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020-1161-90-100
Z Z ~, Z O O U~ O ~_ N N N ~ ~ fD fD 7 ~ 3 ~' . ~ a a o (n Z D in D ~' a W ~ '. Z O c ~ c 3 m 0 3 O m N lD m D m n ~ a Vl N O a ~ 0 0 N ~ 3 ~ N 7 W a 0 m ~n O o g o° !- n cn p ' °c ~ ~ ~ ~ ~ N ~ ~ v m 3 r' I M o ~ ~ V ~ O ~ I ~ I ~ I e~ ~ L1 ~ ~ Sp a •°•' ~ .. ~ I OV ~ O N ~ ~ ~ ~ fD N ~ ~ m° 2 m ~ v a ~ N °.: ~ ~_ ~ I ~ ~I .. ~ I D ~ ~ ° ~ ~ m m N N 41 N ~ N. ~ ~. m ~ N ~ T O f a I W ~ a c r: 3 !~! Z ~ ~ ~_ c a .. I I I I I I I n ~ N ~ V i p Q eD ~ ~[ ~ ~ ~ 7 N ! A} ' d ~ 47 ~ N o -~ ~ ~ ~ m y ~ m c ~ ~ o ~ o O ~ ~ ~ m cfl ~ N ~ n c ~ ~ ~ L N !/1 ~ ~ a c N IN m O m G m m N na~Nrn,o ~ D mmpiOO~°m~ ° ~ ~ <. °' a _ . O n ~ V ~ 7 ~ "~~ `o° ~N(~p ~ _n z ~ ~ S c N N Q fD N ~ ~ ~ ~ N j ~ Q (D o any o~ a va y m c -o md~' o m 3 Q' a ~ ~~ .-~ a (D ~ 0 ~ n fl. ' G O O N D1 4 ~ 3 ~, ~ ~ ~ p O m o a0 < ~ D ~ ~ U' a ~ =• v, ~ ~ N (p ~ 3 ~ O m v+ O o ~ a° ~. ~ ~ f 3 ~ ~ ~ ~ ~ 3 !: 3 O ~ 40 ~. A Ul O a n ao y ~_ f~D n `D a 3 a N 0 A A ~ ~ ~ ~ N N `G ~ m O 4U d ~ ~ ~ C <~ C0 SS~ Q N ~ ~ v o ~ ~ a ~ o °: ~ m rn ~ :. :-t Z oo Z D o ~ v ~ V1 y (D N C (D J D. v ~ ~ ~ D o 7 n N !D °' 3 °o m A y' O 7 s ~~ N T ~ c ~° ~ ~ a g C Q m 3 m o ~ ~ 3 n ~? a v ~ W N d N O ~ W O ~ ~ Q1 O o• G ~ '.~. Q d w a ~ D N W v, 0 w ~ 1 y .p Z ~ ~_ ~ r- 3 C N W G Z a ~ ~ ~ m_ ~ A d A~ A~ D A~ h~l '! O "~ A Q N O~ N 0 N OQ N ~ ;A ~ ~ ~°, b ti Parcel #: 020-1161-90-100 Alt. Parcel #: 23.29.19.926B-30 020 -TOWN OF HUDSON Current ~] ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 02/19/2008 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -BURTON, MARVIN L MARVIN L BURTON C -MILLER, TODD J TODD J MILLER 603 140TH ST ROBERTS WI 54023 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 811 CRIMSON VALLEY RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.511 Plat: 5503-CSM 23-5503 020-08 SEC 23 T29N R19W PT SW SE CSM 23-5503 Block/Condo Bldg: LOT 02 LOT 2 (2.511) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 23-29N-19W SW SE Notes: Parcel History: BOTH MILLER & BURTON WILL REMAIN ON AS Date Doc # Vol/Page Type OWNERS BEING THE NEW LOT 2 CSM 23-5503 08/05/2008 879598 EZ IS NOW LOCATED ON LAND OWNED BY BOTH 02/19/2008 869089 23/5503 CSM MILLER & BURTON. THERE ARE NO RECORDED 03/24/2006 821432 WD DEEDS SHOWING TRANSFER OF OWNERSHIP. more... 12/21/2005 814745 2947/267 WD more... ~nnn c~ ~nnnnwov Bill #: Fair Market Value: Assessed with: 0 05/26/2009 02:44 PM PAGE 1 OF 1 Valuations: Description Class Acres Land Improve Last Changed: 04/08/2008 Total State Reason Totals for 2009: General Property 0.000 Woodland 0.000 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 0 0 0 0 0 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 RECEiv~Q ~ y . -- -- --~. ~ ~~ ~ ~~~~ E~ to ~ I I .r ~ ;~' ~~>. ,~ ~ ~ ;vim, ;'a' ~ ~`~~. ~ ~~ } .~~ r- l.~~o~rr g ~ ~ 680.01 •. •? \ unn'~;•u~w ~~ i 1 li r r ~ y~ m °'io~ a ' ~ ~~ ~ N 'P 3 ~, Ir ~~ I~ I Iw (506'50 ; ~NOOro1.51 Aaa Z 4 znn8 r ~ \ . CRO{~ COUNI~ I ~\ VE`(OR151~ ~ I i<i~\ i~ir' ( I~I~ ~"i3 \x2`~ iA I lyl~ I ~~~o ~` \ i rv , I r~,z ;r \ I~~io,ilo I '° ;~' \\ I~~I~I'pl I ~~r•~ N~~08'31'W 5~8.0~' NORTH-SOUTH \( pp•08•gg~ r`1 /4 UNE NOO'+DB•3A~ gat~_5~' I 1 I ly I ~j l ~~ \Q \ uiuii~iic e,.,9iiii~miiiii~miiiii~iiiiim ~s~o~~ KATHLEEN H. WALSH REGISTER OF DEEDS 5T. CROIX CO., WI RECEIVED FOR RECORD 02/19/2008 04:20PM CERTIFIED SURVEY MAP VOL: 23 PAGE: 5503 REC FEE: 13.00 ` ~~YFE: 3.~N H ~G~ ~~ 2 o s~ c ~ ~~o ,~ ~ ~ v _ Z ~ ~r ~o~ ~ ~~ ~~~ ~ ~~~ ~ Z ~1 ~' ~ 3948.55 / ~~ ~ ~~ <, ~ rprn ~irilHiASr I l i l t I~ I j9~~~i ~~~\~~ I ..' Z c ~ ~~ W V~ Z O°~ ~ ~ 4 ~ .~N~ ^' ~L:- - V t1; ~ ~ O ~ ~s~~ ~ 1 _ i / ~.--.` N01 0503 W v ;' ~ ~rssss~ ~ ~ ~~-~~i ~N~~ ~ ~ ~ v ~ ~ ..: ~~~~~ ~~g ~ \'0 ~ N Z ~~ \N ~ ~• ~ ~ ~ O ~ Q~~<s fCN ~~ 'r°~S +~i ~, n~ i ~~~~ ~~~ a .° ~~'~~ N ~I~^~~C ~~Z~~ ~ ~ ~'` ~~,~~ a e. .'~y~~ ~ ~~S \ ~.~~~ ~ ~~~~ z~ 0 t of 2 ~~ :~ ~~ w ~~ `9 ~ ~~ ;~`~ti ,.-dam o ~~^ o ~' THE NORTH-SOUTH 1/4 UNE OF SECTION 23 BEARS Z NOO'06'31'W AS REFERENCED T10 THE ST. CROIX COUNTY COORDINATE SYSTEM o ~ Z • - -- ~` i `,~ ~~~_ ~ ae, f'~~Sl\>~~~ ~~~ ~ ~ ~~~ ~ ~ ~ ~~~ ~• ~ jr Z~\~ - ~ m~~~~~~a ~ z ~ ~~?~cai~~+~ C ~~ ~s~~~ t ~~~> ~~ ~~ . ~~ ~~ a ~~ ®. B a ~ p ~ o ~ 'O o S ~ v L _ .r ~'L8 ~y t ~ / ~ ~ ~ Q ~ ~ Q ~ ~$~~ ~ S~ EET 1 OF 2 SHEETS A~ J ~ -p Vcf7..?~ FrzFtp .5503 R1 J ~r w ~~~ ~~ ~~ ~~m ~~ II_ Z ~~ v ~~ ~~ ~~ N .~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building r ivision ,,. INSPECTION REPORT GENERAL. iNrORM~`~TION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: n nn I ' ' ~ City Village X Township ~ , et teve ~dd~ - ~ Sen Hudson, Town of CS M Elev: -~ f lnsp. BM Elev: ' BM Description: ~-I - a •o Oo .o g-u CST TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P1L WELL BLDG. vent to Air Intake ROAD Septic r 3~ -ti- r 2~ ~ 5- Dosing Aeration Holding PUMP/SIPHON INFORMATION IlAanufacturer Demand GPM Model Number TDH Lift n 'on Loss System Head DH Ft Forcem ' Length Dia. ELEVATION DATA county: St. Croix No. n 80 ~ O ~s~a/~S ~, o I<GV, State Plan ID No: Parcel Tax No: .020-1063-40-050 Section/Town/RangelMap No: 23.29.19.244A10 STATION BS HI FS ELEV. Benchmark Z.o ~ lo2.n ~ufl. ~ • Alt. BM Bldg. Sewer ~ ?j .~ ~ / o Z . /5 ~ St/Ht Inlet ~~ ` ~~ /©/ I ~. i SUHt Outlet Q , ~ / O , 2,~ Dt Inlet Dt Bottom Header/Man. ~ /L . ~ Dist. Pipe (o •.S'o o •Sb q~o.9S' Bot. System j. oo . o ~. w' `-~ bor Final Grade , / T ~ S Cove~~,l ~S e~w~ J ~ ~ 3 ~ 'L ~ ~T•60 r g ~ - --1-30 ~a3.3o _ ~ S Ll Z.~o os o ~3, 3 a SOIL ABSORPTION SYSTEM 34 i2, ., .rr tc _ EN idth f ' IO ~ OO No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ Z .~ Z~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Man ctur~[ CHAMBER OR ~ObL INFORMATION Type Of System: / r UNIT Model Numb r rr C°-,.,,,~r, I o t- ~ I cro ~, o I~ISTRI6UTION SYSTEM Header/Manifgld ~ p Distribution x Hole Size x Hole Spacing Vent to Air Intake f ~W Pipe(s) ~ 1 ~ J Length Dia Length is SOIL COVER x Praccnra Svs4amc Anly Yx Mnund Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~~~~~~ No sJ, Yes i.. ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1 • ~ Z~/~!N"'r" Inspection #2: -'f -T~ Location: 811 Crimson Valley Road Hudson, WI 54016 (SW 1/4 SE 1/4 23 T29N~~Rqq 1~~9W) NA L~qt Parcel No: 23.29.19.244A1q rwoN•.Y~.CA~~ ~i!•~+-~l~-~ a>~'-~+• vt~. `t ~te~u.~-tom i ..~ Z o ~.-Q~.r- 1.)Alt BM Description = S .T• ~~~.~-, 2.) Bldg sewer length = 1.S.o r n -amount of cover = 1 ~ `~ -t' Ss+~~ C~'t • _.+- ~ '~'~~ ~ '- " _ - ~ ,,v.u., - -" `~-~t_ ~ ~-S . 3) ~(„~M.•~- su.~~ t~~- cu., a.~- lerwn ZZ s~ GD.~-~- e+~+~ ---- - -- Plan revision Required? ,, ;Yes No ~ ~ ~ ~ Sa /_ 2l ~ ZfA -- ~- `~~v Use other side for additional information. _~ ~__'~ _ _ _--- --- ~ - - ~ - Date Insepctors Signature Cert. No. SBD-6710 (R.3/97) t Safety and Buildings Division County (~ ~ ~~' 20] W. Washingto ve., P.O. Box 7162 •l, ~~,~ Madison, 707 - 7162 Sanitary Permit Number (to be filled in by Co.) ,~~0 (608) -3 $' ~~ ~ S De artment of Commerce Sanitary Permit Applicati State Plan I.D. Number ~~, personal information you vide Code Wis Adm 21 d with Comm 83 I , . . . , n accor may be used for secondary purposes Privacy Law, s15 04(1 m __ roject Address (if different than mailing addre ) P r} I. Application Information -Please Print All Information U O Z a - b ~ ~ - D.~s-v Property Owner's Name / , ~ ~ ~ ~ ~.~ ~/ ~' ~ Q Q c t Pazcel # Lot # Block # ~ ~ c Property Owner's Mailing Address ST. CR ation Pr operty Loc / C `S "`~ %,/~ '/<, Section City, State ) Zip Code ~ Phone Number irc one) /, Z`~'~~ -~ T~N; I~ E rW ` v l ~ ' II. Type of Building (check all that app y) Ok. 4S ~ Sub rn~ / Subdivision Name ~p ~/ 7 CSM Number ` ~ 1 or 2 Family Dwelling -Number of Bedrooms Z L+ ~ T C7 J ^ Public/Commercial-Describe Use ! )-2 ~-~ f ^ State Owned -Describe Use 3 1~.~'- Ge,U~ ~ ~ 3 't"~~--'w.w~be.,('S ^City_^Village wnship o III. Type of Permit: (Check only one box on line A. Complete line B if applicable) '~' ew System ..~- ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ermit Revision hange of ermit Transfer to New List Previous Permit Number and Date Issued Before Expiration -~'-- Plumber Owner ~~ ~ 9~ j7 // / v IV. T e of POWTS S stem: Check all that a 1 Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil ^ Mormd < 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 ^ l Recircuiating Synthetic Media Filter aching Chamber ^ Drip Line ^ Gra el-les Pipe ^ Other (explain) ~' e V. Dis ersaUTreatment Area Information: + Dest Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required sf) Dispersal Area Proposed (sf) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site teel Fibe Plastic Gallons Gallons of Units Concrete Constructed Glas New Existing ~ ~ [L~~ ~ J` ~ i ~'r Tanks Tanks Septic or Holding Tank 2 5 s ~ / `' Aerobic Treatment Unii ' Dosing Chamber VII. Responsibility Statement- I, the undersig ssu a responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Prim) Plumber' S' ature MP/MPRS Number Business Phone Number Plumber's Address (Street, City, State, Zip o ~~l~ ~ / /1/~J 1 c GV VIII. Coun /De artment Use Onl ~ Sanitary Permit Fee (includes Groundwater Dat Issu Issuin ent Sign re o Stam +sapprov `pproved ^ Surcharge Fee) --7 GG '/ .~ J J . ~ ? Z~ 0(P ^ er en Reason enial IX. Conditions of ApprovaUReasons for Disapproval ~~+ ~,e~~~ IJca~ 31fSTEM OYVNER: 3~ {3~~1~. ~-o s~p~ly, ot.,~~ ~ r I I 1. Sapt1C tank, ettlUent filter and h ~ Ana J~ IIQ. O . l,.~w@..{~ . `~ dispersal cell must all be services /maintained as per management plan provided by ptumbsr. 2. AN aeQ>aclc requirements must be malntained ~ \ '111 ; W ;' ; o ~ ~ 1, `,~ ~, ~ ~ ~. `Y--a~ a ~ uw• ~ ) Y l Rcabie ode /ordinances . as per app ^ d ~ ~e+./1 i ems.. ILe w o~..~u~. a, r`c! ~e~ S ..r +... rhnn Rl @ x 1 t inches in siu attacn compsece pr»ns pu we ..o~...r ~...r~ ......... ~,,,...~ ~° ,•-,-- ---- ---- - ~ ~ 1` ~J ~G ( ^~~ .~~~~ SBD-6398 (R. 01/03) . ~ PL T P ~ ~- Y~ ° ~/ RECEIVED 1PR®JEC`t' Todd fulfiller DD ESS 26 River Road Houton Wi 54016 2006 SW 1/4 SE 1/4S 23 /T 29 / 19 V~ TOWN Hudson COUNTY POL / X COUNT` ~ 4/19/06 4 MPRS Shaun Bird 226900 f ~`/ DATE BEDROO CONVENTIONAL X)OC IN-GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 ,BENCHMARK V.R.P. Top Of 3" pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM 160' #2 B.M. 15' ATION 94.0/92.5 2' below grade Vents _ ~ B-3 1-3' X 125' cell and 1 3' X 1 119' Cell with >3' spacing B-z Well is to meet all setbacks required by WDNR B.M. #1 ~ 20 Plans Designed Using 45' Conventional Powts 18% Slope M al Version 2.0 ~ ° [f $~ ~~~ 5 , (~k-- ~,,Q~,.. ~~~ ,~ece~~ o' B-1 P~b~, ~~„ ~~~ 60' Pro 4 Bedroom House 90' ST 5'_ _ 10' Vent >6„ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 11 " Grade at System Elevation A„ PLOT PLAN PRO,TECTr Stever? Senrick ADDRESS 326 River Road Houton Wi 54016 SW i/4 SE i/4S 23 /T N/R 19 W TOWN Hudson COUNTY POLK MPRS Shaun Bird 226900 4/19/06 4 DATE BEDROOM CONVENTIONAL )OCX IN-GR D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 ,BENCHMARK V.R.P. Top of 3" pipe ASSUME ELEVATION 100' Filter Zabel A- 100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 94.0/92.5/91.0 2' below grade 160' #2B.M_* ~ Prc~nerty T .ina 15' I Vents ~ B-3 3-3' X 83' cells with >3' spacing 11 11 ~ 18% Slope B-2 Well is to meet all setbacks required by WDNR B.M. #120` ~~ ~~ r... B-1 ~---- 60' 90' Pro 4 Bedroom House Plans Designed Using Conventional Powts Manual Version 2.0 Please note: system is very shallow, a additional boring may be done to move system up hill to lower install depth. Also system is over sized using a .5 loading rate. Also, a additonal boring may' be used to lenghthen tested area and install 2 cells! s~~• l o' Vent >6„ Standard Biodiffuser of Cover Leaching Chamber with 31.1 ft2 of Area 6' Long 3 4" Grade at System Elevation PLOT PLAN PROTECT: Steven Senrick ADDRESS 326 River Road Houton Wi 54016 SW 1/4 SE 1/4S 23 /T N/R 19 W TOWN Hudson COUNTY POLK MPRS Shaun Bird 226900 4/19/06 BEDROOM 4 DATE CONVENTIONAL )O(X IN-GR D PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 ,BENCHMARK V.R.P. Top of 3" pipe ASSUME ELEVATION 100' Filt abel A-100 ^ BOREHOLE O WELL * H. R. P. Same as Benchmark SYSTEM 160' #2 B.M.* 3-3' X 83' cells with >3' Well is to meet all setbacks required by WDNR B.M. #1 Pro 4 >6" of Cover Vent 11" 6' Long Standard Biod~fuse Leaching Chamber with 31.1 ft2 of Area 20 at System Elevation ATION 94.0/92.5/91. 'below grade 15' Vents B-3 4 18% S House Plans Designed Using Conventional Powts Manual Version 2.0 Please note: system is very shallow, a additional boring may be done to move system up hill to lower install depth. Also system is over sized using a .5 B-1 loading rate. Also, a additonal boring may' be used to lenghthen tested area and insta112 cells! 90 ~,, .~ ~~ ?~ ~~`d~' ArcIMS Viewer Page 1 of 1 \. Z..!. ~/p YV i iN RoE n59aa w . „ .,,~ 9211 ~ csn~ ~7-a~a~ LOT26 r 'y 925 5409Q ClL 2 ~ .___ _ ` 23,E 2134 ~ ~~. 2133 ~ 152 t3 '~ u LOT 3 . tt ~ 515 4~ ~ X`~~i°' a1.~z zaa, aim ~ ~~ 8: ~ r 9xC2 LOT7 ~ LOT2 LOT2 '°~jB LOT6 7892: n 2A4B 1891 . ~; 880 b,~ s LOT3 Z 2A4G ~ 511 ~ .: e~ ~ ~.~'' CSJkT1~4L 7~ PG 2933 !R i ... _. ~ 5 1 ^ ~~~5 ~ G // l~c~bd-vw~ ~ w ~ 1 Sc~ 1 ~L ~ ~ Sa, `~ a~..~v~ ~ ~. 5 . o ~ , jJSJO.~.~ 1 http://72.21.230.178/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 4/21/2006 'DOCUMENT NO~ I~ STATE BAR OF WISCONSIN FORM 1-1982 WARRANTY DEED THIS DEED made between Steven W. Senrick and Jan S. Senrick ("Grantor") and Todd J. Miller ("Grantee"), WITNESSETH, that the said Grantor, for valuable consideration conveys to Grantee the following described real estate in ST. CROIX County, State of Wisconsin: SEE LEGAL DESCRIPTION ADDENDUM American Title Services PO Box 1 156 Hudson, WI 54016 Tax Parcel No:020-1663-40-0SO This is/is not homestead property. (is)(is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Steven W. Senrick and Jan S. Senrick warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Easements, restrictions, and encroachments of record. and will warrant and defend the same. Dated this ~ day of December,2005. r r AUTHENTICATION Signature(s) authenticated this day of December. 2005 (SEAL) (SEAL) teven W. Senrick (SEAL) ~"~r~ X`~~ICS.Gw~ ~~C'' (SEAL) •~nIS Senrick l~-~~~ ACKNOWLEDGMENT s TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Tony R. Schrader Attorney-At-Law (Signatures may be authenticated or acknowledged. Both are not necessary.) 8 1 4'74 RfiGISR OF DAEF~DS sT. cROIx co.. MI RECfiIVfiD FOR RECORD 12/21/2005 11:00A?1 MARRAATY DEED EXQPT t REC FEE: 13.00 TRANS FEE: 225.00 COPY FEE: CC FEE: PAGES: 2 i ~i STATE OF WISCONSIN +j ss. ST. CROIX County Personally came before me this ~ day of December. 2005 the above named Steven W. Senrick aad Jan S. Senrick to me known to be the persons who execu d e foregoin instrument and a owl a the same, ~ r , tWl~ Notary Public - ~ County, Wis. ~~~~ My Commission is permanent. (If not, state expiration date: "Names of persons signv~g in any capacity should be typed or printed below their signatures. WARRANTY DEED Slli vision Form SOD03W1 Rev. Ot/t&96 ```~oP~, M. Bp~9O ~~' =Q '2pTAq~ .4'G ~k • * ~Ir '~' . • '°(/8 LAG ,' _` -y //~r,~H,~~t1t~~ File # 05001746 il~_.29y7P~~3268 A parcel of land located in part of the SE 1/4 and part of the SW 1/4 of the SE 1/4 of Section 23, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin, described as follows: Commencing at the South 1 /4 corner of said Section 23, thence N 00° 08' 06" E 1024.86 feet to the Northwest corner of that parcel of land described on Deed Volume 1363, Page 320 and the point of beginning; thence S 59° 47' 31" E 721.15 feet to the NE corner of Lot 2 of Certified Survey Map Volume 10, Page 2935; thence along the North line of said Lot 2 S 89° 47' 23" W 274.90 feet to the SE corner of said parcel in Volume 1363, Page 320; thence along the Northeasterly line of last said parcel N 43° 45' 04" W 503.71 feet to the point of beginning. AND The Sw 1/4 of the SE 1/4 of Section 23, Township 29 North, Range 19 West, Town of Hudson, St. Croix County, Wisconsin. EXCEPT the South 660' of West 963.95 feet thereof AND EXCEPT the Plat of Fox Valley AND EXCEPT the Plat of the First Addition to Fox Valley. Together with an ingress/egress and Driveway Easement Agreement recorded in the office of the Register of Deeds for St. Croix County, Wisconsin on April 23, 2001 in Volume 1622 on Page 530 as Document #643369. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ~~~~~ /~, ~~~1 Mailing Address Property Address (Verification required from Planning & Zoning ?~ ~T r~~Io ~. for new construction.) City/State /~r~d so w. ~,' Parcel Identification Number LEGAL DESCRIPTION Property LocationSW Subdivision U~ a 21) - /dt,3 - yo-- o5b '/ , S ~ '/ ,Sec. ~ 3 , T ~N R~W, Town of ~~ ,~ ~ s o ~ 2 Certified Survey Map # ,Volume ,Page # Warranty Deed # ,Volume ,Page # Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Lot # 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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. I/we, 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 septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ~_ SIG ATURE OF APPLICANT(S) y loo / 06 DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 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 not exceed those required as per Comm. 83 C cy Plan Option #1. system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install 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 .. Department of Commerce n1..i~ii.n ..f C~ieh. ~nrl R„ilrlinne O EPORT 85, s. Adm. Code #2154 Page 1 of 3 Gustum Septic Service l~ ' County must x 11 i cchr~i~ iryry s .21~ Attach complete site plan on paper not less than 8 ~ ~ St. Croix dlrection and tfiitt (BM include, but not limited to: vertical and horizontal re rence D Parcel I percent slope, scale or dimensions, north arrow, an location and distance to crest oad. X COUNT . . 020-1063-40-050 OI Please print all inform ion.ST. CR Review By Dat Personal information you provide may be used for seconds purposes , s. 15.04 (1) (m)). 21 Property Owner Property Location Miller, Todd Govt. Lot n/a SW1/4, 1/4, S23, T29N, R19W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 813 Dakota Ridge n/a n/a Vol. 17, Page 4542 City State Zip Code Phone Number ~ City ~ Village 1t' Town Nearest Road Hudson WI 54016 715-381-3619 Hudson Crimson Valle Road J New Construction Use: y' Residential /Number of bedrooms 5 Code derived design flow rate 750 GPD Replacement ~ Public or commercial -Describe: Flood plain elevation, if applicable n/a ft• Parent material outwash plain General comments Part of 2.5 acres. Recommend system elevations 91.8' and 91.2'. and recommendations: Boring # -~ Boring Pit Ground surface elev. 93.2 ft. Depth to limiting factor 66 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-7 10yr2/2 »one siJ 2msbk mvfr as 2f,1m O.b 0.8 2 7-24 10yr3/2 none sl 2msbk mvfr cw 2m,1co 0.6 1.0 3 24-37 10yr3/4 none sl 2msbk mvfr cw lm 0.6 1.0 4 37-66 10yr5/4 none sl 2msbk mvfr cw - 0.6 1.0 5 66-75 10yr5/3 f2-3d 10yr7/2 7.5yr5/8 sl 2msbk mfr - - 0.6 1.0 ~---. rl Boring # Boring Z~ Pit Ground surface elev. 96.0 ft. Depth to limiting factor >75 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-7 10yr3/2 none siJ 2msbk mvfr as 2f,im 0.6 0.8 2 7-17 10yr3/4 none sl 2msbk mvfr cw 2m,ico 0.6 1.0 3 17-30 10yr4/4 none sl 2msbk mvfr cw lm 0.6 1.0 4 30-49 10yr5/4 none sl 2msbk mvfr cw - 0.6 1.0 5 49-75 10yr5/6 none sl 2msbk mvfr - - 0.6 1.0 '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 CST Name (Please Print) Signature: CST Number Tom Gustum R~ 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St. New Auburn, WI 54757 4/7/2006 715-658-1344 ,, Property Owner Miller, Todd Parcel ID # 020-1063-40-050 Page 2 of 3 3 J Boring Boring # pit Ground surface elev. 93.8 ft. Depth to limiting factor 60 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-7 10yr2/2 none sil 2msbk mvfr as 2f,lm 0.6 0.8 2 7-26 10yr3/2 none sl 2msbk mvfr cw 2m,lco 0.6 1.0 3 26-36 10yr3/4 none sl 2msbk mvfr cw im 0.6 1.0 4 36-60 10yr5/4 none sl 2msbk mvfr cw - 0.6 1.0 5 60-70 10yr5/6 c2-3d 10yr7J2 7.5 r5 8 sl 2msbk mfr - - 0.6 1.0 i/ i/ Boring v i ~ Boring # Pit Ground surface elev. ft. Depth to limiting factor in. J Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 __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 GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 ~Eff#2 "Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/Land TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services c need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-877 i can-xaan ru minn~ Gustum Septic Service Property Owner Miller, Todd Parcel ID # 020=1663-40-050 ~.~ s Page 2 of 3 3 ~~j Boring Boring # ~ pit Ground surface elev. 93.8 ft. Depth to limiting factor 60 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "EH#1° "Efr#2 1 0-7 10yr2/2 none sil 2msbk mvfr as 2f,lm 0.6 0.8 2 7-26 10yr3/2 none sl 2msbk mvfr cw 2m,lco 0.6 1.0 3 26-36 10yr3/4 none sl 2msbk mvfr cw im 0.6 1.0 4 36-60 10yr5/4 none sl 2msbk mvfr cw - 0.6 1.0 5 60-70 10 r5 6 Y / c2-3d 10yr7/2 ~.5 $ sl 2msbk mfr - - 0.6 1.0 i/ N Boring 2 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 GPD/fts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eif#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 GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#'I "Efr#2 " Effluent #1 = BODS> 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 ~ need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-877 i ~an_Razn ru mmm Gustum Septic Servke ~~ r l/d ~I I cn I I w m ?I I r w ~~ .N+ n ~ N ~ ~z-i~~;'$ w a ~ cn o- n ~ ~ w o ~ i me ~~~~ a ~ o ~ ~ ~ S, ~ ~ ~ ° Cn ° m ~ ~ rn ~ w m 'O z ' W ~ D ado1S an~e~ay m x~ o ~ c a ~~ x aao\S 0~08~' wW IV d 0 c .. ~~ rn ~_ r-t A ~~^ u ~ o n u = r r- ~ , ~' ws~ Z o W ~ m .. ~4 0~. N ~ '~O O ~ ~ W ~ = 'C ~ "a OD ~~ W W O ~ ~ Q '~ N ~ ~ N ^ oo O PiL ~ w W 0~ N ~ ~ ~ 7 C r„ G ~ - ~ ' W ~ v safety and Buildings Division courny St Croix 0~ ~ n Ave., P.O. Box 7162 isconsi R C C ~I~ ~~ 307 - 7162 Sanitary Permit Number (to be filled;n by Co.) Department of Commerce y ~ ~~$~ ~p ~y pQ Sanitary Qillll~ ~~~IC`d State P1anI.D.Number In sword with Comm 83.21, is. Adm. Code, personal infir>ya n you pr ~~ may be used for sec dary ~q(1vYs15.0 1 Xm) Project Address (if different than mailing address) ZONING OFFICE ~ ~ ~ I . # ~ `'" L Application Information -Please rm Information ~ , / f l +,~, V ~ ca ~+ rV13w~ s Property Own Name Lot # Bladc # Parcel #.a" Steven W Searic ~ +~ ` ' O ~ 3 • NQ Property Owner's M Address petty Location 326 River Road / /~ SW '/., SE'/., Section 23 C, Zy y' tY - City, State Zip Cade Phone Number T 29 N; R 19 W Holton WI, 54016 S Type of Building (check all th pply) II '~ ' - OK ~~ ~ SubM~ ~ n Name CSM Number Subdivisi X 1 or 2 Family Dwelling -Number of Be ms 5 o ^ Public/Commercial -Describe Us e nn ^ State Owned -Describe Use U , d-' ~ ~ ~ d- 1 j ~EL ~~e w 5 ^City_^ Village X To 'p of HUaSOII lIL Type of Permit: (Check only one boa on li A. Complete line B i)~applicable) A' X New S stem y ^ Replacement System Tteatmern/lIoldidg Tank Replacement Only ^ Other Modification to Existing System ~~ ~ ~ B• ^ Permit Renewal ^ Permit Revision ^ C ge of ;'~ ^ Pernvt Transfer to New List Previous Permit Number and Date Issued Before Expiration Plum r' owner IV. a of POWTS stem: Check all that a 1 E'' 0 X Non -Pressurized In-Ground ^ Mound > 24 in. of suitable; soil ^ and < 24 in. of suitable soil ^ At-Crrdde ^ Single Pass Sand Filter ^ Constructed W an ^ Pressurized In-Ground ^ HoldingTank ^ P filter ^ Aerobic Treatmetrt Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chambet ~ ^ Drip Line vel-less Pipe ^ Other (explain) V. Dis rsal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpd~ Dispersal Area Requir f) Dispersal Area Proposed (sf) System Elevation 750 0.7 ~ 1071.4 / 1100 ~ 90.2' ~ ± 86.6' VL Tank Info Capacity in Totat~ Number Manufacturer Prefab Site Steel F'ber Plastic Gallons Gallons of Units Concrete Constructed Glass New F.x;stin~ i , ~ 6,ad-~1 F ~~ Tanks Tanks ,e... , + Septic or Holding Tank ~ 1.,G00 1 Skaw Pre-cast Aerobic Treatment Unit S'~ N Dosing Chamber '' VIL Responslb;uty Statement- I, undersigned, assume responsibility for;nstauation of the POWTS shown o atdtchea plans. Plumber's Name (Print) Plumb lure MP/MPRS Number Business Phone Number Toth Gustum 227618 558-1344 Phm~ber's Address (Street, City, Zip Code) NI3450 93'101 Street, New Au 54757 VIIL Coun /De artment U Orel d Sanitary Permit Fee (includes Grarndwatw Is Lssu' Si o pprove Surcharge Fee) ~/~ a ~~ J (~ ~C en Reason for Denial I IX. Conditions o#Appro UReasons for Disapproval 3~ ~ ~~ a~ ~~,.e ~ t 3~ ~/ SYSTEM OW ~ 1, 'Septic tbnk, effluent filter and dispersal cell must all be services ! m~~ _ L (~ .. 3 t• ~W 1~ . a psr management plan provided by pltxttbe 2. Ap sstbeck requirements must Ise mekttairad ~ pw applicable code ! orditlanas. Attach wmprete puns (to the r:ounty omyl ror tree sysrem on paper noc Bess +nan o ~.~ : ~. mcuaa+ ... a.nc s '~ • ~ ~ t1 m Q i : ' S~ ~ 3 ~ ~ N w O c N ~ .Ma' ~ ~ ~ ~ ~ ~ m / ~ ~ ' ( ~ 'p ~ C `s 9 LL , ~° 'S~ g g 3 0 gmx'C~z °. : o ~' _ ~ c c ' ~ ~ m z _ ~n a ~ z~ ~ .. ~ ~ $ J Z ~ ~ ~ U ~ m to _ „ .o ~ ~ ~ m ~.s" '~ ~~ m ` \ ~ ; ~ ~~ fSl N ~ a }~~' . °° ~ ; m ~ m ,p ~ ~, Y \~ \~ ~ p O. ~ ~ O ~.- t lQ oU m \ 0 ~. a a~~ ~1 ~~ E ~ o '. i 12°r6 S~~ \ U i I ~ '' C) ~ ^ ~ a ~ -_ a P3 r ~~ v U , ~ lh ~ ~ (V ~ `~ ~ ~jv~ ~mrn 3 g~ m P/L p v m Q .~., ., p v m Q ~ ~ Z o r N !-- N ~ 10 ~ m ~' ( ; ~ a ~~~ _. g ~ C ~ ~ ~ ~ ' 2 i Ct= $aox & a> ~ ~ ~ o c ... C (~ ~ V m~ z ~ 7. na ~ ~ o ~ t!i ~g Z ~ rn ~ ~ ~ w J Q J u m W W ~~ jl- m m ~~ ~ ~ Q J 9 :' '`~ ~~o~° / ^~ :'" g. y ~f ~' ¢ ~ ~p' 5 L~ ~r ' m (V OD A ^ ~ > f-7 .. . O Y ~ ~.\ ~, Y ~ ~ ~ ~ -, ~ W ~ ~ ~ fll ~ ~6 L ~ V A ~ ~~ ~ ! U co g- ~ U ; ~ ~, ~ o a i a ~ 3 c o~ i°-~~ ~l U { U ~ 4 N ~ a ~ v ;r a ~~ 3 ~ , i oa c~ co 0"v , ,~ ~°~ F- Q ~ a - -- -- -__,~: ~ _ , t a ~~ ~mrn 3 .- ~~ m P/L p I ~ T m ~ Q Page 1 of 4 Cover Page Project Name: Steven W Senrick 750 GPD Conventional Owner's Name Steven W Senrick Owners Address 326 River Road Holton, WI. 54016 Legal Description Sw ~ %<, SE ~ %. Sec 23 T 29 N, R 19 W ~ Township Hudson County Saint Croix ~~ Subdivision Lot# ParcellD# 020-1063-40-050 Table of Contents Pg• 1 Cover page 2 Calculations and Drawings 3 Management and Contingency Plan 4 Plot Map total # of pages: 4 Designer Name: License #: Date: Ph. #: Signature: Thomas Gustum 227618 Design Methods. Used "IN-GROUND SOIL ABSORPTION COMPONENT MANUAL FOR PRNATE ONSITE WASTEWATER TREATMENT SYSTEMS" (Version 1.0) SBD-10705-P (R.6199) Calculations and Drawings Site Conditions Infiltration Elevations Site Type: Private ~ Cell #1 Cell #2 Cell #3 %Slope 18 % Contour Elev: # of Bedrooms 5 Infiltration Elev: 93.20 89.60 0.00 90.20 86.60 0.00 Ft I Ft Depth to limiting factor 90 in Limiting Factor Elev: 85.70 82.10 N/A Soil Application Rate: 0.7 gal/ft"2/day Treatment and Dispersal Zone: 4.50 4.50 N/A Effluent Quality Eff #1 ~ Cover Material Required: 0 0 N/A In Design Ftow: 750 gal/day Finished Grade Over Cell: 93.20 89.60 N/A Max BOD 220 mg/I Max TSS 150 mg/I Distribution Cell Septic Tank Choose chamber type: Ez Flow 3 x 1o cell ~ Septic Tank Manufacturer: Skaw # of CeIIsO Septic Volume Chosen: 1600 Laying Length: 10.00 Ft Effluent Filter Selected: Biotube FTS0854-36 EISA Determined Area: 50.0 Ft2 Note: Access opening of sufficient size to be provided to allow removal of filter. Opening Open Bottom Area: 35.30 Ft2 to terminate at or above grade. Chamber Height: 12 Inches Required Infiltrative Area: 1071.4 Ft2 Actual Infiltration Area 1100 Ft2 Total # of Chambers: 22 Total Cell Length: 220.0 Ft Cross Section of Septic Tank Cross Section of Cell 18" Nin >~ u I I a sdao went Flpe 3" Beddng UrderTank Plan View of Typical Cell ' ~i - ~ Vent in d" fJ6n. «erthole cover~~ 1T Nin. All urns to Page 3 of 4 In-Ground System Management Plan pursuant to Comm 83.54 W. A. C. Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemicaUbiological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1 /3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Absorbtion Cell The absorbtion component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problemsffailure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities andlor possibly cause it to freeze in winter conditions. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank or other components therein (including floats, alarms, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the absorbtion component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by removing the clogged bacterial mat, aggregate/leaching chamber cell, and distribution piping within the cell and replaclng failing components in order to return system to proper working order as required. If repair is not feasible, a new system is to be constructed in a designated replacement area ,~jSC~~IfS%/'t SOIL EVALUAT #2113 Departmentof,Commerce in accordance , mnrBE,..•-~ ~, Cocie~_ Page i of 3 ~~` C 11 /C n 7 Gustum Septic Service Coun Attach complete site plan on paper not less than 8:4 x 11 inches in .Plan must " St. Croix include, but not limited to: vertical and horizontal reference pant (B , direcll~(i ~id cc i lQ ~d t' d d' t d k ti rparce I.D. . - o r~res ro ~ an nce percent slope, scale or dimensions, north arrow, an x~ 020-1063-4 050 Please print ail information. ST. CROIX COUN Revi ed By Date Personal information you provide may be used for secondary purposes (P t,av~(s1Nfi~ ~~ i ~ 7 Ids Property Owner Property Location ~a Q e a~7 34O Miller. Todd Govt. Lot n/a ~ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 813 Dakota Ridge n/a n/a Vot. 17, Page 4542 City State Zip Code Phone Number City Village / Town Nearest Road Hudson WI 54016 715-381-3619 Hudson Gr;nIS~N / New ConsUuction Use: y! Residential /Number of bedrooms 5 Code derived design flow rate 750 GPD ' Replacement ~: Public or commercial -Describe: Parent material outWash plain Flood plain elevation, if applicable n/a ft. General comments Part of 2.5 acres. Recommend system elevations 90.2' and 86.6'. and recommendations: /rlt~}- ~ Ir~ ~~ ~ ~ ~ ~~ Boring # Bonng ,~ y Pit Ground surface elev. 93.2 ft. Depth to limiting factor >85 in. Snit application Rate Horizon Depth Dominant Cokx Redox Description Texture Structure Consistence Boundary Roots GP D/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EN#1 'EtT#2 1 0-7 10yr2/2 none sil 2msbk mvfr as 3f,im 0.6 0.8 2 7-22 10yr3/4 none sl 2msbk mvfr cw 2m,ico 0.6 1.0 3 22-31 10yr4/6 none sl 2msbk mvfr cw im 0.6 1.0 4 31-49 7.5yr4/6 none gr.ls imsbk mvfr cw - 0.7 1.6 5 49-85 10yr5/6 none s 0 sg ml - - 0.7 1.6 Boring ^ Boring # y! Pit Ground surface elev. 93.2 ft. Depth to limiting factor >90 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etf#1 'Eti#2 1 0-5 10yr2/2 none sil 2msbk mvfr as 3f,1m 0.6 0.8 2 5-13 idyr3/2 none sil 2msbk mvfr cw 2m,ico 0.6 0.8 3 13-24 10yr4/3 none sl 2msbk mvfr cw 2m,ico 0.6 1.0 4 24-36 10yr4/6 none Is lmsbk mvir cw - 0.7 1.6 5 36-90 10yr5J6 none s 0 sg ml - - 0.7 1.6 ' Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS<_3l) mgiL ana i 55 <~iu mg~c CST Name (Please Print) Signature: CST Number Tom Gustum 227618 Address Gustum Septic Service Date Evaluation Conducted Telephone Number N13450 937th St. New Aubum, WI 54757 10/12/2005 715-658-1344 :Boring _ _ / '~ ; , ~~ # / Pit Grounai~surface elev. 86.0 ft. Depth to limfing factor 70 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GI'D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef~Ft *Eff#2 1 0-7 10yr2/2 none sil 2msbk mvfr as 3f,1m 0.6 0.8 2 7-14 10yr3/2 none sil 2msbk mvfr cw 2m,1co 0.6 0.8 3 14-28 10yr4/3 none sl 2msbk mvfr cw 2m 0.6 1.0 4 28-32 7.5yr4/6 none Is imsbk mvfr cw - 0.7 1.6 5 32-70 10yr5/6 none s 0 sg ml cw - 0.7 1.6 6 70-80 10yr5/6,4/6 c2-3d l0yr?/2 7.5 r5/8 Is lmsbk mvfr - - 0.7 1.6 ^ Bonng # ~~ ft. D h to limiti factor Pit Ground surface elev. ~ n9 in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efl#t *Eg#2 Boring Boring # Pit Ground surrace elev. ft. Depth to limiting factor in. Soil Application Rate Horzon Depth Dominant Color Redox Description TeMure Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Efl#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 <,] 50 mg/L * Effluent #2 = BODS<_30 mg/L and TSS <.~0 mg/L The Deparhrient 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 608-264-877?. ~,,,. w,..... ,.~.,.,.. r ..~..., ce..w.. ce..a,e ..~ i .. Boring # ~; Pit Gnwncl~surface elev. +86.0 ft. Depth to limfing factor 70 / in. Sal Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPD/ttz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eft#t *ENtf2 1 0-7 10yr2/2 none sil 2msbk mvfr as 3f,1m 0.6 0.8 2 7-14 10yr3/2 none sil 2msbk mvfr cw 2m,1co 0.6 0.8 3 14-28 10yr4/3 none sl 2msbk mvfr cw 2m 0.6 1.0 4 28-32 7.5yr4/6 none Is imsbk mvfr cw - 0.7 1.6 5 32-70 10yr5/6 done s 0 sg ml cw - 0.7 1.6 6 70-80 10yr5/6,4/6 c2-3d 10yr7/2 ~ 5 /$ Is lmsbk mvfr - - 0.7 1.6 ._; Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GPDlft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EH#1 *Eita2 Boring ' Pit Ground surface elev. ft. Depth to limiting factor in. Boring # Sal Application Rate Hor¢on Depth Dominant Color Redox Description TeMure Strocture Consistence Boundary Roots GPDlftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efhlti *Efr#2 * Effluent #1 = BOD S> 30 <220 mg/L and TSS >30 <d 50 mg/L * Effluent #2 =GODS<_30 mg/L and TSS <~0 mg/L The Deparhnent 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. ..,,.. ov ...... .......... r ..+..., c..a:.. ce..:ro .. , D ao c~ v vd ~- ___.._ W ^ W IV __._. ~iozti ~°~ -~ 8 v ~a ~ ~ 0 m ~ W~ ^ O ~ W N N ~F N ~r 0 0~ ~ ~ ~~ ~ ~ ~ ~W ~ " - " m ~ o C ~ r ~ m w ~ ~ Z ~ ° .off -, ~ ~~ ~ ~~ ~ o ~ ~° ~ a Z~ _~-, ~~~aWs ~` o,,, o, ~' ~ ~ 3 Q ~ 9 m= ~~~m o ~ ~ j ~ 4 " . ~~ ~cnQ gm d ~ N ~ rn = (p w ~ ~ W ~ ~ ~ s . _ W '~ ~ ' i s D W n ~ Nov-03-05 10:37A 5 Senrick, Tulgren Prop. . U..:2627P 390 ~'7miz27 \~ .. REGIS~TF~R OF DES WARRANTY DEED ~'• ~ollc ~• ~ III DOCUMENT No. ~ REC1rIYE0 FOR RECORD 67/29/ZttlO! l2:30PM This Deed made between TODD J. MILLER aad MARRANl'Y OEED SARAH B. MILLER, husband and wife and each in their EIElDT t own right, Grantors and STEVEN W. SENRICK, Grantee, REC FEB: 11. tllp Wit h h h TRANS FEE: Za1.Y0 iE: ~F> ~e De 5~,~,r ~ c k S nesset , T at t e said Grantors convey to : ACC Grantee the following described real estate in St. Croix PAGES: 1 ~ 3 a b R;~{f Kd1 County, State of Wisconsin: l~ o `ion w; S~Ji7 A parcel of land located in part of the SE '/, and part of the SW %. of the SE'/, of Section 23, T29N, R19W, Town of RETURN TO: I Judson, St. Croix County, {,Visconsin, described as follows: D. Peter Seguin Commencing at the South Quarter corner of said Section MUDGE, PORTER ET AL. 1 !0 Second St, PO Box 469 23 N00°08'06"r 1024.86 feet to the Northwest corner of Hudson, WI 54016 that parcel of land described on Deed Volume 1363, Page 320 and the point ofbeginning; thence S59°47'31"E 721.15 Tsrc rD# 020-1.63-90-050 feet to the Northeast corner of Lot 2 of Certified Survey Map Volume 10, Page 2935; thence along the North line of said Lot 2 S84°47'23"W 274.40 feet to the Southeast corner of said parcel in Volume 1363, Page 320; thence along the Northeasterly line of last said parcel N43°4504"W 503.71 feet to the point ofbeginning. Cotttaining 1.15 acres. Subject to al[ easements, restrictions and covenants of record. AND A parcel of land located in Section 23, Township 29N, R 19 W, Town of Hudson the SW '/, of the SE '/. EXCEPT the South 660' of West 863.95 feet thereof AND EXCEPT the Plat of Fox Valley AND EXCEPT the Plat of the First Addition to Fox Valley. Together with an Ingress/Egress and Driveway Easement Agreement recorded in the office of the Register of Deeds for St. Croix County, Wisconsin on April 23, 200] in Volume 1622 on Page 530 as Doc. No. b43369. This is not homestead propcriy. ~~ S A~ Together with all and singular the hereditaments and appurtenances thereunto belonging; and Todd J. Miller and Sarah B. Miller warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and reservations, if any, of record. Dated this 9 d f July, 2004. (SEAL) - odd J. Mil AUTHENTICATION Si~wwre of Todd J. Miller and Sarah B. Miller »uthentieated this _-_ day of July, 20()4. TITLE: MEMBER STATL• BAR OF WISCONSIN (Signatures maybe aulhenticatcd or acknowledged. Both are nut necessary) THIS INSTRlJ~1ENT DRAFTED BY: D. Peter Seguin , MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. I tO Second Street, Post Office Sox 469 1•tudson, Wisconsin 54016 ~/ . - i ~~~(SEAL) ara BLMiII ACKNOWLEDGMENT STATEOIrWISCONSIN ) • ) SS COUNTY OF ST. CROIX ) Personally eame before me this c~9 day of July, 2004, Ou above uamud Todd J. Miller and Sarah B. ~lillcr, to me known to be the persons who executed the foregoing instrument and acknowledged the same, r Notary Public, Slate of Wisconsin. My Conuoission (expires?: Obi-O l.a- U ~ MARY K. !'OT'fCri, ii Stale ut t:,%ia,,,;.:~-.,; ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer _ _ S~EU~ Sen r; c !c Mailing Address 3-2 G ; /e~ ~Ca~ {-~,~-~~ n L~1 ~ ~ ~/O ~~ Property Address City/State LEGAL DESCRIPTION Parcel Identification Number 0 ZO - /o(0 3 - yl0 ~ d S~ Property Location 5 F '/4 , ~ ~ '/4 ,Sec. 0~3 , T~~N R I ~ W, Town of ~-~ to G~ 5D `1 Subdivision ,Lot # Certified Survey Map # 7 ~ ,Volume ,Page # Warranty Deed # 7?vc>~/ , Volume ~~r ,Page # ~C Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ..~ SIGNAT OF APPLICANT(S) ~~ /_~/ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (Verification required from Planning & Zoning Depart~nt for new construction.) (REV. 08/05) Main __ __.___ 61 $" ~ __ _' __ k. _. F1R5T ROOK PLAN i y I.U i~~ ,: Parcel #: 020-1063-40-050 1107/2005 10:16 AM PAGE 1 OF 1 Alt. Parcel #: 23.29.19.244A-10 020 -TOWN OF HUDSON Current ` ~X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current CaOwner O -SENRICK, STEVEN W STEVEN W SENRICK 326 RIVER RD HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.470 Plat: N/A-NOT AVAILABLE SEC 23 T29N R19W PT SW SE EXC S 660' OF Block/Condo Bldg: 3 9 ' W 86 . &EXC PLAT OF FOX VALLEY &EXC 5 PLAT OF 1ST ADD TO FOX VALLEY (1.320AC) Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) FKA (244A) 020-1063-40 & INC PT DESC IN 23-29N-19W SW SE WD-1529/33 EZ-U-1622/530 Notes: Parcel History: Date Doc # Vol/Page Type 07/29/2004 770227 2627/390 WD 07/25/2000 626935 1529/036 AFF 07/25/2000 626934 1529/33 WD 10/07/1998 588540 1363/320 1dVD m re... 9AA~ CI IMMARV Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Ciass RESIDENTIAL G1 Totals for 2005: General Property Woodland Totals for 2004: General Property Woodland Last Changed: 10/25/2005 Acres Land Improve Total State Reason 2.470 58,200 0 58,200 NO 05 2.470 58,200 0 58,200 0.000 0 0 2.470 3,100 0 3,100 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