 22.29.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic bL lez / / p 0 Benchmark D ' 6 O -O o b` o Dosing 2 A - d �c! id -k/ki— AVM M , V� T • O l U � Q Aeration Bldg. Sewer ck L o *U 4ZA 2.2 Holding St/Ht Inlet n ma St/Ht Outlet • LL / y TANK SETBACK INFORMATION �� o "A r 7 5 QQ. / TANK TO P/L WELL B� LDG. Vent 'r Intake ROAD Dt Inlet �— i Septic / f- atw Dt Bottom i Dosing � H eader/Man . Aeration Dist. Pipe ! 1 1 `1 Crl fig' -a2 Holding Bot. tem C J ,1S .O ✓ Final Grade PUMP /SIPHON INFORMATION LAI C $ —� 3. A9 5, Manufacturer Demand St Cover PM F IZ qZ U 3 c� r�"�^' Model Number Z , TDH Lift Friction Loss ad TDH Ft Forcemain Length D' Dist. to Well SOIL ABSO ION SYSTEM BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -3 SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREA LEACHIN Manufactu r �\ INFORMATION - M f V Y S Type f System: ` 7 t Model Number. ��• A ! / DI UTION SYSTEM 7 Header/M ifold Distribution f, x Hole Size I x Hole Spacing Vent to Air Intake t 4 Pipe(s) ' " Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Q Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center �� ^ _, Bed/Trench Edges Topsoil Yes ; No LI Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / - 7 / 1 5 Inspection #2: Location: 822 Germain Lane Hudson, WI 54016 (SE 1/4 SW 1/4 22 T29N R19W) Hu��,,dson Estate Lot 3 � Parcel o: 22.29 1.) Alt BM Description= W11(w dMS f �dl�j� "-` ( j�`(�' 2.) Bldg sewer length = .* - amount of cover = - - -- - - Plan revision Required? i Yes '-' o O � Use other side for additional information. Z SBD -6710 (R.3/97) Date Insepct.1s Sig ature Cart. No. i /7Ev IS e l- 1 !9G,4,Al, Y��VC ✓Fitt ,� �'�vspearia�v � <�rs y.3 ` V 31 lo© ioz jQy /off N /0 r/RE� Rdt�r� - ie,✓ A(©� � lt1G LL SCAG f9t, TaP_ - i /a9. y9�� Si Zee 7 -� 0�fL`� ��_ �1 ` cJ`�yd Z b� c�Q�/'P,�11.1 �-•r GtJ� : �fid�, S A Safety and Buildings Division County ` 201 W. Washington Ave., P.O. Box 7162 iseonsin `J �� 4 Madi (n, WI 53707 — 7162 Sanitary Permit Number fill n by Co r,// j 608 36 Department of Commerce z r tal ean m r Sanitary Permit n A In accord with Comm 83.21, Wis. Adm. Code, persona t n you poylde may be used for secondary purposes Privacy law, sIS. I Xm) x f f ' :I , j f) different than mailing address) 1. Application Information — Please Print All Information ST. cRo! COUNTS . , Property Owner's Name --- :,.,, Lot # 3 Block # a AE a — 6D Property Owner's Mailing Address Property Location /Y5-0 — �� y,, SW 1 A, Section City, State Zip Code Phone Number ^� 7 O 7 Q circle l 0 873 l yo az 7-S% a T J� Y _ N; R�� Eo 2 / II. Type of Building (check all that apply) �� Subdivision Name CSM Number 46 1 or 2 Family Dwelling — Number of Bedrooms (l�ZC ❑ Public/Commercial — Describe Use S( ❑ State Owned — Describe Use ❑City _ ❑Village ITownshipof #UO. III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' ❑ New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal Permit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner 1 20M IV. Type of POWTS System: heck all that appl ® Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ® Leaching Ch Drtp ❑ Gravel Pipe ❑ Othe (explain) V. Dis ersalfTreatment Area Information /ST Design Flow (gpd) Design Soil Application te(gpdsf) Dispersal Area equired (sf) Dispersal Area Proposed (sf) System Elevation J(� (00 C + m Total Number S , Manufacturer Prefab Site Steel F. Plastic VI. Tank Info Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank t ;s Aerobic Treatment Unit djj Dosing Chamber t 74� VII. Responsibility Statement- I, the undersigned, assume responsibility for installa . of the POWTS shown on the attached plans. Plumber's Name (Print) P is Signature PRS N mber Business Phone Number i Zf 3 Plumber's Address (Street, City, State, Zip ode) `s VIII ount /De artm t Use Onl Approved ❑ Disapproved Sanitary Permit Fee f includes Groundwater D t Issued Issuing Ag t Sig pre amps) Surcharge Fee) ❑Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval Attach eomple pla (to the County only ystem paper not kss n R :1� in sift �L 2 � 7S d Cam- ohs SBD -6398 R. 0'�h- n p,� - - -- - - - - SrfT&�I'? E4 = 98,35' �✓ ov ADO /off- /oy fob 'VI 17 ----! _4- 8� -- - -- - - T5/yS'iT� f . r i i �- -r — — !.l�l!> 3,! TES GE / /N 1101 ✓II► AV►►LT v1 AA J.0 V1v A vavva .....<.► SEE SHEET 2 h� 0 b • o0 b rn Oy 4 k J li I I vl 1 � BENCHM/ IRON PIPE 083 060 p \ -062 ry/ DRAINAGE o I EASEMENT N w � � m "D" JK V HWL = 903.10 y 6 Chi L S89'44'41 "W /9h 4' 0� 2- J. 75 620.61, 1 _ P 223.20' t° 00 457.84' 0 °- 0 o _ / LOT 3 HWL - 903.10 2 .100 ACRES p 91,476 SO. FT.^',, L.B.O. = 905.10 O1 v tO- OI L� s `'U -, • . . . . . . . . . LOT 4 's � � 111.so' sa 2.546 ACRES sp J ,S89'29'09 "W Cu a _ -10 �°' 110,897 SO. FT. t 0 DO a : o DO L.B.O. = 905.10 "' �>. N �, E RO N89'29'09 "E 111.80 O r o 37 �3 If S / O C CA p16 077 0 •• '/ \ ! / to W / / i l N r ` HWL = 903.50 L 5 w + - + 4 W o DRAINAGE )2 .004 ACRES I �' L OT 2 9 tn� EASEMENT V "D' 'A� 87,278 SO. FT. 2.003 ACRES L.B.O. = 905.50 87,243 SO. FT. 321.71' ? w t o_ __ S84'25' „ S84 - 25' 16 "\N N o 1200 Wisconsin Department of Commerce SOIL V PORT Page 1 of 3 Division of Safety and Buildings Tom Schmitt in pr���ddictiwrth Gomm 8 Wis. Adm. Code County Attach complete site plan on paper ni'j less than 8% x 11 in Plan ust St. Cronc include, but not limited to: vertical and"nzon di ' and percent slope, scale or dimemsions, n h arrciir, nce to nearest road. Parcel I.D. Please print adon. R Dat / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Q r 2 OS Property Owner Property Location U Grand Properties, LP Govt. Lot SE 19 SW 1/4 S 22 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 3 Hudson Estates City State Zip Code Phone Number J City _J Village 001 Town Nearest Road Somerset WI 1 54025 715 - 247 -5900 Hudson I Badlands Road New Construction Ilse: to Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement _ I Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is 98.35'. Slope is 5 %. Boring # J Boring Am Pit Ground Surface elev. 105.85 ft. Depth to limiting factor 130+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz - Eff#1 - Eff#2 1 0 -13 1Oyr3/2 none I 2fsbk mfr as 2vf .6 .8 2 13 -31 1Oyr4/4 none sl 2msbk mfr gW 1vf .6 1.0 3 31 -45 7.5yr4/4 none Is Osg ml gW -- .7 1.6 4 45 -130 1Oyr5/6 none s Osg ml — -- .7 1.6 Boring # Boring 11 Pit Ground Surface elev. 100.45 ft. Depth to limiting factor 94+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /f? 'Eff#1 - Eff#2 1 0 -8 1Oyr3/2 none sl 2fsbk mfr as 2vf .6 1.0 2 8 -19 1Oyr4/4 none sil 2msbk mfr gw 1vf .6 .8 3 19 -24 7.5yr4/6 none Is Osg ml gw -- .7 1.6 4 24 -94 1Oyr5/6 none ms Osg ml — — .7 1.6 ' Effluent #1 = BOD s' 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �� 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 15% 72nd St., New Richmond, WI 54017 7/14/05 715- 247 -2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 F3 ]Boring # Boring 16 Pit Ground Surface elev. 102.65 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sl 2msbk mfr as 2vF .6 1.0 2 8 -18 7.5 r4/4 sl 2msbk mfr 1vf .6 1.0 Y none 9w 3 18 -31 7.5yr4/6 none Is Osg ml gw — .7 1.6 4 31 -96 10yr6/4 none ms Osg ml — .7 1.6 F f Pit Boring # Boring _ Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP *Eff#1 *Eff#2 I * — Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 — BOD 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. Page 3 of 3 < Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Grand Properties, LP Thomas I Schmitt, CST 227429 Address: 712 Rivard Street 1595 72nd St. City, State, Zip: Somerset, WI. 54025 New Richmond, Wl. 54017 Phone: 715 -247- 941 Subd.Name: Hudson Estates Lot No.: 3 l - Legal Description: SE1 /4 SWl /4 S36 T30N R19W Township of St. Joseph, St Coix County ® Soil Boring ® Bench Mark El. 100.00' Top of 2" pvc pipe 0 Alternate Bench Mark El. 109.49' Top of 2" pvc pipe Slope= 5% Scale 1" = 40'$1,il /� Ckf / r ✓1 s 10 IV if G,41146F ��� Lie Safety and Buildings Division County _ I *iScon ' sin 201 W. Washington Ave., P.O. Box 7162 S / r C Madison, WI 53707 - 7162 Sanitary Pgrmit Number (to be filled in by Co ) (608) 266 -3151 6 3 u g Department of Commerce 1 0 1 � sate Plan I.D. Number Sanitary Permit A 'cation w In accord with Comm 83.2 1, Wis. Adm. Code, nal i atfon you providrr' " may be used for secondary purposes P 'vaC A l xm) Project Addre (if different than mailing address) '� 0 Z2 �762►►'tA l/1) LAIJ 1. Application Information - Please Print All Inform on ' Property Owner's Name ; Patcel # ' Lot # Block # r w - _ Property Owner's Mailing Address roperty Location S E y,, 'TCV /., Section City, State Zip Code Phone Nu r _ circle one) /�� T � N; RE o(9 II. Type of Building (check all that app afl �, S �. (b Q E ivision N � B 1 or 2 Family Dwelling - Number of Bedroom. s ❑ Public/Commercial - Describe Use l/ uQfOAI ES%kft"S ❑City ❑ State Owned - Describe Use _ ❑Village ®Township of -�E� 111. Type of Permit: (Check only one box on line Complete line if applicable) A' ® New System El Replacement System ❑ reatment/H.1 ng Tank Replacement Only ❑ Other Moditic i to Existing Syste List Previous Pe i um r a B. ❑ Permit Renewal ❑ Permit Revision ❑ Chan of ❑ Permit Transfer to New Before Expiration Plumber Owner ` �2,r C. TV. Type of POWTS System: Check all that apply) / G'Gu Non - Pressurized In- Ground ❑ Mound ? 24 in. of suitable soil d < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat 'Iter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Dr Line ❑ vel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dis rsal Area Require f) Dispersal Area Proposed (sf) System Elev VI. Tank Info Ca pacity tion O Ca aci to Total Number �� Manufacture Prefab Site Steel Fiber Plastic Gallons Gallons of Units WQ - /LQ E Concrete Constructed Glass New Existing Tanks Tanks - Septic of Holding Tank nod � / I 6F ° 4-- Aerobic Treatment Unit W Dosing Chamber VII. Responsibility Statement- I, the undersigned, assu a responsibility for installation of the POWTS show n the attached plans. Plumber's Name (Print) Plu s Signatur R umber Business Phone Number Plumber's Address (Street, City, State, Zip e) VA L C e v it r VIII. Count /De artment se Onl Approved Disapproved anitary Permit Fee (includes Groundwater Date Issued Issuin Agent Signature (No Stamps) ( Surcharge Fee) ❑ Owner Given Reason for Denial Dd' 7.t1p IX. Conditions of Approval /Reasons for Disap roval SYSTEM OWNER: cxn2nLs 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 31/2 x I I inches in size SBD -6398 (R. 01/03) trio Rio /CCY.G. S i, 1 00 p - - A t /3 -- - SOM4 h_Se T__- _111!_ J— I I I I /7 /o I gfO 14000- • Sni, AD I _ � X2/75/✓ _ _ _ _ _ _ __ - _ -_ - _._ ___ __ __ _ __ _ - - __ ___ ___ __ _ __ __ ___ __ _ _ __ __ __ __ _ _ - _ _ ___ __ __ _. __ _. _ __ __ __ _ __ _ __ _.__ __ - __ __ __ __ _ __ r 1 1200 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, W is. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimension, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. evi By Date Personal information you provide may be used for sewWary purposes (Privacy Law, s. 15.04 (1) (m)). . OS Property Owner Property Location Grand Properties, LP Govt. Lot SE 114 SW 1/4 S 22 T 29 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 3 Hudson Estates City State Zip Code Phone Number J City Village 19 Town Nearest Road Somerset WI 1 54025 1 715 247 - 5900 Hudson Badlands Road New Construction Use: jo Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD f Replacement .1 Public or commercial -Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations; =T" suitable for a conventional system with a 0.7 gpd/sgft rating. Possible system elevation for Area 1 is 92.70' . Slope is 6 %. Boring # I Boring sm Pit Ground Surface elev. 97.95 ft. Depth to limiting factor 101+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0 -10 10yr3/2 none I 2mgr mvfr gw 2f .6 .8 2 10 -23 10yr3/2 none I 2msbk mvfr gW 1f .6 .8 3 23-40 10yr3/4 none I 2fsbk mfr gw 1f .6 .8 4 40 -52 10yr4/6 c2d 5yr7/8 I 2fsbk mfr gW .6 .8 5 52 -101 10yr5/6 none s Osg ml .7 1.6 63 Boring # Lj Boring 01 Pit Ground Surface elev. 97.95 ft. Depth to limiting factor 100+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF 'Eff#1 *Eff#2 1 0 -9 10yr3/2 none I 2mgr mvfr as 2f .6 .8 2 9 -17 10yr3/4 none I 2msbk mfr gW 1f .6 .8 3 17 -30 10yr4/4 none sl 2msbk mfr gW — .6 1.0 4 30 -100 10yr5/6 none s Osg ml - -- - -- .6 1.6 3 ' Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < X mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �� urn -�.� , ,/ 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New R' , WI 54017 4112104 715 - 247 -2941 Property Qwner Grand Properties, LP Parcel ID # Page 2 of 3 3 ] Boring # Boring F Pit Ground Surface elev. 95.99 ft. Depth to limiting factor 98+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots FF 'Eff#1 *Eff#2 1 0 -8 10yr3/2 none I 2mgr mvfr as 1f .6 .8 2 8 -18 10yr3/4 none sl 2msbk mfr gw 1f .6 1.0 3 18 -32 10yr4/4 none I 2msbk mfr gw .6 .8 4 32-45 2.5y5/4 c3d 7.5yr6/8 I 2msbk mfr cw ---- 6 8 7.5 7/1 5 45 -98 10yr5/6 none s Osg ml -- -- .7 1.6 F4] Boring # Boring Pit Ground Surface elev. 97.13 ft. Depth to limiting factor 110+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD *Eff#1 *Eff#2 1 0 -8 10yr3/3 none I 2fsbk mfr cw 1f .6 .8 2 8 -17 10yr4/4 none sl 2fsbk mfr gw 1f .6 1.0 3 17 -24 7.5yr4/4 none Is 1 csbk mvfr gw ----- .7 1.6 4 24 -49 7.5yr5/4 none cos Osg ml cs - -- .7 1.6 5 49 -100 10yr5/6 none ms Osg ml -- -- .7 1.6 F I Boring # j Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff *Eff#1 *Eff#2 Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD -S_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. 1200 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all infonnaSon. Reviewed By Date Personal information you provide may tx: usl (P,,k law, s. 15.04 (1) (m)). Property Owner . a , _ Property Location Grand Properties, LP Govt. Lot SE 19 SW 19 S 22 T 29 NR 19 W Property Owners Mailing Addr ` i Lot # Bknok # Subd. Name or CSKV 712 Rivard Streeet, Suite 3 APR 2 3 2004 3 Hudson Estates City State( -,2 tR �F#,,, nign gt�nber _J City J Village AM Town Nearest Road Somerset WI 1 64M55 OF 100 Hudson I Badlands Road 0 New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement J Public or commercial - Describe: Parent material Outwash Plain Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a conventional system. Possible system elevation for Area 1 is (high trench) 92.70' (low trench) 91.70'. Slope is 6 %. ❑ Boring # _ I Boring Ad Pit Ground Surface elev. 97.95 ft. Depth to limiting factor 101+ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QPD/ft *Eff#1 *Eff#2 1 0-10 10yr32 none I 2mgr mvfr gw 2f .6 .8 2 10-23 10yr32 norte I 2msbk mvfr gw 1f .6 .8 3 23-40 10yt3/4 none I 2fsbk mfr gw 1f .6 .8 4 40-52 10yr4/6 c2d 7.57/6/8 7.Syr /2 I 2fsbk mfr gw .6 .8 5 52 -101 10yr5/6 none s Osg ml — .7 1.6 Boring # Boring sm Pit Ground Surface elev. 97.95 ft. Depth to limiting factor 100+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Pf° *Ef181 "Eff#2 1 0-9 10yr32 none I 2mgr mvfr as 2f .6 .8 2 9 -17 10yr3/4 none I 2msbk mfr gw 1f .6 .8 3 17 -30 10yr4/4 none sl 2msbk mfr gw — .6 1.0 4 30 -100 10yr5/6 none s Osg ml ---- — .6 1.6 • Effluent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD <30 mg/L and TSS <-.,0 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt - 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 1595 72nd St., New Richmond WI 54017 4/12104 715-247-2941 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 4r 3 ] F Boring # Borin 16 Pit Ground Surface elev. 95.99 ft. Depth to limiting factor 98+ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDR *Eff#i *Eff#2 1 0-8 10yr32 none I 2mgr mvfr as if .6 .8 2 8-18 10yr3/4 none sl 2msbk mfr gw 1f .6 1.0 3 18 -32 10yr4/4 none I 2msbk mfr gw .6 .8 4 32 2.5y5/4 c3d 7.5yr6/8 I 2msbk mfr cw — 6 8 7.5 7/i 5 45-98 10yr5/6 none IS Osg ml — .7 1.6 F—I Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 ❑ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#r1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Ef 1AM 4 BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and tin `�ou need assistance to access services or need material in an alternate' format, please contact the department at 6 151 or TTY 608 -264 -8777. Re4' 420D r Page 3 of 3 Conducted by: Conducted for: Schmitt Soil & Site Evaluations Name: Grand Properties, LP Thomas I Schmitt, CST 227429 Address: 712 Rivard St. Suite 100 1595 72nd St. City, State, Zip: Somerset, WI 54025 New Richmond, WI 54017 Phone: 715.247.2941 Subd. Name Hudson Estates Lot No. -� SF 1/4,54J 1/4, S: 22 , T 29 N, R 19 W Township of Hudson BM EL 100.00' 75P o 7" p ? " ��L IIA Alternate BM EL 99 6L _ 74 e P .� •' ��L /f'� t Slope = _6_210 Contour Line El. a Scale: I"= 40' 6� 4 t �® a c-d This soil report was done to f dfill a Zoning requirement. It may or may not be in a location that is suitable for your use. No permanent lot markers were in place when the test was conducted. l POWTS OWNER'S MANUAL Si MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner — Septic Tank Capacity AIM a l ❑ NA Permit # Septic Tank Manufacturer L& f ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer L ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model Q ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity a l 0 NA Estimated flow (average) 3,00 gal/day Pump Tank Manufacturer 6 NA Design flow (peak), (Estimated x 1.5) S al /da Pump Manufacturer R NA Soil Application Rate al /da /ft2 Pump Model ■ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit 0 NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD,) 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD.) 530 mg /L i In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510` cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA A% 1 *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA , MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell „3 ■ yearls) s) At least once every: ❑ mo (g) ) (Maximum 3 years) ❑ NA 0 month Clean effluent filter At least once every: ❑ v ear( )Isl ❑ NA /a ❑ month(s) ■ NA Inspect pump, pump controls & alarm At least once every: ❑ year(s) Flush laterals and pressure test At least once every: ❑ year(s) month ®NA ❑ month(s) Other. At least once every: ❑ year(s) ®NA Other. ❑ NA MAINTENANCE INSTRUCTIONS R Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:(: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator' inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,y , measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface � ny ponding f�: The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for a of effluent on the ground surface. The ponding of effluent on the ground surface may.indicate a failing condition and requires the x xi immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the ,entire contents of the tank shall be removed by a Septage Servicing Operator.and disposed of in accordance with chapter NR, 113, *_ ,�.. Wisconsin Administrative Code. All otherservices, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment —. units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. t s A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. ,< :. yr me tanKisr removeo ay a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of ..Ltl.... -.. T.. ----- A .L.:. _:..._.:__ �_.._ .i- - ------ — _t .L_ .....L ........... 4 k., .. C....�enn Cnn,ininn (lnnr�fnr nrinr fn m..ri..:.... ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address .- — — O S Property Address a °�O�' (Verification required from Planning Department for new construction) City/State UQ SDI! 11 Parcel Identification Number 660 i0 6 - 000 LEGAL DESCRIPTION Property Location 5_4L '/, S W %+, Sec. A9 , Tg_Z_N -R_L�_W, Town of tz.✓ Subdivision fJ G/a S'cn,' L .STATiS-1 Lot # `3 Certified Survey Map # Volume Page # ac Warranty Deed # _ '7 93 Volume Page # 113 Spec house N yes ❑ no Lot lines identifiable 8 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St:. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septiclsystem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 davroTthe three vearexpiratrf n date, SIGNNnii OF.OPLICXW DATE OWNER CERTIFICATION I (we) certifyRhat all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the ,pmpe ty describe¢ above; by virtue of a warranty deed recorded in Register of Deeds Office. SIGNAAW QF >�YLICANT DATE * * * * r« * 'Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. { «s Include with thls application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed U 2 9 8 7 P 1 1 3 -7!5 (D <3 Z3 7 t3 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. KALSH Document Number WARRANTY DEED R EGISTER T. CROIXOCO.. WI This Deed, made between Willis D. Savadge, RECEIVED FOR RECORD Grantor, 01107/2004 11:15A N and Grand Properties, LP WARRANTY DEED Grantee. EXERT # Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in t. Croix County, TRANS State of Wisconsin FEE : 12.00 TRA FEE: 3240.00 (if more space is needed, please attach addendum): COPY FEE: See Attached Exhibit "A ". CC FEE: PAGES: 2 Recording Area Name and Return Address 020- 1058 - 80-000 020- 1059 -00 -000, 020 - 1059 -10 -000. 020 - 1058 -90 -0 00, Parcel Identifica Nuptber (PIN) This 41'& homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights - of - way of record, if any. Dated this U day of 7�k t ` . * * Willis D. Savadg - -- .--•--.....--•---.--------------------------------------------•--------------- --••-------- - - - - -- --- - - - -•• ---- - - - - - -- - — - * * AUTHENTICATION 1 ACKNOWLEDGMENT Signature i s) _ _ STATE OF —k } 5 1 ) 4 ss. County ) authenticated this _ day of _ Personally came before me this day of r' L1 the above named `tttttnlrrr,1rr Willis D. Savadge, - — TITLE: MEMBER STATE BAR OF WISCONSIN t (If not. _ d�� . • • j t6 - - *nown to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Slats.) . • jnsttent and acknowledged a same. O . C - THIS INSTRUMENT WAS DRAFTED Bg � `t Attorney ]i;rlstina Olatld.............. - --- ------------ — ........... %3' • .. • ' * ... Hudson, WI 54016 r '���;SiN �� tary Public, State of -411110 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) _ =, Iii 9 � — .) • Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, Wl STATE BAR OF WISCONSIN 800 - 655 -2021 WARRANTY DEED FORM No. 2. 1999 U 2487 P 114 EXHIBIT A That part of the SW % of Section 22, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin described as follows: Commencing at the SW corner of said SW % of Section 22; thence N89 0 51'27 "E, assumed bearing, along the South line of said SW %, a distance of 1298.51 feet to the point of beginning, being the SE corner of that certain Certified Survey Map recorded in Vol. 15, Page 4192; thence N00 0 32'31 "W, along the East line of said Certified Survey Map, being the East line of the SW % of said SW A a distance of 493.73 feet to the NE corner of said Certified Survey Map; thence S89 0 48'23 "W, along the North line of said Certified Survey Map, a distance of 31.25 feet; thence N00 0 32'31 "W, a distance of 1447.58 feet; thence N89 0 41'03 "E, a distance of 31.25 feet to the East line of the NW % of said SW % of Section 22; thence N00 °32'31 "W, along said West line, a distance of 690.94 feet to its intersection with the East -West quarter line of said Section 22; thence N89 0 37'56 "E, along said East -West quarter line a distance of 1301.09 feet to its intersection with the North -South quarter line of said Section 22; thence S00 0 29'07 "E, along said North -South quarter line, a distance of 1318.71 feet to the SE comer of said NE % of SW %; thence S89 0 44'41 "W, along said South line, a distance of 649.90 feet to its intersection with the West line of the E '/ of the SE % of said SW Y4 of Section 22; thence S00 °30'51 "E, along said West line, a distance of 1317.44 feet to said South line of the SW % of Section 22; thence S89 0 51'27 "W, along said South line, a distance of 649.27 feet to the point of beginning. COUNTYPLAT: HUDSON ESTA SURVEYOR: PREPARED FOR: DOU PROPER LLC LOCATED IN PART OF THE NE1 14 OF THE SW114, THE SEi S&N SURVEYING 77 2 RVARD ST. OF THE SW1 14, AND IN PART OF THE SIF1 14 OF THE S1I1, 2920 ENL STREET HUDSON VA 54026 9 HUDSON, NA 54016 R1911, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN. SEE SHEET 2 ` a� s r / COUNTY TREASURER CERTIFICATE STALE K WISCONSIN) COUNTY OF ST. CRCXR)S& �I ID L SIERYL 9ND, BEING THE DULY APPOINTED, QUALIFIED AND ACTING O TREASURER OF THE COUNTY OF ST. CAM HEREBY CERTIFY THAT THE B0 PC RECORDS N MY OFFIC 91ow No UNREDEEMED TAU SA AND NO UNPAID I TAXES OR SPEOAL ASSES91EH15 AS OF s C7M THE LANDS IN THE U THE PT OF HUDSON ESTATES G QQr SHEIM I � � \ D62 COUNTY TREASURER ER DATE I g Y +. gry . . I o ♦ i D OWNER'S CERTIFICATE OF DE a DICATION i g V HWL 903.10 GRAND PROPERTIES LLC A CORPORATION ORGAN® AND EMSIING UNDER AND BY 7NTIE OF THE LAMS OF THE STATE OF MSCOI9N. AS CAUSD OMER, NE / GERMAN DOES HEREBY CM7FY THAT SAID CORPORA710N E L S8Y°44',l•W DESCRIED ON THIS PLAT TPLAT. BE SURLEIED, DI M OM NAPPED AID THE LAND 681.04 � .W.23' D AS REPRESENTED ON THIS PLAT. GRAND PROPFRTES U.0 DOER FI1R CER II Y THAT THIS PUT I REQ REQU BY 5278.10 OR 5270./2 TO BE 223 w 9DHIttED 70 7HE FOLLOIING FOR APPROVAL OR OLECTM ToMH OF p0 457.84' HUDSON AND THE ST. CROIX COUNTY ZONING OFRCE / e N WITNESS METE OF, THE SAD MAW PROPERTIES LLC HAS CAUSED THESE C LOT 3 PRFSE7TS ro BE 9WREO Br aAHD PROPERTES OMIR (• ,ml 2.100 ACRES �A r a 20W, f �1 81.476 EEO. FT. N w 71E PRESENCE OR pv L.B.O. s 806.10 p ? GRAND PROPERTIM LLC 118E GERMAN �O'y� "� . . ...... . J LOT 4 s X11. STATE C ) / 648 ACRES A caIRRT*M I �*z• p •p 110,697 SO. FT. � S PERSORALLr GALE BEFORE ME TIS_DAY aF V L.B.O. = 80 FT. � Q p NOE CFAYNN, OMER 0i THE ABONL HAYED dWIPORATON, ro NE DI�AI TO / � 111.80' BE THE PERSON YID EXECUTED THE FOREGONG INSTRUMENT, AND ro LIE 3 WORN 70 BE SU01 OMIER OF SAID OCIPORATICR. AND AC MOOLEDGED THAT HE EXECUTED I FOgBDID NSIRIA'EN AS 9101 OWNER AS THE DEED OF O O 7 1 SAID CORPORATION W ITS AUTHOR 1Y. SI G NOTARY PUBLIC, W COIWU5sm E]NIRES N / CUL -mSAC Ir HWL_g03-) LOT5 ' +� EASEM W ENT .004 ACRES I �. LOT Z a W 87,278 SO. FT. - 2.003 ACRES m r TOWN BOARD RESOLUTION A ar/ L.B.O. = 905.50 87,243 SO. FT. - O BOA R THAT THE PLAT HU T N N KWON ESTATES T GRAND GRAND FROPER71E5, LLC. OMNDL S HERESY APPROVED BY Y THE TE HUD E T OMN BOARD. 321.71' So '25'16'W > y Q ROBERT WAXON N89'48'23 NCH 'E BEMARK TOP OF 1 O p1 . CLAN �� 31.25' IRON APE - 9,5./ N w p Q 240.88' 1 MER®Y CERlBY THAT T FOREGOING 6 A COPY OF A RESOLUTION ADOPTED Z 0'a p y N89 BY THE TOM BOARD OF THE TOMN OF HUDSOK O O 0 LOT 6 a=�"w RITA HORNE DA7E I I N 87,299 SO EFT. at LOT aE7N 1 P I 00 D f @ L.B.O. = So5.SD 1 2.133 ACRES 82906 SO. FT. 377.98' S89'272irW I 13 m IN � LOT 7 NOTE: _ AND I d Io T Nmt . eoe.eo 2.278 ACRES . LACE PARCEL 910M1 ON 11U5 YAP 8 (IE�METWID. IIIMIY LOT 2E, I �j� V V TC CESS LAMS ROES AID REGULATIONS 1 y N 99,248 SO. FT. - 60' 50'• ACCESS T H E C LTL) BEFOR ZONING aR DEV HE To ANY LOT. N EASSM N W L.B.O. = 905.60 I I CONTACT TE Sf. CROIX COUNTY ZONING OFFICE AND THE IOMN a IN HIIDSON. N EASEMENT W� pp 2 fJ ID ... NA(U i` .. Q I V OWNER OR RES106(f ANYTHING WOULD ANYII MIOIRD ITEIBFAE WIN A . . . .. .� IN, .......... . OR GLANCE T OPERATION OF TEE APROtFD COHFREHEIMVE WATER DRAINAGE AND SOIL EROSION PLAN Fat THIS PuT. THIS Na1DES BUT Rs NOT LIMITED TO B OLDING UPO O BSRUUCMD. ALTEWD. FLUNG OR SEDANS& MOM EXCAVATI DINNAYS. WATER vow eBW5BEINS OR CRASS 7 a Igo a R 8 BADLANDS ROAD — ° N69'S1'27•e 649.27• BADLANDS ROAD MMA P6G151't7C D 6G.lq<� 9CRUD ,•_ ,av 0 NW 2D